rajasthan_npcc_ pip_2011-12 13..4.11

8/17/2019 Rajasthan_NPCC_ PIP_2011-12 13..4.11

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PRESENTATION TO N ATIONAL PROGRAM

COORDINATION COMMITTEE

On

State PIP of Rajasthan for 2011-12

13 April, 2011


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Financial Overview

Resource Envelope of State-2010-11 Amount -1207.55 crore

Uncommitted Unspent Balance Available on

01.04.2010Rs.180.00 Crore

GOI Resource Envelope for 2010-11 under NRHM Rs.736.96 Crore

15% over & above GoI Resource Envelope Rs. 110.54 Crore

15% State ShareRs.130.05 Crore

Additional State ShareRs.50.00 Crore

Total Financial Requirements Projected in PIP of

2011-12Rs.1,390.46 Crore

Cumulative Outstanding State Share Contribution Rs. 215.22 Crore

% Increase in State Health Budget (state plan) in 2011-

12 (Rs 669.16 cr) over 2010-11 (Rs 481.03 cr)39.11%

Additional funding from other sources for Health

(NIPI, UNFPA, UNICEF )Rs.21.14 Crore


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Reproductive

andChild Health


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BUDGET OVERVIEW S.

N.

BUDGET HEAD 2010-11

BUDGET

2010-11

Tentative

Expenditure

2011-12

BUDGET

%

CHANGE

OVER

2010-11

1 MATERNAL HEALTH 461.72 162.73 1023.98 121.77

2 CHILD HEALTH 956.10 223.13 280.6 -70.65

3 FAMILY PLANNING 1318.10 421.69 1549 17.52

4 ARSH 12.00 14.82 13.8 15.00

5 URBAN RCH 768.82 430.56 567 -26.25

6 TRIBAL RCH 133.43 4.62 Planned in diff heads7 INNOVATIONS/ PPP/NGO (Other

RCH Activities 2011-12)

528.2688.69

489.83

-7.27

8 INFRASTRUCTURE & HR 3065.44(224) 1660.53 21448.42(274) 599.68(18.72)

9 INSTITUTIONAL STRENGTHENING 885.47 231.03

10 TRAINING 1554.26 848.98 1252.08 -19.44

11 IEC/ BCC 551.90 517.71 In NRHM

12 PROCUREMENT 3616.74 811.11 In NRHM

13 PROGRAMME MANAGEMENT 994.00 732.20 5644.99 467.91

14 JSY 14300.00 17822.30 19318.91 35.10

15 STERILISATION COMPENSATION 3764.00 3243.84 4200 11.58

TOTAL RCH II 32910.24 27213.94 55788.60 69.52


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SERVICES OVERVIEW

S.

No.

INDICATOR EXPECTED /

PLANNED in2010-11

REPORTED %

ACHIEV.

1 Institutional

delivery

1738319 1210200 69.6

2 Full immunisation 1645258 1344303 81.7

3 Sterilisation 481248 345611 71.8

4 IUD insertion 458207 387834 84.6


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MATERNAL HEALTH

Facility Cumulative

target

(2012)

Cum.

Progress

till Mar ‘11

Increment

al

Target

(10-11)

Progress

10-11

till Mar’11

Incr.

Target

(11-12)

FRU – DH 34 34 - - -

FRU – SDH, etc. 18 18 - - -

FRU – CHC 237 130 50 35 37+70

24x7 FACILITIES 1100 850 350 100 250

backlog

Sub-centres conducting

deliveries, with adequate

infrastructure, incl. LR

5000 2519 1000 919 1000 +

backlog

Sub-district facilities

providing safe abortion

services

18 18 - - -

Sub-district facilities

providing RTI/ STI services

18 18 - - -


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Bottlenecks Key-steps proposed

Manpower-

•Shortage of specialists at FRUs

• policy for deploying Specialists

•Non operating Gynae surgeons

•Hiring of specialists on contractual

basis.

•

Services of Private Doctors – On callbasis at fixed package

•EmOC and LSAS training

•Transfer/Posting of specialist has been

done, further monitoring required

•Re orientation of Gynecologist

ongoing

Involvement of Medical College

fraternity•Steps to improve it, even from GOI

level

•

Handholding at CHCs by MedicalCollege trainers and District trainers

Stay at head quarter of doctors and

nursing staff Strong Monitoring

Fulfilling the requirement of

residential quarters for doctors and

nursing staff


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Bottlenecks Keysteps proposed

Skills and Attitude •Plan for hands on training to OT staff

from CHCs

•Standard protocols for Safe Delivery

would be displayed in LR and OT

•Performance Benchmark have been

devised for individual monitoring

•Incentivisation

•Community ownership need to be

developed through VHSCs strengthening

Lack of basic amenities at place of

posting•Basic amenities should be ensured


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MATERNAL DEATH REVIEW

Training Completed up to Block Level.

From April 2010 to Feb. 2011-

No. of Maternal Deaths reported - 900

No. of Maternal Deaths reviewed- 405

Major findings of causes of death are:-

PPH-46%

APH-7 %

Septicemia-10% Eclampsia- 12%

Delay in health seeking behavior

66%

26%

7%

1% Obstretic Causes

Medical Causes

unknown Causes

Maternal Death notrelated to pregnancyCauses


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FREE & ASSURED REFERRAL TRANSPORT (BY 108)

Facility Status 2010-11

(till Dec ’10)

Proposed

2011-12

No. Of districts having referral transport / EMRI 33 districts All Blocks-348

No. of high focus districts having referral transport / EMRI All districts 20

Call centre at State/ district level (give NOs) 01 at state level At all districts

No. of ambulances (including for EMRI) 214 (265) 464

Whether ambulances fitted with GPS (Y/N) Yes YesTotal no. of patients using referral transport 170863 846800

No. of pregnant women using referral transport 43072 360000

No. of sick newborns using referral transport Data NA 120000(10%)

Number of Calls received 7816884

Number of calls attended (trips) 170863

Number of pregnancy related calls attended 43072

Total running cost 0.95 lac /mth 1 lac

Average cost per trip Rs.1147.47 624+IEC+Consum

ables=800


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FREE & ASSURED REFERRAL

Future strategy –

By 108 ambulance

By local transport – state intends to provide referral service by

involving local vehicles in the village itself

Call centre may be established at district level

Mobile numbers of all the local drivers will be provided to ASHA, AWW and ANM, would be painted outside sub centres / Panchayat

so that even public man can use the vehicle

Verification would be done by treating doctor

Payment would be made by the respective CHC/PHC of that area

to which patient belongs

Rate would be fixed Km (range) wise


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To and Fro referral transport

Requisition to GoI for Additional Fund of Rs…..

Drop back facility will be provided to delivery cases ongetting additional fund

State pool will be created of Rs.92 lakh & each district will

be released Rs.12 lakh

Based on additional requirement, fund will be released to

the district from the state pool IEC would be done by electronic media, paint at

Subcenters, agenda in VHSCs, local means

Increased Publicity of 108 for pregnancy and neonatal use

.

-For Emergency Ambulance Services 50% budgetary is plannedunder PIP i.e. Rs.2684 lac. The another 50% will be provided by

State Government.

-For remote areas referral transport Rs. 500 lac is proposed in

RCH flexipool for which 15% will be provided by State

Government.


