National Rural Health Mission

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ABBREVIATIONS

AYUSH Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homeopathy
AD Allopathic Dispensary/ New Type PHC
ASHA Accredited Social Health Activist
ANC Antenatal Checkup
ANM Auxiliary Nurse Midwife
AFHC Adolescent Friendly Health Centre
AWC Anganwadi Centre
AWW Anganwadi Worker
ADMO Assistant District Medical officer (AYUSH)
BMO Block Medical Officer
BPL Below Poverty Line
BAM Block Accounts Manager
BB Blood Bank
BM&EO Block Monitoring & Evaluation Officer
BSU Blood Storage Unit
CHC Community Health Centre
CMO Chief Medical Officer
DHS District Health Society
DIO District Immunization Officer
DMEIO District Mass Education and Information Officer
DPMU District Programme Management Unit
DPM District Programme Manager
DAM District Accounts Manager
D M& EO District Monitoring & Evaluation Officer
FBNC Facility Based Newborn Care.
FRU First Referral Unit
FMPHW Female Multi Purpose Health Worker
HBNC Home Based Newborn Care
HMIS Health Management Information System
ICDS Integrated Child Development Services
IMR Infant Mortality Rate
IUCD Intra Uterine Contraceptive Device
JSY Janani Suraksha Yojana
JSSK Janani Shishu Suraksha Karyakaram
MCTS Mother and Child Tracking System
MMA Medical Methods of Abortion
MMR Maternal Mortality Rate
MAC Medical AID Centre/ Sub Centre
MVA Manual Vacuum Aspiration
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NBCC Newborn Care Corner
NBSU Newborn Stabilization Unit
NMR Neonatal Mortality Rate
NRC Nutrition Rehabilitation Centre
NRHM National Rural Health Mission
NPCC National Programme Co-ordination Committee
NUHM National Urban Health Mission
PHC Primary Health Centre
PRIs Panchayati Raj Institutions
PIP Programme Implementation Plan
PNC Postnatal Checkups
RCH Reproductive & Child Health Programme
RKS Rogi Kalyan Samiti
ROP Record of Proceedings
RBSK Rashtriya Bal Swasthya Karyakaram
SHS State Health Society
SDH Sub District Hospital
SC Sub Centre
SNCU Sick Newborn Care unit
TFR Total Fertility Rate
VHND Village Health & Nutrition Day
VHSNC Village Health Sanitation & Nutrition Committee
WIFS Weekly Iron Folic Acid Supplementation

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NATIONAL RURAL HEALTH MISSION
National Rural Health Mission (NRHM) was launched at the National Level in April 2005.
However, in J&K State it was started in December 2005. The Goal of the Mission is to improve
the availability of and access to quality health care by people especially for those living in rural
areas. NRHM aims to undertake architectural corrections in the health system enabling it to
promote policies that strengthen public health management and service delivery throughout the
country with special focus on those States which have weak public health indicators and/ or
weak infrastructure. Jammu and Kashmir State is one of the focused States. NRHM is a platform
to provide affordable, equitable and accessible health services, especially people residing in
rural areas.
In the first phase of NRHM (2005-12), the focus was on bridging infrastructure gaps and
augmentation of manpower to improve the delivery of health care services.
In the second phase of NRHM (2012-17) the focus should be more on health system reforms for
sustainable turnaround of health system in the State. The State would focus on strategies/
interventions which are aligned with key goals of NRHM viz reduction of MMR, IMR and
stabilization of TFR.
OBJECTIVES OF NATIONAL RURAL HEALTH MISSION
i. To reduce Maternal Mortality Rate (MMR)
ii. To reduce Infant Mortality Rate (IMR)
iii. To reduce Total Fertility Rate (TFR)

STRATEGIES
i) Strengthening of the Health Institutions providing Primary Health Care (CHCs, PHCs
and Sub Centres) so as to provide all the basic and emergency obstetric care.
ii) Strengthening of the Routine Immunization for the vaccine preventable diseases.
iii) Improving the health services and the services determining the health of the society viz
sanitation and potable drinking water.
iv) Decentralizing the health planning and management of the health institutions by way of:
Constitution of District Health Missions and District Health Societies for planning and
implementing the health related initiatives in the respective districts.
Formation of Rogi Kalyan Samitis (RKS) and Village Health Sanitation and Nutrition
Committees (VHSNC).
v) Bringing all the centrally sponsored Health schemes under the umbrella of NRHM.

Programme Action Plan (PIP) for 2013-14
The Ministry of Health and Family Welfare, Govt. of India conveyed administrative approval to
the implementation of State PIP for the year 2013-14 for an amount of Rs. 207.65 crores The
State PIP has been approved for the components and activities detailed in forthcoming
paragraphs subject to compliance of following key conditionalities.
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Key Conditionalities
A) Rational and equitable deployment of HR with the highest priority accorded to high priority
districts and delivery points.
B) Facility wise performance audit and corrective action based thereon.
C) Performance Measurement system set up and implemented to monitor performance of
regular and contractual staff.
D) Baseline assessment of competencies of all SNs, ANMs Lab Technicians to be done and
corrective action taken thereon.
- Approval is being granted for HR of all cadres under NRHM for six months only and
continuation for the next six months would be contingent on compliance of the above
four conditionalities. Further, it is expected that the State will henceforth fill up their
vacant regular HR positions and will not use NRHM funds to substitute State spending.
Therefore, from 1
st
October 2013, under NRHM, funds for salary to contractual HR
would be granted only to make payments to contractual staff over and above the
sanctioned regular positions in the State.
E) Gaps in implementation of JSSK may lead to a reduction in outlay up to 10% of RCH base
flexi pool.
The major heads of operation are:
1. RCH Flexible Pool
2. NRHM Flexible Pool
3. Immunization

The detailed district wise/ activity wise budget for the year 2013-14 has already been
circulated to the District Health Societies for implementation of the approved activities
during the current year. The approval, however, is subject to the compliance of Key
conditionalities given above. The District Health Societies shall furnish the monthly
progress report in the format given in Annexure A.

STATE-SPECIFIC GOALS

Jammu & Kashmirs IMR at 41 (SRS 2011) has decreased from 49 (SRS 2008). TFR has also
decreased from 2.2 (SRS 2008) to 1.9 (SRS 2011).The following are the agreed goals and service
delivery targets for the State of Jammu & Kashmir:

Indicator CURRENT CAD (%) Jammu & Kashmir State
Targets

India Jammu &
Kashmir
India Jammu
&
Kashmir
2013-14 2014-15 Target
for 12th
Plan
CAD
(%)
Maternal Health
MMR
(SRS 07-09)
212 - -5.8 - NA NA NA NA
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Child Health
U5MR
(SRS 2011)
55 45 -7.3 -6.5 36 32 -- -10.2
IMR
(SRS 2011)
44 41 -6 -5.8 33 30 24 -10.2

NMR
(SRS 2011)
31 32 -4 -6.4 26 23 -- -10.2
Family Planning
TFR
(SRS 2011)
2.4 1.9 -2.6 -4.8 Maintain TFR

Note CAD: Compounded Annual Decline; MMR from 04-06 to 07-09; U5MR; IMR; NMR
and TFR from 2008 to 2011; targets from latest current status to 2015.

KEY CONDITIONALITIES AND INCENTIVES FROM GOVERNMENT OF INDIA 2013-14

Jammu & Kashmir has made significant progress in responding to conditionalities. Following
conditionalities shall be adhered to by the States and are to be treated as non-negotiables:

Mandatory disclosures
1. The State must ensure mandatory disclosure on the State NRHM website of the following
and act on the information:
Facility wise deployment of all HR including contractual staff engaged under NRHM with
name and designation.
Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-
section, Major and Minor surgeries etc.
MMUs- total number of MMUs, registration numbers, operating agency, monthly
schedule and service delivery data on a monthly basis.
Patient Transport ambulances and emergency response ambulances- total number of
vehicles, types of vehicle, registration number of vehicles, service delivery data including
clients served and kilometres logged on a monthly basis.
All procurements- including details of equipments procured (as per directions of CIC
which have been communicated to the States by this Ministry vide letter No
'No.Z.28015/162/2011-H' dated 28th November 2011.).
Buildings under construction/renovation total number, name of the facility/hospital along
with costs, executing agency and execution charges (if any), date of start & expected date
of completion.
Supportive supervision plan and reports shall be part of mandatory disclosures. Block-
wise supervisory plan and reports should be uploaded on the website.
NGOs/PPP funded under NRHM would be treated as public authority' and will fall under
the ambit of the RTI Act2005 under Section 2(h). Further, details of funds allotted
/released to NGOs/PPP to be uploaded on website
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2. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT)
mechanism through AADHAAR enabled payment system/Core Banking Solution where
DBT mechanism has been rolled out. Further, cash payment or bearer cheque payment
is henceforth disallowed across the States.
3. Timely updation of MCTS and HMIS data including facility wise reporting
4. Line listing of high risk pregnant women, including extremely anaemic and Low Birth
Weight (LBW) babies
5. As agreed, the following key conditionalities would be enforced during the year 2013-14.
a) Rational and equitable deployment of HR
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with the highest priority accorded to high
priority districts and delivery points.
b) Facility wise performance audit
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and corrective action based thereon.
c) Performance Measurement system set up and implemented to monitor performance of
d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and
Approval is being granted for HR of all cadres under NRHM for six months only and its
continuation for the next six months would be contingent on compliance of the above
four conditionalities. Further, it is expected that the State will henceforth fill up their
vacant regular HR positions and will not use NRHM funds to substitute State spending.
Therefore, from 1
st
October 2013, under NRHM, funds for salary to contractual HR
would be granted only to make payments to contractual staff over and above the
sanctioned regular positions in the State.
e) Gaps in implementation of JSSK may lead to a reduction in outlay upto 10% of RCH
base flexipool.

6. Initiatives in the following areas would draw additional allocations by way of
incentivisation of performance:
a) Responsiveness, transparency and accountability (upto 8% of the outlay).
b) Quality assurance (upto 3% of the outlay).
c) Inter-sectoral convergence (upto 3% of the outlay).
d) Recording of vital events including strengthening of civil registration of births and
deaths (upto 2% of the outlay).
e) Creation of a public health cadre (by States which do not have it already) (upto 5% of
the outlay)
f) Policy and systems to provide free generic medicines to all in public health facilities
(upto 5% of the outlay) .
g) Timely roll out of RBSK (upto 5% of the outlay)
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h) Enacting/adopting a bill like the Clinical Establishment Act, 2010 as per their
requirement, to regulate the quality and cost of health care in different public and private
health facilities in the State (upto 5% of outlay).
i) States providing more than 10% increase in its annual health budget as compared to the
previous year will attract additional incentive.
j) States to implement the nurse practitioner model to strengthen the nursing services.

Note:
The Framework for Implementation of NRHM to be strictly adhered to while implementing
the approved PIP. State should adhere to the clauses mentioned in the MOU signed and
achieve the agreed performance benchmarks.

FINANCE: KEY ISSUES AND GUIDING PRINCIPLES
1. Quarterly FMR must be submitted on time with both physical and financial progress duly
reflected.
2. State must also furnish a monthly statement of fund position and expenditure in format
prescribed in the operational guidelines, as Annexure V.
3. Status of Contribution of State share:
Year Amounts required
on basis of releases
(Rs. in Crore)
Amount
Credited
Commulative
Balance
2007-08 27.64 0 27.64
2008-09 12.85 12.46 28.03
2009-10 22.02 0 50.05
2010-11 29.82 61.16 18.71
2011-12 42.89 27.16 34.44
2012-13 22.09 59.15 +(2.62)
Total 157.31 159.93

State is to ensure that outstanding state share needs to be deposited in to the Account of State
Health Society. It is to be noted that from 2012-13, funding from the Centre and from
the States will be in the ratio of 90:10.

1. Release of full funds as per the entitlements for the year 2013-14, would be contingent on the
State providing Utilization Certificate against the grant released to the state up to 2011-12 for all
the programmes under NRHM.
2. The appointment of Concurrent Auditor for the year 2013-14 is a prerequisite for release of 2nd
tranche of funds.
3. Timely submission of Statutory Audit Report for the year 2012-13 is a must for release of 2nd
tranche of funds.
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4. State is required to comply with the instructions and/or guidelines issued for maintenance of
bank account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012.
5. State should ensure submission of Action Taken Report/ Compliance Report on the FMR
Analysis (2013-14) and Audit Report Analysis for FY 2012-13.
6. State needs to strengthen the internal control procedures/mechanism for all transactions.
7. State should ensure proper maintenance of books of accounts at district and block level as per the
operational guidelines for NRHM issued by the Ministry.
8. Appointment of Auditor for the year 2012-13 must be completed in the first quarter of 2013-14
as per the RFP issued by this Ministry.
9. The state must ensure due diligence in expenditure and observe, in letter and spirit, all
rules, regulations, and procedures to maintain financial discipline and integrity
particularly with regard to procurement; competitive bidding must be ensured and only
need-based procurement should take place.
10. State should ensure expenditure of at least of 15% by June 2013 and 45% by September
2013 of their approved resource envelop under each pool under financial year 2013-14.
11. Unit Costs in relation to various procurements of equipments and printing etc. are only indicative
for the purpose of estimations. However, actual expenditure must be incurred after following
rules and due processes.
MATERNAL HEALTH

ROAD MAP FOR PRIORITY ACTION FROM GOI:

Road Map for essential commitments

Commitment No. 1- Operationalizing Delivery Points

Gaps in the identified delivery points to be assessed and filled through prioritized allocation of
the necessary resources in order to ensure quality of services and provision of comprehensive
RMNCH+A services at these facilities as per the levels. MNH toolkit is to be used for planning
and operationalizing services at different levels of delivery points. Level 3 should be planned for
comprehensive CEmOC and RMNCH+A services and similarly level 2 for BEmOC and
RMNCH+A services.

The targets for different categories of facilities are:

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Level 3 delivery points functioning as CEmOC facilities

a) District Hospitals and other similar district level facilities (e.g District women and children
hospital)

b) CHCs and other health facilities at sub district level (above block and below district level)
functioning as FRUs

To provide the following services:

24*7 service delivery for CS and other Emergency Obstetric Care.

1
st
and 2
nd
trimester abortion services.

Conduct Facility based MDR.

Essential newborn care and facility based care for sick newborns.

Family planning and adolescent friendly health services

RTI/STI services.

Have functional BSU/BB.

Level 2 delivery points functioning as BEmOC facilities:

Non FRU-CHCs, 24*7 PHC and other PHCs To provide the following services

24*7 BeMOC services including conducting normal delivery and handling common
obstetric complications.

1st trimester safe abortion services. (MVA upto 8 weeks and MMA upto 7 weeks)

RTI/STI services.

Essential newborn care.

Family planning

All identified SC Level delivery point facilities will provide the following services:

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Delivery by SBAs.

IUD insertion

Essential new born care.

ANC, PNC and Immunization.

Nutritional and Family planning and Adolescent counselling.

VHND and other outreach services on designated days.

All identified delivery points should be comprehensively planned for saturating them in terms
of HR, Equipment, Capacity building, infrastructural requirements etc. before spreading the
resources to other health facilities.
Monthly performance monitoring of each delivery point needs to be undertaken and
reviewed at District level and quarterly level at State level.

Commitment No. 2- Implementing free entitlements under JSSK

JSSK entitlements to be ensured to all PW and sick newborns accessing Public health
facilities.

At least 70% drop back to be ensured to PW delivering in the PHFs.

Drop back should be given only after 48 hrs stay in the health facility.

Commitment No. 3- Centralized Call Centre and Assured Referral Transport

All NRHM Supported Ambulances should be designated as National Ambulance Service
with GOI prescribed color coding and other details.

Every State needs to ensure availability of a centralized call centre with 102 or 108 as Toll
Free no. for referral transport at State or district level along with GPS fitted ambulances.

Response time for the ambulance to reach the beneficiary not to exceed 30 minutes and
should reach the referred facility within next 30 mins.

Monthly data on utilization of each ambulance (eg. Trips per day) to be maintained, analyzed
and take corrective action if anything to be taken

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Commitment No. 4- Essential Drug List

Every State to have an Essential Drug List (EDL) for SC, PHCs, CHCs, DHs, and Medical
colleges and ensure timely procurement and supply to Sub centres, PHCs, CHCs, DHs and
MCs.

The EDL should include drugs for maternal and child health including drugs for safe abortion
services, RTI/STI.

Differential distribution of types and quantities of drugs to performing and non performing
facilities and also as per level of facility.

Procurement should be done through competitive bidding and indent to be taken from each
facility based on consumption pattern through computerized inventory management system.

All Procurement process including periodic testing of drugs through govt. certified labs be
carried out by the process of randomized sampling.

All the drugs should have atleast 5/6
th
of the shelf life at the time of receiving the durgs at
indenting facility.

All other govt. procedure for procurement needs to be followed.

Commitment No. 5- Capacity Building

Shortfall in trained human resource at delivery points particularly sub centres in High focus/
High Priority districts to be addressed on priority.
Training load for skill based trainings to be estimated after gap analysis.
Certification /accreditation of the training sites is mandatory.
Training plan to factor in reorientation training of HR particularly for those posted at non
functional facilities and being redeployed at delivery points. Orientation training of field
functionaries on newer interventions e.g. MDR/ HBNC etc.
Performance Monitoring during training/post-deployment needs to be ensured
Specific steps to strengthen SIHFW/ any other nodal institution involved in planning,
implementation, monitoring and post training follow up of all skill based trainings under
NRHM.
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Commitment No. 6 Tracking severe anemia

All severely anemic pregnant women (2% of the anemic pregnant women) to be tracked and
line listed for providing treatment of anemia.
The line listing should be maintained and followed up at SCs and PHCs.

Commitment No. 7 For High Priority Districts
The State to make use of the MNH toolkit to operationalize the identified facilities as
delivery points.
At least 10% of all sub centres under each PHC to be made functional as delivery points in
the HPDs.
At least one CEmOC CENTRES to be made functional.
Planning for operationalizing 10-15 BEmOC Centres in phases.
Commitment No. 8
Job clarity of both ANMs working at the Sub-centre to ensure availability of one ANM at the SC
and the other for outreach activities for the geographically demarcated population.

Commitment No. 9: Pre service Nursing Training (For 12 High Focus States)
At least one State Master Nodal centre shall be created and made functional.
State nursing cell under the directorate of health should be created and made functional.
A road map for strengthening of ANM and GNM schools be prepared as per GoI
guidelines.

Commitment No. 10: State, district and regional quality assurance committees to be made
functional.

Commitment No. 11: Establishment of Skill Labs: At least one skill lab to be established and
made functional for a group of 4-5 districts as per skill lab operational guidelines.

Commitment No. 12: MCH wings
All 100 bedded MCH wings should be planned comprehensively as per GoI road map and
must include equipments, obstetric ICU, SNCU, OT, labor room, Skill lab, academic wing
and other details as per MNH toolkit.
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The plan for MCH wing should be shared with the MH nodal officer and he should be
involved in its monitoring.
All the MCH wing must be located within the campus of the existing health facility and
completed in 2-3 years.
State needs to ensure strict compliance of the following non-negotiable under JSY:
1. State will ensure that JSY guidelines are strictly followed and payments are made as per the
eligibility criteria.

2. State will ensure that AADHAAR numbers/EID and bank account details of the JSY
beneficiaries are captured in the integrated RCH registers and seeded in the MCTS database.

3. State will ensure that there would be no delays in JSY payments to the beneficiaries and full
amount of financial assistance is given to the beneficiary before being discharged from the
health facility after delivery.

mechanism through AADHAAR enabled payment system/Core Banking Solution where
DBT mechanism has been rolled out. In case, Direct Benefit Transfer mechanism is not
implemented in the State/UT, JSY payments to be made only through account payee
cheques. Compliance of the above is a pre-requisite for JSY releases to the State/UT.

5. State will ensure that strict monitoring and verification of beneficiaries is done by State and
district level health authorities to check malpractices.

6. State will ensure that grievance redressal mechanisms as stipulated under JSY guidelines are
activated at the district and State levels.

State will ensure the accuracy of JSY data reported at the HMIS portal of MOHFW and also
furnish the Quarterly progress reports to the Ministry within the prescribed timeframe

COMPONENTS
Janani Suraksha Yojana (JSY)
In order to promote safe Institutional deliveries, the GOI has implemented JSY throughout the
country including J&K. Under this scheme, the incentives are being paid to mother beneficiaries
at the following norms:
S.No Area Incentive for mother beneficiary
1 Rural areas Rs. 1400.00
2 Urban areas Rs. 1000.00
3 BPL mothers delivering at home. Rs. 500.00
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ASHAs will facilitate Antenatal checkups and accompany the mothers to the health institutions
for delivery and will get the following incentives:
S.No Districts Incentive for ASHA
1 All High focus and Non High Focus
Districts
Rs.600.00(Rs 300 for full
ANC and Rs 300 for
escorting the pregnant
women)

JSY cards, MCP cards and broader guidelines of JSY have already been made available to the
District Health Societies.

NOTE:
JSY guidelines to be strictly followed and payments made as per the eligibility criteria.
JSY benefit to the mother should be paid at the Health facility immediately after the delivery
and before discharge.
All payments to be made through crossed cheques / e-banking.
The DDO should ensure that the JSY, MCP Card and Discharge slip have been prepared
before making payment to the beneficiary as well as ASHA.
JSY card and MCP card to be filled at the time of registration of pregnant women and not at
the time of disbursement of cheque to the beneficiary and should be followed till the
completion of pregnancy.
Regular monitoring by Deputy Chief Medical Officers (District Nodal officers) for JSY.
Physical verification of JSY beneficiaries to be done by the State and district level health
authorities as per the following norms:
ii) State level officers 2%.
iii) Chief Medical Officer 5%.
iv) District Nodal Officer (Deputy CMO) 5%
v) Block Medical Officer 10%

Accuracy of JSY data reported at the HMIS portal of MOH&FW to be ensured besides
furnishing quarterly progress reports to the State Health Society as per the prescribed format
for onward transmission to Ministry within the given timeframe.
The list of JSY beneficiaries to be displayed at prominent places in the Health facility.
Grievance redressal mechanisms as stipulated under JSY guidelines to be activated at the
district and State levels. Quarterly reports of complaints received and action taken thereon by
the Grievance Redressal Cell to be submitted to the State Health Society.

Mother and Child Health Card (MCP)
The State has already initiated Joint MCP card developed by the Ministry of Health & Family
Welfare and Social Welfare for monitoring the services of MCH and Nutrition interventions.
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This card will be filled at the time of first ANC. ASHA incentives and JSY benefits to the
mother will be given upon verification and checking the entries in the Joint MCP card prepared
by the ANM.

Janani Shishu Suraksha Karyakram (JSSK)
The Janani Shishu Suraksha Karyakram (JSSK) has been implemented in the State with a view
to encourage all pregnant women to deliver in Public Health Facilities and full fill the
commitment of achieving cent percent institutional deliveries.

All Pregnant women and sick neonates till 30 days after birth who access government Health
Institutions including SMGS Hospital, Jammu, Lal Ded Srinagar, G.B. Pant Hospital Srinagar
and SKIMS Srinagar shall be entitled for availing following benefits:-
S. No Entitlements for Pregnant Women: Entitlements for Sick Newborn till 30
days after birth
1 Free delivery Free and zero expense treatment.
2 Free caesarian section
3 Free drugs and consumables Free drugs &consumables.
4 Free diagnostics (Blood, Urine tests
and Ultrasonography etc.)
Free diagnostics.

5 Free diet during stay (up to 3days for
normal delivery and 7days for
caesarian section)
Diet for mother during the stay of sick
children in hospital for 5 days.
6 Free provision of blood (Relatives and
attendants should be encouraged to
donate blood for replacement)
Free provision of blood. (Relatives and
attendants should be encouraged to donate
blood for replacement)
7 Free transport from home to health
institution, between health institutions
in case of referrals and drop back home
Free transport from home to health
institution, between health institutions in
case of referrals and drop back home.
8 Exemption from all kinds of user
charges
Exemption from all kinds of user charges.

NOTE:
JSSK entitlements to be ensured to all pregnant women and sick newborns accessing Govt.
health institutions.
Drop back to be ensured to at least 70% of pregnant women delivering in the public health
facilities.
Effective IEC to be ensured.
Grievance Redressal Cells constituted for JSY shall also look into the Grievances for JSSK.
Submission of Quarterly Reports to be ensured.

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Accredited Social Health Activist (ASHA)
ASHA is the first port of call for any health related demands of deprived sections of the
population, especially women and children, who find it difficult to access health services. She is
a trained female health activist in the community who creates awareness on health and its social
determinants and mobilizes the community towards local health planning and increased
utilization and accountability of the existing health services. She is a good promoter of health
practices.

Criteria for selection of ASHA
One ASHA has to be in place for a population of 1000.
ASHA must be a woman resident of the village--- Married/Widow/Divorced and
preferably in the age group of 25 to 45 yrs.
She should be a literate woman with formal education up to Eighth Std.
In case the special circumstances require relaxation of the educational qualification of
ASHA, the District Health Society needs to send the proposal to the State Health Society
with full justification for seeking approval from Ministry of Health and Family Welfare,
Government of India.
She should have effective communication skills, leadership qualities and be able to reach out
to every section of the community.
Adequate representation from disadvantaged population groups should be ensured to serve
such groups better.

12000 ASHAs have been engaged in the State so far. However during the year 2012-13,
engagement of 2000 additional ASHAs has been approved in the Programme Implementation
Plan (PIP). ASHAs are in place in majority of the villages and have been trained in module I to
V. In the year 2013-14, the ASHAs will be trained in Module VI-VII.
Uniforms to ASHA in High Focus Districts @ Rs. 1000.00 and in other districts @ Rs. 750.00.
The amount has to be e-transferred to the account of ASHA.

All payments to ASHAs be made through payees account Cheque/ electronic transfer on 10th of
every month.
ASHAs are not paid any fixed monthly remuneration. However, they are paid performance based
incentives.

Incentives for ASHAs:
S.No Activity Incentive
1 Incentive under JSY Rs.600/- per delivery
(Rs 300/ for full ANC + Rs 300/ for
escorting pregnant women)
2 Incentive to ASHA for registration within 12
weeks.
Rs 50/-
3 Incentive for full immunization per child(upto 1
year age)
Rs 100 per child for full
immunization in 1
st
year of age
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S.No Activity Incentive
4 Incentive for full immunization per child upto 2
years age(all vaccination received between 1
st

and 2
nd
year age after completing full
immunization at 1 year age)
Rs 50 per child for ensuring
complete immunization upto 2
nd

year of age of Child.
5 Incentive for Home Based Newborn Care Rs 250/-
6 Mobilizing Drop out Children for Immunization
Sessions on VHND
Rs 150 /- session
7 Incentive for birth registration, death
registration
Rs 50/-
8 Maternal Death Reporting Rs 200/-
9 Infant Death Reporting Rs 100/-
10 Incentive to ASHA for Roster duty at ASHA
help desk in selected Delivery points.
Rs. 150/- for 8 hours duty on rotation
basis.
11 Reimbursement for Mobile user charges for
ASHA
Rs. 100 per month
12 Monthly meetings of ASHAs (Travel
Expenses/Refreshment)
Rs 75/- Meeting
13 ASHA incentive for sale of 50 sanitary napkins
packs (In Pilot Districts only)
Rs. 50/-
14 ASHA incentives for testing 50 salt samples per
month in endemic districts
Rs. 25/- per month
15 Leprosy
Detection
MB(Complete treatment)
PB (Complete treatment)

Rs 250/-
600/-
400/-
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Motivation of any beneficiary for
tubectomy/laproligations
Rs 150 /- per operation
17 Motivation of any beneficiary for vasectomy Rs 200 /- per operation
18 Providing DOTS to the TB. Patients
Rs 250 /- on completion of treatment
19 Pulse Polio Day Rs 75 /- x 3 days = Rs 225
20 For facilitating the monthly meeting of VHNCS
followed by meeting of women and adolescent
girls.
Rs 150/- per month

Job functions of ASHA
Activities as mentioned in the table above and mobilizing the Pregnant Ladies for Antenatal
checkups/dropouts for immunization.
Accompanying the pregnant ladies to the institution for delivery.
Tracking of Pregnant women from early registration in the first trimester up to post natal care
after delivery in her respective areas.
Tracking of Children up to full immunization stage
Maintenance of ASHA Diary
18

Record of house hold visits, under one year children, pregnant ladies and the eligible couple
register.
Assisting the FMPHWs and AWWs in organizing Village Health & Nutrition Days.
Facilitating the monthly meeting of VHSNC followed by the meeting of women and
adolescent girls.
Maintenance of register in which all the services provided viz registration of pregnant
women, ANC, immunization, Oral pills, IUCD, sterilization- Male female, referral of sick
newborns/children/ infants, spacing methods etc. are recorded with signature of the
concerned health person.
Monthly reports generated by ASHA as per her diary is to be consolidated at SC level.
ASHA is a main service provider for Home Based Neonatal Care. She has to provide
newborn care through a series of home visits which include the skills for weighing the
newborn, measuring newborn temperature, ensuring warmth, promoting hand washing,
providing skin, cord & eye care, supporting exclusive breast feeding, accessing low birth
weight babies through the use of protocols and managing such babies through various means
like monitoring weight supporting / counseling etc., detect signs and symptoms of sepsis,
recognize post partum complications in the mother and refer appropriately etc.

ASHA Diary
ASHA has to record and track the pregnant women upto 42 days postnatal period and has also to
follow the children till they are fully immunized. Besides, she has to attend Village Health and
Nutrition Days for mobilizing women and children to avail health services being provided on
VHN Day. She has also to facilitate holding of meeting of the Village Health Sanitation and
Nutrition Committees (VHSNCs) and maintain records of untied funds of VHSNCs. All these
activities need to be recorded for tracking them later on. The State Health Society is providing
the diary to the District Health Society for distribution among ASHA for this purpose.

Drug kit for ASHA
ASHA have been provided drug kit in the previous year which will be replenished by the Block
Medical Officer out of the available stock of medicines.
Home Based Newborn Care (HBNC) Kit will be provided to ASHAs for Home Based
Newborn Care. The contents of the kits will be as under:

S.No. Equipment No.
1 Baby weighing scale with sling 1
2 Digital thermometer 1
3 Digital watch/Timer device 1
Consumables
4 Cotton
5 Gauze
6 Soap & Soap Case
19

S.No. Equipment No.
7 Baby Blankets, Locally made and
Locally Procured
2
8 Spoon-stainless steel 1

ASHA Help Desk/ASHA Greh (New Activity)
Escorting pregnant women to the hospital for institutional delivery is one of the important
activities that an ASHA performs. The ASHA has to escort the pregnant women even during the
odd hours which necessitates for keeping a provision of Help desk-cum-rest room at the hospitals
which would provide space to the ASHAs for freshening up and taking rest for some time.
Besides, it will also act as a help desk to provide required information to ASHAs. In the year
2012-13 30 ASHA Grehs were sanctioned and were also operationalized. In this year 2013-14 20
more ASHA Grehs have to be established at the health facilities Annexure B.

ASHA GREH will be having one room with attached toilet and bathroom facility, having proper
electrical fittings like light, fan or heater etc. The room should have a provision of at least two
beds with all other accessories like bed sheets, bed covers, pillows, drinking water facility etc.
Relevant informative documents on health issues shall remain available in ASHA GREH for
reference. The room should be exclusively used by ASHAs and accessible for use on 24x7 basis.

The management of ASHA GREH shall be assigned to ASHAs selected on the basis of
performance and belonging to the nearby locality. Each selected ASHA shall be assigned the
task of managing ASHA GREH on daily rotation basis. A roster duty register shall be maintained
to record the use of the facility and performance of the duty by ASHAs. ASHAs will receive
incentives for performing duty on roster basis. The overall management of ASHA GREH will be
under the control of Rogi Kalyan Samiti (RKS) of the concerned health institution.

ASHA shall be given incentive of Rs. 150 / day for performing roster duty for 8 hours. ASHAs
from the adjoining areas will be called for roaster duty to be prepared by the concerned Block
Medical Officer and submitted to the Medical Superintendent of the concerned Hospital. The
incentives to ASHA for performing roaster duty shall be paid by the concerned Block Medical
Officer after getting attendance from the I/C ASHA GREH/Medical Suptd of the Hospitals.
Cost of Operationalization of ASHA HELP DESK/ASHA GREH will be
Rs. 10, 000/facility as per the breakup given below:
S.No. Items Upto a maximum of
1 Two wooden Beds @ Rs. 1500/- Rs. 3000/-
2 Bedding and Linen @ Rs. 1500/ Rs 3000/-
3 Fan and Heater Rs 2000/-
4 Table and Chair Rs. 2000/-
Total Rs.10,000/-

20

Delivery points
At present there are 133 functional delivery points (Annexure C) in the State as per the
benchmark set by GoI i.e.
i. SCs conducting > 3 deliveries/ month.
ii. PHCs/Non-FRUs conducting > 10 deliveries/month.
iii. FRUs conducting >20 deliveries/ month.
iv. District Hospitals conducting >50 deliveries/ month.

Services to be provided in these Delivery Points:
A) All District Hospitals and other similar district level facilities to provide the following
services:
24x7 service delivery for CS and other Emergency Obstetric Care.
1st and 2nd trimester abortion services.
Facility based MDR.
RTI/STI services.
Functional Blood Storage Unit / Blood Bank.

B) CHCs and other health facilities at sub district level (above block and below district level)
functioning as FRUs to provide the same comprehensive RMNCH Services as the district
hospitals.
C) 24x7 PHCs and Non FRUs to provide the following services:
24x7 BeMOC services including conducting normal delivery and handling common
obstetric complications.
RTI/STI services.
Family planning

D) All identified SCs/ facilities will:
Conduct Delivery by SBAs.
Provide IUD Services
Provide Essential New born care services.
Provide ANC, PNC and Immunization services.
Provide Nutritional and Family planning counseling.
Conduct designated VHND and other outreach services.

Maternal Death Review (MDR)
Under NRHM, various attempts are being made to reduce Maternal Mortality by improving
quality of maternal health care delivery and stepping up monitoring. Government of India has
21

decided to take up Community based maternal death review (CBMDR) and the Facility based
maternal death review (FBMDR) which would help in identifying the gaps in the existing health
care delivery systems, prioritizing and planning for intervention strategies and to reconfigure
health services.

The Maternal Death Review will be taken up both at Facility level and Community level in all
Districts of the State.

Community-Based MDR
Community based MDR using a verbal autopsy format is a method of finding out the medical
causes of death and ascertaining the personal, family or community factors that may have
contributed to the death. The verbal autopsy consists of interviewing people who are
knowledgeable about the events leading to the death such as family members, neighbors and
traditional birth attendants.
Community based reviews must be taken up for all deaths that occurred in the specified
geographical area, irrespective of the place of death, be it at home, facility or in transit.
Procedure for Community-Based Verbal Autopsy
i) The ASHA/AWW/ANM will inform/intimate all women deaths in the age group of 15 to 49
years from her area by telephone to the BMO within 24 hour. The local panchayats and other
relevant persons/ groups may also be encouraged to inform the BMO about womens death in
their area.
ii) The ASHA/AWW/ANM will fill up the format for primary informant (Annexure D) for
all women deaths (age 15-49) and send the format to the BMO within 24 hours. Format for
primary informer gives information whether the death is a suspected maternal death or a non
maternal death.
iii) Line listing of maternal deaths should be submitted to the BMO by the ASHA by 5th of
every month. In case no death has occurred during the month, the ASHA has to submit a
Nil report.
iv) The ASHA/AWW/ANM should also ensure the presence of the respondents during the visit
of the investigation team

Facility-Based MDR
Facility Based Maternal Death Review will be taken up for all Government hospitals viz.
Medical College/DHs/SDHs/CHCs where more than 500 deliveries are conducted in a year.
Procedure for Facility-Based Autopsy
i) All Maternal deaths occurring in the hospital, including abortions and ectopic gestation
related deaths, in pregnant women or within 42 days after termination of pregnancy
irrespective of duration or site of pregnancy should be informed immediately by the Medical
officer who has treated the mother and was on duty at the time of occurrence of death to the
Facility Nodal officer (FNO)
22

ii) The FNO of the hospital should inform the maternal death to the District Nodal Officer
(DNO) and State Nodal Officer on telephone within 24 hours of the occurrence of death.
iii) The Nodal Officer of the hospital should complete the format for Primary informant
Annexure D and send it to the District Nodal Officers within 24hrs of the occurrence of
maternal death

At the District level the Maternal Death Review is envisaged at two levels.
Maternal Death Review under chairmanship of CMO.
Maternal Death Review by District Level Committee under chairmanship of District
Magistrate.

Composition of District Level Committee
District Magistrate Chairperson
Chief Medical Officer Member Secy/ Convener
Dy. Chief Medical Officer Member
District Nodal Officer (MDR) Member
Facility Based Nodal Officer (MDR) Member
Representative of Federation of Obstetric
and Gynecological Society of India
(FOGSI)
Member

Committee should meet at least once in a month to review the maternal death cases and should
submit the minutes of the meeting and corrective actions taken to reduce the maternal deaths to
the State Health Society. The meeting of the District Committee shall be held irrespective of the
fact whether any maternal death has occurred in that particular month or not.
Maternal Death Reporting:- A provision of Rs. 200.00 has been kept for reporting maternal
death by a community volunteer/ ASHA. The report of such deaths will be submitted to the
District Health Society who will take appropriate action.

Maternal Death Investigation (Verbal Autopsy):- An amount of Rs. 250 per investigation
shall be provided to Deputy CMO/BMO/MO for Maternal Death Investigation (Verbal
Autopsy). Investigation reports are to be furnished to GOI through State Health Society on
monthly basis/Quarterly basis.

Incentive to SBAs for conducting home deliveries.
To reduce the MMR and to ensure safe deliveries in inaccessible/snow bound areas of the State,
GoI has approved an incentive of Rs1000/ delivery for SBA trained health functionaries
(ANMs/LHVs/SNs) for conducting home deliveries.

23

This incentive will be provided with the condition that there should be at least 50% Institutional
Deliveries at the end of the year in the nearest PHC. This scheme is launchead as a pilot project in
the following Districts Bandipora, Baramulla, Shopian, Kupwara, Kargil, Leh, Kishtwar, Reasi,
Doda and Udhampur.

Incentives will be given in only those areas where the pregnant women cannot reach the facility
and this will be certified by the ASHA/Panches/Sarpanches of the concerned areas. This will
ensure safe delivery to the beneficiary and also she will be entitled for JSY and JSSK benefits as
per guidelines.
CHILD HEALTH
ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH
Priority Actions to be carried out by state for Child Health Interventions during 2013-14.

1. All the delivery points should have a functional Newborn Care Corner consisting of essential
equipment and staff trained in NSSK. The staff must be trained in a 2 days NSSK training
package for skills development in providing Essential Newborn Care.

2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all
Medical Colleges and District Hospitals. All resources meant for establishment of SNCUs
should be aligned in terms of equipment, manpower, drugs etc. to make SNCUs fully
operational.

3. SNCUs are referral centres with provision of care to sick new born in the entire district and
relevant information must be given to all peripheral health facilities including ANM and
ASHA for optimum utilisation of the facility. Referral and admission of out born sick
neonates should be encouraged and monitored along with inborn admissions.

4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred
from peripheral units. Dedicated staff posted to NBSU must be adequately trained and
should have the skills to provide care to sick newborns.

5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home
Based Newborn Care Scheme. The ASHA kit and incentives for home visits should be made
available on a regular basis to ASHAs who have completed the Round 1 of training in
Module 6

6. All ANMs are to be trained in IMNCI.

7. All Medical Officers and Staff Nurses, positioned in FRUs/DH and 24x7 PHCs should be
prioritised for F-IMNCI training so that they can provide care to sick children with diarrhoea,
24

pneumonia and malnutrition.

8. Infant and Under fives Death Review must be initiated for deaths occurring both at
community and facility level.

9. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and
expectant mothers should be ensured at all delivery points and breastfeeding initiated soon
after birth. At least two health care providers should be trained in Lactation Management at
District Hospitals and FRUs; other MCH staff should be provided 2 days training in IYCF
and growth monitoring.

10. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs),
prioritising tribal and high focus districts with high prevalence of child malnutrition. The
optimum utilisation of NRCs must be ensured through identification and referral of Severe
Acute Malnutrition cases in the community through convergence with Anganwadi workers
under ICDS scheme.

11. Line listing of newly detected cases of SAM and Low birth weight babies must be
maintained by the ANM and their follow-up must be ensured through ASHA.

12. In order to reduce the prevalence of anaemia among children, all children between the ages
of 6 months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a
preventive measure for 100 days in a year. Accordingly appropriate formulation and logistics
must be ensured and proper implementation and monitoring should be emphasised through
tracking of stocks using HMIS. As per National Iron Plus Initiative, IFA syrup is to be
administered in biweekly fashion under supervision from ASHA.

13. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in
children. Availability of ORS and Zinc should be ensured at all sub-centres and with
ASHAs.

14. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against
committed training load) must be transmitted on a monthly basis to the Child Health
Division.
15. Infant Young Child Feeding Practices Guidelines launched by GoI to be implemented in
current financial year. Growth monitoring equipments to made available at each Health
Facility i.e Sub Centre, PHC, District Hospital. At District Hospitals and high case load
facilities, RMNCHA counsellor to be hired to undertake IYCF counselling after growth
monitoring by Staff Nurse/ANM. IYCF trainings for ASHA/ANM/Staff Nurses to be
undertaken.

B. Priority Actions to be carried out by state for Immunization
25

1. Immunization weeks should be continued as a part of routine strategy during non
immunization days to improve coverage especially in community where no immunization
services are provided or services are deficient or all high risk pockets or migrant population
as identified in pulse polio program etc. The available human resources to be redeployed
during these weeks for effective implementation

2. The micro plans for routine immunization must be updated on 6 monthly intervals both for
Routine Immunization and Immunization weeks, taking into account the information
available and information on migrant population/ missed areas covering inaccessible, remote
areas and urban slums. The missed areas or migrant population as identified during polio
programme or any other source of information must be incorporated in the micro plans and
activities carried out as per micro-plan.

3. Full time State Immunisation Officer should be in place.

4. District Immunisation Officer should be in place in all the districts. The placement of ANMs
at all session sites must be ensured.

5. Due list of beneficiaries must be available with ANM and ASHA and village wise list of
beneficiaries should be available with ASHA after each session and tickler bags should be
used for monitoring in addition to the timely and regular updating of information in MCTS
portal.

6. The immunisation session must be carried out on a daily basis in District Hospitals and
FRUs/ 24x7 PHCs with considerable case load in the OPD.

7. Cold chain mechanics must be placed in every district with a definite travel plan so as to
ensure that at least 3 facilities are visited every month as a preventive measure (check-up of
equipment).

8. The paramedical staff should be identified as the Cold Chain Handler in all cold chain points
and their training must be ensured. In case of non-availability, the responsibility should be
given to next para medical staff in position that should be equally trained.

9. The coverage of immunization to children at 18 months of age is very low. The opportunity
for Full immunization of the children at 1year and ensuring that these children are also
vaccinated at 2nd year of age must be emphasized and monitored. The ASHAs/link workers
are especially encouraged by providing financial incentive of Rs 100 and Rs 50 per child to
achieve this.

11. District AEFI Committees must be in place and investigation report of every serious AEFI
26

case must be submitted within 15 days of occurrenceRapid response team should be in place
in priority districts identified by the states.

12. There should be a regular evening meeting on Immunization days to review the
implementation of open vial policy and also reviewing implementation of programmatic
gaps.

13. Quarterly review at all levels should be conducted on the issues as identified during evening
meetings, for which funds are provided under ROP

Introduction
Before launch of NRHM in the State, the Infant Mortality Rate was 52 as per Sample
Registration System (SRS) 2006. Different strategies have been adopted under NRHM which are
directed towards reduction of NMR & IMR in the State. State has to achieve the following
targets as fixed by MoH&FW, GoI by end of March 2014.

Indicator Current Status
(SRS 2011)
Target
2013-14
Neonatal Mortality Rate (NMR) 32 27
Infant Mortality Rate (IMR) 41 34
Under 5 Mortality 45 37

With these targets in consideration, the following specific interventions are being taken up
during the current year:
A) Facility Based New born Care:-
During the current year, emphasis will be continued upon strengthening of existing Facility
Based Newborn Care Units viz. SNCUs/NBSUs/NBCCs at different levels for their optimum
utilization.
Special Newborn Care Units: - Special Newborn Care unit (SNCU) is a neonatal unit in the
vicinity of labour room at District hospital which would provide level-II care for Sick New
Borns. Twelve SNCUs have been operationalized till date & three more are to be established
during this year. Please refer Annexure E for list of Hospitals where SNCUs are established
and are going to be set up.
List of Equipments for SNCU
Equipment for Individual Care
S No. Item Description Essential
/Desirable.
Quantity
1 Open care system: radiant warmer, fixed height, with
trolley, drawers, O2-bottles
E 12
27

2 Phototherapy Unit, Single Head, High Intensity E 6
3 Resuscitator hand-operated for neonate,
neonate,250ml
E 2
neonate,500ml
E 4
5 Laryngoscope set, neonate E 6
6 Suction Pump,portable,220V E 2
7 Suction Pump, foot operated E 2
8 Surgical Instrument, suture/SET E 2
9 Syringepump,10,20,50 ml, single phase E 3
10 Oxygen hood, S and M, set of 3 each, including
connecting tubes
E 6
11 Oxygen supply system E 1
12 Oxygen concentrator D 4
13 Thermometer, clinical, digital, 32-43 C. E 12
14 Electonic baby- weighing scale, 10 kg <5g> E 4
15 Pulse oxymeter,bedside,neonatal E 6
16 Stethoscope, binaural,neonate E 12
17 Sphygmomanometer, neonate,electronic E 6
18 Examination Light, Mobile, 220-12V E 6
19 Syringe Hub Cutter E 2
20 Measuring tape, vinyl-coated, 1.5 m E 2
21 Kidney basin, stainless steel, 825 ml E 4
22 Dressing tray, stainless steel, 300x200x30 mm E 4
23 Infusion stand, double hook,on castors E 1
24 Indicator, TST control spot/ PAC-300 D 1
25 Irradiance meter for phototherapy units D 2
26 Monitor, vital sign, NIBP, HR, SpO2, ECG, RR,
Temperature
D 1
27 ECG Unit, 3 channel, poratable D 2
28 Infantometer, plexi E 1
29 X-Ray Mobile D 1
30 Transport incubator, basic, with battery and oxygen D 1
31 Autoclave, steam, bench top D 1
General Equipments
1 AC (1.5 tonne) E 1
2 Generator Set, 25-50 KVA E 1
3 Refrigerator, Hot Zone, 1101 E 1
4 Voltage servo-stabilizer(three phase): 25-50 KVA E 1
5 Room Heater(Oil) D 4
28

6 Computer with printer D 1
7 Spot lamps E 2
8 Wall clock with second hand E 2
Equipment for Disinfection
1 Sterilising Drum, 165 diameter D 1
2 Electric sterilizer D 1
3 Washing machine with dryer E 1
4 Gowns for staff and mothers E 1
5 Washable slippers E 4
Laboratory Equipment
1 Centrifuge, hematocrit, Benchtop, upto 12000 rpm,
including rotor
E 1
2 Microscope, Binocular with illuminator D 1
3 Bilirubinometer, Capillary based D 1
4 Glucometer with Dextrostix E 3

Operational cost has been approved for 10 SNCUs @ Rs 10 lakhs and @ Rs. 5 lakhs for the
SNCUs which have been established during last quarter of 2012-13 or are going to be
operationalised soon. Please refer Annexure F for list of Hospitals in this regard. The
component wise detail of Operational Cost is given below:

Consumables for SNCU includes meconium aspirator adaptors, infusion pumps, Cuvettes,
Vacuum tubes, lancets, capillary tubes, sealing compound, masks & caps, surgical gloves,
suction tubes, feeding tubes, syringes & needles, cotton wool, compress gauze, connectors,
disinfectants & antiseptics, adhesive tapes, scalpels, umbilical venous catheters, blood
transfusion sets, endotracheal tubes, electrodes for ECG recorder, microscopic slides, paper
sheets crepe for sterilization pack, etc.

Human Resources approved for this financial year for each SNCU at District Hospitals:-
1. One Child Specialist.
2. Four Medical Officers (MBBS) to be engaged on contract basis.
3. Five Staff Nurses.
4. One Lab Technician.
Recurring or
running cost per
year
Operational cost of Rs.
10.00 Lakhs (for One
Year)
Operational cost of
Rs. 5.00 lakhs (for six
months)
Consumables Rs. 3,50,000 1,75,000
Maintenance cost Rs. 6,50,000 3,25,000
Sub Total Rs. 10,00,000 5,00,000
29

Newborn Stabilization Units:- Stabilization unit is facility within or in close proximity of the
Maternity ward where sick and low birth weight new born can be cared for short period. 75
NBSUs have been established till date.
List of Equipments for NBSU
S No. Item Description Essential/
Desirable.
Quantity
1 Open care system: radiant warmer, fixed height,
with trolley, drawers, O2-bottles
E 3
2 Phototherapy Unit, Single Head, High Intensity E 1
neonate,500ml
E 1
4 Laryngoscope set, neonate E 2
3 Electronic baby weighing scale 10 kg <5g> E 1
4 Suction Pump, foot operated E 1
5 Thermometer, Clinical, Digital. E 4
6 Light examination, mobile, 220-12 V E 4
9 Syringe Hub Cutter E 1

Strengthening of existing NBSUs will be carried out this financial year for which an amount @
Rs 87,500 /unit has been approved as operational cost for 72 NBSUs. List annexed as Annexure
G.
Recurring or running cost per
year
Amount in
Rupees
Consumables Rs.12,500
Maintenance cost Rs. 75,000
Sub Total Rs. 87,500

Consumables for NBSU includes I/V cannula 24/26 G, mucous extractors, feeding tubes, oxygen
cylinder 8 F, suction tubes, Sterile gloves, Cotton wool, Disinfectants etc.

Newborn Care Corners:
All the delivery points should have a functional Newborn Care Corner consisting of essential
equipment and staff trained in NSSK. 273 Newborn Care Corners have been established in the
State till date for providing essential newborn care.

List of Equipments for NBCC
S No. Item Description Essential
/Desirable.
Quantity
1
Open care system: radiant warmer, fixed
height, with trolley, drawers, O2-bottles
E 1
30

2
Resuscitator hand-operated for neonate,
neonate,500ml
E 1
3
Weighing Scale, spring E 1
4
Pump suction, foot operated D 1
5
Room Thermometer E 1
6
Light examination, mobile, 220-12 V D 1
Consumables required for NBCC
7
I/V Cannula 24 G, 26 G E

8
Extractor, mucus, 20ml E

9
Towels for drying and wrapping the
baby
E

10

Sterile equipment for cutting and tying the
cord
E

11
Tube, feeding, CH07, L40cm, E

12
Oxygen cylinder 8 F D

13
Sterile Gloves E

For strengthening of existing NBCCs Operational cost for 273 units @ Rs 10,000/unit has
been approved this financial year with the condition that the districts will saturate the
functional delivery points with NSSK trained personnel and radiant warmer and utilize the
resources optimally. List of NBCCS annexed as Annexure H.
Recurring or running cost per year Amount in Rupees
Consumables Rs. 2,500
Maintenance cost Rs. 7,500
Sub Total Rs. 10,000

Note: Detailed FBNC Guidelines & Toolkit for setting up of SNCUs/ NBSUs/ NBCCs has
already been circulated to the districts. These guidelines are also available on website of
National Rural Health Mission, J&K www.jknrhm.com.

B. Home Based Newborn Care:-
Reducing infant and child mortality is one of the foremost goals of NRHM. The country as a
whole and J&K in particular has made significant progress in reducing infant mortality rates.
However it is now clear that a high proportion of the infant death burden is related to newborn
deaths, and further gains in reducing IMR are likely only through a focuses effort at
implementing evidence based cost effective interventions that affect neonatal health outcomes.
There is sufficient evidence to demonstrate that despite the increasing numbers of institutional
deliveries a substantial proportion of neonatal deaths occur in the home. Thus the provision of
Home Based New Born Care is an effective approach for achieving the desired reduction in
infant mortality in rural and poor population.
31

Under this programme ASHA is supposed to visit the newborns in their homes and provide visits
on (Day 3, 7, 14, 21, 28, 42) in case of institutional deliveries and seven visits (Day 1, 3, 7, 14,
21, 28, 42) in case of Home deliveries. HBNC visits are to be monitored by the ASHA
facilitators and ascertained by concerned ANM.
The ASHA is to be paid Rs 250/- for conducting home visits for the care of newborn and post
partum mother as per HBNC guidelines.
Payments to be made subject to following:-
Ensure that birth weight is recorded in MCP card.
Ensure that the newborn is immunized with BCG, first doses of OPV & DPT/ Pentavalent
vaccine.
Ensuring birth registration.
Both mother and newborn are safe until 42
nd
day of delivery.
During home visits ASHA will provide following services which include, Weighing the
newborn, Measuring newborn temperature, Ensuring warmth, Supporting exclusive
breastfeeding, Diagnosing and counseling in case of problems with breastfeeding, Promoting
hand washing , Providing skin, cord and eye care, Health promotion and counseling mothers and
families on key messages on newborn care, Ensuring prompt identification of sepsis or other
illnesses.

C. Janani Shishu Suraksha Karyakram (JSSK)
JSSK has been implemented in the State vide Govt. Order No. 516-HME of 2011. Since the
inception of scheme benefits under this prograame were proved to neonates only (0-30 days),
however during the current financial year entitlements for sick child has been extended upto
infants (0 to 1 year age group). Details given under Maternal Health Programme.

D. Nutrition Rehabilitation Centre NRC
NRC is a unit in a health facility where children with Severe Acute Malnutrition (SAM) are
admitted and managed. Children are admitted as per the defined admission criteria and provided
with medical and nutritional therapeutic care. Once discharged from the NRC, the child
continues to be in the nutrition rehabilitation program till he/she attains the defined discharge
criteria as per the guidelines.

Location and size of NRC
NRC is a special unit, located in a health facility and dedicated to the initial management nd
nutrition rehabilitation of children with severe acute malnutrition. The unit should be a distinct
area within the health facility and should be in proximity to the pediatric ward/inpatient facility.

The NRC should have the following Facilities:
Patient area to house 10 beds; in NRC adult beds are kept so that the mother can be with the
child.
32

Play and counseling area with toys; audiovisual equipment like TV, DVD player and IEC
material.
Nursing station
Kitchen and food storage area attached to ward, or partitioned in the ward, with enough
space for cooking, feeding and demonstration.
Attached toilet and bathroom for mothers and children, along with two separate hand
washing areas.
The approximate covered area of the NRC should be about 150 square feet per bed, plus 30%
for ancillary area. A 10 bedded NRC should have a covered area of about 1950 square feet;
this will include the patient area, play and counseling area, nursing station, kitchen, storage
space, two bathrooms and two toilets.
NRC should have a cheerful, stimulating environment; it should be child friendly. Walls can
be brightly painted and decorated. Ward should have sufficient space for all
mothers/caregivers staying with the children to sit together and be given cooking and feeding
demonstration.
One Nutrition Rehabilitation Centre has been established at G.B Pant Hospital, Srinagar and
another one is under construction in SMGS Hospital, Jammu.
Budget for 10 bedded NRC as per Guidelines of MoH & FW, GoI
S. no. Items Unit cost Total cost
A. One-time expenditure
A1 Civil Work (renovation)
1.1 Ward 25,000 25,000
1.2 Kitchen 20,000 20,000
1.3 Bathroom and toilets 15,000 15,000
A2 Cots and Mattresses
(10 Cots & mattresses @ Rs 2500 each)
2,500 25,000
A3 Essential Ward equipments 50,000 50,000
A4 Other Ward equipments 35,000 35,000
A5 Kitchen equipments 30,000 30,000
One-time expenditure 2,00,000
B. Recurrent expenditure
B1 Kitchen Supplies 15,000 (per month) 1,80,000
B2 Pharmacy Supplies and Consumables 15,000(per month) 1,80,000
B3 Other Costs
Wage Compensation and food for mother/care
giver* (Rs 100 X 10 beds X 30days X 12 months)
Rs.100/day 3,60,000
Maintenance of equipments, linen, Cleaning
supplies
3,500(per month) 42,000
Contingency 1,500(per month) 18,000
33

Subtotal 64,500 7,80,000
TOTAL COST (A+B) 9,80,000

Details of equipments and supplies for NRC
i. Essential Ward equipments
Glucometer (1)
Thermometers (preferably low-reading) (2)
Weighing scales (Digital) (3: one each to be kept in Ward, OPD and Emergency area)
Infantometer (1 each for OPD & NRC)
Stadiometer (to measure standing height) (1)
Resuscitation equipments
Suction equipment (low pressure)

ii. Other Ward equipments
IV stands
Almiras, Shoe racks, Dust bins, Room Heaters
IEC Audio/visual materials (TV; DVD player)
Toys for structural play
Calculator & Clock
Reference height and weight charts

iii. Kitchen equipments
Cooking Gas
Dietary scales (to weigh to 5 gm.)
Measuring jars
Electric Blender (or manual whisks)
Water Filter
Refrigerator
Utensils (large containers, cooking utensils, feeding cups, saucers, spoons and jugs,
etc.)

iv. Drugs and Consumables
Antibiotics: (Ampicillin/Amoxicillin/Benzyl penicillin
Chloamphenicol Cotrimoxazole Gentamycin Metronidazole
Tetracycline or Chloramphenicol eye drops
Atropine eye drops
ORS
Electrolyte and minerals Potassium chloride Magnesium chloride/ Sulphate iron
syrup
Multivitamin Folic acid vitamin A syrup
Zinc Sulfate or dispersible Zinc tablets
Glucose (or sucrose)
34

IV fluids (ringers lactate solution with 5% glucose; 0.45% (half normal) saline with
5% glucose; 0.9% saline (for soaking eye pads)
Cannulas, IV sets,
Pediatric Nasogastric tubes

v. Kitchen Supplies
Supply for making Starter and Catch up Diet
Dried Skimmed Milk
Whole dried milk
Fresh whole milk
Puffed rice vegetable oil
Foods similar to those used in home

E. Infant and Young Child Feeding :
Infant and Young Child Feeding is a set of well-known and common recommendations for
appropriate feeding of new-born and children under two years and includes the following care
practices:
a. Initiation of breastfeeding immediately after birth, preferably within one hour.
b. Exclusive breastfeeding during the first six months of life i. e 180 days (no other foods or
fluids, not even water; but allows infant to receive ORS, drops, syrups of vitamins,
minerals, medicines, when required)
c. Timely introduction of complementary foods (solid, semisolid or soft foods) after the age
of six months i. e 180 days.
d. Age appropriate complementary feeding for children 6-23 months, while continuing
breastfeeding.
e. Active feeding for Children during and after illness.
f. Continued breastfeeding for 2 years or beyond

The adoption of appropriate IYCF practices by the families:
Reduce the risk of child mortality
Reduces the risk of infant and child hood illnesses
Increases productivity by enhancing cognitive functions
Helps spacing pregnancies as Breast Feeding is the most effective contraceptive (98.2%)
in the first six months of lactation.
Reduces burden on health system and costs for societies by protecting against chronic
diseases
Reduces cost of managing malnutrition (both undernutrition and obesity)

Interventions are being implemented by other Departments, however the reach of counselling for
improvement in the status of Infant and Young Child Feeding remain poor. National Rural
Health Mission provides a valuable opportunity to bring greater attention and commitment to
35

promote IYCF interventions through the health system, both at the health facility and community
outreach level.

IYCF Counselling Centre
State proposes to establish 24 IYCF Counselling Centre in 22 District Hospitals and 02 Medical
Colleges this financial year .The one time establishment cost for each centre is Rs 12,500/- has
been approved by MoH&FW, GoI for 24 Centres.

The breakup of the budget is as under:

Activity Unit Cost Remarks
Infrastructure Rs. 10,000 per centre
Infrastructure cost includes minor
renovations, paint, curtains and furniture.
Equipment(for both
inpatient & OPD)
Rs. 2500 per site

Infantometer, weighing scales, WHO growth
standards (Charts), doll & breast model,
syringe pump, 250 ml capacity steel bowl,
spoon, specific stationary, counseling flip
chart.

The counseling centre would provide following package of services:
1. Communication and counselling on IYCF.
2. Growth monitoring.
3. Information about services available through community outreach (e.g.; immunization)
4. Provision for Vitamin A and IFA s supplements (if not received in the outreach) for children
older than 6 months.
5. In case child is born prematurely or with low birth weight, one to one counselling session
should be conducted with the mother/caregiver and follow up visits to the centre requested.
A Nutrition counsellor/ IYCF counsellor needs to be appointed to manage these centres to
counsel and solve referral problems. Nutrition counsellor can provide counselling and support
not only to mothers/ caregivers of children discharged from SCNU but also other babies
including LBW and preterm babies born at these facilities or referred from peripheral health
facilities. They shall also regularly visit children admitted as inpatients and counsel caregivers of
children identified as underweight or stunted.
The State proposes to hire 24 RMNCH/IYCF counsellors for 22 District Hospitals and 2 Govt.
Medical Colleges.

Breast Feeding Awareness Week:
For creating awareness among the people on benefits of breast feeding, IEC & BCC activities
shall be carried out during Breast Feeeding week (17 August 2013) at all block/ district
headquarters and medical colleges for promoting breast feeding. An amount of Rs. 3600/- has
36

been approved to be kept at the disposal of the heads of the institutions for carrying out activities
like IEC and organizing camps with focus of initiation of breastfeeding within one hour of
delivery.

E. Child Death Review (CDR)

Reducing infant mortality is one of the key goals under NRHM. Multipronged, evidence based
strategies have been adopted in the national programmes to prevent neonatal, infant and child
deaths. The decline in neonatal mortality is slow and has not kept pace with the overall decline in
child mortality. It is well understood that for any further progress to be made now, the focus
must shift to age groups most vulnerable to morbidity and mortality and to geographical areas
and populations areas where mortality is higher.
Children in the age group 0-59 months will be included in the review. All deaths in this age
group will be reported irrespective of the place it takes place: at home, in health facility or
in transit.
The review processes will remain the same for all children; however the details to be
investigated will vary in neonates (0-28 days) and children (29 days-59 months).
Child Death Review will be undertaken at two levels:
1. Community level (Community Based Child Death Review)
2. Facility Level (Facility Based Child Death Review )
A. Guidelines for Community Based Child Death Review
Community based reviews are undertaken for deaths that occur in the specified geographical
area, irrespective of the place it takes place: at home, in health facility or in transit.
Steps for community based Child Death Review are as follows:
Step 1: Notification of child death
Step 2: Investigation of death
Step 3: Data transmission and analysis
Step 4: Feedback for improved planning and institution of corrective measures.

37

B. Guidelines for Facility-Based CDR
Facility Based Child Death Review will be taken up in all government teaching and referral
hospitals and First Referral Units (District, Sub district, Area Hospitals/Taluq Hospitals) that
have been designated as delivery points.
Steps for Facility- Based CDR
Step 1: Notification of Child Deaths.
Step 2: Investigation
Step 3: Data Flow & Ananlysis
Step 4: Feedback for improved planning and instituting corrective measures.

Annual Child Death report should be prepared and disseminated to all stakeholders. It
should also be used for the purpose of formulating Annual State and District programme
Implementation plans.
The reports are to be formally presented at District and State level at the following platforms:
District Child Death Review Committee
State Level Taskforce
District Child Death Review Committee: The Maternal CDR Committee should be
assigned the responsibility of reviewing Child Death Reports as there are inter-linkages
between maternal and neonatal deaths and the indirect causes are likely to be same in many
cases.
Additional members may be brought on the same committee for review of child deaths and
the following composition is suggested:
Members of District Child Review Committee:
1. District Magistrate/District Collector ( Chairperson)
2. Chief Medical Officer/Civil Surgeon (Member Secretary)
3. District Nodal Officer (for Child Death Review )
4. District Project Officer for ICDS
5. Representative/s from recognised professional bodies (Indian Academy of Paediatrics,
National Neonatology Forum, IAPSM)
6. Expert from medical college/development agency (if present/located in the district)
7. Any other official or person deemed important for providing a specific technical input
(at the discretion of the Chairperson)

38

Incentives:
Infant Death Reporting (0-1 year): - A provision of Rs.100 has been kept for reporting
infant death by a community volunteer/ ASHA. The report of such deaths is to be submitted
to the District Health Society who will take appropriate action.

