National Rural Health Mission - Amravati

Progamme
Implementation
Plan
2011­12
National Rural Health Mission
Amravati District

INDEX
Sr.No. Particulars Page
1 Executive Summery 1‐27
2 Chapter 1 – Out come analysis of PIP 28‐32
3
Chapter 2 ‐ Policy and systemic reforms in
strategic areas.
33‐34
4 Chapter 3 ‐ Conditionalities 35‐38
5 Chapter 4 – Sheme/Programe 39‐77
A RCH Flexi pool 78‐122
B NRHM Flexi pool 123‐173
C Immunization 174‐184
D Disease Control Programme 185‐203
E Inter Sectoral Covergence 204‐205
6 Chapter 5 – Monitoring and Evaluation 206‐208
7 Chapter 6 – Financial Management 209‐225
8 Chapter 7 ‐ Resourses and other sources of
funds for health sector
226‐229
9 Chapter 8 – Priority projects 230‐239

Foreword:
National Rural Health Mission is implemented in District Amravati from year
2006‐2007. The aims and objective of the mission is “Health for all by 2012” and reduced
IMR, MMR, TFR. To achieved said goal of NRHM District implemented all the activity of
NRHM. From year 2006‐07 to 2009‐10 by implementing various types of schemes for rural
and urban area and specialy for Melghat tribal area. There are lot of difficulties district
Administraton have been faced, it inclueds geographical, a traditional, factor and also non
availability of specialist, doctors. There is huge disparity of specialists Doctors in the district
specialy in Melghat area. Infant mortality rate and maternal mortality rate is still high in the
tribal areas. There is low acceptance of family planning services and so TFR is high.
By implementing Maternal releated activity and development of
infrastructure in tribal area, Institutional delivery rate is improoved up to 42% as compare
to initial rate of 2006‐07 of 7%. For imprving institutional delivery through NRHM following
activity shall be taken by District health society.
1) Infrastructute development
2) Man power recruitment
3) Involovement of non official
4) Public private partnership
5) NGO involvement
6) Training & capacity building
7) Monitoring activity
8) Referal services
High growth rate in population has imbalanced the infrastructure in the district. The clients
are not satisfied with the Government Health Institutions because of non availability of minimum
requirement i.e. sanitation, condition of equipments and instruments, regularity of human resources
and inadequate medicines. But by implementing and by proper execution of above activity the
situation has now been changed and satisfaction of client and poor rural patients will be seen by
growth rate of OPD/IPD and improved percentage of institutional delivery.
This plan will definitely improve availability, utilization and quality of Health Services
to the community at all levels. We expect necessary support form the Sate Government for
implementation of NRHM activities.
Civil Surgeon District Health Officer, Chief Executive Officer,
District Hospital Amravati. Zilla Parishad Amravati Zilla Parishad , Amravati.

Executive Summery:
Sr. No. Items
BACK GROUND AND CURRENT STATUS
General Information of the District
General Information‐ Amaravati
1 Total Population (Cen. 2001) 26,07,160
Rural (Source Census 2001) 1707581
Urban (Source Census 2001) 899579
Percentage of SC/ST 30.81%
2 Total Tahsil 14
3 Corporation 1
4 Municipal councils 10
5 Geographical Area ( Sq. K.M.) 12,212
6 Land under forest 3,575
7 Total Villages 1,547
8 Ratio of Women's in thousand male 941
9 Average Rain fall ( ml) 858
Institutional Mechanisms
INSTITUTIONAL MECANISUM
Sr.No. Institute No.
1 District Hospital 1
2 Women Hospital 1
3 SDH 4
4 RH 9
5 PHC 56
6 Sub centre 333
7 BLOCK 14
8 Taluka Health Office 14
9 Regional Referral Center 1
10 T.B. Hospital 1
Total… 434
District Integrated Health & Family Welfare Society
Amravati Districted had Programme wise District Society and Bank Accounts for funding
procedures. In 2006 National Rural Health Mission was started and as per guidelines the district
health programme societies i.e. district Malaria society, district T.B. Control Society, district
Blindness control society, district leprosy control society these all are merged in District Integrated
Health & Family Welfare Society and now funds are operated through this society since 2006. The
society has been registered with Joint Society Registrar Amravati. The registration no is MAH/736/05

dated 20/09/2005 and Account is opened in ICICI Bank Amravati and No. is 042801000258 dated
04/12/2007.
The above society programme officers are the members of District Integrated Health &
Family Welfare Society. But in 2006‐07 and 2007‐08 the programme society budget was not
received to District Integrated Health & Family Welfare Society and was operated Independently by
the programme officers. Only RCH, Immunization and NRHM budget was received to the District
Integrated Health & Family Welfare Society Amravati.
Fund Flow Systems
In 2009‐10 funds from State Society received to District Integrated Health & Family Welfare
Society form NRHM, RCH, IDW, Immunization and some budget for Training. The budget directly
transferred from State to district account of the society. The district Society distributed budget to
BPMU by Cheques as per norms according to the availability of funds. BPMU distributed budget to
PHCs by Cheques as per norms according to the availability of funds. From PHC to sub centres the
funds are distributed as per norms.
Decentralization
For health Institute management and planning RKS established for each Institute. Similarly at
village level Village Health Sanitation and Nutrition Committee is established. The requirements are
approved by these societies and funds are utilized for fulfillment of requirement. The Finanancial
powers are delegated as per G.R. No. PHD/dated 30/12/2005 amendment dated 04/05/2006 and
09/01/2007to the concerned officers and they are utilizing funds accordingly.
BLOCK WISE INFORMATION
Sr.
No.
Name of Block Rural
Population
No. of
Villages
Sex Ratio No. of PHCs No. of Sub
Centres
1 Amravati 127735 89 943 4 23
2 Bhatkuli 108662 108 960 3 18
3 Daryapur 130195 133 941 4 24
4 Anjangaon 101438 101 945 3 16
5 Achalpur 160928 127 919 3 23
6 Chandur Bz 173803 114 934 4 25
7 Morshi 141919 89 939 5 21
8 Warud 151263 99 933 5 22
9 Tiosa 109629 79 952 3 15
10 Chandur Rly. 68287 70 948 2 13
11 Dhamangaon Rly. 106049 83 927 4 18
12 Nandgaon Kh. 127330 125 945 5 20
13 Dharni 180958 171 945 6 54
14 Chikhaldara 103566 159 968 5 41
Total 1791762 1547 941 56 333

YEAR WISE COMPARISON OF VITAL RATES OF DISTRICT
SURVEY OF CAUSES OF DEATH SCHEME (RURAL)
YEAR WISE COMPARISON OF VITAL RATES OF AMRAVATI DISTRICT
S.N. RATE 2005 2006 2007 2008 2009 2010
A FERTILITY ANALYSIS
1 Crude Birth Rate 15.61 15.57 15.0 14.56 14.3 14.37
2 Still Birth Rate 9.06 7.55 7.20 23.49 16.21 15.27
3 General Fertility Rate 60.43 57.91 60.00 53.88 53.12 52.79
4 Total Fertility Rate 2.00 1.86 2.00 1.99 1.97 1.97
5 Gross Reproductive Rate 0.98 0.90 0.97 0.95 0.94 0.94
6 Age Specific Fertility Rate
6(I) 15‐19 10.42 4.31 1.39 7.92 7.67 9.16
6(II) 20‐24 254.39 243.54 251.11 226.06 223.64 251.32
6(III) 25‐29 110.85 108.23 100.19 129.62 124.69 123.7
6(IV) 30‐34 20.59 13.99 17.86 32.35 32.99 8.08
6(V) 35‐39 3.48 2.08 0.73 3.26 4.39 1.91
6(VI) 40‐44 0.00 0.00 0.70 0.00 0.00 0.18
6(VII
)
45‐49 0.00 0.00 0.00 0.00 0.00 0
7 Sex Ratio at Birth 96.44 94.13 97.80 92.30 91.81 91.44
B MORTALITY ANALYSIS
1 Crude Death Rate 7.22 7.50 8.26 6.96 6.31 6.65
2 Perinatal Mortality 23.95 25.49 38.70 29.65 30.3 27.93
3 Early Neonatal Mortality 15.11 18.13 15.85 17.08 14.59 13.09
4 Late Neonatal Mortality 3.02 0 9.51 6.41 6.48 8.72
5 Neonatal Mortality 18.13 18.13 25.36 23.49 21.06 21.81
6 Post neonatal Mortality 10.57 1.51 12.68 11.74 9.73 7.63
7 Infant Mortality ( 0‐1 ) 32.01 19.64 38.03 35.24 30.79 29.44
8 Child Mortality Rate ( 0‐4 ) 8.14 7.24 9.16 7.9 5.43 7.33
9 Sex Ratio at Death 65.76 60.3 66.01 85.68 73.46 78.36
10
Maternal Mortility Rate ( In
Lakhs ) ( Year
: March to April10)
N.A. 76.93 134.73 102.36 150.37 120.26

Vital Indicators:
Sr. Indicator
As per MIS of
the district
1 Crude Birth Rate 15.40
As per Sample
survey of the
district
(SRS 2005)
State – 19
Dist ‐ 17.6
SCD 2008
Goal of
achievement
by 2012
14.3 12
2
Crude Death
Rate
7.23 State 6.7 6.31 6
3
Neonatal
Mortality Rate
21.08 25 21.06 16
4
Infant Mortality
Rate
28.36
State‐ 36
Dist‐ 29.4
30.79 25
5
U‐5 Mortality
Rate
9.84 9.10 5.43 7
6
Maternal
Mortality Rate
1.503 2.1 1.503 < 1
8 Anemia 40 38 42 30
9 NVBDCP ‐ ‐ - ‐
10
TB
1) Cure Rate
2) N.S.P. Case
84%
85%%
Deflction
Rate
45%
‐
-
70%
11 Laprocy PR 0.89 ‐ - 0.50
District Amravati has low Social economic profile with minimum Specialist services in the
District. The districts have high IMR in tribal block and Nutritional problems. Some of the Villages are
inaccessible in rainy season and hence there are difficulties in providing health services. Special
premansoon drives are arranged to identify high risk group. It is also planned for availability of
health personnel in such remote villages. The necessary supplies are given well in advance to all
peripheral health institutes. The necessary support of ASHA, ANGANWADI is also taken to provide
health services. PADA workers are appointed every year in these tribal areas. They also help in
providing health services.
The family planning performance in urban area and some of the blocks is below overall
district performance is as per ELA. The NSV acceptance is still not satisfactory. The compensation
rates for NSV are increased and hence in 2011‐12 the performance will definately improve.
In tribal area utilization of services is not satisfactory the awareness activity will improve the
utilization of RCH services. To reduce malnutrition problem ICDS department is taking efforts, the
Health department will also support them for regular checkups and Immunization, Vit A and IFA
supplementation. The Nutrition rehabilitation centres are started at rural hospitals. In Remote
villages day care centres are established and malnourished children are admitted in these centres
and given supplementary feeding. Maher scheme is proposed in tribal PHCs. in Dharni and
Chilkhaldara Block. Special efforts are made to involve tradinational practitioners for delivery of the
health services.

SITUATIONAL ANALYSIS
Socio‐economic and Demographic features of Amaravati
District Sex ratio
Amravati district as a whole, there are 943 females per every 1000 males (source‐NFHS‐III).
This is much higher than that of the State average of 913. But still Achalpur, Dhamangaon, Warud,
Chandur Bz. and Morshi Block has low sex ratio than the district. Special efforts for awareness will be
taken in these blocks.
Literacy
The literacy rate of Amaravati district in 2001 was 82.5 percent. For the district as a whole, the
literacy rate for males is much higher than that of females. The literacy rate for males is 88.9 % against
75.7 % for females. As compared to state the literacy rate is better but in tribal area Dharni and
Chikhaldara it is less than in the district
Economic features:
The economy of the district is primarily agriculture based. But the fact that cultivators (21.53 %)
and agricultural labourers (52.43 %) together constitute 73.96 % of total work force in the district. The
agriculture sector has thus absorbed nearly three fourth of the total main workers in the district. This is
so because there are few alternative employment opportunities available in the district. Remaining 25 %
of workers are engaged in non‐agricultural activities such as trade, commerce, manufacturing and
processing units. The district has very low Industrial setup and is not on the National Railway line. Hence
economic growth is very slow. There by living slandered is not up to the mark which in term is
responsible for poor health.
Geographical situation
Amravati is situated right in the centre of the northern border of Maharashtra state. It is bounded in the
North by Madhya Pradesh State in the East by Nagpur and Wardha district and in the south by
Yawatmal and Washim district & on west by Akola district. The district headquarter is located at
Amaravati.
The district has an area of 12210 sq. km. which constituted 0.04 % of the total area of the State.
According to the 2001 census, the population of district is 26, 07,160 {2.79 % of the State} with 1345614
males and 1261546 females. Out of the total population, 65.5 % are residing in rural area and the
remaining 34.5 % are residing in urban area. It has 1996 villages out of which 1681 villages are inhabited
and 315 are uninhabited. The urban population is distributed among 11 units of which one is Municipal
Corporation and other ten are Municipal towns. It ranks eighth in terms of area and sixteenth in terms
of population among the 33 districts in the State. The density of population is 214 persons per sq. km.
The district may be broadly divided in to two geographic regions, the Melghat hilly and tribal area and
the plain no tribal area Melghat is hilly and has steep slopes. There is also deep forest and scattered
habitation. The forest animals are common in this area.
The population of the district as recorded in the 2001 census, stand at 26, 07,160 as against
2200057 in 1991 indicate net addition of 407113 persons during the decade.

The average growth rate for rural and urban areas of the district is 12.61 % and 31.70 %
respectively. Census data indicate that scheduled tribes and scheduled castes, which form the most
vulnerable section of the population, constitute 18.5 and 15 percent of the total population,
respectively.
The sex ratio at age 0‐6 has also declined from 950 in 1991 to 941 in 2001. The rising incidence
of female foeticide appears to be mainly responsible for the decline in the juvenile sex ratio.
In the district blocks like Achalpur, Dhamangaon, Warud, Chandur Bazar, Morshi are having
sex ratio less than district average.
In Amravati District, 49 PHCs had adequate physical infrastructure such as building, water
and electricity supply, 49 PHCs have labour room facilities, All PHCs have Govt vehicles, 11 PHCs
have Laboratory facilities, 46 PHCs have adequate staff in position, all PHCs have adequate vaccines
and contraceptives, and have adequate equipment’s in function, such as weighing machine, BP
instruments, autoclave.
All the 56 PHCs have received sub‐centre kit for head quarter sub centre. The position of CHCs,
FRUs, and district hospitals were somewhat better having better supplies. The staffs in position in CHCs
(50%) and all FRUs was also far from adequate staff position. Only 15‐20 percent of them had adequate
infrastructure, staff and supplies.
It was also observed that around 80 % of medical and paramedical staff had received adequate
in‐service training.
Health Institutes
1 Divisional Referral Hospital 1
2 Private Medical College. ‐ PDMMC, Amravati 1
3 Ayurvedic Medical Colleges 2
4 Homeopathic Medical Colleges 2
5 Dist. General Hospitals 1
6 Dist. Women Hospitals 1
7 Govt. T.B. Hospitals 1
8 Sub‐Dist. Hospitals 4
9 Rural Hospitals 9
10 Primary Health Centres 56
11 Health Sub‐Centres 333
12 Allopathic Dispensaries 18
13 Ayurvedic Dispensaries 65
14 Primary Health Units 12
15 Mobile Health Units 7
16 Anganwadi Kendra 2022
17 Grampanchayat 842
18 Ashram School 53
19 Literacy rate 82.5
Blood banks, blood storage facility in the district
- District Hospital Amravati
- SDH, Dharni
- P.D.M.C. Amravati.
- Dr.Varma Laboratory – Achalpur
- Bhagwat Pvt. Laboratory – Amravati
- Dr.Dara Blood Bank – Amravati.

N.R.H.M. Progress
“ASHA” are appointed in tribal as well as non trible area. Fourth Modules Training of ASHA is
complited and in non‐trible area First modules training is started. Second A.N.M. for Sub centre has
been appointed. Similarly additional man power at P.H.C. is also appointed. The infrastructure
strengthening, skilled training, maintenance of buildings etc. are going on. The funds are distributed
to peripheral health institutes and regular expenses are carried out. The V.H.Cs are established at
village level and the R.KS. is established at all health institutes. B.P.M.U. and I.D.W. are established
and functioning.
Sr.
No.
Block/Distric
Institutional Delivery
2004‐05 2005‐206 2006‐07 2007‐08 2008‐09 2009‐10
1 Chikhaldara 528 785 919 259 1034 1855
2 Dharni 1056 1619 1948 611 2344 4163
3 Non Tribal Block 8055 8834 9015 8652 8950 8807
Total …… 9639 11238 11882 9522 12328 14825
Efforts taken for Malnurished Children
Sr. No. Block
SAM/MAM Children in District
Total
Population
0 to 6 year
Children
SAM Child MAM Child Normal
1 Amravati 132400 11663 289 1003 10371
2 Achalpur 154466 13662 154 534 12974
3 Daryapur 130901 10180 119 456 9605
4 Bhatkuli 105119 9075 144 677 8254
5 Anjangaon Surji 100406 8689 82 250 8357
6 Morshi 138998 12129 105 620 11404
7 Nandgaon Kh. 125421 10258 333 1298 8627
8 Tiosa 101665 8340 50 113 8177
9 Chandur Bz. 176649 14701 289 1185 13227
10 Chandur Rly. 72810 6238 119 576 5543
11 Warud 149379 12908 137 641 12130
12 Dhamangaon Rly 106862 8828 130 485 8213
13 Dharni 176433 22570 1154 2228 19188
14 Chikhaldara 108719 14422 233 791 13398

Sr.
no
Completed CTC in District
block PHC
NO.
OF
CTC/
PHC
Admitted children Improved Children
SAM MAM total
SAM
to
MAM
SAM
to
Nor
mal
MAM
to
Normal
1 Amravati 4 1 13 1 14 6 1 0 7 7 0 0
2 Achalpur 3 2 2 10 12 32 0 0 0 0 0 0
3 Bhatkuli 3 2 8 18 26 2 0 15 17 9 0 0
4 Anjangoan S. 3 2
5 Chandur bz 4 3 27 13 40 16 0 7 23 16 1 16
6 Dharni 6 6 53 6 59 27 0 15 42 17 5 0
7 Chikhaldara 5 5 23 24 47 7 4 24 35 8 4 0
total 28 21 126 72 198 90 5 61 124 57 10 16
Completed VCDC in District
Sr. No. Block VCDC SAM MAM Total
total
Waig
ht
Gain
Admitted Children Improved Children
SAM to
MAM
MAM to
Normal
Waig
ht
not
Gain
Reffr
al
Not
Improved
Children
1 Dharni 68 96 587 683 189 146 348
2 Chikhaldara 53 118 325 443 70 253 120
3 Amravati 21 27 190 217 15 178 24
Total.. 142 241 1102 1343 274 577 492
VCDC ‐ Dahendri
VCDC – Malki

Infrastructure Development by NRHM
In District to improve health care facility at health institution existing infrastructure become
main hardals because of the old and shabey impression of the health facility prevent petiet to avail
regular heatlh facility in Government hospital for that District Society decide to improve health
institution through infrastructure development wing. Priority was given to IPHS institution and the
institution were delivery took place. Also taking into consideration petent load and delivery load 8
new sub center are constructed and handed over to villagers. Also Village Health sanitation and
nutrition committee are established at village level. P.H.C., Block and district mission are formed and
they are functioning. Regular meetings are conducted and monthly progress is reviewed. R.K.S. is
established at all P.H.Cs and R.H. and functioning. District Hospital is functioning with I.P.H.S.
standered.
New Face to Health Institution

PHC – Dhamak, Block – Nandgaon Khandeshwar
Before renovation
After renovation

Repair Work Taken During Year 2008‐09 & 2009‐10
PHC – Anjagaon Bari, Block – Amravati

New Construction Work Taken During Year 2008‐09 & 2009‐10
SC‐ Chandikapur, PHC‐ Chandrapur, Block‐ Daryapur
SC‐ Dhanora, PHC‐ Papal, Block‐ Nandgaon Kh.

PROCESS OF PIP PREPERATION
Planning process:
As directed by the State in State level workshop conducted on 23/12/2010 and attend by
Noal Officer, Principal HFWTC, at District level workshop was organized on 27/12/2010 &
28/12/2010 at Amravati. Nodal officer, DHO, CEO, CS, and All concerned Programme Officers, were
called for this workshop. The information about preparation of DHAP 2011‐12 was given in details.
Planning Phase :
To prepare a comprehensive district plan. A district level planning & monitoring committee
was formed under the chairmanship of Chief Executive Officer Zilla Parishad Amaravati. The planning
committee has following members
Core Team
1. Mr. Omprakash bakoria, Chief Executive Officer, Zilla Parishad, Amravati
2. Smt. Dr. Sandhay Khadse Nodel Officer NRHM Mumbai.
3. Dr. P.S. Dalu, Principal H.F.W.T.C., Amravati
4. Dr. S.K. Yelurkar, District Health Officer, Amravati.
5. Dr. C.L. Sonkusre, Civil Surgeon, Amravati.
6. Dr. Ramesh Bansod , District RCH Officer, Amravati
7. Mr. P.R. Jagtap, District Programme Manager (NRHM)
8. Mr. R.S. Lanjewar, District Account Manager (NRHM)
9. Mr. Praful Ridhore, M&E Officer (NRHM)
Others
1. Dr. C. U. Bendale, RMO, Outreach
2. Dr. S. H. Nikam, A.O. DH, Amravati
3. Dr. Suresh Tarodekar, District Malaria Officer
4. Dr. Sharad Patil, District T B officer & Additional Director Health Services (Leprosy)
The above committee members met and the following steps were decided to undertake in preparing
the DHAP for Amravati district.
1. Orientation of planning team on NRHM initiatives
2. Orientation of block level functionaries on NRHM and on Intersectoral convergence
3. Planning team meeting to develop a plan of action
4. Desk review by the planning team
5. Block level consultations
6. Collection of village information in Gramsabha.
7. Preparation of Dispensary plan.
8. Preparation of PHC plan.
9. Preparation of Block level action plans
10. District level Consultation from Senior Public Heath Experience person
11. Preparation of PIPs for disease control programmes & other National Health Programme by
respective Programme officers
12. Preparation of District plan at HFWTC.
13. Preparation of Action plan and Report writing
14. Presentation of DHAP‐ during district level meeting
15. Finalizing the draft and submission to GOVT Of MAHARASHTRA

Time Table of Organization Activities
Date Activity Level
23.12.2010
27.12.2010
28.12.2010
28.10.2010
29‐31 Dec
2010
29‐31 Dec
2010
4.1.2011
5‐7 Jan
2011
6.1.2011
7‐12 Jan
2011
13.1.2011
14.1.2011
Dissemination of
guidelines to Districts
District Level Workshop
of Medical Officers PHC
& Medical Supt
PHC Level Meetings of
PHC Staff.
Hospital level meeting of
RH/SDH/WH/GH staff
Village level planning and
approval of VHC and
Gram Sabha
SC level planning and
approval of SC
Monitoring Committee
Approval of GB of RKS of
concerned Health
Institutes
Preparation of Block
Level Plans
Approval of Block Plans
by Block Health Mission
Preparation of District
Plans
Approval of Executive
Committee and
Governing body
Approval of District
Health Mission and
information to DPDC
Responsible
officer
State SHS
District
Nodal Officer
(RCH)/ DHO/CS
Block THO/MO PHC
Block
Sub
Center
Sub
Center
Block &
PHC
Block
Medial
Superintendent/CS
ANM/MPW
ANM / MPW
MO PHC/THO
MS
RH/SDH/WH/GH
DHO/CS
DPM
DAM
Block THO/MS
District
DHO/CS/DPM
15.1.2011 Submission of PIP to SHS District DHO/CS/DPM
Remarks
Dissemination of guidelines to PHCs
along with formats and required
material
Dissemination of guidelines along with
formats and required material
Use of Village health register for PIP
preparation. PIP need to be approved
by Gram Sabha. After approval,
forward the copy of PIP to MO PHC.
PIP to be prepared based on SC
format. PIP approved by SC Monitoring
Committee. PIP to be submitted to MO
PHC on 31.12.2010
Submission of Plans to EC and GB of
RKS for sanctioning. Once the plans are
approved by EC and GB, forward
approved plans to THO for preparation
of block plans.
All the block plans are prepared at
district HQ in district level workshop.
DPM will be responsible for
arrangement of workshop. Workshop
will be attended by MS, THO, MO.
There will be two sections of block
plan. Section ‐ I of the block plan will
consist of plan of all PHCs put together
+ THO HQ plan.
Section ‐ II of the plan will consist of
plan of all the RH/SDH in block put
together.
Block plan (both sections) to be
approved by Block Health Mission.
District Plan will be prepared by
addition of block plans, plans of
District and regional level hospitals
situated in district and District HQ
plan.
Workshop will be organised at
HFWTCs for preparation of District
PIPs during 10‐13 January 2011.
District DHO/CS/DPM Approval of PIP by EC and GB.
District DHO/CS/DPM Approval of PIP by DHM
Submission of PIP to SHS after
approval by District Health Mission

Village level Planning:
Medical Officers oriented his staff and Anganwadi for village level planning
Form no. 1 is translated in Marathi and given 10 forms to each ANM. Considering the
manpower the support of MPW/Anganwadi is taken. The Gram sevaks were informed well in time by
taluka health officer and most of them were present in Gram Sabha. The village health sanitation
and nutrition committee members, Gram panchayat members, SHGs , Social leaders and other
prominent peoples were present in the meeting at most of the places involvement of women was
there. This activity was completed in one week’s time.
Approval by Committees:
Village level: The village plan form was discussed with village health sanitation and nutrition
committee. There suggestions and comments were noted and included in block plan.
PHC level: All village plans analysed at PHC level and also the form no. 2 of the institutes were filled
in by concerned persons. Staff meeting was called at PHC and PHC plan was prepared in form no. 3.
And included the suggestions made by the field staff.
Block level: Taluka health officer arranged the workshop of medical officers of PHC and Medical
Superintendent along with stake holder departments. Form no. 5 of Block plan was filled in with
summation of form 3 and 4 including block THO demand. This block plan was prepared and
discussed with DPM and DHO, Civil surgeon and finalized. Final Block plan is approved by block
mission committee.
District Level : All Block plans were collected and consolidated at HFWTC level in one week. The
programme officer’s annual plan and civil surgeon’s hospital plan were collected and complete
district plan for 2011‐12 is prepared, This district action plan is discussed with the collector and chief
executive officer zilla parishad Amravati. The final plan is approved by district mission committee.

Budget Summery
Sr No Main Heads Components Budget Amount
(Rest in Lakh)
1 Human Resources Contractual Remuneration for ANMs, Nurses, SNs, LHVs 426.55
Contractual Remuneration for LTs,MPWs 0
Contractual Remuneration of Specialists (Anesthetists,
0
Pediatricians, Ob/Gyn, Surgeons, Physicians, Dental
Surgeons, Radiologist, Sonologist, Pathologist, Specialist for
CHCs.)
Medical Officers at CHCs / PHCs 0
Contractual Remuneration of PHNs at CHC, PHC level 0
Additional Allowances/ Incentives to M.O.s of PHCs and
CHCs
Payment to Others ‐ Computer Assistants/ BCC Co‐ordinator
etc
1.16
Incentive/ Awards etc. to SN, ANMs etc. 0
Human Resources Development (Other than above) 0
Other Incentives Schemes (Please Specify) Hardship
113.28
Allwownce
Strengthening of SHS /SPMU (Including HR, Management
0
Cost, Mobility Support, Field Visits)
Strengthening of DHS/DPMU (Including HR, Management
17.60
Cost, Mobility Support, Field Visits )
Strengthening of Block PMU (Including HR, Management
81.48
Cost, Mobility Support, Field Visits )
Strengthening (Others) 0
FMG 4.08
RKS Coordinator 4.44
IDW wing 17.88
IPHS wing 7.32
Other Programme Management Costs (Audit Fees,
Concurrent Audit etc.)
Mobility Support, Field Visits to BMO/MO/Others 27.11
Payment to AYUSH M.O.s 30.80
Payment to AYUSH Other Staffs 0
2 Training Training under Maternal Health 0
Training under Child Health 0
Training under Family Planning Services 0
Strengthening Training Institutions 0
Development of training packages 0
IMEP Trainings 0
ARSH Training 0
Programme Management Training 0
Training (Nursing) 0
Training (Other Health Personnel) 0
0
0

Sr No Main Heads Components Budget Amount
(Rest in Lakh)
Training for Cold Chain Handlers/refrigerator mechanics 0
Training of M.O.s /Other Staffs on R.I. 0
3 Infrastructure Up gradation of CHCs, PHCs, Dist. Hospitals to IPHS) 488.00
Strengthening of District, Sub‐divisional Hospitals, CHCs,
PHCs
0
New Constructions/ Renovation and Setting up CHCs, PHCs,
HSCs,
430.00
Construction (Others) 0
Minor civil works for operationalisation of FRUs 0
Minor civil works for operationalisation of 24 hour services
at PHCs
106.50
Civil Work under RNTCP 0
Other Civil Works 0
4 Procurement Procurement of Drugs & Supplies 0
Procurement of Equipment 0
Procurement of Others 30.40
5 IEC/BCC Development of State BCC/IEC strategy 0
Implementation of BCC/IEC strategy 0
Health Mela 0
Creating awareness on declining sex ratio issue 0
Other activities (Kalapathk, Radeo Jingal, wall painting &
hordings)
7.80
6 Untied funds Untied funds for,VHSC, SC CHC,PHC 234.75
Annual Maintenance Grants for CHCs, PHCs 113.90
Panchayati Raj Initiatives 0
7 ASHA ASHA Payments under NRHM Additionalities 0
Selection & Training of ASHA 0
Procurement of ASHA Drug Kit 0
Incentive to ASHAs under JSY 28.54
Incentive under Family Planning Services 0
Incentive under Child Health 0
Incentive to ASHA's for motivating families for Sanitary
Toilets/Other Incentives
156.51
Awards to ASHA's/Link workers 0
ASHA Incentive under Immunisation 31.89
ASHA Incentive under NLEP 0.91
ASHA Incentive under NVBDCP 2.07
ASHA Incentive under NBCP 6.54
ASHA Incentive under RNTCP 0.88
8 RKS Corpus grants to RKS 85.00
9 JSY Home Deliveries 7.43
Institutional Deliveries 91.65
C‐Section 4.02
Sanitory Napkin for delivery 14.86

Sr No Main Heads Components Budget Amount
(Rest in Lakh)
Adminstration cost 5.24
10 Sterlisation Compensation for Male sterlisation 16.80
Compensation for Female sterlisation 83.16
NSV Camps 0.53
Female Sterlisation Camps 0
IUD workshop 4.20
Social Marketing of contraceptives 0
POL for Family Planning 11.20
Repairs of Laparoscopes 2.00
Other Expenses (Mini camps) 0.88
11 Referral Transport Referral Transport 8.40
12 Other RCH
Activities
ARSH 8.70
Urban RCH 35.04
Tribal RCH 33.06
PCPNDT 5.15
Maternal Health 20.97
Child Health 159.79
Infrastructure & human resourses 1.60
13 Vulnerable Group Vulnerable Groups 2.40
14 Other Mission
activities
Research Studies, 0
New Initiatives 0
Support to other programmes 0
District Health Action Plan 8.40
Mainstreaming of AYUSH 0
MMU 15.76
SHSRC 0
School Health Programme 139.54
Health Insurance 0
Planning , Implementation, Monitoring 12.24
Telemedicine 7.35
Strenthning of Nursing School 117.40
Sickle cell Disease 41.52
Coordination Cell DH 4.58
Maher Scheme 16.40
Volunteer to tribal PHC 12.96
Diet facility for PHC 19.80
15 PPP/NGO NGO activities, PPP under NRHM Additionalities 0
Other NDCPs (RNTCP, NPCB etc) 6.86
16 Operational Cost
(NDCPs)
Mobility, Review Meeting ,field visits,
531.78
formats & reports, Communication etc for
NDCPs
Lab consumables, AMC etc for NDCPs 0

Sr No Main Heads Components Budget Amount
(Rest in Lakh)
17 Financial aid/grant
to Institutions
(NDCPs)
Financial Support to Medical colleges 0
Financial Support to Referral Institutes 0
Financial Support to Sentinel sites 0
18 Immunization Other Immunization activity 22.97
Grand Total 3930.03
Sr. No. Name of Scheme 2010‐11
Budget Abstract
Expenditure
(Nov 10)
%
2011‐2012
Proposed
Extra
Budget
Part A RCH 575.86 234.77 40.77 688.04 112.18
Part B NRHM Additionalities 1880.68 593.69 31.57 2646.79 766.11
Part C Routine
Immunization
49.70 26.39 53.10 54.86
5.16
Total … 2506.24 854.85 3389.69 883.45
Part D
DESEASE CONTROL
PROGRAME
1
2
3
4
5
6
7
8
National Vector Born
Disease Control
Programme
Revised National
Tuberculosis Control
Programme
National Programme
for Control of Blindness
National Leprosy
Elimination Programme
Integrated Disease
Surveillance
Programme
19.83 2.090 10.54 374.02 354.19
35.75 17.780 49.73 73.41 37.66
23.08 18.63 80.72 18.34 ‐4.74
10.39 4.09 39.36 9.98 ‐0.41
8.13 1.10 13.53 9.03 0.9
District tobacco Control
Programme
0 0 0.00 12.16 12.16
National Mental Health
Programme
0 0 0.00 42.45 42.45
National Deafness
Control Programme
3.25 0 0.00 9.65 6.4
Total 100.43 43.69 193.888 549.04 448.61
Grand Total 2606.67 898.54 193.888 3938.73 1332.06

ACTIVITY* Approved
Budget
PART –A
RCH-II Budget Abstract
2010-11 2011-12
Physical
Target
Proposed
Budget
Proposed
Physical
Target
Additional
Budget
Proposed for
2011-12
RCH Flexipool
Maternal Health 13.46 40.05 26.59
JSY 58.22 7339 151.76 14866 93.54
Child Health 61.40 159.79 98.39
Family Planning 95.51 11200 116.77 11200 21.26
ARSH 5.70 8.70 3.00
Urban RCH 32.38 31 35.04 35 2.66
Tribal RCH 33.72 33.72 0.00
Vulnerable Groups 1.80 2 2.40 2 0.60
Innovations / PPP/ NGO 4.55 5.15 0.60
Infrastructure & HR 103.02 107.66 4.64
Institutional
Strengthening
8.65 1.60 0
Training 0.00 0.00 0.00
BCC/IEC 8.00 7.80 0
Program Management 17.61 17.60 0
Total… 444.02 18572 688.04
Maternal Health ‐ Additional budget of Rs. 10.81 against last year sanction PIP is proposed
for following activities.
(1) Rs. 0.75 Lacs is demanded for refferal of 1400 EmOC cases @ Rs. 300/‐ per case. Against
last year sanction budget for 1400 EmOC cases @ Rs. 300/‐ per case.
(2) Rs. 2.16 Lacs is demanded for additional 108 highrisk ANC & gynic clinic camps at PHC
level @ Rs. 2000/‐ per camp. Against last year sanction PIP.
(3) Additional budget of Rs. 6.72 Lacs is demanded for 6720 benefieries @ Rs. 150/‐ per
beneficiaries for fee diet allowance against last year sanction budget for 3360 beneficiaries
@ Rs. 100/‐ per beneficiaries.
(4) Additional budget of Rs. 1.18 Lacs is demanded for 2340 benefieries @ Rs. 150/‐ per
beneficiaries for fee diet allowance against last year sanction budget for 2340 beneficiaries
@ Rs. 100/‐ per beneficiaries.
JSY ‐ In financial year 2010‐11 budget of Rs. 58.22 Lacs is sanction against expected number
of 7339 benefiaries but actual number of expected number of benefiaries are higher than
target. Hence in financial year 2011‐12 is proposed budget of Rs. 136.88 against 14866
expected no. of JSY benefiaries.
Child Health ‐ Additional budget of Rs. 10.81 against last year sanction PIP is proposed for
following activities. Additional budget of Rs. 98.39 against last year sanction PIP is proposed
for following activities.
(1) Additional budget of Rs. 5.18 Lacs is demanded for 26 CTC for 10 Children per CTC @ Rs.

