Preface - Government Of Assam, India
Transcript of Preface - Government Of Assam, India
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Preface
NUHM envisages to meet health care needs of the urban population with the focus on urban poor, by
making available to them essential primary health care services and reducing their out of pocket
expenses for treatment. This will be achieved by strengthening the existing health care service delivery
system, targeting the people living in slums and converging with various schemes relating to wider
determinants of health like drinking water, sanitation, school education, etc.
All the services delivered under the urban health delivery system through the Urban-PHCs and Urban-
CHCs will be universal in nature, whereas the outreach services will be targeted to the target groups
(slum dwellers and other vulnerable groups). Empowerment of community through awareness
generation, whereby they are able to demand services from the Health System will be an important
area of emphasis in the NUHM.
NUHM through the urban HWCs will specifically address the peculiarities of urban health needs
through package of services, which constitutes non communicable diseases (NCDs) as a major
proportion of the burden of disease. The primary health care system being envisaged under NUHM
will screen, diagnose and refer the cases of chronic diseases to the secondary and tertiary level through
a system of referral. A major thrust this year will also be on the family planning services like the
IUCD which will go a long way in curbing the uncontrolled population growth and reduce the fertility
rates. Vector control, environmental health, water, sanitation, housing, all require a public health
thrust.
There will also be the implementation of the National programmes like National Vector Borne Disease
Control Programme (NVBDCP), Revised National Tuberculosis Control Programme (RNTCP),
Integrated Disease Surveillance Project ( IDSP) and National Leprosy Elimination Programme
(NLEP)
The standard of services in the urban areas will be ensured through proper training of the service
provider so that the various facility based and the community based outreach programmes like the
UHNDs, special outreach camps, other health camps render highest quality of service.
Hingulas Khakhalary
Urban Health Consultant
NUHM
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Budget Summary with owner of the FMR Code
Sl.No. FMR Code Activities ROP 2019-20 Approval (Rs.
in Lakhs)
Allocation at State HQ(Rs.
in Lakhs)
Allocation for
District’s(Rs. in Lakhs)
Officer responsible in the State level
U.1 Service Delivery – Facility Based
1 U.1.1.1 Support for control of Communicable Disease
1.85 0 1.85 Dr. Pankaj Sahu, Specialist Community Medicine
2 U.1.3.1 Operational Expenses of UPHCs(excluding rent)
66 0 66 Pranjal Borah, Accounts Manager,
NUHM
3 U.1.3.4 Others(Operational Expenses of
UCHC -excluding rent) 2.4 0 2.4 Pranjal Borah, Accounts Manager,
NUHM
U.2 Service Delivery - Community Based 4 U.2.2.1 Mobility support for ANM/LHV 11.7 0 11.7 Hingulas Khakhalary, Consultant,
NUHM
5 U.2.3.1 UHNDs 5.85 0 5.85 Dr. Pankaj Sahu, Specialist Community Medicine/SCM
6 U.2.3.2 Special Outreach camps in slums/vulnerable areas
9.10 0 9.10 Hingulas Khakhalary, Consultant, NUHM
7 U.2.3.3 Support for control of Communicable Disease
21.69 21.69 0 Dr. Umesh Phangcho, SPO, NVBDCP/ Consultant,NUHM
8 U.2.3.5 Others(Health check Camp for Sanitary workers)
2.05 0 2.05 Dr. Pankaj Sahu, Specialist Community Medicine
U.3 - Community Interventions
9 U.3.1.1.1 Incentives for Routine activities 290.88 0 290.88 Partha Saikia, SCM/ Consultant, NUHM
10 U.3.1.2 ASHA Trainings 9.48 .70 8.78 Partha Saikia, SCM/ Consultant, NUHM
11 U.3.1.3.1 Other Non- Monetary Incentives 5.45 5.45 0 SPM/ SCM
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Costs(badge, uniform, ID etc)
12 U.3.2.1.1 Training of MAS 74.95 0 74.95 Hingulas Khakhalary, Consultant, NUHM
13 U.3.4.1 Capacity Building 2.47 2.47 0 Hingulas Khakhalary, Consultant, NUHM
U.4 – Untied grants
14 U.4.1.1.1 Government Building 45.50 0 45.50 Consultant(P)/ Finance Manager
15 U.4.1.1.2 Rented Building 29 0 29 Consultant(P)/ Finance Manager
16 U.4.1.2 Untied grants to UCHCs 10 0 10 Consultant(P)/ Finance Manager
17 U.4.1.4 Untied grants to MAS 32.90 0 32.90 Pranjal Borah, AM,NUHM
U.5 – Infrastructure
18 U.5.1.4.1 Rent for UPHC 48.72 0 48.72 Pranjal Borah, AM,NUHM
19 U.5.1.4.2 Any Other 29.64 29.64 0 Consultant, NUHM/ AM, NUHM
20 U.5.2.1 UPHC(New Constructions) 180 180 0 Consultant, NUHM/ Himangshu Kalita, AE
U.6 – Procurement
21 U.6.1.1 Equipment for UPHC 14.19 14.19 0 Sristi Sut, BME
22 U.6.1.2 Equipment for UCHC .53 .53 0 Sristi Sut, BME
23 U.6.5 Procurement(Others) 53.01 53.01 0 Sristi Sut, BME/ Consultant, RKSK
U.8 - Service Delivery - Human Resource
24 U.8 Service Delivery - Human Resource
1234.11 1234.11 0 Consultant, HR
U.9 - Training & Capacity Building
25 U.9.5.1 Training/Orientation of ANM and other paramedical staff
7.73 2.33 5.40 Monikha Buragohain,
SPM-2, NHM
26 U.9.5.2 Training/Orientation of Medical Officers
3 3 0 Dr. Pankaj Sahu, Specialist Community Medicine
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27 U.9.5.6 Training on Other Disease Control Program
16.15 0 16.15 Dr. Pankaj Sahu, Specialist Community
Medicine/SPO,NCD
28 U.9.5.8 Other Trainings(ULB Members) 4.10 0 4.10 Hingulas Khakhalary, Consultant, NUHM
U.11 - IEC/ BCC 29 U.11.1 Print Media 34.26 34.26 0 SPM-I/ SME
30 U.11.2 Electronic Media 47.18 47.18 0 SME/ Consultant, NUHM
31 U.11.3 IPC 2.38 0 2.38 SME/ Consultant, NUHM
32 U.11.4 Other Media 14.21 0 14.21 SME/ Consultant, NUHM
U.12 – Printing
33 U.12.1 Printing activities 16.69 16.69 0 Deepjyoti Deka, SPM,NHM
U.13 - Quality Assurance
34 U.13.1.1 Quality Assurance 8.82 1.50 7.32 Dr. Rohini Kumar Consultant, Quality Assurance
35 U.13.2.1 Support for Implementation of Kayakalp
15.25 5.05 10.20 Dr. Rohini Kumar Consultant, Quality Assurance
36 U.13.2.2 Swachh Swasth Sarvatra 7.77 2.5 5.27 Dr. Pankaj Sahu, Specialist Community Medicine
U.16 - Programme Management
37 U.16.2.1 QA committees at city level(meetings, workshops etc)
1.12 0 1.12 Dr. Rohini Kumar Consultant, Quality Assurance
38 U.16.8.1 State PMU 18.96 18.96 0 Pranjit Roy, Consultant HR/ Consultant, NUHM
39 U.16.8.2.1 Human Resource 39.30 39.30 0 Pranjit Roy, Consultant HR
40 U.16.8.2.2 Mobility Support 37.80 19.5 18.30 Hingulas Khakhalary, Consultant, NUHM
41 U.16.8.2.3 Administrative expenses(including Review meetings, workshops etc)
25.20 22.20 3 Pranjal Borah, AM,NUHM
TOTAL 2481.39 1754.256 727.134
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Activity:-Support for control of communicable disease
FMR Code: U.1.1.1
Activity owner
At State level – Dr. Pankaj Sahu, Specialist Community Medicine
At District level – District Urban Health Coordinator, NUHM
Objective: Most of the Leprosy patients in the urban areas are found to be migratory patients. Therefore
conducting active survey to be done in slum areas, brick kiln and construction sites and also in the Schools for
identifying hidden Leprosy cases.
Implementation Guideline:
1. Formation of Survey team
Team should consist of four (4) members including-
One Medical officer (Dist. Nodal Officer)
One Non Medical Assistant (NMA),
One Non medical Supervisor and
One Urban ASHA/link worker will do the survey
2. Identification of survey sites by District Nodal Officer of Leprosy Deptt. with the help of
ASHA/Link worker
3. Survey form is to be collected from District Leprosy Deptt, respective district for survey.
4. Detail action plan to be prepared by the team for conducting the active survey
a. House to house survey should be done in identified area
b. Suspected case is to be registered by the Medical officer under NLEP. The patients will be
given choice of continuing the treatment at the UPHC or the District cell.
c. Record keeping register is to be maintained by the Nodal officer and a copy of the same
should be with District Urban Health Coordinator.
d. ASHA/Link worker will follow-up the positive cases.
e. ASHA/Link worker will claim the incentive from the District leprosy cell.
Detail budget break-up
Sl.
No. Districts. Urban areas
Active Survey
@Rs.5000/- Total (In Rs.)
1. Cachar. Silchar. 3 15000.00
2. Dhubri. Dhubri. 3 15000.00
3. Dibrugarh. Dibrugarh. 5 25000.00
4. Nagaon. Nagaon. 4 20000.00
5. Lakhimpur. North Lakhimpur. 3 15000.00
6. Tinsukia. Tinsukia. 6 30000.00
7. Karimganj. Karimganj. 3 15000.00
8. Kamrup (M) Guwahati City 10 50000.00
GRAND TOTAL 37 1,85,000/-
Note: DUHC will follow up the plan for active Survey Camps in coordination with District Leprosy
Department, in respective district.
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Operating Expenses
Activity: Operational Expenses of UPHCs (excluding rent)
FMR Code: U.1.3.1
Activity owner
At State level – Pranjal Borah, Accounts Manager, NUHM
At District level – District Urban Health Coordinator, NUHM
Each UPHCs will be given lump sum of Rs. 10000/-per month for one year. Fund should be utilized
for the payment of electricity bill, telephone bill, alternative power supply and stationery items etcfor
smooth functioning of health institutions.
Budget Details as follows:
No. of Unit Unit Cost (Rs) Total Cost (In Rs.) In lakh
55 120000 6600000.00 66.00
SL. NO. Nameof health institution Remarks District Amount (Rs)
1 NATBOMA PHC Govt
Kamrup Metro 4200000
2 SATGAON PHC Govt
3 KHARGHULIi MPHC Govt
4 ODALBAKRA MPHC Govt
5 KHANAPARA SD Govt
6 CAPITAL SD Govt
7 WEST GHY SD Govt
8 EAST GHY SD Govt
9 GARIGAON SD Govt
10 BHETAPARA SD Govt
11 KAMAKHYA SD Govt
12 LOKHARA SD Govt
13 HENGRABARI MU Govt
14 ULUBARI UHC Govt
15 AMINGAON UPHC Rented
16 GARPANDU UPHC Rented
17 PANDU NATH UPHC Rented
18 FERRYGHAT UPHC Rented
19 GOTANAGAR UPHC Govt
20 FATASIL UPHC Rented
21 SERABHATI UPHC Govt
22 GANDHIBASTI UPHC Rented
23 MATHGHARIA UPHC Rented
24 BATAGHULI UPHC Rented
25 BIRKUCHI UPHC Rented
26 HATIGARH CHARIALI Rented
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27 KAHILIPARA UPHC Rented
28 KOINADHARA UPHC Rented
29 NORTH GHY UPHC Rented
30 CHOONSALI UPHC Rented
31 BASISTHA MANDIR UPHC Rented
32 PANDU UPHC Govt
33 KRISHNANAGAR UPHC Rented
34 PIYALI PHUKAN NAGAR UPHC Rented
35 MEDICAL UNIT, ASSAM
SECRETARIATE, DISPUR Govt
36 KAMPUR UPHC Govt
Nagaon 360000 37 MAHKHULI UPHC Govt
38 DHING GATE, HOIBORGAON Rented
39 WOOD UPHC Govt Sivasagar 240000 40 SONARI UPHC Govt
41 MISSIONPARA UPHC Rented Tinsukia 240000
42 MARGHERITA UPHC Govt
43 JORHAT UPHC Rented
Jorhat 360000 44 MARIYONI UPHC Govt
45 CINAMORA UPHC Govt
46 DIBRUGARH UPHC Govt
Dibrugarh 240000 47 DULIAJAN UPHC Govt
48 BHAWLAGURI UPHC Rented Bongaigaon 120000
49 SILCHAR UPHC Rented Cachar 120000
50 DHUBRI UPHC Rented Dhubri 120000
51 KARIMGANJ UPHC Rented Karimganj 120000
52 JAHAJGHAT UPHC Rented Sonitpur 120000
53 CHAPORIGAON UPHC Rented Lakhimpur 120000
54 GOALPARA UPHC Rented Goalpara 120000
55 DIPHU UPHC Rented KabiAnglong 120000
Total
66,00,000/-
Activity: Others (Operational Expenses of UCHC -excluding rent).
FMR Code: U.1.3.4
Activity owner
At State level – Pranjal Borah, Accounts Manager, NUHM
At District level – District Urban Health Coordinator, NUHM
2 nos. of UCHCs will be provided Rs.10000/- per month for one year. Fund should be utilized for thepayment of
electricity bill, telephone bill, alternative power supply, stationery items etc.
Budget Details as follows:
No. of Unit Unit Cost(Rs) Total Cost (In Rs.) In lakh
Dhirenpara
CHC 120000
Kamrup
Metro 2,40,000 2.40
Pandu CHC 120000
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Activity:-Mobility support for ANM/LHV
FMR Code U.2.2.1
Activity owner
At State level – Hingulas Khakhalary,Consultant, NUHM
At District level – DAM/ District Urban Health Coordinator, NUHM
Mobility expenses for ANM @ Rs.500/- per month per ANM. Mobility expenses to ANM should be
paid for organizing and strengthening of Urban Health & Nutrition sessions, Outreach sessions and for
National health Programmes as per actual/ as per Action Plan and program attained and organised.