Infant Death Investigation (Verbal Autopsy):- An amount of Rs. 250 per investigation
shall be provided to Medical Superintendent/ Deputy CMO/BMO/ Paediatrician for Infant
Death Investigation (Verbal Autopsy). Investigation reports are to be furnished to GOI
through State Health Society on monthly and quarterly basis.

F. Rashtriya Bal Swastha Karyakram (School Health Programme):
Rashtriya Bal Swasthya Karyakram (RBSK), is new initiative of MoH&FW, GoI, under
National Rural Health Mission, aimed at screening children from 0 to 18 years of age for 4 Ds-
Defects at birth, Diseases, Deficiencies and Developmental Delays including Disabilities.
Children diagnosed with illnesses shall receive treatment including surgical interventions and
follow up at tertiary level, free of cost under this programme.
The objective of this initiative is to improve the overall quality of life of children, decrease child
mortality, morbidity and out of pocket expenditure of the poor families.
Child Health Screening and Early Intervention Services envisage to cover 30 identified health
conditions for early detection, free treatment and management through dedicated mobile health
teams at block level in the country. The teams will carry out screening of all children in the pre-
school age (0-5) enrolled at Anganwadi centres at least twice a year besides screening of all
children (6-18) studying in Government and Government aided schools, whereas the newborns
will be screened for birth defects in health facilities by service providers and during the home
visits by ASHAs.
District Early Intervention Centres are planned to be set up as first referral point for further
investigation, treatment and management. Tertiary care centres would be roped in for
management of complicated cases requiring high-end medical care and treatment. This herculean
effort is ultimately targeted to benefit more than 27 crore children annually in a phased manner
in the country.
The scheme has been pended in the RoP 2013-14, due to limited resource cap. However the
scheme shall be again submitted in supplementary PIP for approval.

Implementation Mechanisms

The Operational Guidelines outline the following mechanism to reach all the target groups of
children for health screening-

For new born:
Facility based newborn screening at public health facilities, by existing health manpower.
Community based newborn screening at home through ASHAs for newborn till 6 weeks of age
during home visitation on (Day 3, 7, 14, 21, 28, 42) in case of institutional deliveries and seven
visits (Day 1, 3, 7, 14, 21, 28, 42) in case of Home deliveries.

For children 6 weeks to 6 years:
Anganwadi Center based screening by the dedicated Mobile Health Teams twice a year.
39

For children 6 years to 18 years:
Government and Government aided school based screening by dedicated Mobile Health Teams
twice a year.

District Early Intervention Center (DEIC).
Under this component an Early Intervention Center will be established at the District
Hospitals. The Early Intervention Center will function as first referral point for further
investigation, management and for providing referral support to children detected with health
conditions during screening check-ups.
The proposed composition of team as per the guidelines of MoHFW, GOI at the District Early
Intervention Center (DEIC) is as under:

1. Paediatrician -1
2. Medical Officer (MBBS) 1
3. Dental Doctor -1
4. Physiotherapist 1
5. Audiologist & Speech Therapist 1
6. Psychologist 1
7. Optometrist 1
8. Early Interventionist cum Special Educator cum Social Worker 1
9. Lab Technician 2
10. Dental Technician 1
11. Manager 1
12. Data Entry Operator 1

Role of District Early Intervention Centre:

1. Providing referral services to referred children for confirmation of diagnosis and
treatment.
2. Screening children at the District Early Intervention Center
3. Visit all newborns delivered at the District Hospital, including those admitted in SNCU,
postnatal and children wards for screening all newborns irrespective of their sickness for
hearing, vision, congenital heart disease before discharge
4. Ensure that every child born sick or preterm or with low birth weight or any birth defect
is followed up at the District Early Intervention Center
5. All the referrals for developmental delay are followed and records maintained
6. The Lab Technician of the DEIC would screen the children for inborn error of
metabolism and other disorders, at the District level depending upon the logistics and
local epidemiological situations
7. Ensure linkage with tertiary care facilities through agreed MOU.

Mobile Health Teams:

Block will be the hub of activity for the programme; at least two to three dedicated Mobile
Health Teams in each Block will be engaged to conduct screening of children. Villages within
the jurisdiction of the Block would be distributed amongst the mobile health teams. The number
of teams may vary depending on the number of Anganwadi Centers, difficult to reach areas and
40

children enrolled in the schools. The screening of children in the Anganwadi Centers would be
conducted at least twice a year and at least once a year for school children to begin with.

The proposed composition of Mobile Health Teams at block level as per the guidelines of
MoHFW, GOI, is as under:

1. Two Medical officers (AYUSH) - 1 Male and 1 Female.
2. One ANM/Staff Nurse.
3. One Pharmacist* with proficiency in computer for data management.

*In case a Pharmacist is not available, other paramedics Lab Technician or Ophthalmic
Assistant with proficiency in computer for data management may be considered.

Teams will screen all the children upto 6 years of age registered with the Anganwadi Centers and
all children enrolled in Government and Government aided schools. In order to facilitate
implementation of the health screening process, vehicles will be hired for movement of the teams
to Anganwadi Centers, Government and Government aided schools.
A tool kit with essential equipment for screening of children will also be provided to the Mobile
Health Team members.

Composition of Tool Kit for Mobile Health Teams

Equipments for Screening including Developmental Delays

Bell, rattle, torch, one inch cubes, small bottle with raisins, squeaky toys, coloured wool
Vision charts, reference charts
BP apparatus with age appropriate calf size
Manual and a card specific to each age with age appropriate developmental check list to
record milestones to identify developmental delays (6 weeks -9 years)
Equipments for Anthropometry
Weighing scale (mechanical newborn weighing scale, standing weighing scale)
Height measuring Stadiometers/Infantometers
Mid arm circumference tape/ bangle
Non stretchable measuring tape for head circumference
The Block teams will work under the overall guidance and supervision of the Block Medical
Officer. The Block Programme Manager will chalk out a detailed screening plan for all the three
teams in consultation with schools, Anganwadi Centers and Block Medical Officer.

IMMUNIZATION
The immunization coverage needs to be strengthened all over the State with a special focus on
poor performing Districts. The level of fully immunized children by age of one year (CES 2009)
is 66.60 %.
Full immunization gives a child one of the best chances for healthy and disease free life. In
this connection we need to address the following issues on priority basis:-.
The birth dose of immunization should be ensured for all newborns delivered in the institutions,
before discharge. Daily Immunization services should be available in PHCs, CHCs/ DHs.
41

To reach the inaccessible areas by holding special immunization camps, and tracing the
dropouts and bringing them to the immunization session by utilizing services of ASHAs.
Generating demand through IEC Activities.
Holding of VHNDs regularly & supervisory monitoring by BMO/CMO.
Focusing upon Name based tracking of Children for immunization.

Launch of Pentavalent Vaccine
Pentavalent vaccine against five killer diseases, Diphtheria, Pertussis, tetanus, Hepatitis B and
Hemophilics influenza type B (Hib) has been launched in the State on 21-02-2013 by Honble
Minister of Health and Family Welfare.

The Pentavalent vaccine comes in a liquid (LPV) vail of 10 doses, 0.5 ml of each dose and it is to
be kept at 2 to 8 degrees Celsius. The route of administration is same as of DPT i.e.
intramuscular injection in the antrolateral aspect of the mid thigh in infants.

The introduction of Hib vaccine would prevent the morbidity and mortality associated with this
disease which is a public health problem as it causes:-
a) Inflammation of membranes that cover and protect spinal cord and brain.
b) Pneumonia( inflammation of Lungs)
c) Septicemia (presence of pathogenic i.e. bacteria in the blood)

Hib mostly affect the children and is a infectious disease which spread from infected child to
other children through coughing and sneezing. The schedule of the pentavalent vaccine will
remain the same as that of DPT and Hepatitis B.
First Dose At six week
2
nd
and 3
rd
Dose After an interval of four weeks each.
There is no booster dose of Pentavalent vaccine

Following activities have been approved in the current year for immunization
strengthening.

i. Mobility Support for Supervision and Monitoring at district and State level:-
An amount of Rs. 2,50,000/- has been allotted to each district. The said amount should be
allotted for incurring expenditure on POL for the Supervision and Monitoring of
immunization programme by the Dy. CMO and DIO. Districts need to provide a minimum of
Rs 20,000 to each block for supervision of Immunization activity from Block and PHC.
Detailed monthly tour diary should be sent.

ii. Focus on Slums & underserved areas in urban areas:-
The funds under this sub head are meant for hiring of an ANM for providing immunization in
the identified slum areas of Jammu (city), Anantnag, Srinagar (city), Baramulla, Leh &
Budgam Districts. The ANM has to conduct four sessions of immunization every month for
twelve months. The hired ANM is to be paid Rs. 450.00 per session for four sessions per
42

month per slum of ten thousand population and Rs 300.00 per month has been kept as
contingency for hiring of room and furniture etc for the sessions.

iii. ASHA Incentives under Immunization:-
ASHA incentive for full immunization per child upto 1 year age= Rs 100.
ASHA incentive for full immunization per child upto 2 yrs age = Rs 50.
(Provided all vaccines received between 1
st
& 2
nd
year of age after completing full
immunization at 1 year of age).

iv. Support for Computer Assistant.
Services of the Computer Assistant engaged under immunization strengthening programme
at the State/district level shall be continued based on performance of previous year.

v. Quarterly Review meetings:-
A review meeting has to be held at the district HQs on quarterly basis where in steps to
improve the immunization Programme can be discussed. The BMOs, the Dy CMO, DIOs and
DMEIOs should attend such meetings. The CDPOs and one medical officer of the PHC on
rotation basis have also to be called to attend these meetings. The amount has to be utilized
for meeting expenses like light refreshment to the participants and other organizational
expenses. It is advised to call 3-4 ANMs from each block by rotation to attend such
meetings. Participation of ANMs of Sub Centre should also be made mandatory. The
Refrigerator Mechanic should also be invited for attending such meetings. The dates for
review meetings be intimated to the State Health Society well in advance so that some officer
from this office shall be in a position to attend the meetings. Moreover minutes of the
meetings should reach office of State Health Society, J&K on regular basis.

vi. Preparation of Microplan:-
Microplan for immunization has to be prepared right form Sub Centre level. The microplan,
besides institutional immunization services should include the outreach and underserved areas
where immunization services have to be provided. It should be ensured that neither any
outreach area nor any underserved area is left in the microplan. The expenditure to be
incurred in preparing Block/PHC levels microplan is Rs.1000.00 each and for sub-center
Rs. 100 each. All ANMs, ASHAs and AWWs are to be involved in this activity.

vii. POL for vaccine delivery from State to District and from District to PHC/CHC level:-
This amount is to be utilized for POL charges required for carriage of vaccine under proper
cold chain system from State to District and from District to Block Head Quarters.

viii. Alternate vaccine Delivery to Session Site:-
This amount is to be incurred at the rate of Rs. 150.00 per session for delivery of vaccine at
session site falling in most difficult and hilly terrains and Rs 75.00 per session for other
than difficult areas. Preparation of microplan is mandatory for this activity as stated above.
43

District Health Societies shall identify the sub centres on this basis in their respective
district.

ix. Consumables for computer including provision for internet access for RIMs
Rs. 400 per month per district has been approved for this activity.

x. Procurement of Plastic bags for Biomedical Waste Disposal:-
Two bags per session of immunization for every sub-centre functioning in each district
have to be procured and issued to the Sub Centres at the earliest.

xi. Procurement of Bleach / Hypochlorite Solution for safe disposal of waste (syringes &
needles)/Twin buckets:-
Bleach/hydrochloride solutions are to be procured for every PHC and CHC functioning in
each district. Two buckets preferably are to be procured for use of immunization waste for
each PHC and CHC (excluding CHCs functioning as District hospitals in newly created
districts).

The procurement/purchases should be made after fulfilling all codal formalities and as per
the rates approved by the Rate Contract Committee.

FAMILY PLANNING

ROAD MAP FOR PRIORITY ACTION:

MISSION: The mission of the National Family Planning Program is that all women and men
(in reproductive age group) in India will have knowledge of and access to comprehensive range
of family planning services, therefore enabling families to plan and space their children to
improve the health of women and children.

GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal
emphasis on spacing and limiting methods; promoting children by choice in the context of
reproductive health.

STRATEGIES:

1. Strengthening spacing methods:

a. Increasing number of providers trained in IUCD 380A

b. Strengthening Fixed Day IUCD services at facilities

c. Introduction of Cu IUCD 375

44

d. Delivering contraceptives at homes of beneficiaries.

e. Delaying first pregnancy for at least two years after marriage, spacing of at least three
years between first and second child and adoption of permanent method after one or two
children ( couples to be motivated by ASHA).

2. Emphasis on post-partum family planning services:

a. Strengthening Post-Partum IUCD (PPIUCD) services at least at DH, SDH, FRU,
CHC/BPHC level at high case load facilities.

b. Promoting Post-partum sterilisation (PPS)

c. Establishing Post-Partum Centers at women & child hospitals at district levels

d. Appointing counsellors at high case load facilities

3. Strengthening sterilization service delivery

a. Increasing pool of trained service providers (minilap, lap & NSV)

b. Operationalising FDS centers for sterilisation

c. Holding camps to increase accessibility and availability of services.

4. Strengthening quality of service delivery:

a. Strengthening QACs for monitoring/review

b. Disseminating/ following existing protocols/ guidelines/ manuals

c. Monitoring of FP Indemnity scheme

5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially
on spacing methods

6. Focus on using private sector capacity for service delivery (exploring PPP availability):

7. Strengthening programme management structures:

a. Establishing new structures for monitoring and supporting the programme

45

b. Strengthening programme management support to state and district levels.

8. World Population Day Celebrations.

KEY PERFORMANCE INDICATORS:
a. % IUD inserted against ELA

b. % PPIUCD inserted against institutional deliveries

c. % PPIUCD inserted against total IUCD

d. % of sterilisations conducted against ELA

e. % post-partum sterilisations against total female sterilisations

f. % of male sterilisations out of total sterilisations conducted

g. % facilities delivering FDS services against planned

h. % of personnel trained against planned

i. % point decline in unmet need

j. Point decline in TFR

k. % utilization of funds against approved

Introduction
The State has achieved the target of reduction of Total Fertility Rate (TFR) to 2.0 (SRS
2010) against the target of TFR to 2.1 by 2012. The State has achieved the target of 1.8 by the
end of 12
th
Five year Plan. The TFR target for 2013 is 1.9.
Family Planning Programme is being strengthened by distribution of Condoms/ contraceptives
through ASHAs at Village level at the door steps of needy clients. It will not only help in
avoiding unwanted pregnancies but also protection against HIV/ AIDS and other Sexually
transmitted diseases. The scheme is being implemented as pilot project in 4 districts of Jammu
Division viz. Rajouri, Poonch, Udhampur & Doda. From this year (2013-14) the scheme is being
implemented in the entire State of J&K

The approved activities and the permissible amount are mentioned in the table:-
S No. Activity Target Permissible Amount
46

However, while organizing such camps all efforts should be made to conduct around 100 cases
in each of the camp.
The guidelines issued by Govt. of India for this component have already been provided to all the
Districts.

Quality Assurance Committees (QAC)
QACs for monitoring family planning activities have been constituted at the District Level. The
quarterly meetings of these committees need to be organized for which Rs 5000.00 per quarter
are being provided to each of the district. The Districts are required to submit the Minutes of
these Meetings to the State Health Society on regular basis.

Block Level NRHM Sammelans
During the current financial year, the block level NRHM Sammelans shall be organized in each
of the block. These Sammelans aim at creating awareness among the PRIs, prominent citizens,
NGOs, health functionaries viz CMOs, BMOs/MOs (Block PHCs) and mainly for the field
functionaries like Field NGOs, FMPHWs, ASHAs and AWWs who are directly associated with
the implementation of various schemes/ programmes under NRHM at the ground level. Rs.
20000/- has been approved for each Sammelan at Block Level.
Guidelines for organizing BLOCK Level NRHM Sammelans have been circulated to the
districts.
ADOLESCENT HEALTH

SETTING UP OF AH CELL

1 World Population Day Celebration: (Such as
mobility, IEC activities etc.): funds earmarked for
District and block level activities
One per District Rs 1.5000 lakh/
district
2 Sterilization Camps
a) Male One Per District Rs. 10,000 per camp
b) Female One Per District Rs.7500 per camp
3 Package for Sterilization
a) Male Targets being
given separately
in District PIP
Rs.1500 per case
b) Female Rs. 1000 per case
4 Compensation for IUCD service Targets being
given separately
in District PIP
Rs. 20 per case
47

A unit for adolescent health at state level with a nodal officer supported by four consultants one
each for ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all
the components of Adolescent Health at district level to take care of Adolescent health
programme including the SHP.

PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION:

I. Adolescent Reproductive Sexual Health (ARSH) Programme

Clinics

Number of functional clinics at the DH, CHC, PHC and Medical Colleges
(dedicated days, fixed time, trained manpower).

Number of clinics integrated with ICTCs

Quarterly Reporting from the ARSH clinics to be initiated to GoI.

Establish a Supportive supervision and Monitoring mechanism

Outreach

Utilisation of the VHND platform for improving the clinic attendance.

Demand generation in convergence with SABLA and also through Teen Clubs of
MOYAS

Capacity Building/Training:

Calculation of the training load and development of training plans! refresher
trainings. - Deployment of trained manpower at the functional clinics.

II Menstrual Hygiene Scheme (MHS)
Formation of State and district level steering committees.

Training / re-orientation of service providers(MOs, ANMs, ASHAs)

Monthly meeting with BMO.

Regular feedback on quality of sanitary napkins to be sent to GoI

Identification of appropriate storage place for sanitary napkins.
48

Mechanism of distribution of SN right upto the user level.

Reporting and accounting system in place at various levels.

Utilizing MCTS for service delivery by checking with ASHAs and ANMs about
supply chain management of IFA tabs and Sanitary napkins.

Distribution of Sanitary Napkins to school going adolescent girls to be encouraged
in schools and preferably combined with Weekly Iron Folic Acid Supplementation
(WIFS).

II Weekly Iron and Folic Acid Supplementation programme (WIFS)
Procurement policy in place for procurement of EDL including IFA and deworming
tablets.

Establish Monday as a fixed day for WIFS.

Plan for training and capacity building of field level functionaries of concerned
Departments (i.e. Department of Women and Child Development and and Department of
Education) and plan for sensitization of Programme Planners on WIFS.

Ensure that monitoring mechanism as outlined in the operational framework (Shared with
the States during the National Adolescent Health Workshop) are put in place across
levels and departments.
Adolescent Reproductive and Sexual Health (ARSH): - Ministry of Health and Family
Welfare, Government of India has included Adolescent Reproductive and Sexual Health (ARSH)
as a key technical strategy under the National RCH II programme. Mainly strategy focuses on
reorganizing adolescent population that will yield dividends in terms of delaying age at marriage,
reducing incidence of teenage pregnancy, prevention and management of obstetric complications
including access to early and safe abortion services.
A core package of services that includes preventive, promotive, curative and counselling services
will be delivered during routine clinics at District level and further shall extend to sub-centre,
PHCs and CHCs, and dedicated adolescent clinics on fixed days and time as well as through
outreach activities.
Adolescent Clinics: Adolescent Friendly Health Clinics (AFHCs) have been established
across all the 22 districts of the state in addition to one clinic each in Govt. Medical College
Jammu/ Kashmir at divisional level. In addition, 3 new Adolescent Clinics have been
established one each in Govt. Hospital Sarwal, CHC Akhnoor and CHC Kupwara.
49

Manpower: In order to consolidate the role of AFHCs in providing youth friendly services to
this high focused group, trained Lady Counselors and Data Entry Operators have been
appointed in each Adolescent Clinic except 3 new clinics set up in the FY 2012-13.

Operating expenses: The existing 24 clinics and the 3 new CHCs established during 2012-
13 will get a recurring amount for each Adolescent Clinic as operating expenses for printing
of the stationery/IEC material/Formats for the clinic and mobility support on account of
holding outreach camps/meeting by the counselor in a year.
Menstrual Hygiene Programme: A new scheme for promotion of menstrual hygiene among
adolescent girls (10-19) in rural areas has been launched under which the subsidized sanitary
napkins are being distributed among the school going and out of school adolescent girls.
Target districts:- The scheme is running successfully on pilot basis in 10 Districts of J&K
State where in total 7 districts, namely Rajouri, Poonch, Doda, Kishtwar, Ramban,
Udhampur and Kathua are selected in Jammu Division and three districts namely
Baramulla, Bandipora & Kupwara in Kashmir Division. Under the scheme, sanitary
napkins are being procured by the Ministry of Health & Family Welfare, Govt. of India and
supplied under the NRHM brand name Free days.

Operationalization:- In the State, the scheme is being operationalized at two tier level
through the wide network of the health care providers at Block/sub health centre level and
ASHA as link worker between the service provider and the community at village level. The
sanitary napkins shall be supplied directly to the block headquarters from the central supply
and further be purchased by the ANM/LHV at Sub- Centre Level from the Block office and
shall further be sold to the ASHA for future sale at village level to the adolescent girls falling
under both APL/BPL categories.

The cost of the sanitary napkins has been fixed at Rs.5/- per pack containing six napkins (each
pack) and is being made available to the adolescent girls at the price of Rs. 6/- per pack. Initially,
the ASHA will be given Imprest money of Rs. 300/- from the sub centre (untied fund) for
purchase of sanitary napkin packs from the ANM at Rs. 5/- per pack and the ASHA will sell the
pack to adolescent girl at Rs. 6/- regardless of APL/BPL status. The ASHA will be entitled to
retain Re. 1/- as an incentive for sale of each pack of sanitary napkins and rest of Rs. 5/- will be
used to purchase sanitary napkin packs for future sale. ASHA will receive one additional sanitary
napkin free of cost from ANM each month for her personal usage apart from Re. 1/- as incentive.

Further, the storage of the sanitary napkins shall be made at PHC/SC level and in case if
additional room for storage is required, it can be taken on rent out of untied funds. Also the
revenue generated out of sale of the sanitary napkins shall be deposited by the ANM with the
Block Medical Officer who shall further deposit the same into the District Health Society. The
50

District Health Societies shall deposit these to the State Health Society for procurement of the
napkins for further supply.

SABLA Programme: - SABLA is a new centrally sponsored, comprehensive scheme, called
Rajiv Gandhi Scheme for Empowerment of Adolescent Girls or SABLA, merging the erstwhile
Kishori Shakti Yojna (KSY) and Nutrition Programme for Adolescent Girls (NPAG) schemes to
address the multidimensional problems of Adolescent Girls (AGs).

Implementation: - In Jammu & Kashmir, Sabla is being implemented in 5 districts namely -
Anantnag, Kupwara, Kathua, Jammu, Leh using the platform of ICDS.

Under the scheme, the following services are being provided in convergence with the
Departments of Health and Family welfare, Social Welfare Department and State AIDS Control
Society:
IFA supplementation, including supply of IFA tablets.
General health check-up, including recording of height, weight, BMI for all adolescent girls,
by the Medical Officer/ANM.
Referral to specialized healthcare facilities, as required for conditions like malnutrition,
menstrual problems, frequent headaches, prolonged acne, worm infestation, etc.
Nutrition and Health Education.
Family welfare and ARSH services.

School Health Programme: - The School Health Programme shall focus on the health needs of
the school going children so as to promote the preventive and rehabilitative health in the state of
J&K.
The School Health Programme shall be carried out by the Directorate of Health services
Jammu/Kashmir and the Chief Medical officers of the respective Districts shall send a copy of
the monthly compiled report to the Programme Manager in charge School Health Programme.
Operationalization: - Under the programme, the School Health Committees shall be formed
which shall be responsible for implementation and monitoring of the programme in all the
Govt. and Govt.-Aided schools in the selected districts. The teams shall also conduct check-
ups for children below 6 years at AWCs. The programme shall focus on three Ds-
Deficiency, Disease and Disability. The referral of children shall be tied up and complete
treatment at higher facilities shall be ensured. The nodal teachers from all the Govt. and
Govt. aided schools shall be involved. In addition, under the school health programme apart
from health needs of the school going children, the school health talks on prevention of
diseases and promotion of health shall be given by the existing dedicated teams.
Weekly Iron and Folic Acid Supplementation for adolescents (WIFS)
As adolescent anemia is a critical public health problem in the country, the Ministry of Health
and Family Welfare, Government of India, based on the empirical evidence generated by these
scientific studies, has developed programmatic guidelines for Weekly Iron and Folic Acid
51

Supplementation (WIFS) of adolescent. This scheme is to reduce the prevalence and severity of
anemia in adolescent population (10-19 years) and programme to be implemented for the
following two target groups in both rural and urban areas:
A. Adolescent girls/boys who are school going and are in government/government aided schools
from 6
th
-12
th
classes.
B. Adolescent Girls who are not in school or out of school.

The WIFS programme will also cover married non-pregnant adolescent girls in order to increase
their pre-pregnancy iron stores and decrease prevalence of anemia among pregnant adolescent
girls.
Target Districts: - The WIFS programme shall be started in the five Districts on pilot basis
which are already selected under SABLA scheme namely Jammu, Kathua in Jammu
Division and Anantnag, Kupwara and Leh in Kashmir Division.
Operationalization: - The implementation strategy of WIFS programme involves a fixed
day approach i.e. Monday for WIFS distribution to ensure high compliance. The
programme shall be implemented in both urban and rural areas. Under the programme, the
school adolescent population, enrolled in 6
th
to 12
th
standard, in rural and urban regions will
be reached. The programme shall encourage consumption of weekly IFA tablets and six
monthly de-worming tablets through school and ICDS platform.
At district level, a monitoring committee comprising Health and Education departments
will be formed to monitor the progress of the project and resolve programmatic issues. The
meeting could be organized every six months with the participation of health and education
block officials. Yearly meeting with nodal teachers could be organized to further
streamline the project.

URBAN RCH
ROAD MAP FOR PRIORITY ACTION UNDER URBAN RCH
Carry out a comprehensive third party evaluation of UHCs/ NGO performance including an
assessment of reasons for low expenditure (9.6 % in the first 9 months of 2012-13). State to
apprise MoH&FW of action taken on the basis of the findings of the evaluation by
September 2012.
Monitor performance of UHCs/NGOs against targets.
Staffing at UHCs to be linked to case load.

The Government of India has launched the National Urban Health Mission (NUHM) as a
sub-mission under an overarching National Health Mission (NHM) for providing quality
primary healthcare services to the urban population, especially the urban poor and other
vulnerable sections of the society. The Mission is to be launched in all cities/ towns with
a population of more than 50,000.All other district headquarters and State capitals Towns
52

with a population below 50,000 will be covered under the National Rural Health Mission
(NRHM) the other sub-mission of the National Health Mission.

National Urban Health Mission (NUHM) aims to improve the health status of the urban
population, particularly the slum dwellers and other vulnerable sections by facilitating
equitable access to quality health care with the active involvement of the Urban Local
Bodies (ULBs). It proposes to achieve its objectives by developing appropriate public
health delivery system across cities/towns with provisions for creating new systems,
entering into partnerships with for-profit and not-for-profit private sector, improving
access and building community capacity through community level institutions like
MahilaArogyaSamiti (MAS) and link workers called Accredited Social Health Activists
(ASHA). Capacity building of key stake holders like ULBs, and by making special
provision for inclusion of the most vulnerable amongst the poor.

The National Urban Health Mission would use the institutional structures already created
under NRHM at the national, State and District levels for operationalization of the NHM
and sub-mission of the NUHM. However, in order to provide dedicated focus to issues
relating to urban health, the institutional mechanism under the NRHM at various levels
would be strengthened for NUHM implementation. The existing governance structures
and financial mechanisms existing under the NRHM would also serve NUHM as
well.
At the central level, the Mission Steering Group (MSG) under the Union Health Minister,
the Empowered Programme Committee (EPC) under the Secretary Health & Family
Welfare (H&FW) and the National Programme Coordination Committee (NPCC) under
the Additional Secretary and Mission Director will be responsible for providing overall
guidance and taking important decisions. The Ministers of Housing and Urban Poverty
Alleviation (HUPA) and Urban Development will be included in the already existing
MSC. The existing EPC will be expanded by co-opting Secretary HUPA and Secretary
Urban Development as members and also a National Programme Management Unit
(NPMU) would be created to facilitate and monitor implementation of NUHM.

To enhance the program management capacity at State level, the State PMU of the
NRHM would be strengthened by provision of Programme Manager (NUHM) on
deputation from Health Department.
In addition to the above, at the City level, the States may either decide to constitute a
separate City Urban Health Mission/City Urban Health Society or use the existing
structure of the District Health Society/Mission under NRHM with additional stakeholder
members in light of State/city/town specific need suitable contextualization and
flexibility would be allowed to State Governments.In our State at city level the
53

programme shall be implemented through the existing District Health
Societies/Mission.

The management of NUHM activities may be coordinated by a city level Urban Health
Committee headed by the Municipal Commissioner/District Magistrate/Deputy
Commissioner/ District collector/ Sub Divisional Magistrate/ Assistant Deputy
commissioner based on whether the city is a district headquarters or a sub-divisional
headquarter. This would help ensure better coordination with other related departments
like Women & Child Development, Water supply and Sanitation especially in times of
response to disease outbreaks/epidemics in the city.

As NRHM & NUHM would be two components of the National Health Mission
(NHM), Additional Secretary & Mission Director, Ministry of Health & Family Welfare
would be Additional Secretary & Mission Director (NHM), comprising both the sub-
missions of NRHM and NUHM.

Similarly at the State level, State Mission Director, NRHM would also look after the
sub-mission of NUHM in addition to the existing NRHM. State Mission Director
would be Mission Director, National Health Mission encompassing both the sub-
mission of NRHM and NUHM.

The Mission Directorate at Central level has been vested with adequate administrative
and financial powers to enable it to achieve the agreed outcomes under the overall
guidance of EPC and MSG. Additional Secretary and Mission Director, NHM is vested
with administrative and financial powers as approved by the Mission Steering Group,
Additionally, the Mission will also have the power to frame its own rules and procedures
as approved by the Mission Steering Group.
Some directions were passed to take immediate actions for launch of National
Urban Health Mission (NUHM) in the State:

I. Planning and Baseline Survey:

i. The list of cities and towns in your States /UT may be prepared which have a
population more than 50,000 (as per census 2011). The State Capital will be
covered under NUHM, irrespective of the population size. Since the fund available
for 2013-14 is modest the State/UTs may prioritise cities/ towns that are more
vulnerable in terms of larger proportion of slums, lack of provisions for Primary
Health Care.

ii. A baseline must be conducted in the identified cities/towns to determine the gaps
which would require investment under NUHM. Slum areas in the cities (both listed
and unlisted slums), other low income neighbourhoods and existing public and
54

private (not-for-profit and profit) health facilities are to be mapped and gaps in
availability of primary health care are to be identified.

iii. Availability of infrastructure and equipment in the existing dispensaries/ maternity
homes managed by the State government/UT/ULBs, Urban Health Centres (UHC),
Urban Family Welfare Centres (UFWC), etc have to be assessed in order to
prepare estimates for upgradation/ strengthening the same as per norms and
standards.

iv. One Urban Primary Health Centre (UPHC) for every 50-60 thousand population
may be planned where none exists. The new UPHCs will be located as close to low
income neighbourhoods/slums as possible. Land for establishment of new UPHCs
has to be identified. NUHM would provide both capital and recurrent cost for the
UPHC, as per the norms in the Framework for implementation. The land for the
UPHC and other such infrastructure would be given free of cost by the State
Government. The cost of land shall not be included in the total project cost for the
purpose of calculating the State share. Building for new UPHCs and other
additional infrastructure shall be provided by the State Government as per specified
parameters. The cost of such infrastructure can be counted as part of State share.

v. During 2014-15 and subsequent years, the State/UT plan for Urban Community
Health Centre (UCHC) at the rate of one UCHC for 5-6 UPHC in big towns, with
30 to 100 beds, if clear need for establishment of such institutions arises. NUHM
will provide the capital cost of the new UCHCs as mentioned above. NUHM will
not provide the recurrent cost of UCHC.

vi. Creation of sub centres has not been proposed under NUHM. Outreach services
will be provided through Female Health Workers (FHWs)/ Auxillary Nursing
Midwives (ANMs) headquartered at the U-PHCs. Additional ANMs would be
engaged as per the norm of one ANM for about 10,000 urban populations.

II. Institutional Strengthening:

i. The existing institutional mechanism and management structures created and
functioning under NRHM would be strengthened to meet the needs of NUHM.
Minister(s) in charge of Urban Development and Housing will be members(s) of
the State Health Mission. The State health Society would co-opt Secretaries of the
Urban Development and Housing departments as members. MD NRHM will also
function as MD NUHM also. District Health Societies will be responsible for
implementation of NUHM in the cities and towns.

ii. State Programme Management Unit is to be strengthened for NUHM. Urban
Health Cell need to be created within the SPMUs and DPMUs with appropriate
55

and adequate HR, exclusively for NUHM. In small State like J&K one of the
Officerat SHS could be designated as the Nodal Officer/ Programme Manager of
NUHM till one officer is placed on deputation from Health Department.

iii. The TOR for engagement of personnel for city PMU, SPMU and DPMU will be
communicated to the States/UTs in due course of time.

III. Community Mobilization:

Process could be initiated for formation of MahlilaArogyaSamitis (MAS) as per the
norm of one MAS for 50-100 household in the slums and low income
neighbourhoods. MahlilaArogyaSamitis will act as community based groups in slums,
involved in community mobilization, monitoring and referral. Existing community
based institutions could be utilized for the purpose. NUHM would provide untied
grants and capacity building support to MAS/CBO.

IV. Engaging Human Resources (HR):

i. ASHAs may be engaged as per the norm of one ASHA for 200-500 households in
slums. ASHA would serve as an effective and demand-generating link between the
health facility and the urban slum population. However, the State/ UT have the
flexibility to either engage ASHA or entrust the responsibilities to MAS/any other
community based organisation (CBO).

ii. ANMs may be engaged for 10,000-12,000 urban population. As there is no
provision for sub centres under NUHM, they may be co-located within existing
health facilities (Like urban health posts, UFWCs, etc.) till the urban PHCs become
functional. They would have a clearly defined area of operation where they will be
conducting outreach sessions, as per the norms under NRHM.

V. Convergence:

State has to work out the detailed modalities for convergence with wider
determinants of health, especially housing and water supply and sanitation
programmes. The management of NUHM activities may be coordinated by a city
level urban Health Committee headed by the Municipal Commissioner/ District
Magistrate/ Deputy Commissioner based on whether the city is a district
headquarters of a sub-division headquarter. This would help ensure better
coordination with related departments like Women and Child Development, Water
Supply & Sanitation, especially in times of response to disease outbreaks /
epidemics in the city.

56

Urban RCH is being implemented in Capital cities of Srinagar & Jammu under NRHM; Urban
Health Posts and Urban Health Centres have been established in cities of Srinagar & Jammu.

Urban Health Centres
Manpower One Medical Officer, Three ANMs and One Helper

Urban Health Posts
Two ANMs and One Part Time Cleaner

Conditionality for Funds: Funds under Urban RCH have been approved for six months only.
However, the approval shall be given subject to the sharing of work done performance of ANMs
and Medical Officers of UHCs / UHPs with the Ministry of Health and Family Welfare, GoI. The
Chief Medical Officers Jammu / Srinagar shall furnish the progress report of Urban Health
Centres / Posts to the State Health Society by 1
st
week of July 2013 for its onward transmission
and taking up the matter with GoI for sanction of funds/ salaries for next six months.

TRIBAL RCH


State to closely monitor progress (physical, expenditure) on all health activities in notified tribal
areas. On a quarterly basis, a progress report, including constraints faced and action proposed to
be sent to MoHFW. The State shall focus on health entitlements of vulnerable social groups like
SCs, STs, OBCs, minorities, women, disabled, migrants etc.

J&K State has a vast geographical belt inhabited by tribal population spread over Leh and Kargil
districts. Difficult hilly terrain, extreme weather conditions, poor living standards and inadequate
availability of health services makes this population highly vulnerable to ill health and disease.
Stagnating population size of some of their communities stands witness to the fact that their
Reproductive and Child Health Status is below the desired level.
Under Tribal Health AMCHI Units have been set up in District Hospitals, Community Health
Centres and Primary Health Centres of Leh and Kargil districts. AMCHI Healers have been
engaged in these AMCHI Units on contractual basis up to March, 2014.

Manpower for AMCHI Units
Two AMCHI Healers per District Hospital
One AMCHI Healers per Community Health Centre; and
One AMCHI Healer per Primary Health Centre
34025 patients have been treated by AMCHI Healers in Leh and Kargil districts in the year 2012
13.

Road map for priority action under Tribal Health during the year 2013 14
57

Monitoring progress in terms of number of patients treated.
A progress report on quarterly basis, including constraints faced and remedial action proposed, to
be sent to State Health Society for onward transmission to Ministry of Health and Family
Welfare, Government of India.

The State shall focus on development of indigenous systems of medicine, including AMCHI
system, popular in particular geographical belts of the state.

Establishing Control Room for Ambulances (Toll Free No. 102)
The control rooms are being established in each of the District Hospital to regulate and use all
ambulances optimally. A toll free number 102 will be obtained for these control rooms. These
control rooms shall be manned round the clock by operators who shall control and direct the flow
of ambulances as per requirement. These are being established to ensure optimal delivery care to
the patients/clients calling for help, i.e. stabilization before transport, emergency admission,
preparation of the institution to receive a critical patient, etc.

Detailed guidelines for operationalizing these control room have been circulated to the
Chief Medical Officers.

Blood Storage Centre (BSC)
26 Blood Storage Centres, the details of which mentioned in Annexure J, have been
approved for the financial year 2012-2013 in the State. Some of these are already in the process
of getting licensed and these BSCs need to be strengthened. List of equipments to be procured
for such Blood Storage Centres is as follows:
S.No Name of Equipment Quantity
required
1 Blood Bank Refrigerator having capacity of 50 blood
units
01
2 Air Conditioner 01
3 Autoclave 01
4 Binocular Microscope 01
5 Deep Freezer for freezing ice packs 01
6 Dry Incubator 01
7 Insulated Blood Bags Containers 01
8 Table Top Centrifuge 01
9 Micropippets of different capacities One each
10 Consumables, reagents, disinfectants As per workload

Special incentives to doctors
With a view to ensure the availability of Doctors in remote areas of the State, the Government
has approved special incentive of Rs.20,000.00, Rs 15,000 and Rs. 10,000.00 for Allopathic /
ISM doctors hired under NRHM and serving in Category A, (inaccessible areas), Category
58

B (very difficult areas) and Category C (difficult areas) respectively. List of health
institutions falling in such areas is enclosed as Annexure K. The incentive is an additional
lumpsum allowance payable over and above the existing pay/salary structure to the Allopathic /
ISM doctors working on contractual basis under NRHM.

In addition to this, the incentives shall also continued to be paid @ Rs.8000.00 and Rs. 4000.00
per month for MBBS / AYUSH Doctors serving in the areas notified under SRO 201 of 2006 in
respect of Category A (Very difficult) and Category B (Difficult) respectively. The incentive
is an additional lump sum allowance payable over and above the existing pay/salary structure to
all categories of doctors irrespective of the fact whether they are appointed on regular basis or
on adhoc basis or under SRO 255 on contractual basis or under NRHM on contractual basis. The
incentive is payable after production of a certificate from CMO/ADMO concerned that his/her
performance during the period of report has remained good and has done adequate work in terms
of OPD, IPD, immunization antenatal, postnatal checkups and conduct of deliveries (wherever
applicable).

The incentives should be linked to the place of work and no transfer/shifting should be
allowed from the place where the person is getting incentive.

Permissible Manpower

Sub-Centres
During 2011-12, districts were allowed to hire one additional ANM on contractual basis in all the
Sub-Centres which shall be continued in the year 2012-13 as well. The local residency of the
ANM needs to be given priority while making recruitment.

MACs renamed as Sub Centres
During 2011-12, districts were allowed to hire one Male Multipurpose Health Worker on
contractual basis in all the MACs (renamed as Sub-Centres) which shall be continued in the year
2012-13 as well. The local residency of the MPHW needs to be given priority while making
recruitment.

24X7 PHCs
In addition to the required Manpower positioned in PHCs as per sanctioned strength, the
additional manpower under NRHM is also being provided on contractual basis with the purpose
to provide basic obstetric care round the clock in the PHCs designated as 24x7. The category
wise maximum permissible limit under NRHM (including already engaged) is as follows:
One Medical Officer (MBBS)
Two Staff Nurses.
One Laboratory Technician.

At PHC level under NRHM
59

Each PHC has been provided with 1 AYUSH Doctor and 1 AYUSH Pharmacist (Dawasaaz)
during the year 2011-12 which shall be continued in the year 2012-13 as well.
One Additional MBBS doctor and one additional AYUSH doctor has been provided in PHCs
notified as falling in remote areas as per SRO 201 of 2006 from the year 2009-10 which shall
be continued in the year 2012-13 as well.

FRUs under NRHM
In addition to the required Manpower positioned in FRUs as per sanctioned strength, the
additional manpower under NRHM is being engaged in CHCs designated as FRUs with the
objective to provide Basic and Emergency Obstetric Care round the clock.

The Category wise maximum permissible limit under NRHM (including already engaged)
is as follows:
i. Two Medical Officers (MBBS)
ii. Two Staff Nurses
iii. Two O.T. Technicians
iv. Two X-ray Technicians
v. Two Laboratory Technicians
vi. Additional 8 Staff Nurses for CHC Kupwara, Magam, Bijbhera, Akhnoor, R S Pura and
Ramgarh
Newly created District Hospitals
The objective of providing manpower in newly created District Hospitals remains to provide the
basic and emergency obstetric care round the clock. The Category wise maximum permissible
limit in each of the District Hospital of newly created districts under NRHM (including
already engaged) is as follows:
i. Two MBBS doctors
ii. Ten Staff Nurses.
iii. Two O.T. Technicians
iv. Two X-ray Technicians
v. Two Lab. Technicians.

Old District Hospitals
The objective of providing additional manpower in old District Hospitals remains to provide
basic and emergency obstetric care round the clock.
i. Ten Staff Nurses in Old District Hospitals on contractual basis.
ii. However, Govt Hospital, Sarwal, Jammu and G.B.Pant Hospital, Srinagar have also been
provided Ten Staff Nurses each on contractual basis on the pattern of District Hospitals.

Strengthening of Institutional Mechanism
District Health Societies: 22 District Health Societies have been constituted for planning and
implementing the health related initiatives in the respective districts.
60

Rogi Kalyan Samitis. 571 RKS have been constituted and registered at the level of District
hospital/ CHC/PHC for community management of public hospitals. RKS at the level of new
type PHCs are to be constituted on the pattern of PHCs. The District Health Societies shall
initiate immediate action on constitution of the RKS for new type PHCs.
Sufficient budget is provided to the District Hospitals, CHCs, PHCs and Sub Centres as
Corpus fund, Untied fund & Annual Maintenance Grant for improvement and maintenance of
physical infrastructure and meeting the day-to-day needs of these institutions. This budget
should be utilized after identifying the needs and approval of the RKS/VHSC.
The institution wise details of the budget are as under:-
S.No. Name of the Institution Corpus Fund
( Rs. in Lacs)
Untied fund
(Rs. in Lacs)
Annual *
Maintenance
Grant
( Rs. in Lacs)
1 District Hospital 5.00 Nil Nil
2 Community Health Centres (CHCs) 1.00 0.50 1.00
3 Primary Health Centre (PHC) 1.00 0.25 0.50
4 New Type PHCs 1.00 0.25 0.50
5 Sub Centres (SC) including MACs
which have been renamed as Sub
Centres
Nil 0.10 0.10
*Annual Maintenance Grant is provided to the institutions located in Govt. building(s)
only.
NOTE
The funds for New Type PHCs shall be utilized only after constitution of RKS.
Meetings of RKS should be held as per schedule envisaged in the guidelines. However,
incase due to some exigency, the Honble MLA is not in a position to attend the meetings (s),
the same may be held under the Chairmanship of any of the members present (preferably
CMO/BMO as the case may be) on the schedule date.
It has further to be ensured that the requisite quorum for the meeting is present and that the
minutes of the meeting are properly recorded and circulated among all members including
concerned Honble MLA.

VILLAGE HEALTH SANITATION AND NUTRITION COMMITTEES (VHSNCS)
The Ministry of Health and Family Welfare, GoI vide their No. Z.18015/15/2011-NRHM-II dated
25-07-2011 has conveyed instructions to rename Village Health and Sanitation Committees as
Village Health Sanitation and Nutrition Committees (VHSNCs). With a view to sensitize the PRIs
about various schemes of NRHM, the State Health Society is providing diaries to Sarpanches. The
diary also contains guidelines regarding constitution of Village Health Sanitation and Nutrition
Committees and the norms for utilization of untied grants eligible for the committees.

61

1. During the current financial year, ASHAs shall be involved for facilitating meeting of Village
Health Sanitation and Nutrition Committee in terms of GoI guidelines, as per the following
conditions:
i) Making payment of an incentive @ Rs 150/- to each ASHA for facilitating the monthly
meeting of VHSNC followed by the meeting of women and adolescent girls.
ii) Payment of the incentive should be made out of the untied grants given to each
VHSNC under NRHM.
iii) ASHAs should coordinate for both VHSNC and monthly meeting of women and
adolescent girls.
iv) The concerned ANM at Sub-Centre / PHC will certify the conduction of the meeting.

2. Further, the under mentioned guidelines should be followed for convening the meetings of
VHSNC:-
i) The meeting of VHSNC should be followed by the meeting of Women and Adolescent
girls where the issues pertaining to Nutrition, Reproduction & Child Health, Sanitation &
Hygiene, Breast Feeding, Menstrual Hygiene, Age at Marriage, Contraception, Pre-School
Education and Female Literacy etc. should be discussed.
ii) The meeting of VHSNCs should be convened every month in consultation with the
members of VHSNC and President of Gram Panchayat.
iii) ASHAs should make all possible efforts for the sufficient publicity of the meeting so as to
ensure wider participation of women and adolescent girls of the village.
iv) The meeting should be fixed on the date other than that of Village Health & Nutrition Day
(VHND).

A Booklet containing guidelines for devolution of functions to Panchyati Raj Institutions
(PRIs) in respect of Health Department containing details of VHSNCs has been published
& distribution as per the Government order No: 1126-GAD of 2011 dated 22-9-2011.

PC & PNDT AND GENDER MAINSTREAMING
ROAD MAP: PNDT

MISSION:

The mission of PNDT program is to improve the sex ratio at birth by regulating the pre -
conception and prenatal diagnostic techniques misused for sex selection.

Guiding Principle:

Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio

STRATEGIES:
62

Strengthening programme management structures:

Appointment of Nodal officer

Strengthening of Human resource

Formation of PNDT Cell at state and district level

Establishment of statutory bodies under the PC&PNDT Act

Constitution of 20 member State Supervisory Board

Reconstitution every three years (other than ex-officio members)

Four meetings in a year

Notification of three members State Appropriate Authority,

Constitution of 8 member State Advisory Committee

Reconstitution in every 3 years

At least 6 meetings in a year

Notification of District Appropriate Authorities

Constitution of 8 member district Advisory Committees



Strengthening of monitoring mechanisms

Monitoring of sex ratio at birth through civil registration of birth data

Formulation of Inspection and Monitoring committees

Increasing the monitoring visits

Review and evaluation of registration records
63

Online availability of PNDT registration records

Online filling and medical audit of form Fs

Ensure regular reporting of sales of ultrasound machines from manufactures

Enumeration of all Ultrasound machines and identification of un-registered ultrasound
machine

Ensure compliance for maintenance of records mandatory under the Act

Ensure regular quarterly progress reports at state and district level.

Capacity building and sensitisation of program managers

Appropriate Authorities

Advisory committee members

Nodal officers both State and District

Sensitisation and Alliance building with > Judiciary> Medical Council / associations >
Civil society.

Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act
and promotion of Girl Child.

Convergence for Monitoring of Child sex Ratio at birth


Improvement in child sex ratio at birth

% of civil registration of births

Statutory bodies in place

% registrations renewed

Increase in inspections and action taken

64

No. of unregistered machines identified

% of court cases filed

% of convictions secured
No. of medical licences of the convicted doctor cancelled or suspended

MISSION:
The mission of PNDT programme is to improve the sex ratio at birth by regulating the pre-

Regulatory Mechanism under PC&PNDT Act

STATE LEVEL
Task Force under the Chairmanship of Chief Secretary, J&K on declining sex ratio and
in particular child ratio in the State has been constituted vide Govt. order No: 401-HME
of 2013 dated 12-07-2013
State Supervisory Board under the Chairmanship of the Honble Health Minister, J&K
and Co-Chairmanship of Honble Minister of State for Health
Mission Director NRHM appointed as State Nodal Officer PC&PNDT for
coordination with the Ministry of Health and Family Welfare, GoI.

DIVISIONAL LEVEL
Divisional Advisory Committee under the Chairmanship of respective Divisional
Commissioner.
Divisional Appropriate Authority ----- Director Health Services, Jammu/ Kashmir.

DISTRICT LEVEL
District Advisory Committee under the Chairmanship of concerned Deputy
Commissioner.
District Appropriate Authority ---- Concerned Chief Medical Officer.

DISTRICT ADVISORY COMMITTEE
Reconstituted vide Government order No. 502-HME of 2011 dated: 20.09.2011

DISTRICT APPROPRIATE AUTHORITY
CMOs have been designated as District Appropriate Authority vide Govt. Order No 609-HME of
2011 Dated: 22-11-2011

Composition of District Advisory Committee
District Development Commissioner / Dy. Commissioner Chairman
65

Chief Medical Officer Member Secretary
Medical Supdtt. District Hospital Member
District Information Officer Member
District Social Officer Member
Senior Most Gynecologist of the District Hospital Member
Senior Most Pediatrician of the District Hospital Member
Leading advocate of the District to be
nominated by Deputy Commissioner Member
NGO to be nominated by Deputy Commissioner Member
Deputy Commissioners concerned will co opt at least one peoples representative as a
special invitee in the District Advisory Committee
FUNCTIONS OF THE DIVISIONAL/DISTRICT ADVISORY COMMITTEES
To pay surprise visits or periodic visits to centres, Laboratories and clinics with a view to
check compliance of the provision of Act and Rules.
To recommend to the appropriate authority cancellation or otherwise of registration of or
prosecution against a centre laboratory or clinic.
To check and prevent contravention of provision of the Act or Rules in the area of its
purview.
To advise appropriate authority about implementation of the Act and creation of public
awareness on the issue of the sex selection;
To seize machine as may be found appropriate.

FUNCTIONS OF DIVISIONAL/DISTRICT APPROPRIATE AUTHORITY
To grant, suspend or cancel registration of a Genetic counseling Centre, Genetic
Laboratory or Genetic Clinics.
To enforce standards prescribed for the Genetic Counseling Centre, Genetic Laboratory
or Genetic Clinics.
To investigate complaints of breach of the provisions of this Act or the rules made there
under and take immediate action.
To seek and consider the advice of the Advisory Committee, constituted under sub
section (5) on application for registration and on complaints for suspension or
cancellation of registration
To take appropriate legal action against the use of preconception sex selection techniques
by any person at any place, brought to its attention or suo motto and also to initiate
independent investigation in such matters.
To create public awareness against the practice of preconception sex selection or prenatal
determination of sex.
To supervise the implementation of the provision of the Act and Rules; and
To recommend to the State Supervisory Board modifications required in the Act or Rules
in accordance with changes in technology or social conditions
66

To recommended to the State Supervisory Board modifications required in the Act or
Rules in accordance with changes in technology or social conditions.
Composition and functions of State/Divisional level committees are available on website of
pcpndt www.pcpndtjk.in

STRENGTHENING OF MONITORING MECHANISMS
Monitoring of sex ratio at birth through civil registration of birth data
Formulation of Inspection and Monitoring committees
Increasing the monitoring visits
Review and evaluation of registration records
Online availability of PNDT registration records
Online filling and medical audit of form Fs
Ensure regular reporting of sales of ultrasound machines from manufacturers
Enumeration of all Ultrasound machines and identification of un-registered ultrasound
machine
Ensure compliance for maintenance of records mandatory under the Act
Ensure regular quarterly progress reports at state and district level

Note: The year 2013-14 has been declared as SAVE THE GIRL CHILD, every district is
required to frame a concrete Action Plan on SAVE THE GIRL CHILD and is bound to follow
that Action Plan and perform all the activities proposed in that Action Plan in a time bound
manner.

TRAININGS
The term training refers to the acquisition of knowledge, skills and competence as a result of the
teaching of vocational or practical skills and knowledge that relate to specific useful
competencies. The State of Jammu and Kashmir has resolved to go into the PIP for trainings in
2013-14 adhering to the dictum of the right person for the right training at the right place, so that
trainings are effective and result-oriented.
Trainings /Workshops are an essential activity for updating the knowledge and skills of the
workers of any organization. Upgradation of the skills of the health personnel has been taken up
on priority basis under NRHM.
Aim of Trainings:
i) Development of human resource potential in health care for optimum output.
ii) Operationalization of health care institutions developed and strengthened as per the
requirements of the State, with particular emphasis on maternal and child care units.
iii) Up-gradation of current medical knowledge with evidence based inputs in alignment with
current health care policies and requirements.
67

iv) Creation of awareness among different stake-holders regarding issues of health and social
well-being.
The Mission has planned training/workshops during 2013-14 at the National/State/Divisional &
District level in:-
Maternal Health.
Child Health.
Family Planning.
Immunization.
Adolescent Health.
Intersectoral Convergence.
Accounts

Trainings under the Maternal Health
Skilled Birth Attendance (SBA) Training: Any pregnancy can develop complications at any
stage, so timely provision of obstetric care services is extremely important for management of
such cases and as such, every pregnancy needs to be cared for by a Skilled Birth Attendant
(SBA) during pregnancy, childbirth and the post-partum period. GoI considers an SBA to be a
person who can handle common obstetric and neonatal emergencies and is able to timely detect
and recognize when a situation reaches a point beyond his/her capability, and refers the
woman/newborn to an appropriate facility without delay. In order to strengthen the delivery
points the Government of India has approved the budget for SBA trainings for ISM Doctors,
Staff Nurses, ANMs//LHVs. With the condition that State must ensure SBA training at delivery
points first and then other facilities.
Trainings under Child Health
NSSK Training: (Navjat Shishu Suraksha Karayakaram)
This training course on basic newborn care and resuscitation program has been developed to
address the high early neonatal mortality in the country. The course aims to impart the basic
skills essential to manage common neonatal problems like asphyxia, infections, hypothermia and
breast feeding. The course has been developed for Medical officers, Nurses and ANMs, who are
based at health centres (CHCs/FRUs/24x7 PHCs) and small hospitals (not referral hospitals) and
are responsible for conducting deliveries and managing newborn babies.
The following categories of staff will be trained in each district during the current financial year
from the designated delivery points and their retention at the facility must be ensured:-
Medical Officers/SN/ANMs - 24 per batch (22 districts).
Trainings under Adolescent Health
1. Orientation Training of State and District Program Managers under ARSH
2. State Level/District Level/Block Level Trainers under WIFS.
68

Other Trainings
Trainings under Immunization
1. Training of vaccine handlers in cold chain system.
2. Cold chain handlers training for block level cold chain handlers by state and district
cold chain officers.

Trainings under Family Planning
1. NSV Training.
2. IUD Insertion Training.
3. Post-partum IUCD (PPIUCD) Training.
4. Interval IUCD Training.
General Guidelines:
All trainings are aimed at making health care facilities operational. Certain guidelines must be
followed while nominating candidates, conducting trainings and following up on their
performance:
1. For all technical trainings such as EmOC, LSAS, Blood transfusion, nomination of medical
officers should be sought from centres where facilities are available i.e. FRUs/CHCs but
specialists are not present.
2. Medical officers from all 24x7 PHCs must be trained in BEmOC, MTP, Safe abortion and
IUCD insertion and facilities for the same be provided to them. Paramedical staff at PHCs
and SCs must be trained in IUCD insertion.
3. A participant should be nominated for one technical training only.
4. For non interventional trainings like ARSH, IMNCI, Gender equity, infection control, all
categories of health care staff- Medical Officers at the divisional level, and paramedical staff
(LHVs, ANMs/MPWs) at the district level should be trained.
5. All trainings must begin with a questionnaire for pre-evaluation survey of the existing
knowledge of the participants followed by a post-evaluation survey to assess the efficiency of
the training.
6. Only trained staff may be used as resource persons for the training.
7. For all trainings, the utilization of funds must be strictly in accordance with the budget
guidelines approved by GoI.
8. All DDOs must ask for the attendance of the candidates for the period of training after the
candidate rejoins his place of posting.
9. TA/ DA to all nominees is to be paid by the organizers of the training and should not be
drawn from the place of posting unless specifically mentioned.
10. Feedback of each training should be sent to the headquarters within a fortnight of the
completion of the training.
11. The trained manpower must be posted at suitable institutions in consonance with their
expertise, and the necessary facilities be provided to them for the utilization of their services.
69

12. The performance of all medical and paramedical staff who have undergone technical
trainings (SBA, EmOC, BEmOC, LSAS, MTP, MVA, IUD insertion, training in Blood
transfusion) must be monitored on monthly basis.
PROGRAMME MANAGEMENT UNITS
ROAD MAP: HUMAN RESOURCES

A comprehensive HR policy to be formulated and implemented; to be uploaded on the
website.

Underserved facilities particularly in high priority districts, to be first strengthened through
contractual staff engaged under NRHM. Similarly high case load facilities to be
supplemented as per need

All appointments under NRHM to be contractual; contracts to be renewed not routinely but
based on structured performance appraisal

Decentralized recruitment of all HR engaged under NRHM by delegating recruitment
process to the District Health Society under the chairpersonship of the District Collector or
Rogi Kalyan Samitis at facility level as applicable.

Preference to be given to local candidates to ensure presence of service providers in the
community. Residence at place of posting to be ensured.

Quality of HR ensured through appropriate qualifications and a merit- based, transparent
recruitment process is mandatory.

It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors
(both MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent in
inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take
services to the remotest parts of the country, particularly the un-served and under-served
areas. It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed first.
Contractual HR must not be deployed in better served areas until the remotest areas are
adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain without
any ANM. No PHC in these areas should be without a doctor. Further, CHCs in remote
areas must get contractual HR ahead of District Hospitals. Compliance with these
conditionalities will be closely monitored and salaries for contractual HR dis-allowed in
case of a violation.

Details of facility wise deployment of all HR engaged under NRHM to be displayed on the
state NRHM web site.
70

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

AYUSH doctors to be more effectively utilized eg for supportive supervision, school health
and WIFS.

All contractual staff to have job descriptions with reporting relationships and quantifiable
indicators of performance.

Performance appraisal and hence increments of contractual staff to be linked to progress
against indicators.

Staff productivity to be monitored. Continuation of additional staff recruited under NRHM

for 24x7 PHCs, FRUs, SDH, etc, who do not meet performance benchmarks, to be
reviewed by State on a priority basis.

All performance based payments/difficult area incentives should be under the supervision of
RKS/Community Organizations (PRI).

ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT

A full time Mission Director is a prerequisite. Stable tenure of the Mission Director
(minimum 3 years) should also be ensured.

A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on
resource envelope of State), from the State Finance Services not holding any additional
charge outside the Health Department must be put in place, if not already done, considering
the quantum of funds under NRHM and the need for financial discipline and diligence.

Regular meetings of state and district health missions/ societies.

Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff
performance to be monitored against targets and staff sensitized across all areas of NRHM
such that during field visits they do not limit themselves only to their area of functional
expertise.

Performance of staff to be monitored against benchmarks; qualifications, recruitment
process and training requirements to be reviewed.
71

Delegation of financial powers to district/ sub-district levels in line with guidelines should
be implemented.

Funds for implementation of programmes both at the State level and the district level must
be released expeditiously and no delays should take place.

Evidence based district plans prepared, appraised against pre determined criteria; district
plans to be a live document. Variance analysis (physical and financial) reports prepared
and discussed/action taken to correct variances.

Supportive supervision system to be established with identification of nodal persons for
districts; frequency of visits; checklists and action taken reports.

Remote/ hard to reach/ high focus areas to be intensively monitored and supervised.

An integrated plan and budget for providing mobility support to be prepared and submitted
for review/approval; this should include allocation to State/ District and Block Levels.

All facilities to maintain visitors registers. All supervisors should write their main
observations and agreed action/recommendation. Supervisors should sign with their name
and post (written legibly) with date of visit.

All LHV positions to be filled on a priority basis. The block PHN and DPHN to be part of
block and district programme management unit respectively. Similarly a Nursing nodal
person to be a part of SPMU. Nursing to be made an integral part of all planning,
implementation and monitoring activities.

The management structure in the form of Programme Management Support Units at State,
Division, District and Block Levels have been established as shown below:

At the State level, State Programme Management Support Unit has been established headed by
the Mission Director and comprising of officers from Finance, Planning, State Programme
Manager, Programme Officers of various programmes etc. The State Programme Unit provides
technical support to the State Health Society/State Health Mission in formulation and
implementation of the planned activities.

At the Divisional Level, the Divisional Programme Management Unit is headed by Divisional
Nodal Officer and supported by Divisional Accounts Manager, Divisional Monitoring and
Evaluation Officer and one Junior Assistant. One Law Officer has also been engaged on
contractual basis in the Divisional Nodal office to assist the State Health Society on legal issues.
72

The Divisional Programme Management Unit has to perform all activities in their respective
Division pertaining to planning, monitoring and coordinating with Divisional level Directorates /
Offices in achievement of the financial and Physical targets set up under NRHM.

At the District Level all the 22 Districts are manned with one District Programme Manager, One
District Accounts Manager and One District Monitoring and Evaluation Officer. One Data Entry
Operator has been placed in all the 22 District Hospitals and one Data Entry Operator for every
Deputy CMO office of the district.

At the Block Level all the 116 Blocks are manned with one Block Monitoring & Evaluation
Officer and one Block Accounts Manager at every Block.

Reporting system of Programme Management Units
The following monitoring system needs to be ensured:-
Block Programme Management unit shall report to the BMO as well as to the District
Programme Management Unit.
District Programme Management Unit shall report to the CMO as well as to the Divisional
Programme Management Unit.
Divisional Programme Management Unit shall report to the Divisional Nodal Officer as well
as to the State Programme Management Unit.
The State Programme Management Unit headed by the Mission Director NRHM shall
provide feedback to the higher authorities both in the State / GoI.
Road Map for Programme Management during the year 2013-14.
A full time Mission Director is a prerequisite. Stable tenure of the Mission Director
should also be ensured.
A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on
resource envelope of State), from the State Finance Services not holding any additional
charge outside the Health Department must be put in place, if not already done,
considering the quantum of funds under NRHM and the need for financial discipline and
diligence.
Regular meetings of state and district health missions/ societies must take place.
Key technical areas of RCH to have a dedicated / nodal person at state/ district levels;
staff performance to be monitored against targets and staff sensitised across all areas of
NRHM such that during field visits they do not limit themselves only to their area of
functional expertise.
Performance of staff to be monitored against benchmarks; qualifications, recruitment
process and training requirements to be reviewed.
Delegation of financial powers to district/ sub-district levels in line with guidelines
should be implemented.
73

Funds for implementation of programmes both at the State level and the district level
must be released expeditiously and no delays should take place.
Evidence based district plans prepared, appraised against pre determined criteria; district
plans to be a live document. Variance analysis (physical and financial) reports prepared
and discussed/action taken to correct variances.
Supportive supervision system to be established with identification of nodal persons for
districts; frequency of visits; checklists and action taken reports.
An integrated plan and budget for providing mobility support to be prepared and
submitted for review/approval; this should include allocation to State/ District and Block
Levels.

HMIS / MCTS
ROAD MAP FOR PRIORITY ACTION MONITORING AND EVALUATION

HR and Infrastructure

For optimum utilisation of resources, State should integrate manpower, infrastructure,
trainings, reviews, field visit etc for HMIS & MCTS since in most cases the persons to be
trained, called for reviews and making field visits are same

HMIS data reporting, improving data quality and its use

State to ensure that 100 % HMIS facility wise data is uploaded, validated and committed;
data for the month should be available by the 15
th
of the following month
Mission Director and Program Managers at all level to use HMIS data for monthly
reviews.
SAS software may be extensively used for State level analysis and feedback to be shared
with GOI
Regular field visits for trouble shooting, Data quality checks, clarification of conceptual
issues regarding HMIS.
Capacity building (Online/offline training, Refreshers training, Workshop etc) to be
conducted as proposed in PIP
Involvement of Regular Statistical Officials along with contractual staff for monitoring
and data quality checks.
Regular feedback on HMIS and MCTS to district/Blocks/facilities to be ensured.
HMIS formats are under rationalization, so Printing of formats, registers may only be
done after consulting MOHFW.