3360/‐ per children for 21 days at RH/SDH level against last year sanction budget for 13 CTC
for 8 children for CTC @ Rs. 3360/‐ per children for 21 days.
(2) Additional budget of Rs. 96 Lacs is demanded for VCDC at subcentre level for 15000 SAM
& MAM Children @ Rs. 960 Lacs per children.
(3) Rs. 0.60 Lacs is demanded for additional 30 Peadiatrician checkup camps at PHC level @
Rs. 2000/‐ per camp. Against last year sanction PIP.
Family Planning ‐ Additional budget of Rs. 21.26 Lacs against last year sanction PIP is
proposed for following activities.
(1) Additional budget of Rs. 1.12 Lacs is demanded for Transport of 11200 Family Planning
cases @ Rs. 100/‐ per case against last year sanction budget for 10080 cases @ Rs. 100/‐
(2) Additional of Rs. 0.06 Lacs is demanded for additional 2 camps @ Rs. 300/‐ per camp of
Promotion of IUD 380A & EC Pills through sensitization of SHG.
(3) Additional budget of Rs. 12.67 Lacs is demanded for Compensation of 10080 female
sterilisation cases @ Rs. 825/‐ per case against last year sanction budget for 10640 cases @
Rs. 662.50 per case.
(4) Additional budget of Rs. 8.40 Lacs is demanded for Compensation for 1120 NSV
Acceptance cases @ Rs. 1500 per case against last year sanction budget for 560 cases @ Rs.
1500/‐ per case.
ARSH ‐ In last year sanction PIP budget of Rs. 3.00 Lacs is sanction for Sensitization peer
groups in villages through community based approach for 6 months only. Hence during the
financial year additional budget of Rs. 3.00 Lacs is proposed for other 6 months.
Urban RCH‐ Additional budget of Rs. 2.66 lacs is required for additional 4 ANM @ Rs. 5500/‐
against last year sanction PIP.
Vulnerable Groups‐ In last year sanction PIP 9 month salary of 2 counselor @ Rs. 10000/‐ is
sanction. Against which additional budget of Rs. 0.60 lacs is required for 3 month salary of
counselor.
Innovations / PPP/ NGO ‐ In last year sanction PIP 9 month salary of 2 counselor @ Rs.
10000/‐ is sanction. Against which additional budget of Rs. 0.60 lacs is required for 3 month
salary of counselor.
Infrastructure & HR‐ Additional budget of Rs. 4.64 Lacs is demanded for Repair and
expantation of 30 sub center labour room @ Rs. 2.50 Lac per unit and 9 PHC labour room @
Rs. 3.50 Lac per unit against last year sanction budget of Rs. 101.82 for 60 repair and
expantation of labour rooms at sub center & PHC level.

Sr.
No.
Initiative Number
Proposed
PART B
Mission Flexipool
Budget for 2011 – 12
2010‐11 2011‐12 Difference
Total
Amount
(in Lacs)
Number
Proposed
Total
Amount
(in Lacs)
Number
Proposed
Total
Amount
(in Lacs)
1 ASHA 2068 91.73 2068 156.51 0 64.78 (+)
2
Addititinal ANM sub‐
center
285 296.28 333 331.08 48 34.80 (+)
3 Staff Nurse at 24 x 7 PHCs 38 42.00 47 52.68 9 10.68 (+)
4 Supervior in Nurse (LHV) 33 38.62 36 42.79 3 4.17 (+)
5 VHSNWC 1547 154.70 1547 154.70 0 0.00
6 Untied Fund for SC 333 33.30 333 33.30 0 0.00
7 Untied Fund for PHU 83 20.75 103 25.75 20 5.00 (+)
8 Untied Fund for PHC 56 14.00 56 14.00 0 0.00
9
Untied Fund for
RH/SDH/WH
14 7.00 14 7.00 0 0.00
10 Rogi Kalyan Samiti‐DH 1 5.00 1 5.00 0 0.00
11 Rogi Kalyan Samiti‐SDH 4 4.00 4 4.00 0 0.00
12 Rogi Kalyan Samiti‐RH/WH 10 10.00 10 10.00 0 0.00
13 Rogi Kalyan Samiti‐ PHC 56 56.00 56 56.00 0 0.00
14 Rogi Kalyan Samiti‐ TB 1 5.00 1 5.00 0 0.00
15 Rogi Kalyan Samiti‐ RRC 1 5.00 1 5.00 0 0.00
16
Annual Maintenance
Grant‐DH
1 5.00 1 5.00 0 0.00
17
Annual Maintenance
Grant‐SDH/RH/WH
14 14.00 14 14.00 0 0.00
18
Annual Maintenance
Grant‐RRC
1 5.00 1 5.00 0 0.00
19
Annual Maintenance
Grant‐PHU
62 31.00 62 31.00 0 0.00
20
Annual Maintenance
Grant‐PHC
48 24.00 48 24.00 0 0.00
21
Annual Maintenance
Grant‐SC
299 29.90 299 29.90 0 0.00
22
Annual Maintenance
Grant TB
1 5.00 1 5.00 0 0.00
23
Repairs and New
Construction
58 72.00 61 430.00 3 358.00 (+)
24
Ambulance services for
PHC‐ Repairs
56 18.45 56 18.45 0 0.00
25
Ambulance services for
RH/SDH/WH
14 1.68 14 7.00 0 5.32 (+)
26
Ambulance services for
DH
0 0.00 2 1.00 2 1.00 (+)
27 IPHS up‐gradation SC 83 83.00 83 83.00 0 0.00
(+)
(-)

28 IPHS up‐gradation PHC 34 170.00 34 170.00 0 0.00
29 IPHS up‐gradation RH 4 48.00 1 20.00 -3 -28.00 (-)
30
IPHS up‐gradation SDH‐
100
1 18.00 1 20.00 0 2.00 (+)
31 IPHS up‐gradation SDH‐50 3 42.00 3 60.00 0 18.00 (+)
32 IPHS up‐gradation WH 1 35.00 1 35.00 0 0.00
33 IPHS up‐gradation DH 1 50.00 1 50.00 0 0.00
34 IPHS – ISO Certification 10 34.07 10 50.00 0 15.93 (+)
35 Telemedicine Center 1 3.67 3 7.35 2 3.68 (+)
36
Strengthening of Nursing
Services
2 137.40 2 117.40 0 -20.00 (-)
37 School Health Programme 0 0.00 16 139.54 16 139.54 (+)
38
Sickle Cell Disease
Programme
1 33.10 1 41.52 0 8.42 (+)
39 Procurement Plan 2 1.20 16 30.40 14 29.20 (+)
40 Co‐ordination Cell DH 1 3.64 1 4.58 0 0.94 (+)
41 Maher Scheme 6 10.50 9 16.40 3 5.90 (+)
42 Volunteer to trible PHCs 11 4.40 34 12.96 23 8.56 (+)
43 Diet facility for PHC 11 4.95 11 19.80 0 14.85 (+)
44 AYUSH Cell 26 27.84 28 30.80 2 2.96 (+)
45
Hardship Allowances to
Regular Health Staff
2 58.56 14 113.28 12 54.72 (+)
46 Mobile Medical Unit 1 10.18 1 15.76 0 5.58 (+)
47 DHAP 14 8.40 14 8.40 0 0.00
48 M & E Cell 4 9.84 4 12.24 0 2.40 (+)
49 FMG 2 3.62 2 4.08 0 0.46 (+)
50 RKS Coordinator 1 1.86 1 4.44 0 2.58 (+)
51 IDW Wing 6 19.56 6 17.88 0 -1.68 (-)
52 IPHS Wing 2 6.13 2 7.32 0 1.19 (+)
53
Block Program
Management Unit
14 66.36 14 81.48 0 15.12 (+)
TOTAL 1880.69 5482 2646.79 5482 766.10 (+)
Write up of extra budget proposed for the year 2011-12
ASHAs ‐ in the year 2010-11 non tribal ASHAs selection procedure completed in the month
of Dec 09. Hence performance incentive & meeting expenditure will be carried out from Jan
10, and expenditure booked for 3 month. for proposed financial year budget required for 400
tribal & 1668 non tribal ASHA throughout the year. additional budget of Rs. 81.22 lacs
required for performance based incentive and meeting expenditure of ASHA.
Additional ANM sub‐center ‐ in the year 2010-11 salary budget required for total 285 ANMs
including 45 tribal ANM. But in year 2011-12 it is expected that all the vacancies are get
fulfilled and hence budget required for 333 ANMs, i.e. Rs. 331.08 additional budget including
fix PTA & cost of PTLA, compare to last year required Rs. 34.80 lacs.

Staff Nurse at 24 x 7 PHCs ‐ in the year 2010-11 salary budget required for 38 Staff Nurse of
Rs. 42.00 lacs for year 2011-12 it is expected to appoint more 9 Staff Nurse. Hence budget of
Rs. 10.68 lacs.
Supervior in Nurse (LHV) ‐ In the year 2010-11 budget approved of Rs. 38.62 lacs for 33 LHV.
But in year 2011-12 it is expected to appoint more 3 LHVs. for that budget of Rs. 4.17 lacs
additional is required. Total budget Required of Rs. 42.79 lacs.
Untied Fund for PHU ‐ In the year 2011-12 additional 20 PHUs proposed compare to last year
for that budget of Rs. 5.00 lacs is required. Total budget required for Rs. 25.75 lacs.
Repairs and New Construction ‐ In the year 2010-11 minor repair and new work of SC &
PHCs are taken and for total 58 works budget shall approved of Rs. 72.00 lacs. For year
2011-12 district is proposed new works of 13 SC of Rs. 130.00 lacs, spill over works of PHC
for Rs.100.00 lacs and new work of 1PHCs for Rs. 120.00 repair of TB Hospitalof Rs. 5.00
lacs. Hence total budget requird for all proposed works will be Rs. 355.00lacs. And compare
to last year additional budge of Rs.283.00lacs is requied.
Ambulance services for RH/SDH/WH ‐ In the year 2010-11 for 14 RH/SDH/WH budget of Rs.
0.50 lacs per institute will be proposed. Hence 5.32 lacs additional budget required.
Ambulance services for DH ‐ Budget required for Ambulance POL/Repair of DH Rs. 1.00 lacs
for year 2011-12.
IPHS up‐gradation RH ‐ As per state norms non avaibility of 3 specialist at RH Anjangaon
Surji, Dhamangaon Rly. & Chandur Rly. It will delete for IPHS upgradation in current year.
Only one RH Warud who will full fill above criteria is proposed for IPHS and budget of Rs.
20.00 lacs will be required. Hence budget will be reduced of Rs. 28.00 lacs for year 2011-12.
IPHS up‐gradation SDH‐100 For full filling requirement of specialist, man power & medicine
additional budget of Rs. 2.00 lacs required for SDH Achalpur for year 2011-12.
IPHS up‐gradation SDH‐50 ‐ In year 2010-11 budget of Rs. 14.00 lacs per institute are
sanctioned for IPHS upgredation. Taking in to consideration additional man power, specialist
avability & medicine budget of Rs. 20.00 lacs per SDH will be proposed. Hence additional
budget of Rs. 18.00 lacs will be required.
IPHS – ISO Certification ‐ Budget required for 10 IPHS institution @ 5.00 lacs per institute for
ISO-Certification in the year 2011-12. Hence additional budget of Rs. 50.00 lacs is required.
Telemedicine Center ‐ Budget required for 10 IPHS institution @ 5.00 lacs per institute for
ISO-Certifiation in the year 2011-12. Hence additional budget of Rs. 50.00 lacs is required.
School Health Programme ‐ School health programme is not included in Mission flexipool in
year 2010-11. it will be included in Mission flexipool for year 2011-12. Hence additional
budget of Rs. 151.46 is required.
Sickle Cell Disease Programme ‐ Activity for card printing at PHC level proposed per PHC @
0.60 lacs.and salary of lab technician at SDH/RH level. For that budget of Rs. 1.92 lacs
required Hence additional budget or Rs.2.33 lacs is required.

Procurement Plan ‐ It is proposed to construct warehouse at DHO including equipment,
furniture & contigency and repaire of ware house at DH, total budget of Rs. 29.20 lacs is
required.
Co‐ordination Cell DH ‐ Budget for Co-ordination Cell is proposed for 12 month. In sanction
PIP year 2010-11, it is approved for 10 months. Hence difference amount of Rs. 0.94 lacs will
be shown as additional budget.
Maher Scheme ‐ New construction of Maher Ghar at PHC Katkumb & Salona @ 5.50 lacs per
PHC will be proposed. And maintenance cost of SHG @ 400/- per delivery for 1350 deliveries
in 9 Maher Ghar is proposed. Hence total budget of Rs. 16.40 lacs is required. Taking in to
consideration additional two Maher Ghar budget of Rs. 5.90 lacs more is required.
Volunteer to tribal PHCs ‐ In tribal there are 2 volunteers will be appointed per institute, for 14
institute 28 counselors is working. For SDH Achalpur, DH & WH additional 2 volunteers will
be appointed. Hence total 34 volunteers is posted at health institution. Budget required Rs.
12.96 lacs as honorarium, additional budget of Rs. 8.56 lacs is required.
Diet facility for PHC ‐ In last year PIP budget of Rs. 22500/- per PHC is sanction for 11 PHC
of tribal. for year 2011-12 Diet facility @ Rs. 600/- per delivery for 4 days is proposed for
1650 deliveries in tribal area, budget of Rs. 9.90 lacs for diat and Rs. 9.90 lacs for loss of
wages is required. Total budget of Rs. 19.80 lacs is required. Hence additional budget of Rs.
14.85 is required.
AYUSH Cell ‐For AYUSH cell at district level, one data entry operator, office furniture,
computer, printer & contingency additionally proposed for that additional budget of Rs. 2.96
lacs is required compare to year 2010-11.
Hardship Allowances to Regular Health Staff ‐ Hardship allowance to regular health staff in
melghat area cover only MBBS Mos and paramedical staff of extreme difficult PHCs and
Specialist Budget for year 2010-11 is Rs 58.56 lacs. But taking in to consideration total
melghat area and discussion with the melghat health staff it is proposed to give incentive of
hardship allowance to all health staff of melghat including BAMS MO, MOs of RH/SDH and all
paramedical staff reside at melghat. Total budget of Rs. 113.28 lacs required. Hence
additional budget or Rs. 54.72 lacs required as compare to year 2010-11.
Mobile Medical Unit ‐ For year 2010-11 Mobile Medical Unit budget sanction for six month.
For year 2011-12 it is proposed to sanction budget for 12 month so additional grant of Rs.
5.58 lacs required for salary of staff of Mobile Medical Unit.
M & E Cell ‐ For year 2011-12 increase salary of staff as per new norms will be given after
approval from state level. The additional budget of Rs. 2.40 lacs will be required.
FMG ‐ For year 2011-12 increase salary of staff as per new norms will be given after
approval from state level. The additional budget of Rs. 0.46 lacs will be required.
RKS Coordinator ‐ It is proposed to appoint one data entry operator for RKS Coordinator for
year 2011-12 salary of data entry operator & TA/DA of RKS Coordinator will be proposed in
addition. Hence additional budget of Rs. 2.58 lacs will be required.
IPHS Wing ‐ For year 2011-12 increase salary of staff as per new norms will be given after
approval from state level. The additional budget of Rs. 1.19 lacs will be required for additional
salary, TA & contingency.

Block Program Management Unit ‐ For year 2011-12 increase salary of block level staff as
per new norms will be given after approval from state level. The additional budget of Rs.
15.12 lacs will be required for additional salary, TA & contingency for THO BPMU staff.
ACTIVITY* Approved
Budget
Rountin
Immunasation
PART ‐ C
RI Budget Abstract
2010-11 2011-12
49.70
Physical
Target
Proposed
Budget
Proposed
Physical
Target
Additional Budget
Proposed for 2011-
12
Immunasation
22176
Session
54.86 21262 Session 5.16
Rountin Immunasation ‐ Additional budget of Rs. 5.16 against last year sanction PIP is
proposed for following activities.
(1) Additional budget of Rs. 0.03 Lacs is demanded for Mobility support for Supervision
Supervisory visits by district level officers.
(2) Additional budget of Rs. 0.06 Lacs is demanded for Cold Chain maintenance
(3) Additional budget of Rs. 3.62 Lacs is demanded for Mobilization of children through
ASHA/ mobilizers.
(4) Additional budget of Rs. 0.70 Lacs is demanded for Alternative Vaccine Delivery.
(5) Additional budget of Rs. 0.10 Lacs is demanded for Support for Computer Assistant
(6) Additional budget of Rs. 0.21 Lacs is demanded for Quarterly Review meeting.
(7) Additional budget of Rs. 0.24 Lacs is demanded for to develop sub-center and PHC.
(8) Additional budget of Rs. 0.15 Lacs is demanded for Pol for Vaccine delivery.
(9) Additional budget of Rs. 0.05 Lacs is demanded for One day refresher training.

Summery Budget :
BUDGET ABSTRACT
Sr. No. Name of Scheme 2011-2012
Part A Reproductive and Child Health 679.34
Part B NRHM Additionalities 2646.79
Part C Routine Immunization 54.86
Part D DESEASE CONTROL PROGRAME
1 National Vector Born Disease Control Programme 374.02
2 Revised National Tuberculosis Control Programme 73.41
3 National Programme for Control of Blindness 18.34
4 National Leprosy Elimination Programme 9.98
5 Integrated Disease Surveillance Programme 9.03
6 District tobacco Control Programme 12.16
7 National Mental Health Programme 42.45
8 National Deafness Control Programme 9.65
Grand Total 3930.03

CHAPTER-1:
OUTCOME ANALYSIS OF PIP OF 2009-10 AND 2010-11
In this chapter physical and financial outcomes in respect of various parameters of the PIP of
2009‐10 and 2010‐11 (30.09.2010) should be indicated. For this the sequence of activities given in
the RoP should be followed and information should be provided in the following format:
ACTIVITY*
Financial Physical
(Rs. in lakh)
2009-10 2010-11 2009-10 2010-11
Amount
Approved
Exp Amount
Approved
RCH Flexipool
Maternal Health 11.92 3.62 13.46 4.60
Exp Expected
Output
Achieve
me nts
Expected
Output
Achieve
me nts
JSY 84.33 104.19 58.22 74.26 10747 12303 7339 8192
Child Health 23.71 16.30 193.24 56.95
Family Planning 136.19 122.14 95.51 40.94 13161 11613 11200 4664
ARSH 22.00 0.25 5.70 0.94
Urban RCH 25.71 14.65 32.38 13.35 35 31 35 31
Tribal RCH 14.58 23.26 33.73 5.44
Vulnerable Groups 0.94 0 1.80 0.09
Innovations / PPP/ NGO 2.38 7.40 4.55 0.45
Infrastructure & HR 167.30 43.04 103.02 26.44
Institutional Strengthening 1.88 0.34 8.65 0.22
Training 0 0.61 0 0
BCC/IEC 17.50 9.34 8.00 0.37
Program Management 21.40 15.35 17.61 8.69 3 3 3 3
Mission Flexible Pool
ASHA Programme 93.07 38.53 91.73 43.45 2068 2062 2068 2064
Untied Fund 229.75 163.41 229.75 57.87 2029 2029 2029 2029
AMG 91.40 69.33 113.90 32.52 446 446 413 413
Institutional Strengthening 326.36 223.16 376.90 175.37
Construction /
Upgradation
157.60 138.02 72.00 40.55
Rogi Kalyan Samiti 81.00 77.70 85.00 41.28 73 71 73 73
DHAP 5.60 4.00 8.40 0 14 14 14 14
Strengthening of Training
Centres
Swablamban Yojna
90.57 80.15 137.40 10.42 2 2 2 2

Health Mela
ACTIVITY*
Mobility Support for
Medical Officers
Logistics
Financial Physical
2009-10 2010-11 2009-10 2010-11
Amount
Approved
Exp Amount
Approved
Exp Expected
Output
Achieve
me nts
Expected
Output
Achieve
me nts
25.25 17.24 20.13 8.27 71 71 70 70
Procurement 5.16 4.85 1.20 0.52 2 2 2 1
Quality Assurance
Difficult Area Allowance 22.80 14.77 58.56 0 24 21 63 0
Upgradation of Health
Centers as per Indian
Public Health Standards
(IPHS)
426.00 397.08 480.07 120.45 122 127
MMU/EMRI 12.76 0 10.18 0 1 0 1 0
Community Monitoring 9.33 16.99 9.84 3.56 5 5 4 4
District Specific
Interventions
200.47 163.61 60.26 16.13
Mainstreaming of AYUSH 0 0 27.84 14.37 0 0 25 22
Management Cost 80.70 65.63 97.53 39.35
Deafness Programme. 0 0 3.25 0
Immunization
Mobility support for
Supervision and
Monitoring at districts and
state level.
0.47 0.18 0.47 0.05
Cold chain maintenance 0.45 0.01 0.44 0
Alternate Vaccine
Delivery to Session sites
Focus on urban slum &
underserved areas
Social Mobilization by
ASHA /Link workers
Computer Assistants
support at State/district
level
Printing and dissemination
of immunization cards,
tally sheets, charts,
registers, receipt book,
monitoring formats etc.
11.55 11.15 11.92 6.75 19056 19594 22176 12488
0 0 0 0
28.58 27.36 28.28 16.92 19056 19594 22176 12488
0.96 0.95 1.05 0.64 1 1 1 1

ACTIVITY*
Quarterly review meeting
at state/District/Block
level
District level Orientation
for 2 days ANMs,
MPHW,LHV Trainings
To develop micro plan at
sub-centre level and block
level
For consolidation of micro
plan at PHC/CHC level
POL for vaccine delivery
from state to District and
PHC/CHCs
Consumables for computer
including provision for
internet access
Red/Black/Zipper bags
Bleach/Hypochlorite
solution
Twin Bucket
Civil works
Laboratory materials
Honorarium
IEC/ Publicity
Equipment maintenance
Training
Vehicle maintenance
Vehicle hiring
NGO/PP support
Financial Physical
2009-10 2010-11 2009-10 2010-11
Amount
Approved
Miscellaneous 2.54 0.79
Contractual services
Printing
Medical Colleges
Procurement -vehicles
Procurement - equipment
Exp Amount
Approved
1.32 0.66 6.39 1.40
0.74 0.29 0.25 0.03
0.85 0.77 0.85 0.60
0.05 0.01 0.05 0
Disease Control Program
NVBDCP
Exp Expected
Output
Achieve
me nts
Expected
Output
Achieve
me nts

Malaria
Filaria
ACTIVITY*
Dengue/Chikungunya
Cash assistance for
decentralized commodities
Commodity support by
GoI
Surveillance preparedness,
training & staff salary
Financial Physical
2009-10 2010-11 2009-10 2010-11
Amount
Approved
Outbreak investigation 0 0
Analysis & use of data 0 0
Exp Amount
Approved
IDSP
NPCB
Grant in aid (for Cataract
Operations) 18 629584 18
Vision Centre
(50X50,000)
Exp Expected
Output
184239
6
Achieve
me nts
Expected
Output
Achieve
me nts
8500 8011 9000 3153
0 0 0 0 0 0 0 0
Medical Colleges (3X40) 0 0 0 0 0 0 0 0
Strengthening of District
Hospital / Sub District
Hospital
Eye Donation Centre (Non
Recurring 3X1)
Remuneration (SBCS) &
Staff Salary/ Other
Activities/Post
Requirement
IEC Activities (50X20
Thousand + SBCS 1 Lacs)
Proposal for Sutures /(Per
Pieces 10.0) /Ophth.
Equipments
Establishment of IDD
Control Cell
Establishment of IDD
Monitoring Lab
a)Health Education and
Publicity
0 0 0 0
As
Above
As Above As Above As Above
0 0 0 0 100 24 40 16
0.24 0.24 0.24 0.12 0 0 0 0
0.18 0.18 0.18 0.09 0 0 0 0
2 0 0 0 0 0 0 0
NIDDCP

ACTIVITY*
b) Salt Testing Kits
supplies by GOI (3,84,000
No)
IDD surveys
Financial Physical
2009-10 2010-11 2009-10 2010-11
Amount
Approved
Exp Amount
Approved
NLEP
Exp Expected
Output
Achieve
me nts
Expected
Output
Achieve
me nts
Contractual Services 0.06 0.06 0.06 0.04 1 1 1 1
Services through
ASHA/USHA
Office expenses &
Consumables
0.24 0.4 0.42 0.35 60 15 80 65
0.32 0.32 0.33 0.16 1 1 1 1
Capacity building 1.43 0.65 1.48 0.46 90 58 90 45
Behavioural Change
Communication
POL/Vehicle operation &
hiring
0.19 0.19 0.25 0.23 0.18 0.18 0.80 0.73
0.75 0.75 0.75 0.56 1 1 1 1
DPMR 5.68 5.02 5.37 2.50 255 169 215 89
Material & Supplies 0.27 0.27 0.27 0.27 96 96 89 89
Urban Leprosy Control 0.85 0.85 1.01 0.016 280 280 280 280
Supervision, Monitoring &
Review
0.15 0.15 0.21 0.12 300 391 300 205
Cash assistance 0 0 0 0 0 0 0 0
NIPPCD
Training 0 0 0 0 0 0 0 0
Capacity building
PHCs/CHCs & District
Hospitals
Manpower at district level
0 0 0 0 70 70 0 0
0 0 0 0
3 ENT
Surgeon
2 Audiolo
gist
0 0
Screening Camps 0 0 0 0 4 4 12 1
Hearing Aids 200 HI per
district per year
0 0 0 0 200 200 200 200
Central Cell at state level 0 0 0 0 0 0 0 0
The list of activity given above may vary from State to State. Therefore States should list the
activities as per their RoP

CHAPTER-2:
POLICY AND SYSTEMIC REFORMS IN STRATEGIC AREAS
Lack of systems approach may result in serious gaps that affect service delivery. For instance,
investments in FRUs are to a large extent nullified if there is an irrational deployment of doctors
trained in EMOC and LSAS and there is a sub optimal maximum utilisation of HR, equipments &
facility upgradation. Similarly, the promise of free institutional deliveries remains un‐kept if drugs
and consumables are not available.
The experience so far tells us that the States have addressed these criticalities in an uneven
manner and to a varying extent. In this Chapter, the States should clearly describe the policies and
systems that the States have put in place (and proposed, if any, with timelines) in respect of at least
the following 20 management imperatives:
1. HR policies for Doctors,
Nurses paramedical staff and
programme management
staff
2. Accountability and
Performance appraisal
3. Policies on drugs,
procurement system and
Logistics management
Minimizing vacancies, timely recruitment, transparent
selection, career progression, professional development,
rational deployment, skill utilization, stability of tenure
Sustainability of HR under NRHM.
Facility based monitoring; Incentive for both the HSP and
the facility based on functioning.
Performance appraisal against benchmarks, renewal of
contracts based on performance.
Incentives for performance above benchmark, special
incentives for difficult areas.
Articulation of policy on entitlements. E.g. free vs. charges
drugs for OPD/IPD. Emergency patients, free vs. charged
deliveries etc, rational prescriptions, timely procurement
of drugs and consumables, smooth distribution to
facilities from DH to SC, uninterrupted availability to
patients, minimization of out‐of‐pocket expenses, quality
assurance, prescription audits, EDL in public domain,
computerized drugs and logistics MIS system.
4. Equipments Availability of essential functional equipments in all
facilities, regular needs assessment. Timely indenting and
procurement and identification of unused/faulty
5. Ambulance Services and
Referral Transport
6 Maintenance of buildings.
Sanitation, Water, Electricity,
laundry, kitchen
equipment, regular maintenance and MIS.
Availability of ambulances for critical patients; reliable,
assured and affordable transport for pregnant women and
newborn/infants
Clear policy articulation on entitlements both for mother
and newborn
Establishing Control Rooms for timely response and
provision of services.
Drop back facility: from village to institution and from
institution to village
24 x 7 maintenance and round the clock plumbing,
electrical, carpentry services, power backup, cleanliness
and sanitation in PH facilities, upkeep of toilets, electricity,
clean linen, diet for pregnant women.
7 Diagnostics Rational prescription of diagnostic test, reliable and
affordable availability to patients; partnerships with private
service providers. Prescription audits.
8 Patient's feedback and Feedback from patients, expeditious grievance redressal

grievance redressal Analysis of feedback for corrective action
9 Private Public Partnership
(PPP)
Partnership with private providers to supplement
governmental efforts in underserved and vulnerable areas
for deliveries, family planning services and diagnostics etc.
10 Intersect oral convergence Effective coordination with key departments to address
health determinants viz. water, sanitation, hygiene,
nutrition, IYCF, gender, education, women empowerment,
convergence with SABLA, SSA, ICDS etc.
11 Community mobilization Active community participation, strong VHSCs, social audit.
Effective VHNDs
12 IEC Comprehensive communication strategy with a strong BCC
component in the IEC strategy, dissemination in villages/
urban slums/ peri urban areas.
13. Civil Registration System (CRS) 100% registration of births and deaths, capturing of births
in private institutions, reliability to health data on
institutional deliveries, sex ratio etc.
14. Supportive Supervision Supervision of field activities/performance, handholding,
strengthening of LHVS, DPHNOS, MPHS etc
15. Monitoring and Review Regular, focused reviews at different levels viz CM/ Health
Minister/Health Secretary/ MD/DHS/officers at Block/ PHC
16 Meetings of State Health
Mission/Society/District
Health Society
17 Medical Colleges (New
Colleges and Upgradation of
existing ones)
level, use of the HMIS data for reviews
Regular meetings for periodic review and future road map,
clear agenda and follow‐up action
Enhances supply of doctors, expansion of tertiary health
care, use of medical colleges as resource centers for
national health programmes.
18 Nursing Schools Augmented supply of nurses, quality assurance, avenues for
career progression of in‐service staff.
19 Paramedical education Availability of quality paramedical staff, capacity building,
avenues for career progression of in‐service staff.
20 Capacity building Strengthening of SHIFE/DTC. Quality Assurance Availability
of centralized training log Monitoring of post training
outcomes Induction training for all key cadres Management
training for clinicians

CHAPTER-3:
CONDITIONALITIES
a) Release of the first tranche of funds:
The first tranche of funds would be released by GOI to States for PIPs 2011‐12 on fulfillment
of the following conditions:
• A full‐ time Mission Director for NRHM (for States having resource envelop of more than
Rs 50 crores), other than the administrative Secretary. MD NRHM would not hold
additional charge outside the Health Department.
• A full‐ time Director/Joint Director/Deputy Director (Finance) (depending on resource
envelop of State), not holding any additional charge outside the Health Department,
from the State Finance Services
• A commitment to increase State Plan Budget for 2011‐12 by at least 10% over and above
the 15% State share under NRHM.
b) Release of second tranche of funds:
Action on the following issues would be looked at while considering the release of second
tranche of funds:
• HR POLICIES & SYSTEMS as mentioned at S.NO. 1 of the Management imperatives,
measures should be initiated to ensure rational deployment with stability of tenure by
way of a clear transfer policy and facility based monitoring for results.
• DRUG POLICY & SYSTEMS, including a sound procurement and logistics mechanism as
mentioned at S.NO. 3 of the management Imperatives, with the objective of minimizing
out‐of‐pocket expenses.
• The compliance status in respect of the 31 conditionalities mentioned below is provided
for the year 2010‐11 in the prescribed format.
S. No Conditionality
Compliance
Status
1. All posts under NRHM are on contract and based on local criteria. The
contract should be done by the Rogi Kalyan Samiti /District Health Society.
The stay of person so contracted at place of posting is mandatory. All such
contracts are for a particular institution and non transferable. The
contracted person will not be attached for any purpose at any place.
yes
2. The state agrees to credit 15% of the State share to the account of the
State Health Society in two installments. The State also aggresses to
enhance the over‐all expenditure on health by the State Government by a
minimum of 10 percent per year.
State Releted
3. Blended payments comprising of a base salary and a performance based
component, should be encouraged.
yes
4. State Government must fill up its existing vacancies against sanctioned State Releted
posts, preferably by contract. Top most priority in contractual
5.
recruitments should be for backward districts and for difficult, most
difficult and inaccessible health facilities.
Delegation of administrative and financial powers should be completed
during the current financial year. If not already done.
6. State shall set up a transparent and credible procurement and Supply
chain management system and Procurement Management Information
System (PROMIS) [on the lines of the Tamil Nadu Medical Services
yes

S. No Conditionality
Corporation]. State agrees to periodic procurement audit by third party to
ascertain progress in this regard.
Compliance
Status
7. The State shall undertake institution specific monitoring of performance of
Sub Centre, PHCs, CHCs, DHs, etc.
State Releted
8. The State shall operationalise an on‐line HMIS in partnership with
MOHFW.
State Releted
9. The State shall take up capacity building exercise of Village Health and
Sanitation Committees, Rogi Kalyan Samiti and other community /PRI
institutions at all levels.
State Releted
10. The State shall ensure regular meetings of all community Organizations
/District /State Mission with public display of financial resources received
by all health facilities.
State Releted
11. The State Govts. shall also make contributions to Rogi Kalyan Samiti and
transfer responsibility for maintenance of health institutions to them.
yes
12. The State shall prepare Essential Drug lists of generic drugs and Standard
treatment Protocols, and give it wide publicity.
State Releted
13. The State shall focus on the health entitlements of vulnerable social
groups like SCs, STs, OBCs, Minorities, Women, migrants etc.
yes
14. The State shall ensure timely performance based payments to yes
15.
ASHAs/Community Health Workers.
The State shall encourage in patient care and fixed day services for family
planning.
yes
16. The State shall ensure effective and regular organization of Monthly
Health and Nutrition Days and set up a mechanism to monitor them.
yes
17. All performance based payments/incentives should be under the
supervision of Community Organizations (PRI)/RKS.
yes
18. The State agrees to follow all the financial management systems under
operation under NRHM and shall submit Audit Reports, FMRs, Statement
of Fund Position, as and when they are due. State also agrees to undertake
Monthly District Audit and periodic assessment of the financial system.
State Releted
19. The State agrees to fast track physical infrastructure upgradation by
crafting State specific implementation arrangements. State also agrees to
external evaluation of its civil works programmes.
State Releted
20. The State Govt. agrees to co‐locate AYUSH in PHCs/CHCs, wherever
feasible.
State Releted
21. The State agrees to focus on quality of services and accreditation of
government facilities.
State Releted
22. The State/UT agrees to undertake community monitoring on pilot basis,
wherever not tried out as yet, and scale up with suitable model wherever
piloted earlier.
State Releted
23. The State/UT agrees to undertake continuing medical and continuing
nursing education.
State Releted
24. The State agrees to make health facilities handling JSY, women and child
friendly to ensure that women and new born children stay in the facility
for 48 hours.
yes
25. The State Governments shall, within 45 days of the issue of the Record of
proceedings, issue detailed District wise approvals and place them on their
website for public information.
State Releted
26. The State agrees to return unspent balance against specific releases made
in 2005‐06, if any.
State Releted

S. No Conditionality
27. The State is entitled to engage a second ANM to the extent that it provides
for MPW (Male) or the contractual amount of 2 nd ANM be paid out of
State Budget and Third functionary may be engaged from NRHM Fund.
28. The State shall put in place a transparent and effective human resource
policy so that difficult, most difficult and inaccessible areas attract human
resources for health.
29. The State agrees to fast track physical infrastructure up‐gradation by
crafting State specific implementation arrangements. State also agrees to
external evaluation of its civil works programmes. The State shall provide
names of all facilities where civil works are undertaken and also certify
that the location of these facilities is such that poor households can seek
services from them. Prior approval of place of construction by GoI will be
mandatory before taking up new construction under NRHM. Thrust must
be on meeting infrastructure gap in backward districts and difficult, most
difficult and inaccessible facilities.
30. The State agrees that the provision for EMRI operational cost to States will
be on declining basis. For first year operational cost will be 60%, 2 nd year
40%, 3rd year 20% and nil thereafter.
31. The State agrees to comply with the following over a period of six months:
• System for assured and affordable referral transport for pregnant
women and sick children/infants.
• Facility upkeep(including maintenance of building ‐ sanitation, laundry,
water, electricity, kitchen) and grievance redressal mechanisms.
• Performance benchmarks for staff prior to renewal of contracts and
incentives.
• Availability of functional equipments at all facilities.
Compliance
Status
State Releted
State Releted
State Releted
State Releted
State Releted
d) Conditionalities for release of Disease Control Program funds for 2011‐12:
In addition to the conditionalities mentioned in the proceeding section, States are required
to comply with some conditionalities pertaining to disease control program which are
enumerated below:
I. NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME:
i. Mandatory
• Regular and dedicated State and Districts Programme Officer (VBD) for all Vector Borne
Disease.
• Contractual positions under NVBDCP to be filled 100% wherever applicable.
• Release of Grant ‐ in ‐Aid under NVBDCP from State Health Society to DistrictsSocieties
within 30 days after receipt of Grant ‐in ‐ Aid from GOI.
ii. Desirable
• For Malaria, Annual Blood Examination Rate (ABER) should be more than 10% of
population under surveillance‐State and District‐wise.
• Minimum 30% of Pf. Cases should be detected through rapid Diagnostic Test (RDT) I
identified malaria ‐ endemic districts.
• Indoor Residual Spray (IRS) coverage should be minimum 80% of targeted population
projected in PIP.

• For Dengue, Chikungunya and Japanese Encephalitis (JE), the identified sentinel
surveillance hospitals (SSH) to be made functional (at least 80% of allotted SSH).
• For Kala‐azar, achievement of cases less than 1 per 10,000 population at Block level
(applicable only for State of Bihar, Jharkhand and West Bengal).
• Zonal Entomological to be made functional. NOTE : 1. All non‐negotiable conditions are
to be fulfilled.
2. If desirable conditions are not fulfilled, those will be converted as non‐negotiable
conditions for release of grant in next fiscal year.
II. REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM
i. Mandatory
• All States and Districts should have regular, full time State and Districts Tuberculosis
officers.
• At least 70% of new sputum positive case detection rate should be achieved in all
districts/States.
• Default rate should not be more than 5% in any of the Districts /States.
ii. Desirable
• Establishment and accreditation of at least one intermediate reference laboratory for
the diagnosis of Multi ‐ Drug Resistant Tuberculosis in the State as per the plan.
• DOT PLUS programme for Multi‐ Drug Resistant Tuberculosis should be started as per
plan.
III. INTEGRATED DISEASE SURVEILLANCE PROGRAM(IDSP)
i. Mandatory
• Dedicated State Surveillance Officer.
• Reporting of Surveillance data through portal.
ii. Desirable
• Recruited of contractual manpower
• Dedicated District Surveillance Officer.
IV. LEPROSY
i. Mandatory
• Dedicated State Level officer in each State /UT and District Level officers in 123 districts
where PR is more than one per 10,000 populations.
ii. Desirable
• Recruitment of contractual manpower.
e) Incentivizing Good Performance
It is proposed to set up an incentive pool for rewarding robust performance under NRHM. For this
purpose, guidelines would be issued separately. Cost effective innovations with potential for large
impact and models of good governance and systems reforms would also attract bonus/incentive by
way of enhanced resource allocation.

