Integrated Disease Surveillance Project Finance Component National Centre for Disease Control 22, Sham Nath Marg, Delhi

FMR & Audit Report  FMR for the quarter ended March, 2011 received from all States.  The Audit Report for the financial year have been received from all Thirty five States and Union Territories.  All the Audit Reports shared with the World Bank and certain observations were made by the bank.  CSU is following up reply of Audit Observations of the World Bank from the concerned States.Audit Observations 2

FMR & AUDIT  FMR for the quarter ended June, 2011 received from Gujarat, Karnataka, Tripura, Assam, Arunachal Pradesh, Punjab Chandigarh and Goa.  Incomplete Audit Report received from Manipur.  States requested to submit signed FMR and Complete Audit report.  The Audit report should comprises of the followings; followings 3

1.Manpower Cost: as per IDSP NormsNorms Salary of Contractual Staffs. 2.Training Cost- As per Norms, training load should be realistic realistic 3.Referral Laboratory Cost: (Rs 5,00,000/annum) a) Purchase of kits, reagents, consumables and other lab materials b) Minor Expenses of equipment repairs, c) Office Expenses d) Part time Staff Cost Contd. Following Expenditures should be mentioned in every Financial Monitoring Report

4. Operational Cost: (Rs15,000/month/unit) a) Outbreak Investigation : (i) Out break Reporting (ii) Collection of Sample (iii) Transportation of Samples b) Analysis and use of Data: (i) Printing of Reporting Forms, State Weekly Alert Bulletin, Annual Report, etc. (ii) Broad Band Expenses (iii) Meeting Expenses c) State Priority Labs( Rs 2,00,000/annum) d) Others: (i) Minor expenses of office equipment repairs. (ii) Any other expenses related to IDSP activity.

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Audit Observations raised by World Bank for the year STATE AUDIT OBSERVATIONS RAISED BY THE WORLD BANK WEST BENGAL a) The Auditor has opinioned that the books maintained at Hoogly and Malda districts do not provide a true and fair view. Thus the expenditure of Rs incurred at these districts is not eligible for Bank financing b) Fixed assets register not maintained and assets not marked. c) Physical verification of cash balance not conducted. CHATTIS SGAR H a) Koriya District: Purchases amounting to Rs are done under lab equipments head against the directions in the note sheet. b) Rajnandgaon district: Supporting documents for bills of Rs not available. c) Fixed assets registers not maintained and no evidence of physical verifications produced. d) Stock register not maintained. e) Procedure for advance not followed. f) Physical verification of cash balance not conducted. g) Action taken report of last audit not produced.

HARYANA a) Karnal district: Rs incurred of repair of building in April 2009 on estimation basis. No UC received. b) karnal District: Rs retained as training expenses since October 2007 which has neither been utilized nor refunded by the department. c) Hissar and Faridabad District: No books of accounts maintained; No bank statement and vouchers produced at the time of audit. d) Rewari District: Only cash book produced for Audit. e) Procurement procedures of the SHS as verified by the auditors were not found in agreement with the procurement manual by grant issuing authorities. DELHI a) The District wise expenditure details do not provide the activity/head for which the expenditure has been incurred. b) Procurement procedures not followed appropriately. BIHAR a) The auditors has highlighted serious deficiencies in the accounting system at the State Health Society b) Fixed assets registers not maintained at State/ District/ PHC offices. c) Internal audit report for March end not produced to the auditors, after repeated requests. Himachal Pradesh TDS is not deducted as per Norms.

Epidemiologists Rs 25,000-40,000/-pm Microbiologists Rs 25,000-40,000/-pm for medical microbiologists & Rs 15, ,000pm for non medical microbiologist Entomologists Rs 15,000-25,000/-pm Consultants Finance Rs 14,000/-pm Consultants Training Rs 28,000/-pm Data Managers Rs 14,000/-pm for state DM & Rs 13500/- pm for district DM Data Entry Operators Rs 8,500/-pm

Contents of Audit Report Auditor’s Report. Audited Receipt & Payment Account. Consolidated Receipt & Payment Account. Audited Income & Expenditure of State Surveillance Unit and District Surveillance Units. Consolidated Income & Expenditure Account. Balance Sheets of State Surveillance Unit and District Surveillance Units. Consolidated Balance Sheet. Schedule of Fixed Assets. Schedule of Advance Register. Reconciliation Statement between FMR and Income and Expenditure Account. Management Letter.

Training of Hospital Doctors 28,100/- per unit 80 batches (30 per batch) Training of Hospital Doctors of MCHs 19,100/- per unit 6 batches (30 per batch) 1.15 Training of Hospital Pharmasist / Nurses 23,600/- per unit 110 batches (30 per batch) Training of Data Managers & DEO 39,800/-2 batches 0.80