Registration of Births and deaths:

74

Strengthen birth and deaths registration and issue birth certificates before discharge from
facility and ensure information flow from lower levels to chief registrar of births and
deaths
Improve reporting of births and deaths (especially deaths) in HMIS portal.

MCTS: ROAD MAP FOR PRIORITY ACTION

States/ UTs are requested to ensure the implementation of village wise integrated RCH
Register from 2013 in the State. The newly designed Register has already been shared
with States/UTs.
Aadhaar number and bank details of all the pregnant women and health workers (ANM,
ASHA) should be captured in MCTS portal for providing the JSY benefits to the
beneficiaries.
State may establish a dedicated Call Centre for validating the records of the
beneficiaries, informing them about Government Schemes and promoting for availing
the due services on time. State may ensure that all the health facilities are timely
receiving the Work-plan for necessary follow-up and providing the services to the
beneficiaries accordingly.
State may ensure for universal coverage from all the health facilities and private
institutions including urban areas on MCTS Portal. Also ensure for 100 % qualitative,
timely reporting and updating of services delivery records from all the health institutions
including private facilities on MCTS Portal.

State may advise DMHO and BMHO for continuous monitoring, field visit and taking of
corrective action based on MCTS information and ensure for using of MCTS data for policy
formulation, micro planning at different levels and redressal of bottlenecks pertaining to various
programs and schemes.
HMIS and MCTS are two important online monitoring tools of NRHM.
HMIS portal provides all the information uploaded at the facility level thus providing
information about the workload of different institutions and the delivery of services provided
there.
A decision was taken in the review meeting held on 15-05-2013 held under the Chairmanship of
Honble Minister for Health & Family Welfare, where it was decided to stop reporting in form 9
of Director Family Welfare and as per the Direction from MoH&FW, GOI, only one reporting
platform should be used and it was decided to use HMIS platform for all type of reporting. In
this regard a letter was circulated to CMO and Dy.CMO from State Immunization Officer to stop
reporting in old Family Welfare formats and use of HMIS data only for reporting. In this regard
data entry operator under Immunization would be used for reporting purpose.
75

To authenticate the data at all the levels, the MO of the Concerned PHC / New Type PHC will
authenticate the data of his / her area i.e covering all the SCs and New Type SCs before it is
submitted in the monthly meeting at Block level. Once the data of all the Institution is submitted
to Block in the monthly meeting, the data has to verified by Block Medical Officer, before it is
forwarded to the District.
At the district level, the District has to add stock of that month and Compile the data of the
district. At district level data has to be verified by Chief medical Officers. Once the data is
verified by CMO, it has to be forwarded to the State.
The latest information regarding formats and manuals is available under downloads section. Lot
of new reports are available under Standard reports and reports live are now available 24 hours.
User can generate any type of report depending upon his usability.
MCTS is useful in tracking the Mother and Child for their due services. The basic aim of
this system is to track and monitor delivery of services given to the Mother and Child, thus
giving a clear picture of the gaps in the service delivery of Health system.

In order to provide guidance and monitor implementation of the MCTS at the District level
District-e-Mission Team has been constituted vide Govt. order no. 640-HME of 2011 dated 12-
12-2011. The Composition and role of District Project e-Mission team is given as under :

Composition of District Project e Mission Team
District Magistrate/Deputy Commissioner Chairman
Chief Medical Officer Member Secretary
District Informatics Officer-NIC Member
District Programme Manager (NRHM) Member
District Monitoring and Evaluation Officer (NRHM) Member

Role of District Project e Mission Team
a. Overall Responsibility of Project Implementation in the District.
b. Close Monitoring of the project.
c. Coordination with the concerned agencies.
d. Communication and training.

Under MCTS, mobile charges are given to ANMs and ASHAs for data recording and
updation of records of Mothers and Children. As per the conditionalitys laid down in the
ROP 2013-14, payment should be done on the basis of the updation of the records. In
future, mobile charges should be provided to only those ANMs and ASHAs who are
updating the records of Mothers and Children. (Evaluation should be based on the
beneficiaries coverage on MCTS Portal.

Monitoring and Evaluation for HMIS and MCTS
76

State has envisaged following monitoring protocols for Programme Management Units at
different levels to ensure proper implementation of HMIS and MCTS data from different level:
Block Monitoring and Evaluation Officer shall visit every PHC / CHC and 1/3
rd
of the Sub
Centres once a month. He will submit his tour report to the Block Medical Officer and
District Health Society.
District Monitoring and Evaluation Officer shall visit every Block Head Quarter, 50% of the
PHCs and 25% of the Sub Centres once a month. He will submit his tour report to the Chief
Medical Officer and respective Divisional Nodal Officers.

Plan for Use and Feedback of HMIS/MCTS Data by the Districts and Blocks

CMOs and BMOs shall hold regular monthly meetings to review the progress with regard
to uploading of data, registration, updation and authentication of data on HMIS/MCTS
portals.
The BMOs should share the findings of the observations with the ASHAs / ANMs and
take corrective steps for rectifying the errors in the filling of formats by the ANMs.
The BMOs shall also ensure that the work plans are generated on regular basis and
provided to ANMs for tracking the pregnant women / children for their due services.
The progress with regard to follow up by the ANMs as per the work plans shall be
reviewed by the BMOs in every meeting.
ANMs should be called in the office of BMO, on regular roaster basis for updation of
records of Mother and Children.

At the District level, the Chief Medical Officers shall also review the progress of the uploading
and updation of the MCTS data block wise. In details analysis of data should be done in the
monthly meeting. Data on key indicators like month wise tracking of services, No. of ASHAs
registered with Phone number, No. of institutions not reporting during the month an so reports
should be shared with BMOs and all he concerned. This will help in improving the quality of
HMIS / MCTS data.

Uploading of facility wise data is open from 25th of previous month for uploading of
data.
Data should be uploaded, validated and committed by the 15th of the following month.
Facility based HMIS to be implemented. HMIS data to be analysed, discussed with
concerned staff at state and district levels and necessary corrective action taken.
Programme managers at all levels use HMIS for monthly reviews.
MCTS to be made fully operational for regular and effective monitoring of service
delivery including tracking and monitoring of severely anemic women, low birth weight
babies and sick neonates.
Pace of registration under MCTS to be speeded up to capture 100% pregnant women and
children
77

Service delivery data to be uploaded regularly work plans for service delivery be
generated on regular basis and should be distributed to ANMs.
Progress to be monitored rigorously at all levels
MCTS call centre to be set up at the State level to check the veracity of data and service
delivery.

Supportive Supervision & Monitoring Mechanisms
The State has put in place a proper mechanism to monitor and evaluate physical and financial
progress of NRHM periodically. At the State level, the Programme is being reviewed on
quarterly basis through meetings under the Chairpersonship of the Honble Chief Minister of
J&K. Monthly review meetings are conducted in both the Divisions under the Chairpersonship of
the Honble Health Minister. Regular meetings of Governing Body are being held to assess and
review the performance of NRHM programmes. Regular meetings of Executive Committee are
conducted by Commissioner Secretary Health and Medical Education. The progress is also being
reviewed on monthly basis by the Mission Director NRHM. Similarly at the District level
Deputy Commissioner (Chairman District Health Society) also reviews the functioning of
NRHM.
MONITORING PROTOCOLS

Supportive Supervision Plan
Level Person Responsible Frequency Facilities to be
covered
Tool
State State Directorate/SPMU Plan in a way that each district
in state is visited atleast once a
quarter (Two day visit).
Three State level supportive
supervision review meetings,
every four months under
chairpersonship of MD, NRHM
At least 1 SC, 1
PHC,1 CHC
(FRU and Non
FRU) and 1 DH
per visit.
Visit to district
office
Checklists
for SC,
PHC, CHC
Divisional RPMU/CPMU/Divisional
Management unit (where
ever applicable)
Fortnightly monitoring of
facilities
Participation in one district
level monthly meeting
Participation in State Review
meetings
At least 1 SC,
1 PHC/1 CHC per
visit
Checklists
for SC,
PHC, CHC
District PHN/DPMU along with
regular officers
(RCHO/ADHO/ACMO/Q
MO/ EMO etc) and CMO
One Visit/week
One monthly meeting with a
participation of DPMU and
regular staff of the district
At least 2 SC,
1 PHC/visit ( per
week) At
least 2VHNDs/
visit( per week) .
At least 2
CHCs/FRU/month
Checklists
for SC,
PHC, CHC
78

Level Person Responsible Frequency Facilities to be
covered
Tool
CHC BPM along with BMO At least one field visit/week At least 2 SC
and 1
PHC/visit At
least 2
VHNDs/visit
Checklists
for SC,
PHC, CHC
PHC LHV At least monthly visit to
each SC in her catchment area
All SC/month
1
VHND/week
Checklists
for SC,
PHC, CHC
Medical Officer Daily and Monthly
monitoring of facility
Monthly monitoring of SC (MO-
PHC). At least 1 monthly
supportive supervision meeting
with the facility staff
Key Issues
Daily Whole
Facility
monthly At
least 2 SC and
2VHNDs/month
(MO-PHC)
Checklists
for SC,
PHC, CHC

Checklists for SCs/ PHCs/ CHCs/ DHs has already been shared with the district Health
Societies
Monitoring by District Monitors engaged under NRHM
State has hired 8 Monitors (4 for each division) who monitor and evaluate the progress of
NRHM programmes in the districts assigned to them. Each monitor has to visit the districts
allotted to him on regular basis and has to monitor all the activities and evaluate the performance
of each District and has to submit a report of their findings on prescribed format to the Mission
Director NRHM, J&K. The findings of reports of Monitors are being shared with CMOs,
Director Health Services and Administrative Department.

FINANCIAL MANAGEMENT

1. Cash and Bank Books:- All entries must be completed in the Cash Book and Bank Book on
daily basis duly signed by the concerned DDOs.

2. Ledger:- According to the entries of cash & bank books, all entries must be posted in the
Ledger.

79

3. Journal:- Journal Ledger should be complete in all respect. All opening entries must be
made in the journal along with adjustment entries as per audit report and Accounts for all the
advance adjustment vouchers submitted by the concerned parties.

4. Vouchers:- All vouchers should be serially numbered and filed and kept under safe custody.

5. Bank Reconciliation Statement:- Bank Reconciliation Statement must be prepared to
reconcile the Bank Book figures with the Bank statement and all un-reconciled bank entries
must be identified and proper entries passed in the books of accounts. Stale cheques should
also be identified and reverse entries made in the books of accounts.

6. Preparation of Trial Balance:- It is very important that trial balance to reconcile the ledger
balances prepared at State/ District / Block levels. All the opening balances as per Audit
Report may also be accounted for in the current financial years Trial Balance. It must be
ensured that Trial Balance of the current year is prepared at these levels.

7. Preparation of Receipts and Payment Account, Income and Expenditure Account at
each level:- On the basis of final Trial Balance, it is necessary to prepare the final accounts at
each level (State/Districts/Blocks) at the close of financial year.

8. Preparation of Action Taken Report (ATR):- Action taken points of Audit Report for the
previous years should be discussed in the SHS/DHS meetings and the concerned
State/District/ Blocks should prepare the Action Taken Report as per Auditor's and
MoH&FW observations. A copy of the Compliance Report must be sent to State Health
Society for onwards transmission to Ministry at the earliest.

9. Records Keeping:- All accounts records of NRHM must be kept under lock and key with
specific responsibility assigned to concerned official/officers for their proper maintenance at
all the levels. All vouchers relating to accounts transactions must be kept year wise in box
files or duly bound files after audit. Records, mainly cash book, petty cash book, ledgers and
paid vouchers, deposit receipts etc at district/Block level may be kept properly and safely
under the custody of the District Chief Medical Officer/Block Medical Officer or by an
authorized officer.

10. Reminders for Advance Adjustment:- Age wise analysis of advance must be conducted at
all levels and reminders for settlement of advance and refund of unspent balance must be sent
to all concerned on a quarterly basis and pursued vigorously.

11. Audit Reports: Audit reports of all previous years must be kept at State and District levels,
preferably with soft copies as per retention schedule of the State Govt. The previous audit
reports must be scanned and also kept in computers. Action taken points of audit of previous
80

years should be finalized. District Health Societies shall also ensure to undertake monthly
District Audit and periodic assessment of the financial system in the subordinate offices.

12. Upkeep of Cheque Books and Cheque Registers:- All cheque books issued by the bank
must be entered in a register and kept under safe custody of the concerned officer alongwith
unused / cancelled cheques.

13. Cash verification certificate:- Cash verification certificate must be obtained from the
concurrent auditor at the end of each month and verified in the presence of Programme
officer of the concerned program.

14. Physical verification of Fixed Assets:- All the fixed assets must be physically verified by
the designated committee and a physical verification certificate must be kept safely for
verification.

15. Stock Registers:- Store keeper of concerned program should maintain/complete the stock
registers upto date.

16. Important Agreements/MOUs:- All the important agreements such as EMRI agreement,
Rent Agreement, Contractor Agreement, Security Agreement and MOUs duly registered
must be kept in safe custody.

17. Income Tax Return:- All the TDS deducted by the District Health Societies must be
deposited in time in the bank and quarterly Income tax Return must be filed through NSDL
agencies.

18. Concurrent Audit:- The District Health Societies should complete and finalize their
concurrent Audit with reports on monthly basis and action taken thereon.

19. Transfer of Funds/ Monitoring of Bank Balance: Regular monitoring of Bank Balances
may be ensured for timely and adequate transfer of funds through e-transfer/ Demand Drafts
from State to District and District to Block levels in time to ensure the achievement of
stipulated targets. Closing bank balance certificate/ bank statement at the end of financial
year must be obtained from the Branch Manager of concerned banks.

20. FMR/Statement of Funds Position:- FMR must include all the expenditure of the
SHS/DHS and statement of funds position should also show same expenditure as mentioned
in the FMR. These statements should be sent in a complete form to the State Health Society
by the 5th of every month.

21. Uploading of FMR on HMIS web portal: Every District must ensure that quarterly FMRs
are uploaded on HMIS web portal on a regular basis.
81

22. Committed and Uncommitted Unspent Balance:- District should also calculate the
Committed and Uncommitted Unspent Balance at the end of every financial year under each
component.

23. The Drawing and Disbursing Officer must ensure due diligence in expenditure and observe,
in letter and spirit, all rules, regulations, codal formalities and procedures to maintain
financial discipline and integrity particularly with regard to procurement; competitive
bidding must be ensured and only need-based procurement should take place

24. The District Health Societies shall not make any change in allocation among different
components/ activities without approval of State Health Society.

25. The accounts of the State Health Societies/District Health Societies/ Implementing agencies
grantee institution/ organization shall be open to inspection by the sanctioning authority and
Audit by the Comptroller and Auditor General of India under the provisions of CAG(DPC)
Act 1971, Internal Audit by Financial Management Group of State Health Society/Principal
Accounts Office of the Ministry of Health & Family Welfare.
Road Map for Priority Action on Financial Management is enclosed as Annexure L
NRHM HELPLINE

In the year 2013, A Toll free No. 18001800102 has been inaugurated by the Honble Minister of
State for Health (Independent charge) on 31
st
May, 2013 for J&K State.

Objective of NRHM Helpline
In view of the peculiar geographical situation of the State having two capitals, one for summer
and one for winter, two Central Universities, two Directorates of Health Services, the projection
of PIP of the State separately for the two divisions regarding various centrally sponsored
schemes including NPCB, NLEP, RNTCP, IDSP etc. and subsequent release of funds for two
divisions separately, the decision was taken to initiate NRHM Helpline (Grievance Redressal
Cell) in the Divisional Nodal Offices of NRHM, one each at Jammu and Kashmir for grievance
redressal of employees and public-at-large. The process of establishment of the two landline
phone lines at both the headquarters has been also accomplished.

82

ANNEXURES

Annexure A
MONTHLY PROGRESS REPORT FOR THE Month _______ OF THE FINANCIAL YEAR
2012-13

District _________
S.No. (A) Cummulative Achievements on Key Startegies As on Date
83

1
No. of District Health Societies
Constituted

2
No. of Rogi Kalyan Samities (RKS)
Registered for

I District Hospital
ii CHCs
iii PHCs
iv ADs
v Any other Hospital(Mention name)
3
No. of Village Health Sanitation &
Nutrition Committees Constituted

4
No. of VHSNCs for which accounts
opened

5
No. of CHCs upgraded as FRUs (Give
names on separate sheet)

6
No. of PHCs made Operationalized as
24x7 PHCs(Give names on separate
sheet)

7 No. of ASHAs engaged
8 No. of ASHAs trained in Module I
9 No. of ASHAs trained in Module II-IV
10 No. of ASHAs trained in Module V
11 SNCUs established
12
No. of Stablization Units established
(Give names on separate sheet)

13
No. of Baby Care Corners
Established(Give names on separate
sheet)

14
No. of
Specialists/Doctors/Paramedics
engaged

15 No. of Ambulances provided from
i Regular side
ii NRHM
84

16 No. of ARSH Clinics Setup
(B)Activity-wise Achievements during the year 2012-13

S.NO NAME OF THE ACTIVITY
Ach.
During
2011-12
Target
2012-
13
Cummulative
Ach. Ending
previous
month
Ach.
During
the
reporting
month
Total
JSY
1
Total Deliveries (Home+ Institutional)
with in District

2 (i)
Institutional deliveries with in
District

2 (ii)
Institutional deliveries outside
District
3 (i)
Institutional deliveries escorted by
ASHAs

3(ii)
No. of ASHAs given incentive under
JSY
4
Mother beneficiaries given
incentive under JSY

a Home Deleveries
i Rural
ii Urban
Total (a)
b Institutional Deleveries
i Rural
ii Urban
Total (b)
Total (a+b)
Maternal Health

1
No. of Maternal Deaths reported in
the District

2 No. of Maternal Deaths occurred in
i Govt. Health Institution
ii At community level
3
No .of Maternal Death Autopsy
conducted by Dy.CMO/ BMO

4
No. of Maternal Death Reviewed by
District MDR committee

5
No. of Community based Voluntary
Workers/ASHAs given incentive for
reporting Maternal Death

6
No. of pregnant women given Iron
Sucrose intervention Dose

85

7
No. of deliveries conducted at home
by SBA trained persons

8
No. of SBA trained persons given
Incentive for conducting home
deliveries in inaccessiable/ Snow
bound area of high focus districts

VHSNCs

1 No. of VHSNCs meetings held
2 No. of meetings facilitated by ASHA
3
No. of ASHAs given incentives for
facilitating meeting of VHSNCs

4
No. of meetings of Women and
Adolescent girls held

VHNDs

1 VHNDs conducted (Nos.)
2 No. of VHNDs supervised by
i CMOs
ii BMOs
iii Any other Officer (DHO, DMEIO etc.)
3
No. of ASHAs who have attended the
monthly meeting at Block level (PHC)

JSSK

1
No. of Preganent Women given
Drugs and consumables for

i Normal Deliveries
ii C-Section
2
No. of Preganent Women provided
free

i Diagnostics
ii Blood transfusion
3
No.of Preganent Women provided
diet for during

i Normal Deliveries
ii C-Section
iii During stay of sick childen
4
No. of Preganent Women given free
referral transport from

i Home to facility
ii Drop back facility
iii Referral to higher facility
5
No. of Sick Neonates provided Drugs
and consumable

86

7
No. of Sick Neonates given free
referral transport from

i Home to facility
ii Drop back facility
iii Referral to higher facility
Child Health

1 No. of Infant deaths reported
i From Govt. Health Institution
ii At community level
2
Infant Death verbal autopsy
conducted by Dy . CMO / BMO

3
No. of Infants deaths reviewd at
District Level

4
No. of Community based Voluntary
Workers / ASHAs given incentive for
reporting Infant Death

5
No. of ASHA given incentive under
Child Health (HBNC)

6
Total number of Sick Neonates
admitted in SNCUs

7
Total number of Admissions in
Stabilization Units
8 Total No. of Babies revived in NBCCs
FAMILY PLANNING

1
No. of meeting held on Quality
Assurance (QA) of
sterilisation/Family Planning services

2
Compensation for Female sterilization
(No. of cases)

3
Compensation for Male sterilization
(No. of cases)

4 Male Sterlization Camp (Nos.)
5 Female Sterlization Camp (Nos.)
6
IUD insertion at Health facilities (No.
of cases)

7
No. of monitoring visits conducted by
Dy. CMO/BMO/Any other
officer/official

87

Menstrual Hygiene Programme
1
No. of adolescent girls reached by
ASHA

2
No. of Free days sanitary napkins
received by ASHA

3
No of Free days sanitary napkins
sold/ distributed by ASHA

4
No. of free Sanitary Napkins given to
ASHA as incentive for sale of Free
days sanitary napkins

5
No. of group meeting conducted by
ASHA/ANM with Adolescent girls

School Health Programme

1
No. of Govt./Govt. aided schools
visited

2 No. of school children examined
a Boys
b Girls
3
No. of screening camps held at PHC
level falling under Sabla district

4
No. of tablets distributed at school
level

a IFA
b Deworming
5
No. of Peer educator identified during
VHNDs in SABLA Districts

PNDT

1
No. of Orientations held for
programme Manager and series
provider on PC and PNDT act

2
No. of Informer given reward for
informing about Unregistered
Ultrasound machines/Ultrasound
Clinics/illegal practice of sex/Female
foeticide

ASHAs Incentives

1
No. of Pregnant women facilitated full
ANC by ASHA

2 No. of Birth got registered by ASHA
3 No. of Deaths got registered by ASHA
4 No .of ASHAs given incentives for
88

i Full ANC
ii Registration of births
iii Registration of deaths
5
No .of ASHAs given incentives for
event reporting

6 No. of events reported by ASHAs
7
No. of ASHAs given Incentives for
performing roaster duty at ASHA help
desk

IEC/BCC

1
No. of symposium held for female
adolescents in high/higher secondary
schools and colleges

2
No. of Rallies / Debates /Seminar
held in school /colleges

3 No. of Block Sammelans organised
Immunization

1
No. of drop out children Mobilised
through ASHA on
VHNDs/Immunization sessions

2
No. of ASHA given incentive for
mobilizing drop out children

3
No. of quality review meeting held
exclusively for RI at district level with
Block MO, CDPO and other stake
holders

3
No. of Quarterly Review meeting held
exclusive for R.I. at Block level.

4
No. of ASHAs given incentive for full
immunization.

i
No. of children fully immunized (upto
1st year) through ASHA

ii
No. of children fully immunized
through ASHA (2nd year)

5 No. of children administered BCG
6
No. of children administered DPT
III/POLIO III

7
No. of children administered Measles
I

89

8
No. of children administered Measles
II

Trainings

1 Nos. trained in SBA
i MO(ISM)
ii SNs
iii LHVs/ANMs
2
No. of ANMs/MPWs/LHVs trained in
NSSK & IMNCI

3
No. of LHVs/ANMs/SNs/MPWs
trained in RTI/STI

4
No. of Mos/LHVs/ANMs trained in
IUD Insertion

5 No. of Medical Officers trained in NSV
6
No. of ANMs/ trained in ARSH
programme

7
Training of vaccine handlers in cold
chain system (No. of persons trained)

8
Orientation training of
ANMs/LHVs/Health worker in
Immunization(No. of persons trained)

9
Orientation of Medical Officers in
Immunization (No. of MOs trained)

No. of Meetings held

1
District Health Mission
(No. of meetings)

2
District Health Society
(No. of Meetings)

3
District Level Vigilance & Monitoring
committees (DLVMC)(Nos.)

4
Rogi Kalyan Samities
(No. of meetings)

ANNEXURE B

90

Annexure C
S.No Indicator Number S.No.
Name of
District
Name of Delivery
Points
SC Conducting >3 26 1 Kishtwar SC Sigdi
Line listing of 20 new ASHA Greh proposed for 2013-14
S.No
Name of
District Name of Institution
1
Doda
CHC Bhaedrwah
2 Jammu CHC RS Pura
3
Kathua
CHC Billawar
4
Kishtwar
PHC Atholi
5
Poonch
CHC Surankote
6
Rajouri
CHC Nowshera
7
Reasi
CHC Katra
8
Samba
CHC Ramgarh
9
Udhampur
CHC Ramnagar
10
Ramban
CHC Banihal
11
Anantnag
CHC Kokernag
12
Bandipora
CHC Sumbal
13
Baramulla
CHC Uri
14
Budgam
CHC Magam
15
Ganderbal
CHC Kangan
16
Kulgam
CHC D H Pora
17
Kupwara
CHC Tangdar
18
Pulwama
SDH Pampore
19
Shopian
CHC Keller
20
Srinagar
CHC Gousia
91

Name of
District
Name of Delivery
Points
A
deliveries/month 2 Rajouri SC Tatapani
3 Udhampur SC Loudra
4 Udhampur SC Kudwah
5 Ramban SC Jatgali
6 Anantnag S/C Dehwatoo
7 Bandipora S/C Aragam
8 Bandipora S/C Ahamsharief
9 Bandipora S/C Watapora
10 Bandipora S/C Malangam
11 Bandipora S/C Aloosa
12 Bandipora S/C Pazalpora
13 Bandipora S/C Mukdamyari
14 Bandipora S/C Panzinara
15 Baramulla SC's Watergam
16 Kupwara S/C Khurhama
17 Kupwara S/C Moori
18 Kupwara S/C Thayan
19 Kupwara S/C Pathroo
20 Kupwara S/C Keran bala
21 Kupwara S/C Zonereshi
22 Kupwara S/C Farkin
23 Kupwara S/C Budnambal
24 Kupwara MAC Putushai
25 Kupwara MAC Nagsari
26 Kupwara MAC Machil

No. of 24X7 PHCs
conducting > 10 deliveries
/month
28
1
Jammu PHC Pallanwala
B
2
Kishtwar PHC Chatroo
3
Kishtwar PHC Atholi
4
Rajouri PHC Manjakote
5
Udhampur PHC Majalta
6 Ramban PHC Ukerhal
7 Ramban PHC Khari
8 Ramban PHC Ramsoo
9
Anantnag PHC Achabal
10
Anantnag PHC Larnoo
11
Anantnag PHC Aishmuqam
12
Anantnag PHC Saller
13
Anantnag PHC Verinag
14
Bandipora PHC Hajin
15
Baramulla PHC BONIYAR
16
Baramulla PHC DANGIWACHA
92

Name of
District
Name of Delivery
Points
17
Budgam PHC Khag
18
Budgam PHC Soibug
19
Ganderbal PHC Gund
20
Ganderbal PHC Lar
21
Kulgam PHC Qazigund
22
Kupwara PHC Kalaroose
23
Kupwara PHC Chowgal
24
Kupwara PHC Tarthpora
25
Kupwara PHC Vilgam
26
Kupwara PHC Trehgam
27
Kupwara PHC Drugmulla
28
Kupwara PHC Panzgam
C
No. of any other PHCs
conducting > 10 deliveries/
month
2
1 Bandipora PHC Chantimulla
2 Kupwara PHC Awoora
D
No. of CHCs ( Non- FRU)
/month
2
1 Budgam CHC Chattergam
2 Budgam CHC Nagam
E
No. of CHCs (FRU)
/month
47

1 Doda CHC Bhaderwah
2 Doda CHC Gandoh
3 Jammu CHC Akhnoor
4 Jammu CHC Bishnah
5 Jammu CHC RS Pura
6 Kathua CHC Hiranagar
7 Kathua CHC Billawar
8 Poonch CHC Surankote
9 Poonch CHC Mandi
10 Poonch CHC Mendhar
11 Rajouri CHC Sunderbani
12 Rajouri CHC Kalakote
13 Rajouri CHC Nowshera
14 Rajouri CHC Kandi
15 Rajouri CHC Darhal
16 Reasi CHC Katra
17 Reasi CHC Mahore
18 Samba
CHC Ramgarh
19 Samba
A/H Vijaypur
20 Udhampur CHC CHENANI
93

Name of
District
Name of Delivery
Points
21 Udhampur CHC RAMNAGAR
22 Ramban CHC Banihal
23 Ramban CHC Batote
24 Anantnag CHC Bijbehara
25 Anantnag CHC Kokernag
26 Anantnag CHC Seer
27 Anantnag CHC Shangus
28 Bandipora CHC Sumbal
29 Baramulla CHC URI
30 Baramulla MCH SOPORE
31 Baramulla CHC KREERI
32 Baramulla CHC PATTAN
33 Baramulla CHC TANGMARG
34 Budgam CHC Beerwah
35 Budgam CHC Chadora
36 Budgam CHC Ch.Sharif
37 Budgam CHC Magam
38 Ganderbal CHC Kangan
39 Kulgam CHC D H Pora
40 Kupwara CHC Kupwara
41 Kupwara CHC Kralpora
42 Kupwara CHC Sogam
43 Kupwara CHC Tangdar
44 Pulwama SDH Pampore
45 Pulwama SDH Tral
46 Shopian CHC Keller
47 Srinagar
CHC-Gousia Hosital
Khanyar
F
No. of DH conducting > 50
deliveries /month
23
1 Doda DH Doda
2
Jammu
Gandhi Nagar Hospital
3
Jammu
Sarwal Hospital
4 Kathua DH Kathua
5 Kishtwar DH Kishtwar
6 Poonch DH Poonch
7 Rajouri DH Rajouri
8 Reasi DH Reasi
9 Samba DH Samba
10 Udhampur DH Udhampur
11 Ramnan DH Ramban
12 Anantnag MCCH Ang
13 Bandipora DH Bandipora
94

Name of
District
Name of Delivery
Points
14 Baramulla D.H. BARAMULLA
15 Budgam DH Budgam
16 Ganderbal SDH Ganderbal
17 Kargil DH Kargil
18 Kulgam DH Kugam
19 Kupwara DH Handwara
20 Leh SNM Hospital Leh
21 Pulwama District Hospital PuL
22 Shopian
District Hospital
Shopian
23 Srinagar JLNM
G
Total No. of District
Women And Children hospital
2

H
No. of Medical colleges
conducting > 50 deliveries per
month
3

Annexure D

95

FORMAT FOR PRIMARY INFORMANT

Annexure E

96

SNCUs in District Hospitals

S No. District Name of Institution Status
1 Jammu Gandhi Nagar Hospital
Established
2 Udhampur District Hospital Udhampur
Established
3 Kathua District Hospital Kathua
Established
4 Leh District Hospital Leh
Established
5 Anantnag MCH Anantnag
Established
6 Kargil District Hospital Kargil
Established
7 Poonch District Hospital Poonch
Established
8 Kupwara District Hospital Kupwara
Established
9 Baramulla District Hospital Baramulla
Established
10 Srinagar JLNM Hospital Srinagar
Established
11 Rajouri District Hospital Rajouri
Established
12 Pulwama District Hospital Pulwama
Established
13 Doda District Hospital Doda
Under Progress
14 Budgam District Hospital Budgam
Under Progress
15 Kishtwar District Hospital Kishtwar
Under Progress

Annexure F
List of SNCUs where Operational Cost has to provided
97

S No. District Name of Institution Amount Approved
1 Jammu Gandhi Nagar Hospital
Rs 10 Lakhs
2 Udhampur District Hospital Udhampur
Rs 10 Lakhs
3 Kathua District Hospital Kathua
Rs 10 Lakhs
4 Leh District Hospital Leh
Rs 10 Lakhs
5 Anantnag MCH Anantnag
Rs 10 Lakhs
6 Kargil District Hospital Kargil
Rs 10 Lakhs
7 Poonch District Hospital Poonch
Rs 10 Lakhs
8 Kupwara District Hospital Kupwara
Rs 10 Lakhs
9 Baramulla District Hospital Baramulla
Rs 10 Lakhs
10 Srinagar JLNM Hospital Srinagar
Rs 10 Lakhs
11 Rajouri District Hospital Rajouri
Rs 10 Lakhs
12 Pulwama District Hospital Pulwama
Rs 10 Lakhs
13 Doda District Hospital Doda
Rs 5 Lakhs
14 Budgam District Hospital Budgam
Rs 5 Lakhs
15 Kishtwar District Hospital Kishtwar
Rs 5 Lakhs

Annexure G

98

Line of Health Institutions having Stabilization Units for whom
Operational Cost @ Rs 87,500/- per unit has been approved

List of Health Institutions having Stabilization Unit
S No. District Name of Health Institution
1 Kishtwar DH Kishtwar
2
Poonch
FRU Mendhar
3 FRU Mandi
4 FRU Surankote
5 Reasi FRU Katra
6
Udhampur
CHC Chenani
7 CHC Ramnagar
8
Ramban
CHC Banihal
9 CH Batote
10 CHC Gool
11
Kathua
CHC Billawar
12 CHC Bani
13 CHC Hiranagar
14 CHC Basohli
15 CHC Parole
16
Doda
CHC Bhaderwah
17 CHC Gandoh
18 CHC Thatri
19
Jammu
CHC Akhnoor
20 CHC Jourian
21 CHC RS Pura
22 CHC Sohanjana
23 CHC Bishnah
24 CHC Marh
25
Rajouri
FRU Sunderbani
26 FRU Nowshera
27 FRU Darhal
28 FRU Thanamandi
29 FRU kandi
30 FRU Kalakote
31
Samba
CHC Ramgarh
32 EH Vijaypur
33 DH Samba
34
Anantnag
FRU Bijbehra
35 FRU Dooru
99

36 FRU Shangus
37 FRU Seer
38 FRU Kokernag
39
Bandipora
DH Bandipora
40 CHC Sumbal
41 FRU Dawar
42
Baramulla
FRU Tangmarg
43 CHC Pattan
44 CHC Kreeri
45 CHC Sopore
46 CHC Uri
47 CHC Chandoosa
48
Budgam
FRU Beerwah
49 FRU Chadoora
50 CHC Nagam
51 FRU Khan Sahib
52 FRU Ch. Sharief
53 CHC Kremshore
54 CHC Chattergam
55 FRU Magam
56 Ganderbal FRU Kangan
57 Kargil CHC Drass
58
Kulgam
CHC DH Pora
59 FRU Yaripora
60 FRU Qazigund
61
Kupwara
FRU Kupwara
62 FRU Sogam
63 FRU Langate
64 FRU Tangdar
65 FRU Kralpora
66 FRU Zachaldara
67 FRU Kralgund
68 Leh SDH Disket
69
Pulwama
FRU Pampore
70 FRU Tral
71 Shopian DH Shopian
72 Srinagar FRU Khanyar/ Gousia
Annexure H

100

Line of Health Institutions having Newborn Care Corners for whom Operational Cost @
Rs 10,000/- per unit approved
1
Kishtwar
PHC Chatroo
2 PHC Dachan
3 PHC Atholi
4 PHC Nali
5 PHC Keeru
6 PHC Afti
7 DH Kishtwar
8
Poonch
PHC Chandak
9 PHC Fazalabad
10 PHC Dhargloon
11 PHC Lassana
12 PHC Loran
13 PHC Mankote
14 PHC Sawajian
15 PHC Bandichachian
16 PHC Harimarote
17 PHC Harni
18 PHC Batadhurian
19 CHC Surankote
20 CHC Mandi
21 CHC Mendhar
22
Reasi
PHC Laiter
23 PHC Dharmari
24 PHC Arnas
25 PHC Pouni
26 CHC Reasi
27 CHC Katra
28
Udhampur
PHC Sudhmahadev
29 PHC Bharnara
30 PHC Ghordi
31 PHC Bhugtrain
32 PHC Majalta
33 PHC Tikri
34 PHC Basantgarh
35 PHC Hartryan
36 PHC Pancheri
37 PHC Latti
101

38 CHC Chenani
39 CHC Ramnagar
40
Ramban
PHC Ukheral
41 PHC Ramsoo
42 PHC Kheeri
43 PHC Mangit
44 CHC Banihal
45
Kathua
PHC Parole
46 PHC Budhi
47 PHC Dingaamb
48 PHC Hutt
49 PHC Ramkote
50 PHC Sandhar
51 PHC Koti Chadyar
52 PHC Macheedi
53 PHC Bhoond
54 PHC Lakhanpur
55 PHC Kough
56 PHC Marheen
57 PHC Sanonghat
58 PHC Lohai
59 PHC Dhani
60 CHC Billawar
61 CHC Hirangar
62
Doda
PHC Assar
63 PHC Bhagwah
64 PHC Chinta
65 CHC Gandoh
66
Jammu
PHC Sungal
67 PHC Mera Mandrian
68 PHC Kanachak
69 PHC Sai
70 PHC Chowki Choura
71 PHC Arnia
72 PHC Dhanger
73 PHC Rehal
74 PHC Pargwal
75 PHC Dansal
76 PHC Kotbhalwal
102

77 PHC Pallanwala
78 PHC Ambgarota
79 Gol Gujral
80 CHC Akhnoor
81 CHC Bishnah
82 CHC RS Pura
83 CHC Sohanjana
84 CHC Jourian
85 CHC Marh
86
Rajouri
PHC Manjakote
87 PHC Budhal
88 PHC Moughla
89 PHC Gambhir Mughlan
90 PHC Tralla
91 PHC Garan
92 PHC Upper Hathal
93 PHC Balshama
94 PHC Shadra Sharief
95 PHC Seeri
96 PHC Dalhori
97 PHC Peeri
98 PHC Lamberi
99 PHC Bagla Nadyal
100 PHC Kallar Chattyar
101 PHC Laroka
102 CHC Darhal
103 CHC Nowshera
104 CHC Sunderbani
105 CHC Thannamandi
106
Samba
EH Vijaypur
107 PHC Ghagwal
108 PHC Purmandal
109 PHC Sanoora
110 PHC Mansar
111 PHC Gursalathia
112 PHC Nandpur
113 PHC Sumb
114 PHC Rattanpur
115 CHC Samba
103

116 CHC Ramgarh
117
Anantnag
PHC Sallar
118 PHC D.K.Pora
119 PHC Mattan
120 PHC Srigufwara
121 PHC Larnoo
122 PHC Achabal
123 PHC Verinag
124 PHC Sirhama
125 PHC Nowgam
126 PHC Ashmugam
127 PHC Wamdega
128 PHC Hakroo
129 PHC Brakpora
130 PHC Sirhama
131 PHC Akingam
132 PHC B. Kalan
133 PHC Sagam
134 PHC Khiram
135 PHC Haptnar
136 CHC Bijbehara
137 CHC Dooru
138 CHC Kokernag
139 MCH Anantnag
140 CHC Seer
141
Bandipora
PHC Astangoo
142 PHC Badugam
143 PHC Naidkhah
144 CHC Hajin
145 CHC Dawar
146 CHC Sumbal
147
Baramulla
PHC Mora
148 PHC Bijhama
149 PHC Shrakwara
150 PHC GK Kasim
151 PHC Hardbora
152 PHC Kahitangan
153 PHC Fategarh
154 PHC Tujar Shrief
104

155 PHC Seriwarpora
156 PHC Dangiwacha
157 PHC Boniyar
158 PHC Sheeri
159 PHC Kalantra
160 CHC Uri
161 CHC Chandoosa
162 CHC Tangmarg
163 MCH Sopore
164 DH Baramulla
165
Budgam
PHC Kralnewa
166 PHC Khag
167 PHC Soibugh
168 PHC Hardapanzoo
169 PHC OM Pora
170 PHC Poshker
171 PHC Surasyar
172 PHC Narbal
173 PHC Hafroo
174 PHC Wadwan
175 CHC Nagam
176 CHC Magam
177 CHC Beerwah
178 CHC Charie- Sharief
179 CHC Chattergam
180 CHC Pakherpora
181 CHC Khan Sahib
182
Ganderbal
PHC Kullan
183 PHC Gund
184 PHC Lar
185 PHC Wussan
186 PHC Babanagri
187 PHC Kachen
188 PHC Wakura
189 PHC Sonamarg
190 CHC Kangan
191
Kargil
PHC Panikhar
192 PHC Sargole
193 CHC Shankoo
105

194 CHC Chiktan
195 CHC ZANSKAR
196 CHC DRASS
197
Kulgam
PHC Qaimoh
198 PHC Katrasoo
199 PHC Bugam
200 PHC Manzgam
201 PHC Kilam
202 PHC Frisal
203 PHC Behibagh
204 PHC Tarigam
205 PHC M.Pora
206 PHC Qazigund
207 PHC Mahnpora
208 PHC Nehma
209 PHC Razloo
210 PHC Devsar
211 PHC Pahloo
212
Kupwara
PHC Drugmulla
213 PHC Trathpora
214 PHC Maidanpora
215 PHC Awoora
216 PHC Keran
217 PHC Cherakote
218 PHC Harie
219 PHC Magam
220 PHC Machil
221 PHC Kalamchakla
222 PHC Ashpora
223 PHC Kalaroose
224 PHC Chogal
225 PHC Wadipora
226 PHC Villagam
227 PHC Trehgam
228 PHC Panzgam
229 CHC Sogam
230 CHC Kralgund
231 CHC Kralpora
232 CHC Tangdar
106

233 SDH Kupwara
234 CHC Zachaldra
235
Leh
PHC Nyoma
236 PHC Tangtse
237 PHC Turtuk
238 PHC Bogdang
239 PHC Digar
240 PHC Panamik
241 PHC Timisgum
242 PHC Chushul
243 CHC Khaltsi
244 CHC Skurbuchan
245 CHC Disket(Nobra)
246
Pulwama
PHC Wuyan
247 PHC Khrew
248 PHC Parigam
249 PHC Kakapora
250 PHC Awantipora
251 PHC Dadsara
252 PHC Aripal
253 PHC Newa
254 PHC Tahab
255 PHC Ladhoo
256 PHC Rahmoo
257 PHC Singerwani
258 CHC Pampore
259 CHC Tral
260
Shopian
PHC Sedow
261 PHC D. K. Pora
262 CHC Keller
263 CHC Zanipora
264 DH Shopian
265
Srinagar
PHC Khanmoh
266 PHC Brane
267 PHC Zadibal
268 PHC Narwara
269 PHC SR Gunj
270 PHC Harwan
271 PHC Hazratbal
107

272 PHC Lasjan
273 CHC Khanyar

108

Annexure J

Line listing of Blood Storage Centres
S.No Division Name Of FRU
1
Jammu
FRU Bishnah
2 FRU R.S Pura
3 FRU Chennani
4 FRU Ramgarh
5 FRU Hiranagar
6 FRU Basohli
7 FRU Billawar
8 FRU Gandoh
9 FRU Thathri
10 FRU Kalakot
11 FRU Thannamandi
12 FRU Banihal
13 FRU Katra
14
Kashmir
FRU Bijbehra
15 FRU Kokernag
16 FRU Magam
17 FRU Ch. Sharief
18 FRU Sogam
19 FRU Tangdhar
20 FRU Kralpora
21 FRU Pampore
22 FRU Khalsti
23 FRU Uri
24 FRU Sopore
25 FRU Kreeri
26 FRU Tangmarg

109

Annexure-K
Jammu Division

Revised list of CHCs/PHCs falling in Category A, B and C Areas of Jammu
Division

S.No District
Name of Health
Institution
(CHC/PHC)
Category
1
Doda
CHC Gandoh
B
2 PHC Tipri
A
3 PHC Bharath
A
4
PHC Malanoo
B
5 PHC Changa
B
6 PHC Bhagwa
B
7
PHC Goha
A
8 PHC Gundana
A
9 PHC Chinta
B
10
PHC Bhalla
C
11 PHC Bhella
C
12 PHC Prem Nagar
C
13
PHC Assar
C
14 PHC Ghat
C
15
Jammu
PHC Aghar Majoor
A
16
PHC Dori Dager
B
17 PHC Kathar
B
18 PHC Gangal
B
19
Kathua
CHC Bani
C
20 PHC Dhaggar
A
21 PHC Koti Chandiar
A
22
PHC Sandroon
A
23 PHC Malhar
A
24 PHC Lohai
A
25
PHC Gudu Phalal
B
26 PHC Machedi
C
27 PHC Sananghat
C
28
PHC Hut
C
29 PHC Bhoond
C
30 PHC Sandar
C
31
PHC Ucha Pind
C
110

32 PHC Kough
C
33
Kishtwar
CHC Marwah
A
34
PHC Wardwan (Afti)
A
35 PHC Dachhan
A
36 PHC Nali
A
37
PHC Keeru
A
38 PHC Chingaon
A
39 PHC Chattroo
B
40
PHC Massu
A
41 PHC Padder
A
42
Ramban
CHC Gool
C
43
PHC Rajgarh
B
44 PHC Battani
B
45 PHC Trigam
B
46
PHC Ukhral
C
47 PHC Khari
C
48 PHC Sangaldaam C
49
PHC Ramsoo
C
50 PHC Mangit
A
51 PHC Deeda
B
52
PHC Alibass
C
53 PHC Nowgam
C
54
Poonch
PHC Swajian
C
55
PHC Loran
C
56 PHC Bruti
A
57 PHC Hari Marote
B
58
PHC Chandimarh
C
59 PHC Fazalabad
B
60 PHC Lasana
C
61
PHC Buflizad
C
62 PHC Harni
C
63
PHC Bandichichian C
64
Rajouri
PHC Jamola
A
65 PHC Peeri
A
66 PHC Androoth
A
67
PHC Gambir Mogla
A
68 PHC Budhal
A
69 PHC Shahdra Sharief
A
70
PHC Dalouri
A
71 PHC Upper Hathal
A
72 PHC Bagla Nadiala
A
111

73
PHC Gharan
A
74 PHC Khawas A
75 PHC Lam Laroka
A
76
PHC Trala
B
77 PHC Moghala
B
78 PHC Langar
B
79
PHC Seeri
B
80 PHC Kallar Chitar
B
81 PHC Lah
B
82 PhC Thana Mandi B
83
Reasi
CHC Mahore
C
84 PHC Lar
A
85
PHC Bhagodas
A
86 PHC Tote
A
87 PHC Dharmari
C
88
PHC Arnas
C
89 PHC Panasa
B
90 PHC Bana
A
91
PHC Ghota C
92
Samba
PHC Sumbh
C
93 PHC Rattanpur
C
94
Udhampur
PHC Landhar
C
95 PHC Rang
B
96 PHC Basantgarh
A
97
PHC Latti
A
98 PHC Mongari
B
99 PHC Panchari
B
100
PHC Joffer
A
101 PHC Sudhmadev
C
102 PHC Ghordi
C
103
PHC Gharian C

Sd/-

Director Health Services, Jammu
112

Annexure-K
KASHMIR DIVISION

District wise list of CHCs/PHCs falling in Category A, B and C Areas of Kashmir Division
S.No District
Name of Health
Institution
(CHC/PHC)
Category Existing
1
Bandipora
CHC Gureez
A
2
PHC Chantimulla
A
3
PHC Sheikhpora
A
4
PHC Budgam
A
5
Kulgam
PHC K.B.Pora B
6 PHC Waltangoo B
7
Baramulla
PHC Sultan Daki A
8 PHC Danisyedan A
9 PHC Warikha B
10 PHC Bijhama B
11 PHC Panzala B
12
Shopian
PHC Sangarwani A
13
Ganderbal
PHC Sonamarg B
14
Kupwara
CHC Tangdar A
15 CHC Zachaldara B
16 CHC Kralpora B
17 PHC Monbal B
18 PHC Ashpora B
19 PHC Nowgam B
20 PHC Gabra A
21 PHC Teetwal A
22 PHC Chiterkote A
23 PHC Tikkipora B
24 PHC Kalaroose B
25
PHC Dudi Machil
A
26 PHC Awoora B
27 PHC Behnipora B
28 PHC Villgam B
29 PHC Trathpora B
30 PHC Kukroosa B
113

S.No District
Name of Health
Institution
(CHC/PHC)
Category Existing
31 PHC Gonipora B
32 PHC Drugmulla B
33 PHC Nagri B
34 PHC Gushi B
35 PHC Kandi B
36 PHC Panzgam B
37 PHC Hari B
38 PHC Keran A
39 PHC Batpora B
40 PHC Magam B
41
Budgam
PHC Churmunjroo B
42 PHC Kichwarai B
43 PHC Poshkar B
44
Kargil
CHC Drass A
45
CHC Chiktan
A
46 CHC Sankoo A
47 CHC Padoom A
48 PHC Shargoole A
49 PHC Panikhar A
50
Leh
CHC Disket A
51 CHC Sukerbachan A
52 CHC Khalsti A
53 PHC Turtuook A
54 PHC Bogdang A
55 PHC Panimak A
56 PHC Diggar A
57 PHC Tamisgam A
58 PHC Saspool A
59 PHC Noyama A
60 PHC Basgo A
61 PHC Shakti A
62 PHC Cheushal A
63 PHC Thiksay A
64 PHC Tangtse A
114

S.No District
Name of Health
Institution
(CHC/PHC)
Category Existing
65 PHC Chahool A

Sd/-

Director Health Services

Kashmir

115

Annexure L

Priority Actions to be carried out by state for Financial Management

1. Quality FMRs must be submitted on time with both physical and financial
progress fully reflected.
2. State is to ensure that states outstanding share is deposited. Further, with effect
from 2012-13, States share would be 10%.
3. Release of 100% of funds for the year 2013-14 would be contingent on the state
providing Utilisation certificates upto 2011-12.
4. The appointment of Concurrent Auditor for the year 2013-14 is a prerequisite for
release of 2
nd
tranche of funds.
5. Timely submission of Statutory Audit Report for the year 2012-13 is a must for
release of 2
nd
tranche of funds.
6. State is required to comply with the instructions and/or guidelines issued for
maintenance of bank account vide D. O. No. G-27017/21/2010-NRHM-F dated
January 23, 2012.
7. State should provide a confirmation of submission of Action Taken Report/
Compliance Report on the FMR Analysis (2012-13) and Audit Report Analysis
for FY 2011-12.
8. State needs to prioritise the internal control procedures for all transactions.
9. State should ensure proper maintenance of books of accounts at all districts and
blocks within the State.
10. Appointment of Auditor for the year 2012-13 is pending and must be completed
in the first quarter of 2013-14.
11. The state must ensure due diligence in expenditure and observe, in letter and
spirit, all rules, regulations, and procedures to maintain financial discipline and
integrity particularly with regard to procurement; competitive bidding must be
ensured and only need-based procurement should take place.

116

Annexure V

Format of Financial Management Report to be submitted by the District/ Implementing Agency to the State Health Society_________
("Name of the District") District Health/RCH Society// Implementing Agency:
FINANCIAL REPORT FOR THE QUARTER/MONTH/____________________________of the Financial Year 2013-14

FMR
Code
seitititcA
Physical Progress Financial Progress
T
a
r
g
e
t

(
f
o
r

t
h
e

y
e
a
r
)

*
*

P
r
e
v
i
o
u
s

C
u
m
u
l
a
t
i
v
e

Achievements
P
e
r
m
i
s
i
b
l
e

a
s

p
e
r

B
u
d
g
e
t

S
h
e
e
t
s

(
2
0
1
3
-
1
4
)

{
c
o
l

(
1
>
=
2
+
3
)
}

B
a
l
a
n
c
e

a
s

o
n

0
1
-
0
4
-
2
0
1
3

Funds Received
2013-14
Expenditure

T
o
t
a
l

E
x
p
e
n
d
i
t
u
r
e

(
C
o
l
.

5
+
6
+
7
+
8
)

R
e
f
u
n
d

(
i
f

a
n
y
)

C
l
o
s
i
n
g

B
a
l
a
n
c
e

{
C
o
l
.
(

2
+
3
+
4
)
-
(
9
+
1
0
)
}

Reporting Qtr.
*
*

P
r
e
v
i
o
u
s

C
u
m
u
l
a
t
i
v
e

E
x
p
e
n
d
i
t
u
r
e

Reporting Qtr.
M1 M2 M3
From
SHS
From
other
Sourc
es
M1 M2 M3
1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11
A. BaseFlexipool

A. 1 Maternal Health

A.1.3. Out Reach Camps

A.1.4 Janani Suraksha Yojana / JSY

Incentives to Mothers (Home
Delivery) Rs.500/- per delivery

Incentives to Mothers
(Institutional Delivery) Rural (Rs.
1400/- per delivery)

Incentives to Mothers
(Institutional Delivery) Urban
(Rs. 1000/- per delivery)
117

Adminstrative Expanses

Performance Related incentive to
ASHAs under JSY (Rs 600.00 per
Case)
Sub Total JSY

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.1.5 Maternal Death Audit

Maternal Death Autopsy by
Dy.CMO / BMO @ 250/- for
autopsy

Incentive to community Based
Volunteers for reporting maternal
Death @ 200/- per report

Sub Total Maternal Death Audit

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.1.6 Other Activities

Incentive to SBAs for conducting
home deliveries in
inaccessible/snow bound areas of
high focus districts as a pilot
project @300.00 per Deliveries
Printing of MCP cards

Printing of Safe motherhood
booklet
Other if any (Specify)

Total Other Activities

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A1.7
Janani Shishu Suraksha
Karyakram(JSSK)

Drugs and Consumables for
Normal Deliveries @ Rs 350.00
per case
118

Drugs and Consumables for
Caesarean Deliveries @ Rs
1600.00 per case
Diagnostic @ Rs 200.00 per case

Blood Transfusion @ RS 300.00
per case

Diet (3 days for Normal Delivery)
@ Rs 100 per day for 3 days

Diet (7 days for Caesarean)@ Rs
100 per day for 7 days
Referral Transport
For pregnant women
Home to facility
Drop Back faciliity
Facility to Higher Facility

Ironsucrose Intervention(3 doses
Approved)

Sub Total JSSK

-

-

-

-

- -

- - - -

-

-

-

-

-

-
G.Total Maternal Health (Including
JSY)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.2 CHILD HEALTH

Facility Based Newborn
Care/FBNC (SNCU, NBSU,
NBCC - any cost not
budgeted under
HR,Infrastructure,
procurement, training,IEC
etc.) e.g.operating cost
rent,electricity etc. imprest
money
119

A.2.1 Operatiional cost of SNCU
A.2.2
Operational cost of NBSU
@ Rs 84000.00 per unit
A.2.3
Operational cost of NBCC
@ RS 10,000.00 per Unit
A.2.4
Home Based Newborn
Care/HBNC - Printing of
HBNC Guidelines @ RS
50/-

Infant and Young Child
Feeding/IYCF - Breat
feeding Week @ Rs
3600.00

Management of Diarrhoea
& ARI & Micronutrient
Malnutrition

Care of Sick Children and
Severe Malnutrition (e.g.
NRCs, CDNCs etc.) GMC-
NRC

Other strategies/activities
(please specify)- Workshop
on IYCF & Micro Nutrint

A.2.8
Infant Death Audit ( @ Rs
250.00 per case and
Incentive of ASHA /
Informer @ Rs 100 .00
A.2.10
JSSK (for Sick neonates
& infants upto 1 yr )

Drugs & Consumables for
Infants @ RS 200.00
Diagnostics @ Rs 100.00

Free Referral Transport for
Pick up and Drop Back
Home @ Rs 500.00
120

Free Referral Transport for
Referal to Higher Institution
@ Rs 250.00
A.2.11
Any other interventions
(eg; rapid assessments,
protocol development)

Incentive to
ASHA/community based
volunteer for reporting
infant death

IYCF- Settingup of IYCF
Counselling Centres in 22
DHs and 2 Medical
Colleges- subject to
approval of councellors
Printing of IYCF Guidelines

Sub Total (Child Health)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.3 FAMILY PLANNING

Orientation workshop and
dissemination of manuals on
FP standards & quality
assurance of sterilisation
services @ Rs.
2000/meeting
Compensation
A.3.1.2
Compensation for female
sterilization @ Rs. 1000/-
per case
A.3.1.3
Compensation for NSV
Acceptance @ Rs. 1500/-
per case
121

A.3.1.4
Organising Sterilization
(Male) NSV camps @ Rs.
10000.00 per camp
A.3.1.5
Organising Sterilization
(Female) camps @ Rs.
7500.00 per camp.

Provide IUD services at
health facilities /
compensation
A.3.5
World Population fortnight
celebration (such as
mobility, IEC activities
etc.): funds earmarked for
district and block level
activities @ Rs 1,15000.00

Sub Total (FP)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.4
ADOLESCENT
REPRODUCTIVE AND
SEXUAL HEALTH
(ARSH)

Operating expenses for
existing clinics @14074/-pa
School health programme

Sub Total (ARSH)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.5 URBAN RCH
i) Urban RCH Services
122

ii) Rent for urban health post
iii) Hiring part time cleaner
iv) Rent for urban health center.
v)
ANM Urban Health Centre (
3 per UHC) and Urban
Health Posts ( 2 per UHP)
vi)
Helper Urban Health
Centre.
vii)
Link Worker Urban Health
Centre Hon.
viii)
Medical Officers Urban
Health Centre ( 1 per Urban
Center)

Sub Total (Urban RCH)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.6 TRIBAL RCH
Tribal RCH services

Engagement of AMCHI
Healers @10800/= PM for 5
months
(26 AMCHI Healers)
District Hospital 2, CHC -7,
PHCs- 15

Sub Total of Tribal Health

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.7 PNDT & Sex Ratio

123

Sub Total of PNDT & Sex
Ratio

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.8 Human Resources
ANMs at Sub Centres
Sub Centres
Staff Nurses
Laboratory Technicians
MPWs

Specialists (Anaesthetists,
Paediatricians, Ob/Gyn,
Surgeons, Physicians,
Dental Surgeons,
Radiologist, Sonologist,
Pathologist, Specialist for
CHC )
Medical Officers

Additional Allowances/
Incentives to M.O.s

Radiographers( X-RAY
Tech)
OT Technicians/assitsants
Counsellors
ARSH Counselors

other Human Resources
Development (other than
above

Data entry operator for
ARSH- Approval still
pending from GoI
Sister Tutors
PHNs
Cook cum care Taker for
124

NRCs

Sub Total (HR)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
A.9 Trainings

Maternal Health
Trainings

Training of Staff Nurses in
SBA

Training of ANM/LHVs in
SBA

Training of Medical
Officers in life saving
Anaesthesia skills

Orientation of
CMOs/BMOs/Mos for
implentation guidelines
under MDR/IDR
SBA for MOs of ISM Deptt
IMEP Trainings

IMEP Trainings for State &
District Programme
Managers

IMEP Trainings for
MOs/SN/ Pharamcist/ANM

Sub Total Maternal
Health

-

-

-

-

- -

- - - -

-

-

-

-

-

-
Child Health Trainings

NSSK Trng for
MOs/SN/ANM
125

Sub Total Child Health

-

-

-

-

- -

- - - -

-

-

-

-

-

-
Family Planning Trainings

Laparoscopic sterilisation
training for doctors (teams
of doctor, SN and OT
assistant)

Minilap training for medical
officers

NSV Training of medical
officers in NSV camps
Contraceptive update/ISD

Sub Total Family
Planning

-

-

-

-

- -

- - - -

-

-

-

-

-

-
ARSH

Orientation training of State
and District Programme
Managers

State level/ district
level/block level trainners
under WIFS
Sub Total ARSH

-

-

-

-

- -

- - - -

-

-

-

-

-

-

Programme Management
Trainings

Capacity building of
Supervisory Staff (CHO,
health educator, LHV) for
different programmes under
NRHM

Training of Accounts
Manager regarding
Implementation of Tally

Sub Total Programme
Management

-

-

-

-

- -

- - - -

-

-

-

-

-

-
126

Other Trainings

Grand Total ( Trainings)

-

-

-

-

- -

- - - -

-

-

-

-

-

-

A.10
PROGRAMME
MANAGEMENT

District Programme
Manager @ Rs. 20790/-
Month

District Accounts Manager
@ Rs. 16632/- Month

District Monitoring &
Evaluation Officer @ Rs.
13860

O.E. / Mobility ets for
District Health Socities

Sub Total(DPMU)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
BPMUs

Block Accounts Managers
(@ Rs 13860/month)

Block M&E Officer
(@ Rs 13860/month)

O.E/ Mobility for BPMU
(Rs 10358/ block/pa)

Sub Total(BPMU)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
127

Concurrent Audit Fee

Grand Total (A. Base
Flexipool)

-

-

-

-

- -

- - - -

-

-

-

-

-

-

B. Mission Flexipool

ASHA
B1
Selection and Training of
ASHA

Training of ASHA-Module
I- IV

Training on HBNC for
State Trainers round III

Incentive to ASHA for full
ANC

Incentive to ASHA under
HBNC(Approved 50% of
the Approved activities)

Monthly Meeting of
ASHAs(Travel/Refreshment
expanses)

Incentive for registration of
Births

Incentive for registration of
Deaths

Incentive to ASHA for
managing ASHA help desk
@ Rs. 150 for 8 hours for
365 days
(365X150X3)Approved
50% of the Approved
128

activities
ASHA Diary

ASHA help desk cum rest
room in 20 level 3 MCH
facilities

Uniforms to ASHA (2 sets
of uniform, I-card, 1
sweater, 1 shawl in high
focus districts @
Rs.1000.00

Uniforms to ASHA ( 2 sets
of uniforms, 1 sweater and
I-card in other districts @
Rs. 750.00)

Sub total (ASHA)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B2 Untied Funds
CHCs

4 Hospitals (Rajiv Gandhi
Jammu, MGM Kathua and
MCH Anantnag, Sopre)
PHCs
NTPHC-ADs
Sub Centers
MACs
129

VHSC
Sub total Untied funds

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B.3
Annual Maintenance
Grants
CHCs

4 Hospitals (Rajiv Gandhi
Jammu, MGM Kathua and
MCH Anantnag, Sopre)
PHCs
NTPHC-ADs
Sub Centers
MACs

Sub Total Annual
Maintenance Grants

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B.4 Hospital Strengthening

B.5 New Constructions

B.6
Corpus grant to
HMS/RKS
District Hospitals
CHCs

RKS for 4 Hospitals (Rajiv
Gandhi Jammu, MGM
Kathua and MCH Anantnag,
Sopre)
PHCs
NTPHC-ADs
Sub Total (Corpus grant)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B.7 Health Action Plans

B.8 Panchyati Raj Initative
130

B9 Mainstreaming of AYUSH

AYUSH Doctors at difficult
area

AYUSH Doctors at 24 X 7
PHC

AYUSH Doctors at Non-
24X 7 PHCs

AYUSH Doctors at
NTPHC

AYUSH Dawasaaz at 24 X
7 PHC level

AYUSH Dawasaaz at non
24 X 7 PHCs

AYUSH Dawasaaz at
NTPHC
Sub Total (AYUSH)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B10 IEC-BCC NRHM
IEC/BCC
(Specify the sub heads)

Sub Total IEC-BCC
NRHM

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B.11 Mobile Medical Units

B12
Referral
Transport/Patient
transport System
131

State basic ambulance/102
Opex
Sub Total (Referral Tpt)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B.13 PPP/NGOs
B14 Innovations
B15
Planning, Implementation
and Monitoring
B15.3
Monitoring and
Evaluation

Data entry operator at
different level

Mobility Support for
Monitoring

Internet connectivity district
level (One each for DPM,
DMEO and DAM

Internet connectivity block
level (one each for BMEO
and BAM)

Internet connectivity
SMGS/Lal Ded/ District
Hospitals/sarwal hospital
B15.3.3 Other M & E

Mobile charges for ANM at
sub-centres for tracking of
pregant women and
children/mointoring & Rs
100/- respctively per month)

Reimbursement of Mobile
user charges of ASHA @ Rs
100 per month
132

Capity bulidings of CMOs /
BMOs / DPMUs / BPMUs
at Division level for re-
orienation of HMIS and
MCTS 14 batches (25
paticipants per batch)

Sub Total(Planning
Implementation and
Monitoring)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B.16 PROCUREMENT
B16.1
Procurement of
Equipment

Equipment for ARSH
clinics
B.16.2
Procurement of Drugs
and supplies

IFA KID Tablets
(Paediatric Syrup Boitels)

Procurement of ORS
packets

Procurement of Zink
Tablets

Procurement of Vitamin A
Syrup
B.16.2.6
Drugs & Supplies for
WIFS

IFAfor 6th to 12 class
school goings boys/girls

Albendazole- Dewarming
for school goings boys &
girls

Drugs and Supplies for
SHP

Procurement of ASHA Drug
Kit-
- Replenishment
133

B.16.2.3 Drugs & supplies for FP
NSV Kits
IUD Insertion Kits
Laproscopes

Sub Total
PROCUREMENT

-

-

-

-

- -

- - - -

-

-

-

-

-

-
B.17
Regional Drugs
Warehouses/ logistic
sManagement
B.18
New Initiatives/Strategic
interventions
B.19 Health Insurance Scheme
B.20
Research,
Studies,Analysis
B.21
State Level Health
Resource Centres
(SHSRC)
B.22 Support Sevices
B23
Other Expenditures
(power backup,
convergence etc)

Strengthening of 2 Regional
institute of Health and
Family Welfare Nagrota
Jammu and Dhobiwan
Srinagar (Including HR)

Sub Total Other - - - -
134

Expenditures - - - - - - - - - - - -

Other if any ( which are
not mentioned above)

Grand Total ( B. Mission
Flexipool)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
C. Immunization

supervision for
District/Block level officers.
@Rs. 42500 each for 22
Districts and @Rs. 39000
each for 117 Blocks

Mobility support for
supervision at State level
(Rs 150 lacs/year)

Printing and dissemination
of Immunization cards, tally
sheets, monitoring forms
etc.