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PROVISION OF FREE SERVICES FOR DELIVERY &

NEWBORN CARE FOR ALL CASES

State to elaborate on:

Unit cost per delivery, per c-section, per day for diet, etc. Total budgetary provision made

Sources of funds (e.g. NRHM, State budget)

Plan (IEC, etc.) for putting the above entitlements in the public domain

Facility Current Status

(Y/ N)

Plan for 2011-12

(Y/ N)

Provision of free drugs • free drugs provided to all BPL, HIV/AIDS

patients & other few vulnerable categories

under BPL Jeevan Raksha Kosh

Along with vulnerable

categories free drugs and

medicine from EDL (421)

is planned for all patients

at all govt facilities

Provision of free blood

during complications

• yes in all emergency cases Same as now

Provision of free diet Yes at all CHCs Yes at all CHCs

Provision of freediagnostics

•

all BPL, HIV/AIDS patients & other fewvulnerable categories are provided free

diagnostic facility

Provision is made for thefree diagnostics

Submitted in additional proposal


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FREE SERVICE DELIVERY

Unit cost per delivery-

Normal delivery- 125/-

Assisted delivery (15%)- 600/- Caesarean delivery (5%)- 1500/-

For Diet- 50/- per diet*4 diets- 200 /-


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JANANI SURAKSHA YOJANA

Target

‘10-11

Achv.

‘10-11

(till Dec)

Proposed

‘11-12

Budget

‘10-11

(Rs. lac)

Exp. ‘10-

11

(till Dec)

(Rs. lac)

Budget ‘11-12

(Rs. lac)

Home Deliv. 1454 20000 7.27 100.00

Inst. Deliv. – Rural 1200000 908645 937500 14200.00 13871.31 15937.50

Inst. Deliv. –

Urban

318750 3281.41

C-sections 26343

upto

Feb,11

Average cost

of Rs 1500 per

C-section

inclusive of

drugs and

consumables-1125 lac

Free Medicine for

Pregnant Women

1233333 1200.00

Partographprinting 1233333 5.50 from JSYadmn cost


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JSY CONTINUED No. of beneficiaries verified by officers at various

levels („10-11 till Dec) –

all the officials visiting districts and district officials aregiven the target to verify certain number of deliveries

12160 deliveries verified by different officials.

Beneficiaries are paid JSY incentive by BearerCheque

Grievance redress mechanisms –

Three tier mechanism-District collector level, CMHO level,

BCMO level

Complaint box is maintained at all PHCs, CHCs and DH

Control room at Dist level and State level

Currently152 Private Facilities Accredited.

State wishes to undertake accreditation at district HQ if

GOI permits.

Deliveries conducted in private accredited facilities („10-11till February) – 1,02,561

CHILD HEALTH


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CHILD HEALTH

Facility Cumulative

target (2012)

Cum.

progress till

Mar ‘11

Incremental

Target (10-

11)

Progress 10-

11 till Mar’11

Increme

ntal

Target

(11-12)

SNCU/FBNC at DH 36 36 00 36 0

NBSU – SDH, CHC, etc. 140 62 100 62 40

NBCC – DH, SDH, CHC,

24*7 PHC etc.

237+1100+5

2

412 412 412 408

NRC /MTC 138 38 100 38 (100 In

process)

To

complete

theongoing

task

All 33 districts are implementing IMNCI.


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BOTTLENECKS & K EY STEPS PROPOSED

Bottlenecks

Delay in procurement

resulting in delayed

trainings and therefore

initiation of service

Lack of Supportive

Supervision in field

Insufficient newborn

corners

Delay in F-IMNCI training

Shortage of specialist for

round the clock services in

FBNC

Mobilization of sick

newborn, availability of

assured services

Steps Proposed

Standard protocols for FBNC, MTC

and Newborn care displayed

Joint planning, review and

supervision of health and ICDS is

planned to address malnutrition,

anemia and child development.

Monitoring would be strengthened.

Communication skill trainings for

Service providers initiated

Tool for Quality Assurance of

health services need to be prepared

Evaluation of existing activities

State Child Health resource Center


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HBPNC PLAN FOR THE YEAR 2011-12

Intervention Area :

Currently HBPNC is implemented in 3 districts with support from (NIPI)

In 2011-12, HBPNC would be implemented in all high focused (22) districts

of Rajasthan.

Key activities:

• 5 home visits in case of institutional delivery(3rd, 7th, 14th, 28th, 42nd day

of delivery)

• 6 home visits in case of home delivery (1st, 3rd, 7th, 14th, 28th, 42nd day

after newborn‟s birth)

• Additional incentive of Rs. 100 to ASHA for PNC checkup of home delivery

• Incentive of Rs 100 is already covered under JSY.

Referral card


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Referral card

To be filled by ASHA


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PNC CARD


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C URRENT S TATUS OF MCP C ARD

Introduced in July 2010

In first phase these cards were initiated in 11

districts supported by UNICEF.

6 lac new cards have been distributed .

Subsequently in second phase remaining 22districts will be introduced new cards.

Orientation of staff has been done.

Total 21 lacks new MCH cards have been printed

in second phase with support of NRHM.

MAMTA CARD


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MAMTA CARD

Mother and child immunization card


25/91

FAMILY PLANNING


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FAMILY PLANNING

Fixed Day Static FP

Services

Cum. target

(2012)

Cum. progress

till Mar ’11

Incremental

Target (10-

11)

Progress 10-

11

till Mar’11

Incr.

Target

(11-12)

DH & SDH providing Lap

ster. services

34 + 18 33+18 - 33+18 1+0

DH & SDH providing

Minilap ster. services

- - - 6 -

DH & SDH providing NSV

services

34 + 18 33+18 - 33+18 1+0

CHC & PHC providing

Minilap services

9+9 9+9 48

CHC & PHC providing NSV

services

294 153 150 52 111

FAMILY PLANNING CONTINUED


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F AMILY PLANNING CONTINUED

Key issues in operationalization of Fixed Day Service and steps

proposed :

• Availability of specialist at static center.

• State has proposed to procure 40 new laparoscopes.

• Total 212 Static Centers are functional. Additional 111 Static Centers will be

started in 2011-12.

Post partum FP services :

Total No of post partum sterilization in 2010-11 up to Feb,2011 is 53836(18.34% of total sterilization)

State plan for conversion of institutional deliveries to Post partum

sterilization (%)

Present status (2010-11) - 18.34%

Plan for 2011-12 - 25% Postpartum sterilization training to all gynecologist at district

Hospitals

Total No. of accredited private and NGO facilities providing FP -

335 Institutions

ARSH & SCHOOL HEALTH (SHP)


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ARSH & SCHOOL HEALTH (SHP)

Facility Target

10-11

Progress

10-11

Target

11-12

AFHS clinic – DH - - -

AFHS clinic –

SDH, etc.