CHAPTER-4:
SCHEME/PROGRAM UNDER NATIONAL RURAL
HEALTH MISSION
A. RCH FLEXIPOOL
ANNEXTURE 3b
ANNEXTURE 3d
ANNEXTURE 3e

Writeup for RCH Activity
1. MATERNAL HEALTH
1.1.2.1 Prepare plan for operationalisation across districts
Budget of Rs. 0.25 Lacs is proposed for decimation of RCH Activity guideline to Block
by conducting workshop at District level.
1.1.5.1 Prepare plan for operationalising services at sub‐centers.
Budget of Rs. 0.70 Lacs is proposed for decimation of RCH Activity guideline to PHC
by conducting workshop at Block level.
1.2.1 Implementation by districts ‐ 25 EmOC cases per PHC per year will require referral
@ Rs. 600/‐ per case .
In emergency EmOC cases needs referral to higher centres. All the PHCs are having
vehicles and they are instructed to refer an emergency cases in govt vehicle without
charges for that purpose Budget of Rs. 4.20 Lacs is proposed for referral of 25 EmOC
cases per PHC per year @ Rs.300 per case.
1.3 Integrated outreach RCH services
1.3.1 RCH Outreach Camps in un‐served/ under‐served areas (state should focus on
facility based services and outreach camps to be restricted to areas without
functional health facilities)
Total budget required Rs. 0.90 lacs for the year
1.4 JANANI SURKHSHA YOJANA
1.4.2.1 Home deliveries
In financial year 2011‐12 it is proposed to give benefit to 1486 JSY home deliveries.
The budget of Rs. 7.43 is proposed for JSY benefit to home deliveries @ Rs. 500/‐ per
deliveries.
1.4.2.2.1 Rural
In financial year 2011‐12 it is proposed to give benefit to 11373 JSY Rural
institutional deliveries. The budget of Rs. 79.61 Lacs is proposed for JSY benefit to
institutional deliveries @ Rs. 700/‐ per deliveries.

1.4.2.2.2 Urban
In financial year 2011‐12 it is proposed to give benefit to 2007 JSY Urban
institutional deliveries. The budget of Rs. 12.04 Lacs is proposed for JSY benefit to
institutional deliveries @ Rs. 600/‐ per deliveries.
1.4.2.2.3 C‐sections
In financial year 2011‐12 it is proposed to give benefit to 268 C‐section cases. The
budget of Rs. 4.02 Lacs is proposed for C‐ section deliveries @ Rs. 1500/‐ per
deliveries.
1.4.3 Other activites (JSY)
Sanitari Napkin for Delivery petaent
Provision for Sanitary Napkin for Delivery petient @ Rs.100/‐ per Petient as per
actual target of JSY. Expetcted benefisaries 14866 and total budget requires Rs.
14.86 for the year.
1.4.3.1 ASHA Incentive
In financial year 2011‐12 it is proposed to give Incentive to ASHA for brining JSY
beneficiary to institution for delivery. For that expected tribal institutional delivery
1448 @ Rs. 600/‐ per delivery and expected non tribal institutional delivery 9925 @
Rs. 200/‐ Total budget of Rs. 28.54 Lacs is proposed.
1.4.3.2 Admin Cost (5%)
Administration cost for printing of JSY forms and other miscellanious expenditure @
4% of Total budget. Hence budget of Rs. 5.24 Lacs is proposed.
1.5.2 High Risk ANC & Gynac Clinic including screening for Ca Cx & treatment by
Cryocautery.
High Risk ANC & Gynac Clinic including screening for Ca Cx & treatment by
Cryocautery – per Month at one PHC in 12 Non tribal block and each PHC in two
tribal block. Total 276 Camps are to be arrange, budget of Rs.5.52 is proposed @ Rs.
2000/‐ per camp for Mobility and specialist charges.
1.5.3 Free diet allowance to Institutional delivery for 2 days for 10 Deliveries per month
per PHC @ Rs. 75/‐ per day.
It is proposed to give Free diet allowance to Urban Institutional delivery for 2 days
for 10 Deliveries per month per PHC @ Rs. 75/‐ per day. Total budget of Rs. 10.08
Lacs is proposed for 56 PHCs @ 18000/‐ per year per PHCs.

1.5.4 Free diet allowance to Institutional delivery for 2 days for 15 Deliveries per month
per RH @ Rs. 75/‐ per day. Total amount per case Rs. 150/‐
It is proposed to give Free diet allowance to Rural Institutional delivery for 2 days for
15 Deliveries per month per RH/SDH @ Rs. 75/‐ per day. Total budget of Rs. 3.52
Lacs is proposed for 9 RH & 4 SDH @ 27000/‐ per year per RH/SDH.
2. CHILD HEALTH
2.8.1 Maintenance of sick new born care unit at district hospital
Budget of Rs. 0.20 Lacs is proposed for maintenance of sick new born care unit
established at district hospital.
2.8.2 Maintenance of New Born Care corners at FRUs
Budget of Rs. 1.00 Lacs is proposed for maintenance of New Born Care corners
established at FRUs.
2.8.3 Maintenance of New born care corner at 24x7 PHC
Budget of Rs. 5.60 Lacs is proposed for maintenance of New born care corner
established at 24x7 PHC.
2.8.4 Child Treatment Center at PHC
At 56 PHCs it is proposed to take 2 CTC Camp for 900 Malnourished & Sick Children
from non tribal & 220 children from Tribal. @ Rs. 160/‐ per child per day for 21 days.
Total budget of Rs. 37.63 lacs is proposed for financial 2011‐12.
2.8.5 Child Treatment Center at SDH / RH ( Rs. 3360/‐ per child for 21 days for 10
children per SDH / RH)
At 9 RH & 4 SDH it is proposed to take 2 CTC Camp for 260 Malnourished & Sick
Children. @ Rs. 160/‐ per child per day for 21 days. Total budget of Rs. 8.74 lacs. is
proposed for financial 2011‐12.
2.8.6 Village Child Development Center (VCDC ) at SC level AWW
It is proposed to arrange Village Child Development Center (VCDC ) at SC level. For
333 sub center budget of Rs. 96.00 Lacs is proposed for expected 10000 SAM &
MAM children @ Rs. 960/‐ per child for 30 days.
2.8.7 Organizational cost for Implementation of ‐ Bi Annual Deworming & Vitamin A
Supplementation & Iron Folic Acid Supplementation
It is proposed to implement Bi Annual Deworming & Vitamin A & Iron Folic Acid
Supplementation in District through PHC. The budget will be proposed for

Organizational cost for Implementation of ‐ Bi Annual Deworming & Vitamin A
Supplementation & Iron Folic Acid Supplementation @ Rs. 2500/‐ per PHC for 56
PHCs. The total budget of Rs. 2.80 Lacs will be proposed for financial year 2011‐12.
2.8.8 Pediatrician services for examination, treatment and referral seek
It is proposed to take Pediatrician services per Month at one PHC in 12 Non tribal
block and each PHC in two tribal block. Total 276 Camps are to be arrange. The
budget of Rs. 5.52 Lacs is proposed @ Rs. 2000/‐ per camp for Mobility and specilist
charges.
2.8.9 Referreal Transport for critical ill child
For Referreal of critical ill child from PHC to RH/SDH/DH Refferreal Transport budget
of Rs. 2.02 is proposed for @ Rs. 300 per child X 12 children per year per PHC.
2.8.10 Child Death Audit
It is proposed to done Child Death Audit in Districts. 70 deaths are expected per
block per year (1 Tribal and 1 Non Tribal Block). Investigation will be done by THO/
MO @ Rs.200 per case, in designed detailed 16 pages formats which is designed at
State Level for Child Death Investigation. Total budget of Rs. 0.28 Lacs is expected.
3. FAMILY PLANNING
3.1.3.2 Organize NSV camps
For achievement of target and for training of MBBS MOs, it is proposed to conduct
NSV Camp of 100 cases each in District. There will be 1 camps proposed during the
financial year 2011‐12. The budget of Rs. 0.53 Lacs is proposed for 1 camps @ Rs.
53000/‐ per camp.
3.1.3.3 Compensation for female sterilization
For District it is proposed as per GOI guideline budget for female sterilization @ Rs.
1000/‐ per case for BPL/SC/ST and 50% APL @ Rs. 650/‐. Average cost of Rs. 825/‐
per case. Estimated female sterilization cases for 2011‐12 is 10080. The total budget
of Rs. 83.16 Lacs is proposed for 10080 cases @ Rs. 825/‐ per case.
3.1.3.4 Compensation for NSV Acceptance
It is proposed to make provision for estimated 1120 NSV acceptance cases i.e. 10%
of Total Sterilization Target @ Rs. 1500 /‐ per case. Total budget of Rs. 16.80 is
proposed for 1120 cases @ Rs. 1500/‐ per case.

3.5.2 Provision for Transport of family planning Sterilization Cases & Surgeon
It is proposed to provide transport facility for family planning sterilization cases and
surgeon @ Rs. 100/‐ per case. Total estimated number of cases in District are 11200.
The budget of Rs. 11.20 Lacs is proposed for 11200 cases @ Rs. 100/‐ per case.
3.5.3 Organization of Mini Camps for Laproscopy/Minilap/NSV
For laprosocopy/minilap/NSV mini camp, it is proposed to provide organization cost
@ Rs.50/‐ per case for minimum 25 cases per camp. The budget of Rs. 0.88 Lacs is
proposed for expected number of 50 camp @ Rs. 1250 per camp.
3.5.4 Promotion of IUD 380A & EC Pills through sensitization of SHG
It is proposed to take activity of promotion of IUD 380 A & EC pills through
sensitization of private doctors, SHG etc. A workshop will be arranged twice in a year
of private doctors and SHG members, organization cost of Rs. 3000 per workshop
will be required. The budget of Rs. 4.20 Lacs is proposed for 140 workshop @ Rs.
3000/‐ per workshop at 70 institutes (PHC, RH, SDH, WH).
4. ARSH
4.2.1 Strengthening of functioning establishing new ARSH Clinic at Women Hospital.
It is proposed to implement ARSH activity by setting up of adolescent clinic at
women hospital. Budget required for setup and other necessary activity Rs. 50000/‐
4.2.2 Continuation of counselors on contractual basis at districts Hospitals already
appointed at the respective AFHS clinics.
The budget of Rs. 1.20 Lacs is proposed for counselors on contractual basis at
districts Hospitals already appointed at the respective AFHS clinics. @ Rs. 10000/‐
per month.
4.2.3 Sensitization peer groups in villages through community based approach
Sensitization of Peer Groups in villages through Community based approach, female
Volunters shall be sensitized for menustrial hygine & sanitary napkins in District. 2
Male & 2 Fmale Peer Volunters per village will be sensitized. Orientiation session
shall be conducted by ANM / AWW /ASHA. 500 villages from 4 blocks. 4 peer
volunteers @ Rs. 25/‐ per month. Total budget required Rs.6.00 lacs.
4.2.4 Prevention /control of Nutritional Anemia in Adolescent Girls
The budget of Rs. 1.00 Lacs is proposed for prevention /control of Nutritional
Anemia in Adolescent Girls as Organizational cost.

5. URBAN RCH
5.2.1 Health Posts in urban areas
The budget of Rs. 5.92 Lacs is proposed for Health Posts in Achalpur for Salary of the
Contractual staff posted in Health Post and contingent items to run HP.
5.2.2 Urban ANMs for M. Councils under RCH
The budget of Rs. 23.12 Lacs is proposed for 35 Urban ANMs urban ANM salary @
Rs. 5500/‐ per month.
5.2.3 RCH PIP of M. Coucils
The budget of Rs. 6.00 Lacs is proposed for RCH PIP of M. Coucils (> 1 Lakh popn.)‐
Need based Technical activties for reducing MMR, IMR and TFR.
6. TRIBAL RCH
6.2.1 Health Checkup of Sick Children at Anganwadi
It is necessary for MO to done checkup of Anganwadi children regularly for that it is
proposed to make provision of monthly mobility support for 11 PHC of tribal block
@ Rs. 500/‐ per month. Total budget of Rs. 0.66 lacs is proposed.
6.2.2 Involvement of ASHA for implementation of essential new born care activity in all
tribal blocks
Involvement of ASHA for implementation of essential new born care activity in all
tribal blocks. Dharni & Chikhaldara at rate Rs. 4000/‐ Per ASHA for 300 Asha. Total
budget of Rs. 12.00 Lacs is proposed.
6.2.3 Hardship Allowance to Medical Officers of Bharari Pathak in Tribal
In tribal area of District there are 22 Bharari Pathak functioning, salary of MO is Rs.
6000/‐ per month. It is proposed to give additional payment of Rs. 6000/‐ per month
per MO through RCH. Total budget of Rs. 15.84 lacs is proposed.
6.2.4 Operational Research in regarding Referral services
The lumsum budget of Rs. 5.00 Lacs is proposed for Operational Research regarding
Referral services.

6.2.5 Documentary Evidence of improvement in grades of Malnutrition in the form of
photographs
The budget of Rs. 0.22 Lacs is proposed for Documentary Evidence of improvement
in grades of Malnutrition in the form of photographs. @ Rs.30/‐ per child for 3
photographs. For 150 children per PHC in selected 5 tribal PHCs.
7. VULNERABLE GROUPS
7.2.1 Appointment of counselor at DH and WH for women victims of violence
The budget of Rs. 2.40 Lacs is proposed for Salary of Counselors for women victims
of violence at District & Women Hospital @ Rs. 10000/‐ per month.
8. INNOVATIONS/ PPP/ NGO
8.1.2 Orientation of programme managers and service providers on PC & PNDT Act
It is proposed to conduct orientation workshop at District level for programme
managers and service providers on PC & PNDT Act. The budget of Rs. 0.30 Lacs is
proposed for organization cost for 3 workshop @ Rs. 10000/‐ per workshop.
8.1.5 Support for sting operation under PCPNDT Act
The lumsum budget of Rs. 0.50 Lacs is proposed for Support for sting operation
under PCPNDT Act.
8.1.6 Provision for Witness support participated in PCPNDT court cases
The lumsum budget of Rs. 0.15 Lacs is proposed for Witness support participated in
PCPNDT court cases.
8.1.7 Support for teams at district level for inspection of sonography centers registered
under PC PNDT Act
It is necessary to have inspection of Sonography Center register under PCPNDT act in
District by District level inspection team. For that the budget of Rs. 1.00 Lacs is
proposed for mobility support @ Rs. 1000/‐ per person per center.
8.1.8 Support for Scrutiny of Form‐F by the NGOs/MSW Students
The budget of Rs. 0.50 Lacs is proposed for Scrutiny of Form‐F by the NGOs/MSW
Students @ Rs. 5/‐ per form.
8.1.9 Training for Centers for Online Data Entry of Filling Form ‐ F
It is proposed to conduct training for Centers for Online Data Entry of Filling Form ‐
F. The budget of Rs. 0.30 Lacs is proposed as a organization cost for training.

8.1.10 One counselor will be appointed at the each District Hospital & Women Hospital
The budget of Rs. 2.40 Lacs is proposed for Salary of Counselors appointed at District
& Women Hospital @ Rs. 10000/‐ per month.
9. INFRASTRUCTURE AND HUMAN RESOURCES
9.1.6 Incentive to Medical Officers
The budget of Rs. 1.16 Lacs is proposed for Incentive to Medical Officer for EmOC &
LSAS cases @ Rs. 1500/‐ & Rs. 750/‐ respectively.
9.3.3 Infrastructure‐ MH: Maternity wards, labour rooms
The total budget of Rs. 106.50 Lacs is proposed for minor Repair and expantation of
30 sub center labour room @ Rs. 2.50 Lac per labour room and 9 PHC labour room
@ Rs. 3.50 Lac per labour room.
10. INSTITUTIONAL STRENGTHENING
10.3.4 Provision for equipment at District Level
The Budget of Rs. 1.00 Lac is proposed for annual AMC of Computer, purchase of
Software & Hardware and Antivirus for system.
10.3.5 Expenditure on monthly/ quarterly meetings at distric level
The budget of Rs. 0.60 Lacs is proposed for monthly TMO/MO meeting @ Rs. 5000/‐
per month at district level.
11. TRAINING
12. BCC / IEC
12.4.1 Street Play & Kalapathak
For effective publicity of Health activity in villages through Kalapathak at village level
the budget of Rs. 2.40 Lacs is proposed for 120 programmes of Kalapathak @ Rs.
2000/‐ per programme.
12.4.2 Radio Jingles
For effective publicity of activity through Radio Jingles upto village levels by All India
Radio the budget of Rs. 2.40 Lacs is proposed for Radio Jingles.

12.4.3 Wall painting & Hoardings
It is proposed to give message through wall painting & hoardings at prominent
places in Melghat area. Provision are made for 100 places wall painting & 100 places
for Hording addressing of Health Activities. The Budget of Rs. 3.00 Lacs is proposed
for 100 places wall painting @ Rs. 2000/‐ per wall painting & for 150 places Hoarding
@ Rs. 1000/‐ per hoarding.
13. PROCUREMENT
14. PROGRAMME MANAGEMENT
14.2.1 Contractual Staff for DPMSU recruited and in position
The budget of Rs. 17.60 Lacs is proposed for salary of DPM/DAM/DEO at revised rate
by increasing 50% in current salary TA/DA, mobility support and contingent
expenditure.

S.
No.
Area Indicator
Planned
(2005‐11)
Number of facilities/HR
Total
Achievement
(2005‐11, till
November
2010)
Percentage
(%)
Achievement
Plan for
2011‐2012
1 No. of FRUs Operationalised 10 5 50 5
2
3
No. of 24x7 PHCs
Operationalised
No. of sub‐centres
operationalised as delivery
points
42 28 67 6
229 83 36.24 146
Service utilisation* (average per month per
facility/ trained provider)
C‐sections
MTPs
Services
Male sterilisations
Female sterilisations
Normal deliveries
MTPs
Male sterilisations
Female sterilisations
IUD insertions
Normal deliveries
IUD insertions
4 No. of SNCUs operationalised 2 2 100 Newborns treated
5
Facility
Operationalisation
No. of NBSUs operationalised 14 5 35 11 Newborns treated
14 Capacity Building EmOC training ‐ ‐ ‐ 3 C‐sections
Based on
performance
during Apr‐
Nov 2010
15 LSAS training 8 4 ‐ 1 C‐sections 1 1
16 SBA 652 150 ‐ 8 Deliveries conducted
17 MTP 90 47 MTPs
18 RTI/STI 277 54 ‐ 4
19 IMNCI 3380 1902 ‐ 36
20
F‐IMNCI 32 35
Children and infants
treated
Projection
for
2011‐12

S.
No.
Area Indicator
21 NSSK
Planned
(2005‐11)
Number of facilities/HR
Total
Achievement
(2005‐11, till
November
2010)
Percentage
(%)
Achievement
Plan for
2011‐2012
Service utilisation* (average per month per
facility/ trained provider)
Services
Newborns
resuscitated
22 Minilap 90 15 ‐ 6 Sterilisations
23 NSV 40 25 ‐ 1 Sterilisations
24 Laparoscopic sterilization Sterilisations
25 IUD 526 79 ‐ 12 IUD insertions
Based on
performance
during Apr‐
Nov 2010
Projection
for
2011‐12

A.2: MATERNAL HEALTH GUIDELINES AND FORMATS
Generic comments for preparing PIP 2011‐12:
• Any procurement should be done based on competitive bidding and by following
Government protocols.
• Procurement of equipment should be need based, linked with its utilization and availability
of required manpower.
• Hiring of additional staff should be avoided on generic basis beyond the approved norms and
should be linked with case load and quality of service delivery.
• Incentives should be on state specific situation and rationality for the same may be shared.
• A table on incentives must be indicated giving details on RCH incentives being planned either
in NRHM or in RCH.
• Individual incentives should be minimum and need based.
• Incentives to service providers may be given to a group of providers and linked with ensuring
quality protocols of the service rendered.
• RCH Drugs/Any other drugs should be budgeted under State head or under NRHM except for
the states where World bank has approved their procurement procedure.
• Monitoring visits should be comprehensive for all the programs and should be budgeted
under separate headings of monitoring and supervision.
• Platform of Quality Assurance cell at state and district level be utilized for such monitoring
visits.
• The state wise comments of MH Division will be shared with the states after receiving PIP for
2011‐12 and planning of the activities in the PIP should be done accordingly.
• In case of any difference of opinion due to local/state specific circumstances, the same may
please be shared before implementation
• Monitoring should also be conducted by State/District program officers.
• Some of the states have put their RCH activities particularly related with Maternal Health
under NRHM, may be because of budget related issues. Such states must see and conform to
the state wise comments given by MH division on all MH related activities whether booked
under RCH or NRHM, during appraisal of the PIPs and plan accordingly.
FRU Operationalisation:
• Holistic planning for FRUs should be done linking HR, procurement, BSCs, logistics, manpower,
training etc.
• Facilities operationalized should be as per GOI Guidelines including establishment of
BSCs.
• Besides linking components of HR, infrastructure including BSC etc, preference to be given to
those facilities for upgradation and operationalisation where delivery load is substantial.
• Geographical mapping must be carried out to identify those facilities for Upgradation to FRUs,
which are located in areas with no other functional facility nearby.
• Funds for heads like equipments, infrastructure etc. should be budgeted under respective
RCH II/ NRHM head.
• Medical College strengthening is not the part of RCH and can be kept under NRHM Additionality.
• Some state has budgeted DDK for FRUs/CEmOC services. They are requested that DDK should be
used only in c/o out reach services.
Operationalisation 24* 7 PHCs:

• Holistic planning for operationalisation of 24* 7 PHCs should be done and should be linked to
infrastructure, procurement, drugs/medicines; state has also to plan for training of MOs esp. in
Basic Obstetric Care and SNs/LHVs/ANMs in Skilled Birth Attendance.
• Funds for heads like equipments, infrastructure etc. should be budgeted under respective
RCH II/ NRHM head.
• Facilities operationalized should be as per GOI Guidelines.
• Besides linking components of HR, infrastructure including newborn care corners etc, preference
to be given to those facilities for up‐gradation and operationalisation where delivery load is
substantial.
• Geographical mapping must be carried out to identify those facilities for upgradation to 24*7
PHCs, which are located in areas with no other functional facility nearby.
A. SERVICES:
1. ANC, INC, PNC:
• State is requested to ensure that post delivery mother should stay for at least 48 hours
which is quite necessary to provide full range of care. Any infrastructure improvement plan if
needed should be undertaken accordingly.
• Monitoring during OR/VHNDs sessions should be strengthened so that quality of ANC
including IFA tab etc, PNC is ensured.
• Tracking of missed out and left out cases of ANC, PNC should be done.
• State has to gear up to provide full ANC of good quality.
• Comprehensive Monitoring plan for these activities should be developed and budgeted.
2. Institutional Delivery including JSY:
• Micro Birth Planning should be emphasized as a part of JSY.
• 48 hr stay post delivery should be emphasized especially among JSY beneficiaries.
• Benefits under JSY should be as per GoI norms.
• Qualities of services being provided under JSY are poor, facilities are overcrowded and
beneficiary are discharged before 48 hours, micro plan is not in place, as per JSY evaluation.
There is a need for augmenting manpower and provision of beds in the health facilities.
• JSY deliveries should be co‐linked with service provision and facility upgradation and
budgeted accordingly.
• Tertiary facilities are overloaded so micro plan should promote primary and secondary
facilities for services.
• Grievance‐redressal mechanism should be established.
• Funds should also be kept for monitoring visits.
• Guidelines on record up keeping (physical and financial) should be disseminated.
• TBAs should not be promoted as primary provider of deliveries.
• Support to MCs under JSY should not be budgeted under RCH.
• JSY benefits to the clients delivering at accredited private health facilities can be provided
either to the beneficiary or to the service provider from GoI funding, within the approved JSY
limit. Any benefits beyond the approved limit needs prior approval
from MoHFW.
3. Safe Abortion Services:
• State should plan for Comprehensive Abortion services as per GoI guidelines.
• There should be focus on comprehensive abortion services (MVA, EVA, MA) upto FRU/CHC
level and at least MA, MVA at 24*7 PHCs.
• Funds for heads like equipments, infrastructure etc. should be budgeted under
respective RCH II/ NRHM head.

• Accreditation of private health facilities also needs to be done to ensure wider availability of
this service, through District Accreditation Committee as laid down in
the MTP Act.
• District level committee to accredit private sector for MTP services need to be activated and
pending applications for accreditation should be processed on priority.
• Physical progress on this may please be shared every quarter.
• Funds should also be kept for monitoring the operationalisation of Safe Abortion Services.
4. RTI/STI services:
• Training should be as per the GoI guidelines on RTI/STIs.
• Holistic Plan including training of staff, provision of drugs, lab investigations and convergence
with the NACP (THROUGH SACS) is advised for comprehensive RTI/STI services.
• Funds for strengthening of facilities for RTI/STI services have to be kept.
• Funds for heads like equipments, infrastructure etc. should be budgeted under
respective RCH II/ NRHM head.
• Ensure privacy and full treatment as per National Guidelines on Prevention, Management
and Control of RTI infections including STIs.
• Ensure that Wet Mount is available for Diagnosis at health Facilities.
• Funds should also be kept for monitoring the operationalisation of RTI/STI services.
5. Maternal Death Review(MDR):
• Facility based MDR: All health facilities should maintain meticulous records of maternal
deaths with finer details including patient's particulars and probable cause of death. An audit
is conducted at the facility level and subsequently the report is shared with the district CMO
for further action. FBMDR should start initially at District Hospital and Medical Colleges and
later on at block level and accredited private sector facilities should also be included within
scope of these reviews.
• Line listing of maternal deaths occurring at accredited private sector facilities should be done
and the records of these deaths subjected to audit at District level.
• Community based MDR: Line listing of maternal deaths should be done through the
ANMs/ASHAs/ other community resource and the audit of such deaths should be done at the
block/district level.
• GoI is in the process of finalizing simple tools for conducting both the audits. However the
states can continue the process of maternal death audits as before.
• The tools of MDR may be shared with GoI and should be initially limited to 2‐3 districts as a
pilot and cost involved in such pilots vis‐a‐vis benefits be analyzed before scaling up.
6. VHNDs:
• Since VHNDS is a platform all RCH activities, so state should ensure that all these activities
should take place holistically. The efforts should be for providing all planned services like
ANC, PNC, Immunization and Counseling services as per the GOI guidelines.
• Too many types of the out reaches should be avoided and thrust should be on
comprehensive VHNDs.
• Wherever possible FGDs should be conducted for maternal deaths taking place.
• Monitoring and ensuring quality in all VHNDs should be done.
• Funds for monitoring of VHNDs session should be kept.
• Stress should be also on missed/lost cases for ANC.
• VHNDs should be linked with provision of facilities at institutions.
• The focus should be on regular VHNDS and mobile units should be utilized only for those
areas where VHNDs cannot be organized.
• In RCH II focus is on Operationalising health facilities and as such camp/mobile mode is
suggested for hard to reach areas.

7. Referral Transport:
• Every state is advised to have a comprehensive referral policy with scope of flexibility and
variations from district to district as per the local need and situations.
• Tribal and hilly areas must have linkages like Palki or similar facilities for bringing the
pregnant women upto the road head from where a referral transport can pick her. Such
places can be linked with Birth waiting rooms at health facilities on Tamil Nadu pattern.
• There is a need for assured referral linkage both from the beneficiary/community to the
facilities and also between the facilities.
• State needs to establish such system either through government mechanism or through
outsourcing.
• Norms for reimbursement to beneficiary should be as per JSY.
• Outsourcing of referral transport can be preferred than the purchase of government vehicle
and regular driver for providing Referral transport.
• Outsourcing of referral transport should be through the process of competitive bidding.
• Cost benefit analysis of referral transport mechanism should be done taking into
consideration cost incurred per referral, no of pt being referred to pvt sector and no of lives
saved in public sector.
• EMRI model /call centers for referral should be evaluated in terms of cost & benefit before
scaling up.
• Payment for referral can be differential and may be linked with range of km travelled.
8. RCH Camps:
• State is organizing RCH Camps since RCH‐I but the benefits have not yet been analyzed.
• In RCH II focus is on Operationalising health facilities and as such camp mode is suggested as
time gap arrangement restricted for hard to reach areas. State should also indicate that how
many health facilities have been operationalized in hard to reach areas till now.
• RCH Camps should be organized and funded as per GoI norms.
• Stress should be kept on organizing VHNDS regularly.
• Inter‐sectoral co‐ordination should be emphasized while organizing these camps.
• Such outreach camps have taken out the focus on operationalisation of facilities and this may
be one of the reasons for decline in Maternal Health parameters in the state.
• State is requested to analyze the functioning and benefits of Mobile Medical Unit along with
the services rendered on pilot basis before scaling up. Such analysis may please be shared
with GoI. Since MMU for RCH services is a type of outreach and various types of out reaches
hampers the focused activities of ANC, PNC etc being undertaken at VHNDs.
• While planning for such outreach activities it should be ensured that routine service
delivery by MOs/ health workers at fixed health facilities (PHCS/CHCs/DHs etc)
does not suffer.
B. TRAININGS:
1. Life Saving Anesthesia Training:
• Target for LSAS training should be calculated after taking into account the no. of FRUs to be
operationalized, CEmOC target and total no. of specialist to be appointed.
• Target and Achievement of the MOs for 2010‐11 and Training plan for 2011‐12 should be
shared with GoI by the State as per the enclosed formats
• No of trained doctors posted at FRUs
• Trainings should be conducted as per GoI norms.
• Training institutes should be strengthened as per the GoI protocols. Funds can be kept under
Training head.

• State should ensure that DHs should also be strengthened simultaneously for the practical
part of the training. Scaling up can be planned as per GoI road map. Funds can be kept under
Training head.
• State should undertake regular monitoring both during and post training.
• State should ensure that MOs are posted at Facilities which have been operationalized for
CEmOC services.
• Funds should be kept for monitoring during and after training.
2. CEmOC Training:
• Target for CEmOC training should be calculated after taken into account the no. of FRUs to
be operationalised, LSAS target and total no. of specialist to be appointed.
• State should ensure that MOs are posted at Facilities which have been operationalised for
CEmOC services.
• Target and Achievement of the MOs for 2010‐11 and Training plan for 2011‐12 should be
shared with GoI by the State as per the enclosed formats
• State should ensure that DHs should also be strengthened simultaneously for the practical
part of the training. Scaling up can be planned as per GoI road map. Funds can be kept under
Training head.
• Trainings should be conducted as per GoI norms.
• Training institutes should be strengthened as per the GoI protocols. Funds can be kept under
Training head.
• State should undertake regular monitoring both during and post training.
• State should ensure that MOs are posted at Facilities which have been operationalised for
CEmOC services.
• Funds should be kept for monitoring of the training and post training follow‐up
3. BEmOC Training:
• BEmOC training is designed for MOs posted at PHCs. State should ensure that duplication
should not take place by giving different names for this training.
• Training should be as per GoI protocols of 10 days.
• Training institutes should be strengthened as per the GoI protocols. Funds can be kept under
Training head.
• State should undertake regular monitoring both during and post training.
• State should ensure that MOs are posted at Facilities which have been operationalised for
BEmOC services.
• Funds should be kept for monitoring of the training and post training follow‐up.
4. Skilled Birth Attendant Training:
• Training should be as per GoI norms. Kindly follow the GoI operational guidelines on the
same for 3 week training.
• State is requested to emphasize that training centres follow protocols of SBA training i.e.
practice of partograph, AMTSL, ENBC etc. Funds for centre strengthening can be kept under
Training head. Post training skill practise by the trained personnel should be ensured.
• State where training is going on at a good pace, it is requested to evaluate the SBA training in
the State.
• State should undertake regular monitoring both during and post training.
• Funds for monitoring of the training and post training follow up should be kept
5. Blood Storage Training:
• Blood Donation Camps are accessory activities but State should also emphasize
establishing BSCs/ linkages to Blood bank at all the facilities providing CEmOC services.
• Training should be as per GoI norms.

• Also the state is requested to avoid transfers of MOs/LTs who have been trained. If needed
transfer should be from one FRU to other.
• State should develop convergence with SACS for utilizing their resources in training.
6. MTP Training:
• State should follow Comprehensive Abortion Guidelines (will soon be disseminated by GoI)
to operationalise its facilities for MTP services and to train MOs in same. MVA guidelines for
training PHC MOs already exist.
• Trainings should be conducted as per GoI norms.
• Nurses and ANMs should be trained to provide assistance to the certified MTP provider and
also counselling services to clients. It may be noted that nurses and ANMs are currently NOT
permitted to be trained as primary service provider for
MTP under the MTP Act and Rules.
• D & C is not a recommended method for MTP.
• State should also plan for training of MOs in Medical Abortion Services.
• State is also requested to plan for training of MOs in 2nd trimester abortion services
(currently approved methods), as these services should be made available at District
Hospitals and FRUs. Also strengthening of facilities should be done for same.
• Training institutes should be strengthened as per the GoI protocols. Funds for centre
strengthening can be kept under Training head.
• State should ensure that MOs are posted at Facilities which have been operationalised for
MTP services.
• Funds should be kept for monitoring of the training and post training follow up.
7. RTI/STI Training:
• State should plan to operationalise health facilities for RTI/STI services.
• State is requested to plan for RTI/STI training, as per GoI norms.
• Funds for the operationalisation and monitoring of RTI/STI services should be kept.
• Training of sub district level health functionaries posted at FRUs/CHCs and PHCs may be done
by utilizing the training resources (faculty, training material) of the NACP (through SACS). This
is an agreed action under the convergence framework.
C. Quality Assurance:
• State is requested to enlarge the scope of QA cells for RCH services including FP services.
• QA cell should be established both at the level of State and District for all MCH activities at State
and District Level.
• TORs of the QA cell communicated to the State should be followed.
• QA cell should ensure quality and monitoring of all MCH activities which should also include
monitoring of the training.
• Budget has to be indicated for monitoring activities by QA Cell under MH or M & E.
• State is accrediting its health facilities under NABH and NABL but before going for such expensive
accreditations, it may evaluate the quality of services offered through its own mechanism of QA
Cell.
D. Miscellaneous:
• Specific plan for those districts classified as poor performing in the NRHM should have a separate
priority plan.
• State may define difficult, most difficult and inaccessible areas as per geographical location or in
terms of difficulty to find HR for these areas.
• State should take measure to ensure continuity of contractual appointments and take steps to
regularize them.

• Additional allowances should be for regular staff, so as to promote them to work in rural/hard
areas.
• Incentives for specialist and MOs for difficult areas and on performance basis should be defined
clearly and tabulated. Hard to reach areas/ the places where specialist/MOs do not join can be
identified and defined for difficult area allowance and should be restricted to a reasonable
amount which can vary as per the cadre.
• Incentives on 'per case basis' should be avoided, however the same can be given to a group of
service providers i.e. doctor, staff nurses etc. if a particular protocol of the service is maintained
for e.g. conducting normal delivery should be linked with 48 hrs stay, EBF and provision of PNC
protocols to both the mother and child. Such incentives can be restricted to Rs 200/‐.
• It is suggested that all incentive schemes, giving the details may be tabulated and may please be
indicated and given comprehensively.
• TBA/Dai should not be promoted as primary provider for deliveries but can be utilized for
community based services. However the services of Dais should be well defined to avoid conflict
of interest between link workers. Some of the suggested roles for TBAs are: birth preparedness,
birth companion, assistance to ANM in A/N, I/N and P/N Care, home‐based new born care,
arrange referral transport/escort the pregnant woman to the institution for delivery, as a depot
holder for contraceptives, DOTs Provider, report births and deaths of neonates, infants and
mothers. However, please ensure that TBAs should be utilized only where there is no ASHA,
otherwise there will be conflict of interest.
• Any incentives for Dais need approval so kindly indicate the details.
• Unit cost of the Blood camp should be indicated and such camps should be linked with blood
banks and NACO.
• The accreditation guidelines for any of the RCH services should synchronize with GoI guidelines
on accrediting private health facilities.
• The focus of such accreditation scheme should be at sub‐district level.
• Budget for different strategies like incentives/bed nets/supplementary food/IEC etc should be
under respective heads.
• New constructions are not permitted under RCH. So funds for new SCs construction should be
reflected under NRHM and ID division.
• State needs to look into the quality of the service provided by the NGOs running APHCs. Cost
effectiveness of these outsourced PHCs needs to be evaluated before scaling up.
• PPP for health facilities be preferably allotted on competitive bidding and service quality should
be monitored closely.
• PPP for skill based training should be encouraged as per GoI guidelines. Close monitoring in such
cases should be undertaken to ensure skill practice by the trainees at such facilities.
E. Additionalities under NRHM:
• Remuneration to contractual staff should be as per RCH/NRHM norms.
• Activities under NRHM need approval from NRHM Division.
• ASHA incentive for any scheme should be budgeted under Training/NRHM and too many
fragmentations should be avoided.
• Hiring of additional staff should be avoided on generic basis beyond the approved norms and
should be linked with case load and quality of service delivery.
F. Budget:
• Budgeting should be as per GoI criteria and norms, and should not be duplicated.
• RCH Drugs/Any other drugs should be budgeted under State head or under NRHM except for
those states whose procurement procedures are in accordance with World Bank Guidelines.
• Budget head under each activity for previous years should include both allocation and
expenditure.
• JSY deliveries should be co‐linked with service provision and facility upgradation and budgeted
accordingly.