Support for Quarterly State
level review meetings of
district officer

Quarterly review meetings
exclusive for RI at district
level with one Block Mos,

135

CDPO, and other stake
holders

Quarterly review meetings
exclusive for RI at block
level

Focus on slum &
underserved areas in urban
areas/alternative vaccinator

Mobilization of children
through ASHA or other
mobilizers
(Rs 150/- per session for 9
sessions)

Alternative vaccine
delivery in hard to reach
areas
(Rs 150/- per session)

Alternative Vaccine
Deliery in other areas
(R75/- per session)

To develop microplan at
sub-centre level @ Rs. 100
per Sub Centre

For consolidation of
microplans at block level
(Rs 1000/- per block/PHC
and Rs 2000/- per district)

POL for vaccine delivery
from State to district and
from district to PHC/CHCs
@Rs. 43500 for 22 Districts
and @Rs. 20000 for 117
Blocks
136

Consumables for computer
including provision for
internet access for RIMs
(Rs 400/-month/distt)

Red/Black plastic bags etc.
(Rs 3/-bags/sessions)
Safety Pits Rs. 5250 per pit

Hub
Cutter/Bleach/Hypochlorite
solution/ Twin bucket
(Rs 1200/ per PHC/CHC/
per year)

Teeka Express (Operational
Cost)

Computer Assistants
support for State level (Rs
12600/ per month)

Computer Assistants
support for District level
(Rs 11340/- per month)

Technical Officer Routine
Immunization ( NEW
POSTS)70000/mx2 posts

Program cum Computer
Assistant 15000/mx2 posts

District level Orientation
training including Hep B,
Measles & JE(wherever
required) for 2 days ANM,
Multi Purpose Health
Worker (Male), LHV,
Health Assistant
(Male/Female), Nurse
Midwives, BEEs & other
staff ( as per RCH norms)
137

Three day training
including Hep B, Measles &
JE(wherever required) of
Medical Officers of RI
using revised MO training
module)

One day refresher training
of district Computer
assistants on RIMS/HIMS
and immunization formats

Two days cold chain
handlers training for block
level cold chain handlers by
State and district cold chain
officers
Cold chain maintenance

ASHA incentive for full
Immunization (proposed) Rs
100 per child for full
immunization in first
year/Rs 50 per child for
ensuring complete
immunization upto 2nd year
of age
Other if any (specify)

Grand Total (C.
Immunization)

-

-

-

-

- -

- - - -

-

-

-

-

-

-
Grand Total
(A+B+C)

D. Others

Pulse Polio Operational
138

cost
Bank Interest

Disease Control
Programmes
HDF
Other if any (specify)

Grand
Total (D.
Others)

-

-

-

-

- -

- - - -

-

-

-

-

-

-

Grand
Total
(A+B+C+D)

-

-

-

-

- -

- - - -

-

-

-

-

-

-

139

Mission Director
Dr.Yashpal Sharma,
94191-80709 mdnrhmjk@gmail.com
CAO
Sh. Manohar Lal Raina
94191-41294 fmgjammukashmir@gmail.com
Assistant Director (P&S)
Dr. Jyoti Sharma
94192-43905 adpnrhmjk@gmail.com

State Programme Management Unit - delegation of the Duties /
ResponsibilitiesRegd.

S.
No
Unit
Name and Designation of the
Officer
Key Strategies / Functions of unit
5
Maternal Health
pmmhnrhmjk@gmail.com
Programme Manager:
Dr. Harjeet Rai, Divisional Nodal
Officer, Jammu (M). 9419134458
dnonrhmjammu@gmail.com

1. Delivery Points / MCH Centres.
2. JSY
3. ASHA Component
4. JSSK
5. MDR
6. Referral Transport
7. Safe Abortion Services.
8. Supervision of work of District
Monitors of Jammu Division,
timely submission of their reports
and follow up actions on their
reports/ recommendations.
9. Preparation of Record of
Proceedings for review meetings.
10. IEC / BCC
11. M&E.

Associate Programme Manager:
Dr. Younis Mushtaq
(M) 9018948862

Dr. P.S. Slathia, District Monitor
6
Child Health
pmchnrhmjk@gmail.com
Programme Manager:
Dr. Mushtaq Ahmed Dar,
Divisional Nodal Officer,
Kashmir
(M) 94194-41180
dnokashmir@gmail.com
1. Child Health.
2. Immunization
3. HBNC / FBNC
4. NRC
5. IDR
6. IYCF
7. SNCUs / Stab. Units / Baby Care
140

S.
No
Unit
Officer


Dr. Rohit Abrol
(M). 9419155351

Dr. Rajinder Singh, District
Monitor.
Corners.
8. Supervision of work of District
Monitors of Kashmir Division,
timely submission of their reports
and follow up actions on their
reports/ recommendations.
9. Preparation of Record of
Proceedings for Review meetings.
10. IEC / BCC
11. M&E.
7
Rashtriya Bal Swasthya
Karyakram (RBSK)
pmrbsknrhmjk@gmai.com
Dr. Younis Mushtaq
(M) 9018948862

Dr. Mohd Shafi, District Monitor
1. Preparation of the Action Plans for
rolling out the scheme and all the
districts under the supervision of
DNO (K).
2. Press & Public Relation Kashmir
Division.
8 Urban Health Mission
Programme Manager:
Dr. Harjeet Rai,
(M). 9419134458
dnonrhmjammu@gmail.com

Dr. Jyoti Sharma
Assistant Director (P&S)
(M). 94192-43905
adpnrhmjk@gmail.com

Dr. Sonaullah, District Monitor
1. Preparation of PIP and the rolling
out of the programme in the entire
State.
2. Urban RCH.

9
Adolescent and School
Health
pmarshnrhmjk@gmail.com

Programme Manager:

Dr. B.B. Sharma,
(M) 94191-85245
1. ARSH
2. School Health
3. Menstrual Hygiene
4. RTI / STI
5. Gender Equity.
6. IEC / BCC
7. M & E.
8. MNGO scheme


Dr. Meenakshi Verma
(M) 9697124144

Dr. Ashok Verma, District
Monitor

10
Family Planning and
PC&PNDT
pmpcpndtnrhmjk@gmail.com

Programme Managers:
Mr. Misba-ul-Hassan
Dr. Varun Suthra

1. Family Planning
2. PC&PNDT
3. Gender Equity.
4. IEC / BCC
5. M & E

Law Officers:
Ms. Richa Sabharwal, Law
Officer (Jammu)
(M) 9796627006
lonrhmj@gmail.com.
141

S.
No
Unit
Officer

Mr. Tassduq
Law Officer (Kashmir)
(M) 9419002894.
Dr. Mohd Ashraf, District
Monitor

11
Trainings
pmtrgnrhmjk@gmail.com
Programme Manager:
Dr. Dhruv Ji Raina
(M) 9419144066
Assistant Programme Manager:
Mr. Junaid Ahmed Zaroo
(M) 94192-50634
pmtrainingcellnrhmjk@gmail.co
1. Administrative matters pertaining
to training.
2. Organizing and managing all types
of trainings after getting inputs
from concerned division.
3. Generation of Data base for State
and District level trainings.
4. IEC/BCC
5. M & E.
Assistants:
Mr. Rakesh Sharma, DMEIO
(M) 94191-02250
ASHA Co-ordinator for Module
6 & 7:
Mr. Sadiq Khan

Dr. Hamid, District Monitor
12
National Disease Control
Programme
pmndcdnrhmjk@gmail.com

Programme Manager:

Dr. Asmat Jan (Facilitator)
(M) 94190-24686.

Assistant:

Rahul Mahajan ( SAM)

1. Biomedical Waste
2. IDSP
3. Mental Health
4. NPPCF
5. RNTCP
6. NVBDCP
7. NLEP
8. NIDDCP
9. NCD
10. NPCB
11. Review of monthly District level
meetings and monitoring and
vigilance Committees of Jammu
Division.
12. IEC/BCC
13. M & E.

13

Tribal RCH /
Mainstreaming of AYUSH
pmrchnrhmjk@gmail.com

Programme Manager:

Dr. Farooq Iqbal
(M) 9596391445

1. Tribal RCH
2. Mainstreaming of AYUSH.
3. Urban RCH
4. IEC/BCC
5. M&E.
6. Adolescent and School Health
Programme in respect of Kashmir
Division
142

S.
No
Unit
Officer
14
HMIS
pmmctsnrhmjk@gmail.com
sdonrhm@gmail.com
Programme Managers
Mr. Kapil Ghai, State M&E
Officer
(M) 9419183592

Assistants:
DMEO, J/K
Assistant M&E Officer.
HMIS Fellows (J/K)
1. Health Management Information
System (HMIS)
2. Preparation of Data base of all
other Programmes in both the
divisions and regular feedback to
various Units.
3. Submission of monthly reports to
State Health Society,
Administrative Deptt. and
MoH&FW, GoI.
4. Trainings at Block level.
5. IEC/BCC.
6. M&E.

15

MCTS
spmnrhmjk@gmail.com

Programme Manager:
Mr. Misba-ul-Hassan

Assistants:
DMEO,Jammu/ Kashmir.
Assistant M&E Officer.
HMIS Fellows (J/K)

1. Mother & Child Tracking System
(MCTS).
2. Preparation of Data base of all other
Programmes in both the divisions
and regular feedback to various
Units.
3. Submission of monthly reports to
State Health Society,
Administrative Deptt. and
MoH&FW, GoI.
4. Trainings at Block level.
5. IEC/BCC.
6. M&E.

16
IEC/BCC

pmiecnrhmjk@gmail.com
Programme Managers:
Sh. A.U.Bhatt
(IEC Consultant)
(M) 94191-92632
1. IEC/BCC
2. M & E.
3. Press & Public Relation in Jammu
Division.
Dr. Varun Suthra
(M) 94191-13324

Note: Dr. Manoj Bhagat will be allotted programme on his joining back in State Health Society.

143

APPROVAL OF STATE PROGRAMME
IMPLEMENTATION PLAN 2013-14:
JAMMU & KASHMIR

MINISTRY OF HEALTH &
FAMILY WELFARE,
GOVERNMENT OF INDIA
Preface

FY 2012-13 has been a year of intense activity: States have responded very positively to conditionalities and
incentives, programme management has been strengthened with the appointment of nodal persons for
each thematic area and introduction of Score Cards, JSSK has made further inroads, RBSK has been initiated
and the Child Survival Summit at Mahabalipuram provided an opportunity to take stock of our
achievements and reflect on the challenges ahead.

I suggest that 2013-14 is treated as the YEAR OF CONSOLIDATION with focus on increased effectiveness
and efficiency.

I would also like to draw your attention towards nursing which is the backbone of public health but has
remained on the backburner for some time. FY 2013-14 should be dedicated to strengthening of the
nursing cadre. I would urge you to fill up all the vacant positions of ANMs, Nurses, LHVs and PHNs and
ensure that they become an integral part of planning, implementation and monitoring.

Effective monitoring and supportive supervision has the potential to yield tangible gains in a relatively short
period of time, but is still our weakest link. More meaningful use of the HMIS and MCTS is the way forward.
We will be routinely using both HMIS and MCTS including Score Cards for all our reviews.

I am confident that under the able leadership of State Health Secretaries and Mission Directors the country
would make visible progress in making the goal of Health for All a reality.

Anuradha Gupta
Additional Secretary & Mission Director, NRHM

No. 10(26)/2013-NRHM-1
Government of India
Ministry of Health and Family Welfare
(National Rural Health Mission)
Nirman Bhavan, New Delhi
Dated: 4 June 2013

The Mission Director
National Rural Health Mission
Government of Jammu & Kashmir
Regional Institute of Health & Family Welfare,
Near Sainik School, Nagrota
Jammu 181 221
Sub: Approval of NRHM State Programme Implementation Plan for the year 2013-14
Sir,
1. This refers to the Programme Implementation Plan (PIP) for the year 2013-14 submitted by the State
of Jammu & Kashmir and subsequent discussions in the NPCC meeting held on May 13, 2013 at New
Delhi.
2. Against a resource envelope of Rs 236.01 crores, the administrative approval of the PIP for your
State is conveyed for an amount of Rs 207.65 crores. Details are provided in Table A, B and C below.
TABLE-A

Rs. Crores
Uncommitted unspent balance as on 01.04.2013 0.02
GOI Resource Envelope for 2013-14 under NRHM
(assuming no reduction on account of conditionalities)
191.15
Assuming 10% incentive based on performance 21.24
10% State Share (2013-14) 23.60
Total 236.01

TABLE-B
(Rs. Crores)
Sr.No. Programme
Uncommitted
unspent balance as
on 01.04.2013
GoI Resource
Envelope
under NRHM
Total
1 RCH Flexible Pool 0 62.34 62.34
2 NRHM Flexible Pool 0 70.48 70.48
3
Immunization (from RCH
Flexible Pool)
0 3.13 3.13
4 NIDDCP 0 0.24 0.24
5 IDSP 0 1.00 1.00
6 NVBDCP 0.01 1.10 1.11
7 NLEP 0.01 1.02 1.03
8 RNTCP 0 9.43 9.43
9
Infrastructure Maintenance
including Direction &
Administration
0 59.67 59.67
10 PPI Operation Cost 0 3.98 3.98

State Share

23.60
Total Resource Envelope 0.02 212.39 236.01

Committed Unspent Balance: Rs. 99.98 crore

TABLE-C

SUMMARY OF APPROVAL
Sr.
No
Scheme /Programme Amount Approved
(Rs. Crores)
Annex ref
1 RCH Flexible Pool
88.12
1
2 Mission Flexible Pool
32.23
2
3 Immunization and PPI operation cost
10.47
3
4 NIDDCP
0.24
4A
5 IDSP
3.52
4B
6 NVBDCP
0.78
4C
7 NLEP
1.1
4D
8 RNTCP
11.52
4E
9 Infrastructure maintenance (Treasury route)
59.67

Total
207.65

3. State to convey the district approvals to the districts within 15 days of receiving the State RoP
approvals. High priority districts must receive at least 30% more budgets per capita compared to the
other districts.
4. All buildings supported under NRHM should prominently carry NRHM logo in English/ Hindi & regional
languages.
5. All ambulances to be branded as National Ambulance Services and adhere to the colour, design and
logo as communicated by MOHFW.
6. All MMU to be branded as National Mobile Medical Unit and adhere to the colour, design and logo
scheme as communicated by MOHFW.
7. The State shall not make any change in the names of the National initiatives such as Janani Shishu
Suraksha Karyakram, Rashtriya Bal Swasthya Karyakram etc.
8. The support under NRHM is intended to supplement and support and not to substitute State
expenditure. All the support for HR will be to the extent of positions engaged over and above the
regular positions.

Release of funds
9. Action on the following issues would be looked at while considering the release of second tranche of
funds:
Compliance with conditionalities.
Physical and financial progress made by the State as communicated through the FMR.
Release of 10% of the State share, based on updated release of funds by Government of
India, to the account of the State Health Society.
Timely submission of Statutory Audit Report and Utilization Certificates for the year 2011-12
for the release of first installment,
Timely submission of Statutory Audit Report for the year 2012-13 for the release of 2
nd

installment.
Performance on key conditionalities including mandatory disclosures and incentives will
determine the final release.
Compliance of the provisions of the extant MoU between GOI, MOHFW and the State
Government.

Other aspects
10. State shall ensure submission of quarterly report on physical progress against targets and expenditure
including an analysis of adverse variances and corrective action proposed to be taken.
11. The State shall not make any change in allocation among different budget heads
without approval of GoI.
12. The accounts of State/ grantee institution/ organization shall be open to inspection by the sanctioning
authority and audit by the Comptroller& Auditor General of India under the provisions of CAG (DPC) Act
1971 and internal audit by Principal Accounts Officer of the Ministry of Health & Family Welfare.
13. State shall ensure submission of details of unspent balance indicating inter alia, funds released in
advance & funds available under State Health Societies. The State shall also intimate the interest
amount earned on unspent balance. This amount can be spent against approved activities.
Yours faithfully

(A.C.Verma)
Director (NRHM)

Administrative Approval Jammu & Kashmir 2013-14 Page - 1 -

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2013-14: JAMMU & KASHMIR

CONTENTS PAGE NO.
SUMMARY
State specific goals 4
Key conditionalities and incentives 7
Finance: key issues and guiding principles 10
Road map for priority action 12
Approved budget (by program and function) 17
REPRODUCTIVE AND CHILD HEALTH
Maternal Health 22
Child Health, RBSK (SHP) & Immunization 37
Family Planning 60
Adolescent Health 70
Urban RCH 76
Tribal RCH 79
PC-PNDT 81
Human Resources and Program Management 86
MISSION FLEXI POOL
ASHA 109
Untied funds/RKS/AMG 114
New constructions/ renovation and setting up 116
Procurement 118
Referral Transport 122
AYUSH 124
IEC / BCC 126
Monitoring and evaluation (HMIS) 129
Others 137
NATIONAL DISEASE CONTROL PROGRAMMES
National Iodine Deficiency Disorders Control Programme (NIDDCP) 144
Integrated Disease Surveillance Programme(IDSP) 147
National Vector Borne Disease Control Programme (NVBDCP) 152
National Leprosy Eradication Programme (NLEP) 161
Revised National Tuberculosis Control Programme (RNTCP) 169
Annexure

Annex (Detailed budgets)
1. RCH Fl exi bl e Pool
1.A Programme Management
2. Mi ssi on Fl exi bl e pool
2.A Other ASHA I ncenti ves
3. Immunization and PPI Operation Cost
4A National Iodine Deficiency Disorders Control Programme (NIDDCP)
4B Integrated Disease Surveillance Programme (IDSP)

4C National Vector Borne Disease Control Programme (NVBDCP)
4D National Leprosy Eradication Programme (NLEP)
4E Revised National Tuberculosis Control Programme (RNTCP)


SUMMARY


STATE-SPECIFIC GOALS

Jammu & Kashmirs IMR at 41 (SRS 2011) has decreased from 49 (SRS 2008). TFR has also decreased from
2.2 (SRS 2008) to 1.9 (SRS 2011).The following are the agreed goals and service delivery targets for the
State of Jammu & Kashmir:

Indicator CURRENT CAD (%) Jammu & Kashmir State Targets
India Jammu &
Kashmir
India Jammu &
Kashmir
2013-14 2014-15 Target for
12
th
Plan
CAD (%)
Maternal Health
MMR (SRS 07-09) 212 - -5.8 - NA NA NA NA
Child Health
U5MR (SRS 2011) 55 45 -7.3 -6.5 36 32 -- -10.2
IMR (SRS 2011) 44 41 -6.0 -5.8 33 30 24 -10.2
NMR (SRS 2011) 31 32 -4.0 -6.4 26 23 -- -10.2
Family Planning
TFR (SRS 2011) 2.4 1.9 -2.6 -4.8 Maintain TFR level

Note
CAD: Compounded Annual Decline; MMR from 04-06 to 07-09; U5MR; IMR; NMR and TFR from 2008 to
2011; targets from latest current status to 2015.


SERVICE DELIVERY TARGETS

Indicators DLHS-2
(2002-
04)
DLHS-3
(2007-
08)
CES
(2009)
State Targets
2013-14
Maternal Health
ANCs registered within first trimester - - - 133,187
(49.59%)
Deliveries taking place in public facilities* 152760
(8 %)
Caesarean Section rate in public health facilities 22914
(15 %)
Line listing and follow up of Severely Anaemic
pregnant women
3127
Child Health
Full Immunisation (%)
31.7% 62.5% 66.6%
85%
New borns visited by ASHA (as per HBNC
guidelines)
NA NA NA 122133
(70%)Live
Birth
Line listing and follow up of Low Birth
Weight babies
NA NA NA 13068
(70%)
Percentage of SNCUs admitting at least 6
babies per month per bed
NA NA NA 80%
Family Planning
Female sterilisations
0.20
(HMIS 2011-12)
25250

Post-Partum sterilizations
0.019
(HMIS 2011-12)
2930
Male sterilisations
0.013
(HMIS 2011-12)
2835
IUD insertions 0.21
(HMIS 2011-12)
30000
Disease Control
ABER for malaria (%)
>10%
API for malaria (per 1000 Population)
<0.2

Annualized New Smear Positive Detection
Rate of TB (%)

70%
Success Rate of New Smear Positive
Treatment initiated on DOTS (%)

90%

* DLHS and CES data reflect achievement in both public and private facilities.
Performance to be assessed on the basis of MCTS and NIKSHAY, where available and on the basis of facility
wise HMIS in other cases.

High Priority Districts
Performance against the above service delivery indicators in the 6 high priority districts (Rajouri,
Doda, Ramban, Kishtwar, Punch and Leh) out of a total of 22 districts should be at least, on par with
the State average; and subsequently in line with the performance of the top 10% of districts.


KEY CONDITIONALITIES AND INCENTIVES
Jammu & Kashmir has made significant progress in responding to conditionalities. Following
conditionalities shall be adhered to by the States and are to be treated as non-negotiables:
Mandatory disclosures

1. The State must ensure mandatory disclosure on the State NRHM website of the following and act on
the information:
Facility wise deployment of all HR including contractual staff engaged under NRHM with name and
designation.
Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section, Major and
Minor surgeries etc.
MMUs- total number of MMUs, registration numbers, operating agency, monthly schedule and
service delivery data on a monthly basis.
Patient Transport ambulances and emergency response ambulances- total number of vehicles,
types of vehicle, registration number of vehicles, service delivery data including clients served and
kilometres logged on a monthly basis.
All procurements- including details of equipments procured (as per directions of CIC which have
been communicated to the States by this Ministry vide letter No 'No.Z.28015/162/2011-H'
dated 28th November 2011.).
Buildings under construction/renovation total number, name of the facility/hospital along
with costs, executing agency and execution charges (if any), date of start & expected date of
completion.
Supportive supervision plan and reports shall be part of mandatory disclosures. Block-wise
supervisory plan and reports should be uploaded on the website.
NGOs/PPP funded under NRHM would be treated as 'public authority' and
will fall under the ambit of the RTI Act 2005 under Section 2(h).
Further, details of funds allotted /released to NGOs/PPP to be uploaded
on website.
2. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism
through AADHAAR enabled payment system/Core Banking Solution where DBT mechanism has been
rolled out. Further, cash payment or bearer cheque payment is henceforth disallowed across the
States.
3. Timely updation of MCTS and HMIS data including facility wise reporting
4. Line listing of high risk pregnant women, including extremely anaemic and Low Birth Weight (LBW)
babies.


KEY CONDITIONALITIES
5. As agreed, the following key conditionalities would be enforced during the year 2013-14.
a) Rational and equitable deployment of HR
1
with the highest priority accorded to high priority
districts and delivery points.
b) Facility wise performance audit
2
and corrective action based thereon.
c) Performance Measurement system set up and implemented to monitor performance of
d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and
- Approval is being granted for HR of all cadres under NRHM for six months only and its
continuation for the next six months would be contingent on compliance of the above four
conditionalities. Further, it is expected that the State will henceforth fill up their vacant
regular HR positions and will not use NRHM funds to substitute State spending. Therefore,
from 1
st
October 2013, under NRHM, funds for salary to contractual HR would be granted
only to make payments to contractual staff over and above the sanctioned regular positions
in the State.
e) Gaps in implementation of JSSK may lead to a reduction in outlay upto 10% of RCH base
flexipool.
INCENTIVES
6. Initiatives in the following areas would draw additional allocations by way of incentivisation of
performance:
a) Responsiveness, transparency and accountability (upto 8% of the outlay).
b) Quality assurance (upto 3% of the outlay).
c) Inter-sectoral convergence (upto 3% of the outlay).
d) Recording of vital events including strengthening of civil registration of births and deaths (upto 2% of
the outlay).
e) Creation of a public health cadre (by States which do not have it already) (upto 5% of the
outlay)
f) Policy and systems to provide free generic medicines to all in public health facilities (upto 5%
of the outlay)

1
Many states have put in a place an HR policy which lays down norms of transfer and posting. It is
expected that the States would now implement the policy. Rational and equitable deployment would include
posting of staff on the basis of case load, posting of specialists in teams (eg. Gynaecologist and Anaesthetist
together), posting of EmOC/ LSAS trained doctors in FRUs, optimal utilization of specialists in FRUs and above and
filling up vacancies in peripheral facilities in high focus/ remote areas.
2
Facility wise performance audit will also include the facility wise score card being developed.


g) Timely roll out of RBSK (upto 5% of the outlay)
h) Enacting/adopting a bill like the Clinical Establishment Act, 2010 as per their requirement,
to regulate the quality and cost of health care in different public and private health facilities
in the State (upto 5% of outlay).
i) States providing more than 10% increase in its annual health budget as compared to the
previous year will attract additional incentive.
j) States to implement the nurse practitioner model to strengthen the nursing services.
Note:
The Framework for Implementation of NRHM to be strictly adhered to while implementing the
approved PIP. State should adhere to the clauses mentioned in the MOU signed and achieve the agreed
performance benchmarks.


FINANCE: KEY ISSUES AND GUIDING PRINCIPLES

1. Quarterly FMR must be submitted on time with both physical and financial progress duly reflected.
2. State must also furnish a monthly statement of fund position and expenditure in format prescribed
in the operational guidelines, as Annexure XXIII and XXIV.
3. Status of Contribution of State share:

(Rs. in Crore)
Year
Amounts required
on basis of releases
Amount Credited Short/ (Excess)
2007-08
27.64 0.00 27.64
2008-09
12.85 12.46 0.39
2009-10 22.02 0.00 22.02
2010-11 29.82 61.16 -31.34
2011-12 42.89 22.50 20.39
2012-13 22.09 59.15 -37.06
Total 157.31 155.27 2.04

State is to ensure that outstanding state share needs to be deposited in to the Account of State Health
Society. It is to be noted that from 2012-13, funding from the Centre and from the States will be in the
ratio of 90:10.

1. Release of full funds as per the entitlements for the year 2013-14, would be contingent on the State
providing Utilisation Certificate against the grant released to the state up to 2011-12 for all the
programmes under NRHM.
2. The appointment of Concurrent Auditor for the year 2013-14 is a prerequisite for release of 2nd
tranche of funds.
3. Timely submission of Statutory Audit Report for the year 2012-13 is a must for release of 2nd tranche
of funds.
4. State is required to comply with the instructions and/or guidelines issued for maintenance of bank
account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012.
5. State should ensure submission of Action Taken Report/ Compliance Report on the FMR Analysis
(2013-14) and Audit Report Analysis for FY 2012-13.
6. State needs to strengthen the internal control procedures/mechanism for all transactions.
7. State should ensure proper maintenance of books of accounts at district and block level as per the
operational guidelines for NRHM issued by the Ministry.
8. Appointment of Auditor for the year 2012-13 must be completed in the first quarter of 2013-14 as
per the RFP issued by this Ministry.

9. The state must ensure due diligence in expenditure and observe, in letter and spirit, all rules,
regulations, and procedures to maintain financial discipline and integrity particularly with regard to
procurement; competitive bidding must be ensured and only need-based procurement should take
place.
10. State should ensure expenditure of at least 15% by June 2013 and 45%
by September 2013 of their approved resource envelope under each pool in the FY
2013-14.

11. Unit Costs in relation to various procurements of equipments and printing etc. are only indicative for
the purpose of estimations. However, actual expenditure must be incurred after following rules and
due processes.


ROAD MAP FOR PRIORITY ACTION
NRHM must take a systems approach to Health. It is imperative that States take a holistic view and work
towards putting in place policies and systems in several strategic areas so that there are optimal returns on
investments made under NRHM. For effective outcomes, a sector wide implementation plan would be
essential; states would be expected to prepare such a plan with effect from next year. Some of the key
strategic areas in this regard are outlined below for urgent and accelerated action on the part of the
State:

S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
PUBLIC HEALTH PLANNING & FINANCING
1. Planning and financing Mapping of facilities, differential planning for districts /
blocks with poor health indicators; resources not to be
spread too thin / targeted investments; at least 10% annual
increase in State health budget (plan) over and above State
share to NRHM resource envelope; addressing verticality in
health programmes; planning for full spectrum of health
services; emphasis on quality assurance in delivery points
2. Management
strengthening
Full time Mission Director for NRHM and a full-time Director/
Jt. Director/ Dy. Director Finance, not holding any
additional responsibility outside the health department; fully
staffed programme management support units at State,
district and block levels; selection of staff to key positions
such as head of health at the district and block level and
facility-in charge to be based on performance; stability of
tenure to be assured; training of key health functionaries in
planning and use of data. Strong integration with Health &
FW and AYUSH Directorates

3. Developing a strong
Public Health focus
Separate public health cadre, induction training for
all key cadres; public health training for doctors Working in
health administrative positions; strengthening of public
health nursing cadre, enactment of Public Health Act
HUMAN RESOURCES


4. HR policies for
doctors, nurses
paramedical staff and
programme
management staff
Minimizing regular vacancies; expeditious
recruitment (eg. taking recruitment of MOs out of Public
Service Commission purview); merit based and transparent
selection; recruitment rules to be aligned to needs of health
human resource; opportunities for career progression and
professional development; rational and equitable
deployment; effective skills utilization; stability of tenure;
sustainability of contractual human resources under RCH /
NRHM and plan for their inclusion in State budget; suitable
performance measurement mechanism and performance
based incentives.

5. HR Accountability Facility based monitoring; incentives for both the health
service provider and the facility based on functioning;
performance appraisal against benchmarks; renewal of
contracts/ promotions based on performance; incentives for
performance above benchmark; incentives for difficult areas.
6. Medical, Nursing and
Paramedical Education
(new institutions and
upgradation of existing
ones)
Planning for enhanced supply of doctors, nurses, ANMs,
and paramedical staff; mandatory rural posting after
MBBS and PG education; more seats for Government doctors
in PG courses particularly in Gynecology, Anesthesia and
pediatrics; expansion of tertiary health care; use of
medical colleges as resource centres for national health
programmes; strengthening/ revamping of ANM / GNM
training centres and paramedical institutions; re-structuring
of pre service education; developing a highly skilled and
specialized nursing cadre; developing good district hospitals
as training sites for training nurses, ANMs and paramedics.
7. Training and capacity
building
Strengthening of State Institute of Health & Family Welfare
(SIHFW)/ District Training Centres (DTCs); quality assurance;
availability of centralised training log; monitoring of post
training outcomes; expanding training capacity through
partnerships with NGOs / institutions; up scaling of multi
skilling initiatives, accreditation of training
STRENGTHENING SERVICES


8. Policies on drugs,
procurement system
and logistics
management
Articulation of policy on entitlements on free drugs for out /
in patients; rational prescriptions and use of dr ugs ; t i mel y
pr ocur ement of dr ugs and consumables; smooth
distribution to facilities from the district hospital to the sub
centre; uninterrupted availability to patients; minimization of
out of pocket expenses; quality assurance; prescription
audits; facility wise EDL; essenti al drug l i sts (EDL) i n
publ i c domai n; computerized drugs and logistics MIS
system; setting up dedicated corporation on the lines of eg:
TNMSC
9. Equipments Availability of essential functional equipments in all
facilities; regular needs assessment; timely indenting and
procurement; identification of unused/ faulty equipment;
regular maintenance and MIS/ competitive and transparent
bidding processes.
10. Ambulance Services and
Referral Transport
Universal availability of GPS fitted
ambulances; reliable, assured free transport for pregnant
women and newborn/ infants; clear policy articulation on
entitlements both for mother and sick infants; establishing
integrated call centres for timely response and effective
provision of services; drop back facility; a prudent mix of
basic level ambulances and emergency response vehicles.
11. New infrastructure and
maintenance of buildings;
sanitation, water,
electricity,
laundry, kitchen,
facilities for
attendants
New infrastructure, especially in backward areas;
24x7 maintenance and round the clock plumbing,
electrical, carpentry services; power backup;
cleanliness and sanitation; upkeep of toilets; proper disposal
of bio medical waste; drinking water; water in toilets;
electricity; clean linen; kitchens, facilities for attendants,
PPP outsourcing for such services.
12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable
availability to patients; partnerships with private service
providers; prescription audits, free for pregnant women and
sick neonates.
COMMUNITY INVOLVEMENT
13. Patients feedback and grievance
redressal
Feedback from patients; expeditious grievance
redressal; analysis of feedback for corrective action.

14. Community
participation
Active community participation; empowered PRIs; strong
VHSNCs; social audit; effective Village Health & Nutrition
Days (VHNDs); strengthening of ASHAs; policies to
encourage contributions from public/ community.
15. IEC Comprehensive communication strategy with a
strong behaviour change communication (BCC)
component in the IEC strategy; dissemination in
villages/ urban slums/ peri urban areas.

CONVERGENCE, COORDINATION & REGULATION
16. Inter sectoral
convergence
Effective coordination with key departments to
address health determinants viz. water, sanitation, hygiene,
nutrition, infant and young child feeding, gender,
educati on, woman empowerment, convergence with
SABLA, SSA, ICDS etc.
17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to
be part of active communitisation process; involvement of
NGOs in filling service delivery gaps; active community
monitoring.
18. Private Public
Partnership (PPP)
Partnership with private service providers to
supplement governmental efforts in underserved and
vulnerable areas for deliveries, family planning services and
diagnostics
19. Regulation of services in
the private sector
Implementation of Clinical Establishment Act; quality of
services, e.g. safe abortion services; adherence to protocols;
checking unqualified service providers; quality of vaccines
and vaccinators, enforcement of PC-PNDT Act.
MONITORING & SUPERVISION
20. Strengthening data capturing,
validity / triangulation
100% registration of births and deaths under Civil
Registration System (CRS); capturing of births in
private institutions; data collection on key
performance indicators; rationalizing HMIS
indicators; reliability of health data / data
triangulation mechanisms.

21. Supportive Supervision Effective supervision of field activities/ performance;
handholding; strengthening of Lady Health Visitors (LHVs),
District Public Health Nurses (DPHNs), Multi Purpose Health
Supervisors (MPHS) etc.
22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society
for periodic review and future road map; clear agenda and
follow up action; Regular, focused reviews at different levels
viz. Union Minister/ Chief Minister/ Health Minister/ Health
Secretary/ Mission Director/ District Health Society headed by
Collector/ Officers at Block/ PHC level; use of the HMIS/
MCTS data for reviews; concurrent evaluation
23. Quality assurance Quality assurance at all levels of service delivery;
quality certification/ accreditation of facilities and services;
institutionalized quality management systems.
24. Surveillance Epidemiological surveillance; maternal and infant death
review at facility level and verbal autopsy at community
level to identify causes of death for corrective action;
tracking of services to pregnant women and children under
MCTS.
25. Leveraging technology Use of GIS maps and databases for planning and monitoring;
GPS for tracking ambulances and mobile health units; mobile
phones/tablets for real time data entry; video conferencing
for regular reviews; closed user group mobile phone facility
for health staff; telemedicine and teleeducation; use of ICT
technologies in E- Governance; development of Human
Resource Information System (HRIS) and Hospital
Management Information System endless opportunities-sky
is the limit!

RMNCHA+ document released in Mahabalipuram Conference should serve as guidance note for integration
and betterment of all RMNCH activities.
Administrative Approval of State PIP 2013-14: Jammu & Kashmir Page - 17 -

PROGRAMME WISE APPROVED BUDGET

Mission Flexi Pool
16%
RCH Flexi Pool
42%
RI and PPI
5%
NDCPs
8%
Infrastructure
Maintenance
29%
Approved Budget (by Programme), 2013-14
Total Rs 20765.41
Infrastructure
1% Human Resources
(All HR Except HR for
MMU/ Ambulances
and Quality
Assurance)
25%
Drugs and
Consumables
8%
Equipments
& Diagnostics
2%
Capacity Building
1%
Patient Transport
Services (including HR)
2%
MMU
(including HR)
0%
Communitization
8%
Other RCH Services
19%
Supportive
Supervision/ Mobility
Support
1%
Administrative Costs &
Office Expenses
0%
Health Action Plans
0%
IEC/
BCC
1%
State Specific
Initiatives/
Innovations
0%
E-
Governance
0%
Out Reach
Services
0%
Quality Assurance
(including HR)
0%
Support
Services
0%
Other Important Areas
0%
Infrastructure
Maintenance
31%
Functional Head wise Summary

Maternal Health
21%
Child Health
4%
Family
Planning
0%
Tribal RCH
0%
PNDT & Sex Ratio
0%
Infrastructure & HR
41%
Training
1%
Programme
Management
5%
JSY
26%
Sterilisation & IUD
Compensation, and
NSV Camps
2%
Approved Budget RCH Flexipool, 2013-14: Rs 8812 lacs
ASHA
15%
Untied Funds
7%
Annual Maintenance
Grants
4%
New Constructions/
Renovation and
Setting up
0%
Corpus Grants to
HMS/RKS
9%
Mainstreaming of
AYUSH
23%
IEC-BCC NRHM
3%
Mobile Medical
Units
0%
Referral
Transport
1%
PPP/
NGOs
0%
Innovations (if any)
0%
Planning,
Implementation and
Monitoring
9%
Procurement
22%
Regional drugs
warehouses
6%
New Initiatives
0%
Other Expenditures
(Power Backup,
Convergence etc)
1%
Approved Budget Mission Flexi Pool, 2013-14: Rs 3223.44 lacs

SUMMARY BUDGET 2013-14: JAMMU & KASHMIR

S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )
Proposed Approved %
1. RCH FLEXI POOL
A1 Maternal Health
2848 1800 8.67
A2 Child Health
1293 358 1.72
A3 Family Planning
52 37 0.18
A4 ARSH
1293 9 0.04
A5 Urban RCH
255 34 0.16
A6 Tribal RCH
37 16 0.08
A7 PNDT & Sex Ratio
217 1 0.00
A8 Infrastructure & HR
11281 3576 17.22
A9 Training
954 95 0.46
A10 Programme Management
1494 476 2.29
A11 Vulnerable groups
0 0 0.00
Total Base Flexi Pool
19724 6402 30.83
A12 JSY
2371 2240 10.79
A13 Sterilisation & IUD
Compensation, and NSV
Camps
276 169 0.81
Total Demand Side
2647 2409 11.60
Total RCH Flexi Pool
22372 8812 42.44
2. MISSION FLEXI POOL

B1 ASHA
1108.14 483.255 2.33
B2 Untied Funds
1111.85 234.06 1.13
B3 Annual Maintenance Grants
410.5 132.26 0.64
B4 Hospital Strengthening
7,140.00 0 0.00
B5 New Constructions/
Renovation and Setting up
137 0 0.00
B6 Corpus Grants to HMS/RKS
845 277.4573 1.34
B7 District Action Plans
0 0 0.00
B8 Panchayati Raj Initiative
306.86 0 0.00
B9 Mainstreaming of AYUSH
3,480.48 752.96 3.63
B10 IEC-BCC NRHM
394.82 90 0.43

Proposed Approved %
B11 Mobile Medical Units
261.25 0 0.00
B12 Referral Transport
1,382.39 16.87 0.08
B13 PPP/ NGOs
0 0 0.00
B14 Innovations (if any)
1,679.04 1 0.00
B15 Planning, Implementation and
Monitoring
991.48 279.19 1.34
B16 Procurement
4,055.66 696.3 3.35
B17 Regional drugs warehouses
400 200 0.96
B18 New Initiatives
14.17 14.17 0.07
B19 Health Insurance Scheme
0 0 0.00
B20 Research, Studies, Analysis
28 0 0.00
B21 State level Health Resources
Center
0 0 0.00
B22 Support Services
107 0 0.00
B23 Other Expenditures (Power
Backup, Convergence etc)
991.92 45.92 0.22
TOTAL MFP
24845.56 3223.4423 15.52
3. IMMUNIZATION

C1 RI strengthening project
384.08 363.7 1.75
C2 Salary of Contractual Staffs
116.29 30.15 0.15
C3 Training under Immunisation
95.97 95.97 0.46
C4 Cold chain maintenance
8.68 8.68 0.04
C5 ASHA Incentive
150 150 0.72
Total Immunization
755.02 648.5 3.12
C6 Pulse Polio Operational Cost
394.57 398.07 1.92
Total RI & PPO costs
1149.59 1046.57 5.04
4. NATIONAL DISEASE CONTROL PROGRAMMES
4A National Iodine Deficiency
Disorders Control Programme
(NIDDCP)
64.5 24 0.12
4B Integrated Disease
Surveillance Programme(IDSP)
575.86 352.7 1.70
4C National Vector Borne Disease
Control Programme (NVBDCP)
97.2 78.15 0.38

Proposed Approved %
4D National Leprosy Eradication
Programme (NLEP)
117.48 109.82 0.53
4E Revised National Tuberculosis
Control Programme (RNTCP)
2474.76 1151.73 5.55
Total NDCP
3329.8 1716.4 8.27
5. INFRASTRUCTURE MAINTENANCE
Total Infrastructure
Maintenance
5967 5967 28.74
GRAND TOTAL
57663.95 20765.4123 100.00


MATERNAL HEALTH


GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH
Maternal Health: Goals and Targets for 2013-14

Indicator Target
MMR and expected Maternal Deaths MMR NA
Expected MDs: 31 per month
Nos. of Maternal Deaths Reported and Reviewed 9 per month (29.5%)

ANCs registered within first trimester 133,187 (49.59%) in 2013-14
Institutional Deliveries (out of the total estimated
deliveries) to be conducted in Public health institutions
from 67 % in 2012-13 to 67 %. in 2013-14
159337 in 2013-14
Caesarean Section rate in public health facilities from 25%
in 2012-13 to 15% in 2013-14
22914 in 2013-14
Severely Anemic Pregnant Women** out of total anemic
pregnant women (@2%)
2690 in 2013-14

**At the rate of 2% of pregnant anemic women; this is critical for timely identification and management
of severely anemic pregnant woman.

DELIVERY POINTS:

Level of Facility Target
CEmOC(L3)

Maintain Levels (65) for next 3 years.
BEmOC(L2) 45 per year for next 4 years.



MATERNAL HEALTH

Road Map for essential commitments

Commitment No. 1- Operationalizing Delivery Points
Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the
necessary resources in order to ensure quality of services and provision of comprehensive RMNCH+A
services at these facilities as per the levels. MNH toolkit is to be used for planning and operationalizing
services at different levels of delivery points. Level 3 should be planned for comprehensive CEmOC and
RMNCH+A services and similarly level 2 for BEmOC and RMNCH+A services.
The targets for different categories of facilities are:

Level 3 delivery points functioning as CEmOC facilities
a) District Hospitals and other similar district level facilities (e.g District women and children
hospital)
b) CHCs and other health facilities at sub district level (above block and below district level)
functioning as FRUs
To provide the following services:
24*7 service delivery for CS and other Emergency Obstetric Care.
1
st
and 2
nd
trimester abortion services.
Conduct Facility based MDR.
RTI/STI services.
Have functional BSU/BB.

Level 2 delivery points functioning as BEmOC facilities:
Non FRU-CHCs, 24*7 PHC and other PHCs To provide the following services
24*7 BeMOC services including conducting normal delivery and handling common obstetric
complications.
RTI/STI services.
Essential newborn care.
Family planning

All identified SC Level delivery point facilities will provide the following services:
Delivery by SBAs.
IUD insertion
Essential new born care.
ANC, PNC and Immunization.

Nutritional and Family planning and Adolescent counselling.
VHND and other outreach services on designated days.

All identified delivery points should be comprehensively planned for saturating them in terms of HR,
Equipment, Capacity building, infrastructural requirements etc. before spreading the resources to other
health facilities.

Monthly performance monitoring of each delivery point needs to be undertaken and
reviewed at District level and quarterly level at State level.
Commitment No. 2- Implementing free entitlements under JSSK
JSSK entitlements to be ensured to all PW and sick newborns accessing Public health facilities.
At least 70% drop back to be ensured to PW delivering in the PHFs.
Drop back should be given only after 48 hrs stay in the health facility.

Commitment No. 3- Centralized Call Centre and Assured Referral Transport
All NRHM Supported Ambulances should be designated as National Ambulance Service with
GOI prescribed color coding and other details.
Every State needs to ensure availability of a centralized call centre with 102 or 108 as Toll Free
no. for referral transport at State or district level along with GPS fitted ambulances.
Response time for the ambulance to reach the beneficiary not to exceed 30 minutes and should
reach the referred facility within next 30 mins.
Monthly data on utilization of each ambulance (eg. Trips per day) to be maintained, analyzed and
take corrective action if anything to be taken

Commitment No. 4- Essential Drug List
Every State to have an Essential Drug List (EDL) for SC, PHCs, CHCs, DHs, and Medical colleges and
ensure timely procurement and supply to Sub centres, PHCs, CHCs, DHs and MCs.
The EDL should include drugs for maternal and child health including drugs for safe abortion
services, RTI/STI.
Differential distribution of types and quantities of drugs to performing and non performing
facilities and also as per level of facility.
Procurement should be done through competitive bidding and indent to be taken from each
facility based on consumption pattern through computerized inventory management system.
All Procurement process including periodic testing of drugs through govt. certified labs be carried
out by the process of randomized sampling.
All the drugs should have atleast 5/6
th
of the shelf life at the time of receiving the durgs at
indenting facility.
All other govt. procedure for procurement needs to be followed.

Commitment No. 5- Capacity Building
Shortfall in trained human resource at delivery points particularly sub centres in High focus/ High
Priority districts to be addressed on priority.
Training load for skill based trainings to be estimated after gap analysis.
Certification /accreditation of the training sites is mandatory.

Training plan to factor in reorientation training of HR particularly for those posted at non
functional facilities and being redeployed at delivery points. Orientation training of field
functionaries on newer interventions e.g. MDR/ HBNC etc.
Performance Monitoring during training/post-deployment needs to be ensured
Specific steps to strengthen SIHFW/ any other nodal institution involved in planning,
implementation, monitoring and post training follow up of all skill based trainings under NRHM.

Commitment No. 6 Tracking severe anemia
All severely anemic pregnant women (2% of the anemic pregnant women) to be tracked and line
listed for providing treatment of anemia.
The line listing should be maintained and followed up at SCs and PHCs.

Commitment No. 7 For High Priority Districts
The State to make use of the MNH toolkit to operationalize the identified facilities as delivery
points.
At least 10% of all sub centres under each PHC to be made functional as delivery points in the
HPDs.
At least one CEmOC CENTRES to be made functional.
Planning for operationalizing 10-15 BEmOC Centres in phases.
Commitment No. 8
Job clarity of both ANMs working at the Sub-centre to ensure availability of one ANM at the SC and the
other for outreach activities for the geographically demarcated population.

Commitment No. 9: Pre service Nursing Training (For 12 High Focus States)
At least one State Master Nodal centre shall be created and made functional.
State nursing cell under the directorate of health should be created and made functional.
A road map for strengthening of ANM and GNM schools be prepared as per GoI guidelines.

Commitment No. 10: State, district and regional quality assurance committees to be made functional.

Commitment No. 11: Establishment of Skill Labs: At least one skill lab to be established and made
functional for a group of 4-5 districts as per skill lab operational guidelines.

Commitment No. 12: MCH wings
All 100 bedded MCH wings should be planned comprehensively as per GoI road map and must
include equipments, obstetric ICU, SNCU, OT, labor room, Skill lab, academic wing and other
details as per MNH toolkit.
The plan for MCH wing should be shared with the MH nodal officer and he should be involved in
its monitoring.
All the MCH wing must be located within the campus of the existing health facility and completed
in 2-3 years.

Non-negotiables under Janani Suraksha Yojana:

State needs to ensure strict compliance of the following non-negotiable under JSY:
1. State will ensure that JSY guidelines are strictly followed and payments are made as per the
eligibility criteria.
2. State will ensure that AADHAAR numbers/EID and bank account details of the JSY beneficiaries
are captured in the integrated RCH registers and seeded in the MCTS database.
3. State will ensure that there would be no delays in JSY payments to the beneficiaries and full
amount of financial assistance is given to the beneficiary before being discharged from the health
facility after delivery.
mechanism through AADHAAR enabled payment system/Core Banking Solution where DBT
mechanism has been rolled out. In case, Direct Benefit Transfer mechanism is not implemented
in the State/UT, JSY payments to be made only through account payee cheques. Compliance of
the above is a pre-requisite for JSY releases to the State/UT.
5. State will ensure that strict monitoring and verification of beneficiaries is done by State and
district level health authorities to check malpractices.
6. State will ensure that grievance redressal mechanisms as stipulated under JSY guidelines are
activated at the district and State levels.
7. State will ensure the accuracy of JSY data reported at the HMIS portal of MOHFW and also furnish
the Quarterly progress reports to the Ministry within the prescribed timeframe.


DETAILED BUDGET: MATERNAL HEALTH
FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
A.1
MATERNAL
HEALTH

1502
952
30600 5,219.21 4,040.05

A.1.1
Operationalise
Facilities (Any
cost other than
infrastructure,
HR, Training,
Procurement,
Monitoring
etc.) may
include cost of
mapping,
planning-
identifying
priority
facilities,etc)
0 0 - -

A.1.1.
1
Operationalise
FRUs (Blood
bank/BSU -
Operational
cost)
-

A.1.1.
2
Operationalise
24x7 PHCs
-

A.1.1.
3
Operationalise
Safe abortion
services
(including
MVA/ EVA and
medical
abortion)at
health facilities
-

A.1.1.
4
Operationalise
RTI/STI services
at health
facilities
-

A.1.1.
5
Operationalise
sub-centres
-

A.1.2
Referral
Transport
-

A.1.3
Integrated
outreach RCH
services (state
should focus on
facility based
services and
232 25000 58 1.37


FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
outreach
camps to be
restricted only
to areas
without
functional
health
facilities)
A.
1.3.1.
Oureach camps
No. of
Outrea
ch
Camps
232 25000 58 1.37
Approved as per last
year expenditure.
A.1.3.
2.
Monthly Village
Health and
Nutrition Days

A.1.4.
Janani Suraksha
Yojana / JSY

2325
00
3500 2,371.20 2,240.38
year expenditure.
A.1.4.
1
Home
deliveries
No. 3000 500 15 10.84
Approved for 2168
beneficiaries.
A.1.4.
2
Institutional
deliveries

1295
00
2400 1,756.20 1,707.31

A.1.4.
2.a
Rural No.
1153
00
1400 1,614.20 1,601.19
Approved for 1,14371
beneficiaries.
A.1.4.
2.b
Urban No.
1420
0
1000 142 106.12
Approved for 1,0612
beneficiaries.
A.1.4.
2.c
C-sections -

A.1.4.
3
Administrative
Expenses
-

A.1.4.
4
Incentives to
ASHA

1000
00
600 600 522.23
year expenditure.
A.1.5
Maternal Death
Review (both in
institutions and
community)
No. of
Matern
al
Deaths
review
ed
150 450 0.68 0.68
Approved for MDR as
per the guidelines.
A.1.6
Other
strategies/activ
ities (please
specify)

5003
00
1060 153 60.11

A.1.6.
1
Incentive to
SBAs for
conducting
home
deliveries in
300 1000 3 3
Rs 3 lakhs approved as
incentives for ANMs
/LHVs/SNs for
conducting home
deliveries in

FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
inaccessible/sn
ow bound
areas of high
focus districts
as a pilot
project
inaccessible areas /
snow bound areas of
high focus areas as a
pilot project, subject
to simultaneous plans
for converting Home
deliveries into
Institutional deliveries.
A.1.6.
2
Printing of MCP
cards

2500
00
15 37.5 20
Rs. 20.00 lakhs
approved for 133333
cards, subject to
printing by
competitive bidding.
A.1.6.
3
Printing of Safe
motherhood
booklet

2500
00
45 112.5 37.11
Rs 37.11 lakhs
approved for 100300
bookets @ Rs 37 per
Safe Motherhood
Booklet.
A.1.7
JSSK- Janani
Shishu
Surakhsha
Karyakram

7697
70
590 2,636.34 1,737.51
In view of limited
resource envelop,
currently approved as
per last year's
expenditure.
A.1.7.
1
Drugs and
consumables
No.of
Institut
ional
Deliveri
es
1625
36
873.64 943.17
NDs @ Rs. 350 =Rs
483,54,250 and for
24,381 C sections @
Rs 1600 = Rs
390,09,600. So total
approval =Rs 873.64
lakhs. Approved as per
last year's
expenditure.
A.1.7.
2
Diagnostic
No.of
Institut
ional
Deliveri
es
1625
36
200 325.07 300.41
Rs 325.07 lakhs
approved @ Rs 200 for
162,536 p.w. for
ensuring free
diagnostics for all p.w.
accessing Govt. health
facilities during ANC,
INC & PNC. In view of
low expenditure,
approved as per last
year's expenditure.

FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
A.1.7.
3
Blood
Transfusion
15% of
Institut
ional
Deliveri
es
2438
1
300 73.14 30.19
Rs 73.14 lakhs
approved for provision
of free blood to all
p.w. requiring blood
transfusion. In view of
low expenditure,
year's expenditure.
A.1.7.
4
Diet (3 days for
Normal
Delivery and 7
days for
Caesarean)
No.of
Institut
ional
Deliveri
es
2740
36
666.4 226.32
Approved for
provision of free diet
for pregnant women
@ Rs 100 per day for 3
days for 138,155 p.w.
= 414,46,500 and @
Rs 1000 for 7 days for
24,381 p.w. =
170,66,700. Total
amount being Rs 585,
13,200. Provision of
free diet for mothers
of sick infants is not
under JSSK
Programme. However
all post natal mothers
admitted for
management of
complications are
covered under JSSK.
In view of low
expenditure, approved
as per last year's
expenditure.
A.1.7.
5
Free Referral
Transport
No.of
Institut
ional
Deliveri
es
1381
55
690.77 230.11
Rs 690.775 lakhs
approved for providing
free transport for
113,775 p.w. @ Rs 500
=568.875 lakhs and
for 24,380 p.w. for
referral x 500 =
121.900 lakhs and
total approval =
690.775 lakhs as inter
facility transfer will
entail more distance;
subject to ensuring no
duplication with
Mission Flexible pool

FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
and all ambulances
linked to a centralised
call centre, being GPS
fitted and under the
banner of NAS.
All operational cost for
ambulances should be
borne out of the RT
component
sanctioned here and
under Child Health. In
view of low
as per last year's
expenditure.
A.1.7.
6
Other JSSK
activity
8126 90 7.31 7.31

A.1.7.
6.1
Ironsucrose
Intervention (3
doses
Approved)
No. of
Patient
s
8126 90 7.31 7.31
Rs 7.31 lakhs approved
for IV sucrose subject
to IV sucrose being
prescribed under the
supervision of a
Gynecologist at FRU
and above.
A.1.7.
6.2
Mobility
support for
State level
officers for
monitoring
JSSK
(|Lumpsum) /
District Nodal
Officers for
monitoring
JSSK / Block
level officers

A.1.7.
6.3
-

Sub-total
Maternal
Health
(excluding JSY)

1270
452
27100 2,848.01 1,799.67

Sub-total JSY
2325
00
3500 2,371.20 2,240.38

Sub-total 5,219.21 4,040.05

FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
Maternal
Health
A.9.3
Maternal
Health Training
135
32985
00 167.17 49.87
Approved lumsum
amount as per last
year's expenditure.
A.9.3.
1
Skilled
Attendance at
Birth / SBA 92
33905
0 97.16 -

A.9.3.
1.1
Setting up of
SBA Training
Centres -

A.9.3.
1.2
TOT for SBA
No. of
Batche
s (30
per
batch) 4
13005
0 5.2

A.9.3.
1.4
Training of
Staff Nurses in
SBA
No. of
batche
s (4 Per
Batch) 44
10450
0 45.98

A.9.3.
1.5
Training of
ANMs / LHVs in
SBA
No. of
batche
s (4 Per
Batch) 44
10450
0 45.98

A.9.3.
2
EmOC Training
1
14680
00 14.68 -

A.9.3.
2.1
Setting up of
EmOC Training
Centres -

A.9.3.
2.2
TOT for EmOC
-

A.9.3.
2.3
Training of
Medical
Officers in
EmOC
No. of
Batche
s (8
Person
per
batch) 1
14680
00 14.68

A.9.3.
3
Life saving
Anaesthesia
skills training 1
78800
0 7.88 -

A.9.3.
3.1
Setting up of
Life saving
Anaesthesia
skills Training
Centres -


FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
A.9.3.
3.2
TOT for
Anaesthesia
skills training -

A.9.3.
3.3
Training of
Medical
Officers in life
saving
Anaesthesia
skills
No. of
batche
s (4
Mos
per
batch) 1
78800
0 7.88

A.9.3.
4
Safe abortion
services
training
(including
MVA/ EVA and
Medical
abortion) 2 98300 1.97 -

A.9.3.
4.1
TOT on safe
abortion
services -

A.9.3.
4.2
Training of
Medical
Officers in safe
abortion
No. of
Batche
s (4
Mos
per
batch) 2 98300 1.97

A.9.3.
5
RTI / STI
Training 2
20395
0 4.08 -

A.9.3.
5.1
TOT for RTI/STI
training -

A.9.3.
5.2
Training of
laboratory
technicians in
RTI/STI -

A.9.3.
5.3
Training of
Medical
Officers in
RTI/STI
No. of
Batche
s (25
Peson
Per
batch) 2
20395
0 4.08

A.9.3.
6
BEmOC training
for MOs/LMOs
No. of
Batche
s (4
person
per
batch) 11 74150 8.16

A.9.3. Other maternal
26 32705 33.25 -


FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
7 health training
(please specify)
0
A.9.3.
7.1
Orientation of
CMOs / BMOs /
Mos for
implementatio
n of guidelines
under MDR and
IDR
No. of
Batche
s (100
person
per
batch) 2
12500
0 2.5

A.9.3.
7.2
Training on
Blood
Transfusion
(Mos / Lab
Technicians) -

A.9.3.
7.3
SBA for MO
(ISM)
No. of
Batche
s (4
Person
Per
batch) 22
13355
0 29.38

A.9.3.
7.4
TOT for Bemoc
No of
Batche
s (3 per
batch) 2 68500 1.37

A.9.3.
8
Blood Storage
Unit (BSU)
Training -

A.9.3.
9
Skill Lab
Training -

ASHA for MH
B1.1.3
.1
Incentive under
MH (ANC/PNC)

1000
00
250 250 50

B1.1.3
.1.1
Incentive to
ASHA for full
ANC
No. of
Institut
ional
Deliveri
es
1000
00
250 250 50
Approved Rs 50 lakhs
@ Rs 50 for 1 lakh
pregnant women as
Registration within 12
weeks. Other
incentives are a part of
the JSY.

Procurement
of equipment:
MH

B16.1.
1
Procurement of
equipment:
MH
0 0 -


FMR.
No.
Budget Head
Unit of
Measu
re
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
B16.1.
1.1
Equipments for
Blood Banks/
BSUs
-

B16.1.
1.2
MVA /EVA for
Safe Abortion
services
-

B16.1.
1.3
Others (please
specify)
0 0 -

B.16.2
.1
Drugs &
supplies for MH
0 0 -

B.16.2
.1.3
Others (Please
specify)
0 0 -

Total
Procurement
0 0

Grand Total
MH
5,636.38 4,139.92


CHILD HEALTH, RBSK & IMMUNIZATION

TARGETS: CHILD HEALTH AND IMMUNIZATION

Indicator CURRENT CAD (%) State Targets
India Jammu &
Kashmir
India Jammu &
Kashmir
2013-14 2014-
15
Target for
12
th
Plan
(2017)
CAD
(%)
Child Health
U5MR (SRS
2011)
55 45 -7.3 -6.5 36 32 -- -10.2
IMR (SRS 2011) 44 41 -6.0 -5.8 33 30 24 -10.2
NMR (SRS
2011)
31 32 -4.0 -6.4 26 23 -- -10.2

Indicators Current Status State Targets
2012-13 2013-14 2014-15
Child Health
Line listing and follow up of
Low Birth Weight babies
{Nos; (%)}

HMIS incidence of LBW:
10.7% of Rural Live Birth
i.e18669

NA

13068
(70%)
18669
(100%)
New borns visited by ASHA
(as per HBNC
guidelines){Nos; (%)}

Rural Live Births: 174475

0 122133
(70%)
174475
(100%)
Percentage of SNCUs
admitting at least 6 babies
per month per bed
NA NA 80% 95%

TARGETS: CHILD HEALTH AND MMUNIZATION

Trend (SRS) Targets (SRS)
2008 2009 2010 2011 2012 2013 2014 2015 2016
NMR
39 37
35
32 29 26 23 21 19
IMR
49 45 43 41
37 33 30 27 24
U5MR
55 50 48
45 40 36 32 29 26


PROCESS INDICATORS
Current Status Target for
2013-14
KEY PERFORMANCE INDICATORS (CUMULATIVE)
1 Establishment &
operationalization of SNCUs
(Target 12-13: 15)

10 17
2 Establishment &
operationalization of NBSU
(Target 12-13: 83 )

72 72
3 NBCC at delivery points (Target 12-13:273)

273 273
4 Establishment of NRCs (Target 12-13:2 )

0 2
5 Personnel trained in IMNCI
(ANM+LHV)
No.

510 528
6 Personnel trained in F-IMNCI
(MO+SN)
No. 103 64
7 Personnel trained in NSSK
(MO+ANM+SN)
No. 560 1470
KEY PERFORMANCE INDICATORS (NON CUMULATIVE)
1 New borns visited by ASHA (as per
HBNC guidelines)
No. 0 122133
% 0 70% Rural Live Birth
2 LBW children tracked(sState
HMIS)
No. NA 13068
% NA 70% LBW in Rural
3 Percentage of SNCUs admitting at
least 6 babies per month per bed
% NA 80%


ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH
Priority Actions to be carried out by State for Child Health Interventions

Priority Actions to be carried out by state for Child Health Interventions

1. All the delivery points should have a functional Newborn Care Corner consisting of essential equipment
and staff trained in NSSK. The staff must be trained in a 2 days NSSK training package for skills
development in providing Essential Newborn Care.
2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all Medical
Colleges and District Hospitals. All resources meant for establishment of SNCUs should be aligned in
terms of equipment, manpower, drugs etc. to make SNCUs fully operational.
3. SNCUs are referral centres with provision of care to sick new born the entire district and relevant
information must be given to all peripheral health facilities including ANM and ASHA for optimum
utilisation of the facility. Referral and admission of out born sick neonates should be encouraged and
monitored along with inborn admissions.
4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred from
peripheral units. Dedicated staff posted to NBSU must be adequately trained and should have the skills
to provide care to sick newborns.
5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home Based
Newborn Care Scheme. The ASHA kit and incentives for home visits should be made available on a
regular basis to ASHAs who have completed the Round 1 of training in Module 6
6. All ANMs are to be trained in IMNCI.
7. All Medical Officers and Staff Nurses, positioned in FRUs/DH and 24x7 PHCs should be prioritised for F-
IMNCI training so that they can provide care to sick children with diarrhoea, pneumonia and
malnutrition.
8. Infant and Under fives Death Review must be initiated for deaths occurring both at community and
facility level.
9. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and expectant
mothers should be ensured at all delivery points and breastfeeding initiated soon after birth. At least
two health care providers should be trained in Lactation Management at District Hospitals and FRUs;
other MCH staff should be provided 2 days training in IYCF and growth monitoring.
10. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs), prioritising
tribal and high focus districts with high prevalence of child malnutrition. The optimum utilisation of
NRCs must be ensured through identification and referral of Severe Acute Malnutrition cases in the
community through convergence with Anganwadi workers under ICDS scheme.
11. Line listing of newly detected cases of SAM and Low birth weight babies must be maintained by the
ANM and their follow-up must be ensured through ASHA.
12. In order to reduce the prevalence of anaemia among children, all children between the ages of 6
months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a preventive
measure for 100 days in a year. Accordingly appropriate formulation and logistics must be ensured and
proper implementation and monitoring should be emphasised through tracking of stocks using HMIS.
As per National Iron Plus Initiative, IFA syrup is to be administered in biweekly fashion under
supervision from ASHA.
13. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in children.
Availability of ORS and Zinc should be ensured at all sub-centres and with ASHAs.
14. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against committed
training load) must be transmitted on a monthly basis to the Child Health Division.
15. Infant Young Child Feeding Practices Guidelines launched by GoI to be implemented in current financial
year. Growth monitoring equipments to made available at each Health Facility i.e Sub Centre, PHC,

District Hospital. At District Hospitals and high case load facilities, RMNCHA counsellor to undertake
IYCF counselling after growth monitoring by Staff Nurse/ANM. IYCF trainings for ASHA/ANM/Staff
Nurses to be undertaken.

