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1 NATIONAL PROGRAMME COORDINATION COMMITTEE (NPCC) APPRAISAL OF STATE PIP (PUNJAB) March17, 2008 NIRMAN BHAWAN, NEW DELHI NATIONAL RURAL HEALTH MISSION.

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Presentation on theme: "1 NATIONAL PROGRAMME COORDINATION COMMITTEE (NPCC) APPRAISAL OF STATE PIP (PUNJAB) March17, 2008 NIRMAN BHAWAN, NEW DELHI NATIONAL RURAL HEALTH MISSION."— Presentation transcript:

1 1 NATIONAL PROGRAMME COORDINATION COMMITTEE (NPCC) APPRAISAL OF STATE PIP (PUNJAB) March17, 2008 NIRMAN BHAWAN, NEW DELHI NATIONAL RURAL HEALTH MISSION PUNJAB

2 PUNJABHRYHPRAJASTHANINDIA BIRTH RATE (SRS 2005) DEATH RATE (SRS 2005) SEX RATIO (CENSUS 2001) IMR(SRS 2005) TFR(SRS 2005) ANTE NATAL CARE (AT LEAST 3 CHECKUP) (%) (SRS 2005) INSTITUTION DELIVERY (%) (SRS 2005) MATERNAL MORTALITY RATIO CONTRACEPTIVE USE (%) VACCINE COVERAGE (%) PRESENT STATUS AS COMPARED TO NEIGHBORING STATES AND ALL INDIA 2

3 INDICATORSAT THE START OF RCH SRS 98/99 PRESENT STATUS 07/08 TARGET TFR IMR (PER 1000 LIVE BIRTHS) 4944<30 MMR (PER LIVE BIRTHS) <100 INST. DELIVERIES37.5% (NFHS II) % ANC CHECK-UP WITH 03 CONTACTS 58.4% (NFHS II) % INDICATORS & GOALS 3

4 INSTITUTIONAL ARRANGEMENTS INITIATIVESSTATE LEVELDISTRICT LEVEL BLOCK LEVEL / VILLAGE LEVEL Setting up of the Health Missions On 26th October 2005 constituted. On 17th August 2005 constituted. Not applicable Incorporation of Health Societies Incorporated on 26th February 2007 Incorporated from 26th August 2005 to January Block Health Committees notified on Village Health & Sanitation Committees (VHSCs) constituted on Integration of Vertical Programs Integrated Merger of Vertical Societies Done on Being DoneNot required 4

5 INSTITUTIONAL ARRANGEMENTS INITIATIVESSTATE LEVEL DISTRICT LEVEL BLOCK LEVEL / VILLAGE LEVEL Constitution of RKSNot requiredAlready notified and are operational At Block Level Community Health Centres already notified and are operational. Program Management Units Recruitment completed Recruitment under process at block level. Decentralized planning and implementation of various activities to PRIs. PIP for FY 08/09 appraised by Sub Group on IDHAPs prepared for all districts. Facility Surveys completed. Block level plans and village level plans prepared and incorporated in State PIP. Facility Surveys completed. The Department has decided in principle to out source the setting up of State Health System Resource Centre and for finalization of consultancy firms. Offers have been invited and short listing is being done. 5

6 RCH OUT OF 75 PHCs UNDERTAKEN UPTO FOR 24 HOUR DELIVERY SERVICES WORK AT 40 PHCs COMPLETED ONE LAKH MANUAL MUCUS SUCKERS DISTRIBUTED, DAI KITS & GENERATORS PURCHASED OUT OF 50 CHCs UNDERTAKEN UPTO FOR CEmONC, NEW BORN CARE CENTRES WITH BLOOD STORAGE FACILITY SET UP IN 25 CHCs CONTRACTUAL APPOINTMENTS OF 90 DOCTORS/ SPECIALISTS AND 345 STAFF NURSES COMPLETED UNDER MATERNAL HEALTH. UNDER JSY, INCENTIVES TO BENEFICIARIES DISTRIBUTED TILL JANUARY UNDER COMPENSATION STERILIZATION , IUDs INSERTION AND CONTRACEPTIVE USERS , NSV-7764 UPTO 3 RD QUARTER NSV 9000 CASES UPTO JANUARY TARGET : INITIATIVES TAKEN FOR HIRING CONSULATNCY FOR CONDUCTING SURVEY ON SEX RATIO, IMR & MMR 6

7 NRHM FLEXI POOL Rs.285 LAKH UNTIED FUNDS TRANSFERRED FOR SUB CENTRES. FUNDS UTILIZED. UCs UNDER PROCESS. Rs.1131 LAKH RELEASED TO VHSCs, UCs by ASHAs SELECTED. Rs.1.32 Cr. RELEASED, UCs by UNTIED GRANTS RELEASED TO PHCs- Rs.121 LACS, Rs.664 LAKH TO CHCs-STAND UTILIZED Rs. 244 LAKH DISTRIBUTED TO RKS- STAND UTILIZED IN 116 CHCs RENOVATION WORKS AT Rs. 20 LAKH HAS BEEN DONE IN 1 st PHASE. AWARDS FOR MMUs GIVEN, DELIVERY EXPECTED BY END MARCH 08. Rs. 440 LAKH ALREADY UTILIZED OUT OF 829 LAKH 7