District Amount Quantity Total
Kamrup Metro 6000 100 600000
Nagaon 6000 15 90000
Sivasagar 6000 10 60000
Tinsukia 6000 10 60000
Jorhat 6000 10 60000
Dibrugarh 6000 10 60000
Bongaigaon 6000 5 30000
Cachar 6000 5 30000
Dhubri 6000 5 30000
Karimganj 6000 5 30000
Sonitpur 6000 5 30000
Lakhimpur 6000 5 30000
Goalpara 6000 5 30000
Karbi Anglong 6000 5 30000
Total
1170000
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Activity: Urban Health and Nutrition Day (UHND)
FMR Code: U.2.3.1
Activity owner
At State level – SCM/ Dr. Pankaj Sahu, Specialist Community Medicine
At District level – District Urban Health Coordinator, NUHM
The Urban Health and Nutrition Day (UHND) is a platform for the community people to access
services for a package of preventive, promotive and basic curative care.
Guidelines for implementing UHND camps:
Service Package to be provided at UHND:
(a) MATERNAL HEALTH
Early registration of pregnancies.
Provision of full complement of ANC services with quality and accuracy, namely
o Weight measurement
o Abdominal Check-up
o TT injections
o BP measurement
o Haemoglobin Measurement
o Filling up of MCP Card with accurate & complete information
Referral for women with signs of complications during pregnancy and those needing
emergency care.
Referral for safe abortion to approved MTP centres.
Counselling on:
o Education of girls.
o Age at marriage.
o Care during pregnancy.
o Danger signs during pregnancy.
o Birth preparedness.
o Importance of nutrition.
o Institutional delivery.
o Identification of referral transport.
o Availability of funds under the JSY for referral transport.
o Post-natal care. o Breastfeeding and complementary feeding.
o Care of a newborn.
o Contraception.
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Organizing group discussions on maternal deaths, if any that have occurred during
theprevious month in order to identify and analyse the possible causes.
(b) CHILD HEALTH For Infants up to 1 year:
Registration of new births.
Counselling for care of newborns and feeding
Complete routine immunization.
Immunization for dropout children.
First dose of Vitamin A along with measles vaccine.
Weighing
For Children aged 1-3 years:
Booster dose of DPT/OPV.
Second to fifth dose of Vitamin A.
Tablet IFA - (small) to children with clinical anaemia.
Weighing.
Provision of supplementary food for grades of mild malnutrition and referral for cases of
severe malnutrition.
For all children below 5 years:
Tracking and vaccination of missed children by ASHA and AWW.
Case management of those suffering from diarrhoea and Acute Respiratory Infections.
Counselling to all mothers on home management and where to go in even of
complications.
Provide ORS packets.
Counselling on nutrition supplementation and balanced diet.
Counselling on and management of worm infestations.
(c) FAMILY PLANNING
Information on use of contraceptives.
Distribution - provision of contraceptive counselling and provision of non-clinic contraceptives
such as condoms and OCPs.
Information on compensation for loss of wages resulting from sterilization and insurance
scheme for family planning.
(d) NON COMMUNICABLE DISEASES (NCD) SCREENING
Persons aged more than 30 years to be screened for NCDs, viz. Diabetes Mellitus, Hypertension
and Oral cancer.
Monitoring of Blood Pressure (BP), Random Blood Sugar (RBS) and oral visual examination
(OVE) to be done by ANMs assisted by ASHA.
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REPRODUCTIVE TRACT INFECTIONS AND OTHER RELATED CONDITIONS
Counselling on prevention of RTIs and STIs, including HIV/AIDS, and referral of cases
for diagnosis and treatment.
Counselling for peri-menopausal and post-menopausal problems
Communication on causation, transmission and prevention of HIV/AIDS anddistribution
of condoms for dual protection.
Referral for VCTC and PPTCT services to the appropriate institutions.
(d) HEALTH PROMOTION
Importance of clean drinking water, safe water handling practices, use of longhandleladle,
and ways to keep the water clean at point-of-use, using chlorine tablets, boiling, water
filters, etc.
Education on Healthy food habits, hygienic and correct cooking practices, and had washing.
Testing of household salt sample for Iodine (using the testing kits supplied under NIDDCP
programme)
Avoidance of breeding sites for mosquitoes.
Mobilization of community action for safe disposal of household refuse and garbage.
Gender issues
Communication activities for prevention of pre-natal sex selection, illegality of pre-natalsex
selection, and special alert for one-daughter families.
Communication on the Prevention of Violence against Women and Children,
DomesticViolence Act, 2006.
Age at marriage, especially the importance of appropriate age at marriage for girls.
Issues of Alcohol and drug abuse, tobacco and gender violence
Nutrition issues
Focus on adolescent pregnant women and infants aged 6 months to 2 years.
Checking for anaemia, especially in adolescent girls and pregnant women; checking,
advising, and referring.
Checking, advising and referring for other deficiency disorders (Vitamin-A,
Iodinedeficiency, Protein Calorie Malnutrition, etc.)
Weighing of infants and children.
Supply of iron supplements, vitamins, and micronutrients
A discussion about and review of the AWC’s daily activities at the centre,supplementary
nutrition services being provided for children and pregnant and lactating mothers, and
growth charts being recorded at AWC.
Sanitation issues
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Identification of space for community toilets.
Guidance on where to go and who to approach for availing of subsidy for thoseeligible to get the same under
the Jawaharlal Nehru National Urban Renewal Mission (JNNURM).
Frequency: Once in a month at a fixed place and fixed date/day. (1 UHND per ANM per month)
Session site:Micro plane to be prepared by the ANM with the help of AWW/ MAS etcand sessions will
be conducted as per micro plan.
Publicity:1.Publicityto be made for dates, place prior to the session.
2. Prominent display on available services andother strategic points in front of
Aganwadi Centre.
Accountability: The ANMs and Urban ASHAs of the operational area will be jointly
responsible for organizing the event.
Cost per session site: A lump sum amount of Rs. 250/- is proposed for organizing each UHND
session. The expenditure may be incurred in-
Refreshment, Contingency Event management cost like organizing event like quiz, story
writing, drawing, mass meeting, day celebration on maternal health, child health,
Adolescent health, safe water treatment, sanitation etc.
UHND Sites to be fixed as per beneficiary load and micro plan prepared by the ANM. All the Urban
ASHAs and ANMs to have designated area of service. Total no. of 2340 UHNDs at 988 sites to be
covered @ Rs.250/- (per ANM 1 session monthly for 1year).
The session site wise budget break-up for each district is as follows:-
Sl. No. District Quantity Total (Rs)
1 Kamrup
Metro 1200 300000
2 Nagaon 180 45000
3 Sivasagar 120 30000
4 Tinsukia 120 30000
5 Jorhat 120 30000
6 Dibrugarh 120 30000
7 Bongaigaon 60 15000
8 Cachar 60 15000
9 Dhubri 60 15000
10 Karimganj 60 15000
11 Sonitpur 60 15000
12 Lakhimpur 60 15000
13 Goalpara 60 15000
14 Karbi
Anglong 60 15000
Total 2340 585000
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Urban Health and Nutrition Day Monitoring format:
A. Whether ANM provides following services during a UHND? 1) Routine immunization
2) Antenatal care ( essential diagnostics + counselling)
3) Family planning services and counselling
4) Post natal care ( essential diagnostics+ counselling)
5) Nutrition and health promotion and growth monitoring
6) Is Due list for Routine Immunization, ANC,PNC available with ASHA/ANM 7) Micro plan 8) Growth monitoring in MCP card
B. Are high risk pregnancies identified and separately line-listed at the health facility?
C. Does the ANM function as Treatment Supporter (DOT Provider)?
D. Does she refer case of presumptive TB to nearest microscopy centre for diagnosis?
E. Does she provide IEC and community awareness regarding TB symptoms and availability of free services?
F. Status of Population enumeration and CBAC form.
G. Have ASHAs mobilized individuals of 30 years and age above for NCD screening at SHC / SHC- HWC
H. Did the PW receive all services under Antenatal care?(ANC+1 USG+ Diagnostics,IFA,Calcium, Deworming, counselling etc. according to gestational age) under Antenatal care?
I. Is the PW counseled for Post-partum FP choices including PPIUCD by ASHA/ANM during ANC?
J. Counselling for healthy life style (from ASHAs or ANMs)
K. Availability of essential commodities
-
a Pregnancy testing kit (Nischay kit)
Y/N h MBI kit to test iodine level in salt.
Y/N
b COC (Mala N) Y/N I ORS and Zinc Y/N
c Centchroman (CHHAYA) Y/N J HBNC Kit (Newborn weighing Scale, Digital Thermometer, Baby Blanket & Stopwatch)
Y/N
d ECP (EZY PILL) Y/N K Sanitary napkins Y/N
e Condoms (NIRODH) Y/N l Paracetamol Y/N
m Cotrimoxazole (Syp& Tab.) Y/N n Syrup Amoxycillin Y/N
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f Availability of IFA with ASHA g Availability of IFA at school/AWCs
I 6 month - 5yrs - IFA syrup (Bi-weekly)
Y/N I 5-10yrs-Tab. IFA (Pink colored sugar coated) WIFS
Y/N
II Pregnant women and Lactating mothers -Red IFA Tab
Y/N II 10-19yrs - Tab. IFA (Blue colored - Enteric coated)
Y/N
Other commodities
Weighing scale-adult, child
Examination table
Bed screen/curtain
Haemoglobin metres,
Kits for urine examination
Gloves
Slides
Stethoscope and blood pressure instrument
Measuring tape
Foetoscope
Vaccine carrier with ice packs
AD syringes in sufficient quantity
IEC material for communication and counseling
Blank MCP card
Urban Health and Nutrition Day performance indicator:
In order to monitor the performance of the UHNDs few impact indicators have been prepared based on which the service delivery through the UHNDs can be assessed on the health outcome in the urban population.
Indicators : 1) % of PW Received TT injections 2) % of PW registered in 1st trimester
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3) % of PW who completed 4ANCs 4) % of PW Received IFA tablets 5) % of PW and child Weighed 6) % of PW Blood pressure measured 7) % of PW Abdominal check-up done 26.3 32.3 8) % of PW Participated in group meetings/discussion on health issues 9) Number of recently delivered women who participated in VHND 10) % of children fully immunized 11) % of children completely immunized 12) Number of SAM children identified. 13) Number of EC protected.
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Activity: Special Outreach Camp in slums/ vulnerable areas
FMR Code: U.2.3.2 Activity owner
At State level – Hingulas Khakhalary, Consultant, NUHM
At District level – District Urban Health Coordinator, NUHM
Guidelines for implementing Special Outreach camps:
Urban Health & Nutrition Day (Monthly outreach sessions/UHNDs) S
Special Outreach Sessions
WHO: Population to be covered
Slum and vulnerable population (predominantly women and children) in the catchment areas of the UPHC. The already identified patients needing follow-up may be catered to by providing medicines.
Vulnerable groups; emphasis on the most disadvantaged and hardest to reach (migrant labourers, homeless, etc.) Target population for the specific services i.e. All women in a special outreach session being conducted for screening for breast/cervical cancer.
WHAT: Service Coverage
ANC, Immunisation, Health Education, Child Growth Monitoring, Nutrition Supplementation, Nutrition Counselling, education on Water Sanitation and Hygiene, Use of RDK, Drug Dispensing.
Health check-up/Specific services/set of services (for locally endemic diseases and population sub group with specific problems), screening and follow-up (for chronic and non-communicable diseases), basic laboratory investigations (using portable /disposable kits), and drug dispensing.
WHERE: Site of providing the Service
Anganwadi Centre (AWC) or any other community level structure in slum.
Space or structure at the community level in slum/ near vulnerable population (Community Centre, School which may be near Railway Station, railway tracks, city outskirts, Bus Stand, underpasses, outside place of worship, etc.).
BY WHOM:
ANM supported by team of ASHA, AWW, and MAS members.
Doctors/Specialists, Lab Tech, Pharmacist, physiotherapists, social workers. Supported by MO-UPHC, with ANM and ASHA, MAS members and community volunteers.
WHEN: Frequency
Monthly Periodic (as per the local needs in community).
Budget breakup per camp:
Cost head Amount per session (Rs.)
Doctors and Specialists (outsourced, for paying their
fees)
3000
Other paramedical staff (like Pharmacist, Lab
Technician, etc. for paying their fees/ incentive)
1500
Transportation costs 1000
Publicity 1000
Per Special Outreach Camp/Session 6500
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The district breakup of camps is as follows-
Sl. No
Name of the
District No. of Camps Remarks
Fund
Amount (Rs)
1 Cachar 8 Per Quarter 2 Camp 52000
2 Dhubri 8 Per Quarter 2 Camp 52000
3 Dibrugarh 8 Per Quarter 2 Camp 52000
4 Goalpara 12 Per Quarter 3 Camp 78000
5 Kamrup Metro 48 Per Quarter 12 Camp 312000
6 Karbi Anglong 4 Per Quarter 1 Camp 26000
7 Sivsagar 8 Per Quarter 2 Camp 52000
8 Jorhat 8 Per Quarter 2 Camp 52000
9 Bongaigaon 4 Per Quarter 1 Camp 26000
10 Nagaon 12 Per Quarter 3 Camp 78000
11 Lakhimpur 4 Per Quarter 1 Camp 26000
12 Sonitpur 4 Per Quarter 1 Camp 26000
13 Karimganj 4 Per Quarter 1 Camp 26000
14 Tinsukia 8 Per Quarter 2 Camp 52000
Total 140 910000
Activity: Others (Health check-up of sanitary workers under GMC).
FMR Code: U.2.3.5
Activity owner
At State level – Dr. Pankaj Sahu, Specialist Community Medicine
At District level – District Urban Health Coordinator, NUHM
Implementation by: District (Kamrup Metro)
Guideline
For periodic health surveillance of sanitary workers to detect early signs of diseases, a periodic health
check-up camp is to be done to minimize the risk of health hazards in Guwahati, Kamrup Metro district. The
services to be provided are
1. Basic investigations,
2. NCD screening,
3. De-worming will be ensured besides treatment
4. referral and
5. Any other identified disease.
Work to be done by DUHC:-
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Venue to be fixed, Doctor & Specialist to be arranged along with team.
List of the sanitation workers employed with the ULBs (including contractual) is to be carried
during the camp along with a secondary list of sanitation workers who are self-employed or are
in private employment. In order to track that service delivery is provided to the right
beneficiaries and keep tracking of the drop outs or those who were not present during for the
camp.