B.Rashtriya Bal Swastha Karyakram (School Health Programme):

1. Rashtriya Bal Swastha Karyakram (RBSK) Guidelines including terms of reference to be adhered
for operational plan, implementation and monitoring. School Health programme is now
subsumed under RBSK.
2. The programme should focus on four Ds- Defects at birth, Diseases, Deficiencies and
Development Delays including Disabilities as detailed in RBSK guideline.
3. All children (below 6 years) registered with Anganwadis to be screened at least twice a year
4. All children (6 years to 18 years) enrolled in government and government aided schools to be
screened at least once a year.
5. All designated delivery points (as agreed in annexure of PIP 2013-14) to start New born screening
and report findings in monthly monitoring formats
6. Recruitment and training of dedicated teams to complete within the first Quarter of the financial
Year.
7. Referral of children must be tied up and complete treatment at higher facilities through District
Early Intervention Centres.
8. Planning, implementation, monitoring formats - Health Cards, reporting formats under RBSK is
standardized. State to ensure adherence.
9. All approved DEICs to be established with in the current Financial Year. No spill over for
infrastructural cost would be allowed in the next year for the same facility.
10. State to establish State/District/Block level RBSK committees and/or submerge within existing
NRHM society structure at State/District and block with diverse stakeholders, Department of
Woman and Child Development, Department of Education Sarba Siksha Abiyan, Rashtriya
Madhmik Sishkha Abhiyan, Department of Social Justice and empowerment. This committee
with representation of academia at State level is responsible for implementation and monitoring
of the programme.
11. Involvement of nodal teachers from schools and Anganwadi workers from Anganwadi Centres
and State District and Block level supervisory structure in the programme is to be ensured for
preventive and promotive Health communication and monitoring.
12. Visibility of Rashtriya Bal Swastha Karyakram (RBSK) with NRHM logo to be made noticeable
across programme implementation. In case State has different nomenclature other than
Rashtriya Bal Swastha Karyakram (RBSK) for similar programme, for which financial support is
approved under PIP 2013-14, RBSK and NRHM to be used as cobranded with local initiative.
13. The New programme would require State/District programme management unit handholding in
Physical and Financial achievement. State to support this initiative.
14. Formation of State and district level steering committees.
15. Training / re-orientation of service providers(MOs, ANMs, ASHAs)

16. Monthly meeting with BMO.
17. Regular feedback on quality of sanitary napkins to be sent to GoI
18. Identification of appropriate storage place for sanitary napkins.
19. Mechanism of distribution of sanitary napkins right upto the user level.
20. Reporting and accounting system in place at various levels.
21. Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain
management of IFA tabs and Sanitary napkins.
22. Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and
preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).

C. Priority Actions to be carried out by state for Immunization
1. Immunization weeks should be continued as a part of routine strategy during non immunization
days to improve coverage especially in community where no immunization services are provided
or services are deficient or all high risk pockets or migrant population as identified in pulse polio
program etc. The available human resources to be redeployed during these weeks for effective
implementation
2. The micro plans for routine immunization must be updated on 6 monthly intervals both for
Routine Immunization and Immunization weeks, taking into account the information available
and information on migrant population/ missed areas covering inaccessible, remote areas and
urban slums. The missed areas or migrant population as identified during polio programme or
any other source of information must be incorporated in the micro plans and activities carried
out as per micro-plan.
3. Full time State Immunisation Officer should be in place.
4. District Immunisation Officer should be in place in all the districts. The placement of ANMs at all
session sites must be ensured.
5. Due list of beneficiaries must be available with ANM and ASHA and village wise list of
beneficiaries should be available with ASHA after each session and tickler bags should be used for
monitoring in addition to the timely and regular updating of information in MCTS portal.
6. The immunisation session must be carried out on a daily basis in District Hospitals and FRUs/
24x7 PHCs with considerable case load in the OPD.
7. Cold chain mechanics must be placed in every district with a definite travel plan so as to ensure
that at least 3 facilities are visited every month as a preventive measure (check-up of equipment).
8. The paramedical staff should be identified as the Cold Chain Handler in all cold chain points and
their training must be ensured. In case of non-availability, the responsibility should be given to
next para medical staff in position that should be equally trained.
9. The coverage of immunization to children at 18 months of age is very low. The opportunity for
Full immunization of the children at 1year and ensuring that these children are also vaccinated at
2nd year of age must be emphasized and monitored. The ASHAs/link workers are especially
encouraged by providing financial incentive of Rs 100 and Rs 50 per child to achieve this.
10. District AEFI Committees must be in place and investigation report of every serious AEFI case
must be submitted within 15 days of occurrence.

11. Rapid response team should be in place in priority districts identified by the states.
12. There should be a regular evening meeting on Immunization days to review the implementation
of open vial policy and also reviewing implementation of programmatic gaps.
13. Quarterly review at all levels should be conducted on the issues as identified during evening
meetings, for which funds are provided under ROP.


DETAILED BUDGET: CH, RBSK & IMMUNIZATION

FMR
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
A.2.

CHILD HEALTH

227540
139300
0
1,293.4
5
358.4

A.2.
1
IMNCI (including F-
IMNCI; primarily
budget for
planning for pre-
serviceIMNCI
activities in medical
colleges, nursing
colleges, and
ANMTCs)

-

A.2.
2
Facility Based
Newborn
Care/FBNC (SNCU,
NBSU, NBCC - any
cost not budgeted
under
HR,Infrastructure,
procurement,
training,IEC etc.)
e.g.operating cost
rent,electricity etc.
imprest money

360 195000 305.6 215.3

A.2.
2.1
SNCU
No. of
SNCUs
15

125 125
Approved
A.2.
2.2
NBSU
No. of
NBSUs
72 175000 126 63
Approved @ Rs.
87500/- per NBSU.
A.2.
2.3
NBCC
No. of
NBCCs
273 20000 54.6 27.3
Approved @ Rs.
10000/- per NBCC,
with the
conditionality that
the state will first
saturate the
functional delivery
points with NSSK
Trained personnel
and radiant warmer
and utilize the
resources optimally
A.2.
3
Home Based
Newborn
Care/HBNC
No. of
booklet
s
2000 50 1 0.53
In view of limited
resource envelop,
per last year's

FMR
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
expenditure.
A.2.
4
Infant and Young
Child Feeding/IYCF
No. of
Events
150 5000 7.5 5.39
In view of limited
resource envelop,
per last year's
expenditure.
A.2.
5
Care of Sick
Children and
Severe
Malnutrition (e.g.
NRCs, CDNCs etc.)
No. of
NRCs
2 780000 15.6 0.96
In view of limited
resource envelop,
per last year's
expenditure.
A.2.
6
Management of
diarrhoea & ARI &
micronutrient
malnutrition
No. of
batche
s
2 200000 4 4
Approved
A.2.
7
Other
strategies/activities
(please specify)
No. of
batche
s
2 200000 4 4
Approved
A.2.
8
Infant Death Audit

1500

4.25 0.53
In view of limited
resource envelop,
per last year's
expenditure.
A.2.
9
Incentive to ASHA
under child health
-

A.2.
10
JSSK (for Sick
neonates up to 30
days)

223000 300 947.75 123.94
In view of limited
resource envelop,
per last year's
expenditure.
A.2.
10.1
Drugs &
Consumables
(other than
reflected in
Procurement)
No. of
Sick
Childre
n
111500 200 223 9.52
Approved Rs 223.00
lakhs for provision
providing free drugs
and treatment of sick
neonates and infants.
This is in addition to
funds being
proposed & approved
for SNCU and NBSU
and other drugs and
consumables as per
their EDL.
Currently approved
as per last years

FMR
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
expenditure.
A.2.
10.2
Diagnostics
No. of
Sick
Childre
n
111500 100 111.5 32.59
Rs 111.50 lakhs
approved. Currently
years expenditure.
A.2.
10.3
Free Referral
Transport
No. of
Sick
Childre
n
111500
@ 500
for
pickup
from
home
and
drop
back
and @
Rs 250
for
22300
cases
for
referrels
inbetwe
en
instituti
ons

613.25 81.83
613.25 lakhs
approved subject to
no duplication under
Mission Flexipool.
Operational cost for
ambulances should
be borne out of the
RT component
sanctioned here and
under Maternal
Health. In view of
limited resource
envelop, Currently
years expenditure.
A.2.
11
Any other
interventions (eg;
rapid assessments,
protocol
development)

524 12650 3.75 3.75

A.2.
11.1
IYCF- Settingup of
IYCF Counselling
Centres in 22 DHs ,
53 CHCs, 6 PHCs
and 2 Medical
Colleges
No. of
Counse
ling
Centres
24 12500 3 3
Approved
A.2.
11.2
Printing of IYCF
Guidelines
500 150 0.75 0.75
Approved

Sub-total Child
Health
227540
139300
0
1,293.4
5
358.4

A.9.
5
Child Health
Training
593
221592
5
448.98 14.87
Approved lumsum
amount as per last
year's expenditure.
A.9.
5.1
IMNCI Training
(pre-service and in-
22 171400 37.71 -


FMR
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
service)
A.9.
5.1.
1
TOT on IMNCI (pre-
service and in-
service)

-

A.9.
5.1.
2
IMNCI Training for
ANMs / LHVs
No. of
Batche
s (24
Person
per
batch)
22 171400 37.71

A.9.
5.1.
3
IMNCI Training for
Anganwadi
Workers

-

A.9.
5.2
F-IMNCI Training

4 202750 8.11 -

A.9.
5.2.
1
TOT on F-IMNCI

-

A.9.
5.2.
2
F-IMNCI Training
for Medical
Officers
No. of
Batche
s (16
Person
Per
batch)
4 202750 8.11

A.9.
5.2.
3
F-IMNCI Training
for Staff Nurses
-

A.9.
5.3
Home Based
Newborn Care /
HBNC

480 58850 282.48 -

A.9.
5.3.
1
TOT on HBNC

-

A.9.
5.3.
2
Training on HBNC
for ASHA
No. of
Batche
s (25
Person
per
batch)
480 58850 282.48

Shifted to MFP under
B.1.1.1.3
A.9.
5.4
Care of sick
children and
severe
malnutrition at
FRUs

2 76000 1.52 -


FMR
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
A.9.
5.4.
1
TOT on Care of sick
children and severe
malnutrition
No. of
Batche
s (4
Person
per
batch)
2 76000 1.52

A.9.
5.4.
2
Training on Care of
sick children and
severe malnutrition
for Medical
Officers

-

A.9.
5.5
Other child health
training (please
specify)

85
170692
5
119.17 -

A.9.
5.5.
1
NSSK Training

46 270900 37.02 -

A.9.
5.5.
1.1
TOT for NSSK
No. of
Batche
s (32
per
batch)
2 112900 2.26

A.9.
5.5.
1.2
NSSK Training for
Medical Officers
No. of
Batche
s (32
per
batch)
22 84500 18.59

A.9.
5.5.
1.3
NSSK Training for
SNs
-

A.9.
5.5.
1.4
NSSK Training for
ANMs
No. of
Batche
s (32
per
batch)
22 73500 16.17

A.9.
5.5.
2
Other Child Health
training
39
143602
5
82.15 -

A.9.
5.5.
2.a
FBNC Training for
Pedtrician, Mos
and Staff Nurses
No. of
Batche
s (24
Person
Per
Batch)
4 800000 32


FMR
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
A.9.
5.5.
2.b
HBNC Round II for
DRP
No. of
Batche
s (25
Person
Per
Batch)
9 174200 15.68

Shifted to MFP
B.1.1.1.4.2
A.9.
5.5.
2.c
HBNC Round II for
ASHA Facilitator
No. of
Batche
s (30
Person
Per
Batch)
20 137475 27.5

Shifted to MFP
B.1.1.1.4.3
A.9.
5.5.
2.d
Training of Staff of
Nutritional
Rehabilitational
Centres
No. of
Batche
s (6 per
batch)
4 24350 0.97

A.9.
5.5.
2.e
TOT on IYCF
No. of
Batche
s (24
Per
batch)
2 300000 6

B16.
1.2
Procurement of
equipment: CH
0 0 -

B16.
1.2.
1
Procurement of
equipment: CH
(NBCC @ Rs. 85000
X 50)

B16.
1.2.
2
Procurement of
equipment: CH for
strengthening of
the paediatrics
department SMGS
hospital Jammu
and GB Pant
Hospital Srinagar
(Training Centre)
project submitted

-

B.16
.2.2
Drugs & supplies
for CH
481140
5
84 387.42 387.42

B.16
.2.2.
1
IFA tablets and De-
worm tablets for
students studying
in primary school
6th to 12th class
teachers, General
IFA Tablets and

-


FMR
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
Deworming tablets
under School
health
B.16
.2.2.
2
IFA KID tablets
52
doses
of 1 ml
syrup
for
each
child
164481
3
14 230.27 230.27
Approved
B.16
.2.2.
3
Procurement of
ORS packets
No. of
packets
187903
3
2.25 42.28 42.28
Approved
B.16
.2.2.
4
Procurement of
zinc tablets
125268
9
7.5 93.95 93.95
Approved
B.16
.2.2.
5
Procurement of
vitamin A syrup
No. of
bottles
34870 60 20.92 20.92
Approved
Total CH

2,129.8
5
760.69

RBSK

S.
No.
Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
A.4.
2
School Health
programme
397976
3
3282
05
1,235.34 4.22
Approval as per
last year
expenditure.
The RBSK
proposal is
pended due to
limited resource
envelop /
budgetary
constraints.
A.4.
2.1
Prepare and
disseminate
guidelines for
School Health
Programme.
No. of
copies
76500 200 153


S.
No.
Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
A.4.
2.2
Prepare detailed
operational plan for
School Health
Programme across
districts (cost of
plan meeting should
be kept)
No. of
meetings
44 5000 2.2

A.4.
2.3
Mobility support
No. of
teams x 6
months
2238
2300
0
514.74

A.4.
2.4
Referral support
No. of
Teams
373
5000
0
186.5

A.4.
2.5
Other strategies for
school health
390060
8
2500
05
378.9 -

A.4.
2.5.
1
One Day Workshop
for orientation for
capacity building of
School teachers

-

A.4.
2.5.
2
Financial Assistance
for treatment of
complicated
diseases among
childrens and
adolescent under
School Health
Programme for
surgical / medical
treatment /
providing medicine
to the ailing children
No. of
cases
200
1000
00
200

A.4.
2.5.
3
Printing of registers
/ formats / stock
registers / outreach
registers for
maintenance of
record / reporting
for 373 school
health teams

373
1000
0
37.3

A.4.
2.5.
5
Printing of cards
under WIFS for 5
SABLA Districts

120000
0
3 30

A.4.
2.5.
6
Printing of cards etc.
under RBSK
No. of
students
+ 20 % as
buffer
stock
270000
0
2.5 67.5

A.4. Printing and

7 1000 8.4


S.
No.
Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
2.5.
7
stationary for DEIC
under RBSK
0
A.4.
2.5.
8
Running Cost /
contingency / TA DA
for DEIC under RBSK

7
3000
0
25.2

A.4.
2.5.
9
Nodal Officers
under RBSK

7
5000
0
3.5

A.4.
2.5.
10
Procurement of 2
computers for each
of the DEIC under
RBSK

14
5000
0
7

B.16
.2.7
Drugs & supplies for
SHP
No. of
districts
x 10
months
70
1000
00
70 30
Rs 30 lakhs is
approved to
procure
medicines of Rs
16000 per team
and Rs 8000 for
once refill.
Conditionality
State to procure
medicines only
in accordance to
the RBSK EDL to
be announced
from GoI.

Grand Total SHP

1,305.34 34.22

BUDGET: IMMUNIZATION
FMR
Code
BUDGET HEAD
Physical
target
Amount
Proposed
(Rs in Lakhs)
Amount
Approve
d (Rs in
Lakhs)
REMARKS
C.1
RI Strengthening
Project ( Review
meetings, Mobility
support, Outreach
services etc)
c.1.a
supervision for
district/block level
officers.
Rs.2,50,000/
Year /district
level officers.
22.00 55.00 55.00


FMR
Code
BUDGET HEAD
Physical
target
Amount
Proposed
(Rs in Lakhs)
Amount
Approve
d (Rs in
Lakhs)
REMARKS
c.1.b
supervision at state
level
Rs. 150000 per
year.
2.00 1.50 1.50

c.1.c
Printing and
dissemination of
Immunization cards,
tally sheets,
monitoring forms etc.
Rs. 10
beneficiaries
100000.00 10.00 10.00

c.1.d
Support for
Quarterly State level
review meetings of
district officer
Rs. 1250/ per
participant/da
y for 3 persons
(CMO/DIO/Dis
t. Cold Chain
Officer)
8.00 3.30 3.30
State to share
the meeting
notice and
minutes with
MOHFW.
c.1.e
Quarterly review
meetings exclusive
for RI at district level
with one Block MOs,
CDPO, and other
stake holders
Rs. 100/per
participant for
meeting
expenses for 5
persons
(lunch,
Organization
expenses)
88.00 2.86 2.86
State to share
the meeting
notice and
minutes with
MOHFW.
c.1.f
Quarterly review
meetings exclusive
for RI at block level
Rs. 50/ per
person as
honorarium
for ASHA
(Travel) and
Rs. 25/person
at the disposal
of MO-IC for
meeting
expenses
(refreshment,
stationary and
misc.
expenses)
117.00 3.59 3.59
State to share
the meeting
notice and
minutes with
MOHFW.

FMR
Code
BUDGET HEAD
Physical
target
Amount
Proposed
(Rs in Lakhs)
Amount
Approve
d (Rs in
Lakhs)
REMARKS
c.1.g
Focus on slum &
underserved areas in
urban
areas/alternative
vaccinator
for slums

Hiring of
ANM@450/se
ssion for four
session/month
/slum of
10000
population
and Rs. 300/-
per month as
contingency
per slum i.e.
Rs. 2100/- per
month per
slum of 10000
population
491.00 10.31 10.31

c.1.h
Mobilization of
children through
ASHA or other
mobilizers
Rs. 150 per
session
106666.00 160.00 160.00

c.1.i
Alternative vaccine
delivery in hard to
reach areas
Rs. 150 per
session
3000.00 4.50 4.50

c.1.j
Alternative Vaccine
Delivery in other
areas
Rs. 75 per
session
14000.00 10.50 10.50

c.1.k
To develop micro
plan at sub-centre
level
@ Rs 100/-
per subcentre
2253.00 2.25 2.25

c.1.l
micro plans at block
level
Rs. 1000 per
block/ PHC
and Rs. 2000
per district
502.00 5.24 5.24

c.1.m
POL for vaccine
delivery from State to
district and from
district to PHC/CHCs
Rs1,50,000/
district/year
22.00 33.00 33.00

c.1.n
Consumables for
computer including
provision for internet
access for RIMs
@ 400/ -
month/
district
22.00 1.06 1.06

c.1.o
Red/Black plastic
bags etc.
Rs.
3/bags/sessio
n
185000.00 5.55 5.55


FMR
Code
BUDGET HEAD
Physical
target
Amount
Proposed
(Rs in Lakhs)
Amount
Approve
d (Rs in
Lakhs)
REMARKS
c.1.p
Hub
Cutter/Bleach/Hypoc
hlorite solution/ Twin
bucket
Rs. 1200 per
PHC/CHCper
year
718.00 8.62 8.62

c.1.q Safety Pits Rs. 5250/pit 35.00 1.84 1.84

c.1.r
State specific
requirement
(Maintainence of WIC
in Sri Nagar &
Jammu)

1.00 2.00 0.00
The state
should
engage
refrigerator
mechanics for
this activity
and funds for
maintainence
to be used
from cold
chain
maintenance
funds under
C.4
c.1.s
Teeka Express
Operational Cost
44.59 44.59

c.1.t
Measles SIA
operational Cost
0.00 0.00
Not
recommende
d, as no
planned
Measles SIA
in F.Y. 2013-
14
c.1.u
JE Campaign
Operational Cost
0.00 0.00
Not
recommende
d, as no
planned JE
Campaign in
F.Y. 2013-14
c.1.v
Others (IEC activities
for Immunisation
strengthening
activities & Office
expenses)

1.00 18.38 0.00
Not
recommende
d, as activity
approved
under
comprehensi
ve IEC plan.
C.1-Sub Total

384.08 363.70


FMR
Code
BUDGET HEAD
Physical
target
Amount
Proposed
(Rs in Lakhs)
Amount
Approve
d (Rs in
Lakhs)
REMARKS
C.2 Salary of Contractual Staffs
C.2.1
Computer Assistants
support for State
level
Rs.12000-
15000 per
person per
month
1.00 1.51 0.75

* Salary is for
6 months
* State to
provide
details of
total
sanctioned
posts, filled
up and
vacancy.
C.2.2
Computer Assistants
support for District
level
8000-10000
per person per
month
22.00 29.94 13.20

* Salary is for
6 months
* State to
provide
details of
total
sanctioned
posts, filled
up and
vacancy.
C.2.3
Others(service
delivery staff)-
Establishment of
State Immunization
Cell includes HR and
mobility (New
Innovation).

SEPIO (mobility &
logistics support)
Already
existing
6.00 0.00
Not
recommende
d
Technical Officer
Routine
Immunization ( NEW
POSTS)
70000/m 2 28.80 14.40
*
Recommende
d.
* Salary is for
6 months
State Immunization
Training Coordinator
60000/m 1 13.20 0.00
Not
recommende
d
Regional Routine
Immunization
Coordinators
25000/m 2 12.00 0.00
Not
recommende
d

FMR
Code
BUDGET HEAD
Physical
target
Amount
Proposed
(Rs in Lakhs)
Amount
Approve
d (Rs in
Lakhs)
REMARKS
State Cold Chain
Officer
50000/m 1 12.00 0.00
Not
recommende
d
Technical Assistant

Already
existing
2.40 0.00
Not
recommende
d
Program cum
Computer Assistant
15000/m 3 5.40 1.80
*
Recommende
d for 2 posts
of assistants
@ Rs
15,000/m * 6
months * 2
posts
* Salary is for
6 months
Divisional/Regional
Warehouse Vaccine &
Logistics Manager
20000/m 2 3.36 0.00
Not
recommende
d
Cold Chain & Vaccine
Logistics Helpers
7000/m 2 1.68 0.00
Not
recommende
d
C.2-Sub Total

116.29 30.15
C.3 Training under Immunization
C.3.1
District level
Orientation training
including Hep B,
Measles &
JE(wherever
required) for 2 days
ANM, Multi Purpose
Health Worker
(Male), LHV, Health
Assistant
(Male/Female),
Nurse Midwives,
BEEs & other staff (
as per RCH norms)
As per revised
norms for
trainings under
RCH
100.00 57.20 57.20
Approved,
but
expenditure
has to be as
per NRHM
norms. Also,
all the
trainings
should be
approved
from
Immunization
division.

FMR
Code
BUDGET HEAD
Physical
target
Amount
Proposed
(Rs in Lakhs)
Amount
Approve
d (Rs in
Lakhs)
REMARKS
C.3.2
Three day training
including Hep B,
Measles &
JE(wherever
required) of Medical
Officers of RI using
revised MO training
module)
25.00 27.64 27.64
C.3.3
One day refresher
training of district
Computer assistants
on RIMS/HIMS and
immunization
formats
2.00 0.39 0.39
C.3.4
Two days cold chain
handlers training for
block level cold chain
handlers by State and
district cold chain
officers
22.00 10.75 10.75
C.3.5
One day training of
block level data
handlers by DIOs and
District cold chain
officer

0.00 0.00
C.3.6 Others

0.00 0.00
C.3-Sub Total

95.97 95.97
C.4
Cold chain
maintenance

Rs.750/PHC/C
HCs per year
District
Rs.15000/year
718 and
22
Districts
8.68 8.68
Recommende
d as per
norms,
However, the
expenditure
has to be as
per
actuals.Also,
in case the
expenditure
exceeds the
approved
allocation ,
the state may
request to
MOHFW for
additional
allocation by

FMR
Code
BUDGET HEAD
Physical
target
Amount
Proposed
(Rs in Lakhs)
Amount
Approve
d (Rs in
Lakhs)
REMARKS
reappropriati
ng within
part C.
C.5
ASHA incentive for
full Immunization
Rs 100 per
child for full
immunization
in first year
100000.00
150.00 150.00

Rs 50 per child
for ensuring
complete
immunization
upto 2nd year
of age

Total ROUTINE
IMMUNIZATION

755 648.51
C.6
Pulse Polio
Operational Cost
(Tentative)

394.57 398.07
Approved,
subject to
approval for
Pulse Polio
Cost.
Total

1149.59 1046.58


FAMILY PLANNING


JAMMU & KASHMIR: Projections & Conditionality (2013-14):
Projection of Key Indicators (2013-14):

Projection of Key Indicators (2013-14):
SN.
Indicator Current Target/ ELA
Status 2013-14 2014-15 2015-16 2016-17
1 Goal Indicators:
1.1
Total Fertility Rate
(TFR)
1.9 (SRS 2011) Maintain TFR level
1.2
Contraceptive
Prevalence Rate (CPR)
41.2 (DLHS-3) 50.0
41.2
(DLHS-3)
50.0
41.2 (DLHS-
3)
1.3
Unmet Need
21.6 (DLHS-3) 15.0
21.6
(DLHS-3)
15.0
21.6 (DLHS-
3)
2 Service delivery:
2.1
IUCD - Total
19232
(HMIS 2011-12)
30000 35000 38000 40000
2.2
Post-partum IUCD
(subset of IUCD-total)
10000
25% of the Public Health Institution
Deliveries of that year
2.3
Female Sterilisation 15810
(HMIS 2011-12)
25250 25750 26250 26550
2.4
Post-partum
sterilisation (subset of
tubectomy)
1588
(HMIS 2011-12)
2930 3295 3676 4063
2.5
Male sterilisation
1064
(HMIS 2011-12)
2835 3251 3684 4125

Total Sterilization
16874
(HMIS 2011-12)
28085 29001 29934 30675
3
Input/ facility
operationalization:
3.1
Fixed Day service
delivery:

3.1.1
IUCD

Twice weekly at SC All SHC All SHC All SHC All SHC

Daily at DH, SDH,
CHC
480 Facilities
Twice/week in
CHCS and FRUS
Weekly
@ PHC
+ CHC
Weekly @
PHC +
CHC
Weekly @
PHC + CHC
Weekly @
PHC + CHC
3.1.2
Sterilisation Daily at All DHs &
CHC-138 Facilities
DH + 1
SDH/
FRU per
dist
DH + all
FRU per
dist
DH + all FRU
+ 25% PHC
per dist
DH + all FRU
+ 50% PHC
per dist
3.2
Appointment of FP
counsellors
22 FP counsellors
DH + 1
SDH/
FRU per
dist
DH + all
FRU per
dist
DH + all FRU
per dist
DH + all FRU
per dist


Conditionality for 2013-14: Family Planning:
SN. Indicator
Target/ ELA
- 2013-14
Minimum Level of
Achievement
Remarks
By end of
Sep. 2013
By end of
March
2014

1 Goal (target):
1.1 Reduction in TFR -2013
Maintain
TFR level
NA NA 1.9 (SRS 2011)
2 Service delivery (ELA):
2.1 IUCD: 30000 12000 27000
2.1.1 PPIUCD 10000 4000 9000
2.1.2 Interval IUCD 20000 8000 18000
2.2 Sterilisation: 28085 8426 22468
2.2.1 Tubectomy 25250 7575 20200
2.2.2
Post-partum sterilisation
(subset of tubectomy)
2930 879 2344
2.2.3 Vasectomy 2835 851 2268
3
Training of personnel
(target):

3.1 Post-partum IUCD 0 0 0
3.1.1 MO 0 0
3.1.2 SN 0 0
3.2 Interval IUCD 0 0 0
3.2.1 MO 0 0
3.2.2 SN 0 0
3.2.3 ANM/ LHV 0 0
3.3 Minilap 20 5 15
3.4 NSV 44 11 33
3.5 Laparoscopic 15 4 11 15 Trained
4 Others (target):
4.1
Appointment of FP
Counsellors
22 FP
counsellors
Review &
Reporting
Review &
Reporting

4.2
Regular reporting of the
scheme of home delivery of
contraceptives by ASHAs
from pilot states
Regular
reporting
Regular
reporting
Regular
reporting

4.3
Fixed Day Services for
IUCD
480
Facilities
Twice/week
in CHCS
and FRUS
NA 100%
4.4
Fixed Day Services for
Sterilisation
Daily at All
DHs & CHC-
138
Facilities
NA 100%


ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING
MISSION: The mission of the National Family Planning Program is that all women and men (in
reproductive age group) in India will have knowledge of and access to comprehensive range of family
planning services, therefore enabling families to plan and space their children to improve the health of
women and children.
GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal emphasis
on spacing and limiting methods; promoting children by choice in the context of reproductive health.
STRATEGIES:
1. Strengthening spacing methods:
a. Increasing number of providers trained in IUCD 380A
b. Strengthening Fixed Day IUCD services at facilities
c. Introduction of Cu IUCD 375
d. Delivering contraceptives at homes of beneficiaries.
e. Delaying first pregnancy for at least two years after marriage, spacing of at least three
years between first and second child and adoption of permanent method after one or two
children ( couples to be motivated by ASHA).
2. Emphasis on post-partum family planning services:
a. Strengthening Post-Partum IUCD (PPIUCD) services at least at DH, SDH, FRU, CHC/BPHC
level at high case load facilities.
b. Promoting Post-partum sterilisation (PPS)
c. Establishing Post-Partum Centers at women & child hospitals at district levels
d. Appointing counsellors at high case load facilities
3. Strengthening sterilization service delivery
a. Increasing pool of trained service providers (minilap, lap & NSV)
b. Operationalising FDS centers for sterilisation
c. Holding camps to increase accessibility and availability of services.
4. Strengthening quality of service delivery:
a. Strengthening QACs for monitoring/review
b. Disseminating/ following existing protocols/ guidelines/ manuals
c. Monitoring of FP Indemnity scheme
5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing
methods
6. Focus on using private sector capacity for service delivery (exploring PPP availability):
7. Strengthening programme management structures:
a. Establishing new structures for monitoring and supporting the programme
b. Strengthening programme management support to state and district levels
8. World Population Day Celebrations.

a. % IUD inserted against ELA
b. % PPIUCD inserted against institutional deliveries
c. % PPIUCD inserted against total IUCD
d. % of sterilisations conducted against ELA
e. % post-partum sterilisations against total female sterilisations
f. % of male sterilisations out of total sterilisations conducted
g. % facilities delivering FDS services against planned
h. % of personnel trained against planned
i. % point decline in unmet need
j. Point decline in TFR
k. % utilization of funds against approved


DETAILED BUDGET: FAMILY PLANNING
FMR
Code
Budget Head
Unit of
Measur
e
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amoun
t
Propos
ed ( Rs
in lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
A.3 FAMILY PLANNING
2626
1
137000 327.88 205.99
In view of limited
resource envelop,
per last year's
expenditure.
A.3.1 Terminal/Limiting
Methods

2614
7
22000 279.94 170.17

A.3.1.
1
Orientation
workshop,dissemina
tion of manuals on
FP standards &
quality assurance of
sterilisation
services, fixed day
planning meeting
No. 96 2000 1.92 0.06
Approved
A.3.1.
2
Female sterilisation
camps
22 7500 1.65 1.13
Approved for 14
camps, as per last year
achievements/expendi
ture.
A.3.1.
3
NSV camps
12 10000 1.2 0.8
Approved for 8 camps,
as per last year
ture.
A.3.1.
4
Compensation for
female sterilisation

2301
7
1000 230.17 145.68
Approved for 14568
sterilizations, as per
last year
ture.
A.3.1.
5 Compensation for
male
sterilization/NSV
Acceptance
3000 1500 45 22.5
Approved for 1500
last year
ture.
A.3.1.
6
Accreditation of
private providers to
provide sterilisation
services
-

A.3.2
Spacing Methods 0 0 7.84 1.48
A.3.2.
1 IUD camps
-


FMR
Code
Budget Head
Unit of
Measur
e
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amoun
t
Propos
ed ( Rs
in lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
A.3.2.
2
IUD services at
health facilities
(including fixed day
services at SHC and
PHC)
7.84 1.48
year expenditure.
A.3.2.
2.1 PPIUCD services
-

A.3.2.
3
Accreditation of
provide IUD
insertion services
-

A.3.2.
4
Social Marketing of
contraceptives
(includng delivery of
contraceptive by
ASHA at door step)
-

A.3.2.
5
Contraceptive
Update seminars
-

A.3.3 POL for Family
Planning/ Others
(including additional
mobilty support to
surgeon's team if
req)
-

A.3.4 Repairs of
Laparoscopes
-

A.3.5 Other
(please specify):
114 115000 40.1 34.34
year expenditure.
A.3.5.
1
Monitor progress
and quality,QAC
meetings /review of
sterilization failures
etc.
No. of
meeting
s
92 4.8
Approved
A.3.5.
2
Performance reward
if any

A.3.5.
3
World Population
Day celebration
(such as mobility,
IEC activities etc.):
funds earmarked for
district and block
level activities
22 115000 25.3
Approved

FMR
Code
Budget Head
Unit of
Measur
e
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amoun
t
Propos
ed ( Rs
in lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
A.3.5.
4
Other strategies/
activities (such as
strengthening fixed
day services for
IUCD and
sterilization etc.)
0 0 10 10

A.3.5.
4.1
Family Planning
Indemnity Scheme
10 10
Approved
Sub-total Family
Planning (excluding
Sterilisation
Compensation and
NSV Camps)

2602
9
12500 51.51 37.01

Sub-total
Sterilisation
Compensation and
NSV Camps
232 124500 276.37 168.98

A.9.6 Family Planning
Training 46 301600 17.57 12.35
Approved lumsum
amount as per last
year's expenditure.
A.9.6.
1
Laparoscopic
Sterilisation
Training
5 57550 2.88 -

A.9.6.
1.1
TOT on laparoscopic
sterilisation
-

A.9.6.
1.2
Laparoscopic
sterilisation training
for doctors (teams
of doctor, SN and
OT assistant)
No. of
Batches
(3
Person
Per
Batch)
5 57550 2.88

A.9.6.
2
Minilap Training
8 94650 3.79 -

A.9.6.
2.1
TOT on Minilap No. of
Person
4 15000 0.6

A.9.6.
2.2
Minilap training for
medical officers
No. of
Batches
(4
Person
Per
Batch)
4 79650 3.19

A.9.6.
3
Non-Scalpel
Vasectomy (NSV)
Training
11 117750 3.95 -

A.9.6.
3.1
TOT on NSV No. of
Person
1 87000 0.87


FMR
Code
Budget Head
Unit of
Measur
e
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amoun
t
Propos
ed ( Rs
in lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
A.9.6.
3.2
NSV Training of
medical officers
No. of
Batches
(4
Person
Per
Batch)
10 30750 3.08

A.9.6.
4
IUD Insertion
0 0 - -

A.9.6.
4.1
TOT for IUD
insertion
-

A.9.6.
4.2
Training of Medical
officers in IUD
insertion
-

A.9.6.
4.3
Training of staff
nurses in IUD
insertion
-

A.9.6.
4.4
Training of ANMs /
LHVs in IUD
insertion
-

A.9.6.
5
Contraceptive
update/ISD Training
No. of
batches
(25 per
batch)
22 31650 6.96

A.9.6.
6
Other family
planning training
(please specify)
0 0 - -

A.9.6.
6.1
Capacity building of
Health Service
provider on IUCD
and PTC
-

A.9.6.
6.2
TOT for IUD
insertion
-

A.9.6.
7
PPIUCD insertion
training
-

A.9.6.
8
IUCD 375 insertion
training
-

A.9.6.
9
Training of FP
Counselors
-

A.9.6.
10
Training/
orientation on
technical manuals
-

B16.1
.3
Procurement of
equipment: FP
2529 453600 94.94 94.06

B16.1
.3.1 NSV kits
110 1600 1.76 0.88
Approved @ Rs 800
per kit for 110 kits.

FMR
Code
Budget Head
Unit of
Measur
e
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amoun
t
Propos
ed ( Rs
in lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
B16.1
.3.2 IUCD kits
2409 2000 48.18 48.18
Approved
B16.1
.3.3 minilap kits
-

B16.1
.3.4 laparoscopes
10 450000 45 45
Approved
B16.1
.3.5 PPIUCD forceps
-

GRAND TOTAL FP
440.39 312.4


ADOLESCENT HEALTH


ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH

SETTING UP OF AH CELL

A unit for adolescent health at state level with a nodal officer supported by four consultants one each for
ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components of
Adolescent Health at district level to take care of Adolescent health programme including the SHP.
PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION:
I. Adolescent Reproductive Sexual Health (ARSH) Programme
Clinics
- Number of functional clinics at the DH, CHC, PHC and Medical Colleges (dedicated days,
fixed time, trained manpower).
- Number of clinics integrated with ICTCs
- Quarterly Reporting from the ARSH clinics to be initiated to GoI.
- Establish a Supportive supervision and Monitoring mechanism
Outreach
- Utilisation of the VHND platform for improving the clinic attendance.
- Demand generation in convergence with SABLA and also through Teen Clubs of MOYAS
Capacity Building/Training:
- Calculation of the training load and development of training plans! refresher trainings. -
Deployment of trained manpower at the functional clinics.

II Menstrual Hygiene Scheme (MHS)

Formation of State and district level steering committees.
Training / re-orientation of service providers(MOs, ANMs, ASHAs)
Monthly meeting with BMO.
Regular feedback on quality of sanitary napkins to be sent to GoI
Identification of appropriate storage place for sanitary napkins.
Mechanism of distribution of SN right upto the user level.
Reporting and accounting system in place at various levels.
Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain
management of IFA tabs and Sanitary napkins.
Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and
preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).

II Weekly Iron and Folic Acid Supplementation programme (WIFS)

Procurement policy in place for procurement of EDL including IFA and deworming tablets.
Establish Monday as a fixed day for WIFS.

Plan for training and capacity building of field level functionaries of concerned Departments (i.e.
Department of Women and Child Development and and Department of Education) and plan for
sensitization of Programme Planners on WIFS.
Ensure that monitoring mechanism as outlined in the operational framework (Shared with the
States during the National Adolescent Health Workshop) are put in place across levels and
departments.


DETAILED BUDGET: ADOLESCENT HEALTH

FMR
. No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost
( Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approved
Remarks
(Rs in Lakhs)
A.4
ADOLESCENT
REPRODUCTIVE
AND SEXUAL
HEALTH / ARSH

398196
8
5990
05
1,292.9
9
8.92
A.4.
1
Adolescent health
services
1625
2103
00
52.37 3.8
year expenditure.
A.4.
1.1
Disseminate ARSH
guidelines.
No. of
Copies
1000 200 2

A.4.
1.2
Establishment of
new clinics at DH
level

-

A.4.
1.3
Establishment of
new clinics at
CHC/PHC level
No. of
institu
tions
22
1820
00
40.04

A.4.
1.4
Operating
expenses for
existing clinics
No. of
institu
tions
27
2760
0
7.45

A.4.
1.5
Outreach activities
including peer
educators
No. of
outrea
ch
activiti
es
576 500 2.88

A.4.
1.6
Others

- -
A.4.
3
Other
(please specify)

580
6050
0
5.28 0.9
year expenditure.
A.4.
3.1
Mobility support
for ARSH/ICTC
counsellors

576 500 2.88

A.4.
3.2
Menstrual Hygiene
(Sanitary napkin
procurement to be
booked under
procurement)
No. of
meeti
ngs
4
6000
0
2.4

A.4.
3.3
WIFS actvity

-

Sub-total ARSH

398196
8
5990
05
1,292.9
9
8.92
A.9.
7
Adolescent
Reproductive and
Sexual
Health/ARSH

#VALU
E!
7617
15
217.6 5.8
Approved lumsum
amount as per last
year's expenditure.

FMR
. No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost
( Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approved
Remarks
(Rs in Lakhs)
Training
A.9.
7.1
TOT for ARSH
training
-

A.9.
7.2
Orientation
training of state
and district
programme
managers
No. of
Batch
es (30
per
batch)
2
6240
0
1.25

A.9.
7.3
ARSH training for
medical officers
No. of
Batch
es (30
per
batch)
4
9620
0
3.85

A.9.
7.4
ARSH training for
ANMs/LHVs
-

A.9.
7.5
ARSH training for
AWWs
-

A.9.
7.6
Other ARSH
training
4
1510
00
3.02 -
A.9.
7.6.
1
Two day training of
RMNCH /
Counselors from
existing centres
ARSH/ICTC/IYCF
(RMNCH)
No. of
Batch
es (30
per
batch)
2
7550
0
1.51

A.9.
7.6.
2
Two days training
of newly appointed
counselors under
ARSH/IYCF
(RMNCH)
No. of
Batch
es (30
per
batch)
2
7550
0
1.51

A.9.
7.6.
1
WIFS training

10
1663
50
8.32 -
A.9.
7.6.
1.1
State level/ District
Level/ Block Level
No. of
Batch
es (50
per
batch)
5
8700
0
4.35

A.9.
7.6.
1.2
refresher training
ANM/MO/ AWW/
Nodal Teacher
No. of
Batch
es (50
per
batch)
5
7935
0
3.97


FMR
. No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost
( Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approved
Remarks
(Rs in Lakhs)
A.9.
7.6.
2
Menstrual hygiene
training
-

B.16
.2.6
Drugs & supplies
for WIFS
646000
00
1 142.4 142.4
B.16
.2.6.
1
IFA
No. of
tablets
+ 20%
buffer
stock
624000
00
0.2 124.8 124.8 Approved
B.16
.2.6.
2
Albendazole
No. of
tablets
+ 10%
buffer
stock
220000
0
0.8 17.6 17.6 Approved

Grand Total ARSH

1,652.9
9
157.12


URBAN RCH


ROAD MAP FOR PRIORITY ACTION: URBAN RCH
BUDGET: URBAN RCH
FMR
. No. Budget Head
Unit
of
Meas
ure
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approv
ed
Remarks
(Rs in
Lakhs)
A.5
URBAN RCH
(focus on
Urban slums)
201 42000 255.48 34.11
Approved Rs. 34.11
lakhs, 50% of the last
year expenditure.
Annexure shows that
10 out of 47 centres are
operational. OPD
numbers not shared.
State to share the
performance of UHPs
and propose the rest of
the activities under
NUHM.
Approval is being
granted for six months
only and its
continuation for the
next six months would
be contingent on
compliance of the
conditionalities
mentioned in the HR
head.
A.5.
1
Identification
of urban areas
/ mapping of
urban slums
and planning
-

A.5.
2
HR for urban
health
including
doctors,
ANMs, Lab
techs
201 42000 229.8 -

A.5.
2.1
Doctors/Mos
10 30000 36

A.5.
3
Operating
expenses for
UHP and UHC
-

A.5.
4
Outreach
activities
-

A.5.
5
Others (pl
specify)
0 0 25.68 -


A.5.
5.1
Rent for
Urban Health
Centres /
Posts
25.68

Sub-total
Urban Health
201 42000 255.48 34.11


TRIBAL HEALTH


ROAD MAP FOR PRIORITY ACTION: TRIBAL HEALTH
State to closely monitor progress (physical, expenditure) on all health activities in notified tribal areas.
On a quarterly basis, a progress report, including constraints faced and action proposed to be sent to
MoHFW.
The State shall focus on health entitlements of vulnerable social groups like SCs, STs, OBCs,
minorities, women, disabled, migrants etc.

S.
No. Budget Head
Unit
of
Meas
ure
Quan
tity /
Targ
et
Unit
Cost (
Rs)
Amount
Proposed (
Rs in lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
A.6. TRIBAL RCH
26 12000 37.44 15.87

A.6.
1
Special plans for
tribal areas -

A.6.
2
HR for tribal areas
(in addition to
normative HR)
26 12000 37.44 15.87
Approved 50 % of
the last year's
expenditure (26
AMCHI Healers).
State to conduct
the impact
evaluation study
and share with GoI.
Approval is being
granted for six
months only and its
continuation for
the next six months
would be
contingent on
compliance of the
conditionalities
mentioned in the
HR head.
A.6.
3
Outreach
activities -

A.6.
4
Other Tribal RCH
strategies/activitie
s (please specify) 0 0 - -

Sub-total Tribal
Health 26 12000 37.44 15.87


PC-PNDT


ROAD MAP: PNDT
MISSION:
The mission of PNDT program is to improve the sex ratio at birth by regulating the pre-
Guiding Principle:
Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio
STRATEGIES:
Strengthening programme management structures:
> Appointment of Nodal officer
> Strengthening of Human resource
> Formation of PNDT Cell at state and district level
Establishment of statutory bodies under the PC&PNDT Act
> Constitution of 20 member State Supervisory Board
Reconstitution every three years (other than ex-officio members)
Four meetings in a year
> Notification of three members State Appropriate Authority,
> Constitution of 8 member State Advisory Committee
> Notification of District Appropriate Authorities
> Constitution of 8 member district Advisory Committees
Strengthening of monitoring mechanisms
> Monitoring of sex ratio at birth through civil registration of birth data
> Formulation of Inspection and Monitoring committees
> Increasing the monitoring visits
> Review and evaluation of registration records
> Online availability of PNDT registration records
> Online filling and medical audit of form Fs
> Ensure regular reporting of sales of ultrasound machines from manufactures
> Enumeration of all Ultrasound machines and identification of un-registered ultrasound
machine
> Ensure compliance for maintenance of records mandatory under the Act
> Ensure regular quarterly progress reports at state and district level

Capacity building and sensitisation of program managers
> Appropriate Authorities
> Advisory committee members
> Nodal officers both State and District

Sensitisation and Alliance building with > Judiciary> Medical Council / associations > Civil
society.
Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and promotion
of Girl Child
Convergence for Monitoring of Child sex Ratio at birth
> Improvement in child sex ratio at birth
> % of civil registration of births
> Statutory bodies in place
> % registrations renewed
> Increase in inspections and action taken
> No. of unregistered machines identified
> % of court cases filed
> % of convictions secured
> No. of medical licences of the convicted doctor cancelled or suspended


DETAILED BUDGET: PNDT

S.
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit Cost
( Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
A.7 PNDT Activities

2324 2532000 216.64 1.1
Due to limited
resource
envelop,
approved as
per last year
expenditure.
A.7
.1
Support to PNDT cell

2 2200000 44

A.7
.3
Mobility support

22 60000 13.2

A.7
.2
Other PNDT activities
(please specify)

2300 272000 159.44 1.1
Due to limited
resource
envelop,
approved as
per last year
expenditure.
A.7
.2.1
Reward to Informers
for giving information
regarding
unregistered
ultrasound machine
(8); illegal practice of
sex selection and
selective female
foeticide (8)

10

A.7
.2.2
Divisional level
workshops
4 200000 8

A.7
.2.3
District level
workshops
44 50000 22

A.7
.2.4
State Supervisory
board meetings
6 10000 0.6

A.7
.2.5
Divisional Advisory
Committee Meetings
12 5000 0.6

A.7
.2.6
District Advisory
Committee Meetings
132 2000 2.64

A.7
.2.7
Debates , seminars at
Universities/ Colleges
102

15.6

A.7
.2.8
Incentive to parents
having two daughters
adopting permanent
method of family
planning

2000 5000 100


S.
No.
Budget Head
Unit of
Measu
re
Quantit
y /
Target
Unit Cost
( Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
A.7
.2.9
Award to block /
panchayat / Village
Health Sanitation and
Nutrition Committees
that reflect reverse
trend in the sex ratio
(more females and
less males)

-

Sub-total PNDT
activities
2324 2532000 216.64 1.1


HUMAN RESOURCES &
PROGRAMME MANAGEMENT


ROAD MAP: HUMAN RESOURCES
A comprehensive HR policy to be formulated and implemented; to be uploaded on the website.
Underserved facilities particularly in high priority districts, to be first strengthened through
contractual staff engaged under NRHM. Similarly high case load facilities to be supplemented as
per need
All appointments under NRHM to be contractual; contracts to be renewed not routinely but based
on structured performance appraisal
Decentralized recruitment of all HR engaged under NRHM by delegating recruitment process to
the District Health Society under the chairpersonship of the District Collector or Rogi Kalyan Samitis
at facility level as applicable.
Preference to be given to local candidates to ensure presence of service providers in the
community. Residence at place of posting to be ensured.
Quality of HR ensured through appropriate qualifications and a merit- based, transparent
recruitment process is mandatory.
It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors
(both MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent in
inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take
services to the remotest parts of the country, particularly the un-served and under-served
areas. It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed
first. Contractual HR must not be deployed in better served areas until the remotest areas are
adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain without
any ANM. No PHC in these areas should be without a doctor. Further, CHCs in remote areas
must get contractual HR ahead of District Hospitals. Compliance with these conditionalities
will be closely monitored and salaries for contractual HR dis-allowed in case of a violation.
Details of facility wise deployment of all HR engaged under NRHM to be displayed on the state
NRHM web site.
For SHCs with 2 ANMs, population to be covered to be divided between them. Further, one ANM
to be available at the sub-centre throughout the day while the other ANM undertakes field visits;
timings for ANMs availability in the SHC to be notified.
AYUSH doctors to be more effectively utilized eg for supportive supervision, school health and
WIFS.
All contractual staff to have job descriptions with reporting relationships and quantifiable
indicators of performance.
Performance appraisal and hence increments of contractual staff to be linked to progress against
indicators.
Staff productivity to be monitored. Continuation of additional staff recruited under NRHM
for 24x7 PHCs, FRUs, SDH, etc, who do not meet performance benchmarks, to be reviewed by
State on a priority basis.
All performance based payments/difficult area incentives should be under the supervision of
RKS/Community Organizations (PRI).

DETAILED BUDGET: HUMAN RESOURCES

S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
A.8 Human Resources

6806
99752
0
11,280.
91
3,575.7
4
As agreed, the
following key
conditionalities would
be enforced during the
year 2013-14.
a) Rational and
equitable deployment
of HR with the highest
priority accorded to
high priority districts
and delivery points.
b) Facility wise
performance audit and
corrective action
based thereon.
c) Performance
Measurement system
set up and
implemented to
monitor performance
of regular and
contractual staff.
d) Baseline
assessment of
competencies of all
SNs, ANMs, Lab
Technicians to be done
and corrective action
taken thereon.
- Approval is
being granted for HR
of all cadres under
NRHM for six months
only and its
be contingent on
compliance of the
above four
conditionalities.

S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
- From 1st October
2013, under NRHM
funds for salary to
contractual HR would
be done only to make
payments to
contractual staff over
and above the
sanctioned regular
positions in the State.

- It is expected that
the state will
henceforth fill up their
vacant regular HR
positions and will not
use NRHM funds to
substitute state
spending.
A.8.1
Contractual Staff &
Services
6806
99752
0
11,280.
91
3,575.7
4
Due to limited
resource envelop,
approved is being
given for in-position
staff as per last year's
rate (based on the last
year expenditure).
A.8.1.
1
ANMs,Supervisory
Nurses, LHVs,
2909
11100
0
4,428.7
2
1,508.2
2

A.8.1.
1.1
ANMs

2118 36000
3,049.9
2
1,100.1
0
Approved for in-
position 1930 ANMs @
last years rate, as per
last year
achivements/expendit
ure. Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
1.1.a
DH

-

A.8.1.
1.1.b
FRUs

-


S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
A.8.1.
1.1.c
Non FRU SDH/ CHC

-

A.8.1.
1.1.d
24 X 7 PHC

200 12000 288

A.8.1.
1.1.e
Non- 24 X 7 PHCs

-

A.8.1.
1.1.f
Sub Centres No. 1910 12000
2,750.4
0

A.8.1.
1.1.g
SNCU/ NBSU/NRC
etc
No. 8 12000 11.52

A.8.1.
1.1.h
Others

-

A.8.1.
1.2
Staff Nurses

791 75000
1,378.8
0
408.12
Approved for in-
position 716 SNs @
last year
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
1.2.a
DH

240 15000 432

A.8.1.
1.2.b
FRUs

156 15000 280.8

A.8.1.
1.2.c
Non FRU SDH/ CHC

-

A.8.1.
1.2.d
24 X 7 PHC

200 15000 360

A.8.1.
1.2.e
Non- 24 X 7 PHCs

-

A.8.1.
1.2.f
SNCU/ NBSU/NRC
etc
125 15000 180

A.8.1.
1.2.g
Others

70 15000 126

A.8.1.
1.3
LHVs/supervisory
nurses
0 0 - -
A.8.1.
1.3.a
DH

-


S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
A.8.1.
1.3.b
FRUs

-

A.8.1.
1.3.c
Non FRU SDH/ CHC

-

A.8.1.
1.3.d
24 X 7 PHC

-

A.8.1.
1.3.e
Non- 24 X 7 PHCs

-

A.8.1.
1.3.f
SNCU/ NBSU/NRC
etc
-

A.8.1.
1.3.g
Others

-

A.8.1.
2.1
Laboratory
Technicians
409 48000 581.76 241.7
Approved for in-
position 373 LTs @
Rs.10800, as per last
year
ure. new posts not
approved, state to
redeploy.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
2.1.a
DH

16 12000 23.04

A.8.1.
2.1.b
FRUs

168 12000 241.92

A.8.1.
2.1.c
Non FRU SDH/ CHC

-

A.8.1.
2.1.d
24 X 7 PHC

200 12000 288

A.8.1.
2.1.e
Non- 24 X 7 PHCs

-

A.8.1.
2.1.f
Others

25 12000 28.8


S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
A.8.1.
2.2
MPWs

355 12000 511.2 172.37
Approved for in-
position 266 MPWs @
year
ure, new posts not
approved.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
3
Specialists
(Anaesthetists,
Paediatricians,
Ob/Gyn, Surgeons,
Physicians, Dental
Surgeons,
Radiologist,
Sonologist,
Pathologist,
Specialist for CHC )

94
48000
0
483.6 110.4
Approved for in-
position 46 Specialists
@ Rs. 40000/m, as per
last year
ure. State to re-deploy
existing specialits in
FRUs and SNCUs.
Approved. State to
provide name of the
FRU/facility with case
load and current
staffing. Also as a pre-
requisite the EmOC
and LSAS trained
doctors must be
posted at appropriate
facilities and perform.
None of the specialists
is being sanctioned
exclusively for
conducting training.
Approval is being
only and its
be contingent on
compliance of the
above mentioned

S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
conditionalities.
A.8.1.
3.1
Obstetricians and
Gynecologists
15
10000
0
90

A.8.1.
3.1.a
DH

-

A.8.1.
3.1.b
FRUs

8 50000 48

A.8.1.
3.1.c
Non FRU SDH/ CHC

-

A.8.1.
3.1.d
Others (Please
specify)
7 50000 42

A.8.1.
3.2
Pediatricians

22
15000
0
111

A.8.1.
3.2.a
DH

7 50000 21

A.8.1.
3.2.b
FRUs

8 50000 48

A.8.1.
3.2.c
Non FRU SDH/ CHC

-

A.8.1.
3.2.d
Others (Please
specify)
7 50000 42

A.8.1.
3.3
Anesthetists

15
10000
0
90

A.8.1.
3.3.a
DH

-

A.8.1.
3.3.b
FRUs

8 50000 48

A.8.1.
3.3.c
Non FRU SDH/ CHC

-

A.8.1.
3.3.d
Others (Please
specify)
7 50000 42

A.8.1.
3.4
Surgeons

0 0 -

A.8.1.
3.4.a
DH

-

A.8.1.
3.4.b
FRUs

-

A.8.1.
3.4.c
Non FRU SDH/ CHC

-

A.8.1.
3.4.d
Others (Please
specify)
-


S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
A.8.1.
3.5
Specialists for CH
(Paediatrician etc) in
SNCU,NBSU,NRC

25 0 120

A.8.1.
3.5.a
DH

-

A.8.1.
3.5.b
FRUs

-

A.8.1.
3.5.c
Non FRU SDH/ CHC

-

A.8.1.
3.5.d
Others (Please
specify)
15 for
6
mont
hs &
10 for
6
mont
hs @
Rs.
50000
/-
25

120

A.8.1.
3.6.1
Radiologists

5 50000 30 - Not approved.
A.8.1.
3.6.2
Pathologists

5 50000 30 - Not approved.
A.8.1.
3.7
Dental surgeons and
dentists
7 30000 12.6 -
A.8.1.
3.7.a
DH

7 30000 12.6 0
The RBSK proposal is
pended due to limited
resource envelop /
budgetary constraints.
A.8.1.
3.7.b
FRUs

-

A.8.1.
3.7.c
Non FRU SDH/ CHC

-

A.8.1.
5
Medical Officers

565
15000
0
1,948.8
0
750
Approved for in-
position 500 MOs @
Rs.25000/-m, as per
last year
ture.
Approval is being
only and its

S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
5.1
DH

16 30000 57.6

A.8.1.
5.2
FRUs

170 30000 612

A.8.1.
5.3
Non FRU SDH/ CHC

-

A.8.1.
5.4
24 X 7 PHC

275 30000 990

A.8.1.
5.5
Non- 24 X 7 PHCs/
APHCs
6 30000 21.6

A.8.1.
5.7
MOs for SNCU/
NBSU/NRC etc
70

234

A.8.1.
5.8
Other MOs

7 30000 12.6

A.8.1.
5.9
Others

21

21 0
resource envelop /
A.8.1.
6
Additional
Allowances/
Incentives to M.O.s

983.08 533.39
Approved Rs. 533.39
lakhs, as per last year
expenditure and
limited resource
envelop. State to
share the details of the
incentive scheme. It
needs to ensure that
performance
monitoring is done
regularly and should
be given to those MOs,
Specialists , etc.
staying at the
residential quarters /
Headquarter areas.
A.8.1.
7
Others - Computer
Assistants/ BCC Co-
ordinator etc

-

A.8.1.
7.1
Pharmacist

0 0 - -
A.8.1.
7.1.a
DH

-


S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
A.8.1.
7.1.b
FRUs

-

A.8.1.
7.1.c
Non FRU SDH/ CHC

-

A.8.1.
7.1.d
24 X 7 PHC

-

A.8.1.
7.1.e
Non- 24 X 7 PHCs

-

A.8.1.
7.1.f
Others

-

A.8.1.
7.2
Radiographers

184 24000 264.96 112.75
Approved for in-
position Radiographers
@ Rs.10800/-m, as per
last year
ure.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
7.2.a
DH

16 12000 23.04

A.8.1.
7.2.b
FRUs

168 12000 241.92

A.8.1.
7.2.c
Non FRU SDH/ CHC

-

A.8.1.
7.2.d
24 X 7 PHC

-

A.8.1.
7.2.e
Non- 24 X 7 PHCs

-

A.8.1.
7.2.f
Other

-

A.8.1.
7.3
OT
technicians/assitsan
ts

184 24000 264.96 104.33
Approved for in-
position OT
Technicians @
Rs.10800/-m, as per
last year
ure.

S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
7.3.a
DH

16 12000 23.04

A.8.1.
7.3.b
FRUs

168 12000 241.92

A.8.1.
7.3.c
Non FRU SDH/ CHC

-

A.8.1.
7.3.d
24 X 7 PHC

-

A.8.1.
7.3.e
Non- 24 X 7 PHCs

-

A.8.1.
7.3.f
Other

-

A.8.1.
7.4
School health teams
(Exclusively for SH)
1352
10800
0
1,593.9
0
-
resource envelop /
A.8.1.
7.4.a
MOs

571 30000
1,027.8
0

A.8.1.
7.4.b
LTs

7 12000 5.04

A.8.1.
7.4.c
Dental Technicians

7 12000 5.04

A.8.1.
7.4.d
Ophthalmic
Assistants
7 15000 6.3

A.8.1.
7.4.e
Staff Nurse

14 15000 12.6

A.8.1.
7.4.f
Pharmacists

373 12000 268.56

A.8.1.
7.4.g
ANMs

373 12000 268.56

A.8.1.
7.4.h
MPW

-

A.8.1.
7.5
Counsellors

54 24660 73.19 15.55
A.8.1.
7.5.1
RMNCH/FP
Counselors
24

32.11 0

S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
A.8.1.
7.5.2
ARSH Counselors

24 10800 31.1 15.55
Existing ARSH
counsellors and 2
nutritional counsellors
for NRCs @ Rs.
10800/-. Approval is
being granted for six
months only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
7.5.3
Honorarium to ICTC
counselors for ARSH
activities

-

A.8.1.
7.5.4
Other (please
specify)
-

A.8.1.
7.6
All Technical HR for
State Specific
Initiatives

-

A.8.1.
7.7
Others (pl specify)

6 13860 9.98 -
Not approved, State to
use existing staff
regular as well as
contractual
A.8.1.
7.8
Staff for Training
Institutes/ SIHFW/
Nursing Training

-

A.8.1.
8
Incentive/ Awards
etc. to SN, ANMs
etc.

10 0 Activity Dropped
A.8.1.
9
Human Resources
Development (Other
than above)
57

83.35 25.34
11 sister tutors
@Rs14400 and 22
PHNs @Rs12000
approved. Approval is
months only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.
10
Other Incentives
Schemes (Pl.Specify)
672 2000 13.44 -

S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
A.8.1.
10.1
Honorarium for
Pediatric ECO, ENT
Specialist,
Orthopediatrician,
Opthalmologist,
Psychatrist

672 2000 13.44 0
resource envelop /
A.8.1.
11
Support Staff for
Health Facilities
28 13860 39.95 1.68
A.8.1.
11.a
DH No. 22 13860 36.59

A.8.1.
11.b
FRUs

-

A.8.1.
11.c
Non FRU SDH/ CHC

-

A.8.1.
11.d
24 X 7 PHC

-

A.8.1.
11.e
Non- 24 X 7 PHCs

-

A.8.1.
11.f
SNCU/ NBSU/
NBCC/ NRC etc
6

3.36 1.68
Approved for cook and
attendant for NRCs.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
Sub-total HR

6806
99752
0
11,280.
91
3,575.7
4

B9
Mainstreaming of
AYUSH
1349 96000
3,480.4
8
752.96
B.9.1
Medical Officers at
CHCs/ PHCs (Only
AYUSH)

712 60000
2,563.2
0
523.008
B.9.1
.1
DH

-

B.9.1
.2
FRUs

-

B.9.1
.3
Non FRU SDH/ CHC

-

B.9.1
.4
24 X 7 PHC

200 30000 720
523.008
Approved for 454 in
position AYUSH
doctors @ Rs 19,200 B.9.1 Non- 24 X 7 PHCs/

512 30000 1,843.2

S.
No.
Budget Head
Unit
of
Meas
ure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed Remarks
(Rs in
Lakhs)
.5 APHCs 0 per month for 6
months. 90 AYUSH
doctors may be
engaged under RBSK
team. New HR not
approved.
B.9.2
Other Staff Nurses
and Supervisory
Nurses/ AYUSH
pharmacists (Only
AYUSH)

637 36000 917.28 249.48
B.9.2
.1
DH

-

B.9.2
.2
FRUs

-

B.9.2
.3
Non FRU SDH/ CHC

-

B.9.2
.4
24 X 7 PHC

200 12000 288
229.95
Approved 365 in
position Dawasaaz @
10,500 per month for
this FY for 6 months.
B.9.2
.5
Non- 24 X 7 PHCs

198 12000 285.12
B.9.2
.6
Urban Clinics/
Health Posts
-

B.9.2
.7
Other

239 12000 344.16 0 New HR not approved.
B9.3
Other Activities
(Excluding HR)
0 0 -

B9.4 Training

-

Grand Total HR

14761.3
9
4328.7


ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT
A full time Mission Director is a prerequisite. Stable tenure of the Mission Director (minimum 3 years)
should also be ensured.
A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on resource
envelope of State), from the State Finance Services not holding any additional charge outside the
Health Department must be put in place, if not already done, considering the quantum of funds
under NRHM and the need for financial discipline and diligence.
Regular meetings of state and district health missions/ societies.
Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff
performance to be monitored against targets and staff sensitized across all areas of NRHM such that
during field visits they do not limit themselves only to their area of functional expertise.
Performance of staff to be monitored against benchmarks; qualifications, recruitment process and
training requirements to be reviewed.
Delegation of financial powers to district/ sub-district levels in line with guidelines should be
implemented.
Funds for implementation of programmes both at the State level and the district level must be
released expeditiously and no delays should take place.
Evidence based district plans prepared, appraised against pre determined criteria; district plans to
be a live document. Variance analysis (physical and financial) reports prepared and
discussed/action taken to correct variances.
Supportive supervision system to be established with identification of nodal persons for districts;
frequency of visits; checklists and action taken reports.
An integrated plan and budget for providing mobility support to be prepared and submitted for
review/approval; this should include allocation to State/ District and Block Levels.
All facilities to maintain visitors registers. All supervisors should write their main observations and
agreed action/recommendation. Supervisors should sign with their name and post (written legibly)
with date of visit.
All LHV positions to be filled on a priority basis. The block PHN and DPHN to be part of block and
district programme management unit respectively. Similarly a Nursing nodal person to be a part of
SPMU. Nursing to be made an integral part of all planning, implementation and monitoring
activities.