- - -

AFHS clinic –CHC

438 72 366

AFHS clinic –

PHC

Districts coveredunder SHP 33 33 33

Schools covered 108255 60745 108255

Students

covered1822703 4534279 1822703

Major Steps for Strengthening

of AFHS:-

Completion of ANM / Counsellors

Trainings

Streamlining AFHS services

Streamlining AFHS Reporting

Mechanism

Monitoring of AFHS sessions by

ASHA facilitators


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URBAN RCH & TRIBAL RCH

Total 43 URCH will be functional in the financial year 2011-12 @ 14 Lacper centre thus total budget is 557 lac

Baseline survey of Health conditions in urban area & evaluation studies

through External agencies / SHSRC. Urban Health Centers to be made functional through Medical Relief

Society of District Hospital in 2011-12.

The monitoring of the program would be more effective

& reliable once it will be made operationalized through

government authority & staff.

Till the recruitment of new staff the existing staff from periphery may beutilized to render services at these centers.

Tribal RCH- 6 identified tribal districts (Baran, Banswara, Pratapgarh,

Udaipur, Dungarpur & Sirohi)

RCH camps

MMU Camps: – Fix day services are provided through camps in remotevillages where no health institution is available.

Manpower:- Additional ANM (1213 posts sanctioned) serving on

contractual basis.

Medicine to cater need of the tribal population would be taken care by

RMSC.


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GENDER & SEX RATIO

Sex ratio at birth – Child sex ratio (0 to 6 Years) 883 /1000 Year 2011

Districts with poor sex ratio – Year -2011

• Alwar- 894, Bharatpur- 877, Dholpur-845, Hanumangarh- 906,Jaisalmer- 849, Jhunjhunu- 950 , Karauli- 858, Sikar- 944,

Sriganganagar- 887

Steps taken to monitor sex ratio

Appropriate Authorities at State, District & Sub-District level have

been appointed

Total 1983 registrations under (PCPNDT) Act, 1994

State Inspection Team (SIT) constituted- accomlished 44 inspections.

• 43 seal & Seizure have been done and 09 complaints have been filed inthe Competent Courts•

• 664 inspections have been done at district level.

GENDER & SEX RATIO CO


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GENDER & SEX RATIO CONTINUED

Steps taken to improve sex ratio

PIR System – for strict implementation of the Act, under this act each

& every offence is cognizable, non-boilable & Non-compoundable.

IEC through-

a Booklet of compilation of Judgments for the legal fraternity with the

support of National Law University, Jodhpur & UNFPA.

Booklet for public representatives "Aaeye Kanoon ko Samjhen".

One state level & 25 district levels awareness workshops in this F.Y.2010-11.

“ Save the Girl child Campaign” of the State Government through "

Swasthya Chetna Yatra" & various NGO's/ Institutions.

Through complained website www.hamaribeti.nic.in 78 complaints

have been received by this website, 39 vogues, 13 complaints and 26

by name , 22 in process 4 complained

http://www.hamaribeti.nic.in/http://www.hamaribeti.nic.in/


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Decoy operations

,


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TRAINING

S.

No.

TRAINING 10-11

Target

10-11

Achiev.

11-12

Target

1 SBA - SN 4832 1994 2400

3 BEmOC –

MO 200 123 240

4 CEmOC – MO 32 51 +TOT

for DT

48

5 LSAS – MO 60 24 60

6 CAC- MO 200 121 240

7 RTI/ STI – MO 1308 Merged

with

CAC/BE

mOC

8 RTI/ STI – SN 4985

9 RTI/ STI – LT TOT

10 IMNCI – ANM 3600 1698 8160

11 IMNCI - ASHA 3984

12 F-IMNCI - MO TOT 256

13 F-IMNCI – SN

14 NSSK – MO 1102

2048 236815 NSSK – SN /

ANM/LHV

2204

S.

No.

TRAINING 10-11

Target

10-11

Achiev.

11-12

Target

16 Lap

Sterilisation.

100 42 66

17 Minilap Ster. 100 26 66

18 NSV 100 10 63

19 IUD –

MO2236 1331

20 IUD – SN 600

21 IUD – ANM/

LHV

22 ARSH – MO 240 74 200

23 ARSH –

SN/ANM

811 0 455

TRAINING (CONTD )


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TRAINING (CONTD...) Training sites – 1 SIHFW, 02 Regional Training Centres & 32

ANMTCs are functional.

Masters trainers are available, in need of more trainers for LSAS &

NSSK.

Key issues in training-

low utilisation of existing training capacity –

Many different type of training courses running simultaneously

Issues with trainee selection and post training placement – Post training

placement have already being done who had undergone through

Anaesthesia & EmOC trainings. Saturation in willing candidates.

- State quality monitoring cell will be strengthened, handholding with

Medical College Trainers. Policy decision has been taken to deploy the trained staff at

designated place and it would be mentioned in the relieving orders.

Entire training programme is shifted to SIHFW.

5 training institutes proposed to be strengthened – 05 with an amt of36 lac


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IMMUNISATIONPIP OVERVIEW

IMMUNIZATION-


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IMMUNIZATION

BUDGET OVERVIEW (RS. L ACS)

S.

NO.

BUDGET HEAD 2010-11

BUDGET

2010-11

EXPENDITURE

2011-12

BUDGET

% CHANGE

OVER 2010-11

1 RI strengthening project (Review

meeting, Mobility support, Outreach

services etc)

1848 671 1809 -2.59%

2 Salary of Contractual Staff 35 24 61 74.28%

3 Training under Immunisation 60 38 110 83.33%

4 Cold chain maintenance 188 54 59 - 68.61%

5 Pulse Polio operating costs 1900 1492

TOTAL IMMUNISATION

(Except Pulse Polio)

2131.00 787.00 2039.00 -4.31%


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IMMUNISATION

Indicators Target (10-11) Progress 10-11 Target

(11-12)

No. of immunisation sessions 837024 837024

Training of MOs 1590 518 1590

Training of HW 4000 2955 4000

Training of cold chain

handlers

500 206 500

Review meetings 2 2 2

IMMUNIZATION


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IMMUNIZATIONCONTINUED

Alternate vaccine Delivery System-

Vaccine delivery in the State is through hired vehicle from every vaccine depot

(PHC/CHC) to every MCHN session site for savings the time & proper

management of cold chain and sessions.

Status of Cold chain Equipment-

- Cold chain equipment maintenance by refrigerator mechanics posted in each

districts and through cold chain handlers posted at each cold chain depot.

- Repair work is taken care by department‟s refrigerator mechanics and parts

are arranged by GOI. Major equipments like walk in coolers/walk in freezers

are periodically maintained by mechanics through one mobile workshop.

Refrigerator mechanics are trained at S.H.T.O. Pune regularly and cold chain

handlers are trained regularly at district headquarter.

- Total No. of WIF in state are 3 and WIC are 15 and all are in working

condition recently supplied by GOI. Total no. of IlR and DF are 4100 and 4238

respectively.

IMMUNIZATION


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IMMUNIZATION

CONTINUE…………..

Supervision and Monitoring-Status of Routine Immunization

cell, Supportive Supervision Structure in field, Review meetings

and data analysis and action taken at all levels etc.

Supervision and monitoring is done by the state, district, block and PHC

officers.

Session is monitored by as per format provided by the GOI.

Regular review meetings are organized at all levels from sector to block

to district. At state level meeting of RCHOs is a regular feature.

Alternate vaccinators in Urban Slums

Total population in the slums in Rajasthan is projected to be 7% of total

population considering the emigration of people and population growth.