Each worker must be linked through the Urban ASHA around the geographical area of the
UPHC closest to his/her residence to follow up of treatment.
Preventive care and referral services to be ensured.
Availability of the drugs to be ensured.
Physical performance and financial expenses to be documented and reported.
Budget break-up per camp as below:-
Total no of Sanitary Worker-950
No. of Zones in Kamrup Metro-4
Zone wise no of Sanitary workers will receive check-ups= 50/day (Considering the duty schedule of
Sanitary Workers)
Total no of Camp =20 Nos.
Sl. No Component
Amount per
session/camp
(Rs.)
1 Doctor & Specialist (for paying their fees) 3000.00
2
Other paramedical staff
(like Pharmacist, Lab Technician, Nurse etc. for paying
their fees)
1500.00
3 Working Lunch( @ Rs.250/ member for 5 members) 1250.00
4 Medicines, drugs and consumables (including
consumables
for rapid diagnostic kits)
3500.00
5 Transportation costs 1000.00
6 Publicity (Booked on IEC/BCC FMR Code: U.11.5).
Total amount for one check-up camp 10250.00
Grand total budget for 20 check-up camp 2,05,000.00
19
Activity:- Incentives for routine activities
FMR Code: U.3.1.1.1
Activity owner
At State level – Partha Saikia, State Community Mobiliser/ Consultant,NUHM
At District level – DCM/District Urban Health Coordinator, NUHM
Guideline for payment of incentives for routine activities of ASHA:
FMR Code Sl No Activity Rate of Incentive
U.3.1.1.1.
1 Mobilizing and attending Urban Health and Nutrition Day
Rs 200/-
2 Convening and guiding monthly Urban Health Sanitation and Nutrition meeting
Rs 150/-
3 Attending PHC Review Meeting Rs 150/-
a) Line listing of household done at beginning of the year and updated after every six months
Rs 500/- (Rs100x5)
b) Maintaining Urban health register and supporting universal registration of births and deaths
c) Preparation of due list of children to be immunized updated on monthly basis
d) Preparation of list of ANC beneficiaries to be updated on monthly basis
e) Preparation of list of eligible couples updated on monthly basis
For activity no 1: The ASHA will organize the UHND on the due date in her area. She will ensure proper clenliness of the AWC before the scheduled date of the UHND. She will also prepare the due list of beneficiaries and ensure particpation of the same on the day of UHND.
The ASHA Supervisor will ensure the proper arrangement of the UHND by the concerned ASHA and she will also verify the due list prepared by ASHA in coordination with the ANM and ensure participation during the day of UHND. She will certify in the prescribed format and forward it to the PHC accountant for payment. The amount should be transfered to the ASHA’s account on the same day.
20
For activity no 2: The ASHA will fix the date of UHSNC meeting every month in consultation with the PRI member. She will prepare the agenda of the meeting on the basis of the need of the village. She will ensure the participation of the PRI member along with other members of the commiittee. The minutes and attendence sheet of the meeting convened should be maintained by the ASHA. The ASHA Supervisor will verify the minute and attendence sheet of the meeting and certify in the prescribed format and forward it to the PHC accountant for payment. The amount should be transfered to the ASHA’s account on the same day.
For activity no 3: The ASHA should attend monthly meeting along with Dairy and HBNC Module. The ASHA Supervisor will maintain the attendance sheet and certify in the prescribed format and forward it to the PHC accountant for payment. The amount should be transfered to the ASHA’s account on the same day.
For activity no 4: a) The ASHA will maintain the linelisting in the dairy provided to her.The ASHA Supervisor will
verify the line listing done by her concerned ASHAs and ensure the same in coordination with
the ANM and PRI member. After verification she will certify the same in the prescribed format
and forward it to PHC accaountant for payment.
b) The ASHA will maintain the village health register on monthly basis and ensure registarion of each case of birth and death. The ASHA Supervisor will verify the village health registers of her concerned ASHAs and ensure the same in coordination with the ANM and PRI member. She will also ensure the registration of birth and death case reported by ASHA. After verification she will certify the same in the prescribed format and forward it to PHC accaountant for payment.
c) The ASHA will prepare the due list of children up to 16 years of age and record it on monthly basis. The due list needs to be presented during VHND and ensure the vaccination as per the due list. The ASHA Supervisor will verify the due list prepared by her concerned ASHAs in coordination with the ANM. After verification she will certify the same in the prescribed format and forward it to PHC accountant for payment.
d) The ASHA will prepare the list of benefiaries (pregnant women) for the ANC to be provided. During VHND she will ensure that the due ANCs are provided and will also follow up of the missed ANCs so that it can be provided at SC. The ASHA Supervisor will verify the list of beneficiaries (pregnant women) prepared by her concerned ASHAs in coordination with the ANM. After verification she will certify the same in the prescribed format and forward it to PHC accountant for payment.
e) The ASHA will prepare the list of eligible couple in her village. It also needs to be ensured that the list is updated every month. The ASHA Supervisor will verify the list of eligible couple prepared by her concerned ASHAs in coordination with the ANM and PRI member. After verification she will certify the same in the prescribed format and forward it to PHC accountant for payment.
Financial:
a) On receipt of the claims form from ASHA supervisor the PHC account BAM will verify the same
and the payment shall be made by DBT.
21
b) Separate register to be maintained for the purpose and all financial guidelines to be follow.
District wise budget break-up:-
Sl.No. District No. of Urban ASHA Amount(Rs)
1 Bongaigaon 52 1248000
2 Cachar 81 1944000
3 Dhubri 85 2040000
4 Dibrugarh 81 1944000
5 Goalpara 42 1008000
6 Jorhat 55 1320000
7 Kamrup Metro 465 11160000
8 Karbi Anglong 32 768000
9 Karimganj 30 720000
10 Lakhimpur 35 840000
11 Nagaon 60 1440000
12 Sivsagar 50 1200000
13 Sonitpur 87 2088000
14 Tinsukia 57 1368000
Total 1212 29088000
Activity:- ASHA Trainings
FMR Code: U.3.1.2
Activity owner
At State level – Partha Saikia, State Community Mobiliser/ Consultant, NUHM
At District level – DCM/District Urban Health Coordinator, NUHM
Guidelines for conducting 1st round, 2nd round, 3rd round and 4th round of ASHA Module 6th& 7th Training for newly selected/ replaced ASHAs
1. The contents of the ASHA training module 6th
& 7th
will be covered in four rounds over 20 days (5+5+5+5). Topics to be
covered under four rounds of training are given in annexure I.
2. As the number of new ASHAs is not very high in the concerned district, hence the training may be conducted at district
level. However the district may decide to conduct it in BPHC level also.
3. All the rounds of training will be of five days each and fully residential. No participant will be allowed to stay outside of
the arranged venue as well as no leave will be granted (Excluding emergencies) during the training period.
4. In case of any emergency the trainee (ASHA) has to get the leave approved by the training in charge with full
justification.
5. The accommodation arrangements for trainers as well as trainees have to be arranged nearby the training venue.
6. ASHA trainers trained at zonal level by State Trainers shall only conduct the ASHA training.
7. Each of the training days will start with recap of the previous day’s activities.
8. Pre-training
8.1 Intimate all the ASHAs about date and venue of training in advance. 8.2 Plan for ASHAS arrival at training venue.
22
8.3 Build a positive environment for training by making comfortable, secure and clean training venue and accommodation.
8.4 Arrange all the materials required for imparting training .(Projector, white board marker, flipchart, cardboard, sketch pen, wiper etc. as per provided checklist)
8.5 Make arrangement for emergency medical facilities. 8.6 Ensure you have all the training materials required for conducting training and handover to trainers and
trainees. 8.7 Make the training session plan and give a copy to all resource Person and Participants. 8.8 Make sure that the batch size should not exceed more than 30 participants
9 During training
9.1 Training will be residential and all ASHAs should be present for all the session of the training which will enable them for practicing their learned skills after the formal session and discuss with their peers.
9.2 Trainers should eat, sit, sing and play with ASHAs. This will give them feeling that they are the members of the group.
9.3 There should be a u-shaped sitting arrangement so that more interaction can be conducted. 9.4 Songs and games should be used as both relaxation techniques but also to inculcate a feeling of
solidarity and oneness with each others. 9.5 Share the training schedule with each participant.
9.6 Trainers should ensure that all the training material required for training is available before starting the
session. 9.7 Considering the educational back ground of ASHA s they are not used to long hour’s class room
teaching .The trainers should learn when the group is losing interest. The trainers should keep group engaged by asking questions which will promote active participation.
9.8 Training should start each day at the stipulated time. 9.9 Plan their departure in advance and make arrangement for payment etc.
10 Post Training :
10.1 ASHAs should be supported in the field by the DCM, ASHA Supervisor, BPM, BCM, LHV, BEE (Especially who have undergone training on module 6 & 7) so that the skill of ASHAs are improved.
10.2 During the monthly meeting of ASHAS at PHC level, ASHAs should be encouraged to raise their doubts and concerns, so that the issues and doubts can be addressed.
11 The Training should be under the supervision of a designated training in charge. NOTE: Those who have been selected & Trained as ASHA module 6
th& 7
th trainers shall only conduct the training.
Agenda 3rd round training of ASHA Module 6th and 7th
Day:1
Sl No Time Topic Facilitator
1 30 minutes Welcome & Introduction
2 1 hr Experience sharing of round 1 & 2 and field visit (Home visit) experience sharing by ASHAs
3 3hr Recap/Revision of contents of 1st and 2nd
23
round training and skill revision (practice by ASHAs)
4 30 minutes Pre-training evaluation
5 30 minutes Planning for day 2
Day:2
1 15 minutes Prayer and recap of previous day
2 45 minutes High risk assessment and the management of LBW/Pre-term babies
Session1: Low Birth Weight/Pre-term and it’s risk
3 1 hr 15 min High risk assessment and the management of LBW/Pre-term babies
Session2: How to care for the LBW/Preterm and Newborn
4 1 hr High risk assessment and the management of LBW/Pre-term babies
Session3: Feeding LBW and Pre-term babies
5 1 hr 30 minutes High risk assessment and the management of LBW/Pre-term babies
Session4: Explaining care of LBW infant to mother
6 1 hr 45 min High risk assessment and the management of LBW/Pre-term babies
Session5: Identifying high risk babies
7 30 min Planning for day 3
Day: 3
15 minutes Prayer and Recap of previous day
1 hr 30 min Birth Asphyxia: Diagnosis and early management with mucus extractor
Session 1: How to identify an asphyxiated baby at birth
2 hr Birth Asphyxia: Diagnosis and early management with mucus extractor
24
Session 2: Managing asphyxia using mucus extractor
2 hr Birth Asphyxia: Diagnosis and early management with mucus extractor
Session 3: Assessment: Diagnosis and early management of birth asphyxia
30 min Planning for day 4
Day 4
15 minutes Prayer and Recap of previous day
1 hr 30 min Neonatal Sepsis: Diagnosis and Management with Cotrimoxazole
Session 1: Diagnosis Neonatal Sepsis
1 hr 30 min Neonatal Sepsis: Diagnosis and Management with Cotrimoxazole
Session 2: Treating Neonatal Sepsis
1 hr Neonatal Sepsis: Diagnosis and Management with Cotrimoxazole
Session 3: Management of newborn with chest withdrawing
1 hr 30 min Neonatal Sepsis: Diagnosis and Management with Cotrimoxazole
Session 4: Filling in the forms
1 hr 30 min Neonatal Sepsis: Diagnosis and Management with Cotrimoxazole
Session 5: Assessment of case study
30 min Planning for day 5
Day 5
15 minutes Prayer and Recap of previous day
1 hr 15 min Women’s Reproductive Health:
Session 1: Safe abortion
25
1 hr Women’s Reproductive Health:
Session 2: Family Planning
1 hr Women’s Reproductive Health:
Session 3: RTI/STDs
1 hr Evaluation of the ASHAs based on the contents taught (Written/oral)
Valedictory
Points to be noted: In between the sessions timings for tea-breaks and lunch break has to be decided and provided to the ASHAs
accordingly.
Showing of IMNCI video and video on chest withdrawing on day 3rd
and on day 4th
respective needs to be
ensured.
Budget Break up for 3rd
round training
Budget details for ASHA Module 6th
& 7th 3rd round training 150 ASHAs
Sl No Component Unit cost Unit Duration Total Amount
( inRs. ) ( inRs.)
1 TA for Participants subject to
actual 200 30 2 12000
2 DA to Participants 100 30 5 15000
3 Honorarium for Resource
Persons 300 3 5 4500
4 Accommodation for the
participants including(L/F) 150 33 5 24750
5
Training Material (folder, note
Pad, Pen, Pencil, Highlighter
etc.)
50 37 1 1850
6 Working lunch, snacks and
Tea 150 33 5 24750
7 Venue hiring Charge 1000 1 5 5000
A Total amount for one batch (in Rs.) 87850
B Total amount for 3rd
round training for 5 batch (150 participants ) 439250
In lakh 4.39
26
Trainings to be organised in the district
Budget breakup:
Sl.N
o
District
Responsible
for
organizing
the training.
