National Rural Health Mission Proposed NRHM PIP for the Financial Year for the District JAISALMER

Transcription

1 National Rural Health Mission Proposed NRHM PIP for the Financial Year for the District JAISALMER A RCH - TECHNICAL STRATEGIES & ACTIVITIES (RCH Flexible Pool) A.1 MATERNAL HEALTH Operationalise facilities (only A.1.1 dissemination, monitoring and quality) Monitor progress against plan; A (Meetings at District level in every trimester) A MTP services at health facilities A.1.2 A.1.3 Referral Transport (237 Block CHCs) Integrated outreach RCH services meetings MTP facilities No Three meetings per year All 3 24x7 PHCs and 2 FRUs will provide this facility. For operationalisation of MTP facilities, Rs per facility is provisioned (District and SDH are not included) Rs per month per block for referral transport for 4 months- Budget reduced A RCH Outreach Camps No camps shall be organized. 2 camps per month shall be organized at remote areas of district. A.1.4 Janani Suraksha Yojana / JSY A Home Deliveries Nos As per actual basis (For BPL Home Deliveries upto 2 children) A Institutional Deliveries Nos As per actual basis A Hours Deliveries A.1.6 Community Based maternal & Rs. 2 lacs Districts Infant Deaths reviews Total A.2 CHILD HEALTH A Consumables, Drugs & Supplies FBNCs A Maintenance of FBNCs FBNCs A New born stabilizing units at FRUs NBSUs Consumables, Drugs & Supplies for CHC Pokran A.2.4 School Health Programme A.2.5 Infant and Young Child Feeding/IYCF A MTCs (NRC) at District Hospitals Consumables, Drugs & Supplies A MTCs (NRC) at CHCs Consumables, Drugs & Supplies A Compensation package for MTC (NRC) at DHs caregivers For care Rs. 100/-, cosidering 16 children in one month at one MTC (NRC)*12mths =192*38=7296 A Compensation package for MTC (NRC) at CHCs caregivers Total 9.74 A.3 FAMILY PLANNING A.3.1 Terminal/Limiting Methods Provide sterilisation (female and A male) services on fixed days at static health facilities in districts centres A Organise female sterilisation camps in districts. Camps A NSV camps A Organise NSV camps in districts. Camps A Compensation for female sterilisation Beneficiari es For care Rs. 100/-, cosidering 4 children in one month at one MTC (NRC)*12 mths=48*100 = 4800 Rs will be given per static centre per annum for the consumables and contingency Camp arrangements & providing quality services Camp arrangements & providing quality services Actual Basis

2 A A.3.2 A A Actual Basis Compensation for male sterilisation Beneficiari es Spacing Methods IUD Camps Organise IUD Camps (Drugs & Camps Medicine for IUD cases) IUD services at health Rs 20 per IUD IUD insertions A.3.3 POL for Family Planning cases A.3.4 A.3.5 A.3.6 A A Repairs of Laparoscopes Compensation for failure of sterlisation cases decided by court of law Strengthening of JMC Program Strengthening of Jan-mangal Programme (Training of Jan-mangal Couples) Honorarium for Millan baithak of JMC Couples Laparosco pes Lump Sum No No POL for Sterlisation camps (surgeon team, Camp arrangement & Supervision Rs. 50/- per Sterlisation case) Repair and annual maintainance contract of laparoscopes. This has been proposed for the compensation decided by court of law over and above the compensation given under National Family Planning Insurance Scheme of GoI. (For all old cases before insurance scheme) No budget is available in Misc funds of treasury route. Training of JMC couple. Out of Rs. 3 crores required, 1 crore shall be provided by UNFPA Every alternate month Millan baithak shall be held at PHC level - budget reduced A.3.7 Infertility services Infertility services to the couples Total A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH A.5 URBAN RCH A.6 TRIBAL RCH 0.00 Details are given in writeup A.7 VULNERABLE GROUPS 0.00 Clubbed with RCH camps in tribal, desert and vulnerable areas A.8 INNOVATIONS/ PPP/ NGO A Honorarium of State and district State PCPNDT Cell PCPNDT Cell including Data entry A District PCPNDT Cell 1.10 operator & district PCPNDT Coordinators. A A A.9 A.9.1 A A A A District Level Workshop Monitoring of Sex Ratio at Birth workshops districts One Workshop in each district 5 Lacs each to Ten district having Lowest Sex Ratios (Alwar, Shri Ganganagar, Jhunjhunu, Kota, Hanumangarh,Chittorgarh, Jaipur, Jodhpur,Ajmer,Udaipur) through MNGO/NCC/NSS Total 1.35 INFRASTRUCTURE & HUMAN RESOURCES Contractual Staff & Services ANMs ANMs posted at sub-centres of tribal ANMs and desert districts Laboratory Technicians LTs LT per FRU Staff Nurses Nurse Grade (II) require to DH (1 FBNCs each ), 8 Nurse Grade II operationalise FBNC services (42 Nurse per FBNC unit, Rs per Nurse 8/institution Grade (II) Grade II per month