• Adequate funds for monitoring of MH activities including trainings should be kept.
• Final costing should be as per the competitive bidding and following procurement procedure.
• Sub‐heads related to monitoring visits and should form part of comprehensive monitoring.
• Funds from Untied grant to VHSCs should be budgeted under NRHM.
• Rent for SC should be under Infrastructure.
• Funding for BCC/IEC components should be the part of comprehensive BCC/IEC strategy.
STATUS OF FACILITY OPERATIONALISATION *
S. No. Facility Total No.
Planned till
2012
(cumulative
)
Total No
operationalised
till 2010 (till
Dec. 2010
cumulative)
Target for
201011
Achievement
in 2010-11
(till December,
2010)
Target
for 201112
1. FRUs 14 6 6 5 6
2. 24x7 PHCs 34 28 6 28 6
* Must fulfil GoI minimum criteria, including availability of Blood Storage centres (for FRUs)
States to provide separate targets, quarter-wise, for 2012 for high focus districts
(consolidated) and State total
STATUS OF MCH CENTRES OPERATIONALISATION
S. Facility Total identified Total No operationalised till Target for
No.
December 2010 (cumulative) 2011-12
1. MCH Centre Level III 28 28 34
2. MCH Centre Level II 9 5 14
3. MCH Centre Level I 2 1 1
* Must fulfill GoI minimum criteria, including availability of Blood Storage centers (for FRUs)
States to provide separate targets, quarter-wise, for 2012 for high focus districts
(consolidated) and State total
PERFORMANCE BASED INCENTIVES
Name of
the
Scheme/
Activity
Type of
worker
Type of
work being
incentives
Level of
Facility
(CHCs/
PHCs/
Sub-
Centers
Amount
of
Incentive
e
ASHA ASHA JSY 200/‐
JSY Tribal 600/‐
F.F. Male 200/‐
F.F. Female 150/‐
RNTCP 250/‐
Maleria B.S. 5/‐
Maleria P.F. 20/‐
Maleria 50/‐
Performance
Expected
No of
workers
given
incentive
Quantifiable
e Output

Name of
the
Scheme/
Activity
Type of
worker
Type of
work being
incentives
P.V.
Maleria
Referal
Level of
Facility
(CHCs/
PHCs/
Sub-
Centers
Amount
of
Incentive
e
50/‐
NLEP N.P. 100/‐
NLEP M.B. 400/‐
NLEP P.B. 200/‐
RI 90 500/‐
RI 100 750/‐
VHSC
Mission P.
150/‐
I.
25+100/‐
Mission 25/‐
Mission HIV 10/‐
Mission
ANC HIV
300/‐
Mission
PPTCT
500/‐
NPCB 175/‐
RCH VHND 150/‐
VHSC 175/‐
Mission
Birth Reg.
10/‐
Mission
Maternal
Death
500/‐
Mission
Child death
RCH
50/‐
Performance
Expected
No of
workers
given
incentive
Quantifiable
e Output

CHILD HEALTH PROGRAMME IMPLEMENTATION FORMAT FOR THE YEAR 2011‐12
DISTRICT ‐ Amravati
1. IMR (SRS 2008) 30.79
2. Goal: Overall NRHM 2012 25
3. Goal: Annual 2011‐2012 29
2. SITUATION ANALYSIS:
2.1 Mortality Indicators NFHS 2 NFHS 3 SRS 2007 SRS 2008 Trend Analysis
Neo Natal Mortality Rate 23.35
Infant Mortality Rate
Under Five Mortality
25.64
50.58 43.96
13.65 8.45
PROCESS INDICATORS
2.2 ANAEMIA NFHS 2 NFHS 3 Coverage
Evaluation
Survey (CES)
2009
% of children (under 5
years) of age with anaemia
2.3 INFANT & YOUNG
CHILD FEEDING
Children under 3 years
breastfed within one hour
of birth
Children age 6 months and
above exclusively breastfed
Children age 6 ‐ 24 months
received solid/semisolid
foods and are still breast
fed
NFHS 2 NFHS 3 DLHS 2 DLHS 3
‐ 64.60
‐ 42.70
‐ 93.30
Trend Analysis
Coverage
Evaluation
Survey (CES)
2009
Trend
Analysis

DIARRHOEA & ARI NFHS 2 NFHS 3 DLHS 2 DLHS 3 Coverage
Evaluation
Survey (CES)
2009
Children with Diarrhoea
in the last 2 weeks who
received ORS
Children with Diarrhoea
in the last 2 weeks who
were given treatment at
facilities.
Children with ARI or
fever in the last 2 weeks
who were given
treatment at facilities.
TRAINING UNDER CHILD HEALTH
4.1 Progress till date ‐ no. of trainings conducted/
health persons trained / districts covered
• IMNCI
- No. of trainings
- No. of persons trained
- No. of Districts implementing
• Pre‐ Service IMNCI
- No. of trainings
- No. of persons trained
- No. of Districts implementing
• F‐IMNCI
- No. of trainings
- No. of persons trained
- No. of Districts implemented
37.90 44.60
82.20 78.30
174 367
Planned
For 2010‐11
Trend Analysis
Held/ Trained (til
Nov / Dec 2010)

4.1 Progress till date ‐ no. of trainings conducted/
health persons trained / districts covered
• Navjaat Shishu Suraksha Karyakram (NSSK)
- No. of trainings
- No. of persons trained
- No. of Districts implemented
• Any other
KEY CHILD HEALTH PERFORMANCE INDICATORS
Progress on CH interventions
• IYCF
- No. of Newborn breastfed within one
hour
- No. of children 6 months and above
exclusive breastfed
• Mgmt of Acute Respiratory Infection
- No. of children below (5 years) with
ARI screened/detected
- No. of children (below 5 years) with
ARI treated at facilities.
• Mgmt of Diarrhoea
- No. of children below 5 years with
Diarrhoea in the last 2 weeks who
received ORS and Zinc.
- No. of children with Diarrhoea in the
last 2 weeks who were given
treatment at facilities.
• Iron Folic Acid supplementation
- No. of children below 5 years provided
IFA Syrup/Tablet
Planned
For 2010‐11
Planned
For 2010‐11
35848
35848
13978
1397
1397
139
Held/ Trained (til
Nov / Dec 2010)
Held/ Trained (til
Nov / Dec 2010)
22313
16432
143
72
39
0

Progress on CH interventions
• Vit A supplementation
- No. of children below 5 years provided
Vitamin A Syrup
• Mgmt of Malnutrition / Severe Acute
Malnutrition
- No. of children with SAM detected
- No. of children referred to
NRC/facilities for Mgmt.
Key Programme indicators
Home visits for newborn by IMNCI trained
person
No. of newborn children visited on 1 st Day/ 3 rd
Day/ 7 th Day.
Number of Low Birth Weight babies visited on
14 th , 21 st & 28 th day.
No. of Sick Children Screened/detected &
managed at home.
No. of Sick Newborn & Children treated at
facilities for Sepsis, Asphyxia, Severe
dehydration, Pneumonia etc.
No. of NSSK trained person conducting
deliveries at facilities.
Planned
For 2010‐11
416
67
260
28
109794
111889
3338
3338
Held/ Trained (til
Nov / Dec 2010)
416
67
260
28
38756
111404
3338
1888

5. Establishment of newborn and child care facilities at
Maternal and Child Health (MCH) Centres
Level III
MCH Centre
Level II
MCH Centre
Level I
MCH Centre
• Special Newborn Care Units
(SNCU) at district hospitals
• Newborn and child Stabilization
Units at FRUs
• Newborn Care Corner at 24x7
PHCs
• Nutritional Rehabilitation centres
1
6
28
2027
6. Any other activities under Child Health which have been reflected in PIP
7. IEC/BCC
Provision for IEC material planned
New born Care
- Early initiation of Breastfeeding.
- Protection from infection
- Protection from Hypothermia
Recognition of Danger signs
BCC
Other Activities
8. Supplies & Stock position
ORS
Zinc
Antibiotics (Cotrimoxazole)
Received Quantity Utilization Balance
in stock
Nil
Nil
Nil
Nil
Nil
Nil

Vitamin A
Iron & Folic Acid
Albendazole Tablet
Nil
Nil
Nil
152440
Planning for the year 2011‐12 1 st Qtr
9. IMNCI
Number of districts
planned for IMNCI
implementation.
Number of IMNCI training
planned.
Number of persons
planned to be trained
Target
2 nd Qtr
Target
Nil
Nil
Nil
3 rd Qtr
Target
151200
4 th Qtr
Target
40
Nil
Nil
Nil
Total
Target

Planning for the year 2011‐12 1 st Qtr
10. F‐IMNCI
Number of districts
facilities planned for
implementing F‐ IMNCI
Number of persons
(MO/SN) planned to be
trained
11. Navjaat Shishu Suraksha
Karyakram (NSSK)
Number of districts
facilities planned for
implementing NSSK
Number of persons
(MO/SN) planned to be
trained in NSSK
12. Pre‐ Service IMNCI Training
Number of medical
colleges/ nursing colleges
planned for implementing
Pre‐Service IMNCI
Number of medical/nursing
students planned to be
trained
13. Establishment of newborn and
child care facilities at Maternal
and Child Health (MCH) Centres
Level III
MCH Centre
• Special
Newborn Care
Units (SNCU) at
district
hospitals
1
Target
2 nd Qtr
Target
3 rd Qtr
Target
4 th Qtr
Target
‐ ‐ ‐ 1
Total
Target

Planning for the year 2011‐12 1 st Qtr
Level II
MCH Centre
Level I
MCH Centre
• Newborn and
child
Stabilization
Units at FRUs
• Newborn Care
Corner at 24x7
PHCs
• Nutritional
Rehabilitation
centres
14. Community based initiatives
Organization of VHNDs
15. School Health Scheme
Target
2 nd Qtr
Target
Number of children screened for illness.
Number of children provided IFA Tablet.
Number of children provided Albendazole Tablets.
15. Budget
• Budget allotted (2010‐11)
• Budget utilized (Dec 2010)
16. Budget proposed for Child Health for the year 2011 – 12
3 rd Qtr
Target
4 th Qtr
Target
6 ‐ ‐ ‐ 6
28 ‐ ‐ ‐ 28
Total
Target
2027 ‐ ‐ ‐ 2027
45586 minor illness
3132 reffer
56000
112000
100.31
59.28
159.79

A.4: FAMILY PLANNING
The following are the important issues that states can consider while strategizing and formulating
the PIP (2010‐12) for Family Planning:
STRATEGY / ACTIVITY Planned Achi
eved
1 FAMILY PLANNING MANAGEMENT
1.1 Review meetings on Family Planning
performance and initiatives at the
state and district level (periodic)
1.2 Monitoring and supervisory visits to
districts/ facilities
1.3 Orientation workshops on technical
manuals of FP viz. standards, QA,
FDS approach, SOP for camps,
Insurance etc.
WORK
PLAN
SCHEDUL
ED/ Trg.
LOAD
2010‐11 2011‐12
BUDGET (In
lakhs)
36 27 36 2.00
70 70 70 5.00
4 3 4 0.10
2 TERMINAL/LIMITING METHODS (Providing sterlisation services in districts)
2.1 Plan for facilities providing FEMALE
sterilisation services on fixed days at
health facilities in districts
2.2 Plan for facilities providing NSV
services on fixed days at health
facilities in districts
2.3 Number of FEMALE Sterilisation
camps in districts.
55 55 55
55 55 55
2640 1320 2640
2.4 Number of NSV camps in districts. 1 1 1 0.53
2.5 Compensation for sterilisation
(female)
2.6 Compensation for sterilisation NSV
(male)
10080 4088 10080 100.80
1120 576 1120 17.00
2.7 Mobility support to surgeon's team 4 4 4 5.00
2.8 Accreditation of private
centres/NGOs for sterilization
services
93 93
2.9 Plan for post partum sterilisation 55 55 55

STRATEGY / ACTIVITY Planned Achi
eved
3 SPACING METHOD (Providing of IUD services by districts)
3.1 Plan for providing IUD services at
health facilities in districts
WORK
PLAN
402 402 402
3.2 No. of IUD camps in districts ‐ ‐ ‐
3.3 Compensation for IUD ‐ ‐ ‐
3.4 Compensation to ASHA for ensuring
retention of IUD by clients
4 SOCIAL MARKETING OF CONTRACEPTIVES
4.1 Setting up CBD Outlets
5 FAMILY PLANNING TRAINING
5.1 Laparoscopic Sterilisation Training
5.1
.1
‐ ‐ ‐
TOT on laparoscopic sterilisation 1 1 1
5.1 Laparoscopic sterilisation training
for
.2 service providers (gynaecologists
/surgeons)
5.2 Minilap Training for MOs/ MBBS
5.2
.1
5.2
.2
TOT on Minilap
Minilap training for service
providers (medical officers)
5.3 Non‐Scalpel Vasectomy (NSV)
Training
5.3
.1
5.3
.2
TOT on NSV
NSV training for medical officers
5.4 IUD Insertion training
1 1 1
1 1 1
SCHEDUL
ED/ Trg.
LOAD
BUDGET (In
lakhs)

5.4
.1
5.4
.2
5.4
.3
5.4
.4
STRATEGY / ACTIVITY Planned Achi
eved
TOT for IUD insertion
Training of Medical officers in IUD
insertion
Training of staff nurses in IUD
insertion
Training of ANMs / LHVs in IUD
insertion
5.5 No. of Contraceptive Update
trainings for health providers in the
districts
5.7 Other FP trainings (please specify)
6 BCC/IEC
activities/campaigns/melas for
family planning e.g. Funds
earmarked for district and block
level activities during 'World
Population Day' celebration week
7 PROCUREMENT of
DRUGS/MATERIALS
WORK
PLAN
7.1 NSV Kits 300
7.2 IUD insertion Kits 402
7.3 Minilap Set 69
7.4 Procurement/ repair of
laparoscopes
7.5 Procurement of drugs & supplies for
FP
8 Innovatory schemes for promoting
FP at state or district level
9 Performance based rewards to
institutions and providers for FP
performance at state and district
level
4
SCHEDUL
ED/ Trg.
LOAD
BUDGET (In
lakhs)

A.5: ARSH
Adolescents constitute a vulnerable and large (22%) segment of the population in need of focused
attention. Adolescent Reproductive & Sexual Health (ARSH) has been identified as one of the four
strategies under RCH‐II and implementing context ‐ sensitive ARSH interventions is now over four
years old. While preparing for the PIP 2011‐12 states are requested to make a holistic plan for ARSH
interventions. This may include the following:
1. List of districts where ARSH program has already been rolled out.
2. List of districts where the state plans to roll out ARSH program 2011‐12.
3. Parameters on the basis of which the state has decided to identify these districts.
4. Plan of the state to address the ARSH needs of school/college/non‐school going children.
5. Is there any existing community based ARSH programme which has increased facility
utilization? Please provide details.
6. IEC activities under taken on ARSH issues in the state.
7. Innovations by the state if any.
Please also provide details of the ARSH program as per the formats in Annexure II
The districts to be selected for implementation of ARSH strategy in 2011‐12 could be selected based
on following DLHS‐3 indicators:
1. Sex Ratio in age 10‐19 years
2. Female literacy rate in 10‐19 years
3. Mean age at marriage of women in district
4. Rate of deliveries in 15‐19 years age group.
5. Women (age 15‐19) who heard of HIV/AIDS
Check‐list for ARSH activities
S. No. Activity Status as
on
01.04.2010
1. 1‐day State
Orientation
Workshop for ARSH
2. State level Training
of Trainers (3 days)
3. Printing of Training
Modules
Planned
for 2010‐
11
Achievement
against plan
till
31.12.2010
Planning
budget
for 2011‐
12
0
0
0
Remarks
4. IEC for ARSH 1.00 GH, WH,
Amravati
Achalpur,
Dharni,
Warud
5. Helpline for ARSH 0.2 GH,

6. Convergence with
other programmes /
departments (WCD,
SACS, MoYAS, HRD)
7. Other activities
(pls specify)
A Strengthening of
old/new clinic
0
0
Amravati
2.00 GH, WH
Amravati,
Achalpur,
Dharni,
1.44
B Salary of ARSH
Counselor
TA/DA 0.50 GH
Amravati
C Peer Educator group
4.00 Amravati
(CBA)
Achalpur,
Dharni,
Warud
8. Out reach activity 1.5 GH, WH
Amravati,
Achalpur,
Dharni,
Electronic goods
1.00 GH,
(computer printer
etc)
11.64
Amravti
States to provide separate targets, quarter-wise, for 2012 for high focus districts (consolidated) and State
total
Name of
district
Training Status as
on 01.04.2010
ARSH Training
Training Planned
for 2010‐11
Achievement
against plan till
31.12.2010
Planning for
2011‐12
MO ANM/LHV MO ANM/LHV MO ANM/LHV MO ANM/LHV
Amravati 40 207 24 172 16 35

Total District Hospital: 1
District hospital with AFHS clinic: 5
Planned AFHS clinic in DH in 2011‐12: 1
Name of
district
AFHS clinics
Total PHC PHC with AFHS clinic
as on 01.04.10
AFHS clinics
planned in
2010
Achievements
till 31.12.2010
AFHS clinics
planned for
2011‐12
Amravati 56 0 0 0 18
Any other AFHS clinic at CHC/SDH
Name of
district
Amarav
ati
Number
of AFHS
clinics
Adolescent
attending
AFHS clinics
Utilization of Adolescent services in AFHS clinics
RTI/ STI/
HIV
cases
Anaemia/
Under
nutrition
Pregnancy
/ MTP
Condom/
OCP/ ECP
Counselling
provided
Mental
disorders/
sexual abuse
5 800 60 239 0 2 800 0
Monitoring formats for scheme for promotion of menstrual hygiene at state and district level
1. State level Formats:
1a. State level Format: (data to be collected on an Annual basis)
Name of
district
Total
number
of rural
girls
Total
number of
villages
Number of
girls to be
reached
Number of
SN packs
required
Sourcing
agency
Quality
Assurance
agency
Storage
available
or hired
Amravati 1543 0 ‐ ‐ ‐ ‐ ‐
Total
Transport
available
or hired
1b. State level Format: (data to be consolidated on a Monthly basis from the district records i.e.
2b)
Name of
District
Total
Numb
er of
girls
reache
d per
month
Numbe
r of SN
packs
sold/
distribu
ted
Numbe
r of
monthl
y
meetin
g held
Amount of Incentive
paid to ASHA
Sale of Sunday
napkins meetings
Amount of
funds
recouped
to the DHS
Rental cost
for storage
arrangeme
nts if any.
Costs of
transpo
rtation

2. District level Formats:
2a. Data to be collected on an annual basis
- Number of girls to be reached ‐
- Number of SN packs required
- Transport systems to enable reach of SN to the blocks
- Storage arrangements if required
- Annual audit of accounts at district and block
- Training: TOT held for trainers
2b. Data to be collected on a monthly basis at district level
Name
of
Block
Total
Number
of girls
reached
per
month
Total
number
of
villages
in block
3. Block level Formats:
Number
of SN
packs
sold/
distribut
ed
Number
of
monthly
meetings
held
3a. Data to be collected on an annual basis
- Number of girls to be reached
- Number of SN packs required
Amount of
Incentive paid to
ASHA
Sale of
napkins
- Number of SN packs procured from SHG last year
Sunday
meetings
- Transport systems to enable reach of SN to the Sub Centre
- Storage arrangements
- Training:
- Training of ASHA
Name of
block
- Orientation of VHSC
- Orientation of ANM
Total
number
of ASHA
Target for
training
ASHA in
2011‐12
Achievements in
training 2011‐12
Total
number
of ANM
Amount
of funds
recouped
to the
DHS
ANM
oriented
in 2011‐
12
Rental
cost for
storage
arrangem
ents if
any.
- - - - - - -
- - - - - - -
- - - - - - -
Costs
of
transp
ortatio
n
Total
number
of VHSC
oriented

3b1. Data to be collected on a monthly basis at block level
Name of
Sub
Centre
Total
3b.2
Number
of girls
reached
per
month
Name of sub
centre
Total
Number
of SN
packs
Received
Total number of
ASHA
Number of
SN packs
Distributed
Balance
Packs
Amount of Incentive
paid to ASHA for SN
packs
Amount of
Incentive
paid to
ASHA
Amount of
funds
recouped
to SC
Amount of
Incentive paid to
ASHA for meeting
4. Monthly Monitoring format/Register for Sub Centre
a. Rental cost for storage arrangements (e.g. SC, rented godown)
b. Costs of transportation
Name of
Village
Total
Name of
ASHA
Number of
girls reached
per month
Number of
SN packs
Recd from
block
Number of
SN packs
sold
Balance
SN packs
Rental cost
for storage
arrangemen
ts, if any.
Costs of
transpo
rtation
Average
attendance in
monthly meeting
Amount of
Incentive paid to
ASHA
Sale of
napkins
Sunday
meeting
s
Amoun
t of
funds
recoup
ed to
SC
5. The ASHA will maintain a tracking register (Format A) of the adolescent girls in her village and submit
a monthly report to the ANM in the Format B.
Format A
Name
of Girl
Total
number
of SN
packs
sold
Jan
Sunday mtg.
attendance
number
of SN
packs
sold
Feb Mar Apr
Sunday
mtg.
attendance
number
of SN
packs
sold
Sunday mtg.
attendance
number
of SN
packs
sold
Sunday mtg.
attendance

Format B – Monthly Report
1. Name of ASHA:
2. Name of village:
3. Stock of SN packs at the beginning of the month:
4. Stock of SN packs at the end of the month:
5. Cost of transporting from SC to village:
S.
No.
Total #
of girls
Sunday meetings held and attendance by
category
Date #. of
girls
# of VHSC
members
ANM AWW
Number of SN
packs sold
The following are the important area states consider to strategies and formulate the PIP
S.No. Name of cities
identified for
implementing UHPs.
In the State PIPs.
Under
Urban RCH, so far
Major urban
health
strategies/activitie
s carried out
under Urban RCH
so far, city‐wise
Information in respect of Special Schemes (for each city)
Name of city ‐
Sl. No. Govt. Health Facilities ‐
under Grant‐in‐aid
from GOI
No. of Health Posts
Type A
Type B
Type C
Type D
No. of Urban Family
Welfare Centres
Type I
Type II
Type III
Controlling agency
(SG/LB/VO/Ors.)
Urban health
strategies/activities
as proposed now in
the State PIP under
Urban RCH, city‐
wise
Status
(Functional/closed)
Amount of
incentive
earned
Brief on
activities
being
supported by
external
agencies
Brief
summary of
activities being
carried out

A.6 URBAN HEALTH PROGRAMME PIP2011‐12
The following are the important area states consider to strategies and formulate the PIP
S.No. Name of cities identified
for implementing UHPs.
In the State PIPs. Under
Urban RCH, so far
Major urban health
strategies/activitie s
carried out under
Urban RCH so far,
city‐wise
Urban health
strategies/activities
as proposed now in
the State PIP under
Urban RCH, city‐wise
1 Achalpur Health post Health post
Urban ANM
Need base technical
activity
Information in respect of Special Schemes (for each city)
Name of city ‐
Sl. No. Govt. Health Facilities ‐
under Grant‐in‐aid
from GOI
No. of Health Posts
Type A
Type B
Type C
Type D
No. of Urban Family
Welfare Centres
Type I
Type II
Type III
Controlling agency
(SG/LB/VO/Ors.)
Status
(Functional/closed)
Brief on
activities
being
supported by
external
agencies
Brief
summary of
activities being
carried out

A.7 SOCIAL AND GENDER EQUITY
CHECKLIST FOR INCLUSION OF SOCIAL AND GENDER EQUIT
District Level
CHECKLIST FOR INCLUSION OF SOCIAL AND GENDER EQUITY
I Strengthened Institutional Mechanisms for Social and Gender Equity
The key entry points identified for addressing social inclusion and gender equity ‐ a
nodal gender and equity person, plans to train ANMs, ASHS, district level functionaries,
use of MIS, BCC
Has the plan been built on systematic mapping of underserved districts and vulnerable
social groups 1 , including (but not limited to) the Tribal areas.
II Improved Services for Disadvantaged Social Groups and Women as Clients
Are specific strategies or mechanisms proposed to reach at a scale including budget
allocations for 1) Under Served Districts 2. Social Group ‐ ANC, PNC, Nutrition and Health,
Ambulance and Transport Facilities, Trained medical staff, hospitals, safe community
friendly alternative systems
Are there strategies specified to ensure quality of services from a woman’s perspective
(e.g. through expansion of district Quality of Care Protocols, district teams). Are issues
such as adequate, clean and separate toilets for women, privacy with the help of
screens/ partitions, sufficient water, clean linen etc included as an aspect of quality?
Is there a plan for adolescent friendly health services ‐ anemia treatment, delay
marriages, delay pregnancy, etc (inclusion of adolescent boys/girls, married and
unmarried, out‐of‐school and in‐school for SRH education and service provision).
Are there strategies for development of capacity to provide counseling services at
appropriate levels (e.g. for Family Planning, HIV prevention and testing, STI ‐partner
management and Gender Based Violence) and integrate these in health services
III Improved Health Financing
Is there sufficient allocation of funds for emergency transport, emergency obstetric care,
MTP services, maternal complications
Is there adequate allocation of funds for health delivery strategy made for women and
BPL, SC, ST, migrants, urban poor, minorities and locally vulnerable groups
IV Training
Do training plans include a focus on provision of MTP, management of RTI/STI, insertion
of IUDs, vasectomies?
VI Improved Community Involvement ‐ RCH ‐ NRHM
Are there plans and funds for communication, networking and BCC activities through
community and women’s groups for improved RCH outcomes (e.g. involvement of
community volunteers, health messages through SHGs, strengthening of Mahila
Swasthya Sanghs, health action groups and community health dialogues)
Are there mechanism to ensure participation of socially marginalized groups and 50%
women’s participation in RKS and VHSCs
Are there mechanisms to involve Panchayati Raj Institutions/Self Help Groups in needs
assessment and planning?
VII Innovative approaches to make services and service environment client friendly
Are there provision for innovative approaches to making services client –centered (e.g.
24 hour help counters at district hospitals for assisted referrals, helplines for emergency
1
By vulnerable groups we mean SC, ST, minorities, urban Poor, women, adolescent girls and boys,
occupation based groups, migrants, etc.

transport)
Are putting up patients rights charters, rate charts, timings, in local languages at all
health centres, putting up complaints boxes and credible grievance redressal system
being practiced?
Are plans for linking hospitals with NGOs, Women’s groups, help lines to address gender
based violence
VIII Men as partners and clients
Are there innovative plans and allocation to improve provision of STI services to men
(e.g. through BCC, male health workers, partner notification and treatment)
Are their plans and allocations for BCC and MPW training to improve men’s involvement
in family planning including use of condoms and terminal methods
IX Women Health Care Providers
Are there mechanisms to report or address sexual harassment at work‐place at the
district level?
Are field level functioning of ANMs/ Frontline workers e.g. provision of mobile phones,
provision of vehicles for easy transport
X Better implementation of PCPNDT Act
Are there plan and allocations for better implementation of the PNDT act to stop sex‐
selection, specifically for
‐support cells at district providing monitoring or legal help ‐
‐ capacity‐building of Appropriate Authorities and other stakeholders including for
monitoring visits

CONSOLIDATED BUDGET SHEET -RCH FLEXIBLE POOL
Sl.No. Activity Unit
Cost
Physical
Targets
Required
fund
under RCH
RCH Flexible Pool
A.1 MATERNAL HEALTH 0
A.1.1 Operationalise facilities (only dissemination,
monitoring, and quality)
0.25 1 0.25
A.1.1.1 Operationalise FRUs 0
A.1.1.2 Operationalise 24x7 PHCs 0
A.1.1.3 MTP services at health facilities 0
A.1.1.4 RTI/STI services at health facilities 0
A.1.1.5 Operationalise Sub‐centres 0.05 14 0.70
A.1.2 Referral Transport 0.006 1400 8.40
A.1.3 Integrated outreach RCH services 0
A.1.3.1 RCH Outreach Camps 0.15 6 0.90
A.1.3.2 Monthly Village Health and Nutrition Days 0
A.1.4 Janani Suraksha Yojana / JSY 0
A.1.4.1 Home Deliveries 0.005 1486 7.43
A.1.4.2 Institutional Deliveries 0.007 13380 91.65
A.1.5 24 Hours Deliveries 0
A1.6 Payment to Link Workers/AWW/AWS (other than 0.006/0. 11373 28.54
ASHA)
002
A1.6.1 C‐sections 0.015 268 4.02
A1.6.2 Sanitory Napkin for Delivery cases 0.001 14866 14.86
A.1.6.3 Administration cost (5%) 1 5.24
A.1.6.4 High risk ANC & Gynac clinic 0.02 267 5.52
A.1.6.5 Free diet allowance to Institutional Delivery PHC 0.0015 6720 10.08
A.1.6.6 Free diet allowance to Institutional Delivery RH 0.0015 2340 3.52
A.1.7 Maternal Death Audit 0
A.2 CHILD HEALTH 0
A.2.1 IMNCI 0
A.2.2 Facility Based Newborn Care/FBNC 0
A.2.3 Home Based Newborn Care/HBNC 0
A.2.4 School Health Programme 0
A.2.5 Infant and Young Child Feeding/IYCF 0
A.2.6 Care of Sick Children and Severe Malnutrition at
PHC & RH/SDH
0.672 138 46.37
A.2.7 Management of Diarrohea, ARI and Micronutrient
Malnutrition
0
A.2.8 Other strategies/activities 0
A.2.8.1 Maintainance of sick new born care unit at district
hospital
0.20 1 0.20
A.2.8.2 Maintainance of New Born Care corners at FRUs 0.20 5 1.00
A.2.8.3 Maintainance of New born care corner at 24x7 PHC 0.20 28 5.60

Sl.No. Activity Unit
Cost
A.2.8.4 Village Child Development Center ( VCDC ) at SC
level AWW ( Rs. 960/‐ per child for 30 days for 10
children per SC)
A.2.8.5 Organisational cost for Implementation of ‐ Bi
Annual Deworming & Vitamin A Supplementation &
Iron Folic Acid Supplementation
A.2.8.6 Peadiatrician servicess for examination, treatment
and referal seek children – Per month at 56 PHC on
fixed day. Mobility + Incentive for Private
Peadiatrician ‐ Rs.1500/‐honorarium + Rs.500/‐
mobilit.
A.2.8.7 Referreal Transport for critical ill child for Rs. 600
per child X 12 children per year per PHC
Physical
Targets
Required
fund
under RCH
0.0096 10000 96.00
0.025 112 2.80
0.020 276 5.52
0.006 672 2.02
A.2.9 Infant Death Audit 0.002 140 0.28
A.3 FAMILY PLANNING 0
A.3.1 Terminal/Limiting Methods 0
A.3.1.1 Dissemination of manuals on sterilisation standards
0
& quality assurance of sterilisation services
A.3.1.2 Female Sterilisation 0.0825 10080 83.16
A.3.1.2.1 Compansetion for NSV acceptance 0.0150 1120 16.80
A.3.1.3 NSV camps 0.0530 1 0.53
A.3.1.6 Accreditation of private providers for sterilisation
0
services
A.3.2 Spacing Methods 0
A.3.2.1 IUD camps 0
A.3.2.2 IUD services at health facilities 0
A.3.2.3 Accreditation of private providers for IUD insertion
0
services
A.3.2.4 Social Marketing of contraceptives 0
A.3.2.5 Contraceptive Update seminars 0
A.3.3 POL for Family Planning 0.001 11200 11.20
A.3.4 Repairs of Laparoscopes 2.00
A.3.5 Other strategies/activities 0
A.3.5.1 Orgnisation of mini camps for
laproscopy/minilap/NSV
0.01250 70 0.88
A3.5.2 Promotion of IUD 380 & EC Pills through
sensitization of SHG
0.030 140 4.20
A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH
/ ARSH
0
A.4.1 Adolescent services at health facilities. 0
A.4.2 Other strategies/activities 0
A.4.2.1 Strengthening of functning establishing new ARSH
Clinic at Women Hospital.
0.50 1 0.50

Sl.No. Activity Unit
Cost
A.4.2.2 Continuation of counselors on contractual basis at
districts Hospitals already appointed at the
respective AFHS clinics.
A.4.2.3 Sensitization peer groups in villages through
community based approach
A.4.2.4 Prevention /control of Nutritional Anemia in
Adolescent Girls. Organizational cost Rs.1.00 lakhs
per district .
Physical
Targets
Required
fund
under RCH
0.10 1 1.20
1.50 4 6.00
1.00 1 1.00
A.5 URBAN RCH 0
A.5.1 Health Posts in urban areas ‐ Salary of the
Contractual staff posted in Health Post and
contingent items to run HP
5.92 1 5.92
A.5.2 Urban ANMs for M. Councils under RCH 0.055 35 23.12
A.5.3 RCH PIP of 15 M.Coucils(> 1 Lakh popn.)‐Need based
Technical activties for reducing MMR, IMR and TFR
6.00 1 6.00
A.6 TRIBAL RCH 0
A.6.1 Health Checkup of Sick Children at Anganwadi‐ 0.005
Mobility Support @ Rs.500/‐ per PHC per month i.e
Rs.6000/‐ per PHC per year.
11 0.66
A.6.2 Involvement of ASHA for implementation of
essential new born care activity in all tribal blocks.
At rate Rs. 4000/‐ Per ASHA based on performance
A.6.3 Hardship Allowance to Medical Officers of Bharari
Pathak in Tribal blocks @ Rs. 6000/‐ per month.
A.6.4 Operational Resarch in regarding Referral services.
Lump sum Budget is shown .
A.6.5 Documentary Evidence of improvement in grades of
Malnutrition in the form of photographs. @ Rs.30/‐
per child for 3 photographs. For 150 children in
selected 5 tribal PHCs.
0.04
0.06
5.00
300 12.00
22 15.84
1 5.00
750 0.22
A.7 VULNERABLE GROUPS 0
A.7.1 Appointment of counselor at DH and WH for
women victims of violence. This counselor will also
act for PCPNDT
0.10 2 2.40
A.8 Other RCH Activities PC, PNDT & Sex ratio 0
A.8.1 Orientation of programme managers and service
providers on PC & PNDT Act
0.10
3 0.30
A.8.2 Support for sting operation under PCPNDT Act 0.50 1 0.50
A.8.3 Provision for Witness support participated in
PCPNDT court cases
A.8.4 Support for teams at district level for inspection of
sonography centers registered under PC PNDT Act
0.15
1.00
1 0.15
1 1.00

Sl.No. Activity Unit
Cost
A.8.5 Support for Scrutiny of Form‐F by the NGOs/MSW
Students
A.8.6 Training for Centers for Online Data Entry of Filling
Form ‐ F
A.8.7 One counsellar will be appointed at the each District
Hospital & Women Hospital
0.30
0.10
Physical
Targets
Required
fund
under RCH
10000 0.50
1 0.30
2 2.40
A.9 INFRASTRUCTURE & HUMAN RESOURCES 0
A.9.1 Contractual Staff & Services 0
A.9.1.1 ANMs, Staff Nurses, 0
A.9.1.2 Laboratory Technicians, ,MPWs 0
A.9.1.3 Specialists (Anesthetists, Pediatricians, Ob/Gyn,
Surgeons, Physicians, Dental Surgeons, radiologist,
Sonologist, Pathologist,Specialist for CHC )
0
A.9.1.4 PHNs at CHC, PHC level 0
A.9.1.5 Medical Officers at CHCs / PHCs 0
A.9.1.6 Additional Allowances/ Incentives to M.O.s of PHCs 0.02350 52 1.16
and CHCs
A.9.1.7 Others ‐ Computer Assistants/ BCC Co‐ordinator etc 0
A.9.1.8 Incentive/ Awards etc. to SN, ANMs etc. 0
A.9.1.9 Human Resources Development (Other than above) 0
A.9.1.10 Other Incentives Schemes (Pl.Specify) 0
A.9.1.11 Staff/ Supervisory Nurses for PHCs,CHCs(for AYUSH) 0
A.9.1.12 Medical Officers at CHCs/ PHCs (for AYUSH) 0
A.9.2 Minor civil works 0
A.9.2.1 Minor civil works for operationalisation of FRUs 0
A.9.2.2 Minor civil works for operationalisation of 24 hour
services at PHCs
0
A.9.2.2.1 Repair & expantion of maternity ward, labour room 3.00 39 106.50
A.9.2.2.2 Provision for equipment at District Level 1.00 1 1.00
A.9.2.2.3 Expenditure on monthly/ quarterly meetings at
distric level
0.05
12 0.60
A.10 TRAINING 0
A.10.1 Strengthening of Training Institutions 0
A.10.2 Development of training packages 0
A.10.3 Maternal Health Training 0
A.10.3.1 Skilled Birth Attendance / SBA 0
A.10.3.2 EmOC Training 0
A.10.3.3 Life saving Anesthesia skills training 0
A.10.3.4 MTP training 0
A.10.3.5 RTI / STI Training 0
A.10.3.6 Dai Training 0
A.10.3.7 Other MH Training (ISD Refresher ) 0
A.10.4 IMEP Training 0
A.10.5 Child Health Training 0
A.10.5.1 IMNCI 0