DETAILED BUDGET: PROGRAMME MANAGEMENT

S.
No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost (
Rs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
A.10
PROGRAMME
MANAGEMENT
1561 213322 1,493.81 476.43
Approval for
Programme
Management staff is
months only and its
next six months
would be contingent
on compliance of
condition that
Performance
Measurement
system is set up and
implemented to
monitor
performance of
regular and
contractual staff.
A.10.
1
Strengthening of
State society/ State
Programme
Management
Support Unit
78 110880 382.88 145.84

Contractual Staff for
SPMSU recruited
and in position
78 110880 382.88 145.84

A.10.
1.1
State Programme
Manager
1 31500 3.78
145.84
Due to limited
resource envelop,
approved is being
given only for in-
position staff at last
year's rate (based on
the last year
expenditure).
Including HR,
Management cost,
Mobility Support
etc.)
A.10.
1.2
State Accounts
Manager
1 25200 3.02


S.
No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost (
Rs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
A.10.
1.3
State Finance
Manager
1 31500 3.78
State may also opt
for Associate
Programme
Manager on
deputation.
(Assistant Director
(P&S) and
Administrative
Officer may be
engaged against the
positions approved
under Associate
programme
managers). Director
(Planning &
Statistics) may be
engaged against the
position of
Facilitators.
A.10.
1.4
State Data Manager 1 22680 2.72

A.10.
1.5
Consultants/
Programme Officers
(including for
MH/CH/FP/ PNDT/
AH including WIFS
SHP, MHS etc.)
2 6.8
Approval is being
granted for six
months only with
the above
mentioned
condition.
A.10.
1.6
Programme
Assistants
14 73.2

A.10.
1.7
Accountants -

A.10.
1.8
Data Entry
Operators
-

A.10.
1.9
Support Staff (Kindly
Specify)
32 80.68

A.10.
1.10
Salaries for Staff on
Deputation (Please
specify)
26 198.6

A.10.
1.11
Others (Please
specify)
0 0 10.29

A.10.
1.11.
1
Contractual staff at
divisional level
10.29


S.
No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost (
Rs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
A.10.
1.11.
2
Mobility
support,OE,TA/DA,
Montly Review
meeting, Purchase
of computers at
state level &
Divisional level etc

A.10.
2
Strengthening of
District society/
District Programme
Management
Support Unit
241 63772 161.65 78.78

Contractual Staff
for DPMSU
recruited and in
position
241 63772 161.65 78.78

A.10.
2.1
District Programme
Manager
22 20790 54.89
78.78
Due to limited
resource envelop,
approved is being
given only for in-
the last year
expenditure).
Including HR,
Management cost,
Mobility Support
etc.)
A.10.
2.2
District Accounts
Manager
22 16632 43.91

A.10.
2.3
District Data
Manager
22 13860 36.59
Approval is being
granted for six
months only with
the above
mentioned
condition.
A.10.
2.4
Consultants/
Programme Officers
(Kindly Specify)
-

A.10.
2.5
Accountants -

A.10.
2.6
Data Entry
Operators
7 11340 4.76


S.
No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost (
Rs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
A.10.
2.7
Specify)
14 15.03
pended due to
limited resource
envelop / budgetary
constraints.
A.10.
2.8
Others (Please
specify)
0 154 1150 6.47

A.10.
2.8.1
OE, Mobility support
for DPMUs

A.10.
2.8.2
Mobile Charges for
CMO for monitoring
@ Rs. 500/month
22 500 1.32

A.10.
2.8.3
Mobile charges for
District Nodal
Officers for
different
schemes(Dy. CMO,
DHO, DIO) @ Rs.
400 per month
66 400 3.17

A.10.
2.8.4
Mobile Charges for
DPMUs @ Rs. 250
per month
66 250 1.98

A.10.
2.8.5
-

A.10.
3
Strengthening of
Block PMU
1219 28670 424.65 206.72

A.10.
3.1
Block Programme
Manager
-
206.72
Due to limited
resource envelop,
approved is being
given only for in-
the last year
expenditure).
Including HR,
Management cost,
Mobility Support
etc.)
A.10.
3.2
Block Accounts
Manager
117 13860 194.59

A.10.
3.3
Block Data Manager 117 13860 194.59
Approval is being
granted for six
months only with
the above
mentioned

S.
No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost (
Rs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)
condition.
A.10.
3.4
Accountants -

A.10.
3.5
Data Entry
Operators
-

A.10.
3.6
Specify)
-

A.10.
3.7
Others (Please
specify)
985 950 35.46

A.10.
3.7.1
for BPMUs

A.10.
3.7.2
Mobile Charges for
BMO for monitoring
@ Rs. 400/month
No. 117 400 5.62

A.10.
3.7.3
Mobile charges for
Incharge MO
PHC/AD @ Rs
300/month
No. 634 300 22.82

A.10.
3.7.4
Mobile Charges for
BPMUs @ Rs. 250
per month
No. 234 250 7.02

A.10.
4
Strengthening
(Others)
0 0 40 10

A.10.
4.1
Workshops and
Conferences
-

A.10.
4.2
Rent for Divisional
Office
40 10
Approved.
A.10.
4.3
Tally ERP -

A.10.
5
Audit Fees 7.5 7.5
Approved.
A.10.
6
Concurrent Audit
system
23 10000 27.6 27.6
Approved.
A.10.
7
Mobility Support,
Field Visits
0 0 449.54 -

A.10.
7.1
SPMU/State 250.16
Approved under
FMR 10.1
A.10.
7.2
DPMU/District 66
Approved under
FMR 10.2
A.10.
7.3
BPMU/Block 133.38
Approved under
FMR 10.3
A.10.
7.4
Other Supportive
Supervision costs
- -


S.
No.
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost (
Rs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d Remarks
(Rs in
Lakhs)

Sub-total
Programme
Management
1561 213322 1,493.81 476.43


MISSION FLEXIBLE POOL (MFP)


ASHA
TARGETS:
S.
No.
Activity Targets
1. ASHAs with Drug kits
9500

2. ASHAs trained in 6
th
and 7
th
modules Round 1: Training being started
Target for Round 2- 12000 ASHA

Clear criteria for selection of ASHA
Well functioning ASHA support system including ASHA days, ASHA coordinators
Performance Monitoring system for ASHAs designed and implemented (including analysis of
pattern of monthly payments; identification of non/under-performing ASHAs and their
replacement; and reward for well performing ASHAs). State to report on a quarterly basis on
ASHAs average earnings/ range per month.
Timely replenishment of ASHA kits.
Timely payments to ASHAs and move towards electronic payment.
Detailed data base of ASHAs created and continuously updated; village wise name list of ASHA to
be uploaded on website with address and cell phone number.

DETAILED BUDGET:

FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit Cost
( Rs in
lacs)
Amount
Proposed (
Rs in lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B1 ASHA

302144 308600 1,108.14

B 1.1 ASHA Cost:

302144 308600 1108.14 483.255
Approved 50% of
the approved
activities. I.e. Rs
483.255 lacs. The
activities are
approved at last
year's unit cost.
Incentives to ASHA
facilitator for
conducting cluster
meetings, Awards t
ASHA/Link Worker,
ASHA Resource

FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit Cost
( Rs in
lacs)
Amount
Proposed (
Rs in lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
Center - Not
approved.
B1.1.1
Selection &
Training of
ASHA

60 90900 56.22

B1.1.1.1 Module I - IV
No of
Batches
(25 per
batch)
60 90900 54.54

Approved with the
condition that the
training should be 8
days integrated
induction module as
per the present
policy
B1.1.1.2 Module V

-

B1.1.1.3 Module VI & VII

-

Approved state
should share the
details of training
no. of days and cost
per batch. Shifted
from A9.5.3.2
B1.1.1.4 Other Trainings

0 0 1.68

B1.1.1.4.
1
Training on
HBNC for State
Trainers (round
3rd) (7
participants) #

1.68

Approved
B1.1.1.4.
2
Training on
HBNC for ASHA
DRP (round 2nd
) (9 batches 25
participants per
batch) #
No. of
Batches
(25
Person
Per
Batch)
9 174200 -

Approved at last
year's unit cost i.e.
Rs 106000 per
batch. Shifted from
A.95.5.2.b
B1.1.1.4.
3
Training of
ASHA Facilitator
Round 2nd (16
batches 30
participants per
batch) #
No. of
Batches
(30
Person
Per
Batch)
20 137475 -

Approved at last
year's unit cost i.e.
Rs 90,000 per batch.
Shifted from
A.95.5.2.c
B1.1.1.4.
4
Training of
ASHA on HBNC
Round 1 ( part 1
& 2) (125
Batches 25 per
batch)

-


FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit Cost
( Rs in
lacs)
Amount
Proposed (
Rs in lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B1.1.1.4.
5
Training of
ASHA on HBNC
Round 2 (173
Batches 25 per
batch)

-

B1.1.2
Procurement of
ASHA Drug Kit
12000 350 42

B1.1.2.1 New Kits

-

B1.1.2.2 Replenishment

12000 350 42

Approved under
OPD head
(B16.2.5.2) of
General Drugs and
Supplies subject to
the condition;
State to replenish
the drug kits from
the PHC.
B1.1.2.3
Procurement of
ASHA HBNC Kit
0 0 -

B1.1.2.4 New Kits

-

B1.1.2.5 Replenishment

-

B1.1.3
Performance
Incentive/Other
Incentive to
ASHAs (if any)

289687 180350 974.13

B1.1.3.1
Incentive under
MH (ANC/PNC)
100000 250 250

B1.1.3.1.
1
Incentive to
ASHA for full
ANC
No. of
Instituti
onal
Deliveri
es
100000 250 250

Approved Rs 50
lakhs @ Rs 50 for 1
lakh pregnant
women as Incentive
to ASHA for
Registration within
12 weeks. Other
incentives are a part
of the JSY.
B1.1.3.2
Incentive under
CH (HBNC)
100000 250 250

B1.1.3.2.
1
Incentive to
ASHA under
HBNC
No. of
children
visited
by ASHA
100000 250 250

Approved

FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit Cost
( Rs in
lacs)
Amount
Proposed (
Rs in lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B1.1.3.3
Incentive for
FP(
PPIUCD/others)

0 0 -

B1.1.3.4 Incentive for AH

-

B1.1.3.5 Other incentive

65550 166250 315.13

B1.1.3.5.
1
Incentive to
ASHA for event
reporting

-

B1.1.3.5.
2
Monthly
Meeting of
ASHAs (Travel
Expense/refres
hment)

12000 1200 144

Approved at
ongoing unit cost
i.e. @ 75 per
meeting
B1.1.3.5.
3
Incentive for
registration of
Births

50000 100 50

Approved at
ongoing unit cost
i.e. @ Rs 50 per
birth
B1.1.3.5.
4
Incentive for
registration of
Deaths

3000 100 3

Approved at
ongoing unit cost
i.e. @ Rs 50 per
death
B1.1.3.5.
5
Incentive to
ASHA for
managing ASHA
help desk @ Rs.
150 for 8 hours
for 365 days
(365X150X3)

50 164250 82.13

Approved for
ongoing 30 ASHA
Grehs.
B1.1.3.5.
6
Incentive to
ASHA Facilitator
for conducting
cluster
meetings

500 600 36 0 Not Approved
B1.1.3.6
Other (support
provisions to
ASHA such as
uniform, diary,
ASHA Ghar etc)

24137 13600 159

B1.1.3.6.
1
ASHA Diary

12000 100 12

Approved
B1.1.3.6.
2
ASHA help desk
cum rest room
in 20 level 3
MCH facilities

20 10000 2

Approved

FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit Cost
( Rs in
lacs)
Amount
Proposed (
Rs in lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B1.1.3.6.
3
Uniforms to
ASHA (2 sets of
uniform, I-card,
1 sweater, 1
shawl in high
focus districts
@ Rs.1500.00

5000 1500 75

Approved at last
years unit cost i.e.
@ 1000
B1.1.3.6.
4
Uniforms to
ASHA ( 2 sets of
uniforms and I-
card in other
districts @ Rs.
1000.00)/

7000 1000 70

Approved at last
years unit cost i.e.
@ 750
B1.1.4
Awards to
ASHA's/Link
workers

117 1000 1.17

Not approved
B1.1.5
ASHA Resource
Centre/ASHA
Mentoring
Group

280 36000 34.62

Not approved.
B1.1.5.1
HR At State
Level
2

5.64

Not approved.
B1.1.5.2
HR at District
Level
22
District
Coordin
ators
22 24000 5.28

Not approved.
B1.1.5.3
HR at Block
Level
117
Block
Coordin
ators
117 12000 14.04

Not approved.
B1.1.5.4
Mobility Costs
for ASHA
Resource
Centre/ASHA
Mentoring
Group (Kindly
Specify)

139

9.66

Not approved.


UNTIED FUNDS/ RKS/ AMG
Timely release of untied funds to all facilities; differential allocation based on case load. Funds
to be utilized by respective RKS only and not by higher levels.
Review of practice of utilising RKS funds for procurement of medicines from commercial medical
stores and accordingly revisit guidelines for fund utilisation by RKS.
Well functioning system for monitoring utilization of funds as well as purposes for which funds
are spent.
Plan for capacity building of RKS members developed and implemented.
RKS meetings to take place regularly.
Audit of all untied, annual maintenance grants and RKS funds.
The State must take up capacity building of Village Health & Sanitation Committees Rogi Kalyan
Samitis and other community! PRI institutions at all levels
The State shall ensure regular meetings of all community Organizations! District ! State Mission with
public display of financial resources received by all health facilities
The State shall also make contributions to Rogi Kalyan Samitis

BUDGET:
S.
No.
Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Proposed
( Rs in
lacs)
Amount
Approved
Remarks
(Rs in
Lakhs)
B2
Untied
Funds
9811 145000 1111.85 234.06

B2.1
Untied Fund
for
CHCs/SDH
84 50000 42 18.4
Approved for 84 CHCs as
per 3rd quarter
utilization i.e. 43.82%
B2.2
Untied Fund
for PHCs
637 25000 159.25 68.71
Approved for 637
facilities as per list
provided by State and as
per 3rd Quarter
utilization i.e. 43.15%.
B2.3
Untied Fund
for Sub
Centres
2265 10000 226.5 58.14
Approved for 2265
provided by State and as
per 3rd Quarter

B2.4
Untied fund
for VHSC
6821 10000 682.1 86.81
Approved for 6062
VHS&NC where joint
accounts have been
opened As per MIS
December 2012 and as
per utilization i.e.
14.32%.
B2.5 Others
4 50000 2 2
Approved (MCH Sopore
is new)
B.3
Annual
Maintenance
Grants
1426 260000 410.5 132.26

B3.1 CHC
83 100000 83 35.84
Approved for 83 CHCs as
per RHS 2012 @ 3rd
quarter utilization i.e.
43.19%.
B3.2 PHCs
474 50000 237 77.91
Approved for 451
facilities (325 PHC and
126 NTPHC) as per 3rd
34.55%
B3.3 Sub Centres
865 10000 86.5 16.78
Approved for 841
facilities (644 SHC and
197 NTSHC) as per 3rd
19.95%
B3.6 Other
4 100000 4 1.73
Approved for 4 Hospitals.
New is MCH Sopore
B.6
Corpus
Grants to
HMS/RKS
749 800000 845 277.4573

B6.1
District
Hospitals
24 500000 120 46.992
Approved for 22 DH as
per 4th quarter
B6.2 CHCs
84 100000 84 36.5117
Approved for83 CHC as
per 4th quarter
utilization i.e.43.99%
B6.3 PHCs
637 100000 637 192.2448
Approved for 528
facilities (385 PHCs and
143 NTPHCs) as per 4th
quarter utilization
i.e.36.41%
B6.4
Other or if
not
bifurcated as
above
4 100000 4 1.7088
Approved for 4 hospitals
as per 4th quarter
B6.5 SDH -

Grand Total
Funds
2367.35 643.7773


NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP
Works must be completed within a definite time frame. For new constructions upto CHC level, a
maximum of two and a half years and for a District Hospital a maximum period of 3 and a half years
is envisaged. Renovation/ repair should be completed within a year. Requirement of funds should be
projected accordingly. Funds would not be permissible for constructions/ works that spill over beyond
the stipulated timeframe.
Standardized drawing/ detailed specifications and standard costs must be evolved keeping
in view IPHS.
Third party monitoring of works through reputed institutions to be introduced to ensure
quality.
Information on all ongoing works to be displayed on the NRHM website
Approved locations for constructions/ renovations will not be altered
All government health institutions in rural areas should carry a logo of NRHM as recognition
of support provided by the Mission in English/ Hindi & Regional languages.
BUDGET:
S. No. Budget Head
Unit of
Measur
e
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
B5
New
Constructions
(proposed for the
coming year)

10
510000
0
137 0
B5.1 CHCs

B5.2 PHCs

B5.3 SHCs/Sub Centres

7

35 0
Approval pended in
view of limited
resource envelope

Opening of New
Sub Centres
No. 400 333200

0
Approval pended.
State to provide the
list of sub Centers.
B5.4
Setting up
Infrastructure
wing for Civil
works

0 0 -

B5.6
Construction of
BEmONC and
CEmONC centres

2
510000
0
102 0

S. No. Budget Head
Unit of
Measur
e
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
B.5.6.1
Absolutely new
SNCU/NBSU/NBC
C

2
510000
0
102 0
Not approved in
view of limited
resource envelope.
B.5.10
Infrastructure of
Training
Institutions --

0 0 -

B.5.11 SDH

-

B.5.12 DH

-


PROCUREMENT
Strict compliance of procurement procedures for purchase of medicines, equipments etc as per
state guidelines.
Online real time inventory management to be practiced.
Competitive bidding through open tenders and transparency in all procurements to be
ensured.
Only need based procurement to be done strictly on indent/requisition by the concerned
facility.
Procurement to be made well in time & not to be pushed to the end of the year.
Audit of equipment procured in the past to be carried out to ensure rational deployment.
Annual Maintenance Contract (AMC) to be built into equipment procurement contracts.
A system for preventive maintenance of equipment to be put in place.
BUDGET:
FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs)
Remarks
B.16 PROCUREMENT

6941405
3
55453
5
4,055.66 696.3

B16.1 Procurement of
Equipment
2578
45445
0
528.84 94.48

B16.1.1 Procurement of
equipment: MH
0 0 -

B16.1.1.1 Equipments for
Blood Banks/ BSUs
-

B16.1.1.2 MVA /EVA for Safe
Abortion services
-

B16.1.1.3 Others (please
specify)
0 0 -

equipment: CH
0 0 -

B16.1.2.1 Procurement of
equipment: CH
(NBCC @ Rs.
85000 X 50)

equipment: CH
for strengthening
of the paediatrics
department SMGS
hospital Jammu
and GB Pant
Hospital Srinagar
(Training Centre)
-


FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs)
Remarks
project submitted
equipment: FP
2529
45360
0
94.94 94.06

B16.1.3.1 NSV kits
110 1600 1.76 0.88
Approved @
Rs 800 per kit
for 110 kits.
B16.1.3.2 IUCD kits
2409 2000 48.18 48.18
Approved
B16.1.3.3 minilap kits
-

B16.1.3.4 laparoscopes
10
45000
0
45 45
Approved
B16.1.3.5 PPIUCD forceps
-

B16.1.3.6 Other (please
specify)
0 0 -

equipment: IMEP
0 0 -

equipment other
than above
-

OT Equipments
-

B16.1.6 Equipments for
ARSH/ School
Health
49 850 433.9 0.42

ARSH Clinics
49 850 0.42 0.42
Approved
School Health
Equipments for
School Health
Screening
(weighing scale,
Height
measurement
scale and Snellens
Charts)
433.48 0
RBSK
proposal is
kept pended
in view of
limited RE.
Training Institutes
-


FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs)
Remarks
AYUSH
-

Others/Diagnostic
s
-

B.16.2 Procurement of
Drugs and supplies

6941147
5
10008
5
3,526.82 601.82

B.16.2.1 Drugs & supplies
for MH
0 0 -

B.16.2.1.
3
Others (Please
specify)
0 0 -

for CH
4811405 84 387.42 387.42

B.16.2.2.
1
IFA tablets and
De-worm tablets
for students
studying in
primary school
6th to 12th class
teachers, General
IFA Tablets and
Deworming
tablets under
School health
-

B.16.2.2.
2
IFA KID tablets 52 doses
of 1 ml
syrup
for each
child
1644813 14 230.27 230.27
Approved
B.16.2.2.
3
Procurement of
ORS packets
No. of
packets
1879033 2.25 42.28 42.28
Approved
B.16.2.2.
4
Procurement of
zinc tablets
1252689 7.5 93.95 93.95
Approved
B.16.2.2.
5
Procurement of
vitamin A syrup
No. of
bottles
34870 60 20.92 20.92
Approved
for FP
0 0 -

B.16.2.4 Supplies for IMEP
0 0 100 0

B.16.2.4.
1
For colour bags,
bins, needle
destroying units,
transportation
trollies,
Hypochlorite
solution etc.
100 0
Not
Approved

FMR.
Code.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs)
Remarks
B.16.2.5 General drugs &
supplies for health
facilities
0 0 800 42
Not
approved.
B.16.2.5.
1
IPD
800 0
Replenishment of
ASHA drug kits
42

B.16.2.5.
2
OPD
-

for WIFS

6460000
0
1 142.4 142.4

B.16.2.6.
1
IFA No. of
tablets +
20%
buffer
stock
6240000
0
0.2 124.8 124.8
Approved
B.16.2.6.
2
Albendazole No. of
tablets +
10%
buffer
stock
2200000 0.8 17.6 17.6
Approved
for SHP
No. of
districts
x 10
months
70
10000
0
70 30
Rs 30 lakhs is
approved to
procure
medicines of
Rs 16000 per
team and Rs
8000 for once
refill.
Conditionalit
y State to
procure
medicines
only in
accordance
to the RBSK
EDL to be
announced
from GoI.
for UHCs
-

for AYUSH
2,027.00 0
Not
approved.


REFERRAL TRANSPORT
Free referral transport to be ensured for all pregnant women and sick neonates accessing public
health facilities.
Universal access to referral transport throughout the State, including to difficult and hard to reach
areas, to be ensured.
A universal toll free number to be operationalized and 24x7 call centre based approach adopted.
Vehicles to be GPS fitted for effective network and utilization.
Rigorous and regular monitoring of usage of vehicles to be done
Service delivery data to be regularly put in public domain on NRHM website.
All patient/referral transport vehicles engaged under NRHM to be branded as National
Ambulance Service and NRHM logo should be used extensively.

BUDGET:
FMR
Code
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B12
Referral
Transport/Patient
transport System

8
14062
1
1,382.3
9
16.87
Approval Pended
subject to State
implementing National
Ambulance Guidelines
for all the running
ambulances under
NRHM
B12.1
Ambulance/EMRI
Capex
0 0 400

Since there is no further
requirement of new
ambulances, NPCC has
not approved the
activity.
B12.1.
1
State basic
ambulance/ 102
Capex

-

B12.1.
2
Advanced life
support Capex
-

B12.1.
3
EMRI Capex-BLS

400

B12.1.
4
EMRI Capex-ALS

-

B12.2
Operating Cost
/Opex for
ambulance

8
14062
1
982.39 16.87
B12.2.
1
State basic
ambulance/102
Opex

1
14062
1
16.87 16.87
Rs 16.87 lakhs is
recommended for
approval for setting up
two Regional Call
Centres for 102.

FMR
Code
Budget Head
Unit
of
Meas
ure
Quanti
ty /
Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
(Centralised call centre)
subject to sharing the
costing details.
B12.2.
2
Operating Cost
/Opex for ASL
ambulance

-

B12.2.
3
Opex EMRI-BLS

750

B12.2.
4
Opex EMRI-ALS

-

B12.2.
5
HR Basic
ambulance
-

B12.2.
6
HR advanced life
support
ambulances

-

B12.2.
6
Training/orientati
on
-

B12.2.
7
Call centre-capex

30

B12.2.
8
call centre-opex

132

B12.2.
9
Others

7 0 53.52

B12.2.
9.1
Procurement of
Ambulances
-

B12.2.
9.2
Procurement of
Boat Ambulances
1 ALS and 1 BLS
for providing
emergency care
services for the
people of Dal Lake
area
No. of
Ambul
ances
2

48

B12.2.
9.3
HR for Boat
Ambulances
No. of
Perso
ns
5

5.52


MAINSTREAMING OF AYUSH

State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two
streams: Ayurveda and homoeopathy (or Unani, siddha,Yoga as per the local demand). Panchakarma
Unit should also be considered.
OPD in Ayush clinics will be monitored alongwith IPD/OPD for the facility as a whole.
The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load.
Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to enable
them to practice their own system of Medicine without difficulty.
At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered
depending on local preference.
At CHC/PHC level, Post-Graduate Degree may not be insisted upon.
District Ayurveda Officer should be a member of District Health Society in order to participate in
decision making with regard to indent, procurement and issue of AYUSH drugs.
Infrastructure at facilities proposed to be collocated would be provided by Department of Ayush.
Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under NRHM
should be given priority for collocation of Ayush as these are functional facilities with substantial
footfalls.
Ayush medical officers should increasingly be involved in the implementation of national health
programmes and for the purpose of supportive supervision and monitoring in the field. They
should be encouraged to oversee VHND and outreach activities and in addition programmes such
as school health, weekly supplementation of iron and folic acid for adolescents, distribution of
contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.
Ayush medical officer should also be member of the RKS of the facility and actively participate
in decision making.
AYUSH doctors need to be provided under NRHM first in the remotest locations and only
thereafter in better served areas.


BUDGET:
FMR.
Code. Budget Head
Unit of
Measur
e
Quanti
ty /
Target
Unit Cost
( Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approved (
Rs in lacs) Remarks
B9
Mainstreamin
g of AYUSH 1349 96000 3,480.48 752.96
B.9.1
Medical
Officers at
CHCs/ PHCs
(Only AYUSH) 712 60000 2,563.20 523.008
B.9.1.1 DH -
B.9.1.2 FRUs -
B.9.1.3
Non FRU SDH/
CHC -
B.9.1.4 24 X 7 PHC 200 30000 720
523.008
Approved for 454
in position AYUSH
doctors @ Rs
19,200 per month
for 6 months. 90
AYUSH doctors
may be engaged
under RBSK team.
New HR not
approved. B.9.1.5
Non- 24 X 7
PHCs/ APHCs 512 30000 1,843.20
B.9.2
Other Staff
Nurses and
Supervisory
Nurses/
AYUSH
pharmacists
(Only AYUSH) 637 36000 917.28 249.48
B.9.2.1 DH -
B.9.2.2 FRUs -
B.9.2.3
Non FRU SDH/
CHC -
B.9.2.4 24 X 7 PHC 200 12000 288
229.95
Approved 365 in
position Dawasaaz
@ 10,500 per
month for this FY
for 6 months. B.9.2.5
Non- 24 X 7
PHCs 198 12000 285.12
B.9.2.6
Urban Clinics/
Health Posts -
B.9.2.7 Other 239 12000 344.16 0
New HR not
approved.
B9.3
Other
Activities
(Excluding HR) 0 0 -
B9.4 Training -

IEC/BCC
Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved inter-
sectoral convergence particularly with WCD.

BUDGET:
FMR.
Code.
Budget Head
Unit of
Measur
e
Quantit
y /
Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs)
Remarks
B10
IEC-BCC NRHM 3334
3345
0
394.82 90

B.10
Strengthening
of BCC/IEC
Bureaus
(state and
district levels)
0 0 -
90
Rs 90 lacs approved
for IEC (Rs 3
lacs/district for 11
districts and Rs 1
lac/district for 12
districts and the
same amount at
the state level.
Activity at FMR
A.7.2.7 i.e.
Debates, seminars
at
universities/college
s for PNDT
approved.
B.10.1
Development
of State
BCC/IEC
strategy
-
B.10.2
Implementatio
n of BCC/IEC
strategy
3158
2445
0
217.31
B.10.2.1
BCC/IEC
activities for
MH
654
2315
0
37.03
B.10.2.1.
1
Mass media 150
2250
0
33.75
B.10.2.1.
2
Mid-media 504 650 3.28
B.10.2.2
BCC/IEC
activities for CH
2000 650 13
B.10.2.2.
1
Mass media
B.10.2.2.
2
Mid-media 2000 650 13
B.10.2.3
BCC/IEC
activities for FP
504 650 3.28
B.10.2.3.
1
Mass media
B.10.2.3.
2
Mid-media 504 650 3.28
B.10.2.4
BCC/IEC
activities for
ARSH
0 0 53.62

B.10.2.4.
1
Mass media -
B.10.2.4.
2
Mid-media 53.62
B.10.2.5
Other activities
(please specify)
110.38
B.10.2.6
IPC
initiatives/tools
-
B.10.3
Health Mela -
B.10.4
Creating
awareness on
declining sex
ratio issue
53.39
B.10.5
Other activities 176 9000 124.12
B.10.5.1
Printing of MCP
cards, safe
motherhood
booklets etc
-
B.10.5.2
Printing of
WIFS cards etc
-
B.10.5.3
Other printing 176 9000 124.12
B.10.5.3.
1
Promotion and
propagation
and AYUSH
Units at PHCs &
LHTs
20
B.10.5.3.
2
Issue of press
Advertisement
in print media
throught
information
department
12
B.10.5.3.
3
Display of scroll
with nine
slogans from 4
cable networks
of Jammu &
Srinagar cities
with atleast 30
displays per
day @
Rs.8000/- per
scroll per
month.
48 9000 4.32
B.10.5.3.
4
NRHM
Sammelans at
block / Halqa
Panchayat
levels
128 34.4

B.10.5.3.
5
Miscellaneous
IEC/BCC
activites
53.4


MONITORING AND EVALUATION (HMIS)/MCTS

ROAD MAP FOR PRIORITY ACTION MONITORING AND EVALUATION

HR and Infrastructure.
For optimum utilisation of resources, State should integrate manpower, infrastructure, trainings,
reviews, field visit etc for HMIS & MCTS since in most cases the persons to be trained, called for
reviews and making field visits are same

HMIS data reporting, improving data quality and its use
State to ensure that 100 % HMIS facility wise data is uploaded, validated and committed; data
for the month should be available by the 15
th
of the following month
Mission Director and Program Managers at all level to use HMIS data for monthly reviews.
SAS software may be extensively used for State level analysis and feedback to be shared with
GOI
Regular field visits for trouble shooting, Data quality checks, clarification of conceptual issues
regarding HMIS.
Capacity building (Online/offline training, Refreshers training, Workshop etc) to be conducted as
proposed in PIP
Involvement of Regular Statistical Officials along with contractual staff for monitoring and data
quality checks.
Regular feedback on HMIS and MCTS to district/Blocks/facilities to be ensured.
HMIS formats are under rationalization, so Printing of formats, registers may only be done after
consulting MOHFW.

Registration of Births and deaths:
Strengthen birth and deaths registration and issue birth certificates before discharge from facility
and ensure information flow from lower levels to chief registrar of births and deaths
Improve reporting of births and deaths (especially deaths) in HMIS portal.

MCTS: ROAD MAP FOR PRIORITY ACTION
States/ UTs are requested to ensure the implementation of village wise integrated RCH
Register from 2013 in the State. The newly designed Register has already been shared
with States/UTs.
Aadhaar number and bank details of all the pregnant women and health workers (ANM,
ASHA) should be captured in MCTS portal for providing the JSY benefits to the
beneficiaries.
State may establish a dedicated Call Centre for validating the records of the beneficiaries,
informing them about Government Schemes and promoting for availing the due services
on time.

State may ensure that all the health facilities are timely receiving the Work-plan for
necessary follow-up and providing the services to the beneficiaries accordingly.
State may ensure for universal coverage from all the health facilities and private
institutions including urban areas on MCTS Portal. Also ensure for 100 % qualitative,
timely reporting and updating of services delivery records from all the health institutions
including private facilities on MCTS Portal.
State may advise DMHO and BMHO for continuous monitoring, field visit and taking of
corrective action based on MCTS information and ensure for using of MCTS data for
policy formulation, micro planning at different levels and redressal of bottlenecks
pertaining to various programs and schemes.

BUDGET:
FMR
Code
Budget Head
Unit of
Measu
re
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B15
Planning,
Implementation
and Monitoring
14574 320240 991.48 279.19

B15.1
Community
Monitoring
(Visioning
workshops at state,
Dist, Block level)
0 0 -

B15.2 Quality Assurance
0 0 -

B15.3
Monitoring and
Evaluation
14574 320240 991.48 279.19

B15.3
.1
Monitoring &
Evaluation / HMIS
/MCTS
152 23940 207.14 51.44

B15.3
.1.1
HR for
M&E/HMIS/MCTS
2 12600 3.02 1.44
Approved 1.44
lakhs for 2 HMIS
fellow at existing
salary @ 12000 per
month for six
months.
B15.3
.1.5
Data Entry
Operators
150 11340 204.12 50
the activity of data
entry is approved.
However, the work
is to be carried out
on task rate basis
and no post is to be
created.
B15.3
.1.6
Others (Please
specify)
0 0 -


FMR
Code
Budget Head
Unit of
Measu
re
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B15.3
.1.6.1
Boats for
mointoring and
outreach actvities
in Dal Lake-
Srinagar
-

B15.3
.1.6.2
V-Sat for difficult
districts where
internet
connectivity is a
problem- Leh,
Kargil, Poonch &
Rajouri
-

B15.3
.2
Computerization
HMIS and e-
governance, e-
health
496 50750 366.63 35.05

B15.3
.2.1.a
HMIS Operational
Cost (excluding HR
& Trainings)
-

B15.3
.2.1.b
Procurement of
Computers/
printers/ cartridges
etc.
139 50000 69.5 0
Approval pended.
B15.3
.2.1.c
Maintenance of
Computers/ AMC/
etc.
2.5 0
Not approved since
details like number
of computers for
which AMC is
required, the unit
cost of computer &
whether these
computers are
being used for
HMIS/MCTS related
work have not been
provided.
B15.3
.2.1.d
Other Office and
admin expenses
357 750 294.63 35.05

B15.3
.2.1.d
.1
Mobility Support
for M&E
257.5 2.45
Approved 2.45
lakhs @ Rs 10000
per district and Rs
25000 for State
level per annum as
per the norms of
Mobility Support.
Amount approved
is indicative figure
and actual amount

FMR
Code
Budget Head
Unit of
Measu
re
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
would be based on
actual expenditure.
Salient
observations to be
shared with
MOHFW. Visits to
be undertaken only
for HMIS/MCTS
related work.
B15.3
.2.1.d
.2
Internet
connectivity
357 750 32.13 32
Approved @ unit
cost of 750 per
month

B15.3
.2.1.d
.3
Consumables at
State level
2.5 0.3
Approved Rs 0.30
Lakh @ Rs 2500 per
month.
Procurement
should be on the
basis of
competitive bidding
and following
Government
Protocols
B15.3
.2.1.d
.4
Consumables at
divisional level
2.5 0.3
Approved Rs 0.30
Lakh @ Rs 2500 per
month for all
Divisions combined.
Procurement
should be on the
basis of
competitive bidding
and following
Government
Protocols
B15.3
.2.1.d
.5
Consumables at
PHCs and NTPHCs
-

B15.3
.2.2.a
MCTS Operational
Cost (excluding HR
& Trainings)
0 0 -

B15.3
.3
Other M & E
Activities
13926 245550 417.71 192.7


FMR
Code
Budget Head
Unit of
Measu
re
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B15.3
.3.4
Review Meetings
for HMIS
2 100000 2 2
Approved for one
day combined
review for HMIS
and MCTS for at
least 2 reviews per
year at state levels,
at least 1 review
per quarter at
district level and at
least 1 review per
month at block
level. Expenditure
will be as per
extant rule. State
must share the
outcomes of the
meetings with
MoHFW and may
involve PRCs in the
same
B15.3
.3.5
Review Meetings
for MCTS
-

B15.3
.3.6
Data Validation Call
Centers - CAPEX

B15.3
.3.7
Centers - OPEX
8.44 0
Not approved. .
B15.3
.3.8
e-Governance
Initiative
-

B15.3
.3.9
Hospital
Management
Softwares
200 0
Pended. Details
(features,
functionalities,
expenditure,
outcomes etc.) may
be shared.
B15.3
.3.10 Others
13924 145550 207.27 190.7

B15.3
.3.10.
1
Printing of new
registers approved
by GoI
20 20
Approved for
printing MCTS
(Integrated RCH)
register @ Rs 150
per register and not
more than 2
registers per ANM
and HMIS formats
@ 0.40 paisa per
page. Amount
approved is

FMR
Code
Budget Head
Unit of
Measu
re
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
indicative figure
and actual amount
would be based on
actual expenditure.
Printing should be
based on
competitive bidding
following Govt.
Protocols. State
may share a
specimen of MCTS
register / HMIS
formats with
MoHFW before
proceeding with
printing.
B15.3
.3.10.
2
Mobile charges for
ANM at sub-
centres (Regular
ANMs) for tracking
of pregant women
and
children/mointorin
g & Rs 100/-
respctively per
month)
1910 100 22.92 22.92
(On-going activity)
Approved subject
to the condition
that mobile charges
should be provided
only for those
ANMs whose
mobile numbers
are validated and
updated on MCTS
portal. Payment
should be on the
basis of the
updation of records
done by ANM.
State may share the
outcomes so far.
Note: In future
Mobile charge
support will be
provided to the
State for the best
performing ANMs
only. Evaluation will
be done based on
the beneficiaries
coverage reflected
on the MCTS portal.

FMR
Code
Budget Head
Unit of
Measu
re
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B15.3
.3.10.
3
Reimbursement of
Mobile user
charges of ASHA @
Rs 100 per month
12000 100 144 144
(On-going activity)
Approved subject
to the condition
that mobile charges
should be provided
only for those
ASHAs whose
mobile numbers
are validated and
updated on MCTS
portal. Payment
should be on the
basis of the
updation of records
done by ASHA.
State may share the
outcomes so far.
Note: In future
Mobile charge
support will be
provided to the
State for the best
performing ASHAs
only. Evaluation will
be done based on
the beneficiaries
coverage reflected
on the MCTS portal.
B15.3
.3.10.
4
Capity bulidings of
CMOs / BMOs /
DPMUs / BPMUs/
Data Entry
Operators at PHC
and New Type
PHCs at Division
level for re-
orienation of HMIS
and MCTS 28
batches of 35
participants each
14 145350 20.35 3.78
Approved Total
cost of training 3
day combined
training for HMIS
and MCTS @ Rs 300
per day per person
for 1 training per
person per year.
Amount approved
is indicative figure
and actual amount
would be based on
actual expenditure.

FMR
Code
Budget Head
Unit of
Measu
re
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approv
ed ( Rs
in lacs)
Remarks
B15.3
.3.10.
5
Ongoing review of
MCH tracking
activities (2 Review
meeting to be held
after 6 months for
both the Divisions
headed by
Secreatry / Mission
Director to review
HMIS / MCTS in
both the Divisions )
-
No budget has
been proposed
under this activity.


OTHERS
BUDGET: HOSPITAL STRENGTHENING
S. No. Budget Head
Unit of
Measur
e
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
B.4
Hospital
Strengthening
200
250000
0
7,140.00 0

B.4.1
Up gradation
of CHCs, PHCs,
Dist. Hospitals
200
250000
0
7,140.00 0

B4.1.1
District
Hospitals
15 0 1,750.00

B4.1.1
.1
Additional
Building/
Major
Upgradation of
existing
Structure

-

B4.1.1
.2
Repair/
Renovation
-

B4.1.1
.3
Spillover of
Ongoing Works
15

1,750.00 0
Approval pended. State
to project ongoing
proposals which were
approved last year.
B4.1.1
.4 Staff Quarters
-

B4.1.2 CHCs 39 0 2,218.13 0
B4.1.2
.1
Additional
Building/
Major
Upgradation of
existing
Structure
8

601.31 0
Approval pended in
view of limited resource
envelope. State may
submit a
comprehensive plan.
B4.1.2
.2
Repair/
Renovation
-

B4.1.2
.3
Spillover of
Ongoing Works
31

1,616.82 0
to project ongoing
approved last year.
B4.1.2
.4 Staff Quarters
-

B4.1.3 PHCs 35 0 570.5 0
B4.1.3
.1
Additional
Building/
Major
Upgradation of
existing
4

40 0 Approval pended in
envelope

S. No. Budget Head
Unit of
Measur
e
Quantit
y /
Target
Unit
Cost (
Rs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d
(Rs in
Lakhs)
Remarks
Structure
B4.1.3
.2
Repair/
Renovation -
B4.1.3
.3
Spillover of
Ongoing Works
28

440.5 0
to project ongoing
approved last year.
B4.1.3
.4 Staff Quarters
3

90 0
Approval pended in
envelope
B4.1.4 Sub Centres 96 0 426.37 0
B4.1.4
.1
Additional
Building/
Major
Upgradation of
existing
Structure

-

B4.1.4
.2
Repair/
Renovation
-

B4.1.4
.3
Spillover of
Ongoing Works
96

426.37

to project ongoing
approved last year.
B4.1.4
.4 ANM Quarters
-

B4.1.5
Others (MCH
Wings)
15
250000
0
2,175.00 0

B4.1.5
.1
(Absolutely)
New / Rented
to Own
Building
8

2,000.00 0
Activity is pended in
envelope.
B4.1.5
.2
Additional
requirement
from previous
work

-

B4.1.5
.3
Carry forward
/Spillover of
Ongoing Works

-

B4.1.5
.4
Other
construction
7
250000
0
175 0

B4.1.5
.4.1
Civil works for
DEIC under
RBSK No.
7
250000
0
175 0
RBSK is kept pended in
view of limited
Resource Envelope.
B4.1.6 SDH 0 0 -


BUDGET: HEALTH ACTION PLANS

FMR
Code
Budget Head Quantity
/ Target
Unit
Cost (
Rs)
Amount
Proposed
(Rs. In
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B7
Health Action Plans
(Including Block,
Village) 0 0 -

BUDGET: INNOVATIONS

FMR.
Code. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approved
( Rs in
lacs) Remarks
B14
Innovations( if
any) 408 358200 1,679.04 1
B14.1
Intersectoral
convergence 4 25000 1 1 Approved.
B14.2
Community
Based
Monitoring and
Planning
(CBMP)
B14.3
Distict Based
Comprehensive
Newborn Care
Package - NIPI
UNOPS and
Government of
J&K
Collaboration
No. of
Pilot
Districts 4 345.24 0
not recommended keeping
in view that state has to
utilise the available
resources for the existing
activities
B14.5
Incentive to
parents having
two daughters
adopting
permanent
method of
family planning -
B14.6
Incentive to
the Village
Health
Sanitation and
Nutrition
Committees
where the sex -

FMR.
Code. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approved
( Rs in
lacs) Remarks
ratio at birth is
1:1
B14.7
Opening of
New Sub
Centres No. 400 333200 1,332.80 0 shifted to B5.3
B14.8
Establishment
of PC&PNDT
cell at
Divisional Level -
B14.9
Initiatives
under School
Health
Programme -

BUDGET: DRUG WARE HOUSE

FMR. Code. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost (
Rs in
lacs)
Amount
Propose
d ( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B.17
Regional drugs
warehouses/Logis
tics management 0 0 400 200
B.17.1 Drug warehouses 400 200
Approved 50% of work in
envelope.
B.17.2 Staff at State level -
B.17.3
Staff at District
level -
B.17.4 Others 0 0 -

BUDGET: NEW INITIATIVES

FMR. Code. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approved
( Rs in
lacs) Remarks

B.18
New Initiatives/
Strategic
Interventions (As
per State health
policy)/
Innovation/
Projects
(Telemedicine,
Hepatitis, Mental
Health, Nutrition
Programme for
Pregnant Women,
Neonatal) NRHM
Helpline) as per
need (Block/
District Action
Plans) 0 0 14.17 14.17
B.18.1 Help Lines 14.17 14.17
Approved as
an ongoing
activity

BUDGET: OTHER EXPENDITURE

FMR.
Code. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs in
lacs)
Amount
Proposed (
Rs in lacs)
Amount
Approved (
Rs in lacs) Remarks
B.23
Other
Expenditures
(Power Backup,
Convergence etc) 0 0 991.92 45.92
B.23.1
Power Backup for
Kashmir Divion
Office & DHSs -
B.23.2
Strengthening of
RIHFW 45.92 45.92
Approved
as an
ongoing
activity.
B.23.3
Upgradation of 2
Drug Testing
Laboratories
(Divisional level) 701 0
Approval
Pended in
view of
limited
Resource
Envelope

FMR.
Code. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs in
lacs)
Amount
Proposed (
Rs in lacs)
Amount
Approved (
Rs in lacs) Remarks
B.23.4
Running cost for
Central Heating
System in Leh /
Kargil 245 0
Not
Approved


NATIONAL DISEASE CONTROL
PROGRAMMES (NDCPs)


NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)

ROAD MAP

Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to below
5% in the entire country by 2017 and (ii) to ensure 100% consumption of adequately iodated salt (15ppm)
at the household level under National Iodine Deficiency Disorders Control programme:

1. Establishment of State IDD Cell, if not established in the State/UT for implementation
programme activities.

2. Establishment of State IDD monitoring laboratory, if not established in the State/UT for
conducting quantitative analysis of iodized salt and urine for iodine content and urinary
iodine excretion.

3. All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab Technician
and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory should be filled on
regular/contractual basis on priority for smooth implementation of programme.

4. Supply, availability and consumption of adequately iodized salt in the state should be
monitored.

5. District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to assess the
magnitude of IDD in the respective districts as approved in the PIP and reports accordingly
submitted.

6. Procurement of salt testing kits for endemic districts by State/UT for use of ASHA/Health
Personnel for creating awareness & monitoring of iodated salt consumption at household
level. Monthly reports are to be submitted as per the prescribed proforma.

7. ASHA incentives Rs. 25/- per month for testing 50 salt samples per month in endemic
districts should be made available on regular basis to ASHA.

8. Health education and publicity should be conducted with more focus in the endemic
districts emphasizing about IDD and promotion of consumption of adequately iodized salt.
Should observe Global IDD Celebrations on 21
st
October by conducting awareness activities
at various level and submission of reports.


DETAILED BUDGET NIDDCP

FMR
Code
BUDGET HEAD
Physica
l target
Unit
Cost (
Rs)
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS

D

IDD

D.1 IDD Control
Cell-
Impleme
ntation
&
monitori
ng of the
program
me
15.50 14.00 State Govt. may conduct and
co-ordinate approved
programme activities and
furnish quarterly financial &
physical achievements as per
prescribed format

D.1.a Technical
Officer
1
D.1.b Statistical
Assistant
1
D.1.c LDC Typist 1
D.2 IDD
Monitoring
Lab-
Monitori
ng
of distric
t level
iodine
content
of salt
and
urinary
iodine
excretio
n as per
Policy
Guidelin
es.
6.50 6.00 The vacant post of Lab
Assistant should be filled up
on regular/contractual basis
on priority

State Govt. may conduct
quantitative analysis of salt &
urine as per NIDDCP
Guidelines and furnish
monthly/quarterly statements

D.2.a Lab Technician 1
D.2.b Lab. Assistant 1
D.3 Health
Education &
Publicity
Increase
d
awarene
ss about
IDD and
iodated
salt.
2.00 2.00 IDD publicity activities
including Global IDD Day
celebrations at various level.
D.4 IDD
Survey/resurve
ys
Rs.
50,000
per
4
districts
2.00 2.00 State. Govt. may under take 4
districts IDD survey as per
guidelines and furnish report.

district
D.5 Salt Testing Kits
to be procured
by the State
Government
for 14 endemic
districts
12 STK
per
annum
per
ASHA
Creating
iodated
salt
demand
and
monitori
ng of the
same at
the
commun
ity level.
** State Govt. to monitor the
qualitative analysis of iodated
salt by STK through ASHA in 14
endemic districts i.e.
Ananthnag, Badgam,
Baramulla, Doda, Jammu,
Kargil, Kathau, Kupwara,
Ladakh, Pulwama, Pounch,
Rajori, Srinagar, Udhampur.
D.6 ASHA Incentive Rs.25/-
per
month
for
testing
50 salt
sample
/month
50salt
samples
per
month
per
ASHA in
14
endemic
districts.
36.00 **
TOTAL 64.50 24.00

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for
14 endemic districts funds will be released through flexi pool of NRHM by GOI.


INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

Priority Actions to be carried out by the State:

There are 16 vacant posts of technical contractual staff (15 Epidemiologists & 1 Entomologist)
under IDSP in the State. The State needs to expedite the recruitment of these staff.
The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers under IDSP
has been completed for the State/Districts. However, the State may give the additional list of
participants to be trained for ToT and 2-week FETP.
Presently 15 of 22 Districts are reporting regularly on IDSP portal. Presently only 36%, 37% and
35% of all the Reporting Units are reporting weekly surveillance data respectively in S, P & L-form
through IDSP Portal. The State needs to ensure regular weekly reporting of all surveillance data (S,
P, L) by all the Reporting Units of all Districts through IDSP Portal.
Districts never reported on the IDSP Portal are Kistwar, Kupwara, Reasi, and
Samba.
Districts reported irregular on the IDSP portal are Doda, Anantnag, Ganderbal
The State has to ensure consistent reporting of L form in portal by the district priority lab at
Srinagar. Functionality of Referral lab network is to be established in 2013-14.
Appropriate clinical samples need to be sent for the required lab investigations for all outbreaks. In
2012, clinical samples were sent for laboratory investigation for 64% of the disease outbreaks in
which 36% were lab confirmed.
The State needs to send full investigation report for each disease outbreak. Presently, such
investigation reports are not available for outbreaks.
4
th
quarter financial monitoring report (FMR) for the year 2012-13 is pending from Jammu
division.

Non-negotiable IDSP priorities for States:

Dedicated State Surveillance Officer (SSO) for implementation of IDSP.
All States to provide weekly report on the disease surveillance data on epidemic prone diseases and
the weekly outbreak report regularly through portal.
All the States to timely submit their Statement of Expenditure, Utilization Certificate and Audit
reports.
Every State will undertake in-depth review of IDSP at least once in a year and will share the report
with Central Surveillance Unit (CSU), IDSP
DETAILED BUDGET IDSP
Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Jammu Division (JK)

No. of District: 10
FMR
Code
Activity Unit Cost
(where-ever
applicable)
Amount
Proposed (Rs.
in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
E1. Operational Cost
1.1 Field Visits

5.0+ 24.0
(2.40x10)
29.0

1.2 Office Expenses
1.3 Broad Band expenses
1.4 Outbreak investigations
including Collection and
Transport of samples
1.5 Review Meetings
1.6 Any other
Sub Total 29.0 29.0
E2. Laboratory Support
2.1 District Priority Lab
2.2 Referral Network Lab 5.00x1+5 5.0
2.3 District health lab 34.70x4= 138.8 35.8 (non
recurring)
143.8 40.8
E3. Human Resources

3.1 Remuneration of
Epidemiologists
52.80 33.66

The remuneration for
vacant positions has
been calculated for 6
months only, and for
microbiologist
remuneration has been
calculated for 9
months.
*Medical
Epidemiologists,
Consultant training and
Medical
Microbiologists with
medical qualifications
should be paid higher
remuneration than the
non-medical
epidemiologists,
consultant training and
microbiologists

The microbiologist can
be appointed at one of
the labs being
established under IDSP

3.2 Remuneration of
Microbiologists
4.80 3.60
3.3 Remuneration of
Entomologists
3.6 -
3.4 Veterinary Consultant - -
3.5 Consultant-Finance/
Procurement
3.78 -
3.6 Consultant-Training/
Technical
4.20 -
3.7 Data Manager 28.22

20.76

3.8 Data Entry Operator 22.91 16.28

Sub Total 120.27 74.3
E4. Training As per
NRHM
Guidelines

Training of DM & DEO
would be conducted
online
4.1 One day training of Hospital
Doctors
3,00,000
( 60,000 x 5
Batches )
1.0
Pharmacist / Nurses
1,00,000
( 25,000 x 4
Batches )
0.50
4.3 One day training of
Medical College Doctors
62,000
(31,000 x 2
Batches )
0.20
4.4 ASHA & MPWs AWW and
community volunteers
1,00,000
(25,000 x 4
Batches )
0.0
4.5 Training of Lab technicians 1,00,000
( 50,000 x2
batches )
0.30
4.6 One day training of DM &
DEO
88,000
( 44,000 x 2
Batches )
0.0
One day training for data
entry and analysis for block
health team (Including
block programme manager
50,000
( 25,000 x 2
Batches)
0.0
Sub Total 8.0 2.0
E5. Outbreak Investigation &
Response

E6. Analysis & Use of Data
E7. Civil Works
E8. Procurement of Computer
Hardware

E10. New Districts 14.0 14.0
Total (Jammu) 315.07 160.1

Based on past trend, Rs. 100 lakhs has been approved for JK under IDSP for 2013-14. However, if there
is increase in expenditure by State as per IDSP approved norm, the budget for State could be increased
at RE stage


Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Kashmir Division (JK)
No of Districts (12)

FMR
Code
Activity Unit Cost
(where-ever
applicable)
Amount
Proposed (Rs.
in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
1.1 Field Visits
Rs 2,40,000 per
District
Surveillance
Unit per annum
Rs 5,00,000
State
Surveillance
Unit per annum

42.00

33.80

1.2 Office Expenses
1.5 Review Meetings
1.6 Any other Activities
Sub Total 42.00 33.80
2.1 District Priority Lab Rs. 4,00,000
per district
priority lab per
annum
4.0 4.0
2.2 Referral Network Lab Rs. 5,00,000
per referral lab
per annum
10.0(5.0x2) 10
2.3 District public health lab 2 (Anantnag
and Baramulla
46.0(30 non
recurring+ 16
recurring)
38.0(30 non
recurring+ 8
recurring)

Sub Total 60.0 52.0
E3. Human Resources

3.1 Remuneration of
Epidemiologists
62.4 45.6

vacant positions has been
calculated for 6 months
only
*Medical Epidemiologists,
Medical Microbiologists
with medical qualifications
non-medical
epidemiologists, consultant
training and
microbiologists
3.2 Remuneration of
Microbiologists
9.6 9.6
3.3 Remuneration of
Entomologists
3.6 1.80
3.4 Veterinary Consultant 3.6 1.80
Procurement
2.40 2.40
Technical
3.6 1.80
3.7 Data Manager 31.00 22.92
Sub Total 138.0 104.64
E4. Training As per NRHM
Guidelines


Hospital Doctors
3.60 (.60x
6batches)
1.00

would be conducted online
Hospital Pharmacist /
Nurses

0.50( .25x2
batches)
0.25
0.31 0.16
4.4 One day training for
Data Entry and analysis
for Block Health Team

0.25(.25x1) 0.13
4.5 One day training of DM
& DEO

0.88(.44x2) 0.0
Lab technician training 0.50( .50x1
batches)
0.25
ASHA MPWs AWW and community
volunteers
0.75(.25x3) 0.37
Subtotal Total 6.79 2.16
E5. ID Hospital Network
E7. New formed
Districts(Computer
hardware )
14.0 - Already approved in ROP
2012-13

Total (Kashmir) 260.79 192.6

Total (Jammu) 315.07 160.1

Total (Jammu &Kashmir) 575.86 352.7

at RE stage


NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

Physical Target

Sr.
No.
Indicator 2011 2012 2013 Remarks
1 Annual Blood Examinate
Rate (ABER) i.e. persons
screened annually for
Malaria
8.96% 8.98% >10 % Since this is annual figure the
proportionate target for six months by
monthly blood examination rate
should also be fixed.
Surveillance needs to strengthen in the
Jammu division. In view of malaria
cases reported by Kashmir division
surveillance needs to be strengthened
in Baramulla and Ramban districts.
2 Annual Parasite
Incidence (API) i.e.
Malaria cases per 1000
population annually
0.2 0.16 <0.2 Needs to monitor the districts of
Jammu division.
3 Sentinel Surveillance
Hospital made functional
for Dengue &
Chikungunya
7 7 7 The functionality to be sustained &
ensured and should be monitored by
their regular reports

Priority areas for focussed attention:
1. Districts of Jammu division need to focus on prevention and control of VBDs with special emphasis on
Malaria and Dengue.
2. All the 7 Sentinel Surveillance Hospitals for Dengue and Chikungunya to be equipped with ELISA
facility, manpower and diagnostic kits and functionality to be ensured.

Essential Conditionality:

Post Sanctioned In
position
Vacant Target for 2013-14
District Malaria Officer
(DMO)
6 3 3 The vacant sanctioned post to
be recruited on priority. In view
of malaria cases reported from
the districts of Kashmir division
posts for districts in the division
need to be processed for
sanctioning and to recruit.
Two review meetings in a year to be conducted under the Chairmanship of Principal Secretary
(Health)/Mission Director - one before transmission period and second during transmission
period.


District wise goals
(To be done by State)
ABER API Deaths
2013-14 2013-14 2013-14
To be filled and monitored

Desirable Conditionality:
The vacant regular post for medical and Para medical staff should be filled up so as to strengthen the
surveillance in the state

Road Map for priority Action:

Surveillance & monitoring under NVBDCP is done throughout the year. Following salient points are to
monitor the implementation of programme activities in different quarters.

1. April to June - Focal spraying and observance of anti-malaria month to be ensured and
accordingly funds availability at districts to be ensured
2. July to Sept. - Focal spraying and observance of anti-dengue month.
3. Oct. to Dec.-Review and Monitor physical and financial performance and preparation of next
annual plan.
4. Jan. to March - Consolidation of previous years physical and financial achievement and plan for
next year.