3 A A A A A A A Nurse Grade (II) require to operationalise NBSU services (100 1/institution Nurse Grade (II) require to operationalise MTCs (38 Nurse Grade (II) Nurse 4 Staff /facility) Grade (II) Recruitment of Nurse Grade 1/CHC for care of sick children at Nurse FRUs Grade (II) Nurse Grade (II) require to operationalise MTCs at 100 CHCs (100 1 Staff /facility) PHN / Staff Nurses at FRUs Specialists (Anesthetists, Pediatricians, Ob/Gyn, Surgeons, Physicians) Others - Computer Assistants/ BCC Co-ordinator/ ASHA Link Worker etc Nurse Grade (II) PHNs specialists A Hiring of State IEC Consultant No A Hiring of District IEC Coordinators No A A.9.2 A.9.3 A A A.9.4 A.9.5 A.10 A.10.2 Incentive/ Awards etc. to ASHA Link worker/ SN/ Mos etc. Major civil works (New constructions/ extensions/additions) Minor civil works Minor civil works for Newborn Stabilizing Units Minor civil works for MTC (NRC) at CHCs Operationalise Infection Management & Environment Plan at health facilities NBSUs MTC (NRC)s Other Activities (RCH-I Civil Works) Total INSTITUTIONAL STRENGTHENING Logistics management/ improvement A.10.3 Monitoring & Evaluation / HMIS 0.25 Total 2.25 A.11 TRAINING A.11.1 Strengthening of Training Institutions 2.00 CHC Pokran, 1 Nurse Grade II per NBSU unit, Rs per Nurse Grade II per month for 10 months DH, 4 Nurse Grade II per MTCs unit, Rs per Nurse Grade II per month Pokran & Sankra CHC FRUs, 1 Nurse Grade II per FRU, Rs per Nurse Grade II per month CHC Pokran, 1 Nurse Grade II per MTCs unit, Rs per Nurse Grade II per month for 10 months 1 PHN per Rs per month Rs. 60,000/- per month for specialist at FRU for 6 months District IEC Coordinators Newborn Stabilizing Units shall be operationalized at 100 FRUs Malnutrition Treatment Corners shall be eastablished at 100 FRUs Training for IMEP has been mentioned at "Training" section. HR for Monitoring of IMEP has been mentioned at Supply of logistics and medicines from state HQ to district HQs and public health institutions A SIHFW Lumpsum may be adjusted with Civil works A A.11.2 A.11.3 A A HFWTCs Development of training packages Maternal Health Training Training of ANMs/ SN/ LHVs in SBA (One batch for 20 ANMs) BEmOC Training HFWTCs batches batches A BSU Training Lumpsum A TOT for BEmOC Lumpsum A.11.5 Child Health Training For HFWTCs Jaipur and Ajmer Training of faculty to be supported by UNFPA/UNICEF Batches reduced to 100 Rs Lacs per batch for the BEmOC Training for 10 days Reorientation and training for left over Mos and LTs at SDMH under PPP mode Technical support shall be provided by UNFPA