Sl.No. Activity Unit
Cost
Physical
Targets
Required
fund
under RCH
A.10.5.2 Facility Based Newborn Care 0
A.10.5.3 Home Based Newborn Care 0
A.10.5.4 Care of Sick Children and severe malnutrition 0
A.10.5.5 Other CH Training (pl. specify) 0
A.10.6 Family Planning Training 0
A.10.6.1 Laparoscopic Sterilisation Training 0
A.10.6.2 Minilap Training 0
A.10.6.3 NSV Training 0
A.10.6.4 IUD Insertion Training 0
A.10.6.5 Contraceptive Update/ISD Training 0
A.10.6.6 Other FP Training (pl. specify) 0
A.10.7 ARSH Training 0
A.10.8 Programme Management Training 0
A.10.8.1 SPMU Training 0
A.10.8.2 DPMU Training 0
A.10.9 Other training (pl. specify) 0
A.10.10 Training (Nursing) 0
A.10.10.1 Strengthening of Existing Training Institutions /
Nursing School
0
A.10.10.2 New Training Institutions/School 0
A.10.11 Training (Other Health Personnel) 0
A.10.11.1 Promotional Trg of health workers females to lady
0
health visitor etc.
A.10.11.2 Training of AMNs, Staff nurses, AWW, AWS 0
A.10.11.3 Other training and capacity building programmes 0
A.11 PROGRAMME / NRHM MANAGEMENT COSTS 0
A.11.1 Strengthening of SHS /SPMU (Including HR,
Management Cost, Mobility Support, field visits )
0
A.11.2 Strengthening of DHS/DPMU (Including HR,
Management Cost, Mobility Support, field visits )
3 17.60
A.11.3 Strengthening of Block PMU (Including HR,
0
Management Cost, Mobility Support, field visits )
A.11.4 Strengthening (Others) 0
A.11.4.1 Street Play & Kalapathak 0.02 120 2.40
A.11.4.2 Radio Jingles 6 2.40
A.11.4.3 Wall painting & Hordings 200 3.00
A.11.5 Audit Fees 0
A.11.6 Concurrent Audit 0
A.11.7 Mobility Support to BMO/MO/Others 0
679.34
Note Reimbursable activities are shown in Green

B NRHM FLEXI POOL
B.1 CORE ACTIVITIES
B.1.1 Non Negotiable components:
For certain components, the allocation of funds has to be made as per pre‐determined norms and
the States cannot deviate from them. These non negotiable components are‐ Village Health and
Sanitation Committee Funds, Untied Funds for different levels of facilities, Annual Maintenance
Grants to health facilities, Rogi Kalyan Samiti Funds and ASHA training and durgkits. The norms for
allocation of funds under non negotiable components are as under:
❖ Facility level funds:
Levels of facility Annual Maintenance Grant Untied Funds(UF) RKS Grants (RKS)
Sub‐centre Rs. 10,000 Rs. 10,000 —
PHC Rs. 50,000 Rs. 25,000 Rs. 1,00,000
CHC/SDH Rs. 1,00,000 Rs. 50,000 Rs. 1,00,000
DH — — Rs. 5,00,000
Village Health and Sanitation Committee Funds: Rs 10,000 per year
ASHA : Rs 10,000 per ASHA per year for training and drug kits
B.1.2 ASHA: Following issues pertaining to ASHA have been highlighted in assessments and
feedbacks:
■ Streamlining delays in payment of performance incentives to ASHAs.
■ Regular upgradation of skill / completion of training in all prescribed modules
■ The timely and sustainable availability of drug kits
■ Supervisory and supportive structure for ASHAs
■ Attrition of ASHAs
■ List of performance incentives with rates
■ The required number of ASHAs for the entire State, based on rural population, and the number
of ASHAs in place against this should be explicitly mentioned
In the PIP of 2011‐12 details of strategies/activities to tackle above mentioned issues and other
issues highlighted in assessment of ASHA initiative should be given.
B.1.3 Village Health and Sanitation Committee: NRHM envisaged constitution of 100% VH&SC in
over 6 lakhs villages and provision of untied grants to them by 2008. The issues pertaining to VH&SC
which require a deeper look are:
a. Constitution of the Village Health and Sanitation Committee
b. Orientation for planning process and capacity building of community leaders/PRIs in
Village Level Planning
c. Utilization of the Untied fund for the VH&SC and large unspent balances

In the PIP details of strategies/activities to be undertaken tackle above mentioned issues and other
issues which have been highlighted in the performance assessment of VH&SCs should be given.
Progress made so far should be indicated in the following format:
Activity Cumulative Achievements so far
No. of Revenue Villages 1547
Number of Village Health & Sanitation committees
constituted
1543
No. of Joint Account opened 1543
Total funds released to VHSCs (Rs in lakh) 1543
Total amount spent by VHSCs so far 51.64
Total unspent balance
No of VHSCs members trained
102.66
B.1.4 Untied Funds: Pace of utilisation of untied fund at various levels of health facilities to be
enumerated including major areas in which these funds have been utilized. Improvements made in
the health facilities should be including innovative and best practices adopted should be described.
Cumulative achievements so far should be indicated in the following format:
Facility level Number of Total amount Total amount Unspent
facilities released so far utilized balance
Untied Fund for SCs 333 33.30 13.11 20.19
Untied Fund for PHCs 56 14.00 7.99 6.01
Untied Fund for CHCs 14 7.00 2.60 4.40
Untied Fund for DH 1 ‐ ‐ ‐
B.1.5 Annual Maintenance Grants: Proper maintenance of physical infrastructure is a must to
ensure quality services in various health facilities. Annual Maintenance Grants given to the health
facilities should be effectively utilized to improve the facilities continuously through regular
maintenance and repair works. Requirement of funds should be indicated in the following format:
Facility level Number of Total amount Total amount Unspent
facilities released so far utilized balance
AMG fund for SCs 296 14.80 10.06 4.74
AMG fund for PHCs 48 24.00 14.15 9.85
AMG fun for CHCs 16 24.00 7.12 16.88
AMG fund for DH 1 5.00 4.00 1.00
B.1.6 Rogi Kalyan Samitis: RKSs have contributed to local level leadership and need based decision
making. The issues which now need to find a reflection in planning would interalia relate to:
• Constitution of RKS in 100% facilities
• Performance of RKS and pace of utilization of funds
• Activities being under taken by RKS
• Capacity building of RKS members
• Sharing of success stories and best practices.

Details of status and activities to be undertaken on above mentioned issues should be given in the
PIP. Information on cumulative amount released to Rogi Kalyan Samitis and amount utilized so far
should be summarized in the following format:
(Rs in lakh)
Facility Number of Total amount Total amount Unspent
RKS released so far utilized balance
District Hospital 1 6.54 4.46 2.08
Sub Divisional Hospital 4 4.86 2.60 2.26
Community Health Centres 12 30.67 12.82 17.85
Primary Health Centres
Other health facilities (Please
Specify)
56 59.86 30.45 29.41
B.2 HEALTH CARE INFRASTRUCTURE:
B.2.1 Civil Constructions
All infrastructure proposals both for new construction and expansion shall be based on both facility
and area mapping exercise and not just a district wise allocation exercise. The need of the
underserved areas has to be taken into consideration and strengthening of facilities in close
contiguity needs to be discouraged unless justified by a heavy case load. Therefore the focus should
be on consolidation and need based expansion supplemented with a HR plan. A bird's eye view of
available infrastructure should be given in the following format:
States' Requirement of Infrastructure DH SDH CHC PHC SHC
Required as per population norms
Existing Facilities
Shortfall
Mapping of facilities undertaken
Requirement of new facilities after mapping exercise
Requirement of facility up gradation after mapping
exercise as per IPHS
New construction proposed under NRHM after gap analysis
for 2011‐12
Facilities proposed for up gradation after gap analysis for
2011‐12
The infrastructure issues which have been highlighted from time to time include:
• Infrastructure expansion without requisite human resource, equipments
supplementation
• Deployment of human resources not based on need. Suboptimal or over utilisation of the
manpower
• Consolidation of health facilities before further expansion feasibility of ensuring 24X 7
services in all the extant PHCs‐ redefining the numbers as per evidence and need
Quality of care being provided at all the health institutions.

Operational Blood storage units need to be ensured at CHC's and above level of health
facilities.
Performance parameters for service delivery and quality of care needs furtherimprovement
and closer monitoring
Limited managerial capacities to manage health facilities
Limited capacity for supply chain management to ensure timely supply of drugs and
diagnostics
Limited referral and mobility arrangements Varied use of RKS , AMG and Untied Funds
made available Non standardized treatment protocols leading to ad hoc in care Inadequate
PPP arrangements with the private sector in the area
These issues need closer deliberation in the Plans of 2011‐12. Full justification for expansion needs
to be provided if consolidation of available infrastructure has not been achieved. Need based
expansion clearly articulating the area of requirement needs to be highlighted with a clear human
resource placement plan. Information should be provided on cumulative achievements so far (since
launch of NRHM) in the following format:
Activity
Cumulative Achievements so far
Physical Financial
Sub‐Centres
Construction of new sub‐centre buildings 7 77.07
Renovation of sub‐centre buildings
Setting up of new Sub‐centres
Upgradation of sub‐centres
New Construction of PHC building
30
PHC
45.57
Renovation of PHC buildings
Setting up of new PHCs
139 160.33
Upgradation of PHCs
Availability of 24x7 services
New Construction of CHC building
Renovation of CHC buildings
Setting up of new CHCs
Upgradation of CHCs
Blood storage unit
Strengthening of District & Sub divisional
Hospitals
Upgradation of SDH
Renovation of SDH
Renovation of DH
42
CHC
SDH/DH
88.23
B.2.2 Mobile Medical Units/Emergency Referral Transport: State specific requirement of MMUs
needs to be assessed realistically. Performance parameters which help in gauging performance of
MMUs like, a)Frequency of Visit b)Following of Schedule c) Advance Intimation of Schedule d)
Duration of Stay and Timing of MMU e)Doctors accompanying f)Availability of Medicine g)Cured of
illness in last visit h)People satisfaction about skill and behaviour i)Location of MMU j)Average

distance travelled to MMU k)average time taken per patient l)Availability of diagnostics m) Follow
up of Patients etc need to be reflected in the MMU plan. Information on cumulative achievements
(since launch of NRHM) so far should be provided the following:
Activity
Mobile Medical Unit(MMU)
Emergency & Referral Services (EMRI)
Others
B.3 MANPOWER
Cumulative Achievements so far
Physical financial
NRHM has led to augmentation of considerable contractual human resources at all
levels. Current status should be provided in the following format:
State Requirement of HR Specialists Doctors Nurses ANMs Pharmacists Lab tech
Required staff as per IPHS for
the existing facilities
120 179 670 236 103 97
Sanctioned staff 71 115 300 234 61 54
In Position
Vacancy against sanctioned
76 74 355 192 43 30
Vacancy against IPHS
Vacancies already filled up by
the State
Proposed filling up of
vacancies by the State for
2011‐12
Contractual engagement so far
through NRHM
Additional contractual
engagement proposed under
NRHM for 2011‐12
44 105 315 44 60 67
Provision of human resource should be based on gap analysis with adequate/ incentivized provision
for difficult and hard to reach areas. Following issues in provision of human resources continue to
need attention:
1. Capacity and skill development of the human resource both contractual and permanent.
2. Filling up of existing vacancies by the State Government
Efforts and roadmap to address these issues should be elaborated in the PIP. B.4
TRAINING AND CAPACITY BUILDING:
Training is one of the critical areas to provide services guaranteed under NRHM. States should give a
training calendar and names of training institutions for various categories of manpower. The training
budget should be given in the RCH Flexible Pool in stipulated format.

B.5 INNOVATIONS
Some local problems that emerge as priority in the Block/District Action Plans may require
innovative solutions. Such innovative measures may be supported under NRHM. States should
provide the details of innovations and suggest cost as per need.
B.6 FUNDS FOR IMPACT ASSESSMENT OF NRHM AND ASSESSMENT OF VARIOUS COMPONENTS:
Continuous assessment and evaluation of the program is important to keep us focused and do the
necessary course corrections swiftly. States must propose an amount from NRHM Flexipool for
evaluation and assessment activities of NRHM and components like ASHA, VHSCs, RKS, etc. Reputed
medical, Public Health, Management and Research Institutes should be identified for such
evaluation/assessments and should be accredited with the Government of India. Only such
accredited institutes may be allowed to take up the assessment work.
B.7 ADDITIONAL FUNDS FOR COMMUNICABLE DISEASES:
States should analyze and identify areas/ Districts that have a high burden of communicable
diseases. The additional funds required to tackle the same should be budgeted for in the NRHM
Mission Flexipool. Detailed information should be provided under the concerned disease control
program. A summary of information should be provided under this section.
B.8 ACTIVITIES TAKEN UP WITH SUPPORT UNDER OTHER PROGRAMMES:
Activities taken up with support under other programmes such as Donor Partners, Minority
Development, Finance Commission Award, Labour, DONER and any other scheme etc. to be clearly
reflected in this section. Similarly details of PPP activities, Health Insurance scheme and any other
district innovation funds being solicited, details need to be spelt out in this
Part.
B.10 DISTRICT PLANS
This chapter should contain information pertaining to District health Action Plans and resources
proposed and approved for each district.
S. No. Name of
Districts
PIP
prepared
Yes/No
Whether
DPAP format
followed
Yes/No
Resource
envelop
indicated by
the State (Rs
in Lakh)
Amount
Proposed by
districts(Rs in
Lakh)
1 Amravati Yes Yes ‐ 3930.03
Amount
Approved to
districts(Rs in
Lakh)*
*Note: As per the Conditionalities the State Governments shall, within 45 days of the issue of the
Record of proceedings, issue detailed District wise approvals and places them on their website for
public information.

CONSOLIDATED BUDGET SHEET FOR MISSION FLEXIBLE POOL
Sl. No. Activity Unit Cost Physical
Targets
Mission Flexipool
Required fund
under NRHM
B1 ASHA 0
B1.1 Selection & Training of ASHA 0
B1.2 Procurement of ASHA Drug Kit 0
B1.3 Incentive to ASHAs under JSY 0
B1.4 Incentive under Family
Planning Services
B1.5 Incentive under Child Health 0
B1.6 Other Incentives to ASHAs 2068 156.51
B1.7 Awards to ASHA's/Link
workers
0
B2 Untied Funds 0
B2.1 Untied Fund for CHCs
(RH/SDH/WH)
0.50 14 7.00
B2.2 Untied Fund for PHCs 0.25 56 14.00
B2.3 Untied Fund for Sub Centers 0.10 333 33.30
B2.4 Untied fund for VHSC 0.10 1547 154.70
B2.5 Untied fund for PHU 0.25 103 25.75
B.3 Annual Maintenance Grants 0
B4.1 CHCs (RH/SDH/WH) 1.00 14 14.00
B4.2 PHCs 0.50 48 24.00
B4.3 Sub Centers 0.10 299 29.90
B4.1.3 PHUs 0.50 62 31.00
B4.1.4 DH/TB/RRC 5.00 3 15.00
B4.1.5 Others 0
B.4 Hospital Strengthening 0
B.4.4 Upgredation of CHCs, PHCs,
DH to (IPHS)
0
B.4.1.1 Distirct Hospital 50.00 1 50.00
B.4.1.2 Women Hospital 35.00 1 35.00
B.4.1.3 CHC (RH/SDH) 20.00 5 100.00
B.4.1.4 PHCs 5.00 34 170.00
B.4.1.5 Sub Center 1.00 83 83.00
B.4.1.6 Other – (ISO Certification) 50.00 1 50.00
B 4.2 Strengthening of District, Su‐
divisional Hospitals, CHCs,
PHCs
0
B.4.3 Sub Centre Rent and
Contingencies
0
B.4.4 Logistics management/
improvement
0
0

Sl. No. Activity Unit Cost Physical Required fund
Targets under NRHM
B5 New Constructions/
Renovation and Setting up
0
B5.1 CHCs (TB Hospital) 5.00 1 5.00
B5.2 PHCs 18 275.00
B5.3 SHCs/Sub Centers 13 150.00
B5.4 Setting up Infrastructure wing
for Civil works
0
B5.5 Govt. Dispensaries/ others
renovations
0
B5.6 Construction of BHO, Facility
improvement, civil work,
BemOC and CemOC centers
0
B.5.7 Major civil works for
operationalisation of FRUS
0
B.5.8 Major civil works for
operationalisation of 24 hour
services at PHCs
0
B.5.9 Civil Works for Operationalise
Infection Management &
Environment Plan at health
facilities
0
B.6 Corpus Grants to HMS/RKS 0
B6.1 District Hospitals 5.00 1 5.00
B6.2 CHCs (RH/SDH/WH) 1.00 14 14.00
B6.3 PHCs 1.00 56 56.00
B6.4 Other – TB/RRC 5.00 2 10.00
B7 District Action Plans
(Including Block, Village)
0.56 15 8.40
B8 Panchayati Raj Initiative 0
B8.1 Constitution and Orientation
of Community leader & of
VHSC,SHC,PHC,CHC etc
B8.2 Orientation Workshops,
Trainings and capacity building
of PRI at State/Dist. Health
Societies, CHC,PHC
B8.3 Others 0
B9 Mainstreaming of AYUSH 28 30.80
B9.1 Activities other than HR 0
B10 IEC‐BCC NRHM 0
B.10 Strengthening of BCC/IEC
Bureaus (state and district
levels)
B.10.1 Development of State
BCC/IEC strategy
B.10.2 Implementation of BCC/IEC
strategy
0
0
0
0
0

Sl. No. Activity Unit Cost Physical Required fund
Targets under NRHM
B.10.2.1 BCC/IEC activities for MH 0
B.10.2.2 BCC/IEC activities for CH 0
B.10.2.3 BCC/IEC activities for FP 0
B.10.2.4 BCC/IEC activities for ARSH 0
B.10.2.5 Other activities (please
specify)
0
B.10.4 Health Mela 0
B.10.5 Creating awareness on
declining sex ratio issue
0
B.10.6 Other activities 0
B11 Mobile Medical Units
(Including recurring
expenditures)
1 15.76
B12 Referral Transport 0
B12.1 Ambulance/ EMRI 0
B12.2 Operating Cost (POL) 72 26.45
B13 School Health Programme 16 139.54
B14 PPP/ NGOs 0
B14.1 Non governmental providers
of health care RMPs/TBAs
0
B14.2 PNDT and Sex Ratio 0
B14.3 Public Private Partnerships 0
B14.4 NGO Programme/ Grant in Aid
to NGO
0
B14.5 Other innovations( if any) 0
B15 Planning, Implementation and
Monitoring
0
B15.1 Community Monitoring
(Visioning workshops at state,
Dist, Block level)
0
B15.1.1 State level 0
B15.1.2 District level 0
B15.1.3 Block level 0
B15.1.4 Other 0
B15.2 Quality Assurance 0
B15.3 Monitoring and Evaluation 0
B15.3.1 Monitoring & Evaluation /
HMIS
0
B15.3.2 Computerization HMIS and e‐
governance, e‐health
0
B15.3.3 Other M & E 4 12.24
B.16 PROCUREMENT 0
B16.1 Procurement of Equipment 0
B16.1.1 Procurement of equipment:
MH
0

Sl. No. Activity Unit Cost Physical Required fund
Targets under NRHM
B16.1.2 Procurement of equipment:
CH
0
B16.1.3 Procurement of equipment: FP 0
B16.1.4 Procurement of equipment:
IMEP
0
B16.1.5 Procurement of Others 0
B.16.2 Procurement of Drugs and
supplies
0
B.16.2.1 Drugs & supplies for MH 0
B.16.2.2 Drugs & supplies for CH 0
B.16.2.3 Drugs & supplies for FP 0
B.16.2.4 Supplies for IMEP 0
B.16.2.5 General drugs & supplies for
health facilities
0
B.17 PNDT Activities 0
B.18 Regional drugs warehouses 0
B.18.1 Procurment plant 2 30.40
B.19 New Initiatives/ Strategic
Interventions (As per State
health policy)/ Innovation/
Projects (Telemedicine,
Hepatitis, Mental Health,
Nutition Programme for
Pregnant Women, Neonatal)
NRHM Helpline) as per need
(Block/ District Action Plans)
3 7.35
B.20 Health Insurance Scheme 0
B.21 Research, Studies, Analysis 0
B.22 State level health resources
center(SHSRC)
0
B23 Support Services 0
B23.1 Support Strengthening NPCB 0
B23.2 Support Strengthening
Midwifery Services under
medical services
B23.3 Support Strengthening
NVBDCP
2 117.40
B23.4 Support Strengthening RNTCP 0
B23.5 Contingency support to Govt.
dispensaries
B23.6 Other NDCP Support
Programmes
B.24 Other Expenditures 0
B.24.1 Contractural ANM/LHV/Staff
Nurse
416 426.55
B.24.2 Sickle Cell Disease 1 41.52
0
0
0

Sl. No. Activity Unit Cost Physical Required fund
Targets under NRHM
B.24.3 Co‐ordination Cell DH 1 4.58
B.24.4 Maher Scheme 9 16.40
B.24.5 Volunteer to tribal PHC 34 12.96
B.24.6 Diet facility for PHC 11 19.80
B.24.7 Hardship Allowance to
regularHealth Staff
146 113.28
B.24.8 FMG 2 4.08
B.24.9 RKS Coordinator 1 4.44
B.24.10 IDW Wing 6 17.88
B.24.11 IPHS Wing 2 7.32
B.24.12 BPMU 14 81.48
Total.. 2646.79

PART B
NRHM ADDITIONALITIES
Budget 2011 – 12
NATIONAL RURAL HEALTH MISSION
Budget Format for NRHM Mission Flexipool Part ‘B’.
Sr. No. Initiative
2011‐12
Number Proposed Total Amount (in Lacs)
1 ASHA 2068 156.51
2 Addititinal ANM sub‐center 333 331.08
3 Staff Nurse at 24 x 7 PHCs 47 52.68
4 Supervior in Nurse (LHV) 36 42.79
5 VHSNWC 1547 154.70
6 Untied Fund for SC 333 33.30
7 Untied Fund for PHU 103 25.75
8 Untied Fund for PHC 56 14.00
9 Untied Fund for RH/SDH/WH 14 7.00
10 Rogi Kalyan Samiti‐DH 1 5.00
11 Rogi Kalyan Samiti‐SDH 4 4.00
12 Rogi Kalyan Samiti‐RH/WH 10 10.00
13 Rogi Kalyan Samiti‐ PHC 56 56.00
14 Rogi Kalyan Samiti‐ TB 1 5.00
15 Rogi Kalyan Samiti‐ RRC 1 5.00
16 Annual Maintenance Grant‐DH 1 5.00
17 Annual Maintenance Grant‐SDH/RH/WH 14 14.00
18 Annual Maintenance Grant‐RRC 1 5.00
19 Annual Maintenance Grant‐PHU 62 31.00
20 Annual Maintenance Grant‐PHC 48 24.00
21 Annual Maintenance Grant‐SC 299 29.90
22 Annual Maintenance Grant TB 1 5.00
23 Repairs and New Construction 61 430.00
24 Ambulance services for PHC‐ Repairs 56 18.45
25 Ambulance services for RH/SDH/WH 14 7.00
26 Ambulance services for DH 2 1.00
27 IPHS up‐gradation SC 83 83.00
28 IPHS up‐gradation PHC 34 170.00
29 IPHS up‐gradation RH 1 20.00
30 IPHS up‐gradation SDH‐100 1 20.00
31 IPHS up‐gradation SDH‐50 3 60.00
32 IPHS up‐gradation WH 1 35.00
33 IPHS up‐gradation DH 1 50.00
34 IPHS – ISO Certification 10 50.00
35 Telemedicine Center 3 7.35

Sr. No. Initiative
2011‐12
Number Proposed Total Amount (in Lacs)
36 Strengthening of Nursing Services 2 117.40
37 School Health Programme 16 139.54
38 Sickle Cell Disease Programme 1 41.52
39 Procurement Plan 16 30.40
40 Co‐ordination Cell DH 1 4.58
41 Maher Scheme 9 16.40
42 Volunteer to trible PHCs 34 12.96
43 Diet facility for PHC 11 19.80
44 AYUSH Cell 28 30.80
45 Hardship Allowances to Regular Health Staff 14 113.28
46 Mobile Medical Unit 1 15.76
47 DHAP 14 8.40
48 M & E Cell 4 12.24
49 FMG 2 4.08
50 RKS Coordinator 1 4.44
51 IDW Wing 6 17.88
52 IPHS Wing 2 7.32
53 Block Program Management Unit 14 81.48
TOTAL 5482 2646.79
National rural health mission has been launched with a view to bringing about
dramatic improvement in health system and health status of people, especially those who live in
rural areas of the country. The mission seeks to provide universal access to equitable, affordable and
quality health care which is accountable and at the same time responsive to the needs of people,
reduction in child and maternal deaths as well as population stabilisation and gender and
demographic balance.
Key features in order to achieve the goals of the Mission include making the public
health delivery system fully functional and accountable to the community, human resource
management, community involvement, decentralisation, rigorous monitoring and evaluation against
standards, convergence of health and related programs from village level upwards, innovations and
flexible financing and also interventions for improving health indicators.
To facilitate fund release and monitoring, the NRHM plan is divided in following components:

A. ASHA
Selection of ASHA
Sr Area
Target for
selection
No. selected
during 2010‐11
Proposed to be
selected during
2011‐12
Total selection
1 Tribal areas 400 400 0 400
2 Non‐tribal areas 1668 1668 0 1668
Total 2068 2068 0 2068
Training of ASHA during 2011‐12
Number to be trained during 2011‐12
Sr Module
Tribal Non‐tribal Total
Budget
required for
training
Likely date
of
completion
of training
1 Module – I 40 165 205 4.95 Dec 2011
2 Module – II 40 165 205 2.98 Dec 2011
3 Module – III 40 165 205 2.98 Jan 2012
4 Module – VI 40 1668 1708 21.63 Jun 2011
5 Module – V 40 1668 1708 21.63 Aug 2011
6
Module –VI
Phase 1
‐ 1668 1668 38.19 Dec 2011
7
8
9
Module – VI
Phase 2
400 1668 2068 46.09
Tribal
Mar 2011
Non Tribal
Mar 2012
Module –VII
Phase 3
400 ‐ 400 92.19 Apr 2011
Module –VII
Phase 4
400 ‐ 400 92.19 June 2011
Total 1200 7167 8567 322.83
Training of Block Faciliator during 2011‐12
Number to be trained during 2011‐12
Sr Module
Tribal Non‐tribal Total
Budget
required for
training
Likely date
of
completion
of training
1 Genral Module 40 45 85 2.77 Apr 2011
2
Module VI
Phase 1
40 45 85 2.77 June 2011
3
Module VI
Phase 2
40 45 85 2.08 Aug 2011
4
Module VII
Phase 3
40 45 85 2.08 Oct 2011
5
Module
VII Phase 4
40 45 85 2.08 Dec 2011
Total 200 225 425 11.78

Training of ASHA TOT during 2011‐12
Sr Module
Number to be trained during 2011‐12
Tribal Non‐tribal Total
Budget
required for
training
Likely date
of
completion
of training
1 Module I 0 0 0 0 ‐
2 Module II 0 0 0 0 ‐
3 Module III 0 120 120 HFWTC Feb 2011
4 Module IV 0 120 120 HFWTC Apr 2011
5 Module V 0 120 120 HFWTC Jul 2011
6
7
8
Medicine Kit
Module VI & VII
Phase 1 (14 days)
Module VI & VII
Phase 2 (8 days)
Module VI & VII
Phase 3
13 0 13 State Level State level
13 0 13 State Level State level
13 0 13 State Level State level
39 360 399
Requirement of ASHA medicines kits during year 2011‐12 : 2070
Performance based compensation :
Sr Program
Budget required
for tribal areas
Budget required
for non‐tribal
areas
Total budget
required
1 RCH – Family planning cases 0.80 1.35 2.15
2 RCH – JSY 8.69 19.85 28.54
3 Mission Flexi‐pool (Additional
ties)
13.70 46.75 60.45
4 NVBDCP 0.82 1.25 2.07
5 RNTCP 0.38 0.50 0.88
6 NLEP 0.12 0.79 0.91
7 NPCB 0.70 5.84 6.54
8 Other (VHSC) 14.92 54.75 69.67
Total 171.21

Addition of new activity for performance compensation to ASHA for year 2011‐12
Sr.No. Activity Proposed compensation Justification
1 ANC Registration & 5 Time
Checkup
2 Motivate to Water
Conservation or kitchen
gardening
3 Motivate to Malnourished
Children in VCDC/CTC
4 Registration to Newly
Margie Couple
5 0 to 28 days new born baby
Care
6 Promote to STI/RTI Checkup
for 13 to 49 age Ladies
Rs .20/‐ per checkup After registration ANC , it is
proposed to give incentive of
Rs. 20/‐ per checkup to ASHA
for further 5 checkup
Rs. 75/‐ Per activity It is proposed to give incentive
of Rs. 75/‐ for motivating for
water conservation or prepare
of kitchen garden in her field
area.
Rs. 10/‐ Per Child For motivating children for
admit in VCDC/CTC and for
prepare a list of SAM/MAM
children. and to look after their
progress and maintain record in
PHC Rs. 10/‐ Per Child will be
proposed as a incentive
Rs. 25/‐ Per Registration for motivating newly married
couple for marriage registration
and maintained early age
married couple record
,counseling spacing material
etc. incentive of rs25/‐ per
registration will be proposed.
Rs. 25/‐ Per Child Registered to new born baby,
and look after 0 to 7 days daily
with 2 visits , 8 to 28 days after
one days visit to home and to
take record progress of
children, inform to PHC/SC, in
critical situation Referred to
nearest health institute. For
that rs 25/‐ per child incentive
will be proposed.
Rs. 25/‐ Per chekup To get help to 13 to 49 age
ladies for STI/RTI Checkup in
PHC/RH and motivate to
propertreatment,and mentain
the RTI/STI record in PHC level.
Rs 25/‐ per checkup will be
proposed as a incentive.

ASHA Support services
Request budget for following activities
Sr Particulars
1
2
District Level
Salary TA/DA of Community
Mobiliser (Rs. 12000/PM)
Salary of Data Assistant (Rs.
10000/PM)
Budge
required
/ unit
Tribal areas Non tribal areas
Total
Units
Budget
required
Total
Units
Budget
required
Total
budget
required
2 1 1.44 1 1.44 2.88
1 0 0 1 1.20 1.20
3 Contingency 0.30 0 0.30 0 0 0.30
District Total 1.74 2.64 4.38
Block level
1 Salary & TA/DA BCM 2 2 2.40 0 0 2.40
2 Contingency 0.5 2 0.10 12 0.60 0.70
Block total 2.50 0.60 3.10
PHC Level
1 Block Facilitator (1/PHC) 0.04 40 19.20 45 21.60 40.80
2 ASHA meeting 150 400 7.20 1668 30.024 37.224
3 Block Facilitator Meeting 150 40 0.72 45 0.81 1.53
3
Honorarium to MO for
reorientation
150 11 0.20 45 0.81 1.01
4
Honorarium to LHV for
reorientation
500 11 0.66 45 2.70 3.36
5 Contingency 5000 11 0.55 45 2.25 2.80
PHC Total 28.53 58.19 86.72
Grand Total 32.77 61.43 94.20
ASHA mentoring group
NRHM has instructed to establish ASHA mentoring groups at district and block level. These groups
will require budget for meetings as follows:
Tribal areas Non‐tribal areas Total
Sr Level Unit cost No. of
units
Budget
required
No. of
units
Budget
required
Budget
required
1 District Level 0.045 4 0.18 0.18
2 Block level 0.03 8 0.24 48 1.44 1.68
Total 0.42 1.44 1.86

ADDITIONAL ANM AT SUB‐CENTRE
Appointment of additional ANM (contractual)
Sr Area of Sub‐Center
No. in place during 2010‐
11 (currently filled in and
expected to be appointed
up to 31.3.2011)
Expected to be
appointed during
2011‐12
Total ANMs at
end of 2011‐12
1 Non‐tribal areas 230 8 238
2 Tribal areas 95 0 95
3 Naxalite affected areas 0 0 0
Total 325 8 333
Budget requirement
Salary, travel allowances and honorarium to Part Time Lady Attendant (PTLA) of regular ANM is
borne though regular funds. Similar to regular ANM, additional ANM will require budget for salary,
daily allowances during travel and honorarium for PTLA. Accordingly, budget required to for
additional ANM is as follows:
Budget required for Additional ANMs at Sub‐Centres
Sr. Place of
posting
No.
expected
in 2011‐
12
Unit
cost
(month)
Salary Fixed PTA PTLA
Budget
required
Unit
cost
(month)
Budget
required
Unit
cost
(month)
Budget
required
Rs. In Lakhs
Total
budget
required
1 Non‐
trible SC
238 0.07 199.92 0.005 14.28 0.005 14.28 228.48
2 Trble SC 95 0.08 91.20 0.005 5.70 0.005 5.70 102.60
Total 331.08
Staff Nurses in 24 x 7 and IPHS PHCs
Action to be taken to fill up vacant posts
It has been difficult to fill the position of Staff Nurses position in the 24X7 PHC because of non
availability of candidates. The eligibility criteria that candidate should have registered with
Maharashtra Nursing council should be relaxed and authorisation should be given to the district to
hire candidates from any state and private universities.
A. STAFF NURSE IN 24HRS AND IPHS PHCs
Sr Area of PHC No. in place during 2010‐11 Expected to be Total Staff Nurses
(currently filled in and expected appointed at end of 2011‐12
to be appointed up to
31.3.2011)
during 2011‐12
1 Non‐tribal areas 24 07 31
2 Tribal areas 3 13 16
3 Naxalite affected
areas
0 0 0
Total 27 20 47

Budget requirement
Budget requirement for support to contractual Staff Nurse is for salary. As these staff nurses are not
supposed to travel, budget for travel charges and PTLA need not be requested.
Budget required for Staff Nurses at PHC Rs. In Lakhs
Sr Particulars Monthly Already appointed To be appointed Total
amount nurses
nurses
No. Budget No. Budget No. Budget
required
required
required
1 Non‐tribal
areas
0.09 24 25.92 7 7.56 31 33.48
2 Tribal areas 0.10 3 3.60 13 15.60 16 19.20
Total 52.68
SUPERVISARY NURSES (LHV) TO ALL PHCs
After appointment of additional ANM at sub center level, supervisory work‐load has increased in
PHC. As per GOI recommendation, district shall appoint one supervisory nurse in each PHC.
Accordingly, the district shall appoint one supervisory nurse in 56 PHC.
B. SUPERVISORY NURSE IN ALL PHCs (LHV)
Sr Area of PHC No. in place during 2010‐ Expected to be Total LHVs at
11(currently filled in and appointed end of 2011‐12
expected to be appointed
up to 31.3.2011)
during 2011‐12
1 Non‐tribal areas 16 09 36
2 Tribal areas 0 11 11
3 Naxalite affected areas
Total 16 20 47
Budget requirement
Table – A: ‐ For Non‐tribal and Non‐naxalite areas @ Rs. 9000/‐ PM
Rs. In Lakhs
Sr Particulars Monthly Already appointed To be appointed Total
amount nurses
nurses
No. Budget No. Budget No. Budget
required required required
1 Monthly salary 0.09 16 17.28 9 9.72 25 27.00
2 Fixed PTA 0.006 16 1.15 9 0.65 25 1.80
Total 28.80

Table ‐ B : ‐ For Tribal areas – Rs. 10000/‐ PM
Rs. In Lakhs
Sr Particulars Monthly Already appointed To be appointed Total
amount nurses
nurses
No. Budget No. Budget No. Budget
required required
required
1 Monthly salary 0.10 0 0 11 13.20 11 13.20
2 Fixed PTA 0.006 0 0 11 0.79 11 0.79
Total 13.99
Table ‐ C : Total budget required
Sr Particulars Already appointed To be appointed Total
nurses
nurses
No. Budget No. Budget No. Budget
required
required
required
1 Monthly salary 16 17.28 20 22.92 36 40.20
2 Fixed PTA 16 1.15 20 1.44 36 2.59
Total 42.79

VILLAGE HEALTH SANITATION WATER SUPPLY AND NUTRITION COMMITTEE
No. of villages in district : 1547
No. of villages requreing untied fund in district : 1547
UNTIED FUND TO SC, PHC & RH/SDH
Sr Type of hospital No. of institutions
Unit rate
Budget required
Total budget
required
1 Sub‐Centre 333 0.10 33.30
2 PHU 103 0.25 25.75
3 PHC 56 0.25 14.00
4 RH/SDH/WH 14 0.50 7.00
5 VHNSC 1547 0.10 154.70
Total 234.75
RUGNA KALYAN SAMITEE
Sr Type of hospital
No. of Total budget required
institutions Unit rate Budget required
1 PHC 56 1.0 56.00
2 RH/SDH/WH/GH 14 1.0 14.00
3 Leprosy Hospitals 0 1.0 0.00
4 Mental Hospitals 0 1.0 0.00
5 TB Hospital 1 5.0 5.00
3 District Hospitals 1 5.0 5.00
4 RRC 1 5.0 5.00
Total 73 85.00