Rs. 175 per session is being given to hire ANM‟s in urban slums for

vaccination of children.


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MISSION FLEXIPOOL

INFRASTRUCTURE


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INFRASTRUCTURE

• Infrastructure budget as % of total budget- 10.9%

• Amt. for block and below level facilities (as % of Infra Budget)- 89.27%

Activity SC PHC CHC DH Others

No Amou

nt

No Amou

nt

No Amount No Amou

nt

No Amount

NewConst.

500 60.0 20 11.0 - - - - - -

Up-gradation

- - 300 90.0 20 12.0 - - 1 0.85

Sub-Centre rent

No. of SC Amt @ Rs 250/SC Amt proposed in PIP

1250 - Would be covered under U/FAmount proposed for other activities

Hospital Strengthening MobilitySupport

Others (Strengthening ofEngineering wing of NRHM)

- 23.76 lac 8 cr

HUMAN RESOURCE (M )


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HUMAN RESOURCE (MEDICAL)Category Existing (in

2010-11)Proposed (in2011-12)

Unit costproposed

Total Amount(lac)

Specialists74 150 0.60 Lac

810.00

(9 months honorarium)

Doctors

(MBBS)127 (MBBS) 127 (MBBS) 0.168 Lac

201.60

Ayush Doctors 1028 13970.168 Lac

2775.63

AYUSH

compounders1005 1397 0.075 Lac 962.40

ANM, Staff Nurses 11388 12363 .06/0.75 Lac 10763.95

Lab Tech/ECG

tech, physioth etc650 (RCH)

158 (RCH)

492 (NRHM)

0.06 Lac333.828

Pharmacist 500 500 0.07 418.49

Others-asstt drug

analyst,jr scietific

asstt trainee

12 12 0.09-.15 17.11

H R


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HUMAN RESOURCE( STATE PROGRAMME MANAGEMENT STAFF)

Category Existing (in2010-11)

Proposed(in 2011-12)

Unit cost

proposed(lacs)

Total

Amount(lacs)

Consultants

(SPMU)24(27) 27 .30- 0.45 128.07

Data Officer/Data

Assistant5 5 0.23 13

Programme

Officer-HR/IMEP2 2 0.25 6.0

Programme

Officer (Plan,

SPMU, HR)

0 3 0.185 6.66

Accounts Manager 1 1 0.30 3.6

Accountant

(Clerk)2 2 0.15 3.2

Accountant ((Tally

operator) 4 8 0.105 9.28

H R


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HUMAN RESOURCE( DISTRICT PROGRAMME MANAGEMENT STAFF)

Category Existing (in2010-11)

Proposed(in 2011-12)

Unit cost

proposed(lacs)

Total

Amount(lacs)

District Programme

Manager 26 34 0.38 155.04

District Accounts

Manager 33 34 0.30 122.4

District Nodal Officer

(M&E)34 34 0.23 93.84

District PCPNDT

Coordinator 34 34 0.195 73.44

District ASHA

Coordinator 33 34 0.185 70.42

District IEC

Coordinator 34 34 0.185 70.72

Data Entry Operator 68 68 0.85 62.56


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ASHAS Total Number of ASHAs in the State - 42373

Population Per ASHA - 1000

Drug Kits (Norm: Rs 600/Kit)

• Amount proposed per kit – 600/-

• Total Number of Kits to be procured - 22000

• Total Amount proposed – 132 lac

Expenditure on Selection, Training (Norm: Rs 10,000 per ASHA)• Total amount proposed – 669 lac

• Amount proposed per ASHA – Rs.4550 per ASHA

Total amount proposed for paying incentives– 1006.353 lac

Non monetary incentives (like uniforms, Umbrella etc) proposedfor ASHA – Uniform already provided


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MMU


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MMUCategory No. of Districts Exist

ing

num

ber

New

Propos

ed

Capital

Cost In

Lac

(per

unit)

Operational

Cost

Total

(Rs.

In

Lac)

0

MMU

1

MMU

>1MM

U

Units Tota

l

MMU 8 19 6 32 - - 21 Lac/

MMU/y

r

952.0

0

952.00

MMV - - - - 150 Old

+ 50New

12.63 10

Lac/MMV/Yr

1249.

00

3775.0

0

Vehicle

Tracking

System

(VTS)

304 0.10 per

VTS

30.40

Total 4757.40

•Except 32 running MMU additional 12 MMUs already received & PO

of 8 MMUs issued.

• Operational Cost of MMU (per unit per month) – Rs.1.75 Lakh

•Cases per MMU per month – 1465 AV


48/91

RESEARCH STUDIES

Name of Study Estimated Cost Proposed Institute

a) CES of immunization

b) District specific IPHS

assessment

c) Functioning of FRU

d) District specific HR

e) District specific paymentprocess of ASHA

f) Quality issues

g) Effectiveness of FBNC

and SNSU services in

districts

h) Role of FRU in deliveringemergency maternal and

child health services etc.

60 Lac RHSRC

Other Institutes will be

identified as per

requirement

IEC/BCC


49/91

Main Activities AmountProposed

Expected output

Strengthening of BCC/IEC Bureau

(State and district level)2.00

State level IEC activities, State IEC

strategy and Action plan State level

capacity building workshop ,Seminarsand exposure visits.

Development of State BCC/IEC

strategy (IEC Hub and Head

quarter publicity)

15.00

Development of IEC material,

Establishment of IEC hub and Head

quarter publicity.

Implementation of BCC/IEC

strategy (State and District)34.0

VCD and IEC/BCC activities through

Exhibitions, Film Shows during LocalFairs and festivals, Haat Bazaar,

Zhankis on Republic day, Rajasthan

Sthapna Divas and other Health

days..IEC equipment.

IEC/BCC activities for Maternal

health (Print, electronic, Outdoorand Folk media )

37.76

Activities through Print, electronic,

Outdoor and Folk media+News paperadvertisement.

IEC/BCC activities for Child health

(Print, electronic, Outdoor and Folk

media )

33.44


Outdoor and Folk media+ News paper

advertisement.

IEC/BCC activities for Family

planning (Print, electronic, Outdoorand Folk media

30.0


Outdoor and Folk media+ News paperadvertisement.

IEC/BCC


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IEC/BCC CONTINUEDMain Activities Amount

ProposedExpected output

Health Mela 200.0 IEC for Swasthaya Chetna Yatra

Swasthya Mitra Yojna 2.00

Health messages and slogans by

school children in govt rural

schools

Other activities

Other activities – In house

publications, baseline research,

surveys, monitoring and evaluations

of IEC/BCC activities etc

45.00

Urban RCH, AYUSH, MMU, 108

ambulance, Universal assurance of

free medicine for vulnerable

group, Thallesemia & Cancerawareness.