4 A IMNCI trainings A F-IMNCI trainings A A.11.6 A A.11.7 A.11.8 Training of Mos and Nursing staff for "Navjat Shishu Suraksha Karyakram" (1 MO and 1 Nursing Staff at FRUs and 24X7 PHCs) Family Planning Training IUD Insertion Training ARSH Training Programme Management Training batches batches A Training of Mos in Public Health Management Mos Total A.12 BCC / IEC Strengthening of BCC/IEC A.12.1 Bureaus (state and district levels) A.12.2 A.12.3 Development of State BCC/IEC strategy Implementation of BCC/IEC strategy Training of Mos and staff nurses from 6 CHCs and 12 PHCs (total 18), budget reduced Total 2236 candidates will be trained in 186 batches of 12 Rs lac. RTI/STI training shall be merged with IUD insertion training, clubbed with BmOC/SBA one year PGDPHM course as per GOI norms, no. reduced Capacity Building of IEC Bureau by UNICEF Prototypes in identified thematic areas in partnership with UNICEF and UNFPA A A A A A A A A A A Training & VCD/IPC, Health Mela's in First Phase on the following subject (i) 3 ANC Cheek up (ii) Instutional delivery (iii)exclusive breast feeding (iv) Immunization (v)right age of Marriage 18/21 (vi)family Planning, NSV (vii)cm BPL(Jeewan Raksha Kosh) Scheme (viii)arsh & other NRHM issues Capacity Building Workshop & Exposure Visit Seven Regional BCC Workshops Folk Media, Street Play, Interactive Puppet shows Maternal Health, Child Health, NRHM, VHSC, FW, ARSH, PNDT & other NRHM issues Outdoor Media Activities Wall Writing in all Districts on DAVP rates TV spot Telecasting Radio Spot Jingle Printing Material villages villages districts A A Sun Bord/LDPE Poster to be printed for following topics MH, JSY, CH, ARSH, PNDT & other NRHM issues Newspapers Advertisement A A Portable Exhibition Panels (Standy) Exhibitions at Local Fairs A Exhibitions, Folk Media activities, Film Shows during Local Fairs, Haat Baazaar, Zhankis on Republic day /- per unit districts A Urban RCH Total A.13 PROCUREMENT A.13.1 Procurement of Equipment

5 A A A A A.13.2 Procurement of equipment: MH Procurement of equipment: CH Procurement of equipment: FP Procurement of equipment: IMEP Procurement of Drugs and supplies A.14 PROGRAMME MANAGEMENT A.14.1 A.14.2 A Strengthening of State society/state Programme Management Support Unit Strengthening of District society/district Programme Management Support Unit Contractual Staff for DPMSU recruited and in position Budget has been mentioned in NRHM flexible pool DPM DAM DA DEO Peon-4000 A A.14.3 A.14.4 Provision of equipment/furniture and mobility support for DPMU staff Strengthening of Financial Management systems Other activities (Prog. Management Expenses, Mobilty support to state, district, block for all staff) Rs lacs for office expenditures, 3.60 lacs for TA/DA, 3.60 lacs for mobility support, 0.50 lacs for furniture / equipment and 0.5 lacs untied grant for specific requirements of DPMUs Tally Customisation Total TOTAL RCHFLXIBLE POOL TIME LINE ACTIVITIES - B Additinalities under NRHM (Mission Flexible Pool) B1 ASHA B1.1 Selection & Training of ASHA Training of 12 Batches Also includes IEC and other B1.2 Procurement of ASHA Drug Kit promotional activities Asha Monthly Performance related incentives 9.36 x300=5.04, Kishori Balika Paramarsh B1.3 to ASHAs DAC BAF-3* PHC As- Honararium to ASHA Supervisory 14*5000 B1.4 cadre B1.5 ARC Salaries and Operational cost Total B2 Untied Funds B2.1 Untied Fund for CHCs B2.2 Untied Fund for PHCs B2.3 Untied Fund for Sub Centers Will also be used for trg of VHC B2.4 Untied fund for VHSC members of Rs 945 lacs and IEC activties of Rs. 25 lacs. Total B3 Hospital Strengthening Includes 1 District Hospital B3.1 Strengthening of Directorate of Hospital Management Rs per month honorarium and Rs per month TA/DA B3.2 B3.1 Strengthening of Telemedicine centres Upgradation of CHCs, PHCs, Dist. Hospitals to IPHS) Repair and maintenance of telemedicine equipments at Distt. Rs. 1 lac