8 8 IMMUNIZATION Rs. 125 LAKH ALLOCATED TO DISTRICTS FOR IMMUNIZATION ACTIVITIES. Rs.680 LAKH FOR DIFFERENT PP ROUNDS SPENT- NO NEW CASE of POLIO REPORTED NDCP FOR RNTCP, Rs. 258 LAKH SPENT FOR NVBDCP, Rs.51 LAKH SPENT FOR NLEP, Rs.33 LAKH SPENT FOR NPCB, Rs.320 LAKH ALLOCATED FOR PURCAHSE OF EQUIPMENT AND IEC FOR IDSP, Rs.31 LAKH SPENT ON 12 TH JANURARY, 2008 PILOT PROJECT ON LIFE STYLE DISEASES LAUNCHED IN JALANDHAR

9 FINANCIAL PERFORMANCE OP BALANCE APPROVED OUT LAY FUNDS RELEASED FUNDS AVAILABLE DURING 07/08 TOTAL ANTICIPATED EXPENDITURE F W RCH II NRHM IMM PP-680 NDCP TOTAL Rs. In LAKH 9

10 RESPONSE TO THE APPRAISAL REPORT OF THE SUB GROUP Comment 1. Regarding payments being made to ASHA, it should be program-wise and not in consolidated manner. Further, all such payments to be made through cheque only. In no circumstances cash payments are to be made. ResponseAddressed Payments to ASHAs will be through bearer cheques Comment 2. Since Punjab is not a high focus State booking of expenditure for ASHA to be made against RCH flexi pool head ResponseAddressed 10

11 Comment 3. In respect of up gradation of CHCs to IPHS the status of each activity under the program needs to be indicated, such as human resource etc. Similarly, in respect of 24 x 7 PHCs, how many have been completed and how many are in the process of completion. Similarly, FRUs position of anesthetists etc. are to be given. ResponseAddressed 75 PHCs taken up for 24x7, 40 have been completed. 32 Female Medical Officers, 25 obstetricians & Gynecologists and 18 Pediatricians appointed on contract, 22 Anesthetists engaged on call basis Comment 4. About NSV activity, previous year’s progress was significantly low, only 8%, the current year status to be indicated. Response9000 cases up to January Target for 07/08 is 10,

12 Comment 5. In regard to institutional deliveries, through Public Private Partnership, the strategy of Chiranjivi Jojana of Gujarat is to be followed, instead of the separate cost per delivery as indicated in the PIP. Since, in this system there is chance of tempering the actual position and most of the deliveries may be shown under caesarean cases only.. Response Addressed. Single package for each delivery introduced Comment 6. Under BCC activity, in respect of inter-personal communication, the same should be from within the House only i.e. State’s own person. ResponseIncorporated Comment 7. Service guarantee in PHCs should be there and the monitoring component should be kept very strong to achieve good and quality progress. ResponseWill be addressed during the course of implementation. 12

13 Comment 8. It appears, the State governance issue is one of the major crises. This needs to be tackled with better management policy. ResponseEvery effort will be made to improve this. Comment 9. Since the State of Punjab is already having sufficient buildings, the State should make these functional first for the purpose the same were constructed, instead of going for further civil constructions. ResponseAddressed. Minimal civil works proposed. Only one new CHC proposed to be constructed. Comment 10. Since an amount of Rs. 10,000/- per SC is being given every year as untied fund further projection of funds requirement for SC seems not justified. The strategy followed by Haryana State in this regard may be followed. ResponseIncorporated as suggested. 13

14 Comment 11. Since immunization is also an activity under the NRHM strategy, it should not be seen as a vertical program. ResponseSuggestion well taken. Comment 12. The ANMs who are on deputation in other districts need to be repatriated and the same need to be certified. ResponseOrders for cancellation of deputations issued Comment 13. Under AYUSH instead of fresh recruitment of doctors and para medicos, they are to be re- located in PHCs and CHCs ResponseSuggestion well taken, action will be taken accordingly. 14

15 Comment 14. Under Disease Control Program, it appears the plan is very ambitious, hence, the achievement of Goal needs to be looked into. Salary component charged is very high. ResponseGoals revised. Salary discrepancy removed. Comment 15. Audit Report of for NVBDCP is pending ResponseAudit report sent on Comment 16. In respect of each and every budgeted item, it should be linked with physical target to be achieved. ResponseBeing looked into. Comment 17. For inter-sectoral convergence, no separate budget needs be charged ResponseBudget being charged under NRHM only 15

16 Comment 18. Executive Director, HNSRC pointed out that in respect of GDP, the performance of the State is very poor and the sex ratio is in declining trend.. ResponseComments well taken. All efforts are being made to improve the sex ratio. Comment 19. No budgeting for New Born Care activity. The IMR of the State is very poor. ResponseInnovative New Born Care activities added Comment 20. Instead of paying rent for AYUSH dispensary, re-locating needs to be done. ResponseAddressed Comment 21. No meeting of State Health Mission and District Health Mission have been conducted. ResponseWill be conducted soon. 16

17 Comment 22. In 50% of PHCs not even a single Medical Officer is available ResponseNew recruitments are under process Comment 23. In respect of PHCs facility survey needs to be conducted. ResponseFacility surveys completed, report submitted Comment 24. Since already compensation package exists, again separately the same cannot be charged in the budget. ResponseDiscrepancy corrected. Comment 25. The training activity is not proper, like multi skilling training not being done considering them under NRHM, focus is for skilled service providers ResponseAddressed. Multi skilling training being undertaken. 17