NRHM Booklet, calendar,

monitoring & evaluation of

IEC/BCC activities

Total 399.20


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NGO/PPP/INNOVATIONSName of Initiative Amount Proposed Name of the

agency involved

HBPNC Merged with main

component

ARTH

PPH Management 10.00 Path Finder

VHSC training Merged with main

component

Through NGOs

MMU Merged with maincomponent

Through NGOs


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DECENTRALIZED HEALTH PLANNING

o No. of districts in the State – 33o No. of high focus districts - 20

o No. of DHAP prepared and sent to Ministry-once the PIP

is approved, all 33 DAP will be submitted to GOI

o Resource envelope has been indicated to all districts

Is higher weightage of 1:1.3 given to high focus districts -

Yes

No. of blocks where Block Plan made - 237

No of Villages - 43437

No of villages with VHSCs - 43437

No. of villages where Village Plan made - 40695

Procurement of Equipments & Drugs


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Procurement of Equipments & Drugs

Category Drugs Equipment

Units Amount Units Amount

MH RMSC MVA syringes 27.35

CH RMSC NBSU

equipments

336.00

FP Mergedwith FP

Laparoscope,minilap kit, NSV

kit

300.00

IMEP 100.00 Bins, needle

cutter etc

100.00

Other – GenericDrugs &

Medicines, IFA

Proposed inadditional

resource

Total 100.00 763.35

MONITORING & EVALUATION (M&E)


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MONITORING & E VALUATION (M&E)S.N Subject Action

1. HMIS

Action plan for shifting toBlock level / facility based

reporting on HMIS of MoHFW

Rajasthan is already using its own Block level / Facility

based PCTS online system in which data reporting is being done from block level.

2. Mother & Child Tracking

System (MCTS)

Plan for roll-out of MCTS and

uploading data.

On PCTS, data of MCH from block level is being

uploaded. Data is sent to GOI timely, is uploaded till

Feb 2011.

3. Capacity Building

Action Plan for enhancing

analytical capabilities for

improving Data Quality on

HMIS and MCH.

Monthly data review meeting of all District Statistical

Official and Data Assistant is organized on 10th of

every month. Every month 5 districts, having

validation errors will be selected and trained.

1. Phase wise, all DPM, BPM, Computer Operators andother supervisory staff will be trained.

2. Regular feed back will be given to concerned

person.

3. Monthly data validation is being reviewed.

Remarks


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Major Head Minor HeadBudget

(In Rs)

Details (including

cost per unit)

1.Strengthening of

M&E/HMIS/ MCH

Tracking

Salaries of M&E, MIS &

Data Entry Consultants 1.1

Merged in

HR

Mobility for M & E

Officers1.2

2.16

DEO mobility

support Rs.2.16

lakh

Workshops/Training on

M & E1.3

11.00

Training of CNA

& 3 workshops

M&E Studies 1.4

Planned

with

SHSRC

Others (specify) 1.5

Alredy procured


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2. Procurement of

HW/SW and other

equipments

Hardware/Software

Procurement2.1

Alredy procured

at most of the

PHCs

Internet connectivity 2.2 1000/- forinstallation per

PHC

. Managed

from U/F

Annual Maintenance 2.3

Managed

from U/F

3.Operationalising

HMIS at Sub

District level

Review of existing

registers – to make them

compatible with National

HMIS

3.1

80.00

Printing of newregisters/Forms

3.2


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4.Operationalising

MCH tracking

Printing and reproducing

Registers/ Forms4.1 35

Capacity building of

teams4.2

With CNA

training

Ongoing review of MCH

tracking activities4.3

Sector, block

district andstate level

review

meetings

Monitoring datacollection and data

quality

4.4 15 Data validation& verification

OTHERS ACTIVITIES


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Activity AmountProposed(In Lakh)

Expected output

Power Backup 1.00Universal Assurance of Health to Vulnerable

Population

Free treatment, diagnosticservices & also free medicine willbe provided to all BPL,handicapped, HIV/AIDS & other

vulnerable category populationof the state. Medicine & supplybudget planned in SpecialBudgetary Plan.

• Training & IEC for vulnerable

population

50.00

EPMC 50.00 Equipment Procurement

Maintenance Cell will beestablished. Civil works has beentaken care by RHSDP

Communication Research

Center

10.00 will run in SIHFW

TOTAL 111.00


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S PECIAL PROJECT -

J EEVANDAYINI Y OJANA

Safe Delivery-

Healthy Newborn

JEEVANDAYiNI YOJANA(Safe Delivery Healthy New Born)


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SN Budget Head Unit Cost Qty. Amount (In

Lakh)

Remark

A ASSURED AVAILABILITY OF MEDICINES &

SUPPLIES

A.1 Free drugs & supplies for all deliveries in

government facilities Total institutional delivery in Govt.

sector would be 12.5 lac. Out of thatnormal delivery would be 80%,

assisted delivery would be 15% & CS

would be 5%

Normal Delivery Rs.125 per delivery 9.84 lakh 1230

Assisted Delivery Rs.600 per delivery 1.85 lakh 1110

C-section Rs.1500 per delivery 0.62 lakh 930

Sub Total 3270

A.2 Free drugs & supplies for sick new borns

Out of total 15 lac delivery 15%

delivery consider as neonatal illness

i.e 2.25 lac delivery. Out of that 60%

consider as moderate ill & 40%

consider as moderate to severe ill

Mildly ill neonates Rs.150 per x3 times per

neonates

1.35 lakh 607.5

Moderate to severe ill neonates Rs.500 per x 7 times per

neonates

0.9 lakh 3150

Sub Total 3757.5

A.3 Free supply of essential generic drugs for

OPD & IPD patients 24 hours Pharmacies (Fair Price

Medicine Shops) at Dist. Hospitals &CHCs with user charges. BPL & other

vulnerable population will be given

free of cost

OPD Rs.58 per patient 95 lakh 5510

IPD Rs.250 per patient 9 lakh 2250

Sub Total 7760

A4 Vitamin - A 200To ensure 9 dozes of Vit-A upto 5 yrs.

Children

A5 Iron Folic Acid (IFA) 100

B DIAGNOSTIC FACILITIES

B.1 Basic daignostic facilities (50) at all DH 500Will be provided free of cost to delivery cases,


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sick new borns, BPL & other vulnerable

population. Rest of population will be given user

charges

B.2 Basic daignostic facilities (30) at all CHC 300

B.3 Basic daignostic facilities (20) at all PHC 150

B.4 Basic daignostic facilities (04) at all SC 50

B.5 Facilities for BPL & vulnerable groups 300implants, chemicals, reagents etc.

B.6 Equipment Procurement Management Cell 50

Sub Total 1350

C Diet for Pregnant ladies in 1100 24*7 PHC Rs.100 perday for 02

days

396000 792 In 1100 24*7 PHCs average delivery consider as30 delivery per month per PHC. The budgetary

plan for diet is Rs.100 per day for 02 days.

D Refferal Transport

Referral transport from home to health

institutions

Rs.400 per

case

5.25 lac 2100Out of total 12.5 lac institutional delivery 40 %

delivery will be transported through 108

emergency ambulance services. For remaining

70% delivery i.e 7.5 lac. Out of which 70% delivery

cases will be used local transport. Average 30 to50 km range will be calculated fro transportation

(to & fro)

2nd Refferal Transport Rs.800 per

case per side

for 2 side

transportatio

n

1.875 lac 300015% cases will be counted for 2nd referral as

complicated cases i.e 1.875 lac delivery. Average

60 to 100 km range will be calculated fro

transportation (to & fro)

Drop Back Facility Rs.400 per

case

7.4375 lac 2975Out of total 12.5 lac institutional delivery 85 %

delivery i.e. 10.625 lakh delivery will be provideddrop back facility after deduction of 2 nd referral

transport cases transportation. Out of 10.625 lakh

delivery 70% will acquire Govt. drop back facility.