DETAILED BUDGET

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
F.1 DBS (Domestic Budget
Support)

F.1.1 Malaria
F.1.1.a Human Resource
including MPW
contractual

Lab Technicians (
against vacancy )

VBD Technical
Supervisor (one for
each block)

District VBD Consultant
(one per district) (Non-
Project States)

State Consultant (Non
Project States)
- M& E Consultant
(Medical Graduate with
PH qualification)
- VBD Consultant
(preferably
entomologist)

F.1.1.b ASHA Incentive 5.70 8.00
F.1.1.c Operational Cost
Spray Wages 3.00 Recommended
for focal spray
from NRHM
additionalities
Operational cost for IRS
Impregnation of Bed
nets- for NE states

F.1.1.d Monitoring , Evaluation
& Supervision &
Epidemic Preparedness
including mobility
4.90 8.00 Recommended
F.1.1.e IEC/BCC 10.55 10.00 Recommended
F.1.1.f PPP / NGO and
Intersectoral
Convergence

F.1.1.g Training / Capacity
Building
F.1.1.h Zonal Entomological
units
6.00 Not approved
due to
budgetary

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
restriction
F.1.1.i Biological and
Environmental
Management through
VHSC

F.1.1.j Larvivorous Fish
support

F.1.1.k Construction and
maintenance of
hatcheries
12.00 Not
Recommended
F.1.1.l Contingencies
Total Malaria (DBS) 51.15 36.00
F.1.2 Dengue & Chikungunya
F.1.2.a Strengthening
surveillance (As per
GOI approval)

F.1.2.a(i) Apex Referral Labs
recurrent

F.1.2.a(ii
)
Sentinel surveillance
Hospital recurrent
6.00 7.00 Opertional
costs for
laboratories as
per guidelines
to strengthen
diagnostic
facilities
ELISA facility to
Sentinel Surv Labs

F.1.2.b Test kits (Nos.) to be
supplied by GoI (kindly
indicate numbers of
ELISA based NS1 kit and
Mac ELISA Kits required
separately)
MAC ELISA
kits are GOI
supply through
NIV, Pune.
ELISA based
NS1 kits also
decentralized
item to be
procurred by
State out of
cash grant
under
decentralized
commodity.
F.1.2.c Monitoring and
evaluation
2.20 2.20 To improve
programme
implementatio
n and case
mangament to
F.1.2.d Epidemic containment 1.75 1.25
F.1.2.e Case management 1.00

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
bring down
Dengue Case
fatality rate
F.1.2.f Vector Control &
environmental
management
5.00 Essential
component,
state need to
plan source
reduction
activities as
per the Mid
Term Plan
approved by
CoS
F.1.2.g IEC BCC for Social
Mobilization
2.00 3.00 State to plan
the activities
as per GoI
guidelines
F.1.2.h Inter-sectoral
convergence
0.50
F.1.2.i Training including
Operational Research
0.00
Total
Dengue/Chikungunya
11.95 19.95
F.1.3 Acute Encephalitis
Syndrome (AES)/
Japanese Encephalitis
(JE)

F.1.3.a Diagnostics and Case
Management including
rehabilitation

NA NA

F.1.3.b IEC/BCC specific to J.E.
in endemic areas

F.1.3.c Capacity Building
F.1.3.d Monitoring and
supervision

F.1.3.e Technical Malathion
Fogging Machine

Operational costs for
malathion fogging

Rehabilitation Setup for
selected endemic
districts

ICU Establishment in
endemic districts

ASHA Insentivization for
sensitizing community


FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
Other Charges for
Training /Workshop
Meeting & payment to
NIV towards JE kits at
Head Quarter

Total AES/JE 0.00 0.00
F.1.4 Lymphatic Filariasis
F.1.4.a State Task Force, State
Technical Advisory
Committee meeting,
printing of
forms/registers,
mobility support,
district coordination
meeting, sensitization
of media etc., morbidity
management,
monitoring &
supervision, mobility
support for Rapid
Response Team and
contingency support

Not
Applicabl
e
Not
Applicabl
e

F.1.4.b Monitoring by
Microfilaria Survey

F.1.4.c Monitoring &
Evaluation (Assessment)

F.1.4.d Training District
Officers, PHC MOs,
Paramedical staff, drug
distributors

F.1.4.e BCC/Advocacy/IEC at
state, district/PHC, sub
centre

F.1.4.f Honorarium for Drug
Distribution including
ASHAs and supervisors

Verification and
validation for stoppage
of MDA in LF endemic
districts

a) Additional MF Survey
b) ICT Survey
c) ICT Cost
Verification of LF
endemicity in non-
endemic districts


FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
a) LY & Hy Survey
b) Mf Survey in Non-
endemic distt

c) ICT survey
Post-MDA surveillance
Total Lymphatic
Filariasis
0.00 0.00
F.1.5 Kala-azar
F.1.5 Case search/ Camp
Approach

Not
Applicabl
e
Not
Applicabl
e

F.1.5.a Spray Pumps &
accessories

F.1.5.b Operational cost for
spray including spray
wages

F.1.5.c Mobility/POL/supervisio
n

F.1.5.d Monitoring &
Evaluation

F.1.5.e Training for spraying
F.1.5.f IEC/ BCC/ Advocacy
Total Kala-azar 0.00 0.00
Total (DBS) 63.10 55.95
F.2 Externally aided
component

F.2.a World Bank support for
Malaria (Identified
state)

F.2.b Human Resource
Not
Applicabl
e
Not
Applicabl
e

F.2.c Training /Capacity
building

F.2.d Mobility support for
Monitoring Supervision
& Evaluation including
printing of format &
review meetings,
Reporting format (for
printing formats)

Kala-azar World Bank
assisted Project

F.2.e Human resource
Not
Applicabl
e
Not
Applicabl
e

F.2.f Capacity building
F.2.g Mobility
F.3 GFATM support for
Malaria (NE states)


FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
F.3.a Project Management
Unit including human
resource of N.E. states

Not
Applicabl
e
Not
Applicabl
e

F.3.b Training/Capacity
Building

F.3.c Planning and
Administration( Office
expenses recurring
expenses, Office
automation , printing
and stationary for
running of project)

F.3.d Monitoring Supervision
(supervisory visits
including travel
expenses, etc) including
printing of format and
review meetings,

F.3.e IEC / BCC activities as
per the project

F.3.f Operational cost for
treatment of bednet
and Infrastructure and
Other Equipment
(Computer Laptops,
printers, Motor cycles
for MTS )

Total : EAC component 0.00 0.00
F.4 Any Other Items (
Please Specify)
0.00 0.00
F.5 Operational costs (
mobility, Review
Meeting,
communication,
formats & reports)
0.00 0.00
Grand total for cash
assistance under
NVBDCP (DBS + EAC)
63.10 55.95
F.6 Cash grant for
decentralized
commodities

F.6.a Chloroquine phosphate
tablets
4.00
22.20
The
commodities
are
recommended
however it
may be
F.6.b Primaquine tablets 7.5
mg
0.10

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
F.6.c Primaquine tablets 2.5
mg
0.00 restricted to
budgetary
allocation F.6.d Quinine sulphate
tablets
0.00
F.6.e Quinine Injections 0.00
F.6.f DEC 100 mg tablets 0.00
F.6.g Albendazole 400 mg
tablets
0.00
F.6.h Dengue NS1 antigen kit 0.00
F.6.i Temephos, Bti (AS) / Bti
(wp) (for polluted & non
polluted water)
24.00
F.6.j Pyrethrum extract 2%
for spare spray
6.00
F.6.k Any Other Items (
Please Specify)

ACT ( For Non Project
states)

RDT Malaria bi-valent
(For Non Project states)

Total grant for
decentralized
commodities
34.10 22.20
Grand Total for grant-
in-aid under NVBDCP
97.20 78.15
Commodity to be
supplied by NVBDCP
0.00
Total NVBDCP Cash +
Commodity
97.20 78.15
Cash assistance required under NRHM flexi fund
Components Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Ammoun
t
Proposed
Ammoun
t
Approve
d
Remarks

Spray Wages 3.00 3.00
Recommended

Total (Flexi fund) 3.00 3.00


NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

S.No Goals & Target September'13 March 2014
1 Elimination at District level NA NA
2 Case detection through ASHA 50 100
3 Special activity plan in blocks - -
4 MCR footwear procurement & supply 50 100
5 RCS - -
6 Development of leprosy expertise 50% of Plan 100% of Plan
7
Treatment Completion Rate assessment
for the year 2013-14
Completed -
8 Audited Report for the year 2013-14 Completed -
9
Expenditure incurred against approved
plan budget
50% 100%

NA: Not Applicable


DETAILED BUDGET- JAMMU DIVISION

Activity proposed Unit
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
G1.Case detection &
Management

1.1 Specific -plan for
High Endemic
Districts
Block - - -
1.2 Services in Urban
Areas
Town - Town - 2 2.28 2.28
Med I-
Med II-
Mega-
Med I-
Med II-
Mega-
1 2.40 2.40
1.3. ASHA
Involvement

Sensitization 100 600 0.60 0.60
*Incentive to ASHA
Detection 250 100 0.25 0.25

PB 400 50 0.20 0.20
MB 600 50 0.30 0.30
1.4 Material &
Supplies

Supportive drugs,
lab. reagents &
equipments and
printing works
District 68,000 10 6.80 6.80
1.5 NGO - Scheme No. 600000 - - -
G2. DPMR
MCR footwear, Aids
and appliances,
Welfare allowance
to patients for RCS,
Support to govt.
institutions for RCS

MCR - 300/- 100 0.30 0.30
2 pair per
person
Aids/Appliance -
17000
1 0.17 0.17
Welfare/RCS -
8000
- - -
At Institute -
5000
- - -
At camps -
10000

G3. ** IEC/BCC
Mass media,
Outdoor media,
Rural media,
Advocacy media
98,000 10 9.80 9.80
G4. Human
Resources &


Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
Capacity building
4.1 *** Capacity
building
11 3.80 3.80
4.2. Human
Resources on
contract

4.2.1. ****
Contractual Staff at
State level

SMO 1 40000 - - -
BFO cum Admn.
Officer
1 30000 - - -
Admn. Asstt. 1 16000 1 1.92 1.92
DEO 1 12000 1 2.88 1.44 Only one DEO
Driver 1 11000 - - -
4.2.2. District
Leprosy Consultant
30000 - - -
Post of Driver
of districts not
available
Physiotherapist 25000 - - -
4.2.3. Special
Provision for
selected States

NMS No. 25000 - - -
4.2.4. Staff for
blocks

PMW No. 16000 - - -
G5. Programme
Management
ensured

5.1. Travel Cost
travel expenses -
State level
80000 10 0.60 0.60
travel expenses -
District level
25000 - - -
No Contractual
at district
5.2 Review meetings 20000 to 50000 4 1.20 1.20
5.3 Office Operation
& Maintenance

Office operation -
State Cell
1 75000 1 0.75 0.75

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
Office operation -
District Cell
No. 35000 10 3.50 3.50
Office equipment
maint. State
1 50000 1 0.50 0.50
5.4 Consumables
State Cell 1 50000 1 0.50 0.50

District Cell No. 30000 10 3.00 3.00
5.5 Mobility Support
State Cell 2 200000 2 2.00 2.00
District Cell 1 150000 10 15.00 15.00
G6 Others
travel expenses -
State level

GRAND TOTAL
(JAMMU)
58.75 57.31

*Incentive to ASHAs will be given at revised rate subject to the approval by MSG.
**The State Leprosy Officer will be able to distribute the total IEC funds on the basis of actual
requirements of each district keeping adequate funds at State level under Mass Media and Advocacy
meetings.
***Unit cost OF Training to be calculated as per State NRHM norm fixed for all health programmes.
**** Remuneration of Contractual staff may be revised keeping in view the prevailing rate of
remuneration in other National Health Programmes.

NLEP- KASHMIR DIVISION

1 Elimination at District level
NA NA
2 Case detection through ASHA Target to be given by state

3 Special activity plan in blocks
- -
4 MCR footwear procurement & supply
60 121

5 RCS
3 7
6 Development of leprosy expertise
50% of Plan 100% of Plan
7
Treatment Completion Rate assessment
for the year 2013-14
Completed -
8 Audited Report for the year 2013-14
Completed -
9
Expenditure incurred against approved
plan budget
50% 100%

NA: Not Applicable

DETAILED BUDGET- KASHMIR DIVISION

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
G1.Case detection &
Management

High Endemic
Districts
Block - - -
Areas
Town - Town - - - -
To be
decided
Med I-
Med II-
Mega-
Med I-
Med II-
Mega-
- - -
1.3. ASHA
Involvement

Sensitization 100
- 0.54 0.54
Target not
given
* Incentive to ASHA
Detection 250
PB 400
MB 600
1.4 Material &
Supplies


Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
Supportive drugs, lab.
reagents &
equipments and
printing works
District 68,000 12 6.24 6.24
1.5 NGO - Scheme No. 600000 - - -
G2. DPMR
MCR footwear, Aids
and appliances,
Welfare allowance to
patients for RCS,
Support to govt.

MCR - 300/-
- 7.50 7.00
Execss
demand
Aids/Appliance -
17000
Welfare/RCS -
8000
At Institute -
5000
At camps - 10000
G3. ** IEC/BCC
Mass media, Outdoor
media, Rural media,
Advocacy media
98,000 12 6.00 6.00
G4. Human
Resources & Capacity
building

4.1 *** Capacity
building
21 7.00 7.00
4.2. Human
Resources on
contract

4.2.1. ****
State level

SMO 1 40000 - - -
BFO cum Admn.
Officer
1 30000 1 3.60 3.60
Admn. Asstt. 1 16000 1 2.16 1.92
DEO 1 12000 1 1.92 1.44
Only one
DEO
Driver 1 11000 1 1.32 1.32

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
4.2.2. District Leprosy
Consultant
30000 - - -
Post of
Driver of
districts not
available
4.2.3. Special
Provision for selected
States

NMS No. 25000 - - -
4.2.4. Staff for blocks
PMW No. 16000 - - -
G5. Programme
Management
ensured

5.1. Travel Cost
travel expenses -
State level
80000 1 0.80 0.80
travel expenses -
District level
25000 - - -
No
Contractual
at district
& Maintenance

Office operation -
State Cell
1 75000 1 0.38 0.38
Office operation -
District Cell
No. 35000 12 2.16 2.16
Office equipment
maint. State
1 50000 1 0.30 0.30
5.4 Consumables
State Cell 1 50000 1 0.28 0.28

District Cell No. 30000 12 1.68 1.68
State Cell 2 200000 1 0.85 0.85
District Cell 1 150000 12 9.00 9.00
G6 Others

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
travel expenses -
State level

GRAND TOTAL
(KASHMIR)
53.73 52.51
GRAND TOTAL
(JAMMU)
58.75 57.31
GRAND TOTAL
(JAMMU &
KASHMIR)

117.48 109.82

meetings.


REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)

Targets
S.No Indicators 2012 2013-14
1 Case detection rate 49% 70%
2 Treatment success rate 89% 90%
3 MDR TB treatment success rate 60-70%
4
Treatment success rate among new TB patients
tribal districts and Poor and Backward districts
88%
5
Number of cases to be put on treatment
Increasing
trend
6 Default rate among new TB cases <5%
7 Proportion of estimated incident TB cases notified 80%
8 Proportion of TB patients with known HIV status. 90%
9 Proportion of microscopy centres using LED
microscopes
9%
10 Proportion of districts TU aligned at block levels
with health systems
25%
11 Proportion of Key RNTCP staff in place as per
approved ROP
90%
12 Proportion of Key RNTCP staff trained as per
approved ROP
90%
13 Proportion of TB patients treated under RNTCP by
a community DOT provider
50%
14 Proportion of pediatric cases diagnosed out of new
cases
8%

Action point for the State under RNTCP during FY 2013-14:
All the approved Key RNTCP contractual staff positions at State/Districts should be filled and
ensuring timely payment of salaries.
All the approved new position will be recruited by September 2013.
The State level RNTCP review meetings to be chaired by Health Secretary/Mission Director
(NRHM) at least once in a quarter
To conduct State TB control society meeting, State Coordination committee meeting (TBHIV) at
least once in a quarter.
To ensure that District TB Control society meeting and District Coordination committee meetings
are conducted in the districts at least once in a quarter
Scaling up of DOTS Plus services as per the State DOTS Plus action plan
Conduct ACSM/Training activities at State/Districts as per the State annual action plan.
To involve Private Practitioners and NGOs in the RNTCP
Submission of SOE and UC as per the time lines communicated by MoHFW/CTD.
Timely payment of DOT Providers honorarium at Districts .


DETAILED BUDGET: RNTCP

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount Approved Remarks
I.1 Civil works
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Civil work Up
gradation and
maintenance
completed as
planned
137.6 65
Approval
for 5 TUs .
I.2
Laboratory
materials
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Sputum of TB
Suspects Examined
per lac population
per quarter;
2) All districts
subjected to IRL On
Site Evaluation and
Panel Testing in the
year;
3) IRLs accredited
and functioning
optimally
32 16.92
As per
norms
I.3 Honorarium
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All eligible
Community DOT
Providers are paid
honorarium in all
districts in the FY
9.62 6
As per
norms.
I.4 ACSM
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All IEC/ACSM
activities proposed
in PIP completed;
2) Increase in case
detection and
improved case
holding;
30.56 15
As per
norms.
I.5
Equipment
maintenance
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Maintenance of
Office Equipments at
State/Districts and
IRL equipments
completed as
planned;
2) All BMs are in
functional condition
16 11.07
I.6 Training
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Induction training,
Update and Re-
training of all cadre
of staff completed
as planned;
53.3 10
As per
norms

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
I.7
Vehicle
maintenance/
operation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All 4 wheelers and
2 wheelers in the
state are in running
condition and
maintained;
41 23
I.8 Vehicle hiring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
supervisory visit of
DTOs and MOTCs;
2) Increase in case
detection and
improved case
holding
22 17.64
I.9
NGO/PP
support
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
number of
NGOs/PPs involved
in signed schemes of
RNTCP;
2) Contribution of
NGOs/PPS in case
detection and
provision of DOT
28.85 27
I.10 Medical College
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed under
Medical Colleges
head in PIP
completed
25 22
I.11
Office
Operation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed under
miscellaneous head
in PIP completed
12.97 8.17
I.12
Contractual
services
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All contractual
staff appointed and
paid regularly as
planned
289 160
New
position
for 6
moths .
I.13 Printing
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All printing
activities at state
and district level
completed as
planned
15 10.26

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
I.14
Research and
studies
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Proposed
Research has been
initiated or
completed in the FY
as planned
2 2
1.15
Procurement of
drugs

I.16
Procurement
vehicles
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Procurement of
vehicles completed
as planned
103 35.75
Only for 2
wheelers.
I.17
Procurement-
Equipments
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)Procurement of
equipments
completed as
planned
13 13
I.18
Patient support
&
Transportation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
Payment of
transportation
charges to patients
1.4 1.4
I.19
Supervision &
Monitoring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
Number of
evaluation and
review meeting
done by state
30 20
Subtotal 864.23 464.21

Disease control Flexi pool fund

21 0
GRAND TOTAL (JAMMU) 885.23 464.21


DETAILED BUDGET: KASHMIR

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount
Approve
d
Remarks
I.1 Civil works
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Civil work Up
gradation and
maintenance
completed as
planned
170.05 88.5
Approval is for 11 TU, 9
DMC, 2 DR TB centre+ DDS.
I.2
Laboratory
materials
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Sputum of TB
Suspects Examined
per lac population
per quarter;
2) All districts
subjected to IRL On
Site Evaluation and
year;
3) IRLs accredited
and functioning
optimally
33.66 14.34 As per norms
I.3 Honorarium
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All eligible
Community DOT
Providers are paid
honorarium in all
districts in the FY
I.4 ACSM
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All IEC/ACSM
activities proposed
in PIP completed;
2) Increase in case
detection and
improved case
holding;
I.5
Equipment
maintenance
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Maintenance of
Office Equipments
at State/Districts
and IRL equipments
completed as
planned;
2) All BMs are in
19 15
I.6 Training
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Induction
training, Update and
Re-training of all
cadre of staff
completed as
planned;
60.58 11.44 As per norms .

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount
Approve
d
Remarks
I.7
Vehicle
maintenance/
operation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All 4 wheelers
and 2 wheelers in
the state are in
running condition
and maintained;
76 23.02
I.8 Vehicle hiring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
DTOs and MOTCs;
2) Increase in case
detection and
improved case
holding
76 45.61
I.9 NGO/PP support
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
number of
NGOs/PPs involved
in signed schemes
of RNTCP;
2) Contribution of
NGOs/PPS in case
detection and
provision of DOT
24.787 24.78
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed under
Medical Colleges
head in PIP
completed
247 77.48
Rs 25 lakh approved for
Zonal OR Meeting.
I.11 Office Operation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed under
miscellaneous head
in PIP completed
21.48 11.3
I.12
Contractual
services
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All contractual
staff appointed and
paid regularly as
planned
465 255
Nursing + helper position
has not been approved
I.13 Printing
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All printing
activities at state
and district level
completed as
planned
17.94588 8

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount
Approve
d
Remarks
I.14
Research and
studies
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Proposed
Research has been
initiated or
completed in the FY
as planned
17 2
1.15
Procurement of
drugs

0
I.16
Procurement
vehicles
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Procurement of
vehicles completed
as planned
150 39 For 2 wheelers
I.17
Procurement-
Equipments
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)Procurement of
equipments
completed as
planned
19 17
I.18
Patient support
& Transportation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
Payment of
transportation
charges to patients
2.12 2.12
I.19
Supervision &
Monitoring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
Number of
evaluation and
review meeting
done by state
66 20
Subtotal 1502.52 676.26


86 11.25
For AIC control gadgets+
300 MA X ray plant
GRAND TOTAL (Kashmir) 1589.53 687.52

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount
Approve
d
Remarks
GRAND TOTAL (JAMMU & Kashmir) 2474.76 1151.73


ANNEXURE


Annexure 1

DETAILED BUDGET REPRODUCTIVE AND CHILD HEALTH (RCH) FLEXIPOOL

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.1 MATERNAL HEALTH

1502952 30600
5,219.2
1
4,040.0
5

A.1.1 Operationalise
Facilities (Any cost
other than
infrastructure, HR,
Training,
Procurement,
Monitoring etc.) may
include cost of
mapping, planning-
identifying priority
facilities,etc)

0 0 - -

A.1.1.1 Operationalise FRUs
(Blood bank/BSU -
Operational cost)

-

A.1.1.2 Operationalise 24x7
PHCs
-

A.1.1.3 Operationalise Safe
abortion services
(including MVA/ EVA
and medical
abortion)at health
facilities

-

A.1.1.4 Operationalise
RTI/STI services at
health facilities

-

A.1.1.5 Operationalise sub-
centres
-

A.1.2 Referral Transport

-

A.1.3 Integrated outreach
RCH services (state
should focus on
facility based services
and outreach camps
to be restricted only
to areas without
functional health
facilities)

232 25000 58.00 1.37

A. 1.3.1. Oureach camps
No. of
Outreach
Camps
232 25000 58.00 1.37
year expenditure.
A.1.3.2. Monthly Village
Health and Nutrition


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
Days
A.1.4. Janani Suraksha
Yojana / JSY
232500 3500
2,371.2
0
2,240.3
8
year expenditure.
A.1.4.1 Home deliveries
No. 3000 500 15.00 10.84
Approved for 2168
beneficiaries.
A.1.4.2 Institutional
deliveries
129500 2400
1,756.2
0
1,707.3
1

A.1.4.2.a Rural
No. 115300 1400
1,614.2
0
1,601.1
9
beneficiaries.
A.1.4.2.b Urban
No. 14200 1000 142.00 106.12
Approved for 1,0612
beneficiaries.
A.1.4.2.c C-sections

-

A.1.4.3 Administrative
Expenses
-

A.1.4.4 Incentives to ASHA

100000 600 600.00 522.23
year expenditure.
A.1.5 Maternal Death
Review (both in
institutions and
community)
No. of
Maternal
Deaths
reviewed
150 450 0.68 0.68
Approved for MDR as
per the guidelines.
A.1.6 Other
(please specify)

500300 1060 153.00 60.11

A.1.6.1 Incentive to SBAs for
conducting home
deliveries in
inaccessible/snow
bound areas of high
focus districts as a
pilot project

300 1000 3.00 3.00
Rs 3 lakhs approved as
incentives for ANMs
/LHVs/SNs for
conducting home
deliveries in
inaccessible areas /
snow bound areas of
high focus areas as a
pilot project, subject
to simultaneous plans
for converting Home
deliveries into
Institutional deliveries.
A.1.6.2 Printing of MCP cards

250000 15 37.50 20.00
Rs. 20.00 lakhs
approved for 133333
cards, subject to
printing by
competitive bidding.
A.1.6.3 Printing of Safe
motherhood booklet

250000 45 112.50 37.11
Rs 37.11 lakhs
approved for 100300
bookets @ Rs 37 per
Safe Motherhood
Booklet.
A.1.7 JSSK- Janani Shishu
Surakhsha Karyakram

769770 590
2,636.3
4
1,737.5
1
In view of limited
resource envelop,
per last year's

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
expenditure.
A.1.7.1 Drugs and
consumables
No.of
Institutio
nal
Deliveries
162536

873.64 943.17
NDs @ Rs. 350 =Rs
483,54,250 and for
24,381 C sections @
Rs 1600 = Rs
390,09,600. So total
approval =Rs 873.64
lakhs. Approved as per
last year's
expenditure.
A.1.7.2 Diagnostic
No.of
Institutio
nal
Deliveries
162536 200 325.07 300.41
Rs 325.07 lakhs
approved @ Rs 200 for
162,536 p.w. for
ensuring free
diagnostics for all p.w.
accessing Govt. health
facilities during ANC,
INC & PNC. In view of
low expenditure,
year's expenditure.
A.1.7.3 Blood Transfusion
15% of
Institutio
nal
Deliveries
24381 300 73.14 30.19
Rs 73.14 lakhs
approved for provision
of free blood to all
p.w. requiring blood
transfusion. In view of
low expenditure,
year's expenditure.
A.1.7.4 Diet (3 days for
Normal Delivery and
7 days for Caesarean)
No.of
Institutio
nal
Deliveries
274036

666.40 226.32
Approved for
provision of free diet
for pregnant women
@ Rs 100 per day for 3
days for 138,155 p.w.
= 414,46,500 and @
Rs 1000 for 7 days for
24,381 p.w. =
170,66,700. Total
amount being Rs 585,
13,200. Provision of
free diet for mothers
of sick infants is not
under JSSK
Programme. However
all post natal mothers
admitted for
management of
complications are

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
covered under JSSK.
In view of low
as per last year's
expenditure.
A.1.7.5 Free Referral
Transport
No.of
Institutio
nal
Deliveries
138155

690.77 230.11
Rs 690.775 lakhs
approved for providing
free transport for
113,775 p.w. @ Rs 500
=568.875 lakhs and
for 24,380 p.w. for
referral x 500 =
121.900 lakhs and
total approval =
690.775 lakhs as inter
facility transfer will
entail more distance;
subject to ensuring no
duplication with
Mission Flexible pool
and all ambulances
linked to a centralised
call centre, being GPS
fitted and under the
banner of NAS.
All operational cost for
borne out of the RT
component
sanctioned here and
under Child Health. In
view of low
as per last year's
expenditure.
A.1.7.6 Other JSSK activity

8126 90 7.31 7.31
A.1.7.6.1 Ironsucrose
Intervention (3 doses
Approved)
No. of
Patients
8126 90 7.31 7.31
Rs 7.31 lakhs approved
for IV sucrose subject
to IV sucrose being
prescribed under the
supervision of a
Gynecologist at FRU
and above.
A.1.7.6.2 Mobility support for
State level officers
for monitoring JSSK
(|Lumpsum) /
District Nodal
Officers for


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
monitoring JSSK /
Block level officers
A.1.7.6.3

-

Sub-total Maternal
Health (excluding
JSY)

1270452 27100
2,848.0
1
1,799.6
7

Sub-total JSY

232500 3500
2,371.2
0
2,240.3
8

A.2. CHILD HEALTH

227540
13930
00
1,293.4
5
358.40

A.2.1 IMNCI (including F-
IMNCI; primarily
budget for planning
for pre-serviceIMNCI
activities in medical
colleges, nursing
colleges, and
ANMTCs)

-

A.2.2 Facility Based
Newborn Care/FBNC
(SNCU, NBSU, NBCC -
any cost not
budgeted under
HR,Infrastructure,
procurement,
training,IEC etc.)
e.g.operating cost
rent,electricity etc.
imprest money

360
19500
0
305.60 215.30

A.2.2.1 SNCU
No. of
SNCUs
15

125.00 125.00
Approved
A.2.2.2 NBSU
No. of
NBSUs
72
17500
0
126.00 63.00
Approved @ Rs.
87500/- per NBSU.
A.2.2.3 NBCC
No. of
NBCCs
273 20000 54.60 27.30
Approved @ Rs.
10000/- per NBCC,
with the conditionality
that the state will first
saturate the functional
delivery points with
NSSK Trained
personnel and radiant
warmer and utilize the
resources optimally
A.2.3 Home Based
Newborn Care/HBNC
No. of
booklets
2000 50 1.00 0.53
In view of limited
resource envelop,

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
per last year's
expenditure.
A.2.4 Infant and Young
Child Feeding/IYCF
No. of
Events
150 5000 7.50 5.39
In view of limited
resource envelop,
per last year's
expenditure.
A.2.5 Care of Sick Children
and Severe
Malnutrition (e.g.
NRCs, CDNCs etc.)
No. of
NRCs
2
78000
0
15.60 0.96
In view of limited
resource envelop,
per last year's
expenditure.
A.2.6 Management of
diarrhoea & ARI &
micronutrient
malnutrition
No. of
batches
2
20000
0
4.00 4.00
Approved
A.2.7 Other
(please specify)
No. of
batches
2
20000
0
4.00 4.00
Approved
A.2.8 Infant Death Audit

1500

4.25 0.53
In view of limited
resource envelop,
per last year's
expenditure.
A.2.9 Incentive to ASHA
under child health
-

A.2.10 JSSK (for Sick
neonates up to 30
days)

223000 300 947.75 123.94
In view of limited
resource envelop,
per last year's
expenditure.
A.2.10.1 Drugs &
Consumables (other
than reflected in
Procurement)
No. of
Sick
Children
111500 200 223.00 9.52
Approved Rs 223.00
lakhs for provision
providing free drugs
and treatment of sick
neonates and infants.
This is in addition to
funds being proposed
& approved for SNCU
and NBSU and other
drugs and
consumables as per
their EDL.
Currently approved as
per last years
expenditure.
A.2.10.2 Diagnostics
No. of
Sick
Children
111500 100 111.50 32.59
Rs 111.50 lakhs
approved. Currently
years expenditure.

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.2.10.3 Free Referral
Transport
No. of
Sick
Children
111500
@ 500
for
pickup
from
home
and drop
back and
@ Rs 250
for
22300
cases for
referrels
inbetwe
en
institutio
ns

613.25 81.83
613.25 lakhs
approved subject to
no duplication under
Mission Flexipool.
Operational cost for
borne out of the RT
component
sanctioned here and
under Maternal
Health. In view of
limited resource
envelop, Currently
years expenditure.
A.2.11 Any other
interventions (eg;
rapid assessments,
protocol
development)

524 12650 3.75 3.75

A.2.11.1 IYCF- Settingup of
IYCF Counselling
Centres in 22 DHs ,
53 CHCs, 6 PHCs and
2 Medical Colleges
No. of
Counselin
g Centres
24 12500 3.00 3.00
Approved
A.2.11.2 Printing of IYCF
Guidelines
500 150 0.75 0.75
Approved
A.2.11.3

-

A.2.11.4

-

A.2.11.5

-

Sub-total Child
Health
227540
13930
00
1,293.4
5
358.40

A.3 FAMILY PLANNING

26261
13700
0
327.88 205.99
In view of limited
resource envelop,
per last year's
expenditure.
A.3.1 Terminal/Limiting
Methods
26147 22000 279.94 170.17

A.3.1.1 Orientation
workshop,disseminat
ion of manuals on FP
standards & quality
assurance of
sterilisation services,
fixed day planning
meeting
No. 96 2000 1.92 0.06
Approved

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.3.1.2 Female sterilisation
camps

22 7500 1.65 1.13
Approved for 14
camps, as per last year
ture.
A.3.1.3 NSV camps

12 10000 1.20 0.80
Approved for 8 camps,
as per last year
ture.
A.3.1.4 Compensation for
female sterilisation

23017 1000 230.17 145.68
Approved for 14568
last year
ture.
A.3.1.5 Compensation for
male
sterilization/NSV
Acceptance

3000 1500 45.00 22.50
Approved for 1500
last year
ture.
A.3.1.6 Accreditation of
provide sterilisation
services

-

A.3.2 Spacing Methods

0 0 7.84 1.48

A.3.2.1 IUD camps

-

A.3.2.2 IUD services at health
facilities (including
fixed day services at
SHC and PHC)

7.84 1.48
year expenditure.
A.3.2.2.1 PPIUCD services

-

A.3.2.3 Accreditation of
provide IUD insertion
services

-

A.3.2.4 Social Marketing of
contraceptives
(includng delivery of
contraceptive by
ASHA at door step)

-

A.3.2.5 Contraceptive
Update seminars
-

A.3.3 POL for Family
Planning/ Others
(including additional
mobilty support to
surgeon's team if
req)

-

A.3.4 Repairs of
Laparoscopes
-

A.3.5 Other
114
11500
0
40.10 34.34
year expenditure.

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
(please specify):
A.3.5.1 Monitor progress and
quality,QAC meetings
/review of
sterilization failures
etc.
No. of
meetings
92

4.80

Approved
A.3.5.2 Performance reward
if any

A.3.5.3 World Population
Day celebration
(such as mobility, IEC
activities etc.): funds
earmarked for
district and block
level activities

22
11500
0
25.30

Approved
A.3.5.4 Other strategies/
activities (such as
strengthening fixed
day services for IUCD
and sterilization etc.)

0 0 10.00 10.00

A.3.5.4.1 Family Planning
Indemnity Scheme
10.00 10.00
Approved
Sub-total Family
Planning (excluding
Sterilisation
Compensation and
NSV Camps)

26029 12500 51.51 37.01

Sub-total
Sterilisation
Compensation and
NSV Camps

232
12450
0
276.37 168.98

A.4 ADOLESCENT
REPRODUCTIVE AND
SEXUAL HEALTH /
ARSH

3981968
59900
5
1,292.9
9
8.92

A.4.1 Adolescent health
services
1625
21030
0
52.37 3.80
year expenditure.
A.4.1.1 Disseminate ARSH
guidelines.
No. of
Copies
1000 200 2.00

A.4.1.2 Establishment of new
clinics at DH level
-

A.4.1.3 Establishment of new
clinics at CHC/PHC
level
No. of
institutio
ns
22
18200
0
40.04


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.4.1.4 Operating expenses
for existing clinics
No. of
institutio
ns
27 27600 7.45

A.4.1.5 Outreach activities
including peer
educators
No. of
outreach
activities
576 500 2.88

A.4.1.6 Others

- -
A.4.2 School Health
programme

3979763
32820
5
1,235.3
4
4.22
Approval as per last
year expenditure. The
RBSK proposal is
resource envelop /
A.4.2.1 Prepare and
disseminate
guidelines for School
Health Programme.
No. of
copies
76500 200 153.00

A.4.2.2 Prepare detailed
operational plan for
School Health
Programme across
districts (cost of plan
meeting should be
kept)
No. of
meetings
44 5000 2.20

A.4.2.3 Mobility support
No. of
teams x 6
months
2238 23000 514.74

A.4.2.4 Referral support
No. of
Teams
373 50000 186.50

A.4.2.5 Other strategies for
school health
3900608
25000
5
378.90 -

A.4.2.5.1 One Day Workshop
for orientation for
capacity building of
School teachers

-

A.4.2.5.2 Financial Assistance
for treatment of
complicated diseases
among childrens and
adolescent under
School Health
Programme for
surgical / medical
treatment / providing
medicine to the ailing
children
No. of
cases
200
10000
0
200.00


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.4.2.5.3 Printing of registers /
formats / stock
registers / outreach
registers for
maintenance of
record / reporting for
373 school health
teams

373 10000 37.30

A.4.2.5.4

-

A.4.2.5.5 Printing of cards
under WIFS for 5
SABLA Districts

1200000 3 30.00

A.4.2.5.6 Printing of cards etc.
under RBSK
No. of
students
+ 20 % as
buffer
stock
2700000 2.50 67.50

A.4.2.5.7 Printing and
stationary for DEIC
under RBSK

7 10000 8.40

A.4.2.5.8 Running Cost /
contingency / TA DA
for DEIC under RBSK

7 30000 25.20

A.4.2.5.9 Mobility support for
Nodal Officers under
RBSK

7 50000 3.50

A.4.2.5.1
0
Procurement of 2
computers for each
of the DEIC under
RBSK

14 50000 7.00

A.4.3 Other
(please specify)

580 60500 5.28 0.90
year expenditure.
A.4.3.1 Mobility support for
ARSH/ICTC
counsellors

576 500 2.88

A.4.3.2 Menstrual Hygiene
(Sanitary napkin
procurement to be
booked under
procurement)
No. of
meetings
4 60000 2.40

A.4.3.3 WIFS actvity

-

Sub-total ARSH

3981968
59900
5
1,292.9
9
8.92


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.5 URBAN RCH (focus
on Urban slums)

201 42000 255.48 34.11
Approved Rs. 34.11
year expenditure.
Annexure shows that
10 out of 47 centres
are operational. OPD
numbers not shared.
State to share the
performance of UHPs
and propose the rest
of the activities under
NUHM.
Approval is being
only and its
be contingent on
compliance of the
conditionalities
mentioned in the HR
head.
A.5.1 Identification of
urban areas /
mapping of urban
slums and planning

-

A.5.2 HR for urban health
including doctors,
ANMs, Lab techs

201 42000 229.80 -

A.5.2.1 Doctors/Mos

10 30000 36.00

A.5.3 Operating expenses
for UHP and UHC
-

A.5.4 Outreach activities

-

A.5.5 Others (pl specify)

0 0 25.68 -

A.5.5.1 Rent for Urban
Health Centres /
Posts

25.68

Sub-total Urban
Health

201 42000 255.48 34.11
Approved Rs. 34.11
year expenditure.
Annexure shows that
10 out of 47 centres
are operational. OPD
numbers not shared.
State to share the
performance of UHPs
and propose the rest
of the activities under
NUHM.

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
Approval is being
only and its
be contingent on
compliance of the
conditionalities
mentioned in the HR
head.

A.6. TRIBAL RCH

26 12000 37.44 15.87

A.6.1 Special plans for
tribal areas
-

A.6.2 HR for tribal areas (in
addition to
normative HR)

26 12000 37.44 15.87
Approved 50 % of the
last year's expenditure
(26 AMCHI Healers).
State to conduct the
impact evaluation
study and share with
GoI. Approval is being
only and its
be contingent on
compliance of the
conditionalities
mentioned in the HR
head.
A.6.3 Outreach activities

-

A.6.4 Other Tribal RCH
(please specify)

0 0 - -

Sub-total Tribal
Health
26 12000 37.44 15.87

A.7 PNDT Activities

2324
25320
00
216.64 1.10
Due to limited
resource envelop,
year expenditure.
A.7.1 Support to PNDT cell

2
22000
00
44.00

A.7.3 Mobility support

22 60000 13.20

A.7.2 Other PNDT activities
(please specify)

2300
27200
0
159.44 1.10
Due to limited
resource envelop,
year expenditure.

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.7.2.1 Reward to Informers
for giving information
regarding
unregistered
ultrasound machine
(8); illegal practice of
sex selection and
selective female
foeticide (8)

10.00

A.7.2.2 Divisional level
workshops
4
20000
0
8.00

A.7.2.3 District level
workshops

44 50000 22.00

A.7.2.4 State Supervisory
board meetings

6 10000 0.60

A.7.2.5 Divisional Advisory
Committee Meetings

12 5000 0.60

A.7.2.6 District Advisory
Committee Meetings
132 2000 2.64

A.7.2.7 Debates , seminars at
Universities/ Colleges

102

15.60

A.7.2.8 Incentive to parents
having two daughters
adopting permanent
method of family
planning

2000 5000 100.00

A.7.2.9 Award to block /
panchayat / Village
Health Sanitation and
Nutrition
Committees that
reflect reverse trend
in the sex ratio (more
females and less
males)

-

A.7.2.10

Sub-total PNDT
activities
2324
25320
00
216.64 1.10

A.8 Human Resources

6806
99752
0
11,280.
91
3,575.7
4
As agreed, the
following key

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.8.1 Contractual Staff &
Services

6806
99752
0
11,280.
91
3,575.7
4
conditionalities would
be enforced during the
year 2013-14.
a) Rational and
equitable deployment
of HR with the highest
priority accorded to
high priority districts
and delivery points.
b) Facility wise
performance audit and
corrective action
based thereon.
c) Performance
Measurement system
set up and
implemented to
monitor performance
of regular and
contractual staff.
d) Baseline
assessment of
competencies of all
SNs, ANMs, Lab
Technicians to be
done and corrective
action taken thereon.
- Approval is
being granted for HR
of all cadres under
NRHM for six months
only and its
be contingent on
compliance of the
above four
conditionalities.
- From 1st October
2013, under NRHM
funds for salary to
contractual HR would
be done only to make
payments to
contractual staff over
and above the
sanctioned regular
positions in the State.

- It is expected that
the state will

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
henceforth fill up their
vacant regular HR
positions and will not
use NRHM funds to
substitute state
spending.
Due to limited
resource envelop,
approved is being
given for in-position
staff as per last year's
rate (based on the last
year expenditure).
A.8.1.1 ANMs,Supervisory
Nurses, LHVs,
2909
11100
0
4,428.7
2
1,508.2
2

A.8.1.1.1 ANMs

2118 36000
3,049.9
2
1,100.1
0
Approved for in-
position 1930 ANMs
@ last years rate, as
per last year
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.1.1
.a
DH

-

A.8.1.1.1
.b
FRUs

-

A.8.1.1.1
.c
Non FRU SDH/ CHC

-

A.8.1.1.1
.d
24 X 7 PHC

200 12000 288.00

A.8.1.1.1
.e
Non- 24 X 7 PHCs

-

A.8.1.1.1
.f
Sub Centres
No. 1910 12000
2,750.4
0

A.8.1.1.1
.g
SNCU/ NBSU/NRC etc
No. 8 12000 11.52

A.8.1.1.1 Others

-


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
.h
A.8.1.1.2 Staff Nurses

791 75000
1,378.8
0
408.12
Approved for in-
position 716 SNs @
last year
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.1.2
.a
DH

240 15000 432.00

A.8.1.1.2
.b
FRUs

156 15000 280.80

A.8.1.1.2
.c
Non FRU SDH/ CHC

-

A.8.1.1.2
.d
24 X 7 PHC

200 15000 360.00

A.8.1.1.2
.e
Non- 24 X 7 PHCs

-

A.8.1.1.2
.f
SNCU/ NBSU/NRC etc

125 15000 180.00

A.8.1.1.2
.g
Others

70 15000 126.00

A.8.1.1.3 LHVs/supervisory
nurses
0 0 - -

A.8.1.1.3
.a
DH

-

A.8.1.1.3
.b
FRUs

-

A.8.1.1.3
.c
Non FRU SDH/ CHC

-

A.8.1.1.3
.d
24 X 7 PHC

-

A.8.1.1.3
.e
Non- 24 X 7 PHCs

-

A.8.1.1.3
.f
SNCU/ NBSU/NRC etc

-

A.8.1.1.3
.g
Others

-


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.8.1.2.1 Laboratory
Technicians

409 48000 581.76 241.70
Approved for in-
position 373 LTs @
year
ure. new posts not
approved, state to
redeploy.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.2.1
.a
DH

16 12000 23.04

A.8.1.2.1
.b
FRUs

168 12000 241.92

A.8.1.2.1
.c
Non FRU SDH/ CHC

-

A.8.1.2.1
.d
24 X 7 PHC

200 12000 288.00

A.8.1.2.1
.e
Non- 24 X 7 PHCs

-

A.8.1.2.1
.f
Others

25 12000 28.80

A.8.1.2.2 MPWs

355 12000 511.20 172.37
Approved for in-
position 266 MPWs @
year
ure, new posts not
approved.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.8.1.3 Specialists
(Anaesthetists,
Paediatricians,
Ob/Gyn, Surgeons,
Physicians, Dental
Surgeons,
Radiologist,
Sonologist,
Pathologist, Specialist
for CHC )

94
48000
0
483.60 110.40
Approved for in-
position 46 Specialists
@ Rs. 40000/m, as per
last year
ure. State to re-deploy
existing specialits in
FRUs and SNCUs.
Approved. State to
provide name of the
FRU/facility with case
load and current
staffing. Also as a pre-
requisite the EmOC
and LSAS trained
doctors must be
posted at appropriate
facilities and perform.
None of the specialists
is being sanctioned
exclusively for
conducting training.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.3.1 Obstetricians and
Gynecologists
15
10000
0
90.00

A.8.1.3.1
.a
DH

-

A.8.1.3.1
.b
FRUs

8 50000 48.00

A.8.1.3.1
.c
Non FRU SDH/ CHC

-

A.8.1.3.1
.d
Others (Please
specify)

7 50000 42.00

A.8.1.3.2 Pediatricians

22
15000
0
111.00


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.8.1.3.2
.a
DH

7 50000 21.00

A.8.1.3.2
.b
FRUs

8 50000 48.00

A.8.1.3.2
.c
Non FRU SDH/ CHC

-

A.8.1.3.2
.d
Others (Please
specify)

7 50000 42.00

A.8.1.3.3 Anesthetists

15
10000
0
90.00

A.8.1.3.3
.a
DH

-

A.8.1.3.3
.b
FRUs

8 50000 48.00

A.8.1.3.3
.c
Non FRU SDH/ CHC

-

A.8.1.3.3
.d
Others (Please
specify)

7 50000 42.00

A.8.1.3.4 Surgeons

0 0 -

A.8.1.3.4
.a
DH

-

A.8.1.3.4
.b
FRUs

-

A.8.1.3.4
.c
Non FRU SDH/ CHC

-

A.8.1.3.4
.d
Others (Please
specify)
-

A.8.1.3.5 Specialists for CH
(Paediatrician etc) in
SNCU,NBSU,NRC

25 0 120.00

A.8.1.3.5
.a
DH

-

A.8.1.3.5
.b
FRUs

-

A.8.1.3.5
.c
Non FRU SDH/ CHC

-

A.8.1.3.5
.d
Others (Please
specify)
15 for 6
months &
10 for 6
months
@ Rs.
50000/-
25

120.00

A.8.1.3.6
.1
Radiologists

5 50000 30.00 -
Not approved.

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.8.1.3.6
.2
Pathologists

5 50000 30.00 -
Not approved.
A.8.1.3.7 Dental surgeons and
dentists
7 30000 12.60 -

A.8.1.3.7
.a
DH

7 30000 12.60

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.8.1.6 Additional
Allowances/
Incentives to M.O.s

983.08 533.39
Approved Rs. 533.39
lakhs, as per last year
expenditure and
limited resource
envelop. State to
share the details of
the incentive scheme.
It needs to ensure that
performance
monitoring is done
regularly and should
be given to those
MOs, Specialists , etc.
staying at the
residential quarters /
Headquarter areas.
A.8.1.7 Others - Computer
Assistants/ BCC Co-
ordinator etc

-

A.8.1.7.1 Pharmacist

0 0 - -
A.8.1.7.1
.a
DH

-

A.8.1.7.1
.b
FRUs

-

A.8.1.7.1
.c
Non FRU SDH/ CHC

-

A.8.1.7.1
.d
24 X 7 PHC

-

A.8.1.7.1
.e
Non- 24 X 7 PHCs

-

A.8.1.7.1
.f
Others

-

A.8.1.7.2 Radiographers

184 24000 264.96 112.75
Approved for in-
position
Radiographers @
Rs.10800/-m, as per
last year
ure.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.7.2
.a
DH

16 12000 23.04

A.8.1.7.2 FRUs

168 12000 241.92


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
.b
A.8.1.7.2
.c
Non FRU SDH/ CHC

-

A.8.1.7.2
.d
24 X 7 PHC

-

A.8.1.7.2
.e
Non- 24 X 7 PHCs

-

A.8.1.7.2
.f
Other

-

A.8.1.7.3 OT
technicians/assitsant
s

184 24000 264.96 104.33
Approved for in-
position OT
Technicians @
Rs.10800/-m, as per
last year
ure.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.7.3
.a
DH

16 12000 23.04

A.8.1.7.3
.b
FRUs

168 12000 241.92

A.8.1.7.3
.c
Non FRU SDH/ CHC

-

A.8.1.7.3
.d
24 X 7 PHC

-

A.8.1.7.3
.e
Non- 24 X 7 PHCs

-

A.8.1.7.3
.f
Other

-

A.8.1.7.4 School health teams
(Exclusively for SH)

1352
10800
0
1,593.9
0
-
resource envelop /
A.8.1.7.4
.a
MOs

571 30000
1,027.8
0

A.8.1.7.4
.b
LTs

7 12000 5.04

A.8.1.7.4
.c
Dental Technicians

7 12000 5.04

A.8.1.7.4
.d
Ophthalmic
Assistants
7 15000 6.30


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.8.1.7.4
.e
Staff Nurse

14 15000 12.60

A.8.1.7.4
.f
Pharmacists

373 12000 268.56

A.8.1.7.4
.g
ANMs

373 12000 268.56

A.8.1.7.4
.h
MPW

-

A.8.1.7.5 Counsellors

54 24660 73.19 15.55

A.8.1.7.5
.1
RMNCH/FP
Counselors
24

32.11 0.00

A.8.1.7.5
.2
ARSH Counselors

24 10800 31.10 15.55
Existing ARSH
counsellors and 2
nutritional counsellors
for NRCs @ Rs.
10800/-. Approval is
months only and its
be contingent on
compliance of the
above mentioned
conditionalities.
A.8.1.7.5
.3
Honorarium to ICTC
counselors for ARSH
activities

-

A.8.1.7.5
.4
Other (please
specify)
-

A.8.1.7.6 All Technical HR for
State Specific
Initiatives

-

A.8.1.7.7 Others (pl specify)

6 13860 9.98 -
Not approved, State to
use existing staff
regular as well as
contractual
A.8.1.7.8 Staff for Training
Institutes/ SIHFW/
Nursing Training

-

A.8.1.8 Incentive/ Awards
etc. to SN, ANMs etc.
10.00 0.00
Activity Dropped
A.8.1.9 Human Resources
Development (Other
than above)
57

83.35 25.34
11 sister tutors
@Rs14400 and 22
PHNs @Rs12000
approved. Approval is
months only and its
be contingent on

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
compliance of the
above mentioned
conditionalities.
A.8.1.10 Other Incentives
Schemes (Pl.Specify)
672 2000 13.44 -

A.8.1.10.
1
Honorarium for
Pediatric ECO, ENT
Specialist,
Orthopediatrician,
Opthalmologist,
Psychatrist

672 2000 13.44 0.00
resource envelop /
A.8.1.11 Support Staff for
Health Facilities
28 13860 39.95 1.68

A.8.1.11.
a
DH
No. 22 13860 36.59

A.8.1.11.
b
FRUs

-

A.8.1.11.
c
Non FRU SDH/ CHC

-

A.8.1.11.
d
24 X 7 PHC

-

A.8.1.11.
e
Non- 24 X 7 PHCs

-

A.8.1.11.
f
SNCU/ NBSU/ NBCC/
NRC etc

6

3.36 1.68
Approved for cook and
attendant for NRCs.
Approval is being
only and its
be contingent on
compliance of the
above mentioned
conditionalities.
Sub-total HR

6806
99752
0
11,280.
91
3,575.7
4

A.9 TRAINING

#VALUE!
96108
60
954.10 95.33
In view of limited
resource envelop,
approval is given inline
with the last year
expenditure.
A.9.1 Strengthening of
existing Training
Institutions (SIHFW,
ANMTCs, etc.)

-

A.9.2 Development of
training packages
0 0 3.00 -

A.9.2.1 Development/
translation and
-


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
duplication of
training materials
A.9.2.2 Other activities (pl.
specify)
0 0 3.00 -

A.9.2.2.1 Procurment of
training equipments

3.00 -
Not approved.
A.9.3 Maternal Health
Training

135
32985
00
167.17 49.87
Approved lumsum
amount as per last
year's expenditure.
A.9.3.1 Skilled Attendance at
Birth / SBA
92
33905
0
97.16 -

A.9.3.1.1 Setting up of SBA
Training Centres
-

A.9.3.1.2 TOT for SBA No. of
Batches
(30 per
batch)
4
13005
0
5.20

A.9.3.1.4 Training of Staff
Nurses in SBA
No. of
batches
(4 Per
Batch)
44
10450
0
45.98

A.9.3.1.5 Training of ANMs /
LHVs in SBA
No. of
batches
(4 Per
Batch)
44
10450
0
45.98

A.9.3.2 EmOC Training

1
14680
00
14.68 -

A.9.3.2.1 Setting up of EmOC
Training Centres
-

A.9.3.2.2 TOT for EmOC

-

A.9.3.2.3 Training of Medical
Officers in EmOC
No. of
Batches
(8 Person
per
batch)
1
14680
00
14.68

A.9.3.3 Life saving
Anaesthesia skills
training

1
78800
0
7.88 -

A.9.3.3.1 Setting up of Life
saving Anaesthesia
skills Training Centres

-

A.9.3.3.2 TOT for Anaesthesia
skills training
-

Officers in life saving
Anaesthesia skills
No. of
batches
(4 Mos
per
batch)
1
78800
0
7.88

A.9.3.4 Safe abortion
services training
2 98300 1.97 -


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
(including MVA/ EVA
and Medical
abortion)
A.9.3.4.1 TOT on safe abortion
services
-

Officers in safe
abortion
No. of
Batches
(4 Mos
per
batch)
2 98300 1.97

A.9.3.5 RTI / STI Training

2
20395
0
4.08 -

A.9.3.5.1 TOT for RTI/STI
training
-

A.9.3.5.2 Training of laboratory
technicians in RTI/STI
-

Officers in RTI/STI
No. of
Batches
(25 Peson
Per
batch)
2
20395
0
4.08

A.9.3.6 BEmOC training for
MOs/LMOs
No. of
Batches
(4 person
per
batch)
11 74150 8.16

A.9.3.7 Other maternal
health training
(please specify)

26
32705
0
33.25 -

A.9.3.7.1 Orientation of CMOs
/ BMOs / Mos for
implementation of
guidelines under
MDR and IDR
No. of
Batches
(100
person
per
batch)
2
12500
0
2.50

A.9.3.7.2 Training on Blood
Transfusion (Mos /
Lab Technicians)

-

A.9.3.7.3 SBA for MO (ISM) No. of
Batches
(4 Person
Per
batch)
22
13355
0
29.38

A.9.3.7.4 TOT for Bemoc No of
Batches
(3 per
batch)
2 68500 1.37

A.9.3.8 Blood Storage Unit
(BSU) Training
-

A.9.3.9 Skill Lab Training

-


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.9.4 IMEP Training

143 81420 47.94 -
Not approved.
A.9.4.1 TOT on IMEP

-

A.9.4.2 IMEP training for
state and district
programme
managers
No. of
Batches
(25
person
per
batch)
4 48320 1.93

A.9.4.3 IMEP training for
medical officers
No. of
Batches
(25
person
per
batch)
139 33100 46.01

A.9.5 Child Health Training

593
22159
25
448.98 14.87
Approved lumsum
amount as per last
year's expenditure.
A.9.5.1 IMNCI Training (pre-
service and in-
service)

22
17140
0
37.71 -

A.9.5.1.1 TOT on IMNCI (pre-
service and in-
service)

-

A.9.5.1.2 IMNCI Training for
ANMs / LHVs
No. of
Batches
(24
Person
per
batch)
22
17140
0
37.71

A.9.5.1.3 IMNCI Training for
Anganwadi Workers
-

A.9.5.2 F-IMNCI Training

4
20275
0
8.11 -

A.9.5.2.1 TOT on F-IMNCI

-

A.9.5.2.2 F-IMNCI Training for
Medical Officers
No. of
Batches
(16
Person
Per
batch)
4
20275
0
8.11

A.9.5.2.3 F-IMNCI Training for
Staff Nurses

-

A.9.5.3 Home Based
Newborn Care /
HBNC

480 58850 282.48 -

A.9.5.3.1 TOT on HBNC

-


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.9.5.3.2 Training on HBNC for
ASHA
No. of
Batches
(25
Person
per
batch)
480 58850 282.48

Shifted to MFP under
B.1.1.1.3
A.9.5.4 Care of sick children
and severe
malnutrition at FRUs

2 76000 1.52 -

A.9.5.4.1 TOT on Care of sick
children and severe
malnutrition
No. of
Batches
(4 Person
per
batch)
2 76000 1.52

A.9.5.4.2 Training on Care of
sick children and
severe malnutrition
for Medical Officers

-

A.9.5.5 Other child health
training (please
specify)

85
17069
25
119.17 -

A.9.5.5.1 NSSK Training

46
27090
0
37.02 -

A.9.5.5.1
.1
TOT for NSSK No. of
Batches
(32 per
batch)
2
11290
0
2.26

A.9.5.5.1
.2
NSSK Training for
Medical Officers
No. of
Batches
(32 per
batch)
22 84500 18.59

A.9.5.5.1
.3
NSSK Training for SNs

-

A.9.5.5.1
.4
NSSK Training for
ANMs
No. of
Batches
(32 per
batch)
22 73500 16.17

A.9.5.5.2 Other Child Health
training
39
14360
25
82.15 -

A.9.5.5.2
.a
FBNC Training for
Pedtrician, Mos and
Staff Nurses
No. of
Batches
(24
Person
Per
Batch)
4
80000
0
32.00

A.9.5.5.2
.b
HBNC Round II for
DRP
No. of
Batches
(25
Person
Per
Batch)
9
17420
0
15.68

Shifted to MFP
B.1.1.1.4.2

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.9.5.5.2
.c
HBNC Round II for
ASHA Facilitator
No. of
Batches
(30
Person
Per
Batch)
20
13747
5
27.50

Shifted to MFP
B.1.1.1.4.3
A.9.5.5.2
.d
Training of Staff of
Nutritional
Rehabilitational
Centres
No. of
Batches
(6 per
batch)
4 24350 0.97

A.9.5.5.2
.e
TOT on IYCF No. of
Batches
(24 Per
batch)
2
30000
0
6.00

A.9.6 Family Planning
Training

46
30160
0
17.57 12.35
Approved lumsum
amount as per last
year's expenditure.
A.9.6.1 Laparoscopic
Sterilisation Training
5 57550 2.88 -

A.9.6.1.1 TOT on laparoscopic
sterilisation
-

A.9.6.1.2 Laparoscopic
sterilisation training
for doctors (teams of
doctor, SN and OT
assistant)
No. of
Batches
(3 Person
Per
Batch)
5 57550 2.88

A.9.6.2 Minilap Training

8 94650 3.79 -

A.9.6.2.1 TOT on Minilap
No. of
Person
4 15000 0.60

A.9.6.2.2 Minilap training for
medical officers
No. of
Batches
(4 Person
Per
Batch)
4 79650 3.19

A.9.6.3 Non-Scalpel
Vasectomy (NSV)
Training

11
11775
0
3.95 -

A.9.6.3.1 TOT on NSV
No. of
Person
1 87000 0.87

A.9.6.3.2 NSV Training of
medical officers
No. of
Batches
(4 Person
Per
Batch)
10 30750 3.08

A.9.6.4 IUD Insertion

0 0 - -


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.9.6.4.1 TOT for IUD insertion

-

officers in IUD
insertion

-

A.9.6.4.3 Training of staff
nurses in IUD
insertion

-

A.9.6.4.4 Training of ANMs /
LHVs in IUD insertion
-

A.9.6.5 Contraceptive
update/ISD Training
No. of
batches
(25 per
batch)
22 31650 6.96

A.9.6.6 Other family planning
training (please
specify)

0 0 - -

A.9.6.6.1 Capacity building of
Health Service
provider on IUCD and
PTC

-

A.9.6.6.2 TOT for IUD insertion

-

A.9.6.7 PPIUCD insertion
training
-

A.9.6.8 IUCD 375 insertion
training
-

A.9.6.9 Training of FP
Counselors
-

A.9.6.10 Training/ orientation
on technical manuals
-

A.9.7 Adolescent
Reproductive and
Sexual Health/ARSH
Training

#VALUE!
76171
5
217.60 5.80
Approved lumsum
amount as per last
year's expenditure.
A.9.7.1 TOT for ARSH training

-

A.9.7.2 Orientation training
of state and district
programme
managers
No. of
Batches
(30 per
batch)
2 62400 1.25

A.9.7.3 ARSH training for
medical officers
No. of
Batches
(30 per
batch)
4 96200 3.85

ANMs/LHVs
-

AWWs
-

A.9.7.6 Other ARSH training

4
15100
0
3.02 -


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.9.7.6.1 Two day training of
RMNCH / Counselors
from existing centres
ARSH/ICTC/IYCF
(RMNCH)
No. of
Batches
(30 per
batch)
2 75500 1.51

A.9.7.6.2 Two days training of
newly appointed
counselors under
ARSH/IYCF (RMNCH)
No. of
Batches
(30 per
batch)
2 75500 1.51

A.9.7.6.1 WIFS training

10
16635
0
8.32 -

A.9.7.6.1
.1
State level/ District
Level/ Block Level
No. of
Batches
(50 per
batch)
5 87000 4.35

A.9.7.6.1
.2
refresher training
ANM/MO/ AWW/
Nodal Teacher
No. of
Batches
(50 per
batch)
5 79350 3.97

A.9.7.6.2 Menstrual hygiene
training

-

A.9.7.6.3 SHP training

638
28576
5
201.17 -
resource envelop /
A.9.7.6.3
.1
School Health
Training -Training of
team technical and
managerial
No. of
Batches
(32 per
batch)
47
20050
0
94.24

A.9.7.6.3
.2
Training of Nodal
teachers
-

A.9.7.6.3
.3
One day orientation
for programme
managers/ MO
176 15000 26.40

A.9.7.6.3
.4
Training/Refresher
training -ASHA
No. of
Batches
(30 per
batch)
15 52085 7.81

A.9.7.6.3
.5
Training/Refresher
training -ANM
No. of
Batches
(30 per
batch)
400 18180 72.72

A.9.8 Programme
Management
Training (e.g. M&E,
logistics
management, HRD

24
55170
0
25.83 10.85
Approved lumsum
amount as per last
year's expenditure.

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
etc.)
A.9.8.1 Training of SPMSU
staff
-

A.9.8.2 Training of DPMSU
staff
-

A.9.8.3 Training of BPMSU
staff
-

A.9.8.4 Other training (pl.
specify)

24
55170
0
25.83 9.32
Approved lumsum
amount as per last
year's expenditure.
A.9.8.4.1 Capacity building of
supervisory staff for
different schemes
under NRHM
No. of
Batches
(30
Person
Per
Batch)
4 99000 3.96

Officers in financial
management and
civil conduct rules
through IMPA
No. of
Batches
(25
Person
Per
Batch)
4
17525
0
7.01

A.9.8.4.3 Training of Accounts
Managers in NRHM
related works
No. of
Batches
(30 per
batch)
6 94000 5.64

A.9.8.4.4 Training of Accounts
Managers regarding
implementation of
Tally
No. of
Batches
(30 per
batch)
6 94000 5.64

A.9.8.4.5 Training of ISM
Doctors in
emergency care
No. of
Batches
(25 per
batch)
4 89450 3.58

A.9.9.1 PC/PNDT training

-

A.9.9.2 Others No. of
Batches
(100 per
batch)
2
20000
0
4.00

A.9.10 Training (Nursing)

0 0 - -

A.9.10.1 Strengthening of
Existing Training
Institutions/Nursing
School excluding
infrastructure and
HR.

-

A.9.10.2 New Training
Institutions/School

-


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.9.11 Training (Other
Health Personnel)

1
22000
00
22.00 1.59
Approved lumsum
amount as per last
year's expenditure.
A.9.11.1 Promotional Training
of ANMs to lady
health visitor etc.

-

A.9.11.2 Training of
ANMs,Staff
nurses,AWW,AWS

-

A.9.11.3 Other training and
capacity building
programmes (nursing
tutors etc.)

-

A.9.11.3.
1
PGDHM Courses
8 1
22000
00
22.00

Sub-total Training

#VALUE!
96108
60
954.10 95.33

A.10 PROGRAMME
MANAGEMENT

1561
21332
2
1,493.8
1
476.43
Approval for
Programme
Management staff is
months only and its
be contingent on
compliance of
condition that
Performance
Measurement system
is set up and
implemented to
monitor performance
of regular and
contractual staff.
State society/ State
Programme
Management
Support Unit

78
11088
0
382.88 145.84

SPMSU recruited and
in position

78
11088
0
382.88 145.84

A.10.1.1 State Programme
Manager
1 31500 3.78
145.84
Due to limited
resource envelop,
approved is being
given only for in-
the last year
A.10.1.2 State Accounts
Manager
1 25200 3.02
A.10.1.3 State Finance
Manager
1 31500 3.78
A.10.1.4 State Data Manager

1 22680 2.72

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.10.1.5 Consultants/
Programme Officers
(including for
MH/CH/FP/ PNDT/
AH including WIFS
SHP, MHS etc.)

2

6.80
expenditure).
Including HR,
Management cost,
Mobility Support etc.)

State may also opt for
Associate Programme
Manager on
deputation. (Assistant
Director (P&S) and
Administrative Officer
may be engaged
against the positions
approved under
Associate programme
managers). Director
(Planning & Statistics)
may be engaged
against the position of
Facilitators.