6 Additional fund required for completion of Labour Rooms at earlier selected Subcentres Model Sub-centres- number reduced B3.1.4 Sub Centers by 300 MSC Strengthening of District and Sudivisional B3.2 Hospitals Total 3.25 B4 Annual Maintenance Grants B4.1 CHCs B4.2 PHCs B4.2.1 Urban PHCs budget withdrawn B4.3 Sub Centers (Sub-centres with Government buildings) budget withdrawn as we have already budgeted untied grants Total New Constructions/ Renovation Spill over liabilities of PIP and and Settingup new civil works in PIP Civil work includes 500 ANM centre, renovation of ANMTC and drug ware house, CHC, PHC, BMO etc budget will be upscaled on the availability of savings. Detailes B5 are in write up. Setting up Infrastructure wing for Requirement of Human Resource for Civil works Departmental Construction Wing (Engg. Wing) of NRHM for the year B B6 Corpus Grants to HMS/RKS B6.1.1 District Hospitals Will be funded under MMJRK Scheme B6.1.2 Satellite Hospital Will be funded under MMJRK Scheme B6.1.3 Sub District Hospitals Will be funded under MMJRK Scheme B6.2 CHCs Will be funded under MMJRK Scheme B6.3.1 PHCs Will be funded under MMJRK Scheme B6.3.2 Urban PHCs budget withdrawn B7 B8 B8.1 B8.2 B9 B10 B10.1 B10.3 B10.4 District Action Plans (Including Block, Village) Panchayti Raj Initiative Constitution and Orientation of Community leader & of VHSC,SHC,PHC,CHC etc Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC Total Mainstreaming of AYUSH 0.00 IEC-BCC NRHM Health Mela (Swasthya Mitra Yojana) 4.50 Other activities (Swasthya Chetna Yatra) Swasthya Gram Yojana Total 6.01 Provision of Rs. 20,000/- per block, Rs. 50,000/- and Rs. 5 lacs for preparation of State PIP Training of Village Health Committee (90 Batch x 27000) For IEC purposes, will be done from VHC untied funds Budgeted under intersectoral convergence For honorarium to Swasthya Mitras (@ Rs. 100/- for each school), Rs lacs for printing of 5200 books (@ Rs. 60/- per book) and lacs for slogan Rs. 100/- per school. A month long health caimpaign at the Gram panchayat level. 50 lacs for IEC and 400 lacs for cash awards B11 Mobile Medical Units (Including recurring expenditures)

7 B11.1 Operational Cost of 52 MMUs at District dist. MMUs B11.2 Capital Cost of 150 MMUs at Rs. 10 Lacs block MMUs Operational cost for 150 B Lacs for 8 months (10 lacs yearly) block MMUs Budget reduced (budgeted for 150 MMUs for 8 months) budget clubbed with B11.3 B11.4 Operational cost for 50 5 Lacs per vehicle for 6 months block MMUs B11.5 M & E for MMUs Lumpsum Total B12 Referral Transport Total cost cr. (budget B12.1 Ambulance (EMRI-108) reduced)(state Share cr. On 50:50 basis) Operational cost of new ambulance for 6 months B13 School Health Programme MoU with Nice Foundation Additional Contractual Staff (Selection, Training, B14 Remuneration) B GNM at sub-centres Nos Recruited against 2500 MPWs B ANM at Sub Centres Nos nd ANM at sub-centre as matching nos. of 3000 ANMs shall be provided by state Government Rural Duty Allowance Rs as Rural duty allowance to B Nos ANMs at sub-centres. Hard duty allowance Rs as Hard Duty allowance to ANMs at sub-centres situated in B Nos difficult areas B GNMs at PHC Nos B GNMs at CHC Nos B GNMs at JSY ward of DHs Nos B B B15 B15.1 B15.2 B16 B B Rural Duty Allowance Hard Duty Allowance Nos Nos Total PPP/ NGOs Non governmental providers of health care RMPs/TBAs Grant in Aid to NGOs Training Strengthening of Existing Training Institutions/Nursing School Additional manpower and infrastructure due to expansion of ANM seats at ANMTCs B16.2 New Training Institutions/School B16.3 Training and Capacity Building Under NRHM B CME Workshops for doctors Total 3.52 B17 Incentives Schemes Incentives to Medical Officers B17.2 (PHCs) Planning, Implementation and B18 Monitoring B18.1 Community Monitoring Honorarium of 2 GNMs at each PHC at 1503 Rs. 7500/- pm Remuneration of 2 GNMs at CHCs (Nurse Grade II) for 368 CHCs Rural Allowance to 1700 contractual and probationer Rs per month Hard duty allowance to 556 Rs per month Cleanliness of FRUs through local 25000/- per month- may be carried out through MRS untied funds 32 ANMTC and 16 1 Lacs, budget reduced 2 PHN & 1 NT at ANMTC at district Salary and wages at 5 new ANMTCs Budgeted under B and B14.5.2