18 Comment 26. Under Urban Health Component, Urban slum project needs to be acted upon for migrant population, such as in harvesting season. ResponseWill be considered for next year Comment 27. The Bathinda District Area where Cancer is in alarming stage need to be considered.. ResponseAddressed. Four Mobile Cancer Vans proposed for cancer prone belt. Comment 28. In regard to purchase of computer, duplication to be avoided, not to charge this item separately for each program ResponseSuggestion well taken for compliance Comment 29. There is huge unspent balance with the State (about 60 crores) for which UCs need to be sent. ResponseUCs being collected from field and will be submitted at the earliest possible 18

19 Comment 30. The State’s share of 15% of the total budget is to be credited to the State Health Society and to be booked under Mission Flexi pool ResponseState’s share will be provided. Comment 31. For 2008, RCH II F.P.- Rs crores Mission F.P.-Rs crores Total-Rs crores + unspent balance of ( ) + 15% States share ResponseThe State PIP is indeed over budgeted but the State is now well on its feet for implementation of the program at a much faster pace. Activities proposed in the PIP may be approved in principle, implementation will be well within the overall allocation/ availability of funds. 19

20 20 PROPOSED INITIATIVES IN

21 PART A RCH-II MATERNAL HEALTH Rs LAKH HAS BEEN PROPOSED DURING THE FY 08/09 FOR ACTIVITIES UNDER MATERNAL HEALTH EARLY REGISTRATION OF PREGNANCY AND ENSURING INSTITUTIONAL DELIVERY –INCENTIVE TO LINK RS. 200/- PER ACTIVITY MINIMUM 3 ANCs BY ANM OR MO AND 3 PNCs ENSURING SAFE DELIVERY AT HOME –TBAs/ANMs EQUIPPED WITH DISPOSABLE DAI KITS 24 HR DELIVERY SERVICES IN IDENTIFIED PHCs –DURING MORE PHCs TO BE STRENGTHENED 75 PHCS ALREADY TAKEN UPTO –INFRASTRUCTURE SUPPORT –FEMALE MEDICAL OFFICERS AND STAFF NURSES ON CONTRACT –GENERATOR FACILITIES TO BE PROVIDED –PROVISION OF TELEPHONE FACILITIES Contd … 21

22 MATERNAL HEALTH 24 HR CEmONC SERVICES IN SELECTED CHCs 50 CHCs STRENGTHENED FOR CEmONC SERVICES UPTO MORE CHCs ARE PROPOSED TO BE TAKEN UP IN 08/09. 5 STAFF NURSES PER CHC TO BE RECRUITED- ON CONTRACT OBSTETRICIAN, PEDIATRICIANS, OT ASSISTANTS ON CONTRACT ANAAESTHETISTS ON CALL BASIS FROM A PANEL NEW BORN CARE CORNERS IN THE IDENTIFIED CHCs. BLOOD STORAGE UNITS IN THE IDENTIFIED CHCs. Contd… PART A RCH-II 22

23 JANANI SURAKSHA YOJNA RS. 216 LAKH HAS BEEN PROPOSED DURING THE FY 08/09 IMPLEMENTATION TO BE AS PER GOI GUIDELINES PAYMENTS TO BE THROUGH BEARER CHEQUES ACCREDITED SOCIAL HEALTH ACTIVIST (ASHA) TOTAL ASHAs SELECTED. RS. 780 LAKH PROPOSED DURING THE FY 08/09 FOR INCENTIVES, TRAININGS AND SUPPLY OF DRUG KITS. ASHA RESOURCE CENTRE AS A PART OF THE STATE RESOURCE CENTRE TO BE ESTABLISHED. RS. 76 LAKH PROPOSED FOR THIS IN THE FY 08/09 PART A RCH-II 23

24

25 CHILD HEALTH RS LAKH HAVE BEEN PROPOSED DURING THE FY 08/09 –NEW PROGRAMME OF INTEGRATED MANAGEMENT OF NEONATAL AND CHILDHOOD ILLNESSES (IMNCI) IN 4 DISTRICTS (AMRITSAR, TARAN TARAN, LUDHIANA AND PAITALA)- ALREADY LAUNCHED –STRENGTHENING IMNCI CELL AT STATE & 4 DISTRICTS BY PROVIDING DATA RECORDING & ANALYSIS SUPPORT AND TRAINING FACILITIES. –IMNCI TRAINING FOR 22 TOTs, 360 MOs, 76 SNs, 335 LHVs AND 967 ANMs, 780 AWW (IDENTIFIED DISTRICTS) & DIOs OF ALL 20 DISTRICTS –STRENGTHENING OF IMMUNISATION SERVICES (DETAILS UNDER IMMUNIZATION) –25 NEW BORN CARE CENTRES ESTABLISHED AT CHC LEVEL, TOTAL 35 MORE TO BE ESTABLISHED UPTO –DISTRIBUTION WITH TRAINING OF MANUAL MUCUS SUCKERS TO SBAs –PROMOTION OF EXCLUSIVE BREAST FEEDING THROUGH IEC AND FOCUSED GROUP DISCUSSIONS –PROMOTION OF DELIVERIES BY SBAs BY PROVIDING TRAININGS AND SENSITIZATION THROUGH IEC ACTIVITIES PART A RCH-II 25