ASHAs covered
No. of
Batches
3rd
round
of Module 6
& 7
training(Rs
)
1 Bongaigaon Bongaigaon=20, Dhubri=5, Goalpara=5 1 87850
2 Cachar Cachar=20, Karimganj=10 1 87850
3 Kamrup
Metro
60 2 175700
4 Nagaon Jorhat=5,Nagaon=10,Sivasagar=5,Sonitpur=5,Tinsuk
ia=5 1 87850
Total 5 439250
27
Activity:-4rd round of ASHA Module 6 & 7 training for Urban ASHAs
FMR Code: U.3.1.2
Activity owner
At State level – Partha Saikia, State Community Mobiliser/ Consultant, NUHM
At District level –DCM/ District Urban Health Coordinator, NUHM
Guidelines for conducting 4th
round of ASHA Module 6th
& 7th
Training for Urban ASHAs
Agenda for Round 4 ASHA training
Time
Day 1
9:30 am to10:00 am Welcome and Introduction
10:00am to 12:15 pm Experience Sharing
11: 00pm to 11:15 pm
Tea
12:15pm to1:30 pm Understanding Gender
1:30 pm to 2:15 pm Lunch
2:15 pm to 3:45 pm Understanding Patriarchy
3:30 pm to 3:45 pm Tea
3:45pm to 4:30 pm Cycle of Violence
4:30pm to 5:00 pm Explaining Matrix of Violence and dividing groups
Day 2
9.30 am to 1:00pm Group work on Matrix of Violence
11:00 pm to 11:15 pm
Tea
1:00 pm to 1:45 pm Lunch
1:45 pm to 2:45 pm Presentation of group work on Matrix of Violence and discussion
2:45 pm to 3:15 pm Identifying women who are vulnerable to violence
3:15pm to 3:30 pm Tea
3:30 pm to 4:00pm Signs and symptoms of violence
4:00pm to 4:30 pm Consequences of Violence against Women
4:30 pm to 5:30 pm Role of ASHA in addressing violence against women
Day 3 9:30am to 11:00pm Group work on Intervene in case of Violence against Women
28
Budget Break-up:
Budget details for ASHA Module 6th& 7th 4th round training 150 replaced and absorbed
ASHAs
Sl No Component Unit cost
Unit Duration
Total
Amount
( inRs. ) ( inRs.)
1 TA for Participants subject to actual 200 30 2 12000
11:00 am to 11:15 pm
Tea
11:15 am to 12:00 Intervene in case of Violence against Women- Case Studies presentation and discussion on Role of ASHA
12:00 to 12:30 pm Ensuring safety for yourself
12:30 pm to 1:30 pm Legal measures to prevent Violence against Women
1:45pm to 2:15 pm Lunch
2:15 pm to 4:00 pm Women’s reproductive health (Revision of RTI/ STI, Safe abortion, family planning)
4:00 pm to 4:15 pm Tea
4:15 pm to 5:30 pm Tuberculosis
Day 4
9:30 am to 11: 00 am Malaria
11:00am to 11:15 am Tea
11:15 pm to 5:30 pm Infant and Young Child Feeding and assessment of Malnutrition
Day 5
10.00 am to 1:00 pm Revision of skills for Newborn and sick child (Viewing of Skill CD and practice)
11:15 am to11:30 am Tea
1:00pm to 1:45 pm Lunch
1:45 pm to 3:45 pm Evaluation of skills covered in earlier rounds
3:45 pm to 5:30 pm Evaluation
29
2 DA to Participants 100 30 5 15000
3 Honorarium for Resource Persons 300 3 5 4500
4
Accommodation for the participants
including(L/F) 150 33 5 24750
5
Training Material (folder, note Pad, Pen,
Pencil, Highlighter etc.) 50 37 1 1850
6 Working lunch, snacks and Tea 150 33 5 24750
7 Venue hiring Charge 1000 1 5 5000
A Total amount for one batch (in Rs.) 87850
B Total amount for 4th
round training for 5 Batches 439250
Rs. In lakh 4.39
Trainings to be organised in the district
Budget breakup:
Sl.N
o
District
Responsible
for
organizing
the training.
ASHAs covered
No. of
Batches
3rd
round
of Module 6
& 7
training(Rs
)
1 Bongaigaon Bongaigaon=20, Dhubri=5, Goalpara=5 1 87850
2 Cachar Cachar=20, Karimganj=10 1 87850
3 Kamrup
Metro
60 2 175700
4 Nagaon Jorhat=5,Nagaon=10,Sivasagar=5,Sonitpur=5,Tinsuk
ia=5 1 87850
Total 5 439250
30
Activity:2 days capacity building workshop for 6580 MAS members of 658 MAS in 14
districts.
FMR Code: U.3.2.1.1
Activity owner
At State level – Hingulas Khakhalary, Consultant, NUHM
At District level – District Urban Health Coordinator, NUHM
Guideline on two day orientation of MAS Members
To strengthen the capacity of MAS members in order to improve the community awareness level,
interpersonal communication, monitoring through community a two day orientation programme of the
MAS members needs to be carried out under each Urban PHC of the district. The following criteria
should be followed while conducting the reorientation:
Prior to the reorientation the trainers should sit together and prepare the lessons to be covered
during the reorientation.
The reorientation should be conducted by those trainers who are trained at State level ToT.
While selecting the venue for the reorientation it should be kept in mind that a spacious venue is
taken with round shaped sitting arrangement where exclusive interaction through participation
can be carried out.
One batch of reorientation should be between the strength of 30-40 MAS members comprising
of 3-4 MAS.
A proper agenda of the contents to be covered during the reorientation should be prepared and
shared with all the members.
All the participants should be provided with a folder containing a note-pad, pen etc.
While conducting the reorientation the “manual on MAS member” should be strictly followed.
Participatory learning exercise to be carried out while conducting the reorientation.
Arrangement of food (breakfast, lunch, tea-snacks) should be taken care of.
TA/DA should be provided to the participants based on budget provision that is shared with the
districts.
Agenda
Day 1
Time Topics Facilitator
10.00 a.m. -11.00 a.m.
Welcome and Introduction
11.00 a.m. -11.15 a.m. Tea
11.15 a.m. -12.15 p.m. Roles and responsibility of MAS on social issues
12.15 p.m. -1.00 p.m. Role of the President
1.00 pm to 1.30 pm Lunch
31
1.30 p.m. -2. p.m. Role of the Secretary
2 p.m. -2.30 p.m. Role of the Treasurer
2.30 p.m. -3. p.m. Role of the Other members
3. p.m. -4.00 p.m. Meeting of MAS
Day 2
9.30 a.m. -9.45 a.m. Recap
9.45 a.m. -10.30 a.m. Session on cleanliness and importance of hand washing.
10.30 a.m. -10.45 a.m. Tea
10.45 a.m. -11.15 a.m. Session on Anti- Tobacco and anti- alcohol
11.15 p.m. -12.45 p.m. Session on menstrual hygiene, child marriage
12.45 p.m. -1.30 p.m. Session on Domestic Violence
1.30 p.m. -2.15 p.m. Lunch
2.15 p.m. 2.45 p.m. Session on importance of family planning
2.45 p.m. -3.30 p.m. Session on National Health Programmes
3.30pm - 4.15 pm Integration and Coordination
4.15 pm- 5.00pm
Expected Outcomes and Outputs from the MAS
5.00pm- 5.15pm Conclusion
Training budget Break-up:
Budget details for 2 days capacity building workshop for 6490 MAS members
Sl No Component Unit cost
Unit Duration
Total
Amount
(In Rs.) (In Rs.)
1 TA to participants ( subject to actual ) 200 30 2 12000
32
2 DA to Participants 100 30 2 6000
3 Honorarium for Resource Persons 300 3 2 1800
4 Training Material (Bag, Pad, Pen,
Pencil, Highlighter etc.) 100 30 1 3000
5 Working lunch, snacks and Tea 150 33 2 9900
6 Venue hiring Charge 1000 1 2 2000
Total amount for one batch (in Rs.) 34700
Total amount for 2 days capacity building workshop for 216 Batches (
6490 participants) A*216 7495200
No. of training to be organised by the District and budget breakup:
Sl.No District No. of batches Amount (Rs)
1 Bongaigaon 5 173500
2 Cachar 17 589900
3 Dibrugarh 20 694000
4 Dhubri 18 624600
5 Goalpara 18 624600
6 Jorhat 12 416400
7 Kamrup Metro 85 2949500
8 Karbi Anglong 11 381700
9 Karimganj 3 104100
10 Lakhimpur 4 138800
11 Nagaon 13 451100
12 Sibsagar 4 138800
13 Sonitpur 3 104100
14 Tinsukia 3 104100
Total 216 74,95,200
33
Untied Grants
Activity:-Untied Grants to UPHCs in Government building.
FMR Code: U.4.1.1.1
Activity owner
At State level – Consultant(P)/ Finance Manager
At District level – DAM/District Urban Health Coordinator, NUHM
Suggested areas where untied fund may be used: Group-A: Hospital cleaning: “Maximum” 30% fund of untied grant may be utilised (nothing beyond
this celling will be allowed) 1) Cleaning up of the facility especially in emergency, Labour room, hospital laboratory, OPD, IPD wards and post-
partumareas, cleaning and maintenance of the campus to ensure a pleasing appearance.
2) Outsourcing of non-clinical services, Computer Operator, Attendant/helper, driver of Ambulance only (if regular
man in position are not available)
Group –B Hospital Infrastructure: Up to 30% fund of Untied Grant may be utilised 3) Minor repairs on building & furniture
4) Building/repairing Septic Tanks/toilets
5) Improved signage in the facility
6) Making arrangement for disposal of wastage etc. including bio-medical wastage disposal
7) Purchase/Maintenance of Medical equipment’s
8) Fuel for power breakup/ ambulance (if available)
Group C: Patient amenities: At least 40% fund of Untied Grant shall be utilised 9) Provision of safe drinking water to patients
10) Seating arrangement and separate toilets for patients
11) Transport of emergencies to referral centres/ Referral Transport
12) Transport of laboratories samples during epidemics.
13) Arrangement of stay for poor parents and their attendants.
14) Setting up RogiSahayata Kendra/help desk
15) Providing for medicines and Diagnostics for needy people. (In case not available of EDL drugs or free drugs
services)
16) Arrangement for hygienic environment for washroom and toilets
17) Providing security at Hospital Premises for safety/Security of patients through outsourcing
N.B: a. List of people drawing wages from the Untied Grant shall be submitted on a yearly basis to the respective Jt.
DHS cum Member Secretary, District Health Society.
b. The untied grant shall be utilised with the approval of RKS/HMC
c. No new engagement of support staffs under RKS/HMC will not be done beyond 30% limit above (Group-A)
d. No activity shall be implemented beyond allocated fund provisions
e. The united fund and user charges fund shall be parked in the same A/C as per letter no NHM/Accounts/07-
08/422/Pt-III/2013-14/4584 dtd.22nd May 2015
34
Budget detail as follows-
No. of Unit Unit Cost Total Cost (In Rs.) Rs. in lakh
26 UPHC 1,75,000 4550000 45.50
List of Health Institutes:
Sl. No Name of Institute Type of Institute District
Rs. in
lakh
1 NATBOMA PHC PRIMARY HEALTH CENTRE Govt
Kamrup Metro 29.75
2 SATGAON PHC PRIMARY HEALTH CENTRE Govt
3 KHARGHULIi MPHC PRIMARY HEALTH CENTRE Govt
4 KHANAPARA SD PRIMARY HEALTH CENTRE Govt
5 CAPITAL SD PRIMARY HEALTH CENTRE Govt
6 WEST GHY SD PRIMARY HEALTH CENTRE Govt
7 EAST GHY SD PRIMARY HEALTH CENTRE Govt
8 GARIGAON SD PRIMARY HEALTH CENTRE Govt
9 BHETAPARA SD PRIMARY HEALTH CENTRE Govt
10 KAMAKHYA SD PRIMARY HEALTH CENTRE Govt
11 LOKHARA SD PRIMARY HEALTH CENTRE Govt
12 HENGRABARI MU PRIMARY HEALTH CENTRE Govt
13 ULUBARI UHC PRIMARY HEALTH CENTRE Govt
14 GOTANAGAR UPHC URBAN PRIMARY HEALTH
CENTRE Govt
15 SERABHATI UPHC URBAN PRIMARY HEALTH
CENTRE Govt
16 PANDU UPHC URBAN PRIMARY HEALTH
CENTRE Govt
17
MEDICAL UNIT, ASSAM SECRETARIATE, DISPUR URBAN PRIMARY HEALTH
CENTRE Govt
18 KAMPUR UPHC URBAN PRIMARY HEALTH
CENTRE Govt Nagaon 1.75
19 WOOD UPHC URBAN PRIMARY HEALTH
CENTRE Govt Sivasagar
3.5
20 SONARI UPHC URBAN PRIMARY HEALTH
CENTRE Govt Sivasagar
21 MARGHERITA UPHC URBAN PRIMARY HEALTH
CENTRE Govt Tinsukia 1.75
22 JORHAT UPHC URBAN PRIMARY HEALTH
CENTRE Govt Jorhat 3.5
23 CINAMORA UPHC URBAN PRIMARY HEALTH
CENTRE Govt Jorhat
24 DIBRUGARH UPHC URBAN PRIMARY HEALTH
CENTRE Govt Dibrugarh
3.5
25 DULIAJAN UPHC URBAN PRIMARY HEALTH
CENTRE Govt Dibrugarh
26 SILCHAR UPHC URBAN PRIMARY HEALTH
CENTRE Govt Cachar 1.75
35
Activity: Untied Grants to UPHCs in Rented building.
FMR Code:U.4.1.1.2
Activity owner
At State level – Consultant(P)/ Finance Manager
At District level – DAM/District Urban Health Coordinator, NUHM
The same guideline to be followed as mention above both for Govt. building or rented building (UPHC/CHC)for
the expenses of Untied fund.
Budget detail as follows-
No. of Unit Unit Cost Total Cost (In Rs.) Rs. in lakh
29 UPHC 1,00,000 29,00,000.00 29.00
List of Health Institutes:
SL. NO.