STRENGTHENING OF PHYSICAL INFRASTRUCTURE
ANNUAL MAINTENANCE GRANTS
Annual Maintenance Grants are distributed for maintenance of health institutions.
Do not provide AMG to institutions which are in ranted building or are working from PHC, PHU or
any other government building which is already getting AMG.
Request the AMG grants as mentioned in table below:
Sr Type of health institution
No. of
institutions
in district
Institutes
eligible for
AMG
Unit rate
AMG
Budget
required
1 Sub‐Centre 333 299 0.10 29.90
2 Primary dispensaries 103 62 0.50 31.00
2 PHC 56 48 0.50 24.00
3 RH/SDH/WH 14 14 1.0 14.00
4 DH 1 1 5.0 5.00
5 RRC 1 1 5.0 5.00
6 TB Hospital 1 1 5.00 5.00
Civil Works
Total 509 426 113.90
Spillover (works which will start before 1.4.2011, continue during 2011‐12 and need payment to
be done during 2011‐12)
Repairs and maintenance New construction Total
Sr Type of institute No. of Budget No. of Budget budget
works required works required required
1 SC 0 0 8 60.00 60.00
2 PHU 0 0 0 0 0
3 PHC 0 0 1 80.00 80.00
4 RH/SDH/GH 0 0 0 0 0
5 WH 0 0 0 0 0
6 DH 0 0 0 0 0
7 Mental Hosp. /
Leprosy Hosp / TB
Hosp
0 0 0 0 0
Total 0 0 9 140.00 140.00

New works proposed during 2011‐12
Sr Type of institute No. of
works
Repairs and maintenance New construction
Budget
required
No. of
works
Budget
required
Total
budget
required
1 SC 0 0 5 90.00 90.00
2 PHC 11 35.00 6 160.00 195.00
3 RH/SDH/GH 0 0 0 0 0
4 WH 0 0 0 0 0
5 DH 0 0 0 0 0
6 Mental Hosp. /
Leprosy Hosp / TB
Hosp/ other
1 5.00 0 0 5.00
Total 18 40.00 11 250.00 290.00
Summary of budget required
Spillover of 2010‐11 New works during 2011‐12 Total
Sr Type of institute No. of Budget No. of Budget budget
works required works required required
1 SC 8 60.00 5 90.00 150.00
3 PHC 1 80.00 17 195 275.00
4 RH/SDH/GH 0 0 0 0 0
5 WH 0 0 0 0 0
6 DH
Mental Hosp. /
0 0 0 0 0
7 Leprosy Hosp / TB
Hosp
0 0 1 5.00 5.00
Total 9 140.00 23 290.00 430.00
PROVISION OF IMPORTANT FACILITIES FOR HEALTH INSTITUTIONS
MOBILITY SUPPORT
POL & Repairs of existing ambulances
Sr Type of institute
No. of ambulance
available
No. requiring repairs
including purchase of
tyres, batries, etc
Budget required
for repairs
1 PHC – Non tribal 45 0.30 13.50
PHC ‐ Tribal 11 0.45 4.95
2 RH/SDH/WH 14 0.50 7.00
3 DH 2 0.50 1.00
Total 72 26.45

Primary Health Unit in District
Sr. No. Name of Block Name of PHC Name of PHU
Nimdari
Dhamangaon Gadhi Chamak Bu.
Kavita Bu.
Kustha Bu.
1 Achalpur
Pathrot
Kakda
Shindhi Bu.
Kolha
Yesurna
Anjangaon Bari
Wadani Khu.
Asatpur
Rasegaon
Mahuli JH
Nandgaon Peth
Salora
2 Amravati
Rohankheda
Shirala(Amravati) Antora
Yavali Sh.
Walgaon
Kapustalni
Nandure
3 Anjangaon Suraji
Kokarda
Sategaon
Kasabegavan
Bhandaraj
Chincholi Bu.
Rama
Aashti
Takarkheda
Sahur
Haturna
4 Bhatkuli
Bhatkuli
Sayat
Kavatha Bu.
Asara
Dhamori
Kholapur
Virshi
Wathoda Shu.
Asegaon Purna
Rajana Purna
Hirulpurna
Bramhanwada Thadi
Sonori
Devurwada
Karanja Bahiram
5 Chandur Bazar
Karjgaon
Thugaon Pimpari
Kurha Deshmukh
Shirajgaon K.
Kharpi
Borala
Talwel
Kuralpurna
Belora
6 Chandur Railway Amla V

7 Chikhaldara
8 Daryapur
9 Dhamangaon Rly
10 Dharani
11 Morshi
12 Nandgaon Kh
Palaskhed
Jawala Dhotara
Malkhed
Hataru Ektai
Katkumbh
Katkumbh
khari
chunkade
Selona Gaolkheda Ba.
Semadoh Raypur
Akhi
Tembhursonda Gullarghat
Vastapur
Mahuli Dhande
Chandrapur
Uprai
Jasapur
Kanholi
Amla E Amla E
Ramtirtha
Tonglabad
Adula bazar
Vadalgavan
Yewada
Warud Bu.
Wadnergangai
Anjansingi Verul Ronghe
Mangrul Dast Kavali Vasad
Nimboli
Talegaon Das
Zadgaon
Bairaghad
Chatvabod
Ragubali
Bijudhawdi Mogarda
Dhulghat Railway Ranigaon
Harisal Bod
Kalamkhar Chakarda
Hirabambai
Sadrawadi
Susarda
Titamba
Ambada
Hiwarkhed
Pimpalkhuta
Khed
Udaykhed
Riddhapur
Nerpingalai
Rajurwadi
Shirkhed
Vichori
Dhamak
Adgaon
Dhamangaon Ka.
Wadura
Loni Takli
Hiwara Bu.
Dhanora Farshi
Mangrul Chavla Mahuli Chor

13 Tiosa
14 Warud
Alopathic
Displiancy
Mangrul Chavala
Wadhona
Papal
Palasmandal
Pimpalgaon Ni.
Yerangaon
Satergaon
Majari Masla
Murtizapur
Kurha
Warha
Pimpalkhuta
Mardi (Tiwasa)
Salora Bz.
Talegaon Thakur Varkhed
Amaner Ekdara
Benoda
Loni warud
Karajgaon G.
Mangruli peth
Pusala
Pavani
Rajura Bazar
Jarud
Shendurjanaghat Temburkheda
Primary Health Unit Abstract
Ayurvedic
Displiancy
Primary Health
Unit
Mobile
Squade
Total
18 65 12 8 103

Sr.
No.
UP GRADATION OF HEALTH INSTITUTIONS FOR QUALITY SERVICES
UP GRADATION OF HEALTH INSTITUTIONS TO INDIAN PUBLIC HEALTH STANDARDS
Criteria for selection of hospitals for IPHS
District Hospitals : District hospital should be included only if it is with Public Health Department and
not attached to Government Medical College
Women Hospitals : Continue all last years hospitals + any new WH if established during 2011‐12
SDH/GH : Continue all the 50 to 200 bedded hospitals in district + any new hospital established or
upgraded from RH to SDH/GH
Rural Hospitals : Do not add new RH unless the RH has regular medical superintendent, own building
and possibility of getting all five specialist either from regular or on contractual basis.
PHC : We have to include maximum PHCs. Add PHCs with two MOs, 2 Staff nurses and own building.
Sub‐Center : Include 50% SC with priority to building and two nurses are available
Make list of institutes to be selected and provide information as mentioned below Information
regarding budget should be based on facility survey of the institute.
IPHS SC
Sub ‐ Center PHC Taluka
Own
building
2 ANM
available
(one egular
and one
contractual)
Total budget
requirement
as per
External
Facility
survey
Budget
demand
for year
2010‐11
1 Bhankheda Kh Anjangaon Bari Amravati Yes 2 1.00 1.00
2 Pardi Yes 2 1.00 1.00
3 Reosa Walgaon Yes 2 1.00 1.00
4 Devra Shirala Yes 2 1.00 1.00
5 Yawali Shahid Yes 2 1.00 1.00
6 Nandgaon Peth Mahuli J. Yes 2 1.00 1.00
7 Ganoja Devi Bhatkuli Bhatkuli Yes 2 1.00 1.00
8 Uttamsara Yes 2 1.00 1.00
9 Aasra Yes 2 1.00 1.00
10 Wathoda
Shukleshwar
Kholapur
Yes
2
1.00 1.00
11 Khartalegaon Yes 2 1.00 1.00
12 Karatkhed Ramtirth Daryapur Yes 2 1.00 1.00
13 Pimplod Yeoda Yes 2 1.00 1.00
14 Nanded Bk Amala (A) Yes 2 1.00 1.00
15 Shignapur Chandrpur Yes 2 1.00 1.00

Sr.
No.
Sub ‐ Center PHC Taluka
Own
building
2 ANM
available
(one egular
and one
contractual)
Total budget
requirement
as per
External
Facility
survey
Budget
demand
for year
2010‐11
16 Mahimapur Yes 2 1.00 1.00
17 Dhanegaon Kokarda
Anjangaon
Surji Yes
2
1.00 1.00
18 Kamalpur Taroda Yes 2 1.00 1.00
19 Bhandaraj Sategaon Yes 2 1.00 1.00
20 Gavandgaon Yes 2 1.00 1.00
21 Sindhi Pathrot Achalpur Yes 2 1.00 1.00
22 Wadgaon
Fattepur
Yes
2
1.00 1.00
23 Rasegaon Yesuran Yes 2 1.00 1.00
24 Asadpur Yes 2 1.00 1.00
25 Naigaon
Dhamangaon
Ghadi
Yes
2
1.00 1.00
26 Gaurkheda Yes 2 1.00 1.00
27 Kurha Karajgaon Chandur Bazar Yes 2 1.00 1.00
28 Shirajgaon Yes 2 1.00 1.00
29 Kalhodi Yes 2 1.00 1.00
30 Kajali B. Thadi Yes 2 1.00 1.00
31 Vani Yes 2 1.00 1.00
32 Talegaon Mohana Asegaon P. Yes 2 1.00 1.00
33 Pala Hiwarkhed Morshi Yes 2 1.00 1.00
34 Pimpalkhuta Big Ambada Yes 2 1.00 1.00
35 Rajurwadi Nerpinglai Yes 2 1.00 1.00
36 Adgaon Vichori Yes 2 1.00 1.00
37 Ridhpur Khed Yes 2 1.00 1.00
38 Ekdara Amner Warud Yes 2 1.00 1.00
39 Jarud‐1 Rajura Bz. Yes 2 1.00 1.00
40 Haturna Yes 2 1.00 1.00
41 Mangruli Peth Loni Yes 2 1.00 1.00
42 Tembhurkheda She. Ghat Yes 2 1.00 1.00
43 Shirajgaon Mozari Mardi Tiosa Yes 2 1.00 1.00
44 Shivangaon Yes 2 1.00 1.00
45 Talegaon Thakur Talegaon T. Yes 2 1.00 1.00
46 Marda Kurha Yes 2 1.00 1.00
47 Ashok Nagar Anjansingi
Dhamangaon
Rly Yes
2
1.00 1.00

Sr.
No.
48
Sub ‐ Center PHC Taluka
Juna
Dhamangaon
Own
building
Yes
2 ANM
available
(one egular
and one
contractual)
2
Total budget
requirement
as per
External
Facility
survey
Budget
demand
for year
2010‐11
1.00 1.00
Virul Ronghe Yes 2 1.00 1.00
Jhadgaon Nimboli Yes 2 1.00 1.00
Kawli Mangrul Dast. Yes 2 1.00 1.00
Ghuikhed Amala V. Chandur Rly Yes 2 1.00 1.00
Rajura Palskhed Yes 2 1.00 1.00
Satefal Yes 2 1.00 1.00
Dhanora Fasi Loni T. Nandgaon KH. Yes 2 1.00 1.00
Wadhona
Ramnath
Papal
Yes
2
1.00 1.00
Sultanpur Dhamak Yes 2 1.00 1.00
Mahuli Chor Mungrul C. Yes 2 1.00 1.00
Pimpalgaon
Nipani
Papal
Yes
2
1.00 1.00
Motha Salona Chikhaldara Yes 2 1.00 1.00
Bhulori Yes 2 1.00 1.00
Bihali Yes 2 1.00 1.00
Borala Yes 2 1.00 1.00
Makhla semadoh Yes 2 1.00 1.00
Raipur Yes 2 1.00 1.00
Tarubandha Yes 2 1.00 1.00
Ambapati Tembursonda Yes 2 1.00 1.00
Khatkali Yes 2 1.00 1.00
Jarida Katkumbh Yes 2 1.00 1.00
Awagadh Yes 2 1.00 1.00
Kharya Tembhru Kalamkhar Dharani Yes 2 1.00 1.00
Karda Yes 2 1.00 1.00
Berdabharu Yes 2 1.00 1.00
Rehtyakheda Sadrawadi Yes 2 1.00 1.00
Dhodhra Yes 2 1.00 1.00
Berdabarda Harisal Yes 2 1.00 1.00
Nanduri Yes 2 1.00 1.00
Chipoli Yes 2 1.00 1.00
Dhakana B. Dhawadi Yes 2 1.00 1.00
Jutpani Yes 2 1.00 1.00

Sr.
No.
Sub ‐ Center PHC Taluka
Own
building
2 ANM
available
(one egular
and one
contractual)
Total budget
requirement
as per
External
Facility
survey
Budget
demand
for year
2010‐11
Kutanga Bairagad Yes 2 1.00 1.00
Khamda Yes 2 1.00 1.00
Baratanda Dhulghat Rly Yes 2 1.00 1.00
IPHS PHC
Sr Name of the
PHC
Total.. 166 83.00 83.00
Block Number of
MO
available
No. of nurses at
HQ (ANM, LHV
and contractual
staff nurse)
Own
building
(Yes/No)
Total budget
requirement as
per External
Facility survey
Budget
demand
for year
2010‐11
1 Walgaon Amravati 1 2 Yes 5.00 5.00
2 Anjangaon
Bari
2
2 Yes 5.00 5.00
3 Pathrot Achalpur 2 2 Yes 5.00 5.00
4 Dhamangaon
Ghadi
2
2 Yes 5.00 5.00
5 Amala V. Chandur Rly 2 2 Yes 5.00 5.00
6 Palskhed 2 2 Yes 5.00 5.00
7
Talegaon D.
Dhamangaon
Rly 2
2 Yes 5.00 5.00
8 Anjansingi 1 2 Yes 5.00 5.00
9 Rajura Bz. Warud 2 2 Yes 5.00 5.00
10 Loni (w) 2 2 Yes 5.00 5.00
11 Pusala 2 2 Yes 5.00 5.00
12
Loni T.
Nandgaon
KH. 2
2 Yes 5.00 5.00
13 Papal 2 2 Yes 5.00 5.00
14 Chandrpur Daryapur 2 2 Yes 5.00 5.00
15 Yeoda 2 2 Yes 5.00 5.00
16 Amala Emali 2 2 Yes 5.00 5.00
17 Bhatkuli Bhatkuli 2 2 Yes 5.00 5.00
18 Kholapur 2 2 Yes 5.00 5.00
19 Semadoh Chikhaldara 1 2 Yes 5.00 5.00
20 Tembursonda 2 2 Yes 5.00 5.00
21 Katkumbh 2 2 Yes 5.00 5.00
22 Salona 2 2 Yes 5.00 5.00
23 Harisal Dharni 2 2 Yes 5.00 5.00

24 Sadrawadi 2 2 Yes 5.00 5.00
25 Bijudhawadi 2 2 Yes 5.00 5.00
26 Bairagad 1 2 Yes 5.00 5.00
27 Kurha Tiosa 2 2 Yes 5.00 5.00
28 Mardi 2 2 Yes 5.00 5.00
29 Nerpinglai Morshi 2 2 Yes 5.00 5.00
30 Hiwarkhed 2 2 Yes 5.00 5.00
31
Karajgaon
RH/SDH/GH/WH/GH/DH
Sr Name of the
Hospital
Type
(RH/SDH/GH/
WH/DH)
No. of beds Total budget
requirement as
per External
Facility survey
Budget
demand for
year 2010‐11
1 District Hospital DH 379 50.00 50.00
2 Women Hospital WH 200 35.00 35.00
3 Achalpur SDH SDH 100 20.00 20.00
4 Dharni SDH SDH 50 20.00 20.00
5 Morshi SDH SDH 50 20.00 20.00
6 Daryapur SDH DH 50 20.00 20.00
7 Warud RH 30 20.00 20.00
Total 185.00
Total budget required
Chandur
Bazar 2
2 Yes 5.00 5.00
32 Asegaon P. 1 2 Yes 5.00 5.00
33 Kokarda Anjangaon 1 2 Yes 5.00 5.00
34 Sategaon 1 2 Yes 5.00 5.00
61 68 170.00 170.00
Provide information on budget requirement for IPHS. Use the institute wise format for this purpose.
Request for the budget as per table given below:
Sr Institute Total no. in district No. selected for
IPHS
Budget requirement
1 Sub‐Center 333 83 83.00
2 PHC 56 34 170.00
3 RH 9 1 20.00
4 SDH – 50 3 3 60.00
5 SDH – 100 1 1 20.00
6 GH – 200 1 1 0
7 WH 1 1 35.00
8 DH 1 1 50.00
9 ISO Certification for
IPHS Institute
71 10 50.00
Total 488.00

TELEMEDICINE CENTER
One telemedicine center at District Hospital and one at SDH are being established in District.
Sr Particulars
1
2
3
4
Honorarium to Doctors – Patient
node
Honorarium to Doctors‐Specialist
node
Salary of Facility Manager (Rs.
15000/PM)
Travel and daily allowances to Facility
Manager (Rs. 500/PM)
Unit
cost
District Hospital SDH
No. of
units
Budget
required
No. of
units
Budget
required
0.001 500 0.50 500 0.50
0.003 250 0.75 250 0.75
0.15 1 1.80 1 1.80
0.005 1 0.60 1 0.60
5 Construction of telemedicine room 0 0.00
6
Installation and commissioning of
equipment
0 0.50
7 Contingency 0.50 0.50
Total 4.15 4.65
Telemedicine Communication (Broad Band budget) for 2011‐12
Sr. No Name Amount
1 DH Amravati 0.90
2 SDH Dharni 0.90
3 RH Chikhaldara 0.90
Total 2.70

STRENGTHENING OF NURSING SERVICES
Nursing services are backbone of the health system. Skilled nurses in sufficient number are required
at all health institutions from SC to District Hospitals for services.
In additionalities, nursing services are to be strengthened, all the required facilities are to be
provided as per MNC norms.
Provide information about nursing services as follows:
Sr Particulars Unit price
1
2
Hiring of support staff at Nursing Schools
(service wise separate row)
Hiring of teaching staff (cadre wise separate
row)
No. of
units
required
Total budget
required
5.00 2 10.00
4.00 2 8.00
3 Strengthening of Annex building 10.00 1 10.00
4 New construction of annex building 0 0 0
5
Repairs and new construction of nursing
school main building
15.00 2 30.00
6 Repairs and new construction of hostel 10.00 2 20.00
7 Hiring of vehicle for nursing school 0 0 0
8
9
10
11
12
13
Computer stationery, other expenses,
contingency
Meeting MNC requirements (indicator wise
information)
Stipend to nurses (additional capacity) as per
government rates – ANM students
Stipend to nurses (additional capacity) as per
government rates – GNM students
Stipend to nurses (additional capacity) as per
government rates – LHV students
Stipend to nurses (additional capacity) as per
government rates – PHN students
1.20 2 2.40
6.00 2 12.00
5.00 1 5.00
5.00 1 5.00
0 0 0
0 0 0
14 PPP‐Stipend to ANM students 0 0 0
15 PPP – Stipend to GNM students 0.05 50 2.50
16 PPP – Fees on loan basis to students 0.25 50 12.50
17 Block PHN TA 0 0 0
Total 61.50 117.40

SCHOOL HEALTH PROGRAM
Planning of this program is to be done by Civil Surgeon.
This program includes examination of all the school children in rural areas between 1 st to 10 th
standard.
Furnish following program related information:
Sr.
No
Activities Available in
district
Expected
achievement
(Nov 2010)
1 No. of Schools to be covered 2256 1709
2 No. of Students to be covered 368952 245628
3 Treatment of minor ailments by SH team ‐ 34456
4 Specialist care
5 Major – tertiary care
School Health Programme
Salary, Daily Allowances (DA) and Travel Allowances (TA)
Sr Particulars Monthly
budget
requirement
Rs. In Lakhs
No. Budget required
for 2011‐12
1 Salary of SHP Coordinator 0.13 1 1.56
2 Salary of DEO 0.10 1 1.20
3 Contingency (stationary, internet,
office maintenance, photocopying,
AMC of office equipment, etc)
0.02 0.24
4 Travel to SHP Coordinator 0.10 1 1.20
5 Printing of cards 1 0.20
6 Communication District 0.10 1 0.10
7 Over head District 0.06 1 0.06
Total 4.56

Total budget requirement
(Propose total budget required under PMU including SHP wing, etc.)
You can add any other component for budget requirement with due explanation
Sr Particulars Monthly budget
requirement
Budget required
for 2011‐12
Remarks
1 Salary of contractual staff 5.32 63.84 It is proposed to
Salary of SHP MO
@ Rs. 15000/‐
per month, &
Pharmasist @ Rs.
8000/‐ Per Month
2 Salary of contractual staff
(Tribal)
0.88 10.56 It is proposed to
Salary of Tribal
SHP MO @ Rs.
18000/‐ per
month, &
Pharmasist @ Rs.
8000/‐ Per Month
3 Hiring of one vehicle 3.20 38.40 @ Rs. 0.20 per
month
4 Contingency Distict (stationary,
internet, office maintenance,
photocopying, AMC of office
equipment, etc)
5 Contingency Block (stationary,
internet, office maintenance,
photocopying, AMC of office
equipment, etc)
6 Referral Services and
investigation
0.08 0.08
0.10 1.60
8.50
7 SHP Medicine 12.00
Total 134.98

SCHEMES FOR TRIBAL AND LEFTIST EXTREMISM AFFECTED AREAS
PREVENTION OF SICKLE CELL DISEASE
Under this program, budget is provided for testing to health institutions and IEC and counseling to
ASHA through PHC.
Physical target for district :
No. of solubility tests to be performed in district during 2010‐11 ‐ 5916
No. of electrophoresis tests to be performed during 2011‐12 ‐ 37
Budget for health institutions:
Sr Particulars
1
2
3
Unit
cost
First phase districts Second phase districts
No. of
units
Budget
required
Unit
cost
No. of
units
Budget
required
Total
budget
required
PHC‐Laboratory
consumables/
Contingency/ Card
printing
RH/SDH – Lab
0.60 11 6.60 0 0 0 6.60
consumables/
Contingency
Celebration of Sickle
0.84 3 2.52 0 0 0 2.52
Cell Week at
PHC/RH/SDH
0.20 14 2.80 0 0 0 2.80
Total 11.92
District level budget requirement:
First phase districts Second phase districts Total
Sr Particulars
Unit
cost
No. of
units
Budget
required
Unit
cost
No. of
units
Budget
required
budget
required
1 SCD Coordinator 0.15 1 1.80 1.80
2
Contingency to District
including TA/DA
0.10 1 1.20 1.20
3
Budget for Solubility
Test
0.10 11 1.10 1.10
4
Budget for
Electrophoresis test
0.84 3 2.52 2.52
5 Support to DH 5.00 1 5.00 5.00
6 IEC of Sickle Cell week 0.05 14 0.70 0.70
7 Salary of Lab Tech. 0.08 2 1.92 1.92
Total 14.24

Incentive to ASHA :‐
In tribal area sickle cell disease programme will be run through Government staff. In this programme
main focus is on ASHA Volunteers who will going to support for achieving target of Solubulity test of
villagers age group 1 to 30 years.and also main stress on married couple.
For that it is proposed to give performance based incentive to ASHA for motivating people and
couple for solubility test at PHC.
Expected budget required Rs. 15.36 lacs for 2011‐12.
Sr.
No.
1.
2.
3.
4.
5.
6.
Activity
Awareness of people for
Solubility test and
counseling.
Supervision to Block
Facilitator on Solubility
Test and Counseling ASHA
Solubility positive person
promote to
Electrophoresis test.
Sickle Cell Diseases Control Programme
Rate
Per
Unit
No of
Unit
Total
Budget
15 56130 841950
100 40 4000
50 1793 89650
Collect the village wise list
for the Sickle Cell effected
patient and give the
home visit to counseling
and referral services for
the treatment.
Meeting on Sickle Cell
programme in Residential
75 664 49800
School/ Anganwadi
centre/other School
(Quarterly Meeting)
Monthly Meeting in PHC
150 3540 531000
for ASHA worker, Block
facilitator, ANM, LHV and
Lab. Technician
150 132 19800
Total … 540 62299 1536200
Justification
Total population in Melghat are
282227 in between 1 to 30 year target
population are 84668 and 30 to 49 age
group Mother are 5003 total
beneficiary 89671 last two year 33541
solubility test completed. In financial
target achieve 100%. There for 56130
this year. ASHA worker promoted
Solubility test and give the incentive Rs.
15/‐ per test.
Total block facilitator in Melghat 40
give the Rs. 100/‐ for Solubility Test
and Counseling ASHA
Total covered beneficiary 2% Solubility
positive rate and covered 25%
Solubility positive promoted to
Electrophoresis test by ASHA worker
and give the incentive Rs. 50/‐ per test.
Give referral services and village wise
list for Sickle Cell patient, give the
incentive Rs. 75/‐ per patient by ASHA
worker.
Take the Meeting for Residential
School and Anganwadi centre and
other School to conduct Lab.
Technician and MO School Health.
Review Meeting PHC level conduct by
PHC MO.

PROCUREMENT PLAN
Warehouse (Medicine Store) information of district
Sr Place of
warehouse
(medicine store)
Repairs New
Construction
Budget requirement
Equipment
and furniture
Contingency
Total
budget
required
1 DHO Warehouse 0 15.00 7.00 1.50 23.50
2 Civil Surgeon
Warehouse
3 Salary of
Pharmacist
DHO/CS
3.00 0 0 1.50 4.50
0 0 0 0 2.40
Total 3.00 15.00 7.00 3.00 30.40

INNOVATIVE SCHEMES
CO‐ORDINATION CELL AT DISTRICT HOSPITAL :‐
Peripheral health institutions (SCs, PHCs, CHCs, etc.) have to refer patients to District Hospitals in
emergency. District Hospitals have different sections for registration, laboratory checkup, X‐ray,
medicines, blood bank, etc. Tribal patients do not have orientation of hospital and also cannot
understand the language and there is delay in getting all the formalities done. Because of such
environment, tribal patients are not willing to stay in hospital and many of the times insist for
discharge even if the condition of patient is critical. To avoid this, one Coordination cell for patients
referred from PHCs/CHCs in district will be established in each of 6 tribal district hospitals of state.
The coordination cell will be established in District Hospital.
Geographical distribution
Districts Hospitals included are : Thane, Nashik, Nandurbar, Amarawati, Gondia and Gadchiroli.
Structure of Coordination cell
The cell will be structured as follows:
1. There will be one Supervisor and 4 Coordinators in the Cell.
2. Supervisor should be at least 12 th standard pass and Coordinators should be at least 10 th
pass.
3. Two coordinators will be males and two will be females. This can be changed as per need by
districts.
4. Coordinator and Supervisor must be from tribal community and able to speak local tribal
language prevalent in district or in patients coming to DH.
5. One desk should be given to Cell in ODD and Casualty of the hospital at prominent place
with signboard.
Appointment of Coordination cell staff
Coordination cell staff will be appointed by Selection committee constituted under Chairmanship of
Chairman EC RKS. Selection should be by advertisement in newspaper. It is important that the
Supervisor and Coordinators should be from tribal community and should understand tribal
language and should be good in communication skills.
Functions of Coordination Cell
One person should be available either in OPD or Casualty from coordination cell to help the serious
tribal patients. Following will be the functions of Tribal cell :
• Informing all the Sub‐Centers, PHCs and Hospitals about tribal cell and telephone and mobile
numbers of the Cell Staff.
• Receiving the serious / referred patients from health facilities in tribal areas, helping them in
formalities for check‐up, admission and investigations.
• Requesting the Medical Officers or specialists to attend to patients if required
• Admitting the patient in hospital

• Daily visit to patient to solve any problem till discharge.
• Coordinating with welfare agencies and donors for any special service required to tribal
patients and their relatives.
• Making arrangements for transport after discharge.
Instructions to Civil Surgeon
• Do not give any other work to Coordination Cell staff. Do not engage them with duty of
regular patients or VIP patients.
• Do not send the Coordination Cell staff on tour to other places.
• Duty of the Supervisor and Coordinators should be in such a way that one person is always
available in either OPD or Casualty.
Budget requirement
Budget is provided for following purposes:
Salary of Supervisor
Supervisor is paid Rs. 6000/PM. He/She will be in charge of the Coordination Cell. Budget is provided
for 10 months salary of Supervisor (Rs. 0.6 Lakh). If necessary, the EC RKS can increase the salary of
Supervisor up to Rs. 8000/PM within the budget provided to the activity.
Salary of Coordinator
There will be four Coordinators in Cell. Salary of Coordinator is Rs. 4000/PM. Budget is provided for
10 months salary of Coordinator (Rs. 0.4 Lakh per person – total Rs. 1.60 L). If necessary, the EC RKS
can increase the salary of Coordinator up to Rs. 6000/PM within the budget provided to the activity.
a. Furniture and Renovation of Help Desk
Coordination Cell Help desk will be made available at OPD and Casualty. Rs. 0.5 Lakh is provided for
furniture of help desk. Procure furniture and required partition from this grant for sitting
arrangement of the Coordination staff.
b. Communication (Telephone and Mobile charges)
Budget for telephone line and mobile is provided for Coordination cell. If required install one
telephone line to the Coordination Cell, otherwise provide mobile handsets to Cell staff from this
grant. Rs. 10000/‐ is provided for mobile charges to Cell staff. Mobile charges maximum up to Rs.
400/PM for Coordinator and Rs. 500/PM for Supervisor are permissible. If budget is not sufficient
then savings of Telephone line or contingency should be used for this purpose.
c. Overheads
Grant of Rs. 60000/‐ is provided as overheads to Coordination Cell. This grant can be used for
stationary and other minor expenses of cell and also for any activity mentioned above if the allotted
grant is not sufficient.

Budget requirement for Coordination Cell during the year 2011‐12
Rs. In Lakhs
Sr Particulars Monthly budget No. of Unit Budget required
requirement
for 2011‐12
1 Salary of Supervisor 0.06 1 0.72
2 Salary Coordinator 0.04 4 1.92
3 Furniture & renovation of Help
desk
0.50 1 0.50
4 Telephone facility to Help desk 0.02 12 0.24
5 Mobile Charges to all Members 0.01 5 0.60
6 Over heads 0.60 1 0.60
Total 4.58
MAHER SCHEME
Maher scheme
Melghat have hilly terrain and many of the tribal padas do not have pukka roads. Even if
pukka roads are available, there is no reliable transportation system for transferring pregnant
women in labour to nearby PHC. This is the one of the important cause of high maternal and
neonatal mortality and morbidity.
Since accurate predication cannot be made on the time of delivery, hence it puts the mother
in danger if she develops complicacies and does not find transportation facilities. Hence Maher
scheme is implemented in Melghat area in which one room is build in PHC premises where pregnant
woman will get admitted one week before her due date. She can be daily checked by Doctor of PHC
and can be transported to suitable referral centre if any complications are detected during waiting
period or during labour.
Following facilities are proposed in ‘Maher’
• One room of 5×5 meters
• One sanitary block (Toilet and bathroom)
• One kitchen ota with smokeless chulha
• One solar water heater system on roof of the room
‘Maher’ will be maintained by local Self Help Group. When mother is admitted, mother, her young
child and one relative will be provided food three times a day. It is proposed to provide Rs. 400/‐ per
delivery. In 2008‐10, 9 PHCs Maher room constructions get completed. Hence remaining 2 PHCs in
Melghat areas will be proposed under this scheme.
Melghat PHC : 1) Katkumbh
2) Salona

Budget requirement for Maher Scheme
Sr Particulars Unit cost No. of units
Rs. In Lakhs
Budget required
1 One room construction 5.50 L/PHC 2 11.00
2 Maintenance cost to SHG Rs. 400/‐ per delivery 1350 5.40
Total 16.40
VOLUNTEER TO TRIBAL PHCS
Tribal population do not accept the health services from institutions as expected. The cause
of non acceptance are manifold, one of which is their communication with the PHC staffs who are
normally out of the tribal areas. Besides the staffs belong to different culture and different
understanding about various diseases. Considering this, it is proposed that two local volunteers, who
knows the local language and can understand the concept of positive health, can be appointed as
Volunteer in tribal PHC. This volunteer will counsel the patients, direct them for case papers, and
inform them about the instructions given by doctor and nurses and give simple public health
messages. Hence there is a need of appointing 28 volunteers in Melghat area and 6 volunteers are
appointed at DH/WH/SDH Achalpur.
Budget requirement for Volunteer to tribal PHCs
Sr Particulars Unit cost No. of units
Rs. In Lakhs
Budget required
1 Honorarium to volunteer
PHC/RH/SDH
Rs. 0.03 L/Vol/PM 30 10.80
2 Honorarium to volunteer
DH/WH/SDH
Rs. 0.045 L/Vol/PM 4 2.16
Total 12.96
Diet Facility for PHC and RH/SDH level:‐
Budget requirement for Diet & Loss of wages to deliveries
Rs. In Lakhs
Sr Particulars Unit cost No. of units Budget required
1 Diet @ Rs. 600/‐ Per
Delivery (4 days)
2 Loss of Wages @ Rs.
600/‐ per Delivery
(4 Days)
Rs. 600/‐ per delivery 1650 9.90
Rs.600/‐ per delivery 1650 9.90
Total 19.80

AYUSH MAINSTREAMING
AYUSH facility is being provided to selected health institutions. Under this scheme, doctors from
Ayurved, Homeopathy and unani faculties are being appointed in hospitals. Budget will be required
for salary of these medical offices and medicines.
Mainstreaming means provision of AYUSH services in allopathic hospital so that patient has choice to
choose between all the available types of treatment.
Following are broad guidelines for implementation of AYUSH program in districts
i. AYUSH facility should be started in PHCs where regular Ayurved Medical Officers are posted. No
contractual doctor is allowed to be appointed at PHC level.
ii. Selected RH/SDH in state will have all the three AYUSH faculties – Ayurved, Unani and
Homeopathy. Out of these, Ayurved doctors will be full time and Homeopathy and Unani
doctors will be part time. Names of such doctors is already communicated.
iii. At DH all the three pathies along with Yoga – Naturopathy will be available. All the doctors here
are full time. Indoor facility for AYURVED will also be available in DH. In DH, one post of
pharmacist and one post of masagist is also sanctioned.
iv. All these doctors will be provided medicine kits through AYUSH department of GoI. Till we get
the medicines from AYUSH department, medicines can be purchased from IPHS funds only at
places where AYUSH contractual doctors are appointed. Guidelines issued for AYUSH medicine
purchase and IPHS purchase should be followed for this purpose.
v. Guidelines issued by SHS should be followed for appointment and medicine and equipment
purchase in AYUSH facilities.
District AYUSH Cell
Ayush cell is established in all the districts. Extension officer (Ayurved) will be in charge of the cell. If
the Extension Officer is not available in district, one Ayurvedic postgraduate doctor can be appointed
on contract basis for cell. Alternatively, one Ayurvedic Graduate Medical Officer can be taken on
deputation and contractual MO can be posted at his/her place. Budget provision for the AYUSH cell
is as follows:
a. Salary of contractual MO : If EO (Ayurved) is not available in district, one postgraduate
ayurvedic doctor should be appointed. Salary of the doctor will be Rs. 16000/PM. Budget if
provided to pay the salary of contractual MO. Alternately one interested Ayurvedic Graduate
regular MO can be appointed for this post and the contractual MO can be appointed in place
of the regular MO.
b. Contingency : Contingency @ Rs. 5000/‐ is provided this year. Stationary, Annual
Maintenance of equipment and other office expenses should be made through this grant.