26 BREAST FEEDING SCHEME RS LAKH PRPOSED DURING THE FY 08/09 State-wide behaviour change effort to promote breastfeeding by involving all grass root workers (ANMs/ AWWs/ ASHAs). At PHC level Medical Officer, staff nurse to be sensitized. ANMs/Male Health Workers to counsel mothers for breast-feeding. Booklets to mothers on exclusive breast-feeding. Train ASHAs, TBAs, AWWs, ANMs, LHVs, Male Workers to improve their counselling skills for breast-feeding Adequately qualified ASHAs to be trained as breast- feeding counsellor at CHC level Supplementary diet in kind to BPL/ SC/ ST mothers for promoting breast-feeding. 26

27 FAMILY PLANNING RS LAKH PRPOSED DURING THE FY 08/09 –DISSEMINATION OF REVISED MANUALS ON STERILIZATION STANDARDS AND QUALITY ASSURANCE OF STERILIZATION SERVICES –ORGANIZING FEMALE STERILIZATION & IUD INSERTION CAMPS IN DISTRICTS -ONE CAMP PER MONTH PER BLOCK- –ORGANIZING NSV CAMPS – 40 CAMPS PER MONTH IN THE STATE –PRINTING OF STERILIZATION FILES, PRINTING OF CARDS, INSURANCE MANUALS AND PURCHASE OF COMPUTERS- CONTINUES PROCESS –PROCUREMENT OF NSV SETS & LAPAROSCOPES- REPAIR OF LAPAROSCOPES –COMPENSATION PACKAGE FOR STERILIZATION / IUD AS PER GOI GUIDELINES PART A RCH-II 27

28 ARSH RS LAKH PROPOSED DURING THE FY 08/09 –NEW PROGRAMME INTRODUCED BY GOI FROM YEAR –6 DISTRICTS COVERED DURING – SEVEN MORE DISTRICTS TO BE COVERED IN THE YEAR (GURDASPUR, FARIDKOT, MUKATSAR, FATEGARH SAHIB, KAPURTHALA,MOHALI,PATIALA). –ADOLESCENT FRIENDLY HEALTH SERVICES THROUGH 640 SPECIAL CLINICS (PHCs, CHCs, CIVIL HOSPITALS AND SELECTED SUB CENTRES) TO BE PROVIDED I.E. MANAGEMENT AND TREATMENT OF ANEMIA, MENSTRUAL DISORDERS, TT IMMUNIZATION, NUTRITION COUNSELING, MANAGEMENT & TREATMENT OF RTIs/STIs AND REDUCING THE INCIDENCE OF HIV/AIDS –PRINTING OF ARSH IEC MATERIAL FOR DISSEMINATION TO HEALTH CARE PROVIDERS & STAKEHOLDERS –PRINTING OF GUIDELINES, HANDOUTS, FACILITATOR GUIDES FOR MOs, ANMs, LHVs –STATE LEVEL WORKSHOP –UNDER IEC ACTIVITIES ADVOCACY WORKSHOP AT 7 DISTRICTS & ALL BLOCKS IN THE SELECTED DISTRICTS PART A RCH-II 28

29 URBAN RCH Rs LAKH PROVIDED DURING THE FY 08/09 –CONTRACTUAL APPOINTMENT OF 230 MPHWs IN SLUM AREAS OF THE STATE TO CONTINUE –OUT REACH CAMPS 6 CAMPS PER DISTRICT IN 08/09 –MOBILITY RS. 500/- PER MONTH PER MPHW TO CONDUCT HOUSE TO HOUSE SURVEYS AND SPECIAL IMMUNIZATION DRIVES TO REDUCE DROP OUTS. PART A RCH-II 29

30 PNDT & SEX RATIO Rs LAKH PROVIDED DURING THE FY 08/09 : –THIRD PARTY SURVEY FOR SEX RATIO AT BIRTH –ORGANIZATION OF SEMINARS, WORKSHOPS OF PROMINENT PERSONALITIES ON THE DECLINING SEX RATIO –MANPOWER & OPERATIONAL SUPPORT FOR PNDT CELL AT THE STATE HQ BY INDUCTION OF A LAWYER, SOCIAL SCIENTIST, –ANNUAL ANALYSIS OF SEX – RATIO IN THE STATE ON THE BASIS OF INSTITUTIONAL DELIVERIES AND CIVIL REGISTRATION DATA. –MONITORING OF SEX RATIO AT BIRTH THROUGH ASHA. –MONITORING OF ENFORCEMENT OF PNDT ACT THROUGH MOBILITY SUPPORT TO STATE & DISTRICT LEVEL OFFICERS (POL) –AWARD MONEY FOR RS. 20,000/- & PROVISION FOR DECOY RS. 10,000/-. –AWARD TO PANCHAYATS – Rs. 1.5 LAC, 2 BEST PERFORMING PANCHAYATS IN EACH DISTRICT. PART A RCH-II 30

31 INNOVATIONS / PPP / NGO Rs LAKH PROPOSED DURING THE FY 08/09 –MNGO & NGO (SNGO) –SELECTION OF MNGOs AND SNGOs FOR DIFFERENT DISTRICTS - 11 MNGOS SELECTED COVERING 14 DISTRICTS OUT OF 20 COMPLETED, REAMINING 6 TO BE COVERED DURING FY –PREPARATORY GRANT TO NEWLY SELECTED MNGOs FOR PROPOSAL Rs LAKH PER MNGO. –Ist INSTALMENT OF GRANT-IN-AID FOR 18 MONTHS TO NEWLY SELECTED MNGOS –IInd INSTALMENT OF GRANT-IN-AID FOR 12 MONTHS TO Already EXISTING MNGOs –Ist INSTALMENT OF GRANT-IN-AID FOR 18 MONTHS TO EXISTING SNGOs –PREPARATORY GRANT TO NEWLY SELECTED SNGOs FOR PROPOSAL DEVELOPMENT –PPP INOVATIONS FOR CEmONC SERVICES – SURAKHIT JANEPA YOJNA (SJY) –PROMOTIONAL ACTIVITIES- SEMINARS/WORKSHOPS/REVIEW MEETINGS OF MNGOs/ SNGOs. PART A RCH-II 31