Average 30 to 50 km range will be calculated fro

transportation (to & fro)

Sub Total 8075

E Counselling & Ibnformation Centers 91.5 It will be established in all 34 DH

Grand Total 24304


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DISTRICTS WITH POOR TO MODERATE PERFORMANCE*


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State Name :- Rajasthan

RNTCP Performance Indicators :- NSP CDR /TSR Year 2010

Name of the

district/district

s

NSP

CDR/Treatme

nt Success

Rate (TSR)

Reasons for

poor

performance

Proposed solutions /Activities in PIP Constraints

Sikar 52%/87% Low NSP CDR Intensive supervision and monitoring

by a team from State level Monthly

review by CMHO & BCMO

DTO and MO posts remained

vacant most of the time.

Nagaur 54%/87% Do Do Sub optimal supervision and

monitoring by DTO

Jaisalmer 56%/92% Do Do Desert District

Jhunjhunu 86%/85% Do Do Poor referral by PHI Mos

Bharatpur 57%/89% Do Do Sub optimal supervision and

monitoring by DTO

Barmer 58%/89% Do Do DTO and MO posts remained

vacant most of the time.

Churu 60%/89% Do Do Sub optimal supervision andmonitoring by DTO

Jodhpur 65%/90% Do Do Desert District

Dausa 66%/88% Do Do Sub optimal supervision and

monitoring by DTO

Jhalawar 69%/88% Do Do Sub optimal supervision and

monitoring by DTO

STATUS OF IRL AND DOTS PLUS


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Districts Implementing

DOTS Plus/Proposed

Status of IRL and services

offered

DOTS Plus Site No of

Patients

proposed

to Put on

DOTS Plus

( 2011-12)

Human Resource status for

DOTS Plus

Districts

already

impleme-

nting

Districts

proposed

for 2011-12

Solid

Culture

Liq

uid

cult

ure

LPA

1, Jaipur,

2 Ajmer

3 Bhilwara4. Tonk

5. Dausa

6. Alwar

7. Sikar

8.

Junjhunu

9. Nagaur

10.

Jodhpur

11. Pali

12. Barmer

13.

Jaisalmer

14. Jalore

15. Sirohi

Udaipur,

Dungarpur,

Banswara,Rajsamand,

Chittore,

Pratapgarh

-STDC,

Ajmer

(Accredited )

-SMS

Medical

College,

(Accredite

d )

Proposed

-SMS

MedicalCollege-

April

2011

STDC,

Ajmer

2011-12

•Functional-

TB & chest

Hospital SMSMedical

college Jaipur

• Under

Process – KNS

TB & Chest

Hospital, Dr.

S.N. Medical

Jodhpur

• Proposed -

JLN Medical

College, Ajmer

& SP Medical

College,

Bikaner

5000 In place State level -

• SR Medical Officer DOTS

Plus Site - 1• Microbiologist (IRL) STDC,

Ajmer - 1

• Sr. L.T. (IRL) STDC Ajmer- 1

• DOTS Plus Site – Statistical

Assistant-

1

DEO- (IRL) STDC, Ajmer- 1

• District level – Under

Process

• Sr. DOTS –Plus & TB-HIV

Supervisors – 1 each districts

• HR from NRHM – LT SMS

Medical College – 1, DEO SMS

Medical College -1, Lab.

Attendants –

8

BUDGET HEADS AND A MOUNT PROPOSED


65/91

Sr. No. Budget heads Amount

proposed (INR

in lacs)

Amount

approved (INR in

lacs)

Remarks

1 Civil works

4137000 4137000

One time cost for , 1 SDS, 2 DOTS-PLUS, 5 TU 15 DMCs

and maintenance of STC/STDC/SDS/IRL, 1 SDS, 2 DOTS

PLUS site,34 DTC, 150 TUs 814 DMCs approved.2 Laboratory

materials 12204300 12204300

Approved 100% of the estimated budget in accordance to

expenditure pattern and lab material and consumable for IRL

and Other accredited CST labs

3 Honorarium6359801 6359801

Approved 100% in accordance to expenditure pattern last 4

quarters and provision for the DOT providers of cat IV patients

4 IEC/ Publicity

5686224 5686224

80% of the estimated budget approved. More may be

sanctioned in accordance to expenditure pattern in initial 2

quarters of FY5 Equipment

maintenance1829000 1829000

Utilized 13.2 lacs in last 4 qts.Approved 80% for computers in

accordance to expenditure last 4 quarters. Approved 100% for

BMs and IRL equipment in accordance to revised financial

norms

6 Training 8322638 8322638 Approved 100% against the estimated budget.

7 Vehicle

maintenance6875000 6875000


expenditure pattern

8 Vehicle hiring

7864500 7864500


expenditure pattern. More may be sanctioned in accordance

to expenditure pattern in initial 2 quarters of FY

9 NGO/PP

support2597350 2597350

Utilized 5.4 laks in last 4 qts. Approved 70% of planned

budget, approved in accordance to expenditure pattern.

10 Miscellaneous11514500 11514500

Approved 100% against estimated budget in accordance to

the expenditure pattern last 4 quarters


66/91


67/91

NVBDCP

FINANCIAL PROGRESS NVBDCP (UPTO FEB 2011)


68/91

FINANCIAL PROGRESS - NVBDCP (UPTO FEB. 2011)

S. No. Year OutlayFund Approved/

Recommended

Released by

GOI

Unspent

Amount ofprevious year

Total Fund

available

during the

year (incl. of

misc.

receipts)

Expenditure

Unspent

balance as on01.02.11

% of

Expenditure

to fund

Approved

1 2005-06 1027.00 571.13 266.96 30.24 305.73 261.02 44.71 45.70

2 2006-07 1301.91 362.70 220.50 44.71 275.94 46.30 229.64 12.77

3 2007-08 1319.29 469.08 406.76 229.64 636.40 290.41 298.54 61.91

4 2008-09 1165.85 578.02 213.32 387.78 610.76 402.75 208.01 69.68

5 2009-10 210.00 148.00 509.01 208.01 723.53 226.02 497.51 152.72

6 2010-11 341.46 347.38 92.98 497.51 599.52 264.75 334.77 76.21

Total 5365.51 2476.31 1709.53 1491.25 60.22

Note:-

•Out of Unspent Balance of Rs. 334.77lacs, Rs. 156.72 lacs available with SHS, Jaipur & Remaining Rs. 178.05 lacs

available with others (including Fund Available with DHS, advances given to SSHs, JDs & others).


69/91

BUDGET PROPOSAL FOR NVBDCP IN PIP 2011-12 FOR R AJASTHAN

(R S. IN LACS)

S A ti it d T t l A t M j E t d O t t i PIP


70/91

Sr.

No.

Activity proposed Total Amount

Proposed to

NRHM

Major Expected Output in PIP

Honorarium to State Accounts Consultant (Rs.3.36acs per

year), Secretarial Assi. cum computer operators (Rs.1.02lacs

per year), Driver (Rs. 0.66lacs per year) & Peon (Rs. 0.54 lacs

per year) each at State Level & Rs. 0.18 lacs per year

additional allowance to each Accountant per district.