Budget requirement for AYUSH Cell during the year 2011‐12
Sr Particulars Monthly budget
requirement
1 AYUSH Center in RH/SDH
Rs. In Lakhs
No. Budget required
for 2011‐12
a MO (AYUR) Full time 0.12 6 8.64
b MO (HOMEO) Part time 0.08 6 5.76
c MO (UNANI) Part time 0.08 6 5.76
2 AYUSH Center in DH 0
a MO (AYUR) Full time 0.12 1 1.44
b MO (HOMEO) Full time 0.12 1 1.44
c MO (UNANI) Full time 0.12 1 1.44
d Pharmacist 0.07 1 0.84
e Yoga Teacher 0.06 1 0.72
f Mussagist cum Attendant
(Male/Female)
0.05 2 1.20
District AYUSH Cell 0
a Data Entry Operator 0.08 1 0.96
b Office Furniture / Computer &
Printer
2.00 1 2.00
c Contingency 0.05 1 0.60
Total 30.80

Hardship allowance to régular staff working in extremly difficult health facilities
In tribal and LEA areas, there are few RHs, PHCs and Sub‐Centers where regular staff do not join
even if appointed. Such health institutions cannot provide services to community. Besides, large
investments of government also remain unutilized. These areas are also having very high IMR and
MMR and are in need of critical staff. Regular nurses, doctors and specialists will be provided
allowances over and above their salary.
This scheme is for extremely difficult tribal and/or leftist extremism affected areas of Thane, Nashik,
Dhule, Nandurbar, Nanded, Amarawati, Yawatmal, Gondia, Chandrapur and Gadchiroli districts.
Important instructions in this regard are as follows:
• Regular nurses, MBBS doctors and specialists in RH will get his/her regular pay and tribal /
naxalite area allowances as usual from Zilla Parishad / treasury. The hardship allowance
provided by NRHM is over and above this salary. This should be paid by cheque to these staff
by THO/MS or Civil Surgeon.
• The health institutions to be included in this scheme should be decided by District Health
Society. Such institutions should have record of non‐availability of nurses (SC/PHC) MBBS
doctors (PHC/RH) and specialists (RH) for long time.
• Hardship allowances to be provided to all ANMs, LHVs and Staff Nurses working in notified
Sub‐Centers, PHCs and RH/SDH.
• Hardship allowances to be provided to MBBS doctors working in PHCs or RH/SDH and
specialists of only five specialties (Medicine, Surgery, OBGY, Pediatrics and Anesthesia) and
Medical Superintendent of RH (any speciality).
• Specialist allowances can be paid to MBBS doctors who have undergone multi‐skill training
and are providing specialty care.
• It is mandatory to stay at HQ for the staff to be eligible for the scheme.
• If government servant is on leave for more than one week, then allowance should be
proportionately reduced for that month.
Budget utilization
a. Allowances to ANM : Regular ANM if staying at HQ and providing services such as delivery
should be paid Rs. 4000/PM over and above her regular salary from NRHM funds. ANM
include ANM posted at notified Sub‐Centre and also the notified PHC in the district.
b. Allowances to LHV/Staff Nurse/NM : She should be paid Rs. 6000/PM over and above salary
provided she is actively involved in RCH activities including ANC checkup, delivery and
immunization and providing services by staying at HQ. The LHV/staff nurse /NM include
nurses working in notified PHC as well as notified Rural Hospital.
c. Allowances to MO PHC : Regular MO with MBBS degree if staying at HQ and providing all
the services is eligible for hardship allowance. Hardship allowance for MO PHC is Rs.
12000/PM over and above regular salary.

d. Allowances to RH doctors : Medical Superintendent and regular medical officers of
specialties mentioned above should be paid hardship allowances @ Rs. 18000/PM. MBBS
doctors trained in cesarean section, anesthesia and neonatal/child care should also be paid
specialist hardship allowances @ Rs. 18000/PM if they provide specialist services.
Sometimes MBBS doctors are posted at identified RH as there is no specialist available.
These doctors should also be paid hardship allowance. However rate of hardship allowance
should be 12000/PM.
Budget requirement for Hardship allowance during the year 2011‐12
Rs. In Lakhs
Sr Particulars Monthly budget No. Budget required
requirement
for 2011‐12
1 ANM 0.04 95 45.60
2 NM/LHV‐ PHC/RH/SDH 0.06 17 12.24
3 MO PHC/RH/SDH 0.12 25 36.00
4 Specialist 0.18 9 19.44
Total 113.28
MOBILE MEDICAL UNITS
National Rural Health Mission, Framework for Implementation (2007‐12) has mentioned support to
Mobile Medical Units in rural areas of the state. Objective of providing these units is to take health
care to the doorstep of the public in the rural areas, especially in under‐served areas. The GOI has
suggested establishing one Mobile Medical Unit (MMU) per district, however it has advised states to
consider diversity and ensure the adoption of most dutiable and sustainable model for the MMU to
suit their local requirements. States are also required to plan for long‐term sustainability of the
intervention.
Budget requirement for Mobile Medical Unit during the year 2011‐12
Rs. In Lakhs
Sr Particulars Monthly budget No. Budget required
requirement
for 2011‐12
1 Salary of Staff of Mobile
a
Medical Unit
Project Manager 0.10 1 1.20
b Accountant 0.06 1 0.72
c MO – I 0.16 1 1.92
d MO‐ II 0.15 1 1.80
e Staff Nurse 0.08 1 0.96
f Lab Technician 0.07 1 0.84
g Pharmacist 0.07 1 0.84
h Support Staff 0.06 1 0.72
i Driver 0.06 2 1.44
2 Recurring
Salary
Cost other than

a Vehicle repair & POl 0.20 1 2.40
b Equipment maintenance 0.20
c Consumable 0.50
d Medicine 0.36
e Other Expenses 0.36
f Overheads 1.00
3 Initial support to NGO 0.50
Total 15.76
PREPARATION OF DISTRICT HEALTH ACTION PLAN (DHAP)
In order to make NRHM fully accountable, the district health action plan will be the principal
instrument for planning, implementation and monitoring, formulated through a participatory and
bottom up planning process. District Health Mission constituted as per guideline is responsible for
the planning of district.
Considering the bottom up approach being used by Maharashtra, grant is released to districts @ Rs.
0.6 Lakh per block for preparation of PIP of year 2011‐12.
Guidelines for preparation of PIP and utilization of PIP funds will be provided in third quarter.
Budget requirement for DHAP during the year 2011‐12
Rs. In Lakhs
Sr Particulars Budget per unit No. of unit Budget required
for 2011‐12
1 Preparation of DHAP 0.60 14 8.40

MONITORING AND EVALUTION CELL
Monitoring is a periodic collection and analysis of selected indicators of the Program to enable
health managers to determine whether key activities are being carried out as per the action plan. It
is carried out at both the services delivery unit through direct contact with health workers and at the
managing office by examining periodic reports. Monitoring provides feedback to project manager in
order to improve the operation plan and to take mid course corrective measures if necessary.
Evaluation of a program or of a component helps to assess the tracking/success/failure of any
program and also the reasons for the above. It is also necessary task at regular interval for ongoing
projects and at end of the pilot projects/initiatives and also before up scaling any program initiative.
Budget requirement for M & E Cell during the year 2010‐11
Sr Particulars Monthly budget No. Budget required
requirement
for 2011‐12
1 Salary of M & E Officer 0. 27 1 3.24
2 Salary of DEO 0.15 3 5.40
3 Contingency (stationary,
internet, office maintenance,
photocopying, AMC of office
equipment, etc)
0.10 1.20
4 Travel to statistical officer 0.10 1 1.20
5 T.A. & D.A. of M & E officer 0.10 1 1.20
Total 0.35 12.24
FINANCIAL MANAGEMENT GROUP
Budget requirement for F.M.G. during the year 2011‐12
Sr Particulars Monthly budget No. Budget required
requirement
for 2011‐2012
1 Salary of Accountant 0.12 2 2.88
2 T.A. & D.A. of Accountant 0.02 2 0.48
3 Contigency 0.06 1 0.72
Total 4.08
Budget requirement for RKS Coordinator during the year 2010‐11
Sr Particulars Monthly budget No. of unit Budget required
requirement
for 2011‐12
1 Salary of RKS Coordinator 0.15 1 1.80
2 Salary of Proposed DEO 0.12 1 1.44
3 Contingency (stationary,
internet, office maintenance,
photocopying, AMC of office
equipment, etc)
0.05 1 0.60
4 T.A. & D.A. of RKS Coordinator 0.05 1 0.60
Total 0.47 4.44

INFRASTRUCTURE DEVELOPMENT WING (IDW)
IDW is established in your district as a construction wing of DPMU. IDW staff should be
accommodated at the place where DPMU is situated.
As budget required for functioning of IDW is to be shown under construction, it is shown separately
from the DPMU budget. The heads of particulars are same except the vehicle hiring.
Propose the IDW HQ budget in following tables. You can add any other component if required for
budget. Prepare this table in coordination with Deputy Engineer
Salary, Daily Allowances (DA) and Travel Allowances (TA) to HQ staff of IDW
Sr Particulars
No. of
persons
Monthly
salary
No. of
expected
tour days
Rate
DA
Monthly
budget
TA ‐
Monthly
budget
required
1 Deputy Engineer 1 0.24 10 200.00 0.02 0.10
2
Junior Engineer
(Block level)
4 0.72 20 100.00 0.08 0.16
3 Data Entry Operator 1 0.12
Total 1.08 0.10 0.26
Budget required for IDW HQ
Sr Particulars
Monthly budget
requirement
Budget required
for 2011‐12
1 Salary of IDW staff 1.08 12.96
2 DA to IDW staff 0.10 1.20
3 TA to IDW staff
Contingency (stationary,
0.26 3.12
4
internet, office maintenance,
photocopying, AMC of office
equipment, etc)
0.05 0.60
Total 1.49 17.88
Remarks

IPHS MONITORING UNIT
It has been decided to include 30% Sub‐Centers, 30% PHCs 30% SDH/RH and all District Hospitals to
upgrade as IPHS standard hospitals. As this will be major task requiring large budget and continuous
monitoring, it is proposed to establish one IPHS monitoring unit under each civil surgeon. This unit
will work under RMO (O) on day to day basis.
Civil Surgeon should provide sufficient space to the IPHS unit.
Budget required for IPHS monitoring unit will be as follows:
Salary, Daily Allowances (DA) and Travel Allowances (TA)
Sr Designation
No. of
persons
Monthly
salary
No. of
expected
tour days
Rate
DA
Monthly
budget
TA ‐
Monthly
budget
required
1 IPHS Coordinator 1 0.27 10 200.00 0.02 0.10
2 DEO 1 0.12
Total 0.39 0.02 0.10
Total budget requirement
(Propose total budget required under PMU including IDW, IPHS wing, etc.)
You can add any other component for budget requirement with due explanation
Sr Particulars Monthly budget Budget required
requirement for 2011‐12
1 Salary of contractual staff 0.39 4.68
2 Daily allowances to contractual
staff
0.02 0.24
3 Travel Allowances to
contractual staff
0.10 1.20
4 Contingency (stationary,
internet, office maintenance,
photocopying, AMC of office
equipment, etc)
0.10 1.20
Total 0.61 7.32
Remarks

BLOCK PROJECT MANAGEMENT UNIT
BPMU is established in all blocks of your district. The BPMU will require sufficient office space to
function efficiently. BPMU should be located at taluka HQ, preferably in old PHC building or SDH/RH
building.
Describe the number of BPMU in district, present places of BPMU, place is sufficient in how many
blocks and not sufficient in how many blocks.
Request for budget for salary, travel expenses and daily allowances to contractual staff, minor
repairs, furniture and contingency.
Propose the budget in following tables
Salary, Daily Allowances (DA) and Travel Allowances (TA)
Sr Designation
No. of
persons
(one per
block)
Monthly
salary
No. of
expected
tour days
Rate
DA
Monthly
budget
TA ‐
Monthly
budget
required
1 THO 14 10 1.40
2 Accountant 14 1.68 10 150 0.21 0.28
3 DEO 14 1.26 10 150 0.21 0.14
4
Total 2.94 0.42 1.82
Note : As THO is government officer, his/her DA should not be proposed from NRHM funds
Total budget required for BPMU
Sr Particulars Monthly budget Budget required
requirement for 2011‐12
1 Salary of contractual staff 2.94 35.28
2 Daily allowances to contractual
staff
0.42 5.04
3 Travel Allowances to THO and
contractual staff
1.82 21.84
4 Contingency (stationary,
internet, office maintenance,
photocopying, AMC of office
equipment, etc)
1.40 16.80
5 Honorarium to Block PHN 0.21 2.52
Total 6.79 81.48
Remarks

IMMUNIZATION
PIP 2011-12

C. IMMUNISATION
C.1: Situation analysis of the DistrictImmunization Program
1. Current scenario of implementation of immunization program
a. State level coverage as per District Level Household Survey‐3, Coverage Evaluation
Survey 2009 & Reported coverage for 2009‐10, 2010‐11 till Dec'10.
b. District wise coverage levels of all antigens for 2009‐10, 2010‐11 till Dec'10
(including Hepatitis B & JE wherever applicable).
c. Reasons for Shortfall in coverage
d. Reporting and incidence of VPDs for 2010‐11 till Dec'10.
e. Reporting and Response to Outbreaks and AEFIs for, 2009‐10 till Dec'10.
2. Strategies for further improving Routine Immunization
a. What is the target of immunization coverage for this year?
b. To improve the accessibility of routine immunization services (reflected by BCG and
DPT‐1 coverage); identify the districts with poor access and reasons thereof.
c. To reduce dropouts (reflected by DPT3 coverage); reasons for dropout and specify
Steps taken for this.
d. To create community demand for routine immunization;(write specific steps taken)
e. Any other innovation started for strengthening of routine immunization in the state.
3. Status of micro planning‐ Number of districts where RI micro‐plans have been updated in 2010‐
11. (Provide details in the format enclosed).
4. What are the roles & responsibilities pertaining to immunization of 1 st ANM, 2 nd ANM,
and HW (Male) ?
5. What is the mechanism of coordination & convergence between AWW and ASHA?
6. Alternate Vaccine Delivery System‐ what system is in place, whether it is working and what are
issues faced?
7. Supervision and Monitoring‐Status of Routine Immunization cell, Supportive Supervision
Structure in field, Review meetings and data analysis and action taken at all levels etc).
8. Status of RIMS implementation for monitoring (details of districts uploading data regularly,
issues with other districts and proposed support required).
9. Co‐ordination with Partners (ICDS, Public Private Partnerships, Other agencies).
10. Component‐wise receipt & expenditure of funds received from 2009‐10 onwards (format
attached).
11. Status of Cold Chain Equipment‐
i.) ILRs, DF, Voltage stabilizers

a) Plan for replacement of all condemned or non service able equipment which is beyond
repair.
b) Expansion: ‐ Need based depending on the setting up of New PHC/ cold chain points.
c) All CFC equipments supplied till 1992 has been replaced with Non CFC equipment. The
expansion plan should include replacement of remaining CFC equipments supplied
during the period of 93‐98
ii.) Cold boxes, Vaccine carriers ‐ replacement plan for expansion or replacement of
condemn equipment.
iii.) Insulated/Non Insulated vaccine van: Plan for supply of insulated vaccine vans against
condemned vehicles and expansion plan for supply of vaccine van for newly created
district.
iv.) Mechanism for cold chain maintenance and repairs‐ HR structure, AMC(if any) etc.
12. Status of implementation of Procurement Management Information System (ProMIS).
13. IEC plan for strengthening UIP; however the budget for IEC is to be provisioned under RCH.
14. Infrastructural and manpower requirements that are essential for implementation of UIP but
not admissible under Part C (Immunization) may be provisioned under the NRHM/RCH heads.
(eg; Refrigerator mechanics, renovation of stores etc.) This should include district level need for
go‐down for vaccine/logistics.
15. Additional support required to improve Routine Immunization; for any state specific need please
provide a separate write‐up on objective, strategy, expected output and budgetary basis for the
activities.
A. Basic information of the State/UT related to Immunization Programme
Programme implementation Plan (PIP) for Immunization Programme Year 2011‐2012
District / Corp. Name‐ Amravati
A‐1 Basic information of the District / Corp.related to Immunization Programme
Position Name Contact No./Email
District Health Officer / MOH Dr S. K. Yelurkar 0721/2662591
dhozpamt@gmail.com
Civil Surgeon Dr. C.L. Sonkusre 0721/2663337,38
cs_amaravati@rediffmail.com
District Immunization Officers (DIO) / Dr. R. Bansod (Addi 0721/2550183
Immunization Officers
Charge)
modtt.amravati@gmail.com
RMO Outreach Dr. Bandale 0721/2663337,38
(Addi Charge) cs_amaravati@rediffmail.com
Cold chain Technician Shri Qurishi 0721/2662591
District Level Data Assistant Shri V.P. Badge
dhozpamt@gmail.com
0721/2662591
dhozpamt@gmail.com

A‐2
S.No Beneficiaries
Target
2009‐10 2010‐11 2011‐12
1. Pregnant women 35702 34059 35150
2. 0 to 1 yr infants 31321 32165 32575
3. 1‐2 yr 34123 31321 30321
4. 2‐5 yr 123161 97251 97145
5. 5 yr 44138 51485 51220
6. 10 yr 44138 51485 51220
7. 16 yr 46812 45927 44325
A‐3
The following information is to be filled based on the RI micro‐plans. Please provide the details of
held sessions for 2009‐10 & 10‐11, while for 2011‐12 the number of planned sessions is to be
provided: Please submit information correctly so that budget can be proposed accordingly.
S.No Routine Immunization Sessions 2009‐10
2010‐11 Up to
nov
2011‐12
1. Total Sessions planned (Rural +Urban ) (3+4) 22133 14014 21262
2. Total Sessions Held (Rural +Urban ) 22092 13991 21262
3. No. of Outreach Sessions (Rural +Urban ) (7+8) 19635 12498 18987s
4.
No. of Fixed site (Inst.) Sessions (Rural +Urban )
(5+6) 2498 1516 2275
5. No. of Fixed site (Inst.) Sessions (Rural ) 1970 11586 1763
6. No. of Fixed site (Inst.) Sessions (Urban ) 528 912 512
7. No. of Outreach Sessions (Rural) 18267 1180 17619
8. No. of Outreach Sessions (Urban )
No. of Outreach sessions in hard to reach (Hilly
1368 336 1368
9. )areas(Rural) out of No.7
No. of Outreach sessions in hard to reach (Hilly
3982 3982 3982
10. )areas(Urban ) out of No.8
No. of Outreach sessions in hard to reach (Hilly
0 0 0
11. )areas(R+U) out of No.3
No. of session with hired vaccinators* only in
3982 3982 3982
12. urban slum & Corp. ‐‐ ‐‐ ‐‐
13. No. of hired vaccinators* ‐‐ ‐‐ ‐‐
14. No. of villages where sessions are held monthly
No. of villages (smaller) where sessions are held
1338 1338 1338
15. on alternate months 100 100 100
16. No. of villages where sessions are held quarterly 120 120 120

B. Existing Support to the District/ Corp.
C.
Sl
N
o
Item
Stock (functional) as
on 31st Dec'10 2009‐10
Requirement
2010‐11 2011‐12
1 Cold Chain Equipments ‐
a) WIC
b) WIF
c) ILR 140, 54 20 20 12
c) ILR 300 4 2
1
2 2
d) DF 140 69 15 15 10
d) DF 300 7 2
1
2 2
e) Cold Boxes 197 10 10 20
f) Vaccine Carrier 2470 300 350 800
g) Ice Pack 20000 350 350 5000
h) Vaccine Van Not Functional 1 1 1
2
Vaccine stock and requirement (including 25% wastage and 25%
buffer)
a) TT 21000 21600 21700 260000
b) BCG 6700 48000 50000 52000
c) OPV 28000 180000 260000 265000
d) DPT* 29000 168000 260000 290000
e) Measles 5000 48000 50000 52000
f) Hep B 0 168000 141000 170000
g) JE (Routine) 0 48000 52000 54000
3 Syringes including wastage of 10% and 25 % buffer
a) 0.1 ml 200 30000 50000 53000
b) 0.5 ml 12000 406000 489480 510500
c)
Reconstitution
Syringes 600
70000
130700 140000
4 Hub Cutters 0 500 500 500
*Note: DPT is to be given instead of DT at 5 yrs once the current stock of DT Vaccine
is exhausted
Remar
ks

D. Additional Support required by the District/ Corp.
Service Delivery: ‐ Norms*
Mobility support for supervision @Rs.50,000 per District for district level officers
(this includes POL and maintenance) per year
Supervisory visits by state and district level
officers for monitoring and supervision of RI By state level officers @ Rs.100,000 /year
Cold Chain maintenance
Focus on slum & underserved areas in
urban areas:
@ Rs 500 per PHC/CHC per year District Rs 10,000
per year
Hiring an ANM @Rs.300/session for four
sessions/month/slum of 10000 population and
Rs.200/‐ per month as contingency per slum of i.e.
total expense of Rs. 1400/‐ per month per slum of
10000 population.
Expenditure
2009‐10
Achievement
Expenditure & Achievement Remarks
2010‐11(till
Nov )
2011‐12
Expenditure
Achievement
Funds
requirement
0.18 0.05 0.5
Target
0.01 1.11% 0 0% 0.5 100%
0 0 0 0

Service Delivery: ‐ Norms*
Mobilization of children through ASHA/
mobilizers
Alternative Vaccine Delivery:
Expen
diture
2009‐10
Achiev
ement
Expenditure & Achievement Remarks
2010‐11(till
Nov )
2011‐12
Expen
diture
Achiev
ement
Funds
requirement
Target
@ Rs 150/session (for all states/UT.s) 27.36 19594 16.92 12488 31.89 21262
Geographically hard to reach areas (eg. Session
site>30 kms from vaccine delivery point, river
0 0
0
crossing etc.) @ Rs 100 per RI session
11.15
6.75
0
NE States and Hilly terrains @100 per RI session 4107 1958 3.98 3982
For RI session in other areas @ Rs.50 per session.
15487
10530 8.64 17280
State @Rs 12,000‐ 15,000 p.m.
Support for Computer Assistant for RI
reporting (with annual increment of 10%
w.e.f. from 2010‐11) Districts @ Rs 8000‐ 10,000 p.m 0.95
Printing and dissemination of
immunization cards, tally sheets,
monitoring forms, etc.
1 1 1
@ Rs 5 per beneficiary ‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐
Yes
0.64
Yes
1.16

Service Delivery: ‐ Norms*
Review Meetings
Trainings
District level orientation training for 2 days
ANM, Multi Purpose Health Worker
(Male), LHV, Health Assistant (Male /
Female), Nurse Mid Wives, BEEs & other
specialist (as per RCH norms)
Quarterly Review & feedback meeting for
exclusive for RI at district level with one
Block MO.s, ICDS CDPO and other
stakeholders@ Rs 100/‐ per participant
for meeting expenses (lunch,
organizational expenses)
Quarterly review meeting exclusive for RI
at Block level @Rs 50/‐pp as honorarium
for ASHAs (travel) and Rs 25 per person at
the disposal of MO‐I/C for meeting
expenses(refreshments, stationery and
misc. expenses)
As per revised norms for trainings under
RCH
Expenditure
Expenditure & Achievement Remarks
2009‐10 2010‐11(till Nov ) 2011‐12
Achievement
Expenditure
Achievement
Funds
requirement
Target
0.04 1 0.00 0 0.40 5
0.62 8 1.4 28 6.2 56
0
No of
persons
trained
0
0
No of
persons
trained
0
0
No of
persons
trained
0

Service Delivery: ‐ Norms*
Three day training of Medical Officers on RI
using revised MO training module
One day refresher training of District RI
Computer Assistants on RIMS/HMIS and
Immunization formats under NRHM
One day Cold Chain handlers training for
block level cold chain handlers by State and
District Cold Chain Officers and DIO for a
batch of 15‐20 trainees and three trainers
One day Training of block level data
handlers by DIO and District Cold chain
Officer to train about the reporting formats
of Immunization and NRHM
As per revised norms for trainings under
RCH
As per revised norms for trainings under
RCH
As per revised norms for trainings under
RCH
As per revised norms for trainings under
RCH
Expen
diture
Expenditure & Achievement Remarks
2009‐10 2010‐11(till Nov ) 2011‐12
Achiev
ement
No of
persons
trained
Expen
diture
Achiev
ement
No of
persons
trained
Funds
requirement
Target
No of
persons
trained
0 0 0 0 0.05 1
No of
persons
trained
No of
persons
trained
No of
persons
trained
No of
persons
trained
No of
persons
trained
No of
persons
trained

Service Delivery: ‐ Norms
Microplanning
To develop sub‐center and PHC microplans using bottom up
planning with participation of ANM, ASHA, AWW
POL for vaccine delivery from State to District and from
district to PHC/CHCs
Consumables for computer including provision for internet
access for RIMS
Injection Safety
@ Rs 100/‐ per subcentre (meeting at
block level, logistic)
For consolidation of microplan at
PHC/CHC level @ Rs 1000/‐ block & at
district level @ Rs 2000/‐ per district
Rs100,000/ district/year
Red/Black Plastic bags etc @ Rs 2/bags/session
Bleach/Hypochlorite solution @ Rs 500 per PHC/CHC per year
Twin bucket @ Rs 400 per PHC/CHC per year
Any District / Corp Specific Need with justification (Please
provide a separate write‐up on objective, strategy,
expected output and outcomes, basis for cost estimates
etc.)
Expen
diture
2009‐10
Achiev
ement
Expenditure & Achievement Remarks
2010‐11(till Nov
)
2011‐12
Expen
diture
Achiev
ement
Funds
requirement
0.29 0 0.03 0 0.33
0 0 0
Yes
0.16
Target
348
0.77 90.59% 0.60 70.59% 1.0 100%
@ 400/ ‐ month/ district 0.01 0 0 0.05
0
% funds
used
0
% Funds
used
Total Budget 41.38 26.39 54.86
% Funds
used
At State
Level

Form D ‐ Name of District/ Corp –wise Coverage reports (in numbers)
S. No
S. No
Name of
District / Corp
Yearly Target
(2010‐11)
Infants Pregnant
Women
BCG Coverage
(in Numbers)
OPV ‐ 1st Dose
Coverage
(in Numbers)
OPV ‐ 3rd Dose
Coverage
(in Numbers)
DPT ‐ 1st Dose
Coverage
(in Numbers)
DPT ‐ 3rd Dose
Coverage (in Numbers)
2009‐10 2010‐11* 2009‐10 2010‐11* 2009‐10 2010‐11* 2009‐10 2010‐11* 2009‐10 2010‐11*
32165 34059 32951 21734 33928 21943 32794 20805 33596 22018 32736 20805
TOTAL 32165 34059 32951 21734 33928 21943 32794 20805 33596 22018 32736 20805
Name of District
/ Corp
TOTAL
# Coverage for 2010‐11 till Dec’10
Measles Coverage
District / –wise VPD reports in 2010‐11 (in numbers)
S.
No
TT2+Booster Coverage
Hep B ‐ Birth Dose
Coverage (Wherever
applicable)
Hep B ‐ 1st Dose
Coverage (Wherever
applicable)
Hep B ‐ 3rd Dose
Coverage (Wherever
applicable)
2009‐10 2010‐11* 2009‐10 2010‐11* 2009‐10 2010‐11* 2009‐10 2010‐11* 2009‐10 2010‐11* 2009‐10
32670 20715 36849 22768 0 2971 24698 22004 21134 20660 14231
32670 20715 36849 22768 0 2971 24698 22004 21134 20660 14231
JE‐routine
(Wherever applicable)
Name Diphtheria Whooping Cough Neonatal Tetanus a Measles Polio AES
of the
District/
Cases Deaths
Corp Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths
0 0 0 0 0 0 0 0 2 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 2 0 0 0 0 0
2010‐11*
3828
3828

C.6 Consolidated Budget of Routine Immunisation
Sl. No. Activity Unit Cost Physical
Targets
C IMMUNISATION
Routine Immunization
C.1 RI strengthening project (Review meeting,
Mobility support, Outreach services etc)
Required fund
under NRHM
0 21262 53.15
C.2 Salary of Contractual Staffs 0.09.06 1 1.16
C.3 Training under Immunisation 0.05 0 0.05
C.4 Cold chain maintenance 0.50 70 0.50
C.5 Pulse Polio operating costs 0 0 0
Total.. 54.86

OTHER DISEASE
PROGRAMME

National Rural Health Mission
National Vector Born Disease
Control Programme
PIP 2011‐12

Disease Cash
assistance
from GoI
Malaria
a. DBS
b. World Bank for
project states
c. GFATM for project
states
EXECUTIVE SUMMARY
In the state Maharashtra vector borne diseases are major
public health problem.
Malaria is endemic in districts viz; Amaravati.
Filaria is endemic in ‐‐‐ districts viz; Amaravati.
Kala azar is endemic in ‐‐‐ districts viz; Nil .
AES including JE is endemic in ‐‐‐ districts viz; Nil .
Dengue is endemic in ‐‐‐ districts viz; Amaravati.
Chikungunya is endemic in ‐‐‐ districts viz; Amaravati.
The requirement for programme implementation has been indicated
in detail and the summary is indicated below :
0
0
0
0
Balance
from
previous
years
0
0
0
0
Committed
expenditure
32809210
0
0
0
Net
requirement
32809210
0
0
0
State
resources
Maharashtra
0
0
Filaria 0 0 4218000 4218000 Maharashtra
Kala‐azar 0 0 0 0 0
Kala‐azar World Bank
Project assistance
0 0 0 0 0
AES including JE 0 0 0 0 0
Dengue
Chikungunya
0 0 375000 375000 Maharashtra
Total 0 0 37402210 37402210 Maharashtra
District Malaria Officer
Amaravati
0

Malaria
DBS
Expenditure ( Financial Performance)‐ Budget Proposal
2010‐11
Up to Oct
2010
2011‐12
(Proposed)*
MPW (Salary for Contractual) 144000 288000
ASHA 80000 160000
Operational Cost including spray wages
NAMMIS 0 66000
IEC
,BCC
&PPP
Training (MPW)
ASHA
Spray worker
Additional support under World Bank (if
applicable)
Human Resource
LT
26000
0
0
0
0
0
0
200000
66000
200000
164610
618000
42600
100000
Capacity building in project areas 0 500000
Mobility support
DMO Vehicle TATA SUMO
ADMO Vehicle TATA SUMO
Office Truck
Taluka Superviser Vihicle
POL
Additional support under GFATM (if applicable)
0
0
0
0
20000
700000
700000
1000000
150000
120000
Capacity Building 0 0
Establishment State Society 0 0
Human Resource 0 0
Monitoring & Evaluation 0 0
BCC/
PPP/
Soc.Mkt. (BS Back lock)
Drugs
Chloroquine phosphate tablets 0 200000
Primaquine tablets 0 50000
Quinine sulphate tablets 0 500000
0
0
0
0
0
0
(Rs. in lakhs)
Support to be met
from NVBDCP/GoI
or state resources
or NRHM flexi fund

2010‐11
Up to Oct
2010
2011‐12
(Proposed)*
Quinine Injections 0 20000
Sulphadoxine + Pyremethamine tablets 0 50000
Diagnostics
RDT ASHA 2059 X 60 \30 X 3000 0 12354000
IRS
SFW Pay
FW Pay
0
0
360000
1440000
Wages 0 0
Human resource 0 0
Monitoring & Evaluation 0 50000
Bednet
Impregnated mosquito nets 150000 Population 0 5000000
LLIN 150000 Population 0 5000000
Insecticides 0 0
DDT 50% wdp 0 0
Synthetic Pyrethroid 5% WP 5625 Kg 0 765000
Malathion 25%/Technical 0 25000
UMS – Larvicides 0 0
For polluted water Abate 0 100000
For non‐polluted water 0 100000
Pyrethrum extract 2% 0 100000
Urban Malaria Scheme Corporation AMT
(Slide Box, Insectiside, Hatch Rich, etc) 0 100000
Other (Innovation) 0 152000
Total Malaria 270000 32809210
Filaria
Drugs (by GoI) 0 0
Training 0 880000
BCC 0 240000
Preparatory activity (may be shown activity‐wise
including hydrocelectomy) 0 258000
Drug distributor’s including ASHA and
supervisors honorarium 0 890000
FO Officer TATA SUMO Vehicle (Purchase New
Vehicle)
AFO Officer TATA SUME Vehicle (Purchase New
Vehicle)
POL (for 2 Vehicles)
0
0
0
700000
700000
400000
Morbidity Management Kit 0 50000
Night Clinic & Ragular Survey 0 50000
Support to be met
from NVBDCP/GoI
or state resources
or NRHM flexi fund

2010‐11
Up to Oct
2010
2011‐12
(Proposed)*
Tarch, Slide Box etc 0 50000
Total (Filaria) 0 4218000
Dengue/Chikungunya
Grant in respect of Dengue and Chikungunya
Strengthening surveillance (As per GOI approval)
Apex Referral Labs recurrent @ Rs/ 1.00 lakh
Sentinel surveillance Hospital recurrent @
Rs.0.50 lakhs
Test kits (Nos.) to be supplied by GoI
Monitoring/Supervision and Rapid Response 0 100000
Epidemic Preparedness
IEC/BCC/Social Mobilization
0 50000
0 25000
Training/Workshop 0 200000
Total Dengue/Chikungunya 0 375000
AES/JE 0 0
Diagnostics and Management 0 0
Elisa Kits 0 0
IEC/BCC 0 0
Training 0 0
Monitoring and Supervision 0 0
Technical Malathion 0 0
Total AES/JE 0 0
Kala‐azar (only for 4 states) 0 0
DDT 50% 0 0
Amphotericin‐B 0 0
Miltefosine 0 0
RDK for Kala‐azar 0 0
Case search 0 0
Spray Pumps 0 0
Operational cost for spray including spray wages 0 0
Mobility/POL 0 0
Training for spraying 0 0
BCC/IEC 0 0
Monitoring & Evaluation 0 0
Kala‐azar Sub‐Total (DBS) 0 0
Kala‐azar World Bank Project assistance 0 0
Support to be met
from NVBDCP/GoI
or state resources
or NRHM flexi fund

2010‐11
Up to Oct
2010
2011‐12
(Proposed)*
Human resource 0 0
Capacity building 0 0
Mobility 0 0
Kala‐azar Sub‐total (World Bank Project
assistance) 0 0
Kala‐azar Total 0 0
Grand Total 270000 37402210
Any activity not listed and if required may be shown in separate row.
Outstanding balance Nil (as on previous month of submission of PIP).
Committed expenditure Nil (till March, 2011).
Balance expected Nil (on 1.04.2011).
Support to be met
from NVBDCP/GoI
or state resources
or NRHM flexi fund
This is most important as cash releases are based on the funds availability with state in totality
and not head wise.

National Rural Health Mission
National Leprosy Elimination
Programme
PIP 2011‐12

Sr
No
Total budjet provision praposed for Amravati distt
Format for Submitting budget Praposal
Activity Praposed Amount
Praposed
1 Contractual Services Distt 6000
2 Office Expensences 35000
3 Consumable 20000
3b Services through AHSA/USHA(Insentive _ Sensetidation) 62000
4 Capacity Building(Training)
4 days training of Newly appointed MO's(Rural,Urban) 188430
3 days training of Newly appointed HW,HA,Hs 192150
2 days refresher training of MO's 63310
5 days training of newly appointed Lab.Tech 7800
5 Behavioural Change Communication(IEC)
Mass Media,Out door media,Rural Media & Adocacy 35000
6 DPMR
MCR Footwear, 200000
Aids & appliance,,(goggles,Splint & Self Care kits etc) 77000
Welfare allowance to BPL pts for RCS 150000
Estblishment of new Referal Center(Dryapur,Morshi,Warud) 315000
Screening Camp for RCS Pts. at GH & SDH 15000
7 Urban lep.control
Township,medium city‐1,medium city‐2, Megh cities ‐ 145000
8 Material & Supplies
Supprtative drug 32000
Equipment , (Computer, Printer etc) 145000
9 Supervision & monitoring of DNT team 36000
10 Pol/Vehicale opretion & highring‐2 vehicle at State level &
one at Distt level
100000
Total 1,824,690.00
Remarks

National Rural Health Mission
Revised National Tuberculosis
Control Programme
PIP 2011‐12

RNTCP
Section D: Summary of proposed budget for the district –
Budget estimate for the coming FY 2011‐ 12
S.No. Category of Expenditure (To be based on the planned activities and
expenditure in Section C)
1 Civil works 135300
2 Laboratory materials 212573
3 Honorarium 641907
4 IEC/ Publicity 140994
5 Equipment maintenance 78000
6 Training 629406
7 Vehicle maintenance 300000
8 Vehicle hiring 441000
9 NGO/PP support 286000
10 Miscellaneous 668128
11 Contractual services 3185800
12 Printing 81845
13 Research and studies 0
14 Medical Colleges 0
15 Procurement –vehicles 0
16 Procurement – equipment 0
TOTAL 6800953
** Only if authorized in writing by the Central TB Division
• Additionality Funds from NRHM‐Details of the activities for which Additionality Funds
are proposed to be sought.
Proposed activities and Budget for RNTCP under NRHM Additionalties
for the Year 2011‐2012
Sr.No Category of Expenditure
Budget for
NRHM
Additionalties
FY 2011 ‐ 2012
1 Wall paintings for each PHI (56 PHC + 14 RH) 1,05,000
2
Travel cost of MDR TB suspect to DTC for examination and sending the
sample (500 suspect x Rs 200 per person public transport cost x 2 person)
200000
3 Special Investigations for MDR T.B. Patient (25X800)
For Tribal Area Only
20000
4 Travel Cost for Patients & 1 attendant for X‐ray Examination (Expected
200 NSN Patient likely X‐ray done 400X 300)
120000
5 Travel Cost for T.B. Patient Referred for HIV Testing (ICTC) Expected
patient 466X150
70000
6 Travel Cost for T.B. /HIV Co‐infected Patient to ART Centre (50X500) 25000
Grand Total 540000

National Rural Health Mission
National Programme for
Control of Blindness
PIP 2011-12

National Programme for Control of Blindness
PIP for the year 2011‐12 – Maharashtra State Amravati
Trachoma Control Programme was launched in 1972‐73 in the state, and then it was
reformed as National Programme for Control of Blindness in the year 1976 as 100 % centrally
sponsored scheme with the goal of reducing the prevalence of blindness to 0.3% by 2020. Rapid
survey on avoidable blindness conducted under NPCB during 2006 ‐07 showed reduction in the
prevalence rate of blindness from 1.1% (2001 – 02) to 1% (2006‐07).
The target for the 11 th five year plan is to reduce the prevalence rate of blindness to the level
of 0.8% till 2012.
The main objectives of the programme are :
a. To reduce the backlog of the blindness through identification & treatment of blind
b. To develop comprehensive eye care facilities in every district
c. To develop human resources for providing eye care services
d. To improve quality of service delivery
e. To secure participation of voluntary organization / private practitioner in eye care
f. To enhance community awareness of eye care
To implement the Programme successfully, State Health Society Maharashra (Blindness
Division) & District Integrated Health & Family Welfare Societies (Blindness Division) are establish in
all the Districts of Maharashtra State including Bruhanmumbai Municipal Corporation as per the
guidelines from Govt of India.
The Programme was oriented mainly for Blind Survey, Cataract Surgeries & Screening of
School Children with provision of Spectacles to the students having refractive errors. However,
management of cases of Diabetic Retinopathy, Glaucoma Management, Corneal Transplantation,
Vitreoretinal Surgery, and Treatment of Childhood Blindness is included for financial assistance in
11 th Five Year Plan.
General Information ‐
Total Population of Amravati :‐ 630705
Urban population :‐ 409823
Rural Population :‐ 1770492
Total No of Districts Population :‐ 2811020
Similarly, following Health Institutional infrastructure available in Maharahstra State to implement
the NPCB in Maharashtra state for management of Eye Care.