NAME OF HEALTH INSTITUTION
TYPE OF HEALTH INSTITUTION REMARKS DISTRICT Rs. in
lakh
1 ODALBAKRA MPHC
PRIMARY HEALTH CENTRE Rented
Kamrup Metro 18
2 AMINGAON UPHC URBAN PRIMARY HEALTH
CENTRE Rented
3 GARPANDU UPHC URBAN PRIMARY HEALTH
CENTRE Rented
4 PANDU NATH UPHC URBAN PRIMARY HEALTH
CENTRE Rented
5 FERRYGHAT UPHC URBAN PRIMARY HEALTH
CENTRE Rented
6 FATASIL UPHC URBAN PRIMARY HEALTH
CENTRE Rented
7 GANDHIBASTI UPHC URBAN PRIMARY HEALTH
CENTRE Rented
8 MATHGHARIA UPHC URBAN PRIMARY HEALTH
CENTRE Rented
9 BATAGHULI UPHC URBAN PRIMARY HEALTH
CENTRE Rented
10 BIRKUCHI UPHC URBAN PRIMARY HEALTH
CENTRE Rented
11 HATIGARH CHARIALI URBAN PRIMARY HEALTH
CENTRE Rented
12 KAHILIPARA UPHC URBAN PRIMARY HEALTH
CENTRE Rented
13
KOINADHARA UPHC URBAN PRIMARY HEALTH
CENTRE Rented
14 NORTH GHY UPHC URBAN PRIMARY HEALTH
CENTRE Rented
15 CHOONSALI UPHC URBAN PRIMARY HEALTH
CENTRE Rented
16
BASISTHA MANDIR UPHC
URBAN PRIMARY HEALTH CENTRE Rented
17
KRISHNANAGAR UPHC
URBAN PRIMARY HEALTH CENTRE Rented
18
PIYALI PHUKAN NAGAR UPHC
URBAN PRIMARY HEALTH CENTRE Rented
36
19 MAHKHULI UPHC URBAN PRIMARY HEALTH
CENTRE Rented Nagaon
2 20
DHING GATE, HOIBORGAON
URBAN PRIMARY HEALTH CENTRE Rented
Nagaon
21 MISSIONPARA UPHC
URBAN PRIMARY HEALTH CENTRE Rented Tinsukia 1
22 MARIYONI UPHC
URBAN PRIMARY HEALTH CENTRE Rented
Jorhat 1
23 BHAWLAGURI UPHC
URBAN PRIMARY HEALTH CENTRE Rented Bongaigaon 1
24 DHUBRI UPHC
URBAN PRIMARY HEALTH CENTRE Rented Dhubri 1
25 KARIMGANJ UPHC
URBAN PRIMARY HEALTH CENTRE Rented
Karimganj 1
26 JAHAJGHAT UPHC
URBAN PRIMARY HEALTH CENTRE Rented Sonitpur 1
27
CHAPORIGAON
UPHC
URBAN PRIMARY HEALTH
CENTRE Rented Lakhimpur 1
28 GOALPARA UPHC
URBAN PRIMARY HEALTH CENTRE Rented Goalpara 1
29 DIPHU UPHC
URBAN PRIMARY HEALTH CENTRE Rented
Kabi Anglong 1
Activity:-Untied Grants to UCHCs
FMR Code: U.4.1.2
Activity owner
At State level – Consultant(P)/ Finance Manager
At District level – DAM/District Urban Health Coordinator, NUHM
The same guideline to be followed as mention above both for Govt. building or rented building (UPHC/CHC)for
the expenses of Untied fund.
No. of Unit Unit Cost Total Cost (In Rs.) Rs. in lakh
2 UCHC 5,00,000 10,00,000.00 10.00
List of Health Institutes:
1 DHIRENPARA FRU Urban CHC Govt Kamrup Metro
2 PANDU FRU Urban CHC Govt Kamrup Metro
Activity:-Untied Grants to MAS
FMR Code: U.4.1.4
Activity owner
At State level – Pranjal Borah, Account’s Manager, NUHM
At District level – District Urban Health Coordinator, NUHM
The main purpose of the untied fund is not simply to spend it but to use it as a catalyst for community
health planning and for executing the plan.
Untied funds:
37
-Promote decentralization, i.e. allow the slum residents to take decisions about spending on community
health.
-Create opportunities for the community to gain capacity for collective decision making around health.
-Provide support to the MAS in executing a plan of action. Any action plan developed by the MAS to
address local issues would include some activities for which funds are required.
-Untied fund helps to undertake those activities requiring funds.
-Community is also encouraged to contribute a revolving fund to the MAS; which may be in terms of
money or labour.
Principles of Utilization of Untied Fund
The MAS can use these funds for any purpose aimed at improving the health of the slum. Being an
untied fund, it is to be utilized as per decision of the MAS. Nutrition, education, sanitation,
environmental protection, public health measures are key areas where this fund could be utilized.
Decision on the utilization of funds should be taken during the monthly MAS meetings and should be
based on the following principles:
The fund shall be used for activities that benefit the community and not just one or two
individuals
However in exceptional cases such as that of a destitute women or very poor household, the
untied fund could be used for health care needs of the poor household especially for enabling
access to care. For example, MAS identified a suspected pneumonia patient who did not have
money to go to the U- CHC for treatment. MAS provided funds for her treatment at the U- CHC
and one of the members also accompanied her to the U- CHC.
The fund shall not be used for works or activities for which an allocation of funds is already
available through the urban local body or other departments. For example, the fund should not
be used in activities like construction of drainage system or roads as these activities are already
budgeted in the concerned departments like PHED and PWD.
In special circumstances the U-PHC or the City/ District PMU could give a direction or a
suggestion to all MAS to spend on a particular activity, but even then it should be approved first
by the MAS.
MAS will not be directed to contract with specific service providers for specific activities,
regardless of the nature of the activity. For example, if MAS wants to engage someone for
providing emergency transport services in the slum, neither health department staff nor anyone
else can direct it to give the contract to any particular service provider.
All payments from the untied fund must be done by the MAS directly to the service provider
without involvement of any third party.
Indicative list of activities that may be undertaken with the help of untied fund
Slum level public health activities like cleanliness drive, insecticide spraying etc.
Awareness generation in the slum on various govt. schemes for urban poor like JSY, RSBY,
JSSK, BSUP, RBSK etc.
38
Repair/ installation of community water supply points like public taps, stand posts
Minor repair of the community toilets to make them functional
IEC/BCC activities like wall writings, puppet shows, film shows for awareness generation on
MNCHN and WASH related issues
Providing equipments like weighing machine etc. to the Anganwadis
Helping destitute women or very poor slum households in accessing health care
Logistic arrangements for Urban Health and Nutrition Days (UHND)
Paying for emergency transport when 102/108 services are not available
Number of MAS increased by 15 no.s in Dhubri district and 9 no.s in Lakhimpur district, so the number
of MAS increases to 658 and MAS members 6580. (Untied grant to 658 nos. MAS@Rs. 5,000/- per
MAS).
Budget detail as follows-
No. of Unit Unit Cost Total Cost (In Rs.) Rs. in lakh
658 MAS 5,000 3290000 32.90
Budget break up:
Sl.No District No. of MAS Amount (Rs)
1 Bongaigaon 14 70,000
2 Cachar 50 250,000
3 Dibrugarh 60 300,000
4 Dhubri 55 275,000
5 Goalpara 56 280,000
6 Jorhat 35 175,000
7 Kamrup Metro 265 1,325,000
8 Karbi Anglong 33 165,000
9 Karimganj 9 45,000
10 Lakhimpur 11 55,000
11 Nagaon 39 195,000
12 Sibsagar 11 55,000
13 Sonitpur 10 50,000
14 Tinsukia 10 50,000
Total 658 3,290,000
39
Activity: Rent for UPHC
FMR Code: U.5.1.4.1
Activity owner
At State level – Pranjal Borah, Accounts Manager, NUHM
At District level – District Urban Health Coordinator, NUHM
Fund should be utilised for rented buildings for the payment of rent on monthly basis as per
actual(Maximum @14000/ per month).29 nos. rented UPHCs @ Rs.168000.00/ year.
No. of Unit Unit Cost Total Cost (In Rs.) In lakh
29 Rs.168000.00 48,72,000.00 48.72
District Budget Breakup:
Sl. No District No. of HI Amount(Rs)
1 Kamrup Metro 18 3024000
2 Nagaon 2 336000
3 Tinsukia 1 168000
4 Jorhat 1 168000
5 Bongaigaon 1 168000
6 Dhubri 1 168000
7 Karimganj 1 168000
8 Sonitpur 1 168000
9 Lakhimpur 1 168000
10 Goalpara 1 168000
11 Karbi Anglong 1 168000
Total 29 4872000
40
Activity:-Training on Other Disease control programme (NCD)
FMR Code: U.9.5.6
Activity owner
At State level – SPO, NCD/Dr. Pankaj Sahu, Specialist Community Medicine
At District level – District Urban Health Coordinator, NUHM/ DPO,NCD
Epidemiologic Transition has occurred with Death from the four major NCDs –Cancer, CVD, Diabetes,
and Respiratory Diseases accounting to more than half of the total deaths. Risk factors for NCDs need
action at all levels. Necessitates a focus on primary and secondary prevention- this will need
comprehensive services at Primary care level. For carrying out the preventive, promotive and the
curative services the following trainings are required.
Agenda for 3 days PBS Training on NCDs for ANM under Urban Health
Day 1:
Time Topic
9.30 AM to 10.00 AM Registration
10.00AM to 10.30AM Pre-test
11.30 AM to 1.30 PM Introduction to CPHC and HWC
10.30 AM to 11.30 AM Overview of NCD’s and its Importance
1.30 PM to 2.30 PM Lunch
2.30 PM to 3.30 PM Risk Factors of Non-communicable
diseases.
3.30 PM to 5.00 PM Management of DM and Practical session
of Glucometer
Day 2:
Time Topic
10.00 AM to 10.30 AM Revision of Day-1
10.30 AM to 11.30 AM Management of HTN Practice session of
Glucometer
11.30 AM to 12.00 PM Tea Break
12.00 PM to 1.30 PM Management of Heart Attack and Stroke
1.30 PM to 2.30 PM Lunch
2.30 PM to 5.00 PM Screening of cervical cancer and video
session on VIA
Day3:
Time Topic
10.00 AM to 10.30 AM Revision of Day 2
10.30 AM to 11.30 PM Screening of breast cancer and practical
session on CBE
11.30 AM to 12.00 PM Tea Break
12.00 PM to 12.30 PM Screening of oral cancer and practical
session on OVE
12.30PM to 1.30 PM Roles and Responsibility of ANMs
1.30 PM to 2.30 PM Lunch
41
2.30 PM to 3.00 PM CBAC form, Record Keeping and
Reporting
3.00 PM to 4.00 PM Health Promotion
4.00 PM to 5.00 PM Evaluation
Budget Break-up details
Training of ANM (Urban) under NCD
Sl
no Component
Unit
cost
Total
Participant
Participants per
batch
Duration per
batch
No of
batch
Total
Amount
1
TA to participants
(on actual) 500 32 32 1 1 16000
2 DA to participants 300 32 32 3 1 28800
3
Accommodation for
participants
including food and
lodging
500 32
32 3
1 48000
4
Training materials
(Folder, pen, pad,
highlighter, etc) 100 32 32 1
1 3200
5
Food cost(Breakfast,
working lunch,
snacks & tea) 250 37 32 3
1 27750
Total 123750
Sl
no Component
Unit
cost
No of Resource
Persons
Duration per
batch
No of
batch
Total
Amount
7
Honorarium to 3
Resource Person @
Rs. 1000/- per
person per batch. 1000 3 3 1 9000
8
Venue cost @ Rs.
3500/- per day on
actual (including
fuel cost for
generator) 3500
1 3500
9 Miscellaneousexp 2500
1 2500
Total 15000
Grand Total 138750
Note:- Only Kamrup(M) should conduct the one batch of 3 days PBS Training on NCDs for ANMs.
42
Agenda for Training of ASHA in Non-Communicable Disease
Day 1
Introduction and Background to the Module 1 Hour
What are Non-Communicable Diseases and why are they important 1 Hour 30 Minutes
Importance of Health Promotion 1 Hour
Risk Factors for NCDs: Tobacco and Alcohol 2 Hours
Day 2
Risk Factors for NCDs: Healthy Diet and Physical Activity 1 Hour 30 Minutes
Risk Factors for NCDs: Stress and Overweight 1 Hour
Role plays on Health Promotion 1 Hour 30 Minutes
Hypertension 2 Hours 30 Minutes
Day 3
Heart Attack and Stroke 1 Hour
Diabetes 2 Hour 30 Minutes
Cervical Cancer 1 Hour 30 Minutes
Oral Cancer 1 Hour 30 Minutes
Day 4
Breast Cancer 3 Hours
Key Tasks of ASHA 1 Hour 30 Minutes
Orientation to Record format and Consent 1 Hour
Disease-specific healthcare services available facility-wise 1 Hour
Day 5 - Joint training with ANM
Orientation to CBAC 1 Hour
Work Flow Process for screening and referral of NCD cases 1 Hour
Facility Visit 3 Hours
Evaluation 1 Hour 30 Minutes
43
Batch wise budget break-up
Training of ASHA's on NCD
Sl
no Component
Unit
cost
Participants
per batch
Duration per
batch
No of
batch
Total
Amount
1
TA to participants (on
actuals) 100 30 2 1 6000
2 DA to participants 100 30 5 1 15000
3
Accommodation for
participants including
fooding and lodging
200
30 5
1 30000
4
Training materials (Folder,
pen, pad, highlighter, etc) 50 30 1 1 1500
5
Food cost(Breakfast,
working lunch, snacks & tea) 150 30 5 1 22500
Total 75000
Sl
no Component
Unit
cost
No of
Resource
Persons
Duration per
batch
No of
batch
Total
Amount
7
Honorarium to 3 Resource
Person @ Rs. 300/- per person
per batch. 300 3 5 1 4500
8
Venue cost @ Rs. 500/- per
day 500 5 1 2500
Total 7000
Grand Total 82000
No. of training to be organised by the District and budget breakup:
Sl.No District No. of batches Amount (Rs)
1 Bongaigaon 1 82000
2 Cachar 1 82000
3 Dibrugarh 1 82000
4 Dhubri 1 82000
5 Goalpara 1 82000
44
6 Jorhat 1 82000
7 Kamrup Metro 8 656000
8 Nagaon 1 82000
9 Sibsagar 1 82000
10 Sonitpur 1 82000
11 Tinsukia 1 82000
Total 18 1476000
Activity:-Other training/Orientations Capacity Building workshop for ULB Members
FMR Code: U.9.5.8
Activity owner
At State level – Hingulas Khakhalary, Consultant, NUHM
At District level – District Urban Health Coordinator, NUHM
Non-Health Departments such as Urban Development, Housing and Urban Poverty Alleviation,
Women and Child Development, School Education, Labour, Water and Sanitation, etc. are also
important stakeholders for successful implementation of NUHM. Thus, these entities must be given a
basic orientation towards urban health issues and NUHM, in order to facilitate identification of areas of
collaboration.
A capacity building workshop cum training is proposed for existing ULB members at district
level for establishment of vibrant community organizations at slum level, under the umbrella of the
urban local body to carry out community based action for public health.
No of batch will be =18. Each batch contains 24 nos participant.
(For Kamrup Metro, 5 batches are proposed as the Guwahati
Municipal Corporation has 6 members).
Total no of participant =431 participants.
The resource person for the program is MO, I/C Urban PHC, DUHC and DCM.