8 B18.2 Quality Assurance B18.3 Monitoring and Evaluation B19 Procurements B19.1 Drugs (Drug & Supplies) B Drugs & supplies for MH budget reduced (allocation for free drugs at CHC/PHC/ FRU/ for Institutional Delivery B Drugs & supplies for CH B Supplies for IMEP B19.3 Others (Base Ambulances) CHC base ambulances. Drivers shall be provided by the state. B20 PNDT Activities B21 Regional drugs warehouses strengthening of drug testing laboratory B21.1 Drug ware houses incluing 5 Pharmacist and 5 computer strengthening of drug testing operators at Drug Ware Houses, laboratories and drug enforcement renovation of drug ware house and strengthening of drug testing laboratories and drug enforcement Total 7.20 B22 New Initiatives/ Strategic Interventions (As per State health policy)/ Innovation/ Projects (Telemedicine, Hepatitis, Mental Health, Nutition Programme for Pregnant Women, Neonatal) NRHM Helpline) as per need (Block/ District Action Plans) B23 Health Insurance Scheme (MMJRK-BPL) Kalevo scheme at all 368 CHCs (initially 237 FRUs) of the state for projected deliveries at 368 CHCs in Rs per day for food to mother during her 48 hrs stay at CHCs after delivery and Rs. 10 per beneficiary labor charges for SHG workers Total 65 cr. (State Share 19.5 cr. - 70:30) budget enhanced B24 Research, Studies, Analysis External monitoring and concurrent evaluation of key interventions under NRHM B25 State Level Health Resources Center (SHSRC) B26 Support Services B27 NRHM Management Costs/ Contingencies B27.1 Block Level PMU B Honorarium to BPMU staff in position B Strengthening of BPMU B Concurrent Audit system B27.8 Mobility Support to BMO/MO/Others Total B.28 Other Expenditures (Power Backup, Convergence etc) B.28.1 Additional allocations for district specific innovations for 15 high focus districts C C.1 TOTAL NRHM FLEXIBLE POOL IMMUNISATION RI strengthening project (Review meeting, Mobility support, Outreach services etc) Honararium and Evaluation studies. 3 BPM, 16 Accountant, 3 Data Entry operators Rs lacs for mobility support, 2.00 lacs for furniture and fixtures, 2.88 lacs for office expenditure, 1.08 lacs for TA/DA Audit fee for (for State Health Society and 34 District Health Societies) Mobility support to BCMO, MO incharges CHC/PHC, State M&E cell District specific innovations like Antisnake venum, additional mobility supports, additional allowances to Mos/ANMs working in difficult areas, mobile MCHN team, special IEC drives etc.

9 C.2 Cold chain maintenance C.3 Pulse Polio operating costs Total D Intersectroral Convergence D.1 AYUSH Total GT Grand Total (A+B+C+D+E+F)