32 SURAKHIT JENEPA YOJNA (SJY) FOR BPL/ SC WOMEN Rs.200 LAKH PROPOSED DURING THE FY 08/09. –CONTRACTING OUT ACCREDITED PRIVATE PRACTITIONERS/NGOs FOR PROVISION OF ANC/PNC/ MATERNITY SERVICES IN UNSERVED/UNDERSERVED RURAL/URBAN AREAS –IDENTIFICATION /REGISTRATION /TRACKING OF BENEFICIARIES BY ANM/ AWW/ ASHA AND MO I/c OF THE CONCERNED PHC/CIVIL DISPENSARY ETC. –AVERAGE FIXED RATE FOR ECH DELIVERY (NORMAL, CAESAREAN OR COMPLICATED) INCLUDING ANC, PNC, MEDICINES, TRANSPORT, LINK WORKER INCENTIVE REFERRAL ETC. PART A RCH-II 32

33 LOGISTICS Rs LAKH PROPOSED DURING THE FY 08/09 –POL FOR TRANSPORTATION OF SUPPLIES FROM STATE UP TO SUB CENTRE LEVEL –STRENGTHENING OF WAREHOUSE FACILITIES. HMIS Rs LAKH PROPOSED DURING THE FY 08/09 STRENGTHENING OF HMIS SYSTEM AT STATE LEVEL BY PROVIDING COMPUTERS & PERIPHERALS 173 COMPUTER OPERATORS ON CONTRACT RECRUITED- 2 PROGRAMMERS 2 HARDWARE SUPERVISORS, 1 SYSTEM ANALYST ON CONTRACT TO BE RECRUITED – 1 HARDWARE SUPERVISOR ALREADY RECRUITED OPERATIONALIZATION OF NEW MIES FORMATS INTERNET CONNECTIVITY UPTO BLOCK LEVEL NEED ASSESSMENT STUDY ON STRENGTHENING HMIS. MID TERM AND ENDLINE EVALUATION STUDY THROUGH EXTERNAL AGENCIES. ESTABLISHING CRS, PRESERVATION AND DIGITALIZATION OF CRS REPORTS PRINTING OF NEW FORMATS, COMPILATION SHEETS AND PUBLICATION AND DISSEMINATION OF STATE LEVEL REPORTS ON VARIOUS HEALTH INDICATORS. TRAINING AND MONITORING BY THE M & E TEAM. PART A RCH-II 33

34 QUALITY ASSURANCE Rs LAKH PROPOSED DURING THE FY 08/09 –QUALITY ASSURANCE COMMITTEES AT STATE, DISTRICT AND BLOCK LEVEL –PATIENT SATISFACTION SURVEY WILL BE CONDUCTED THROUGH PRIVATE AGENCY –PURCHASE OF HOT AIR OVENS, AUTOCLAVES, NEEDLE SYRINGE DESTROYERS FOR 60 CHCs AND 100 PHCs –TRAINING FOR MANAGEMENT OF WASTE –TRAINING OF STAFF FOR SEGREGATION & TREATMENT OF MEDICAL WASTE –ENACTMENT OF NURSING HOME REGISTRATION ACT PART A RCH-II 34

35 TRAININGS RS LAKH PROPOSED DURING THE FY 08/09 –REPAIR & RENOVATION OF SIHFW, ANM-TCs D-TCs AND PROVISION OF TRAINING AIDS –5 FACULTY POSTS ON CONTRACT –PREPARATION OF TRAINING MATERIAL AND OPERATIONAL COST OF SIHFW –TRAININGS PLANNED FOR THE YEAR AND ACHIEVEMENTS TILL DATE : PDC TRAINING FOR 80 DISTRICT LEVEL OFFICERS- BCC SKILL BUILDING TRAININGS FOR 300 MOS – YET TO BE TRAINED BCC SKILL BUILDING TRAININGS ANMS+ LHVS+ HW(M)+ HS (M) + BEE + DY. MEIO SBA TRAINING OF ANMS LHVS TOT ARSH TRAINING FOR 28 STATE AND DISTRICT MANAGERS, 288 MOS, 180 ANM, LHV, MPHW (M), AWW OF THE DISTRICTS IDENTIFIED DURING MOS 840 ANMS/LHVS TO BE TRAINED IN THE YEAR SBA TRAINING FOR 60 ANM, 60 LHV, 60 SN – 15 ANM, 15 LHV, 15 SN TRAINED; 100 MO (PHC)- PART A RCH-II 35