Venue: District
Agenda on Capacity Building workshop for ULB Members Training Agenda
Time Topics
10-10.15 am Welcome address
10.15-10.30 am Tea
10.30-11.00 am Overview of Comprehensive Primary Health Care
11.00-11.30 pm Inception of Health and Wellness Centre
45
11.30-12.30 pm Session on RMNCH+A
12.30-1.30 pm Session on NCD and screening
1.30-2.30 pm Lunch
2.30-3.30 pm Session on NVBDCP and Mental Health
3.30-4.30 pm Session on RNTCP, NTCP and NLEP
4.30-5.30 pm Session on NPCB, NPPCD and conclusion.
Budget Break-up
Sl. No. Component Unit Cost Unit Duration Total (In Rs.)
1 DA to
Participants 400 24 1 9600.00
2 DA for Resource
person 1000 2 1 2000.00
2
Training
Material (Bag,
Pad, Pen, Pencil,
Highlighter etc.)
150 24 1 3600.00
3 Hall Charge 2000 1 1 2,000.00
4 Working lunch,
snacks and Tea 200 28 1 5,600.00
Total amount for one batch (inRs.) 22800.00
Total budget for 18 batches in Rs. 4,10,400.00
Rs. In Lakh 4.10
46
Districts wise budget break-up:
Sl.No District No. of Batch Amount(Rs)
1 Bongaigaon 1 22800
2 Cachar 1 22800
3 Dibrugarh 1 22800
4 Dhubri 1 22800
5 Goalpara 1 22800
6 Jorhat 1 22800
7 Kamrup Metro 5 114000
8 Karbi Anglong 1 22800
9 Karimganj 1 22800
10 Lakhimpur 1 22800
11 Nagaon 1 22800
12 Sibsagar 1 22800
13 Sonitpur 1 22800
14 Tinsukia 1 22800
Total 18 410400
Activity:-_ Trainings/Orientations of ANM and other paramedical staff
FMR Code: U.9.5.1 Activity owner
At State level – Monikha Buragohain,SPM-2, NHM / Dr. Pankaj Sahu, Specialist C.M.
At District level – District Urban Health Coordinator, NUHM
Five day district level orientation cum training should be held for ANMs/Staff nurse on interval
IUCD insertion, training should be conducted in collaboration with the Medical Collages by the district
responsible as below:-
Trainings to be organised in the district
Budget breakup:
Sl.N
o
District
Responsible
for
organizing
the training.
ANM/ Staff Nurse to be covered
No. of
Batches
Amount in
Rs.
1 Silchar Cachar=5, Karimganj=5, 1 54000
2 Jorhat Jorhat=4, Sivsagar=4, Karbianglong=2 1 54000
3 Kamrup
Metro
Kamrup=56,Bongaigaon=2, Goalpara=2,Dhubri=2,
Sonitpur=2, Nagaon=6 7 378000
47
4 Dibrugarh Dibrugarh=4, Tisukia=4, Lakhimpur=2 1 54000
Total 10
Session Plan: Five day Comprehensive IUCD Training course on Interval IUCD, Post-
partum IUCD and Post-abortion IUCD for Service Providers
Duration
Title of Session Training/Learning methods Resource Material
Day 1
20 min
• Opening: Welcome &
Introduction, Participants expectations, Group Norms
Goals and objectives
Course Overview
Welcome the participants and organizers would introduce the trainers
Facilitate introduction of all the participants
Share goals and objectives of the training. Introduce each component of the training package.
Explain group norms and emphasize that to accomplish goals and objectives of the training, it is necessary to follow some ground rules throughout the training.
Trainer to put up the norms on flip chart and paste it on a wall of training room.
Provide information related to breaks; facilities, (washroom, drinking water, lunch area, rooms for practice sessions)
Name Badges
Bag/folder
Reference manual for IUCD
Training Package
Prepared Flip Chart with ‘Group Norms’
Tape to put up charts on the wall.
Markers
20 minutes
Pre course Knowledge Assessment
Write the number on each sheet in advance
Distribute Pre-Course Knowledge Assessment sheet to each participant. Explain the importance of Pre course knowledge assessment and ask them to remember the number written on the sheet till the end of the training.
Allow 20 minutes for the Pre-Course Knowledge Assessment and trainer would collect the filled assessment sheets from them.
Pre numbered copies of Pre-Course Knowledge Assessment Sheets
Answer key for trainers
Pre-Course Knowledge Assessment Matrix
60 min Overview of family planning methods including new contraceptives
Ask participants about available family planning methods in public health system. Use slides to explain.
Display samples of FP methods and discuss each method separately. Provide technical details of the method including details of who can use, how to use the method, its effectiveness, benefits and potential side effects.
Summarize the session by showing basket of choice including all commodities for recap. Ask the participants about key messages.
Power Point Slides
Two Samples each of different spacing contraceptives (COC, ECP, IUCD 375 A, IUCD 380, Condom, MPA, centchroman, POP, tubal rings)
45 min
Technical Update of IUCD
Probe the knowledge of participants about IUCD. Share the background of IUCD program in India.
Introduce IUCD 380A and 375 again and mention difference between the two. Distribute samples of IUCD 375 and 380A and discuss both types, their mechanism of action, effectiveness, timing of insertion, life span, removal, advantages, side effects and limitations.
Discuss about the shelf life and tarnishing of IUCD.
Power Point Slides
Two samples of IUCD 375 and 380 A
48
Duration
Title of Session Training/Learning methods Resource Material
Probe for prevalent misconceptions and how to deal with them
Explain risk of infection, perforation and expulsion in IUCD. Emphasize that these may be addressed with proper insertion technique
Ask participants to enumerate key messages from the session.
90 minutes
Counselling
clients on family
planning
methods (with
focus on key
messages of IUCD
counselling)
Ask the participants about definition of counselling. Discuss that counselling is aimed to facilitate decision making by the client and address concerns and queries, if any.
Emphasize that provider’s attitude towards clients has an impact on the quality of counselling and service uptake. Explain basic principles of good client provider interaction.
Discuss the process, phases and approach of counselling. Explain the process of counselling starting from general to method specific counselling
Probe the participants about GATHER approach and how to use it during counselling.
Emphasize on the importance of follow up counselling and its need
Inform the participants that they will practice counselling technique using the counselling checklist through role plays. Divide the participants in groups of 3 (one participant would be counsellor, one participants would be client and one would be observer). Ask the groups to enact role plays one by one and remaining participants to provide feedback on each role play.
Conclude by appreciating the efforts of the participants for the role play.
Power point presentation; role-plays written on paper, flip chart, markers.
Counselling kit on FP methods.
45 minutes
Lunch Break
90 minutes
Interval IUCD insertion video
Demonstration: IUCD 380
A Loading using ‘No touch technique’,
Insertion technique of Interval IUCD and removal of IUCD
Play the Interval IUCD insertion video.
Prepare skill stations with necessary humanistic uterine simulation model, equipment and supplies for Interval IUCD insertion and removal.
Divide the participants in two groups. Ask the participants to gather around the skill stations. One trainer at each skill station will make the demonstration. Ask the participants to refer to the checklists for IUCD insertion and removal alongside demonstration.
Conduct a demonstration for loading of IUCD 380A inside the packet using ‘No Touch Technique’
Trainer would demonstrate Interval IUCD insertion with both IUCD 380A and IUCD 375.
Encourage participants to ask questions and assess their understanding of the insertion steps.
Remind the participants that they will have an opportunity to practice these skills with support from the trainers and will be assessed for competency throughout the course.
Video of Interval IUCD
Skill station for Interval IUCD
Checklists for Interval IUCD insertion
120 min
Supervised
practice by
participants on
Ask the participants to practice Interval IUCD insertion on uterine simulation models as demonstrated earlier. The trainers will supervise and resolve queries, if any
Skill station for Interval IUCD
Checklists for Interval IUCD
49
Duration
Title of Session Training/Learning methods Resource Material
counselling, IUCD
loading and
insertion
insertion
10 minutes
Care of models Trainers would review the basic steps for care of models and discuss the
same with the participants
10 minutes
Assessment and review of the day
The trainers will summarize the day’s learning for the participants
Day 2
10 minutes
Warm up and Recap of day 1
Trainers would ask the participants to volunteer and recap the learnings from day 1. Add any point, if missed, by the volunteer. Thank the volunteer
60 minutes
Medical eligibility criteria using MEC wheel GOI 2015 and Client Assessment for IUCD
Discuss that once the woman has chosen IUCD or any other method, the provider should make sure that she is eligible for that method. For this purpose, India adopted MEC wheel for contraceptive use may be referred.
Ask the participants if they have ever used India adopted MEC wheel
Explain four categories of WHO MEC. Mention that sometimes providers unknowingly create medical barriers to the use of contraceptive method in conditions where client is otherwise eligible.
Introduce the India adopted MEC Wheel 2015 by giving a brief history of development of MEC wheel (2015) and its usefulness. Explain that the purpose of the MEC is to assist the provider in making decisions about client’s eligibility for contraceptive method based on her medical condition.
Distribute MEC wheel. Explain how it is used while screening the client for IUCD use or any other contraceptive method.
Reiterate the need to rule out pregnancy and demonstrate how that can be done by using pregnancy checklist.
Tell the participants that they will do an exercise on MEC for IUCD. Distribute the exercise with medical conditions written on it. The participants have to answer whether IUCD would be inserted in those conditions or not. Provide correct answers.
Now introduce client assessment for IUCD. Brainstorm and explain components of client assessment
Explain how client assessment is done. Emphasize on important points for PPIUCD and PAIUCD client assessment
Summarize and ask participants to provide key messages of the session
MEC wheel- one for each participant
PowerPoint slides
Reference manual for IUCD
Exercise on MEC
15 minutes
Timing of initiation of PPFP methods
Begin the session by asking participants about FP methods which can be used in postpartum period. Probe and provide correct answers
Discuss timing of initiation of various FP methods in postpartum period.
Power point presentation
45 minute
Technical update on PPIUCD
Start the session by describing how PPIUCD is different. Show PPIUCD insertion forceps
Power point presentation
50
Duration
Title of Session Training/Learning methods Resource Material
s Discuss the advantages & limitations of PPIUCD. Brainstorm when to provide PPIUCD counselling and timing of insertion.
Initiate discussion on additional MEC for PPIUCD and client assessment. Emphasize that insertion of PPIUCD should not impact active management of third stage of labour.
Discuss follow up, side-effects and potential problems related to PPIUCD.
Conclude by asking the participants to provide key messages of the session.
Reference manual
120 min
Video of PPIUCD insertion technique
Demonstration of PPIUCD insertion technique on simulation models/ clients
Supervised skill practice by participants for PPIUCD/ IUCD
Show video on PPIUCD insertion
Prepare skill stations with necessary supplies, equipment, humanistic uterine simulation models for PPIUCD insertion.
Divide the participants in two groups and ask them to gather around the skill stations where trainer would demonstrate insertion technique (one trainer at each skill station). Ask the participants to refer PPIUCD insertion checklists alongside the demonstration.
Demonstrate PPIUCD insertion technique. Discuss and review step by step the technique using checklists. Emphasize that for PPIUCD insertion technique is same for IUCD 380 A and IUCD 375
Ask questions and assess participants’ understanding of PPIUCD insertion
Now ask the participants to practice PPIUCD insertion technique as demonstrated. Remind them that they will have an opportunity to practice these skills with the support of the trainers
Participants will practice insertion of Interval IUCD/PPIUCD on models for 30 minutes and the trainers will supervise them.
After practicing insertion technique on models, participants along with the trainer will visit labour room and OT to see PPIUCD insertion technique (after normal delivery and C section). If no clients are ready for PPIUCD insertion at this point, take the participants to ANC ward, OPD, PNC ward and allow them to counsel the clients. If there are clients ready for Interval IUCD/ PPIUCD insertion, allow participant to insert Interval IUCD/ PPIUCD under trainer’s supervision.
Video on PPIUCD insertion
Skill station for PPIUCD
Checklists for PPIUCD insertion
45 minutes
Lunch Break
51
Duration
Title of Session Training/Learning methods Resource Material
60 minutes
Infection prevention
Introduce the session by discussing the importance of infection prevention for both client and the provider.
Discuss the ‘Standard IP Precautions’ one by one in detail.
Emphasize on the importance of Handwashing. Show the common areas on the hands that are often missed during routine hand wash.
Ask one volunteer to demonstrate the steps of handwashing. Ask other participants if they want to comment on the correctness of steps performed. Demonstrate the correct method of routine hand wash
Explain the need for using barrier Personal Protective Equipment (PPE), especially gloves.
Ask one of the participants to demonstrate the correct method of wearing and removing gloves. Ask participants to comment on the same. Demonstrate the correct method of wearing and removing gloves.
Discuss the steps of instrument processing including decontamination, cleaning, HLD/ sterilization and storage
Demonstrate the correct method of preparation of bleaching solution from bleaching powder/ liquid bleach.
Explain that the sharps need to be handled carefully during procedures so that there is no injury to providers.
Ask the participants about color coded bins and how the waste is segregated in them. Tell the participants about bio medical waste segregation and further management.
Close the session by reiterating that infection prevention is everyone’s responsibility.
PowerPoint slides
IP materials (illustration of tap for handwashing, gloves, colour coded bins, bucket for making hypochlorite solution, bleaching powder/ hypochlorite solution, water, plastic spoon, mug)
30 min Follow up care of clients for IUCD, PPIUCD
Initiate discussion citing the importance of follow up visits.
Explain the schedule of follow up visits after IUCD insertion
Brainstorm and discuss follow up care for all IUCD clients
Explain in detail the warning signs (PAINS). Emphasize that the client must return to the facility immediately if these signs appear
Power point presentation
120 minute
s
Supervised clinical skill practice by participants for PPIUCD insertion on simulation models/ clients
Now ask the participants to practice PPIUCD insertion technique again as demonstrated. Remind the participants that they will have an opportunity to practice these skills with the support of the trainers
Participants will practice insertion of Interval IUCD/ PPIUCD on models for 30 minutes and the trainers will supervise them.
After practicing insertion technique on models, the participants along with the trainer will visit labour room and OT to see PPIUCD insertion technique (after normal delivery and C section). If no clients are ready for PPIUCD insertion at this point, take the participants to ANC ward, OPD, PNC ward and allow them to counsel the clients. If there are clients ready for Interval IUCD/ PPIUCD insertion, allow participant to insert Interval IUCD/ PPIUCD under trainer’s supervision and guidance.