Approval is being
only with the above
mentioned condition.
A.10.1.6 Programme
Assistants

14

73.20
A.10.1.7 Accountants

-
A.10.1.8 Data Entry Operators

-
A.10.1.9 Support Staff (Kindly
Specify)
32

80.68
A.10.1.1
0
Salaries for Staff on
Deputation (Please
specify)

26

198.60
A.10.1.1
1
Others (Please
specify)
0.00 0.00 10.29
A.10.1.1
1.1
Contractual staff at
divisional level

10.29
A.10.1.1
1.2
Mobility
support,OE,TA/DA,M
ontly Review
meeting, Purchase of
computers at state
level & Divisional
level etc

District society/
District Programme
Management
Support Unit

241 63772 161.65 78.78

DPMSU recruited
and in position

241 63772 161.65 78.78

A.10.2.1 District Programme
Manager
22 20790 54.89
78.78
Due to limited
resource envelop,
approved is being
given only for in-
the last year
expenditure).
Including HR,
Management cost,
A.10.2.2 District Accounts
Manager
22 16632 43.91
A.10.2.3 District Data
Manager
22 13860 36.59
A.10.2.4 Consultants/
Programme Officers
(Kindly Specify)

-

-

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks

7 11340 4.76

Approval is being
only with the above

resource envelop /
Specify)

14

15.03
A.10.2.8 Others (Please
specify)
0 154 1150 6.47
A.10.2.8.
1
for DPMUs
A.10.2.8.
2
Mobile Charges for
CMO for monitoring
@ Rs. 500/month

22 500 1.32
A.10.2.8.
3
Mobile charges for
District Nodal
Officers for different
schemes(Dy. CMO,
DHO, DIO) @ Rs. 400
per month

66 400 3.17
A.10.2.8.
4
Mobile Charges for
DPMUs @ Rs. 250
per month

66 250 1.98
A.10.2.8.
5

-
Block PMU
1219 28670 424.65 206.72

A.10.3.1 Block Programme
Manager
-
206.72
Due to limited
resource envelop,
approved is being
given only for in-
the last year
expenditure).
Including HR,
Management cost,

Approval is being
only with the above
A.10.3.2 Block Accounts
Manager
117 13860 194.59
A.10.3.3 Block Data Manager

117 13860 194.59

-

-
Specify)
-
A.10.3.7 Others (Please
specify)
985 950 35.46
A.10.3.7.
1
for BPMUs
A.10.3.7.
2
Mobile Charges for
BMO for monitoring
@ Rs. 400/month
No. 117 400 5.62
A.10.3.7.
3
Mobile charges for
Incharge MO PHC/AD
@ Rs 300/month
No. 634 300 22.82
A.10.3.7.
4
Mobile Charges for
BPMUs @ Rs. 250 per
month
No. 234 250 7.02

S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
A.10.3.7.
5

-
A.10.4 Strengthening
(Others)
0 0 40.00 10.00

A.10.4.1 Workshops and
Conferences
-

A.10.4.2 Rent for Divisional
Office
40.00 10.00
Approved.
A.10.4.3 Tally ERP

-

A.10.4.4

A.10.4.5

-

A.10.5 Audit Fees

7.50 7.50
Approved.
A.10.6 Concurrent Audit
system
23 10000 27.60 27.60
Approved.
A.10.7 Mobility Support,
Field Visits
0 0 449.54 -

A.10.7.1 SPMU/State

250.16

Approved under FMR
10.1
A.10.7.2 DPMU/District

66.00

Approved under FMR
10.2
A.10.7.3 BPMU/Block

133.38

Approved under FMR
10.3
A.10.7.4 Other Supportive
Supervision costs
- -

Sub-total
Programme
Management

1561
21332
2
1,493.8
1
476.43

A.11 VULNERABLE
GROUPS
0 0 - -

A.11.1 Planning, including
mapping and co-
ordination with other
departments

-

A.11.2 Services for
Vulnerable groups
-

A.11.3 LWE affected
areasspecial plan
-

A.11.4 Other
(please specify)

0 0 - -

Sub-total Vulnerable
Groups
0 0 - -

TOTAL RCH SUPPLY
SIDE
19,724.
35
6,402.5
8


S. No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit
Cost (
Rs)
Amount
Propos
ed ( Rs
in lacs)
Amount
Approv
ed
(Rs in
Lakhs)
Remarks
TOTAL RCH DEMAND
SIDE
2,647.5
7
2,409.3
6

GRAND TOTAL

22,371.
92
8,811.9
4


Annexure 2
DETAILED BUDGET: MISSION FLEXIBLE POOL (MFP)
S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B
6974807
7
129916
46
24,845.56 3,223.44
B1 ASHA 302144 308600 1,108.14
B 1.1 ASHA Cost: 302144 308600 1108.14 483.255
Approved 50% of the
approved activities. I.e.
Rs 483.255 lacs. The
activities are approved
at last year's unit cost.
Incentives to ASHA
facilitator for
conducting cluster
meetings, Awards t
ASHA/Link Worker,
ASHA Resource Center -
Not approved.
B1.1.
1
Selection & Training
of ASHA 60 90900 56.22
B1.1.
1.1
Module I - IV
No of
Batches
(25 per
batch) 60 90900 54.54
Approved with the
condition that the
training should be 8
days integrated
induction module as
per the present policy
B1.1.
1.2
Module V
-
B1.1.
1.3
Module VI & VII
-
Approved state should
share the details of
training no. of days
and cost per batch.
Shifted from A9.5.3.2
B1.1.
1.4
Other Trainings
0 0 1.68
B1.1.
1.4.1
State Trainers (round
3rd) (7 participants)
# 1.68 Approved
B1.1.
1.4.2
ASHA DRP (round
2nd ) (9 batches 25
participants per
batch) #
No. of
Batches
(25
Person
Per
Batch)
9
174200 -
Approved at last year's
unit cost i.e. Rs 106000
per batch. Shifted from
A.95.5.2.b
B1.1.
1.4.3
Training of ASHA
Facilitator Round 2nd
(16 batches 30
participants per
batch) #
No. of
Batches
(30
Person
Per
Batch)
20
137475 -
Approved at last year's
unit cost i.e. Rs 90,000
per batch. Shifted from
A.95.5.2.c

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B1.1.
1.4.4
Training of ASHA on
HBNC Round 1 ( part
1 & 2) (125 Batches
25 per batch) -
B1.1.
1.4.5
Training of ASHA on
HBNC Round 2 (173
Batches 25 per
batch) -
B1.1.
2
Procurement of
ASHA Drug Kit 12000 350 42
B1.1.
2.1
New Kits
-
B1.1.
2.2
Replenishment
12000 350 42
Approved under OPD
head (B16.2.5.2) of
General Drugs and
Supplies subject to the
condition; State to
replenish the drug kits
from the PHC.
B1.1.
2.3
Procurement of
ASHA HBNC Kit 0 0 -
B1.1.
2.4
New Kits
-
B1.1.
2.5
Replenishment
-
B1.1.
3
Performance
Incentive/Other
Incentive to ASHAs (if
any) 289687 180350 974.13
B1.1.
3.1
Incentive under MH
(ANC/PNC) 100000 250 250
B1.1.
3.1.1
full ANC
No. of
Instituti
onal
Deliveri
es 100000 250 250
Approved Rs 50 lakhs @
Rs 50 for 1 lakh
pregnant women as
Registration within 12
weeks. Other incentives
are a part of the JSY.
B1.1.
3.2
Incentive under CH
(HBNC)
100000 250 250
B1.1.
3.2.1
Incentive to ASHA
under HBNC
No. of
children
visited
by
ASHA 100000 250 250 Approved
B1.1.
3.3
Incentive for FP(
PPIUCD/others) 0 0 -
B1.1.
3.4
Incentive for AH
-
B1.1. Other incentive
65550 166250
315.13


S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
3.5
B1.1.
3.5.1
event reporting -
B1.1.
3.5.2
Monthly Meeting of
ASHAs (Travel
Expense/refreshmen
t) 12000 1200 144
Approved at ongoing
unit cost i.e. @ 75 per
meeting
B1.1.
3.5.3
Incentive for
registration of Births
50000 100 50
Approved at ongoing
unit cost i.e. @ Rs 50
per birth
B1.1.
3.5.4
Incentive for
registration of
Deaths 3000 100 3
Approved at ongoing
unit cost i.e. @ Rs 50
per death
B1.1.
3.5.5
managing ASHA help
desk @ Rs. 150 for 8
hours for 365 days
(365X150X3) 50 164250 82.13
Approved for ongoing
30 ASHA Grehs.
B1.1.
3.5.6
Incentive to ASHA
Facilitator for
conducting cluster
meetings 500 600 36 0 Not Approved
B1.1.
3.6
Other (support
provisions to ASHA
such as uniform,
diary, ASHA Ghar etc) 24137 13600 159
B1.1.
3.6.1
ASHA Diary
12000 100 12 Approved
B1.1.
3.6.2
ASHA help desk cum
rest room in 20 level
3 MCH facilities 20 10000 2 Approved
B1.1.
3.6.3
Uniforms to ASHA (2
sets of uniform, I-
card, 1 sweater, 1
shawl in high focus
districts @
Rs.1500.00 5000 1500 75
Approved at last years
unit cost i.e. @ 1000
B1.1.
3.6.4
Uniforms to ASHA ( 2
sets of uniforms and
I-card in other
districts @ Rs.
1000.00)/ 7000 1000 70
Approved at last years
unit cost i.e. @ 750
B1.1.
4
Awards to
ASHA's/Link workers 117 1000 1.17 Not approved
B1.1.
5
ASHA Resource
Centre/ASHA
Mentoring Group 280 36000 34.62

Not approved.
B1.1.
5.1
HR At State Level
2 5.64 Not approved.

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B1.1.
5.2
HR at District Level
22
District
Coordin
ators 22 24000 5.28 Not approved.
B1.1.
5.3
HR at Block Level
117
Block
Coordin
ators 117 12000 14.04 Not approved.
B1.1.
5.4
Mobility Costs for
ASHA Resource
Centre/ASHA
Mentoring Group
(Kindly Specify) 139 9.66 Not approved.
B2 Untied Funds 9811 145000 1111.85 234.06
B2.1
Untied Fund for
CHCs/SDH
84 50000 42 18.4
Approved for 84 CHCs
as per 3rd quarter
B2.2 Untied Fund for PHCs
637 25000 159.25 68.71
Approved for 637
provided by State and
as per 3rd Quarter
B2.3
Untied Fund for Sub
Centres
2265 10000 226.5 58.14
Approved for 2265
provided by State and
as per 3rd Quarter
B2.4 Untied fund for VHSC
6821 10000 682.1 86.81
Approved for 6062
VHS&NC where joint
accounts have been
opened As per MIS
December 2012 and as
per utilization i.e.
14.32%.
B2.5 Others
4 50000 2 2
Approved (MCH Sopore
is new)
B.3
Annual Maintenance
Grants
1426 260000 410.5 132.26

B3.1 CHC

83 100000 83 35.84
Approved for 83 CHCs
as per RHS 2012 @ 3rd
43.19%.
B3.2 PHCs
474 50000 237 77.91
Approved for 451
facilities (325 PHC and
126 NTPHC) as per 3rd
34.55%

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B3.3 Sub Centres
865 10000 86.5 16.78
Approved for 841
facilities (644 SHC and
197 NTSHC) as per 3rd
19.95%
B3.6 Other
4 100000 4 1.73
Approved for 4
Hospitals. New is MCH
Sopore
B.4
Hospital
Strengthening 200
250000
0 7,140.00 0.00
B.4.1
Up gradation of
CHCs, PHCs, Dist.
Hospitals 200
250000
0 7,140.00 0.00
B4.1.
1
District Hospitals
15 0 1,750.00

B4.1.
1.1
Additional Building/
Major Upgradation
of existing Structure -
B4.1.
1.2
Repair/ Renovation
-
B4.1.
1.3
Spillover of Ongoing
Works
15 1,750.00 0
to project ongoing
approved last year.
B4.1.
1.4
Staff Quarters
-
B4.1.
2
CHCs
39 0 2,218.13 0
B4.1.
2.1
Major Upgradation
of existing Structure
8 601.31 0
Approval pended in
envelope. State may
submit a
comprehensive plan.
B4.1.
2.2
Repair/ Renovation
-
B4.1.
2.3
Works
31 1,616.82 0
to project ongoing
approved last year.
B4.1.
2.4
Staff Quarters
-
B4.1.
3
PHCs
35 0 570.5 0
B4.1.
3.1
Major Upgradation
of existing Structure 4 40 0
Approval pended in
envelope
B4.1.
3.2
Repair/ Renovation
-

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B4.1.
3.3
Works
28 440.5 0
to project ongoing
approved last year.
B4.1.
3.4
Staff Quarters
3 90 0
Approval pended in
envelope
B4.1.
4
Sub Centres
96 0 426.37 0
B4.1.
4.1
Major Upgradation
of existing Structure -
B4.1.
4.2
Repair/ Renovation
-
B4.1.
4.3
Works
96 426.37
to project ongoing
approved last year.
B4.1.
4.4
ANM Quarters
-
B4.1.
5
Others (MCH Wings)
15
250000
0
2,175.00 0.00

B4.1.
5.1
(Absolutely) New /
Rented to Own
Building 8 2,000.00 0
Activity is pended in
envelope.
B4.1.
5.2
Additional
requirement from
previous work -
B4.1.
5.3
Carry forward
/Spillover of Ongoing
Works -
B4.1.
5.4
Other construction
7
250000
0 175 0
B4.1.
5.4.1
Civil works for DEIC
under RBSK
No. 7
250000
0
175 0
RBSK is kept pended in
view of limited
Resource Envelope.
B4.1.
6
SDH
0 0 -
B5
New Constructions
(proposed for the
coming year) 10
510000
0 137 0
B5.1 CHCs

B5.2 PHCs

B5.3 SHCs/Sub Centres
7 35 0
Approval pended in
envelope

Opening of New Sub
Centres
No. 400 333200 0
to provide the list of
sub Centers.

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B5.4
Setting up
Infrastructure wing
for Civil works 0 0 -
B5.6
Construction of
BEmONC and
CEmONC centres 2
510000
0 102 0
B.5.6
.1
Absolutely new
SNCU/NBSU/NBCC
2
510000
0 102 0
Not approved in view of
limited resource
envelope.
B.5.1
0
Infrastructure of
Training Institutions -
- 0 0 -
B.5.1
1
SDH
-
B.5.1
2
DH
-
B.6
Corpus Grants to
HMS/RKS
749 800000 845 277.4573

B6.1 District Hospitals

24 500000 120 46.992
Approved for 22 DH as
per 4th quarter
B6.2 CHCs

84 100000 84 36.5117
Approved for83 CHC as
per 4th quarter
utilization i.e.43.99%
B6.3 PHCs

637 100000 637 192.2448
Approved for 528
facilities (385 PHCs and
143 NTPHCs) as per 4th
quarter utilization
i.e.36.41%
B6.4
Other or if not
bifurcated as above

4 100000 4 1.7088
Approved for 4
hospitals as per 4th
42.72%
B6.5 SDH
-
B7
Health Action Plans
(Including Block,
Village)
0 0 -

B8
Panchayati Raj
Initiative
0 0 306.86 0

B8.1
Constitution and
Orientation of
Community leader &
of
VHSC,SHC,PHC,CHC
etc

306.86 0
Not approved.
B8.2
Orientation
Workshops, Trainings
and capacity building
of PRI at State/Dist.
Health Societies,
CHC,PHC -

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B8.3 Others
0 0 -
B9
Mainstreaming of
AYUSH
1349 96000 3,480.48 752.96

B.9.1
Medical Officers at
CHCs/ PHCs (Only
AYUSH)
712 60000 2,563.20 523.008

B.9.1
.1
DH

-

B.9.1
.2
FRUs

-

B.9.1
.3
Non FRU SDH/ CHC

-

B.9.1
.4
24 X 7 PHC

200 30000 720
523.008
Approved for 454 in
position AYUSH doctors
@ Rs 19,200 per month
for 6 months. 90 AYUSH
doctors may be
engaged under RBSK
team. New HR not
approved.
B.9.1
.5
Non- 24 X 7 PHCs/
APHCs

512 30000 1,843.20
B.9.2
Other Staff Nurses
and Supervisory
Nurses/ AYUSH
pharmacists (Only
AYUSH)
637 36000 917.28 249.48

B.9.2
.1
DH
-
B.9.2
.2
FRUs
-
B.9.2
.3
Non FRU SDH/ CHC
-
B.9.2
.4
24 X 7 PHC

200 12000 288
229.95
Approved 365 in
position Dawasaaz @
10,500 per month for
this FY for 6 months.
B.9.2
.5
Non- 24 X 7 PHCs

198 12000 285.12
B.9.2
.6
Urban Clinics/
Health Posts
-

B.9.2
.7
Other

239 12000 344.16 0
New HR not approved.
B9.3
Other Activities
(Excluding HR)
0 0 -

B9.4 Training

-

B10 IEC-BCC NRHM

3334 33450 394.82 90

B.10
Strengthening of
BCC/IEC Bureaus
(state and district
levels)
0 0 -
90
Rs 90 lacs approved for
IEC (Rs 3 lacs/district for
11 districts and Rs 1
lac/district for 12
districts and the same
amount at the state
level. Activity at FMR
B.10.
1
Development of
State BCC/IEC
strategy

-

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B.10.
2
Implementation of
BCC/IEC strategy
3158 24450 217.31
A.7.2.7 i.e. Debates,
seminars at
universities/colleges for
PNDT approved.
B.10.
2.1
BCC/IEC activities for
MH
654 23150 37.03
B.10.
2.1.1
Mass media

150 22500 33.75
B.10.
2.1.2
Mid-media

504 650 3.28
B.10.
2.2
CH
2000 650 13
B.10.
2.2.1
Mass media

B.10.
2.2.2
Mid-media

2000 650 13
B.10.
2.3
FP
504 650 3.28
B.10.
2.3.1
Mass media

B.10.
2.3.2
Mid-media

504 650 3.28
B.10.
2.4
ARSH
0 0 53.62
B.10.
2.4.1
Mass media

-
B.10.
2.4.2
Mid-media

53.62
B.10.
2.5
Other activities
(please specify)
110.38
B.10.
2.6
IPC initiatives/tools

-
B.10.
3
Health Mela

-
B.10.
4
Creating awareness
on declining sex ratio
issue

53.39
B.10.
5
Other activities

176 9000 124.12
B.10.
5.1
Printing of MCP
cards, safe
motherhood
booklets etc

-
B.10.
5.2
Printing of WIFS
cards etc
-
B.10.
5.3
Other printing

176 9000 124.12
B.10.
5.3.1
Promotion and
propagation and
AYUSH Units at PHCs
& LHTs

20

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B.10.
5.3.2
Issue of press
Advertisement in
print media throught
information
department

12
B.10.
5.3.3
Display of scroll with
nine slogans from 4
cable networks of
Jammu & Srinagar
cities with atleast 30
displays per day @
Rs.8000/- per scroll
per month.
48 9000 4.32
B.10.
5.3.4
NRHM Sammelans at
block / Halqa
Panchayat levels

128

34.4
B.10.
5.3.5
Miscellaneous
IEC/BCC activites
53.4

B11
Mobile Medical Units
(Including recurring
expenditures)

11
237500
0
261.25 0
Approval Pended
subject to State
MMU Guidelines for all
the running MMUs
under NRHM
B11.
1.1
Capex

11
237500
0
261.25 0

B11.
1.2
Opex
-
B11.
1.5
Others
-
B11.
2
Mobile Medical Vans
(smaller vehicles)
and specialised
Mobile Medical Units

0 0 -

B11.
2.4
Training/orientation

-

B11.
2.5
Others

-

B12
Referral
Transport/Patient
transport System

8 140621 1,382.39 16.87
Approval Pended
subject to State
Ambulance Guidelines
for all the running
ambulances under
NRHM
B12.
1
Ambulance/EMRI
Capex

0 0 400

Since there is no
further requirement of
new ambulances, NPCC
has not approved the
activity.

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B12.
1.1
State basic
ambulance/ 102
Capex

-

B12.
1.2
Advanced life
support Capex
-

B12.
1.3
EMRI Capex-BLS

400

B12.
1.4
EMRI Capex-ALS

-

B12.
2
Operating Cost
/Opex for
ambulance
8 140621 982.39 16.87

B12.
2.1
State basic
ambulance/102 Opex

1 140621 16.87 16.87
Rs 16.87 lakhs is
recommended for
approval for setting up
two Regional Call
Centers for 102.
(Centralised call centre)
subject to sharing the
costing details.
B12.
2.2
Operating Cost
/Opex for ASL
ambulance

-

B12.
2.3
Opex EMRI-BLS

750

B12.
2.4
Opex EMRI-ALS

-

B12.
2.5
HR Basic ambulance

-

B12.
2.6
HR advanced life
support ambulances
-

B12.
2.6
Training/orientation

-

B12.
2.7
Call centre-capex

30

B12.
2.8
call centre-opex

132

B12.
2.9
Others

7 0 53.52

B12.
2.9.1
Procurement of
Ambulances
-

B12.
2.9.2
Procurement of Boat
Ambulances 1 ALS
and 1 BLS for
providing emergency
care services for the
people of Dal Lake
area
No. of
Ambula
nces
2

48

B12.
2.9.3
HR for Boat
Ambulances
No. of
Persons
5

5.52

B.13 PPP/ NGOs

0 0 -


S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B13.
1
Non governmental
providers of health
care RMPs

-

B13.
2
Public Private
Partnerships (Out
Sourcing set up, if
applicable for State,
to be budgeted
under this head)

0 0 -

B13.
3
NGO Programme/
Grant in Aid to NGO
0 0 -

B14 Innovations( if any)

408 358200 1,679.04 1.00

B14.
1
Intersectoral
convergence
4 25000 1 1
Approved.
B14.
2
Community Based
Monitoring and
Planning (CBMP)

B14.
3
Distict Based
Comprehensive
Newborn Care
Package - NIPI
UNOPS and
Government of J&K
Collaboration
No. of
Pilot
Districts
4

345.24 0
not recommended
keeping in view that
state has to utilise the
available resources for
the existing activities
B14.
5
Incentive to parents
having two
daughters adopting
permanent method
of family planning

-

B14.
6
Incentive to the
Village Health
Sanitation and
Nutrition
Committees where
the sex ratio at birth
is 1:1

-

B14.
7
Opening of New Sub
Centres
No. 400 333200 1,332.80 0
shifted to B5.3
B14.
8
Establishment of
PC&PNDT cell at
Divisional Level

-

B14.
9
Initiatives under
School Health
Programme

-

B14.
10
IYCF Practices

-

B15
Planning,
Implementation and
Monitoring

14574 320240 991.48 279.19


S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B15.
1
Community
Monitoring (Visioning
workshops at state,
Dist, Block level)

0 0 -

B15.
2
Quality Assurance

0 0 -

B15.
3
Monitoring and
Evaluation
14574 320240 991.48 279.19

B15.
3.1
Monitoring &
Evaluation / HMIS
/MCTS

152 23940 207.14 51.44

B15.
3.1.1
HR for
M&E/HMIS/MCTS
2 12600 3.02 1.44
Approved 1.44 lakhs
for 2 HMIS fellow at
existing salary @ 12000
per month for six
months.
B15.
3.1.5
Data Entry Operators

150 11340 204.12 50
the activity of data
entry is approved.
However, the work is to
be carried out on task
rate basis and no post is
to be created.
B15.
3.1.6
Others (Please
specify)
0 0 -

B15.
3.1.6
.1
Boats for mointoring
and outreach
actvities in Dal Lake-
Srinagar

-

B15.
3.1.6
.2
V-Sat for difficult
districts where
internet connectivity
is a problem- Leh,
Kargil, Poonch &
Rajouri

-

B15.
3.2
Computerization
HMIS and e-
governance, e-health

496 50750 366.63 35.05

B15.
3.2.1
.a
HMIS Operational
Cost (excluding HR &
Trainings)

-

B15.
3.2.1
.b
Procurement of
Computers/ printers/
cartridges etc.

139 50000 69.5 0 Approval pended.
B15.
3.2.1
.c
Maintenance of
Computers/ AMC/
etc.

2.5 0
Not approved since
details like number of
computers for which
AMC is required, the
unit cost of computer &
whether these
computers are being
used for HMIS/MCTS
related work have not

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
been provided.
B15.
3.2.1
.d
Other Office and
admin expenses
357 750 294.63 35.05

B15.
3.2.1
.d.1
M&E
257.5 2.45
Approved 2.45 lakhs
@ Rs 10000 per district
and Rs 25000 for State
level per annum as per
the norms of Mobility
Support. Amount
approved is indicative
figure and actual
amount would be based
on actual expenditure.
Salient observations to
be shared with
MOHFW. Visits to be
undertaken only for
HMIS/MCTS related
work.
B15.
3.2.1
.d.2
Internet connectivity

357 750 32.13 32

Approved @ unit cost
of 750 per month

B15.
3.2.1
.d.3
Consumables at State
level
2.5 0.3
Approved Rs 0.30 Lakh
@ Rs 2500 per month.
Procurement should be
on the basis of
competitive bidding
and following
Government Protocols
B15.
3.2.1
.d.4
Consumables at
divisional level
2.5 0.3
Approved Rs 0.30 Lakh
@ Rs 2500 per month
for all Divisions
combined.
Procurement should be
on the basis of
competitive bidding
and following
Government Protocols
B15.
3.2.1
.d.5
Consumables at PHCs
and NTPHCs
-

B15.
3.2.2
.a
MCTS Operational
Cost (excluding HR &
Trainings)

0 0 -

B15.
3.3
Other M & E
Activities
13926 245550 417.71 192.7


S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B15.
3.3.4
Review Meetings for
HMIS
2 100000 2 2
Approved for one day
combined review for
HMIS and MCTS for at
least 2 reviews per year
at state levels, at least 1
review per quarter at
district level and at
least 1 review per
month at block level.
Expenditure will be as
per extant rule. State
must share the
outcomes of the
meetings with MoHFW
and may involve PRCs in
the same
B15.
3.3.5
Review Meetings for
MCTS
-

B15.
3.3.6
Centers - CAPEX
B15.
3.3.7
Centers - OPEX
8.44 0
Not approved. .
B15.
3.3.8
e-Governance
Initiative
-

B15.
3.3.9
Hospital
Management
Softwares

200 0
Pended. Details
(features,
functionalities,
expenditure, outcomes
etc.) may be shared.
B15.
3.3.1
0
Others

13924 145550 207.27 190.7

B15.
3.3.1
0.1
Printing of new
registers approved
by GoI

20 20
Approved for printing
MCTS (Integrated RCH)
register @ Rs 150 per
register and not more
than 2 registers per
ANM and HMIS formats
@ 0.40 paisa per page.
Amount approved is
indicative figure and
actual amount would
be based on actual
expenditure. Printing
should be based on
competitive bidding
following Govt.
Protocols. State may
share a specimen of
MCTS register / HMIS
formats with MoHFW
before proceeding with

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
printing.
B15.
3.3.1
0.2
Mobile charges for
ANM at sub-centres
(Regular ANMs) for
tracking of pregant
women and
children/mointoring
& Rs 100/-
respctively per
month)

1910 100 22.92 22.92
(On-going activity)
Approved subject to the
condition that mobile
charges should be
provided only for those
ANMs whose mobile
numbers are validated
and updated on MCTS
portal. Payment should
be on the basis of the
updation of records
done by ANM. State
may share the
outcomes so far.
Note: In future Mobile
charge support will be
provided to the State
for the best performing
ANMs only. Evaluation
will be done based on
the beneficiaries
coverage reflected on
the MCTS portal.
B15.
3.3.1
0.3
Reimbursement of
Mobile user charges
of ASHA @ Rs 100
per month

12000 100 144 144
(On-going activity)
Approved subject to the
condition that mobile
charges should be
provided only for those
ASHAs whose mobile
numbers are validated
and updated on MCTS
portal. Payment should
be on the basis of the
updation of records
done by ASHA. State
may share the
outcomes so far.
Note: In future Mobile
charge support will be
provided to the State
for the best performing
ASHAs only. Evaluation
will be done based on
the beneficiaries
coverage reflected on
the MCTS portal.

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B15.
3.3.1
0.4
Capity bulidings of
CMOs / BMOs /
DPMUs / BPMUs/
Data Entry Operators
at PHC and New Type
PHCs at Division level
for re-orienation of
HMIS and MCTS 28
batches of 35
participants each

14 145350 20.35 3.78
Approved Total cost of
training 3 day combined
training for HMIS and
MCTS @ Rs 300 per day
per person for 1
training per person per
year. Amount approved
is indicative figure and
actual amount would
be based on actual
expenditure.
B15.
3.3.1
0.5
Ongoing review of
MCH tracking
activities (2 Review
meeting to be held
after 6 months for
both the Divisions
headed by Secreatry
/ Mission Director to
review HMIS / MCTS
in both the Divisions
)

-

No budget has been
proposed under this
activity.
B.16 PROCUREMENT

6941405
3
554535 4,055.66 696.30

B16.
1
Procurement of
Equipment
2578 454450 528.84 94.48

B16.
1.1
Procurement of
equipment: MH
0 0 -

B16.
1.1.1
Equipments for
Blood Banks/ BSUs
-

B16.
1.1.2
MVA /EVA for Safe
Abortion services
-

B16.
1.1.3
Others (please
specify)
0 0 -

B16.
1.2
Procurement of
equipment: CH
0 0 -

B16.
1.2.1
Procurement of
equipment: CH
(NBCC @ Rs. 85000 X
50)

B16.
1.2.2
Procurement of
equipment: CH for
strengthening of the
paediatrics
department SMGS
hospital Jammu and
GB Pant Hospital
Srinagar (Training
Centre) project
submitted

-

B16.
1.3
Procurement of
equipment: FP
2529 453600 94.94 94.06


S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B16.
1.3.1
NSV kits

110 1600 1.76 0.88
Approved @ Rs 800 per
kit for 110 kits.
B16.
1.3.2
IUCD kits

2409 2000 48.18 48.18 Approved
B16.
1.3.3
minilap kits

-

B16.
1.3.4
laparoscopes

10 450000 45 45 Approved
B16.
1.3.5
PPIUCD forceps

-

B16.
1.3.6
Other (please
specify)
0 0 -

B16.
1.4
Procurement of
equipment: IMEP
0 0 -

B16.
1.5
Procurement of
equipment other
than above

-

B16.
1.5.1
Procurement of OT
Equipments
-

B16.
1.6
Equipments for
ARSH/ School Health
49 850 433.9 0.42

B16.
1.6.1
Equipments for ARSH
Clinics
49 850 0.42 0.42 Approved
B16.
1.6.2
Equipments for
School Health
Equipments for
School Health
Screening (weighing
scale, Height
measurement scale
and Snellens Charts)

433.48 0
RBSK proposal is kept
pended in view of
limited RE.
B16.
1.7
Equipments for
Training Institutes
-

B16.
1.8
Equipments for
AYUSH
-

B16.
1.9
Procurement of
Others/Diagnostics
-

B.16.
2
Procurement of
Drugs and supplies
6941147
5
100085 3,526.82 601.82

B.16.
2.1
MH
0 0 -

B.16.
2.1.3
Others (Please
specify)
0 0 -

B.16.
2.2
CH
4811405 84 387.42 387.42


S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B.16.
2.2.1
IFA tablets and De-
worm tablets for
students studying in
primary school 6th
to 12th class
teachers, General IFA
Tablets and
Deworming tablets
under School health

-

B.16.
2.2.2
IFA KID tablets
52
doses of
1 ml
syrup
for each
child
1644813 14 230.27 230.27 Approved
B.16.
2.2.3
Procurement of ORS
packets
No. of
packets
1879033 2.25 42.28 42.28 Approved
B.16.
2.2.4
Procurement of zinc
tablets
1252689 7.5 93.95 93.95 Approved
B.16.
2.2.5
Procurement of
vitamin A syrup
No. of
bottles
34870 60 20.92 20.92 Approved
B.16.
2.3
FP
0 0 -

B.16.
2.4
Supplies for IMEP

0 0 100 0
B.16.
2.4.1
For colour bags, bins,
needle destroying
units, transportation
trollies, Hypochlorite
solution etc.

100 0 Not Approved
B.16.
2.5
General drugs &
supplies for health
facilities
0 0 800 42
Not approved.
B.16.
2.5.1
IPD

800 0

Replenishment of
ASHA drug kits
42
B.16.
2.5.2
OPD

-

B.16.
2.6
WIFS
6460000
0
1 142.4 142.4
B.16.
2.6.1
IFA
No. of
tablets
+ 20%
buffer
stock
6240000
0
0.2 124.8 124.8 Approved
B.16.
2.6.2
Albendazole
No. of
tablets
+ 10%
buffer
stock
2200000 0.8 17.6 17.6 Approved

S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B.16.
2.7
SHP
No. of
districts
x 10
months
70 100000 70 30
Rs 30 lakhs is approved
to procure medicines of
Rs 16000 per team and
Rs 8000 for once refill.
Conditionality State to
procure medicines only
in accordance to the
RBSK EDL to be
announced from GoI.
B.16.
2.8
UHCs
-

B.16.
2.9
AYUSH
2,027.00 0
Not approved.
B.17
Regional drugs
warehouses/Logistic
s management

0 0 400 200

B.17.
1
Drug warehouses

400 200
Approved 50% of work
in view of limited
resource envelope.
B.17.
2
Staff at State level

-

B.17.
3
Staff at District level

-

B.17.
4
Others

0 0 -

B.18
New Initiatives/
Strategic
Interventions (As per
State health policy)/
Innovation/ Projects
(Telemedicine,
Hepatitis, Mental
Health, Nutrition
Programme for
Pregnant Women,
Neonatal) NRHM
Helpline) as per
need (Block/ District
Action Plans)

0 0 14.17 14.17

B.18.
1
Help Lines

14.17 14.17
Approved as an ongoing
activity
B.19
Health Insurance
Scheme
-

B.20
Research, Studies,
Analysis
28 0
Not Approved
B.21
State level health
resources
centre(SHSRC)

0 0 -

B.21.
1
SHSRC - HR

-

B.21.
2
Other cost

-


S.
No.
Budget Head
Unit of
Measur
e
Quantity
/ Target
Unit
Cost (
Rs in
lacs)
Amount
Proposed
( Rs in
lacs)
Amount
Approve
d ( Rs in
lacs) Remarks
B22 Support Services

0 0 107 0

B22.
1
Support
Strengthening NPCB
-

B22.
4
Support
Strengthening RNTCP
107 0 Not approved
B.23
Other Expenditures
(Power Backup,
Convergence etc)

0 0 991.92 45.92
B.23.
1
Power Backup for
Kashmir Divion Office
& DHSs

-

B.23.
2
Strengthening of
RIHFW
45.92 45.92
Approved as an ongoing
activity.
B.23.
3
Upgradation of 2
Drug Testing
Laboratories
(Divisional level)

701 0
Approval Pended in
view of limited
Resource Envelope
B.23.
4
Running cost for
Central Heating
System in Leh / Kargil

245 0 Not Approved


Annexure 3
DETAILED BUDGET: IMMUNIZATION

FMR
Code
BUDGET HEAD Physical target
Unit Cost (
Rs)
Amount
Proposed (Rs
in Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS
C.1
RI Strengthening Project
( Review meetings,
Mobility support,
Outreach services etc)
c.1.a
supervision for
district/block level
officers.
Rs.2,50,000/
Year /district
level officers.
22.00 55.00 55.00

c.1.b
supervision at state
level
Rs. 150000 per
year.
2.00 1.50 1.50

c.1.c
Printing and
dissemination of
Immunization cards,
tally sheets, monitoring
forms etc.
Rs. 10
beneficiaries
100000.00 10.00 10.00

c.1.d
Support for Quarterly
State level review
meetings of district
officer
Rs. 1250/ per
participant/day
for 3 persons
(CMO/DIO/Dist.
Cold Chain
Officer)
8.00 3.30 3.30
State to share
the meeting
notice and
minutes with
MOHFW.
c.1.e
Quarterly review
meetings exclusive for
RI at district level with
one Block MOs, CDPO,
and other stake holders
Rs. 100/per
participant for
meeting
expenses for 5
persons (lunch,
Organization
expenses)
88.00 2.86 2.86
State to share
the meeting
notice and
minutes with
MOHFW.

FMR
Code
Unit Cost (
Rs)
Amount
Proposed (Rs
in Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS
c.1.f
Quarterly review
meetings exclusive for
RI at block level
Rs. 50/ per
person as
honorarium for
ASHA (Travel)
and Rs.
25/person at
the disposal of
MO-IC for
meeting
expenses
(refreshment,
stationary and
misc. expenses)
117.00 3.59 3.59
State to share
the meeting
notice and
minutes with
MOHFW.
c.1.g
Focus on slum &
underserved areas in
urban areas/alternative
vaccinator
for slums

Hiring of
ANM@450/sess
ion for four
session/month/
slum of 10000
population and
Rs. 300/- per
month as
contingency per
slum i.e. Rs.
2100/- per
month per slum
of 10000
population
491.00 10.31 10.31

c.1.h
Mobilization of
children through ASHA
or other mobilizers
Rs. 150 per
session
106666.00 160.00 160.00

c.1.i
Alternative vaccine
delivery in hard to
reach areas
Rs. 150 per
session
3000.00 4.50 4.50

c.1.j
Alternative Vaccine
Delivery in other areas
Rs. 75 per
session
14000.00 10.50 10.50

c.1.k
To develop micro plan
at sub-centre level
@ Rs 100/- per
subcentre
2253.00 2.25 2.25

c.1.l
micro plans at block
level
Rs. 1000 per
block/ PHC and
Rs. 2000 per
district
502.00 5.24 5.24


FMR
Code
Unit Cost (
Rs)
Amount
Proposed (Rs
in Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS
c.1.m
POL for vaccine
delivery from State to
district and from district
to PHC/CHCs
Rs1,50,000/
district/year
22.00 33.00 33.00

c.1.n
Consumables for
computer including
provision for internet
access for RIMs
@ 400/ -
month/ district
22.00 1.06 1.06

c.1.o
Red/Black plastic bags
etc.
Rs.
3/bags/session
185000.00 5.55 5.55

c.1.p
Hub
Cutter/Bleach/Hypochlo
rite solution/ Twin
bucket
Rs. 1200 per
PHC/CHCper
year
718.00 8.62 8.62

c.1.q Safety Pits Rs. 5250/pit 35.00 1.84 1.84

c.1.r
State specific
requirement
(Maintainence of WIC in
Sri Nagar & Jammu)

1.00 2.00 0.00
The state
should engage
refrigerator
mechanics for
this activity
and funds for
maintainence
to be used
from cold
chain
maintenance
funds under
C.4
c.1.s
Teeka Express
Operational Cost
44.59 44.59

c.1.t
Measles SIA
operational Cost
0.00 0.00
Not
recommended,
as no planned
Measles SIA in

FMR
Code
Unit Cost (
Rs)
Amount
Proposed (Rs
in Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS
F.Y. 2013-14
c.1.u
JE Campaign
Operational Cost
0.00 0.00
Not
recommended,
as no planned
JE Campaign in
F.Y. 2013-14
c.1.v
Others (IEC activities
for Immunisation
strengthening activities
& Office expenses)

1.00 18.38 0.00
Not
recommended,
as activity
approved
under
comprehensive
IEC plan.
C.1-Sub Total

384.08 363.70

C.2 Salary of Contractual Staffs
C.2.1
Computer Assistants
support for State level
Rs.12000-15000
per person per
month
1.00 1.51 0.75

* Salary is for 6
months
* State to
provide details
of total
sanctioned
posts, filled up
and vacancy.
C.2.2
Computer Assistants
support for District level
8000-10000 per
person per
month
22.00 29.94 13.20

* Salary is for 6
months
* State to
provide details
of total
sanctioned
posts, filled up
and vacancy.
C.2.3
Others(service delivery
staff)-Establishment of
State Immunization Cell
includes HR and
mobility (New
Innovation).

SEPIO (mobility &
logistics support)
Already
existing
6.00 0.00
Not
recommended
Technical Officer
Routine Immunization (
NEW POSTS)
70000/m 2 28.80 14.40
*
Recommended
.

FMR
Code
Unit Cost (
Rs)
Amount
Proposed (Rs
in Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS
* Salary is for 6
months
State Immunization
Training Coordinator
60000/m 1 13.20 0.00
Not
recommended
Regional Routine
Immunization
Coordinators
25000/m 2 12.00 0.00
Not
recommended
State Cold Chain
Officer
50000/m 1 12.00 0.00
Not
recommended
Technical Assistant

Already
existing
2.40 0.00
Not
recommended
Program cum
Computer Assistant
15000/m 3 5.40 1.80
*
Recommended
for 2 posts of
assistants @ Rs
15,000/m * 6
months * 2
posts
* Salary is for 6
months
Divisional/Regional
Warehouse Vaccine &
Logistics Manager
20000/m 2 3.36 0.00
Not
recommended
Cold Chain & Vaccine
Logistics Helpers
7000/m 2 1.68 0.00
Not
recommended
C.2-Sub Total

116.29 30.15
C.3 Training under Immunization

FMR
Code
Unit Cost (
Rs)
Amount
Proposed (Rs
in Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS
C.3.1
District level
Orientation training
including Hep B,
required) for 2 days
ANM, Multi Purpose
Health Worker (Male),
LHV, Health Assistant
(Male/Female), Nurse
Midwives, BEEs & other
staff ( as per RCH
norms)
As per revised
norms for
trainings under
RCH
100.00 57.20 57.20
Approved, but
expenditure
has to be as
per NRHM
norms. Also, all
the trainings
should be
approved from
Immunization
division.
C.3.2
Three day training
including Hep B,
required) of Medical
Officers of RI using
revised MO training
module)
25.00 27.64 27.64
C.3.3
One day refresher
training of district
Computer assistants on
RIMS/HIMS and
immunization formats
2.00 0.39 0.39
C.3.4
Two days cold chain
handlers training for
block level cold chain
handlers by State and
district cold chain
officers
22.00 10.75 10.75
C.3.5
One day training of
block level data
handlers by DIOs and
District cold chain
officer

0.00 0.00
C.3.6 Others

0.00 0.00
C.3-Sub Total

95.97 95.97
C.4
Cold chain
maintenance

Rs.750/PHC/CH
Cs per year
District
Rs.15000/year
718 and 22
Districts
8.68 8.68
Recommended
as per norms,
However, the
expenditure
has to be as

FMR
Code
Unit Cost (
Rs)
Amount
Proposed (Rs
in Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS
per
actuals.Also, in
case the
expenditure
exceeds the
approved
allocation , the
state may
request to
MOHFW for
additional
allocation by
reappropriatin
g within part
C.
C.5
ASHA incentive for full
Immunization
Rs 100 per child
for full
immunization in
first year
100000.00
150.00 150.00

Rs 50 per child
for ensuring
complete
immunization
upto 2nd year of
age

Total ROUTINE
IMMUNIZATION

755 648.51
C.6
Pulse Polio Operational
Cost (Tentative)

394.57 398.07
Approved,
subject to
approval for
Pulse Polio
Cost.
Total

1149.59 1046.58


Annexure 4A
DETAILED BUDGET NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)

FMR
Code
BUDGET HEAD
Physica
l target
Unit
Cost (
Rs)
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
REMARKS

D

IDD

D.1 IDD Control
Cell-
Impleme
ntation
&
monitori
ng of the
program
me
15.50 14.00 State Govt. may conduct and
co-ordinate approved
programme activities and
furnish quarterly financial &
physical achievements as per
prescribed format

D.1.a Technical
Officer
1
D.1.b Statistical
Assistant
1
D.1.c LDC Typist 1
D.2 IDD
Monitoring
Lab-
Monitori
ng
of distric
t level
iodine
content
of salt
and
urinary
iodine
excretio
n as per
Policy
Guidelin
es.
6.50 6.00 The vacant post of Lab
Assistant should be filled up
on regular/contractual basis
on priority

State Govt. may conduct
quantitative analysis of salt &
urine as per NIDDCP
Guidelines and furnish
monthly/quarterly statements

D.2.a Lab Technician 1
D.2.b Lab. Assistant 1
D.3 Health
Education &
Publicity
Increase
d
awarene
ss about
IDD and
iodated
salt.
2.00 2.00 IDD publicity activities
including Global IDD Day
celebrations at various level.
D.4 IDD
Survey/resurve
Rs.
50,000
4
districts
2.00 2.00 State. Govt. may under take 4
districts IDD survey as per

ys per
district
guidelines and furnish report.
D.5 Salt Testing Kits
to be procured
by the State
Government
for 14 endemic
districts
12 STK
per
annum
per
ASHA
Creating
iodated
salt
demand
and
monitori
ng of the
same at
the
commun
ity level.
** State Govt. to monitor the
qualitative analysis of iodated
salt by STK through ASHA in 14
endemic districts i.e.
Ananthnag, Badgam,
Baramulla, Doda, Jammu,
Kargil, Kathau, Kupwara,
Ladakh, Pulwama, Pounch,
Rajori, Srinagar, Udhampur.
D.6 ASHA Incentive Rs.25/-
per
month
for
testing
50 salt
sample
/month
50salt
samples
per
month
per
ASHA in
14
endemic
districts.
36.00 **
TOTAL 64.50 24.00

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for
14 endemic districts funds will be released through flexi pool of NRHM by GOI.


Annexure 4B

DETAILED BUDGET INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

FMR
Code
Activity Unit Cost
(where-ever
applicable)
Amount
Proposed (Rs.
in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
1.1 Field Visits

5.0+ 24.0
(2.40x10)
29.0

1.2 Office Expenses
1.5 Review Meetings
1.6 Any other
Sub Total 29.0 29.0
2.1 District Priority Lab
2.2 Referral Network Lab 5.00x1+5 5.0
2.3 District health lab 34.70x4= 138.8 35.8 (non
recurring)
143.8 40.8
E3. Human Resources

3.1 Remuneration of
Epidemiologists
52.80 33.66

vacant positions has
been calculated for 6
months only, and for
microbiologist
remuneration has been
calculated for 9
months.
*Medical
Epidemiologists,
Medical
Microbiologists with
medical qualifications
non-medical
epidemiologists,
consultant training and
microbiologists

The microbiologist can
be appointed at one of
3.2 Remuneration of
Microbiologists
4.80 3.60
3.3 Remuneration of
Entomologists
3.6 -
3.4 Veterinary Consultant - -
Procurement
3.78 -
Technical
4.20 -
3.7 Data Manager 28.22

20.76


the labs being
established under IDSP

Sub Total 120.27 74.3
E4. Training As per
NRHM
Guidelines

would be conducted
online
Doctors
3,00,000
( 60,000 x 5
Batches )
1.0
Pharmacist / Nurses
1,00,000
( 25,000 x 4
Batches )
0.50
62,000
(31,000 x 2
Batches )
0.20
4.4 ASHA & MPWs AWW and
community volunteers
1,00,000
(25,000 x 4
Batches )
0.0
4.5 Training of Lab technicians 1,00,000
( 50,000 x2
batches )
0.30
4.6 One day training of DM &
DEO
88,000
( 44,000 x 2
Batches )
0.0
One day training for data
entry and analysis for block
health team (Including
block programme manager
50,000
( 25,000 x 2
Batches)
0.0
Sub Total 8.0 2.0
E5. Outbreak Investigation &
Response

E6. Analysis & Use of Data
E7. Civil Works
E8. Procurement of Computer
Hardware

E10. New Districts 14.0 14.0
Total (Jammu) 315.07 160.1

at RE stage


Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Kashmir Division (JK)
No of Districts (12)

FMR
Code
Activity Unit Cost
(where-ever
applicable)
Amount
Proposed (Rs.
in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
1.1 Field Visits
Rs 2,40,000 per
District
Surveillance
Unit per annum
Rs 5,00,000
State
Surveillance
Unit per annum

42.00

33.80

1.2 Office Expenses
1.5 Review Meetings
1.6 Any other Activities
Sub Total 42.00 33.80
2.1 District Priority Lab Rs. 4,00,000
per district
priority lab per
annum
4.0 4.0
2.2 Referral Network Lab Rs. 5,00,000
per referral lab
per annum
10.0(5.0x2) 10
2.3 District public health lab 2 (Anantnag
and Baramulla
46.0(30 non
recurring+ 16
recurring)
38.0(30 non
recurring+ 8
recurring)

Sub Total 60.0 52.0
E3. Human Resources

3.1 Remuneration of
Epidemiologists
62.4 45.6

vacant positions has been
calculated for 6 months
only
*Medical Epidemiologists,
Medical Microbiologists
with medical qualifications
non-medical
epidemiologists, consultant
training and
microbiologists
3.2 Remuneration of
Microbiologists
9.6 9.6
3.3 Remuneration of
Entomologists
3.6 1.80
3.4 Veterinary Consultant 3.6 1.80
Procurement
2.40 2.40
Technical
3.6 1.80
3.7 Data Manager 31.00 22.92
Sub Total 138.0 104.64

E4. Training As per NRHM
Guidelines

would be conducted online
Hospital Doctors
3.60 (.60x
6batches)
1.00
Hospital Pharmacist /
Nurses

0.50( .25x2
batches)
0.25
0.31 0.16
4.4 One day training for
Data Entry and analysis
for Block Health Team

0.25(.25x1) 0.13
4.5 One day training of DM
& DEO

0.88(.44x2) 0.0
Lab technician training 0.50( .50x1
batches)
0.25
ASHA MPWs AWW and community
volunteers
0.75(.25x3) 0.37
Subtotal Total 6.79 2.16
E5. ID Hospital Network
E7. New formed
Districts(Computer
hardware )
14.0 - Already approved in ROP
2012-13

Total (Kashmir) 260.79 192.6

Total (Jammu) 315.07 160.1

Total (Jammu &Kashmir) 575.86 352.7

at RE stage


Annexure 4C
DETAILED BUDGET NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
F.1 DBS (Domestic Budget
Support)

F.1.1 Malaria
F.1.1.a Human Resource
including MPW
contractual

Lab Technicians (
against vacancy )

VBD Technical
Supervisor (one for
each block)

District VBD Consultant
(one per district) (Non-
Project States)

State Consultant (Non
Project States)
- M& E Consultant
(Medical Graduate with
PH qualification)
- VBD Consultant
(preferably
entomologist)

F.1.1.b ASHA Incentive 5.70 8.00
F.1.1.c Operational Cost
Spray Wages 3.00 Recommended
for focal spray
from NRHM
additionalities
Operational cost for IRS
Impregnation of Bed
nets- for NE states

F.1.1.d Monitoring , Evaluation
& Supervision &
Epidemic Preparedness
including mobility
F.1.1.e IEC/BCC 10.55 10.00 Recommended
F.1.1.f PPP / NGO and
Intersectoral
Convergence

F.1.1.g Training / Capacity
Building

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
F.1.1.h Zonal Entomological
units
6.00 Not approved
due to
budgetary
restriction
F.1.1.i Biological and
Environmental
Management through
VHSC

F.1.1.j Larvivorous Fish
support

F.1.1.k Construction and
maintenance of
hatcheries
12.00 Not
Recommended
F.1.1.l Contingencies
Total Malaria (DBS) 51.15 36.00
F.1.2 Dengue & Chikungunya
F.1.2.a Strengthening
surveillance (As per
GOI approval)

F.1.2.a(i) Apex Referral Labs
recurrent

F.1.2.a(ii
)
Sentinel surveillance
Hospital recurrent
6.00 7.00 Opertional
costs for
laboratories as
per guidelines
to strengthen
diagnostic
facilities
ELISA facility to
Sentinel Surv Labs

F.1.2.b Test kits (Nos.) to be
supplied by GoI (kindly
indicate numbers of
ELISA based NS1 kit and
Mac ELISA Kits required
separately)
MAC ELISA
kits are GOI
supply through
NIV, Pune.
ELISA based
NS1 kits also
decentralized
item to be
procurred by
State out of
cash grant
under
decentralized
commodity.
F.1.2.c Monitoring and
evaluation
2.20 2.20 To improve
programme

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
F.1.2.d Epidemic containment 1.75 1.25 implementatio
n and case
mangament to
bring down
Dengue Case
fatality rate
F.1.2.e Case management 1.00
F.1.2.f Vector Control &
environmental
management
5.00 Essential
component,
state need to
plan source
reduction
activities as
per the Mid
Term Plan
approved by
CoS
F.1.2.g IEC BCC for Social
Mobilization
2.00 3.00 State to plan
the activities
as per GoI
guidelines
F.1.2.h Inter-sectoral
convergence
0.50
F.1.2.i Training including
0.00
Total
Dengue/Chikungunya
11.95 19.95
F.1.3 Acute Encephalitis
Syndrome (AES)/
Japanese Encephalitis
(JE)

F.1.3.a Diagnostics and Case
Management including
rehabilitation

NA NA

F.1.3.b IEC/BCC specific to J.E.
in endemic areas

F.1.3.c Capacity Building
F.1.3.d Monitoring and
supervision

F.1.3.e Technical Malathion
Fogging Machine

Operational costs for
malathion fogging

Rehabilitation Setup for
selected endemic
districts

ICU Establishment in


FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
endemic districts
ASHA Insentivization for
sensitizing community

Other Charges for
Training /Workshop
Meeting & payment to
NIV towards JE kits at
Head Quarter

Total AES/JE 0.00 0.00
F.1.4 Lymphatic Filariasis
F.1.4.a State Task Force, State
Technical Advisory
Committee meeting,
printing of
forms/registers,
mobility support,
district coordination
meeting, sensitization
of media etc., morbidity
management,
monitoring &
supervision, mobility
support for Rapid
Response Team and
contingency support

Not
Applicabl
e
Not
Applicabl
e

F.1.4.b Monitoring by
Microfilaria Survey

F.1.4.c Monitoring &
Evaluation (Assessment)

F.1.4.d Training District
Officers, PHC MOs,
Paramedical staff, drug
distributors

F.1.4.e BCC/Advocacy/IEC at
state, district/PHC, sub
centre

F.1.4.f Honorarium for Drug
Distribution including
ASHAs and supervisors

Verification and
validation for stoppage
of MDA in LF endemic
districts

a) Additional MF Survey
b) ICT Survey
c) ICT Cost

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
Verification of LF
endemicity in non-
endemic districts

a) LY & Hy Survey
b) Mf Survey in Non-
endemic distt

c) ICT survey
Post-MDA surveillance
Total Lymphatic
Filariasis
0.00 0.00
F.1.5 Kala-azar
F.1.5 Case search/ Camp
Approach

Not
Applicabl
e
Not
Applicabl
e

F.1.5.a Spray Pumps &
accessories

F.1.5.b Operational cost for
spray including spray
wages

F.1.5.c Mobility/POL/supervisio
n

F.1.5.d Monitoring &
Evaluation

F.1.5.e Training for spraying
F.1.5.f IEC/ BCC/ Advocacy
Total Kala-azar 0.00 0.00
Total (DBS) 63.10 55.95
F.2 Externally aided
component

F.2.a World Bank support for
Malaria (Identified
state)

F.2.b Human Resource
Not
Applicabl
e
Not
Applicabl
e

F.2.c Training /Capacity
building

F.2.d Mobility support for
Monitoring Supervision
& Evaluation including
printing of format &
review meetings,
Reporting format (for
printing formats)

Kala-azar World Bank
assisted Project

F.2.e Human resource
Not
Applicabl
Not
Applicabl

F.2.f Capacity building

FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
F.2.g Mobility e e
F.3 GFATM support for
Malaria (NE states)

F.3.a Project Management
Unit including human
resource of N.E. states

Not
Applicabl
e
Not
Applicabl
e

F.3.b Training/Capacity
Building

F.3.c Planning and
Administration( Office
expenses recurring
expenses, Office
automation , printing
and stationary for
running of project)

F.3.d Monitoring Supervision
(supervisory visits
including travel
expenses, etc) including
printing of format and
review meetings,

F.3.e IEC / BCC activities as
per the project

F.3.f Operational cost for
treatment of bednet
and Infrastructure and
Other Equipment
(Computer Laptops,
printers, Motor cycles
for MTS )

Total : EAC component 0.00 0.00
F.4 Any Other Items (
Please Specify)
0.00 0.00
F.5 Operational costs (
mobility, Review
Meeting,
communication,
formats & reports)
0.00 0.00
Grand total for cash
assistance under
NVBDCP (DBS + EAC)
63.10 55.95
F.6 Cash grant for
decentralized
commodities


FMR
Code
Activity Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Amount
Proposed
Amount
Approve
d
Remarks
F.6.a Chloroquine phosphate
tablets
4.00
22.20
The
commodities
are
recommended
however it
may be
restricted to
budgetary
allocation
F.6.b Primaquine tablets 7.5
mg
0.10
F.6.c Primaquine tablets 2.5
mg
0.00
F.6.d Quinine sulphate
tablets
0.00
F.6.e Quinine Injections 0.00
F.6.f DEC 100 mg tablets 0.00
F.6.g Albendazole 400 mg
tablets
0.00
F.6.h Dengue NS1 antigen kit 0.00
F.6.i Temephos, Bti (AS) / Bti
(wp) (for polluted & non
polluted water)
24.00
F.6.j Pyrethrum extract 2%
for spare spray
6.00
F.6.k Any Other Items (
Please Specify)

ACT ( For Non Project
states)

RDT Malaria bi-valent
(For Non Project states)

Total grant for
decentralized
commodities
34.10 22.20
Grand Total for grant-
in-aid under NVBDCP
97.20 78.15
Commodity to be
supplied by NVBDCP
0.00
Total NVBDCP Cash +
Commodity
97.20 78.15
Cash assistance required under NRHM flexi fund
Components Unit Cost
(wherever
applicable
)
Physical
target/
Deliverable
s
Ammoun
t
Proposed
Ammoun
t
Approve
d
Remarks

Spray Wages 3.00 3.00
Recommended

Total (Flexi fund) 3.00 3.00

Annexure 4D
DETAILED BUDGET NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
G1.Case detection &
Management

High Endemic
Districts
Block - - -
Areas
Town - Town - 2 2.28 2.28
Med I-
Med II-
Mega-
Med I-
Med II-
Mega-
1 2.40 2.40
1.3. ASHA
Involvement

Sensitization 100 600 0.60 0.60
*Incentive to ASHA
Detection 250 100 0.25 0.25

PB 400 50 0.20 0.20
MB 600 50 0.30 0.30
1.4 Material &
Supplies

Supportive drugs,
lab. reagents &
equipments and
printing works
District 68,000 10 6.80 6.80
1.5 NGO - Scheme No. 600000 - - -
G2. DPMR
MCR footwear, Aids
and appliances,
Welfare allowance
to patients for RCS,
Support to govt.

MCR - 300/- 100 0.30 0.30
2 pair per
person
Aids/Appliance -
17000
1 0.17 0.17
Welfare/RCS -
8000
- - -
At Institute -
5000
- - -
At camps -
10000

G3. ** IEC/BCC
Mass media,
Outdoor media,
Rural media,
Advocacy media
98,000 10 9.80 9.80

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
G4. Human
Resources &
Capacity building

4.1 *** Capacity
building
11 3.80 3.80
4.2. Human
Resources on
contract

4.2.1. ****
State level

SMO 1 40000 - - -
BFO cum Admn.
Officer
1 30000 - - -
Admn. Asstt. 1 16000 1 1.92 1.92
DEO 1 12000 1 2.88 1.44 Only one DEO
Driver 1 11000 - - -
4.2.2. District
Leprosy Consultant
30000 - - -
Post of Driver
of districts not
available
4.2.3. Special
Provision for
selected States

NMS No. 25000 - - -
4.2.4. Staff for
blocks

PMW No. 16000 - - -
G5. Programme
Management
ensured

5.1. Travel Cost
travel expenses -
State level
80000 10 0.60 0.60
travel expenses -
District level
25000 - - -
No Contractual
at district
& Maintenance

Office operation -
State Cell
1 75000 1 0.75 0.75

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
Office operation -
District Cell
No. 35000 10 3.50 3.50
Office equipment
maint. State
1 50000 1 0.50 0.50
5.4 Consumables
State Cell 1 50000 1 0.50 0.50

District Cell No. 30000 10 3.00 3.00
State Cell 2 200000 2 2.00 2.00
District Cell 1 150000 10 15.00 15.00
G6 Others
travel expenses -
State level

GRAND TOTAL
(JAMMU)
58.75 57.31

meetings.

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
G1.Case detection &
Management

High Endemic
Districts
Block - - -
Areas
Town - Town - - - -
To be
decided
Med I-
Med II-
Mega-
Med I-
Med II-
Mega-
- - -

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
1.3. ASHA
Involvement

Sensitization 100
- 0.54 0.54
Target not
given
* Incentive to ASHA
Detection 250
PB 400
MB 600
1.4 Material &
Supplies

Supportive drugs, lab.
reagents &
equipments and
printing works
District 68,000 12 6.24 6.24
1.5 NGO - Scheme No. 600000 - - -
G2. DPMR
MCR footwear, Aids
and appliances,
Welfare allowance to
patients for RCS,
Support to govt.

MCR - 300/-
- 7.50 7.00
Execss
demand
Aids/Appliance -
17000
Welfare/RCS -
8000
At Institute -
5000
At camps - 10000
G3. ** IEC/BCC
Mass media, Outdoor
media, Rural media,
Advocacy media
98,000 12 6.00 6.00
G4. Human
Resources & Capacity
building

4.1 *** Capacity
building
21 7.00 7.00
4.2. Human
Resources on
contract

4.2.1. ****
State level

SMO 1 40000 - - -
BFO cum Admn. 1 30000 1 3.60 3.60

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
Officer
Admn. Asstt. 1 16000 1 2.16 1.92
DEO 1 12000 1 1.92 1.44
Only one
DEO
Driver 1 11000 1 1.32 1.32
4.2.2. District Leprosy
Consultant
30000 - - -
Post of
Driver of
districts not
available
4.2.3. Special
Provision for selected
States

NMS No. 25000 - - -
4.2.4. Staff for blocks
PMW No. 16000 - - -
G5. Programme
Management
ensured

5.1. Travel Cost
travel expenses -
State level
80000 1 0.80 0.80
travel expenses -
District level
25000 - - -
No
Contractual
at district
& Maintenance

Office operation -
State Cell
1 75000 1 0.38 0.38
Office operation -
District Cell
No. 35000 12 2.16 2.16
Office equipment
maint. State
1 50000 1 0.30 0.30
5.4 Consumables
State Cell 1 50000 1 0.28 0.28

Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
District Cell No. 30000 12 1.68 1.68
State Cell 2 200000 1 0.85 0.85
District Cell 1 150000 12 9.00 9.00
G6 Others
travel expenses -
State level

GRAND TOTAL
(KASHMIR)
53.73 52.51
GRAND TOTAL
(JAMMU)
58.75 57.31
GRAND TOTAL
(JAMMU &
KASHMIR)

117.48 109.82

meetings.


Annexure 4E

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP)

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amoun
t
Propos
ed
Amount
Approved
Remarks
I.1 Civil works
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Civil work Up
gradation and
maintenance
completed as
planned
137.6 65 Approval for 5 TUs .
I.2
Laboratory
materials
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Sputum of TB
Suspects Examined
per lac population
per quarter;
2) All districts
subjected to IRL On
Site Evaluation and
year;
3) IRLs accredited
and functioning
optimally
32 16.92 As per norms
I.3 Honorarium
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All eligible
Community DOT
Providers are paid
honorarium in all
districts in the FY
9.62 6 As per norms.
I.4 ACSM
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All IEC/ACSM
activities proposed
in PIP completed;
2) Increase in case
detection and
improved case
holding;
30.56 15 As per norms.
I.5
Equipment
maintenance
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Maintenance of
Office Equipments
at State/Districts
and IRL
equipments
completed as
planned;
2) All BMs are in
functional
condition
16 11.07

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amoun
t
Propos
ed
Amount
Approved
Remarks
I.6 Training
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Induction
training, Update
and Re-training of
all cadre of staff
completed as
planned;
53.3 10 As per norms
I.7
Vehicle
maintenance/
operation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All 4 wheelers
and 2 wheelers in
the state are in
running condition
and maintained;
41 23
I.8 Vehicle hiring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
DTOs and MOTCs;
2) Increase in case
detection and
improved case
holding
22 17.64
I.9 NGO/PP support
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
number of
NGOs/PPs involved
in signed schemes
of RNTCP;
2) Contribution of
NGOs/PPS in case
detection and
provision of DOT
28.85 27
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed under
Medical Colleges
head in PIP
completed
25 22
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed under
miscellaneous head
in PIP completed
12.97 8.17
I.12
Contractual
services
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All contractual
staff appointed
and paid regularly
as planned
289 160 New position for 6 moths .

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amoun
t
Propos
ed
Amount
Approved
Remarks
I.13 Printing
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All printing
activities at state
and district level
completed as
planned
15 10.26
I.14
Research and
studies
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Proposed
Research has been
initiated or
completed in the
FY as planned
2 2
1.15
Procurement of
drugs

I.16
Procurement
vehicles
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Procurement of
vehicles completed
as planned
103 35.75 Only for 2 wheelers.
I.17
Procurement-
Equipments
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)Procurement of
equipments
completed as
planned
13 13
I.18
Patient support &
Transportation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
Payment of
transportation
charges to patients
1.4 1.4
I.19
Supervision &
Monitoring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
Number of
evaluation and
review meeting
done by state
30 20
Subtotal 864.23 464.21


21 0

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amoun
t
Propos
ed
Amount
Approved
Remarks

DETAILED BUDGET: RNTCP ( all budget in INR lakhs )- KASHMIR
FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount
Approve
d
Remarks
I.1 Civil works
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Civil work Up
gradation and
maintenance
completed as
planned
170.05 88.5
Approval is for 11 TU, 9
DMC, 2 DR TB centre+ DDS.
I.2
Laboratory
materials
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Sputum of TB
Suspects Examined
per lac population
per quarter;
2) All districts
subjected to IRL On
Site Evaluation and
year;
3) IRLs accredited
and functioning
optimally
I.3 Honorarium
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All eligible
Community DOT
Providers are paid
honorarium in all
districts in the FY
I.4 ACSM
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All IEC/ACSM
activities proposed
in PIP completed;
2) Increase in case
detection and
improved case
holding;
I.5
Equipment
maintenance
As per
Revised
Norms and
Basis of
Costing for
1) Maintenance of
Office Equipments
at State/Districts
and IRL equipments
completed as
19 15

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount
Approve
d
Remarks
RNTCP planned;
2) All BMs are in
I.6 Training
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Induction
training, Update and
Re-training of all
cadre of staff
completed as
planned;
60.58 11.44 As per norms .
I.7
Vehicle
maintenance/
operation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All 4 wheelers
and 2 wheelers in
the state are in
running condition
and maintained;
76 23.02
I.8 Vehicle hiring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
DTOs and MOTCs;
2) Increase in case
detection and
improved case
holding
76 45.61
I.9 NGO/PP support
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
number of
NGOs/PPs involved
in signed schemes
of RNTCP;
2) Contribution of
NGOs/PPS in case
detection and
provision of DOT
24.787 24.78
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed under
Medical Colleges
head in PIP
completed
247 77.48
Rs 25 lakh approved for
Zonal OR Meeting.
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed under
miscellaneous head
in PIP completed
21.48 11.3
I.12
Contractual
services
As per
Revised
Norms and
Basis of
Costing for
1) All contractual
staff appointed and
paid regularly as
planned
465 255
Nursing + helper position
has not been approved

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount
Approve
d
Remarks
RNTCP
I.13 Printing
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All printing
activities at state
and district level
completed as
planned
17.94588 8
I.14
Research and
studies
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Proposed
Research has been
initiated or
completed in the FY
as planned
17 2
1.15
Procurement of
drugs

0
I.16
Procurement
vehicles
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Procurement of
vehicles completed
as planned
150 39 For 2 wheelers
I.17
Procurement-
Equipments
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)Procurement of
equipments
completed as
planned
19 17
I.18
Patient support
& Transportation
As per
Revised
Norms and
Basis of
Costing for
RNTCP
Payment of
transportation
charges to patients
2.12 2.12
I.19
Supervision &
Monitoring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
Number of
evaluation and
review meeting
done by state
66 20
Subtotal 1502.52 676.26


86 11.25
For AIC control gadgets+
300 MA X ray plant

FMR
Code
Activity Unit Cost
(wherever
applicable)
Physical target/
Deliverables
Amount
Proposed
Amount
Approve
d
Remarks
GRAND TOTAL (Kashmir) 1589.53 687.52
GRAND TOTAL (JAMMU & Kashmir) 2474.76 1151.73

National Rural Health Mission

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