36 TRAININGS LIFE SAVING ANESTHESIA SKILLS – TOT FOR ANESTHESIA SKILL TRAINING – TRAINING OF MBBS DOCTORS IN LIFE SAVING SKILLS- 18 BATCH – ORIENTATION OF TRAINING OF 40 DISTRICT ANESTHETIST- CONTRACEPTIVE UPDATE TRAINING FOR 1200LHV/ANM – CONTRACEPTIVE UPDATE TRAINING FOR 1200 HW (M)- IUD INSERTION TRAINING TO 1200 LHV/ANMS MTP TRAINING FOR 120 MOS RTI/STI TRAININGS FOR 30 DISTRICT PROGRAMME OFFICERS, 800 MOS, 1200 SNS/ANM/LHV. TRAINING OF MOS, PARA MEDICS ON ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH. IMEP TRAINING FOR MOS AND PARA MEDICS. INDUCTION TRAINING OF DPMU INTEGRATED NRHM TRAINING FOR MOs OF ‘PRIVATE SERVICE PROVIDERS’ SCHEME PART A RCH-II 36

37 BEHAVIOUR CHANGE COMMUNICATION RS LAKH PROPOSED DURING THE FY 08/09 –STRATEGIES FOR INTRA COMMUNICATION DESIGNED AND RS LACS PROPOSED –PRINTING OF BOOKLETS FOR ADOLESCENTS ON ARSH ISSUES. –IMPLEMENTATION OF BCC STRATEGY AS PER GOI GUIDELINES –FOCUS GROUP DISCUSSIONS, WALL PAINTINGS, HOARDINGS, FOLDERS, POSTERS, RADIO/TV COVERAGE, NEWSPAPERS ADDS & FOLK MEDIA FOR COMPONENTS OF MATERNAL HEALTH, CHILD HEALTH, FAMILY PLANNING, JSY, ARSH, WATER AND SANITATION, GENDER AND SEX RATIO –ADVOCACY WORKSHOP AT STATE, DISTRICT & BLOCK LEVEL ON ISSUES OF EARLY REGISTRATION OF PREGNANCY, ANC AND INSTITUTIONAL DELIVERY –FLIP BOOK FOR NEONATAL CARE AND NSV ETC. –STRENGTHENING OF BCC/IEC BUREAU (STATE & DISTRICT LEVEL) –SCHOOL BASED ACTIVITIES ON SANITATION PURCHASE OF EXHIBITION STAND AND DIGITAL CAMERA. –EDUCATIONAL MATERIAL FOR LIFE STYLE DISEASES PART A RCH-II 37

38 38 A: RCH-II BUDGET FOR THE YEAR: A: RCH-II BUDGET FOR THE YEAR: (RS IN LAKHS) S. NOACTIVITYBUDGET 1MATERNAL HEALTH + JSY CHILD HEALTH FAMILY PLANNING ADOLESCENT HEALTH URBAN RCH ASHA PNDT INNOVATIONS/PPP/NGOS INFRASTRUCTURE AND HUMAN RESOURCE INSTITUTIONAL STRENGTHENING TRAINING BCC/IEC PROCUREMENT PROGRAMME MANAGEMENT Flexi pool TOTAL (EXCLUDING COMPENSATION FOR STERILIZATION)

39 PART B- NEW INITIATIVES UNDER NRHM VILLAGE HEALTH & SANITATION COMMITTEES RS.1230 LAKH PROPOSED. –DISSEMINATION OF GUIDELINES OF VHSC IN LOCAL LANGUAGES. –PROVISION FOR UNTIED RS /- PER VHSC PER ANNUM. UNTIED FUNDS FOR SUB CENTRES, PHCS, CHCS –RS. 10,000/ P.A. PER SUB CENTRE FOR 2862 SUB CENTRES. –RS. 25,000/- P.A. PER PHC FOR 484 PHCs –RS. 50,000/- P.A. PER CHC FOR 128 CHCs 39

40 ANNUAL MAINTENANCE GRANTS RS. 615 LAKH PROPOSED FOR ANNUAL MAINTENANCE GRANTS. RS /- P.A. PER SUB CENTRE RS /- P.A. PER PHC. RS /- P.A. PER CHC MOBILE MEDICAL UNITS (MMUs) –RECURRENT COST FOR 20 RS LAKH P.A. Rs LAC PROPOSED FOR FY –RECURRENT COST FOR SALARIES, MEDICINES etc FOR 20 MMUs PART B- NEW INITIATIVES UNDER NRHM 40

41 UPGRADATION OF CHCs TO IPHS Rs LAKH PROPOSED DURING THE FY 08/09 –42 CHCS IN WHICH ADEQUATE INFRASTRUCTURE COULD NOT BE PROVIDED UNDER THE WORLD BANK PROJECT DUE TO CONSTRAINT ON FUNDS WILL BE TAKEN UP FOR UPGRADATION IN PHASES UPTO YEAR –NEW ADDITIONAL 1 CHC TO BE CONSTRUCTED in –EQUIPMENT, FURNITURE FOR ALL CHCS AS PER IPHS NORMS IN PHASES. –PROVISION FOR RS LAKH P.A. PER CHC (50% CHCS) RS. 560 LAKH. –MOBILITY SUPPORT FOR MO FOR HOLDING CLINICS IN RS /- P.A. PER PHC. –MANPOWER SUPPORT AS PER IPHS NORMS IN PHASES PART B- NEW INITIATIVES UNDER NRHM 41