Skill station for IUCD/ PPIUCD
Checklists for PPIUCD insertion
52
Duration
Title of Session Training/Learning methods Resource Material
10 minutes
Assessment and Review of the day
The trainers will summarise the day’s learning for the participants
Day 3
10 minutes
Warm up and recap of Day 2
Trainers would ask the participants to volunteer and recap the discussions from day 2. Add any point, if missed, by the volunteer. Thank the volunteer
45 minutes
Management of side effects & potential problems related to IUCD
Introduce the session by telling the participants that problems related to IUCD are rare, most of which are associated with poor insertion technique.
Explain that most IUCD related problems may be addressed by reassurance and counselling. However, some problems need management.
Probe and ask the participants about potential problems that can occur during and after IUCD insertion. Then show them the list of potential problems in both scenarios.
Exercise: Tell the participants that they would be doing an exercise. Distribute the exercise to all the participants (with potential problems in column 1 and management in column 2). Ask the participants to match the problems with their probable solutions.
Discuss each potential problem in detail.
Summarize by asking the key messages from the session
Power point presentation
Reference manual
Exercise on potential problems and management
60 minutes
Post abortion family planning (PAFP) including technical update on PAIUCD
Share that legalization of abortions in India dates back to 1971 under some parameters. Read out these parameters from slide.
Emphasize that fertility can return quickly after abortions.
Share that PAFP is not a new concept but has taken a backseat in past few years. Discuss the importance of PAFP indicating the contribution of ‘abortions and related complications’ in maternal and infant deaths in India which can be prevented by Family Planning.
Emphasize that until now, there was no structured mechanism for data recording and reporting for PAFP, especially in case of spacing methods.
Share the efforts put in by the MOHFW for revitalization of PAFP.
Ask participants to quickly recapitulate mechanism of action of IUCD.
Now introduce PAIUCD insertion and enumerate its key points.
Emphasize that PAIUCD may only be inserted in health facilities PHC level or above and not at sub center level
Emphasize that only trained medical doctors are allowed to insert PAIUCD in case of second trimester abortions as per GOI guidelines
Explain the steps of client assessment for PAIUCD insertion.
Summarize the session by stating that post abortion family planning needs to be strengthened in the existing program and service provision along with data recording should be equally emphasized.
Power Point Slides
Technical Update on Post Abortion Family Planning
53
Duration
Title of Session Training/Learning methods Resource Material
90 min Video on
PAIUCD insertion
Demonstration of 1st trimester PAIUCD insertion technique on simulation models/ clients
Demonstration of 2nd trimester PAIUCD insertion technique on simulation models/ clients
Show video on PAIUCD insertion
Prepare skill stations with necessary supplies, equipment, humanistic uterine simulation models.
Divide the participants in two groups and ask them to gather around skill stations where trainer would demonstrate insertion technique (one trainer at each skill station). Introduce the session by telling the participants that trainers would be demonstrating the technique for PAIUCD insertion in 1st trimester abortion and in 2nd trimester abortion where the size of uterus after completion of abortion is upto 12 weeks. Interval IUCD technique with modifications, will be used in these cases. Ask the participants to refer PAIUCD insertion checklist (when uterine size is less than 12 weeks post abortion) alongside the demonstration.
Also explain that each participant would get an opportunity to practice on the model in the same manner as trainers did. Welcome any queries before proceeding further.
Trainers will demonstrate the steps of PAIUCD insertion while explaining each step
Trainers should mention that use of uterine sound is not recommended (unlike in Interval IUCD insertion) in the immediate post-abortion insertion but within 12 days or after MMA, the sound needs to be used with certain precautions. Mention those precautions.
Welcome queries or concerns and address them, if any.
Now prepare skill stations with necessary supplies, equipment, humanistic uterine simulation models for Demonstration of 2nd trimester PAIUCD insertion technique.
Divide participants in two groups and ask them to gather around the skill stations where trainer would demonstrate insertion technique (one trainer at each skill station) for PAIUCD insertion in those 2nd trimester abortions when uterine size is more than 12 weeks. Also explain that each participant would get an opportunity to practice/demonstrate on the model in the same manner as trainers did. Ask the participants to refer PAIUCD insertion checklists (uterine size more than 12 weeks post abortion) alongside the demonstration. Welcome any queries before proceeding further.
Thereafter, trainers will demonstrate the steps of PAIUCD insertion for uterine size more than 12 weeks while explaining each step to the participants. Trainers should re-emphasize that only medical doctors are allowed to insert PAIUCD after 2nd trimester abortion as per guidelines.
Welcome queries or concerns and address them, if any
Video on PAIUCD insertion
Skill stations for PAIUCD
PAIUCD checklists (uterine size up to 12 weeks)
PAIUCD checklists (uterine size more than 12 weeks)
45 minutes
Lunch Break
120 minutes
Supervised clinical skill practice by participants for Interval IUCD/PPIUCD/PAI
Now ask the participants to practice the PAIUCD insertion technique as demonstrated. Remind the participants that they will have an opportunity to practice these skills with the support of the trainers
Participants will practice insertion of Interval IUCD/PPIUCD/PAIUCD on models and the trainers will supervise and guide them.
54
Duration
Title of Session Training/Learning methods Resource Material
UCD insertion
120 minutes
Practice of Counselling and Interval IUCD/ PPIUCD/ PAIUCD insertion and removal skills on simulation model/ clients
After practicing insertion technique on models, the participants along with the trainer visit OPD, labour room and OT to see Interval IUCD/ PPIUCD/ PAIUCD insertion technique. If no clients are ready for IUCD insertion at this point, take the participants to ANC ward, OPD, PNC ward and allow them to counsel the clients. If there are clients ready for Interval IUCD/ PPIUCD/ PAIUCD insertion, allow participant to insert Interval IUCD/ PPIUCD/ PAIUCD under trainer’s supervision and guidance. (The AYUSH providers would only observe PAIUCD insertion)
Trainers will assess the competency of the participants using the checklist.
10 minutes
Assessment and review of the day
The trainers will summarize the day’s learning for the participants
Day 4
10 minutes
Warm up and Recap of day 3
Trainers would ask the participants to volunteer and recap the discussions from day 3. Add any point, if missed, by the volunteer. Thank the volunteer
120 min
Supervised clinical practice/ assessment of individual participants on Counselling and Interval IUCD/ PPIUCD/ PAIUCD insertion skills on simulation models/ clients
The participants along with the trainer visit the labour room and OT to observe Interval IUCD/ PPIUCD/ PAIUCD insertion technique. If no clients are ready for IUCD insertion at this point, take the participants to ANC ward, OPD, PNC ward and allow them to counsel the clients. If there are clients ready for Interval IUCD/ PPIUCD/ PAIUCD insertion, allow participant to insert Interval IUCD/ PPIUCD/ PAIUCD under trainer’s supervision and guidance. (The AYUSH providers would only observe PAIUCD insertion)
45 min Counselling clients on family planning in post abortion period
Begin by telling the participants that the session focuses on “what to tell” women and how to respond to the concerns of clients about PAFP.
Now discuss the key points of FP Counselling
Revise the GATHER Approach and display the slide on 6 steps of GATHER
Emphasize on the importance and need of PAFP Counselling and mention that it increases the acceptability of PAFP. Also draw the attention of the participants on the fact that confidentiality should be maintained by Counsellor.
Now discuss the timing of PAFP Counselling and follow up Counselling
Enumerate key counselling messages to be given to the woman in post abortion period.
Conclude the session by re-emphasizing the importance of counselling in post abortion period.
Power point presentation
45 minute
Lunch Break
55
Duration
Title of Session Training/Learning methods Resource Material
s
90 minutes
Supervised clinical practice/ assessment of individual participants on Counselling and Interval IUCD/ PPIUCD/ PAIUCD insertion skills on simulation models/ clients
The participants along with the trainer will visit labour room and OT to see Interval IUCD/ PPIUCD/ PAIUCD insertion technique. If no clients are ready for IUCD insertion at this point, take the participants to ANC ward, OPD, PNC ward and allow them to counsel the clients. If there are clients ready for Interval IUCD/ PPIUCD/ PAIUCD insertion, allow participant to insert Interval IUCD/ PPIUCD/ PAIUCD under trainer’s supervision and guidance. (The AYUSH providers would only observe PAIUCD insertion). Trainers will assess the competency on participants on models using the checklist.
20 minutes
Post-course knowledge assessment
Inform the participants about Post-course assessment. Tell them that it is not an individual knowledge assessment but group knowledge assessment.
Ask the participants to write same number on the sheet that they had written on pre-test.
Ask them to answer each question. Allow 20 minutes for the Post-Course Knowledge Assessment and ask the participants to return the filled assessment sheet to the trainer.
After submission of assessment sheets by participants, co-trainers will grade the papers, matching with answer keys.
Post Course Assessment sheets
Answer sheets for trainers
45 minutes
Programme Determinants and Quality Assurance in IUCD services
Begin by brainstorming on determinants of quality of family planning services. Display the determinants on slides and explain each of them.
Highlight the eligibility criteria for service provider for Interval IUCD, PPIUCD and PAIUCD
Highlight the supply chain management and that regular uninterrupted supply is important for quality services
Discuss what is meant by quality of care and key areas of quality assurance. Explain the performance standards for all the key areas
Summarise and ask participants to provide key messages of the session.
PowerPoint slides
10 minutes
Review of the day The trainers will summarise the day’s learning for the participants
Day 5
10 minutes
Warm up and Recap of day 4
Trainers would ask the participants to volunteer and recap the discussions from day 4. Add any point, if missed, by the volunteer. Thank the volunteer
20 minutes
Feedback on Post Course assessment and clarification of doubts
Discuss the correct answers to the post-course assessment test and answer any doubts that the participants may have.
Answer sheet for post-course assessment
56
Duration
Title of Session Training/Learning methods Resource Material
90 minutes
Record keeping and reporting for Interval IUCD/PPIUCD/PAIUCD
Explain the importance of record keeping and reporting. Discuss how timely reporting helps in monitoring of the program, identification of gaps and effective implementation of the strategies.
Explain the registers that are to be filled up for IUCD services.
Discuss/ demonstrate how to fill client and facility section of IUCD card.
Highlight that written key information on IUCD card should be explained to clients before she leaves the facility and show that there are key information for providers (as reminders) written on the section to be kept in the facility.
Power point slides
IUCD Client Card
IUCD Reference Manual
120 minutes
Assessment of individual participants on counselling and Interval IUCD/ PPIUCD/ PAIUCD insertion skills on simulation models/clients
In this session, participants will practice insertion of Interval IUCD/PPIUCD/ PAIUCD on models and trainers will assess them using standard checklists.
IUCD insertion checklists
45 minutes
Lunch Break
60 minutes
Assessment of individual participants on counselling and Interval IUCD/ PPIUCD/ PAIUCD insertion skills on simulation models/ clients
In this session, participants will practice insertion of Interval IUCD/PPIUCD/ PAIUCD on models and the trainers will assess them using standard checklists.
30 Minutes
Training Evaluation and participant’s feedback
Thank all the participants for participating in the training. Reiterate that quality in services is paramount. Trainers would provide contact information so that the participants can contact them whenever required.
Training Evaluation form
15 minutes
Closing remarks Give closing remarks and thank the organizers
57
Budget Break up:
IUCD Training for Nurses (SN/ANM) in Urban PHC
1. Category of Participants: SN/ ANM
2.Duration of Training: 5 Days
3.Participants per Batch :10 no.s
Estimated Budget per Batch
SL.No
. Component Category
Rate (In Rs.)
No.of Days
Unit Amount in
Rs.
1 DA for Participants SN /ANM 300 5 10 15,000
2 TA for Participants (on Actual) SN /ANM 150 2 10 3,000
3 Honorarium to Resource Person Resource Person 600 5 3 9,000
4 Working Lunch & Tea,Snacks,water bottle etc.
Participants + 6 extra
250 5 16 20,000
5 Stationary (Training materials,Pad,Pen etc.)
Participants 200 1 10 2,000
6 Contingency (Banner ,Hiring of Training Venue if require,LCD Projector,Generator etc.)
5000 5,000
Total Budget for 1 Batch 54,000
Total Budget for 10 batches @ 54000/- per batch 5,40,000/-
58
IEC/BCC
Activity:- Inter Personal Communication.
FMR Code U.11.3 (IPC)
Activity owner
At State level –SME, NHM / Consultant, NUHM
At District level – DME/District Urban Health Coordinator, NUHM
Plan: In order to strengthen the IEC BCC strategy for Inter Personal Communication the following activities are
to be taken up:-
1. One district level strategy development meeting among the District Frontline workers and associated
members. Participants : District Program Management Unit, NUHM officials, ASHA,MAS members,
Urban Local Bodies
2. Street plays to be undertake following issues in slum areas with the help of MAS members:
Issues: Promoting correct behavior, Sanitation & hygiene, Vector born diseases, RTI/ STI, Life style
diseases
Guideline:
Proper strategic meet to be plan by the DUHC’s of the concern district among the officials and associated
members for the National Urban Health Mission. This strategic meet for mapping of the Communication
activities may bring forth an effective dissemination of health messages and programs.
Deliverable:
Increase the first basis of IPC i.e. among the officials and associated members.
Mapping of Communication with respect to locality and challenges
A common platform to discuss the issues related with the functionaries and to solve the same, etc.