Mobility support (including Hiring of Vehicle and POL,

Diesel) for intensive supervision and preventive measures.

Spray Wages (about 1200 workers @ Rs. 156/- per day for 90

days) and Spray Pumps with repair & Maintance.

0.00

e New construction of Hatcheries in each CM & HO Office

@ Rs. 0.50 lacs per hatchery &Rs. 0.25 lacs each district for

repair & Main.

0.00 For New Construction & maintenance of hatcheries

and transportation of seeds.

f 50000 LLINs Bednets for 16 High Risk Districts @ Rs.

200/- per Bed Nets

0.00

g IEC, BCC & PPP 25.00 Increase compliance for diagnosis and treatment and

increase acceptance of IRS other vector control

measures by the community.

h. Training: 8.00 1 Improved capacity of hospitals in management of

sever cases.2 batch of 30 Medical specialists at District Hospital @ Rs.

1.35 lac per batch,

2 Improved capacity of MOs, Entomologist, Health

Supervisors, Health Workers, MPW (M),

ANM/ASHA.

28 batches of 25 MO @ Rs.1.00 lac per batch,

6 batches of 20 LT induction/ reorientation training @Rs. 0.75

lac per batch,


71/91

BUDGET PROPOSAL FOR NVBDCP IN PIP 2011-12 FOR R AJASTHAN

(RS. IN LACS)


72/91

(R S. IN LACS)

Sr.

No.

Activity proposed Total Amount

Proposed to

NRHM

Additionalty

Major Expected Output in PIP

f IEC/BCC 5.00 Change in commu- -nity behaviour for personal

protection and participation

Total Dengue/Chikungunya (B) 40.50

Total Cash assistance (A+B) 210.50

2 Cash Assistance for decentralized commodities and

larvicides

136.88

Drugs which include Chloroquine, primaquine,

Quinine tab, inj Quinine

Larvicides including Pyrthrum Extt 2%, Temephose

& Bti (liq. & wp.)

Grand Total Assistance Cash + Commodity 347.38

Remuneration to Malaria Link Volunteers (3000

MLVs on contract basis in 16 High Risk Districts @

Rs. 500/- per month in transmission season for six

month.

90.00

GRAND TOTAL

437.38


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NBCP

National Programme for Control of BlindnessPhysical Achivements in 2010-11


74/91

Physical Achivements in 2010 11

Activities Target Achievements (upto Feb.-11)

Cataract Operation 3,00,000 212993 (71.00 %)

Eye Collection 2,000 1252 (62.60 %)

Children Screened 5,00,000 597561 (119.51 %)

Spectacle Distribution 9,000 16378 (181.97 %)

Procurement of Equipments for

District Hospital

32 Flash Autoclave & 13

Microscope have been purchased

Strengthening of Eye Bank Jaipur & Udaipur Medical

College

Procurement of Specular

Microscope is Under Process

Strengthening of Medical

College

Ajmer & Kota 6 Flash Autoclave & 2 Microscope

have been purchased

Procurement of Phaco, Auto Ref &

Vitrectomy are Under Process

Strengthening of NGO 1 NGO NGO Selected, Sanction issued

Eye Donation Center 2 Eye Donation Center Chittorgarh & Kishangarh (Ajmer)

have been established

Vision Center 20 Vision Center 13 Vision Center have been

established

Budget Requirement for Proposed activities 2011-12


75/91

Budget Requirement for Proposed activities 2011 12

GRANT-IN-AID TO STATES/UTs FOR VARIOUS

COMPONENT DURING 2011-12Physical Target

Funds Required

(in Lacs)Remarks

Recurring

Grant-in-aid

For free Cataract Operation @ Rs. 750Per case and other approved scheme as

per financial norms (*)

Cat. Op. -3 LacsEye Collection -

2000

Spees. Dist. -33000

962.80

Non-

recurring

Grant-in-aid

For Medical Colleges @ Rs. 40 Lacs 2 80.00 Bikaner, Jodhpur

For Vision Centers @ Rs. 50000/- 20 10.00 20 PHC’s/CHC’s @

Rs.50,000 each

For Eye Banks @ Rs. 15 Lacs 2 30.00 @ Rs.15 Lacs/ Eye

Bank

Bikaner,Ajmer

For Eye Donation Centers @ Rs. 1 Lac 2 2.00 @ Rs.1 lac / donation

center

For NGOs @ Rs. 30 Lacs 1 30.00 @ Rs 30 Lac /Selected

NGO

Contractual

Manpower

Ophthalmic Surgeon (Salary of Rs.25,000/- p.m.)

10 30.00

Ophthalmic Assistant (Salary of Rs.

8000/- p.m.)

25 24.00

Eye Donation Counsellor (Salary of Rs.

10,000/- p.m.)

6 7.20

Total Grant-in-aid 1176.00

(*)= Other Eye Diseases @ Rs 1000/- , School Eye Screening @ Rs 200/- per spectacles, Management of State Health

Society /District Health Society @ Rs 14 lakhs / 7 lakhs ,Eye Ball collection @ Rs 1500/- per pair , Training , IECProcurement of E ui ment Maintenance of O thalmic E ui ments Remuneration Other Activities


76/91

NIDDCP


77/91

IDDCP-R AJASTHAN

ONGOING EFFORTS

DIRECTORATE OF

MEDICAL AND HEALTH

SERVICES RAJASTHAN

OBJECTIVES OF PROGRAMME:


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Survey to access the magnitude of IodineDeficiency Disorders

Upscale supply of iodised salt in place of common

salt .

Resurvey after every 5 years to assess the extentof Iodine Deficiency Disorders and impact of

iodised salt.

Laboratory monitoring of iodised salt and urinary

iodine excretion. Health Education and IEC/BCC


79/91

BUDGET ALLOCATION FOR IDD


80/91

BUDGET A LLOCATION FOR IDD

PROGRAM-2010-11

IDDcontrol

Cell

Publicity IDD lab Survey Total (Rsin lakhs)

6.00 6.00 3.50 2.50 18

Expenditure(Upto IIIrd Qyr.)

IDD

control

Cell

Publicity IDD lab Survey Total (Rs

in lakhs)

4.38 1.28 2.15 0 7.81

PHYSICAL ACHIEVEMENT: (2010 )


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1 Samples taken under PFA 257

2 Samples tested with MBI kits 543028

3 Samples with Iodine Less than 15PPM

116908

4 Samples with Iodine More than 15

PPM

408145

HEALTH EDUCATION AND PROMOTIONAL

ACTIVITIES


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ACTIVITIES

S.No Activity No

01 Mass meetings 8183

02 Group Advocacy meetings 14084

03 School Health Programmes 4603

04 Other IEC activities

Distribution of IEC material,

IPC,Demonstrations etc.

502

NIDDCP- BUDGET PROPOSAL FORNRHM PIP 2011-12


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NRHM PIP 2011-12S.No PIP sections

Proposed ceiling in

F.Y. 2011-12 (100%)

Proposed ceiling

in F.Y. 2011-12

(115%)

Proposed

ceiling in F.Y.