42 UPGRADATION OF PHCs FOR 24 HRS SERVICES RS LAKH PROPOSED DURING THE FY 08/09 –EQUIPMENT & FURNITURE FOR 578 PHCS IN PHASES RS LAKH PER PHC P.A. –SALARY FOR NEW STAFF AS PER IPHS NORMS IN PHASES. UPGRADATION OF SUB CENTRES RS LAKH PROPOSED DURING THE FY 08/09 –CONSTRUCTION OF 403 EXISTING SCs LOCATED IN RENTED BUILDINGS IN PHASES OUT OF WHICH 50 TO BE TAKEN UP IN –900 EXISTING SCs NEED RESTORATION, OUT OF WHICH 77 WILL BE TAKEN UP IN –CONSTRUCTION OF 615 SCs REQUIRED AS PER IPHS NORMS. –SALARY OF ANMS ONE ADDITIONAL ANM IN ALL EXISTING 2862 SCs. 2 ANM FOR 615 NEW SCs. PART B- NEW INITIATIVES UNDER NRHM 42

43 UPGRADATION OF SHCs (ALTERNATE HEALTH DELIVERY SYSTEM) –DRUGS FOR 1310 SHCS Rs.600 LAKH. UPGRADATION OF SDH/FRUs Rs. 300 LAKH PROPOSED DURING THE FY 08/09 –EPAIR, RENOVATION, ALTERNATION OF SDHs. UPGRADATION OF DISTRICT HOSPITALS Rs. 370 LAKH PROPOSED DURING THE FY 08/09 (TOTAL 3700 LAKHS) PHASED OUT IN PLAN PERIOD –THREE NEW DISTRICTS CREATED WHERE THE EXISTING SDHs ARE TO BE UPGRADED TO 100 BEDDED DHs. –HOSPITALS AT GURDASPUR AND LUDHIANA TO BE UPGRADED TO 200 BEDDED HOSPITALS IN PHASES PART B- NEW INITIATIVES UNDER NRHM 43

44 SCHOOL HEALTH PROVISION FOR SCREENING OF ALL THE SCHOOL CHILDREN FOR WHICH RS. 500 LAKH HAVE BEEN PROPOSED. ROGI KALYAN SAMITIS PROVISION FOR PRINTING OF GUIDELINES OF RKS IN LOCAL LANGUAGE ANNUAL CONVENTION OF RKSs. PART B- NEW INITIATIVES UNDER NRHM 44

45 BUDGET FOR THE YEAR: S. NOACTIVITYBUDGET 1VILLAGE HEALTH & SANITATION COMMITTEES SC UNTIED FUND & MAINTENANCE PHC UNTIED FUND & MAINTENANCE CHC UNTIED FUND & MAINTENANCE ANNUAL MAINTENANCE GRANT MOBILE MEDICAL/ HEALTH UNITS UP-GRADATION OF CHC UP-GRADATION OF PHC UP-GRADATION OF SC UP-GRADATION OF SHC UP-GRADATION ON SDH/ FRUS UP-GRADATION OF DH SCHOOL HEALTH ROGI KALYAN SAMITIES Strengthening of Prog. Management Strengthening of Logistics Mgmnt TOTAL B PART B- NEW INITIATIVES UNDER NRHM (RS IN LAKHS)

46 ALTERNATE VACCINE DELIVERY, MOBILIZATION OF CHILDREN, SLUMS AND UNDER SERVED AREAS, STRENGTHENING AND MONITORING, COMPUTERIZATION AS PER GOI GUIDELINES. STATE SPECIFIC STRATEGIES SOCIAL MOBILIZATION TO INCREASE AWARENESS TO SERVE UNCOVERED AND LEFTOVER CHILDREN ENHANCED IMMUNIZATION COVERAGE AND URBAN AND PERI URBAN COLONIES WASTE DISPOSAL PLAN AT PHCS LEVEL TOTALLY MICRO-PLAN BASED AT THE SUB-CENTRE LEVEL VISITING UNCOVERED AREAS BOTH URBAN AND RURAL THROUGH MOBILE TEAMS PULSE-POLIO DRIVE STRATEGY USED IN UNCOVERED URBAN AREAS MONITORING AND SUPERVISION AT STATE, DISTRICT AND PHC LEVEL IDENTIFICATION & COVERAGE OF SLUMS AREAS STATE WIDE IMMUNIZATION IN PARTIALLY COVERED/ UNCOVERED AREAS ON SATURDAYS TRAINING /ORIENTATION OF DIO/DFPO AND OTHER FUNCTIONARIES PART C- IMMUNIZATION 46

47 SR. NO. ACTIVITYBUDGET 1ALTERNATIVE VACCINE DELIVERY MOBILIZATION OF CHILDREN BY AWW/TBA/ASHA STRENGTHENING OF MONITORING AND SUPERVISION COMPUTER ASSISTANT TO DIOS, ADDITIONAL SUPPORT FOR SLUMS & UNDERSERVED AREA AND REVIEW MEETINGS TOTAL BUDGET FOR THE YEAR: (RS IN LAKHS) PART C- IMMUNIZATION 47