Budget break up:
Sl.No District Strengthening of IEC/BCC strategy for Inter
Personal Communication
Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon
5000
5000
2 Cachar 5000
3 Dibrugarh 5000
4 Dhubri 5000
5 Goalpara 5000
6 Jorhat 5000
7 Kamrup Metro 5000
8 Karbi Anglong 5000
9 Karimganj 5000
10 Lakhimpur 5000
11 Nagaon 5000
12 Sibsagar 5000
59
13 Sonitpur 5000
14 Tinsukia 5000
Total 70000
Budget break up:
Sl.No District No. of UPHC/CHC Street Play
Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon 1
3000
3000
2 Cachar 1 3000
3 Dibrugarh 2 6000
4 Dhubri 1 3000
5 Goalpara 1 3000
6 Jorhat 3 9000
7 Kamrup Metro 36 108000
8 Karbi Anglong 1 3000
9 Karimganj 1 3000
10 Lakhimpur 1 3000
11 Nagaon 3 9000
12 Sibsagar 2 6000
13 Sonitpur 1 3000
14 Tinsukia 2 6000
TOTAL 168000
Activity: Other Media
FMR Code: U.11.4
Activity owner
At State level –SME, NHM/Consultant,NUHM
At District level – DME/District Urban Health Coordinator, NUHM
Plan: District will do outdoor publicity on NUHM through the means of Installation of Glow sign box, Retro
Vinyl Board, Sun pack Sheet ,Leaflet, Poster, Banner. Theme of publicity will be NUHM framework, Mahila
Arogya Samiti& Public participation, Non Communicable diseases, Japanese Encephalitis, Dengue, cleanliness
and sanitation, Safe Sex, Family Planning and other program based IEC etc.
1. Installation of Glow Sign Box and Retro Vinyle Board at prominently visible location nearby Urban
Health Facility under NUHM.
2. Sunpack sheets are cost effective IEC tool for dissemination of short information. The Sunpack sheet
will also be an effective campaign tool for delivering short information like family planning, Slogan for
Behavior Change Communication on cleanliness, Sanitation etc. Proposed size of sunpack sheet is 15 x
15 inch multicolor.
60
A. Budget Break up:
Sl.No District No. of UPHC/CHC Glow Sign Box
Unit cost(Rs) No of Units Total Cost(Rs)
1 Bongaigaon 1
2500
5 12500
2 Cachar 1 5 12500
3 Dibrugarh 2 10 25000
4 Dhubri 1 5 12500
5 Goalpara 1 5 12500
6 Jorhat 3 15 37500
7 Kamrup Metro 36 180 450000
8 Karbi Anglong 1 5 12500
9 Karimganj 1 5 12500
10 Lakhimpur 1 5 12500
11 Nagaon 3 15 37500
12 Sibsagar 2 10 25000
13 Sonitpur 1 5 12500
14 Tinsukia 2 10 25000
TOTAL 280 700000
B. Budget Break up:
Sl.No District No. of UPHC/CHC Retro Vinyle Board
Unit cost(Rs) No of Units Total Cost(Rs)
1 Bongaigaon 1
2500
5 12500
2 Cachar 1 5 12500
3 Dibrugarh 2 10 25000
4 Dhubri 1 5 12500
5 Goalpara 1 5 12500
6 Jorhat 3 15 37500
7 Kamrup Metro 36 180 450000
8 Karbi Anglong 1 5 12500
9 Karimganj 1 5 12500
61
10 Lakhimpur 1 5 12500
11 Nagaon 3 15 37500
12 Sibsagar 2 10 25000
13 Sonitpur 1 5 12500
14 Tinsukia 2 10 25000
TOTAL 280 700000
C. Budget break up:
Sl.No District No. of UPHC/CHC Sun pack sheet
Unit cost(Rs) No of Units Total Cost(Rs)
1 Bongaigaon 1
75
5 375
2 Cachar 1 5 375
3 Dibrugarh 2 10 750
4 Dhubri 1 5 375
5 Goalpara 1 5 375
6 Jorhat 3 15 1125
7 Kamrup Metro 36 180 13500
8 Karbi Anglong 1 5 375
9 Karimganj 1 5 375
10 Lakhimpur 1 5 375
11 Nagaon 3 15 1125
12 Sibsagar 2 10 750
13 Sonitpur 1 5 375
14 Tinsukia 2 10 750
TOTAL 280 21000
62
Quality Assurance
Activity: Quality Assurance Implementation
FMR Code: U.13.1.1
Activity owner
At State level – Dr.Rohini Kumar, Consultant, Quality Assurance, NHM
At District level – District Urban Health Coordinator, NUHM
In terms of fire safety, the fire extinguishers should be refilled with proper labelling of expiry
dates on them. No fire extinguishers should be beyond the expiry date.
For the privacy of patients during patient care while conducting physical
examination/procedures by either Doctors/Nurses, these areas should have proper privacy by
the use of partitions and curtains.
Budget break up:-
Sl.No District No. of UPHC
Refill of Fire Extinguisher Curtains, partition in
patient care areas
Unit cost(Rs)
Total Cost(Rs) Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon 1
2000
2000
5555
5555
2 Cachar 1 2000 5555
3 Dibrugarh 2 4000 11111
4 Dhubri 1 2000 5555
5 Goalpara 1 2000 5555
6 Jorhat 3 6000 16665
7 Kamrup Metro 34 68000 188870
8 Karbi Anglong 1 2000 5555
9 Karimganj 1 2000 5555
10 Lakhimpur 1 2000 5555
11 Nagaon 3 6000 16665
12 Sibsagar 2 4000 11111
13 Sonitpur 1 2000 5555
14 Tinsukia 2 4000 11111
Total 108000 299973
63
Fire safety measures and mock drills -Mock drills have to be conducted at health facilities. The district
disaster management authority and fire department should be invited for mock drills on disaster and
fire safety. Records of the training have to be maintained at the facility with date and duration of
drills with names of attendees and authorized signature of the trainer and the facility in charge.
Installation of fire extinguishers, fire alarms, directional signage for fire exits, fire exit plan have to be
established. A NOC also has to be obtained from fire safety department. The purpose of fire drills in
hospitals is to ensure that everyone knows how to exit safely as quickly as possible if a fire, smoke,
carbon monoxide or other emergency occurs. People need to recognize the sound of the fire alarm.
Roles and responsibilities of various staff has to be clearly defined during such a disaster.
EQUAS:EQUAS has to be done for in house laboratories mandatorily for DHs, SDCHs CHCs and PHCs.
The laboratory has to be registered with govt approved facilities like CMC Vellore or AIIMS. The
following link can be followed for registering the lab with CMC Vellore for 2019 Jan to Dec cycle.
Online payment/demand draft has to be made after registering; following which samples will be sent
from CMC, Vellore to that particular facility for EQUAS. This website can be followed
https://home.cmcvellore.ac.in/clinqc/aboutRegistration.aspx for online registration by the facility.
Budget break up for Mock Drills and EQUAS.
Sl.No District No. of UPHC
Mock Drills EQUAS
Unit cost(Rs) Total Cost(Rs)
Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon 1
2000
2000
4000
4000
2 Cachar 1 2000 4000
3 Dibrugarh 2 4000 8000
4 Dhubri 1 2000 4000
5 Goalpara 1 2000 4000
6 Jorhat 3 6000 12000
7 Kamrup Metro 34 68000 136000
8 Karbi Anglong 1 2000 4000
9 Karimganj 1 2000 4000
10 Lakhimpur 1 2000 4000
11 Nagaon 3 6000 12000
12 Sibsagar 2 4000 8000
13 Sonitpur 1 2000 4000
14 Tinsukia 2 4000 8000
Total 108000 216000
64
Activity: Support for Implementation of Kayakalp
FMR Code: U.13.2.1 Activity owner
At State level – Dr.Rohini Kumar, Consultant, Quality Assurance, NHM
At District level – District Urban Health Coordinator, NUHM
For Biomedical and general waste management activities, Bins and bin liners of respective color code
should be purchased and used.
Facility should have both proper directional and departmental signage system. The signage should be
uniform throughout the facility.
For safety of the cleaners and sweepers, personal protective equipments namely gum boot, utility
gloves, aprons should be procured in adequate quantity.
Facility management activities especially pest control should be carried out meticulously. Purchase of
rat traps or rodenticides or other pesticides should be done.
A. Budget break up:-
Sl.No District No. of UPHC
Bin liner Signage’s
Unit cost(Rs) Total Cost(Rs) Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon 1
2800
2800
5000
5000
2 Cachar 1 2800 5000
3 Dibrugarh 2 5600 10000
4 Dhubri 1 2800 5000
5 Goalpara 1 2800 5000
6 Jorhat 3 8400 15000
7
Kamrup
Metro 34 95200 170000
8
Karbi
Anglong 1 2800 5000
9 Karimganj 1 2800 5000
10 Lakhimpur 1 2800 5000
11 Nagaon 3 8400 15000
12 Sibsagar 2 5600 10000
13 Sonitpur 1 2800 5000
14 Tinsukia 2 5600 10000
Total 151200 270000
65
B. Budget break up:-
Sl.No District No. of UPHC
Gum boots, Utility gloves, Other PPE
Bins
Unit cost(Rs) Total Cost(Rs) Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon 1
3000
3000
5100
5100
2 Cachar 1 3000 5100
3 Dibrugarh 2 6000 10200
4 Dhubri 1 3000 5100
5 Goalpara 1 3000 5100
6 Jorhat 3 9000 15300
7
Kamrup
Metro 34 102000 173400
8
Karbi
Anglong 1 3000 5100
9 Karimganj 1 3000 5100
10 Lakhimpur 1 3000 5100
11 Nagaon 3 9000 15300
12 Sibsagar 2 6000 10200
13 Sonitpur 1 3000 5100
14 Tinsukia 2 6000 10200
Total 162000 275400
C. Budget break-up
Sl.No District No. of UPHC Pest Control
Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon 1
3000
3000
2 Cachar 1 3000
3 Dibrugarh 2 6000
4 Dhubri 1 3000
5 Goalpara 1 3000
6 Jorhat 3 9000
7 Kamrup Metro 34 102000
8 Karbi Anglong 1 3000
9 Karimganj 1 3000
10 Lakhimpur 1 3000
11 Nagaon 3 9000
12 Sibsagar 2 6000
13 Sonitpur 1 3000
14 Tinsukia 2 6000
Total 162000
66
Activity: Swachh Swasth Sarvatra
FMR Code: U.13.2.2
Activity owner
At State level – Dr. Pankaj Sahu, Specialist Community Medicine
At District level – District Urban Health Coordinator, NUHM
A day long UPHC level training on Swachh Swasth Sarvatra for Ward members nursing, paramedical and
cleaning staff of urban health facilities should be planned out by the concern DUHC of the district. Resource
person will be the concern MO of the institute.
Objective of the training: To roll out Swachh Swasth Sarvatra in urban areas
Deliverables: Open defecation free urban area, encouraging cleanliness, hygiene etc
Training wise budget break up
District wise budget break up on SSS training:
Sl.No District No. of UPHC Training on SSS
Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon 1
9250
9250
2 Cachar 1 9250
3 Dibrugarh 2 18500
4 Dhubri 1 9250
5 Goalpara 1 9250
6 Jorhat 3 27750
7 Kamrup Metro 37 342250
8 Karbi Anglong 1 9250
9 Karimganj 1 9250
10 Lakhimpur 1 9250
Sl.
No Component Unit Cost Unit Duration Total (In Rs.)
1 DA to Participants 200 15 1 3000.00
2 Training Material (Bag, Pad, Pen,
Pencil, Highlighter etc.)
150 15 1 2250.00
3 Working lunch, snacks and Tea 200 20 1 4000.00
Total amount for 1 batch (15 nos participant) (in Rs.) 9250.00
Total budget for 57 batches (855 participants ) in lakh. 527250.00
Rs. In Lakh 5.27
67
11 Nagaon 3 27750
12 Sibsagar 2 18500
13 Sonitpur 1 9250
14 Tinsukia 2 18500
Total 527250
68
Programme Management
Activity: QA Committees at city level (meetings,workshops, etc.)
FMR Code: U.16.2.1 Activity owner
At State level – Dr.Rohini Kumar, Consultant, Quality Assurance, NHM
At District level –DQC/ District Urban Health Coordinator, NUHM
In order to improve the quality of facility based service delivery through systematic monitoring and
feed-back, with the goal of improving client satisfaction. Every UPHC will organise meetings/
workshop in presence of DPM, DUHC and District Quality team.
District wise budget break up:
Sl.No District No. of UPHC Meeting on Quality Assurance
Unit cost(Rs) Total Cost(Rs)
1 Bongaigaon 1
2000
2000
2 Cachar 1 2000
3 Dibrugarh 2 4000
4 Dhubri 1 2000
5 Goalpara 1 2000
6 Jorhat 3 6000
7 Kamrup Metro 36 72000
8 Karbi Anglong 1 2000
9 Karimganj 1 2000
10 Lakhimpur 1 2000
11 Nagaon 3 6000
12 Sibsagar 2 4000
13 Sonitpur 1 2000
14 Tinsukia 2 4000
Total 112000
Activity: Mobility Support
FMR Code: U.16.8.2.2 Activity owner
At State level – Hingulas Khakhalary, Consultant, NUHM
At District level – District Urban Health Coordinator, NUHM
Mobility support to DPMU @Rs. 10000/per month for 12 months for 13 District and for
Kamrup(Metro) @Rs. 22500/per month. Fund should be utilised for vehicle expenses for field visits/
session visit/special programs and official visits as per NHM norms.
Sl.No District Amount (Rs)
1 Bongaigaon 120,000
69
2 Cachar 120,000
3 Dibrugarh 120,000
4 Dhubri 120,000
5 Goalpara 120,000
6 Jorhat 120,000
7 Kamrup Metro 270,000
8 Karbi Anglong 120,000
9 Karimganj 120,000
10 Lakhimpur 120,000
11 Nagaon 120,000
12 Sibsagar 120,000
13 Sonitpur 120,000
14 Tinsukia 120,000
Total 18,30,000
Activity: Administrative Expenses
FMR Code: U.16.8.2.3 Activity owner
At State level – Pranjal Borah, AM, NUHM
At District level – District Urban Health Coordinator, NUHM
Fund should be utilised for Review meeting, Workshop, Office expenses @ Rs.5000.00/Per Qtr. Bills
should be paid as per NHM norms
District wise break-up
Sl.
No District Unit Cost /Per month qtr Unit Cost /year (Rs)
1 Bongaigaon 5,000 20,000
2 Cachar 5,000 20,000
3 Dibrugarh 5,000 20,000
4 Dhubri 5,000 20,000
5 Goalpara 5,000 20,000
6 Jorhat 5,000 20,000
7 Kamrup Metro 10,000 40,000
8 Karbi Anglong 5,000 20,000
9 Karimganj 5,000 20,000
10 Lakhimpur 5,000 20,000
11 Nagaon 5,000 20,000
12 Sibsagar 5,000 20,000
13 Sonitpur 5,000 20,000
14 Tinsukia 5,000 20,000
Total 3,00,000
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