2011-12 (130%)

1.Establishment of IDDControl Cell

6.00 6.9 7.8

2.Establishment of IDD

Monitoring Lab

3.50 4.02 4.55

4.Health & Education &Publicity 6.00 6.9 7.8

5.IDD survey Rs. 100000/-

Per distt/ (for 05 districts-)

2.50 2.87 3.25

6Data Entry Operator (Oncontractual basis)

(New Demand)

1.02 1.17 1.32


84/91

IDSP

INTEGRATED DISEASE SURVEILLENCE PROJECT (PIP 2011-12)

S No Unit Cost Physical Required 2011-

Remarks


85/91

S.No.Activity

Unit Cost Physicalq

12 Remarks

1 OPERATIONAL COST

a Office ExpensesSSU* Rs. 5,000/- & DSU**Rs. 2,000/- per month

33 x 12 8,28,0001 SSU & 32 DSU (Pratapgarh is not sanctionedas DSU)

b Mobility Support Rs.970 per visit, 10 per month x 33 33 x 12 3,840,000For routine monitoring & investigation & controlof out-breaks

c Lab consumables Rs. 2,00,000 Per Priority Lab 2 4,00,000 2 District priority labs at Sikar & Ajmer

d Review Meetings Rs. 50,000 SSU Level 1 50,000 Review meetings at the State level

e Formats and ReportsRs. 1,00,00 per Distt, SSU& Med. Coll.

32+6 3,80,000From the Sub-center, PHC, CHC, Districts Hosp.,Private Hosp. & 6 Medical Colleges

TOTAL 1 54,98,000

2 HUMAN RESOURSES

aEpidemiologist

Rs. 30,000 33 x 12 83,16,000

Sanctioned fund is insufficient according to thesalary range guidelines. Recruitments for thevacant posts are in process so this year morefunds will be needed.

b Microbiologist Rs. 20,000 3 x 12 7,20,0001 post at SSU & 2 at District priority labs atSikar & Ajmer each

c Entomologist Rs. 20,000 1 x 12 2,40,000 1 post at SSU

d Consultant Training Rs. 28,000 1 x 12 3,36,000 1 post at SSU

e Consultant Finance Rs. 14,000 1 x 12 1,68,000 1 post at SSU

f Data Manager SSU Rs .14,000 & DSU Rs. 13,50014,000 x 12

13,500 x 32 x 1253,52,000

Total annual cost SSU Rs. 1,68,000 & DSURs. 51,84,000

gData Entry Operator

Rs. 8,500 33+6 x 12 39,78,0001 post at SSU, 32 at DSUs & 6 at MedicalColleges

TOTAL 2 1,91,10,000

* SSU “State surveillance Unit ” ** DSU “ District surveillance Unit ”

IDSP PIP 2011-12 Contd.


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S.No. Activity Unit Cost PhysicalRequired2011-12

Remarks

3 TRAINING

a Training of Hospital Doctors

20 participants per Distt. Perhead unit cost = Rs. 770/- &Per batch unit Cost Rs.15,400/-

15,400 x 32 4,93,0001 SSU & 32 DSU (Pratapgarh is notsanctioned as DSU)

bTraining of Hospital Pharmacist/Nurses

40 participants per Distt. Perhead unit cost = Rs. 525/- &Per batch unit Cost Rs.21000/-

21,000 x 32 6,72,000 Districts level training

c

Training of Medical Colleges Doctors10 participants per MedicalCollege. Per head unit cost =

Rs. 2400/- & Per batch unitCost Rs. 24,000/-


dTraining of Medical CollegesPharmacist/ Nurses/ Medical RecordTechnician

10 participants per MedicalCollege. Per head unit cost =Rs. 717/- & Per batch unitCost Rs. 7,170/-

7,170 x 6 43,000 Districts level training

eData Entry and Analysis for BlockHealth Team

15 participants per Distt. Perhead unit cost = Rs. 700/- &Per batch unit Cost Rs.10,500/-


f DM & DEO Training

2 participant per SSU/ DSU& 1 participant per Medicalcollege. 36 participant perbatch (2 Batch & Duration 2Days) . Per batch unit cost (2days) Rs. 57,500/-

57,500 x 2 1,15,000State level training (2 batches & 2 daystraining)

TOTAL 3 18,03,000

S.NActivity Unit Cost Physical

RequiredRemarks

IDSP PIP 2011-12 Contd.


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. Activity Unit Cost Physical

q2011-12

Remarks

4 OUT BREAK INVESTIGATION & RESPONSE

a ASHA incentives forOutbreak reporting

Rs. 100 per out-break120 out-break per year

100 X 120 X 32 3,84,000

Estimated to get 10informations per month fromvolunteers. A total of 120 suchinformation in a year district.

bMedical College/ Instituteparticipation outbreakinvestigation

Rs. 5,000 per District 5000 X 32 1,60,000 Rs 5000 per district per year

cCollection & Transportationof samples

Rs. 6,000 Per Distt. Per year

32 1,92,000District are attached to eachlaboratory in the referral labnetwork

d Referral lab networkRs. 5,00,000 per Referral

Labper year

6 + 2 40,00,0006 Medical Colleges & 2 Districtpriority labs at Sikar & Ajmer

TOTAL 4 47,36,000

5 ANALYSIS & USE OF DATA

AState IDSP Weekly Alert

Bulletin

Rs.30,000 SSU Level 1 30,000 At the State level

b Annual IDSP ReportRs. 20,000 at SSU level

per year1 20,000 At the State level

c Broadband ExpensesRs. 950 per Districts

SSU& Medical Colleges

39 x 12 4,44,000At SSU, 32 DSUs & 6 MedicalColleges

TOTAL 5 4,94,000

GRAND TOTAL (1+2+3+4+5) 3,16,41,00

0


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LEPROSY

S

Amount in Rs. Action Plan for the year 2011-12


89/91

S.

NHead of Accounts Activities Total Amount

1Contractual

Services

BFO, DEO, Epidemiologist

Adm. Assistant Driver

Rs. 1656000

2 Incentive to ASHA PB, MB Rs. 460000

3Office expenses &

Consumables

Relephone Elect, Rent,

Consumable and Stationary

Rs. 569200

4

Capacity building

(Training)

4 Days MO, 3 Days Para

Medical , 5 Days L.T., Two

Days Workshop

Rs. 1500000

5 IEC

Hoarding, Bus Panel, Posters,

Wall Painting, Rallies, Quiz,Folk Show

Rs. 4039500

6POL/ Vehicle

operation & hiring

Hiring of Vehicle/ POL Rs. 1810000

Cont…………..2

S Head of Accounts Activities Total Amount

Amount in Rs


90/91

S Head of Accounts Activities Total Amount

7

Disability Prevention &

Medical Rehabilitation

MCR Footwear Appliances,

RCS

Rs. 2253750

8Material &

Supplies

Supportive Drugs,

LabReagent & Equipments,

Printing Forms

Rs. 1914000

9Urban Leprosy

Control

Suportive Medicine, MDT

Delivery, Monitoring &

Supervision

Rs. 900000

10

Review

meeting

4 Review Meeting Per

Quarter

Rs. 100000

11 Cash Assistance Rs. 3000000

Total Rs. 1,82,02,450


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THANKS

rajasthan_npcc_ pip_2011-12 13..4.11

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