48 RNTCP PUNJAB IS MAINTAINING CURE RATE MORE THAN 85% CASE DETECTION RATE IS 60%, TARGET TO INCREASE IT TO 70% DURING 08/09. TRAINING FOR HEALTH FUNCTIONARIES ON T.B/HIV INVOLVEMENT OF NGOS AND PPP RS PROPOSED / BUDGET RECEIVED TO AS PER APPRAISAL BY THE SUB GROUP. NLEP PUNJAB IS THE LOW ENDEMIC STATE BECAUSE OF PR 0.32 PER 10,000 POPULATION WHICH IS MUCH BELOW THE NATIONAL PR OF 0.7 ACTIVITIES FOR IEC, TRAININGS ARE TO BE UNDERTAKEN INCENTIVE FOR DETECTION OF LEPROSY RS. 100/- PER CASE. SUPPORTIVE MEDICINES AND SUPPLIES PROGRAMME STRATEGY AS PER GOI GUIDELINES. NPCB PR IN STATE IS 0.7% (NATIONAL PR IS 0.8%) PURCHASE AND INSTALATION OF PHACO MACHINES STRENGTHENING AND SUUPLIES TO NEW VISION CENTRES IN ALL 20 DISTRICTS. SUPPLY OF SPECTACLES AND OTHER SUPPLIES UNDER SCHOOL EYE CARE PROGRAMME EYE DONATION CAMPS. TRAINING OF OPHTHALMOLOGICAL SURGERY (TO BE ORGANIZED BY GOI) PART D- NDCP 48

49 IDDCP PUNJAB IS THE LOW ENDEMIC STATE FOR IODINE DEFICIENCY DISEASE STATE HAS ESTABLISHED AN IDD MONITORING LAB IN CHANDIGARH FOR IODINE ESTIMATION OF SALT SAMPLES STATE HAS CONDUCTED SURVEY FOR DETECTION OF IODINE DEFICIENCY DISORDERS IN 2007 IN FOUR DISTRICT NAMELY ROPAR, FG SAHIB, N.SHAHAR AND BATHINDA: IDD : 5.33% IN ROPAR, 0.02% IN NAWANSHAHAR, 0.2% IN F.G. SAHIB AND 2.33% IN BATHINDA. IEC ACTIVITIES FOR THE PROGRAMME NVBDCP ACTIVE & PASSIVE SURVEILLANCE … RAPID RESPONSE TEAMS AND CONTROL ROOMS. MALARIA CLINICS – 673 AS PER NATIONAL NORMS COMPLETE MAINTENANCE OF HATCHERIES AT DISTRICT LEVEL TRAINING OF MOS AND PARA MEDICS 100% COVERAGE OF MALARIA +VE CASES STRATEGY – AS PER GOI GUIDELINES AUGMENTATION OF MANPOWER, TRAINING AND INTRODUCTION OF PPP & PROVISION OF LOGISTICS PART D- NDCP 49

50 IDSP SYNDROMIC SURVEILLANCE FOR COMMUNICABLE DISEASES LAUNCHED REPORTING OF EARLY WARNING SIGNALS OF OUTBREAKS ON WEEKLY BASIS STARTED IDENTIFICATION OF DISTRICT HEALTH LABORATORY DONE ELISA READER MACHINE AT 20 SITES INFRASTRUCTURE UPGRADATION ALL DSUS TRAINING OF AYUSH MOS TRAINING AND CAPACITY BUILDING OF MEDICAL OFFICERS AND PARA MEDICALS PART D- NDCP 50

51 BUDGET FOR THE YEAR: (RS IN LAKHS) S.NOACTIVITYBUDGET 1NATIONAL TB CONTROL PROGRAMME (RNTCP) NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP) INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMME (NIDDCP) NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) NATIONAL BLINDNESS CONTROL PROGRAMME (NBCP) TOTAL PART D- NDCP 51

52 RS LAKH HAS BEEN PROPOSED FOR THE FY 08/09 AYUSH –TO MEET THE HEALTH NEEDS AND HARNESS THE POTENTIAL OF INDIGENOUS HEALTH KNOWLEDGE CONVERGENCE WITH AYUSH –CONTRACTUAL APPOINTMENT OF ONE AYUSH DOCTOR (IN PHASED MANNER) –CONTRACTUAL APPOINTMENT OF ONE AYUSH DOCTORS (HOMEOPATHY) PART E- INTERSECTORAL CONVERGENCE 52

53 INNOVATIONS FOR VUNERABLE POPULATION OUTREACH CAMPS TO BE HELD 20 IN EVERY RS PER CAMP FOR PROVIDING FAMILY WELFARE SERVICES AND DISSEMINATION OF INFORMATION ON RCH COMPONENTS AND ALSO COUNSELLING ON VARIOUS ISSUES LIKE FP, ADOLESCENT HEALTH AND EARLY REGISTRATIONS OF PREGNANCIES AUDIENCE SPECIFIC COMMUNICATION MATERIAL IN URDU, PUNJABI PERTAINING TO THEMES LIKE AGE AT MARRIAGE, IMMUNIZATION, STERILIZATION, CC USE, IUD, OCP, MALE INVOLVEMENT, CHILD HEALTH ISSUES (PAMPHELETS, HOARDINGS, WALL PAINTINGS) MEETINGS/WORKSHOPS WITH STAKEHOLDERS AND OPINION LEADERS PEER EDUCATOR SPECIAL PROGRAMME FOR CONTROL OF CANCER IN THE MALWA REGION STRENGTHENING OF TB CENTER AT PATIALA 53

54 PARTPARTICULARSAMOUNT (RS. IN LAKH) A)RCH – II B)NEW INITIATIVES UNDER NRHM C)STRENGTHENING OF IMMUNIZATION D)NATIONAL DISEASE CONTROL PROGRAMME E)INTERSECTORAL CONVERGENCE F)CENTRALLY SPONSORED SCHEMES TOTAL = OVERALL BUDGET 54

55 THANK YOU


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