Infrastructure in Maharashtra State
Sr. No. Name of Institute No
1 Medical College (private) 2
2 Super Specialty Hospitals 1
3 District Hospitals 1
4 Women Hospital 1
5 General Hospital 1
6 Sub District Hospital 4
7 Rural Hospital 9
8 Primary Health Centers 56
Infrastructure under NPCB
Sr. No. Name of Institute No
1 Catops Centers 4
2 Health Institutes having Dedicated 20 Beded Eye Ward 1
3 District Mobile Units 1
4 PMOOs working in Primary Health Centers 11
5 PMOOs working in Sub District / Rural Hospital 12
6 PMOOs working in District Hospital 3
7 No of NGO’s Registered under NPCB for GIA 2
Govt Eye Banks 1
8 Eye Banks – 2
Corporation Eye Bank 0
NGO Eye Banks 0
Private Eye Bank 1
9 Vision Centers 1
Manpower available under NPCB
1
Ophthalmic Surgeon ‐ Class I
2 Available Ophthalmic Surgeons
3
Para Medical Ophthalmic Officers
Performance of cataract Surgeries(GOVT)
Sanctioned 2
Filled in 0
Vacant 2
Govt.(oprating) 3
NGO 2
Sactioned 25
Filled in 23
Vancant 2
Year
Annual
Target
Achiev.
%
Achiev
2007‐08 8000 8051 101
2008‐09 9000 9285 103
2009‐10 8500 8011 94
2010 – 11 ( DEC 10) 9000 3426 38

Screening of School Children
Year
Students Screened Students with Free spects
Target Achivement refractive errors provided
2007‐08 55872 50837 1273 975
2008‐09 55872 41673 1290 957
2009‐10 55872 35335 2724 1118
2010 – 11 (DEC 10) 55872 33534 1650 256
Performance of Eye Donation & Keratoplasties
Year
Target
Eye Balls collected
Achievement %
No. of
Keratoplasties
Surgery
%
2007‐08 40 0 0 0 0
2008‐09 100 20 20 0 0
2009‐10 100 18 18 0 0
2010 – 11 ( NOV
10)
40 16 40 0 0
1) Proposal for Non Recurring Assistance as per guidelines from GOI ‐
1) The Non Recurring GIA for Strengthening & Upgradation of Medical Colleges on the lines
of Shankara Hospital Chennai for treatment of Other Eye Diseases like ROP – Rs. 40.00
lakhs per College
There are 14 Govt Medical Colleges, 4 Corporation Medical Collage & 1 Armed Forces
Medical Collage in the State. All these medical collages are provided with funds for up
gradation in the year 2008 – 09.
It is proposed to develop Ophthalmic Dept of GMC Latur, & GMC Akola on the lines of
Shnakara Hosptial Chennai for treatment of Other Eye Diseases. The Ophthalmic Surgeons of
these medical colleges will be trained at Shankara Hospital Chennai & equipment,
instruments will be provided.
The total fund requirement is Rs. 80.00 Lakhs
2) The Non Recurring GIA for Upgradation & Strengthening of District Hospital ‐‐ Rs. 20.00
Lakhs per Hospital
Following Districts are proposed for upgradation & strengthening of District Hospitals
Sr.No. District Amount Justification
1 District Hospital Gadchiroli 20.00 lakhs
2 District Hospital Gondia 20.00 lakhs
3 District Hospital Chandrapur 20.00 lakhs
4 District Hospital Sindhudurg 20.00 Lakhs
5 District Hospital Jalgoan 20.00 Lakhs
6 District Hospital Buldhana 20.00 Lakhs
7 District Hospital Satara 20.00 Lakhs
Total 140.00 Lakhs
The district is tribal & remote
district. No other major hospitals
working for ophthalmology in the
district
Needs Strengthening

Out of 23 District Hospitals 2 District Hospitals namely DH Bhandara, & DH Nadurbar are
sanctioned in 2010 – 11, remaining 21 DH will be upgraded in phased manner taking 7 DH
each year in next 3 years. Funds required ‐ Rs. 140.00 Lakhs.
3) The Non Recurring GIA for Upgradation & Strengthening of Eye Banks in NGO & Govt
Sector – Rs. 15.00 lakhs per Eye Banks
The following Eye Banks in Govt. Sector are proposed for upgradation & strengthening of
Eye banks.
Sr.No. District Amount Justification
1 District Hospital AMARAVATI 20.00 lakhs The district is tribal & remote.
No other major hospitals
working for ophthalmology in
the district
Need strengthening.
Total 20.00 lakhs
It is proposed to strengthen Eye Banks DH in a phased manner and will be upgraded in 3
years (i.e. 2011 – 12 –> 8, ; 2012‐13 –> 8; 2013‐14 –> 7). Funds Required ‐ Rs. 20.00 Lakhs.
4) The Non Recurring GIA for Upgredation & Expansion of Eye Care Units of NGO – GIA to the
tune of Rs. 30.00 Lakhs per NGO
The NGO from Beed has submitted proposal for upgradation & Expansion.
S.No. Name of Eye Care Unit Amount Justification
1 Leprossy Mission Trust Hospital
& Reseearch Center, Kothara
Distt.Amravati
30.00 Lakhs The performance of Eye Care Unit is
very good in the last 5 years. The
proposal form the Eye Care Unit is
received.
2 Mahalaxmi Netralaya & 10.00 Lakhs The performance of Eye Care Unit is
Reseearch Center,
very good in the last 2 years. The
Distt.Amravati
proposal form the Eye Care Unit is
received.
Total 40.00 Lakhs
Funds required ‐ Rs. 40.00 Lakhs.
5) Estd of Vision Center in NGO & Govt Sector Rs. 0.50 lakhs Only –
All DHs have vision centers 16 SDH & 18 RH require vision centers those are proposed for
inclusion in PIP 2011 – 12.
Funds required for 16 SDH Rs. 8.00 Lakhs ( Rs. 0.50 Lakhs per center)
Fuds required for 18 RH Rs. 9.00 Lakhs (Rs. 0.50 Lakkhs per center)
Total Funds required for 2Vision Centers Rs. 1.0 Lakhs

6) The Non Recurring GIA for Upgredation & Strengthening of Sub District Hospital – GIA to
the tune of Rs.5.00 Lakhs per SDH
Sr.No. District Amount Justification
1
2
3
4
SDH Achalpur Tq.Disrict
Amravati
5.00 lakhs
It is 100 beded hospital, where class I
Ophthalmic Surgeon is working as a M.S.. &
located in Tribal area.
SDH Morshi
Amravati
Tq.District
5.00 Lakhs It is 50 beded hospitals
SDH Dharni
Amravati
Tq.District
5.00 Lakhs
It is 50 beded hospital, located in Tribal
area
SDH Daryapur
Amravati
Tq.District
5.00 Lakhs It is 50 beded hospital,
Total 20.00 Lakhs
Funds required ‐ Rs. 20.00 Lakhs.
7) The Non Recurring GIA for Upgredation & Strengthening of Eye Donation Center (Govt /
NGO Sector) – GIA to the tune of Rs.1.00 Lakhs per EDC
Sr.No. District Amount Justification
1 SDH Achalpur 1.00 lakhs
2 SDH Morshi 1.00 lakhs
3 SDH Dharni 1.00 lakhs
4 SDH Daryapur 1.00 Lakhs
Funds required Rs. 4.00 Lakhs. .
B) Proposal for Recurring Assistance as per guidelines from GOI‐
The district is tribal & remote. No other major
hospitals working for ophthalmology in the
district
1) GIA for Cataract Operations – .
The total expected Cataract Surgeries in the Amravati during 2011‐12 are 9000 The average
performance of catops in Govt. & NGO Hospitals 9000. The expected number of catops
during 2011‐12 in Govt. & NGOs will be 9000 surgeries.
Expected Catops in Govt. Assistance per catops Total funds required
Hospital & Registered NGOs
9000 Rs. 750.00 Rs. 9750.00 lakhs
Funds required GIA for Cataract operation is only Rs. 9750.00 Lakhs
2) GIA for Other Eye Diseases – Rs. 16.00 Lakhs.
The total expected other Eye Disease detection in the State during 2011‐12 are 32000.
Roughly 50% of these surgeries will be performed in Govt. Hospitals & Registered NGO for
getting GIA. It is proposed to sanction GIA for other Eye Diseases as mentioned in following
table.

Expected Other Eye Diseases in Govt.
Hospital & Registered NGOs
Assistance per Surgery Total funds required
500 Rs. 16.00 lakhs
Less : unspent of 2010 – 11 Rs. 1000.00
Rs. 10.00 Lakhs
Total Funds required
Rs. 26.00 Lakhs
This year a balance of about Rs. 100.00 Lakhs is expected because this programme was
launched in this year only and next year we expect greater momentum to this activity. Funds
required ‐ GIA for Other Eye Diseases is Rs.2 6.00 Lakhs.
3) GIA for free spectacles distribution to poor students having refractive error –
The target for screening of school children for the year 2010‐11 is 1800. The same number of
school children will be screened during 2011‐12. As per rough estimation 3 ‐ 4% of the
students have refractive error. So the total number of students having refractive error will
be 1.40 lakhs. Approximately 30% of students are poor so approximately 42000 students will
require free spectacles.
Eastimaed number of poor Students to whom
free spects are distributed
Cost of per pair
spectacles
Total funds required
1800 Rs.200.00 per pair Rs. 3.60 Lakhs
This year (2010 – 11) since spectacles to poor students are provided from Sarva Shiksha
Abhiyan a balance of equivalent funds is likely therefore no additional funds are required.
4) GIA for Eye Ball Collection ‐ Rs. 1.00 Lakhs.
The maximum Eye Ball Collection in the Amravati in last five years is 40 . The estimated Eye
Ball Collection during year 2011‐12 will be 20 So GIA required for this activity as under
Estimated Eye Ball Collection GIA per Eye Ball Total funds required
20 Rs.750.00 per Eye Ball Rs. 15000.00
Funds required GIA for free Eye ball collection is Rs. 15000
5) Training Activities –
For training of Medical Officers, Paramedical Staff, ASHA, ICDS functionaries and District
level Programme Management Staff funds required will be Rs. 4 lakhs.
6) IEC Activities –
For various IEC activities in the State as well as in the districts the funds required are as
follows –
Sr.
No
1
IEC for ‐ Manpower IEC Material Amount
Awareness creation about
Other Eye Diseases i.e.
Glaucoma, Dibetic Retinopathy,
ROP, Laser Technique, Iritis,
Iridocyclitis, Childhood
Blindness, Squint etc
Awareness will be
created with the
help of ASHA,
AWW, Health
Worker & PMOOs
etc
Handbills
Posters
Rallies
Meetings with NGO’s
& Pvt practitioners
TV Spots
Radio Jingles
Print Media
Rs. 01.00
Lakhs

2 Eye Donation
10 th Std Students as
Eye Donation
Volunteers, PMOOs
Total funds required for IEC activity – Rs.2.00 Lakhs
Handbills
Posters
Rallies
TV Spots
Radio Jingles
Print Media
I Cards to volunteers
Rs. 01.00
Lakhs
7) Remuneration to SPO/ DPM –
The funds required for DPM of Amravati districts will be Rs.24000 (Rs.2000 X 12 months)
8) Wages to Assistants – The funds required for Assistants of Amravati districts will be Rs.
18000 (Rs.1500X12 months)
9) Salaries for the contractual Staff ‐
a) Paramedical Ophthalmic Assstants – The appointment of 2 PMOOs is sanctioned in year
2010‐ 11. Trained PMOOs are now available in the state and will be appointed soon. For the
year 2011 – 12 no need to be appointed on contractual basis. So the total funds required
will be Rs192000 (Rs. 8000X12months)
a) Eye Donation Counselor – One Eye Donation counselor needs to be appointed per district.
Districts. The appointment of 1 Eye Donation Counselors was sanctioned in the year 2010‐
11. During that year 1 appointment was done, from the balance grants this year (2010 – 11)
1 Counselors are appointed.
Total funds required will be Rs. 1200000 (Rs. 10000X12months)
10) Maintenance of Ophthalmic Instruments & Equipments ‐ Most of the major equipments
are old & are not in working condition. Maintainance & repairs of these equipments is
essential. The funds required is Rs. 50000
11) Funds for Ophth. Equipment – Purchase of Ophth. Equipments for District Hospitals Rs.
200000 lakhs as per norms.
12) Funds for SBCS – For Office Maintainace, POL, Vehicles Maintainace , TA / DA, of officers &
Staffs etc. The funds required will be Rs. 1800000 lakhs as per norms.
Sr no perticular Praposed Budget
1 NGO 400000 likh
2 Slari ophthalmic Assistants 192000 likh
3 Eye Donetion Counselor 1200000 likh
4 Remuneration to DPM 24,000 /‐
5 Remuneration To Assistants 18,000/‐
TOTAL 1834000 Likh

National Rural Health Mission
Integrated Disease Surveillance
Programme
PIP 2011‐12

IDSP PIP Activity Sheet of year 2011-12
Activity Sub‐activity
1. Training One day training of Hospital
Doctors
One day training of Hospital
Pharmacist / Nurses
2. Human
Resources
One day training of Medical
College Doctors
cost
as per NRHM guidelines
as per NRHM guidelines
as per NRHM guidelines
One day training Data entry and as per NRHM guidelines
analysis training for Block Health
Team
One day training of DM & DEO as per NRHM guidelines
No of
units
Proposed
Budget for 2011‐
12
4 0.4
1 0.1
0 0
1 0.02
SUB TOTAL 6 0.52
Remuneration *
district Epidemiologists
( 1 each at district HQs ‐ DSUs)
State/ district Microbiologists (1
each at identified district priority
labs:‐ beed & Nashik )
Data Managers (1 each at district
HQs ‐ DSUs)
1 3.6
1 2.5
Data Entry Operators (1 each at
district HQs ‐ DSUs and 1 at
identified Medical Colleges
identified under IDSP (there are
19 medical colleges
inMaharashtra..only those
districts should mention the
funds for DEO) 1 1.8
SUB TOTAL 3 7.9
Operational Costs
Transport
Office Expenses, Broadband
Expenses,collection and
transportation of samples and
other misc.expenses (to be
0 0.25
specified)
Community based surveillance
including evaluation. (Only in
0 0.36
Nandurbar) 0 0
SUB TOTAL 0 0.61

3. Laboratory
support
SUB TOTAL (Human Resources =
Remuneration + Operational
costs) 3 8.51
Consumables and kits for Priority
district labs
culture‐media & reagents
diagnostic kits
glass ware
miscellanious required items
Referral lab network services (In
World Bank funded States)
Reimbursement‐based payments
for tests (10 categories of
tests.With each category priced
individually)Cost of test to be
reimbursed to be decided by the
State
Serological tests for typhoid
ELISA /rapid test for leptospirosis
ELISA for Dengue
ELISA for Viral Hepatitis
ELISA for Measles
Rapid test for Meningococci
Blood culture for Typhoid
Diptheria culture
Cholera culture
other (state specific diseases)
Minor laboratory operating
expenses (consumables,
reagents, kits, office expenses,
part‐time staff costs, transport
costs, minor repairs, etc)
Rs 2,00,000/‐ per priority
district lab per annum
(Identified No. of District
priority labs Maharashtra‐
2 Beed , Nasik)only Beed &
Nasik should mention
funds in this column
Not more than Rs
3,00,000/‐per referral lab
per annum (Identified
No. of labs in States are as
follows:Maharashtra‐10)
not more than
Rs.2,00,000/‐ (Referal
laboratories of medical
colleges :‐ Only those
districts of which medical
colleges are assigned MoU
with SSU,Pune should
mention referal lab funds
in this column
Total 9.03

National Rural Health Mission
District Tobacco Control Programme
PIP 2011‐12

Sr.
No.
Proposed Budget for District Tobacco Control Programme (2011‐12)
General Hospital Amravati
Components Calculation UNR Total INR
1 Salaries
1) Psychologist :‐ Rs 15000/‐
2) Social Workar :‐ Rs. 10000/‐
10000x12
8000x12
216000
2 Training 200000 200000
3 IEC Activity 200000 200000
4 School Activity 400000 400000
5 Monitoring of Tabacco Control Lows &
Reporting
100000 100000
6 Contingency 100000 100000
Total 1216000

National Rural Health Mission
National Mental Health Programme
PIP 2011‐12

Activity Recuring /
Manpower
(Cleark,Psylogist
Peun) & other
Staff in regular
from DHS
NATIONAL MENTAL HELTH PROGRAMME
Non Recuring
GENERAL HOSPITAL AMRAVATI (DMHP)
PIP 2011‐2012
Fund available Fund needed 11‐
12
(Approx.)
Expendule
Recuring 8,70,000/‐ 2,70,000/‐ Process
Complet
Medicines Recuring 3,00,000/‐ 7,00,000/‐ Under Process
Disel / Oil Recuring 50,000/‐ 75,000/‐ Under Process
Stationery Recuring 50,000/‐ 50,000/‐ Under Process
Machinary/
Reparing
Recuring 50,000/‐ 50,000/‐ Under Process
Instruments Non Recuring 6,00,000/‐ ‐ Under Process
Training Recuring 5,00,000/‐ ‐ Under Process
IEC Recuring 2,00,000/‐ 3,00,000/‐ ‐
Vehicle Required on rent
base (25x12
Month )
3,00,000/‐ Not Avilable
Building Fund Non Recuring 25,00,000/‐ Not Avilable

National Rural Health Mission
National Deafness Control Programme
PIP 2011‐12

Following Equipments Required for Surgery
National Deafness Control Programme
PIP 2011‐12
General Hospital Amravati
Sr.No. Name of Equipments Company Price Remark
1 Nasal Endoscope 0‐ one Karl –storz 80000
2 Nasal Endoscope 30 –one Karl –storz 80000
3 Nasal Endoscope 90 –one Karl –storz 80000
4 Light source with fiberoptic Cable
one
5 Oto Micro scope (for ear Surgery‐
one
6 Micro ear surgery instrument 2
sets
25000
Zeiss 700000
kalelkar
Total 965000

E. INTER SECTORAL CONVERGENCE E.1
Mainstreaming of AYUSH
The budget requested from NRHM for Ayush manpower and other activities should be reflected in
the concerned budget sheet under RCH Flexipool and NRHM Flexipool. Information related to
number of Government AYUSH hospitals, number of beds, AYUSH dispensaries, co‐location of
AYUSH facilities in PHC/CHCs/DH and AYUSH manpower deployed in district hospitals should be
included in the quarterly MIS reports. In the PIP of 2011‐12, , States may give an overview of AYUSH
activities, their plans to mainstream and strengthen AYUSH hospitals, dispensaries and manpower
with full justification. Information regarding requirement of funds and targets should be provided in
the following format:
AYUSH Manpower
Component Continuing from
previous year
(2010‐11)
New proposed during
2011‐12
Manpower Institution Number Amount
(Rs in
Lakhs)
Cumulative for 2011‐12
Number Financial (Rs
in Lakhs)
AYUSH Doctors PHCs 0 0 0
CHCs 18 0 0 18 20.16
DHs 3 0 0 3 4.32
Paramedical Staff
(AYUSH)
PHCs 0 0 0 0 0
CHCs 0 0 0 0 0
DHs 4 0 0 4 2.76
Training of AYUSH Manpower
IEC/BCC under NRHM for Mainstreaming of AYUSH
S. NO Name of Activities Cost per units Number of
Units
Support from Department of AYUSH for PIP 2011‐
12: Co‐location under NRHM
Financial (in Lakhs)
S. No. Centre One time assistance Recurring assistance Total Amount
PHC
CHC
DH
Total
No. of
Units
Amount New Units Old
Units
Cumulativ
e Amount

Upgradation of AYUSH Hospitals
S.
No.
S.
No.
Centre One time assistance Recurring assistance Total Amount
No. of
Units
Up gradation of AYUSH Dispensaries
Amount New Units Old Units Cumulative
Amount
Centre One time
assistance
Recurring assistance Total Amount
No. of Amount New Units Old Cumulative
Units
Units Amount
i) Establishment of Programme Management Unit (Ayush) HMIS
S. No. State One time
assistance
Recurring
assistance
ii) Procurment of essential drugs for AYUSH Hospital and Dispensaries
S. No. Unit Stream Recurring
assistance
E.2: Intersectoral Convergence activities with line Departments:
Total
Amount
Total
Amount
Inter‐sectoral Convergence activities with line Departments to be specified in this part of PIP
including:
• PRI,
• ICDS
• Rural Development
• PHED
• Education
• Labour

CHAPTER‐5:
MONITORING AND EVALUATION
The physical and financial progress of NRHM is periodically assessed through monitoring and
evaluation activities like HMIS, Surveys and Evaluation Studies. Some of the developments for
improving the M&E interventions and strengthening the reporting systems are listed below. The
States may ensure that the data reported through the HMIS Portal remains the single source for all
reports to be sent to MoHFW.
(i) For HMIS Portal:
• Block level/Facility based reporting for physical performance (HMIS). All States are to shift to
Facility based reporting during 2011‐12. States may also take steps to get data from the private
sector health facilities.
• The MIS for the National Disease Control Programmes has been integrated on the HMIS Portal
and all States are to report their progress from the District level.
• The FMRs, infrastructure details, facility survey reports are also integrated on the HMIS portal
and all States need to ensure that it is regularly uploaded.
• Inbuilt features are provided on the HMIS portal to check the consistency and validity of data
which may be used for improving the quality of data.
(ii) For MCH Tracking system (MCTS)
• NIC has developed the software for data capturing and reporting. All State Nodal Officers and
NIC Officers have been trained on the software.
• States to ensure timely reporting of data on the MCTS software, which is available, both in the
online and offline versions.
(iii) A Core Team comprising faculty of PRCs, officers of Regional Directors (MoHFW) and
SIHFWs has been constituted to continuously support States in checking the validity and
reliability of data. States need to constitute similar teams at the State and District level
involving the State Demographer and District Statistical Officer/Assistant and
institutionalize a mechanism for reviewing the HMIS data in regular review meetings. It
may also be ensured that the health interventions included in the State and District PIPs are
supported with HMIS and survey data.
To exploit the full benefits of the HMIS Portal, States may require augmenting its IT infrastructure
and human resources including their training at various levels. Such initiatives may be backed by a
comprehensive strategy for strengthening Monitoring & Evaluation in the State and detailed in the
PIP with the associated budget head. This strategy may include the following components:
(a) Integration of Monitoring & Evaluation activities across programmes: States need to integrate
their Monitoring & Evaluation activities across health programmes to avoid duplication in the
available resources like manpower, IT infrastructure, finances etc. Augmentation of these
resources at any level should be need based. The Quality Assurance protocols may also be scaled
up under this head. Surveys and Studies should be undertaken by States in areas not already
covered through the DLHS‐III, Concurrent Evaluation of NRHM and Annual Health Survey.

(b) M&E Action Plan: The PIP should have a detailed M&E Action Plan for strengthening
HMIS and MCH tracking. The Action Plan is to include the current status of HMIS and
MCH tracking in the state and the districts and the plan of action propo
(c) sed (with activities and budget‐line) for data capturing at the Sub District level including
training plans. This should also include integration issues with the national HMIS and
MCH tracking initiatives.
(d) Ensuring Nodal M&E Officers are available at the State, District and Sub District levels
for all health related information, HMIS, MCTS and for sending feedback to the lower
formations. Adequate mobility provision may be kept for their supervisory visits. The PIP
should include details on the status of notification of Nodal M&E Officers up to the block
level. If different Nodal M&E Officers are designated for HMIS and MCH tracking, details
should be clearly spelled out.
Officers for HMIS and MCH tracking
Level Nos. Required Nos. Present Remarks
State
Districts 1 1
Blocks 14 14
The letter of AS&MD (NRHM) dated 3 rd March, 2008 may kindly be referred in this regard and States
may issue necessary notifications, if not already done, with a copy endorsed to MoHFW.
(d) Strengthening IT infrastructure at appropriate levels: The IT infrastructure available across
various programmes needs to be integrated to facilitate capturing physical and financial
performance across programmes through the HMIS Portal. All efforts should first be made to
utilize the resources available with other programmes including the Common Service Centres
(CSCs) of the Department of Information Technology, GOI. Appropriate budgetary provisions
may be made with timelines.
(e) Training Strategy for M&E: Each State may put in place a strategy for training of human
resources in monitoring and evaluation activities. This would include identification of nodal
institutions like the SIHFWs, RHFWTCs etc. that could impart regular training courses on use of
information for decision making in the Health Sector and creating capacities in these institutes.
Appropriate budget along with the training plans, training load and timelines may be provided.
(f) Strengthening Mother and Child Tracking System (MCTS): The States have been advised to
expedite the name based tracking of pregnant women for ANC/PNCs and children for
immunisation using the MCTS software prepared by NIC. The States may make adequate
provision for strengthening of the IT infrastructure, as required, to ensure smooth
implementation of the MCTS in all districts with timelines (if not already implemented).
An integrated section giving the M&E strategy with budget lines for HMIS, Mother and Child
Tracking System (MCTS), Quality Assurance, etc. across programmes may be provided, clearly
mentioning the source of funding, that is, whether from NRHM, RCH, NVBDCP funds etc.

Budget Allocation: The budget for M&E in the State PIPs may be provided in the following format
Major Head Minor Head Budget in
Rs
1.Strengthening of
M&E/HMIS/ MCH
Tracking
2. Procurement of
HW/SW and other
equipments
3.Operationalising
HMIS at Sub
District level
4.Operationalising
MCH tracking
Salaries of M&E, MIS & Data
Entry Consultants
Details
(including cost
per unit)
1.1 9.84 M&E @ Rs.
0.27 Per
Month DEO
Rs.@ 0.15,
PHS @Rs. 0.32
Mobility for M & E Officers 1.2 1.20 M&E @
Rs.0.10
Workshops/Training on M & E 1.3 0.50
M&E Studies 1.4 0.20
Others (specify) 1.5 1.20 SO @ Rs. 0.10
Hardware/ S oftware
Procurement
Remarks
2.1 0.50 Give
deploymen t
details
Internet connectivity 2.2 0.24 @ Rs. 0.02
Annual Maintenance 2.3 0.12 @ Rs. 0.01
Operational Costs
(consumables etc)
2.4 0.12 @ Rs. 0.01
Others (Specify) 2.5 0
Review of existing registers ‐to
make them compatible with
National HMIS
3.1 0
Printing of new
registers/Forms
3.2 1.20 HMIS for
Training of staff 3.3 0.50 HA/HV/DEO
Printing and reproducing 4.1 1.20 Register/
Registers/ Forms
form
Capacity building of teams 4.2 0.50 Daily
orientation
Ongoing review of MCH tracking 4.3 0.12 @ 0.01
activities
monthly
meeting
Monitoring data collection and 4.4 0.25 Monthly
data quality
monitoring
DLS
Others (Specify) 4.5 0
Total… 17.69

CHAPTER‐6:
FINANCIAL MANAGEMENT
The States are expected to provide detailed information on the present status and the proposals on
various important issues of financial management and implementation of finance, accounts, audit,
fund flow and other financial guidelines issued by the MoHFW. A separate chapter on Financial
Management under NRHM may be incorporated in the PIP, providing information on the following
key issues to bring about effective financial management and ensure timely and proper utilisation of
funds to achieve the objectives of NRHM:
1. Budgeting for various Activities
The budgeting for various programmes/activities under NRHM should be proposed strictly in
accordance with Financial Monitoring Report (FMR) Format so as to facilitate proper analysis of
the progressive utilisation of funds and taking remedial measures. Indicate whether the Program
Management cost has been kept within the ceiling of 6% and whether the proposals for
construction works are within the ceiling of 33% for high focus states and 25% for non‐high focus
states as per norms.
2. Financial Management Staff:
Status of Financial Management personnel whether Director (F&A), SFM, SAM, Accountants and
Data Assistants are in position at State/District/Block levels may be indicated. If not, the action
plan to fill up vacant positions may be given. It may also be stated whether the remuneration of
the PMU staff including NDCPs has been revised and suitable incentive scheme worked out
considering local conditions.
3. Statutory Audit
Whether Statutory Audit Report and UCs for 2009‐10 have been submitted and deficiencies
intimated/feedback given by FMG has been complied with. Any problem being faced regarding
the audit process may also be highlighted.
4. Concurrent Audit
Whether Concurrent Audit has been implemented at the State and all Districts and quarterly
summary reports sent to MoHFW. If not reasons therefore. Status of Concurrent Auditor
appointment for 201112 and action plan therefore may be incorporated.
5. Implementation of Tally
Whether Tally has been procured, training initiated and made operational at State and district
level. If not, reasons therefore and the action plan for ensuring that this is done may be
indicated.
6. Mode of Fund Transfer
Whether funds are being released electronically to all districts and blocks? If not reasons
therefore and the expected time frame for achievement of e‐transfer may be indicated.

7. Uploading of FMRs on HMIS Portal
Present district wise status may be indicated. If the data is not being uploaded, the reasons
therefor along with the action plan for implementation of the same may be given.
8. Financial reporting under NRHM
9. MIS
FMRs are not timely and accurate which leads to non‐ availability of reliable data. The State and
District level FMGs shall monitor the release and utilization of funds for all programmes under
NRHM including NDCPs and send a consolidated FMR for all programmes under NRHM
including NDCPs. Mention whether FMR upto 31.12.10 has been submitted and deficiencies
complied with.
The submission of monthly MIS/FSP and quarterly MIS along with head wise and age wise
details of advances upto 31.12.2010 may be indicated.
10. Statutory Audit
The audit reports for the accounts of 1009‐10 including all NDCPs and covering 100 per cent of
the DHS and 40% of the blocks should have been submitted to the FMG by 31 December 2010.
This may be confirmed. Release of funds in the second tranche is dependent on submission of
the audit reports.
11. RCH‐I Unspent Balance
Indicate whether Unspent Balance of RCH‐I has been refunded and utilisation certificates or
refunds the activity specific releases by individual program divisions during 2005‐06 and 2006‐
07 have been sent.
12. Key Areas for Priority during 2011‐12
A clear Action Plan for identified backward districts on special interventions for identified high
focus districts/backward areas such as difficult, left wing affected, minority, tribal, SC/ST,
gender etc. for special incentives to medicos and para‐medicos for performing duties in such
difficult areas may be incorporated with appropriate financial and other incentives scheme for
attracting qualified human resource in may be worked out and proposed in the PIP with time‐
bound targets for addressing the key issues and optimum utilization of funds to ensure
effective implementation of NRHM.
13. Committed and Uncommitted Unspent balances
The programme‐wise committed unspent balances for the activities approved during the last
years which are under implementation may be indicated, showing the amount already utilised
and the timeframe for utilisation of the remaining amount with time frame for completion of
the activities. Similarly, the details of uncommitted balances for the activities approved during
previous years but not yet taken may also be given programme‐wise along with reasons for
non‐start of such activities and whether the same are proposed to be implemented during
2011‐12.

Conditions to be fulfilled to ensure smooth release of funds to the States
a. The State shall not make any change in the allocation among different components/activities
without
approval of GOI. Any proposal for reappropriation between activities/functional heads within
activities should be submitted to MoHFW in advance and should reflect realignment of activities
in
accordance with priority to high focus districts/involvement of NGOs. etc.
b. The State shall ensure that 15% of its share, based on release of funds by MoHFW is credited to
the
account of the SHS within one month of issue of the release order. The overall expenditure on
health
by the State should also go up by a minimum of 10% each year.
c. The State shall ensure complete delegation of administrative and financial powers at state,
district andblock levels to ensure smooth fund flow at all levels.
d. The State shall ensure timely submission of the Quarterly and Monthly MIS reports in the
prescribed
format including the statement of funds position and the age‐wise and head‐wise details of
advances
given to various implementing agencies.
e. The State shall also intimate the interest amount earned on unspent balances which could be
utilised
against activities already approved and will also count towards the central share.

Details of budget as per the functional heads should be provided in the following format:
Sl.No. Activity Unit Cost Physical
Targets
Required
fund under
NRHM
Human Resources
A RCH
1 Contractual Staff & Services
1 Contractual Staff & Services(Excluding AYUSH)
A.9.1 ANMs,Supervisory Nurses, LHVs, 416 526.55
A.9.1.1 Laboratory Technicians,MPWs 0
A.9.1.2 Specialists (Anesthetists, Pediatricians, Ob/Gyn,
Surgeons, Physicians, Dental Surgeons,
Radiologist, Sonologist, Pathologist,Specialist for
CHC )
0
A.9.1.3 PHNs at CHC, PHC level 0
A.9.1.4 Medical Officers at CHCs / PHCs 0
A.9.1.5 Additional Allowances/ Incentives to M.O.s of
PHCs and CHCs
0.0223 52 1.16
A.9.1.6 Others ‐ Computer Assistants/ BCC Coordinator
etc
0
A.9.1.7 Incentive/ Awards etc. to SN, ANMs etc. 0
A.9.1.8 Human Resources Development (Other than
above)
0
A.9.1.9 Other Incentives Schemes (Pl.Specify) H.A. 146 113.28
A.11 PROGRAMME / NRHM MANAGEMENT COSTS
A.11.1 Strengthening of SHS /SPMU (Including HR,
Management Cost, Mobility Support, Field Visits )
A.11.2 Strengthening of DHS/DPMU (Including HR,
Management Cost, Mobilty Support, Field Visits )
3 17.60
A.11.3 Strengthening of Block PMU (Including HR,
Management Cost, Mobilty Support, Field Visits )
14 81.48
A.11.4 Strengthening (others)
A.11.4.1 FMG 2 4.08
A.11.4.2 RKS Coordinator 2 4.44
A.11.4.3 IDW wing 6 17.88
A.11.4.3 IPHS wing 2 7.32
A.11.5 Audit Fees
A.11.6 Concurrent Audit
A.11.7 Mobility Support , Field Visits to
BMO/MO/Others
82 27.11
B NRHM Additionalities
B.9 Contractual Staff & Services(Only AYUSH)
B.9.1 Staff/ Supervisory Nurses /Other Staffs for
PHCs,CHCs
B9.2 Medical Officers at CHCs/ PHCs 28 30.80
C Routine Immunisation
C.2 A) Computer Assistants Salary 1 1.16
C.2 B) Other HR Personnels (Technicians, Cold Chain

Sl.No. Activity Unit Cost Physical
Targets
Required
fund under
NRHM
Mechanic)
Other National Disease Control Programme
D NVBDCP
a) Remuneration to Contractual MPWs 2.88
b) Contractual LTs 6 1.00
E NLEP
a) Contractual Services (State SMO, BFO cum AO,
Admn. Assistant, DEO)
b) State Driver
c) District Drivers
0.005 1 0.06
F NBCP
a) Ophthalmic Surgeon
b) Ophthalmic Assistant 0.08 2 1.92
c) Eye Donation Counsellor 12.00
G) RNTCP
a) Honarium to DOT Providers
b) Contractual Staff Payments 20 31.86
H) IDSP
a) Remuneration of Epidemiologists 0.30 1 3.60
b) Remuneration of Microbiologists
c) Remuneration of Entomologists
d) Consultant‐Finance
e) Consultant‐Training
f) Data Managers 1 2.50
g) Data Entry Operators 1 1.80
I) NIDDCP
IDD Control Cell‐
(i) Technical Officer
(ii) Statistical Assistant
(iii) LDC Typist
IDD Monitoring Lab‐
(i) Lab Technician
(ii) Lab. Assistant
Training
I RCH Flexible Pool
A.10 TRAINING
A.10.1 Strengthening of Training Institutions
A.10.2 Development of training packages
A.10.3 Maternal Health Training
A.10.3.1 Skilled Birth Attendance / SBA
A.10.3.2 EmOC Training

Sl.No. Activity Unit Cost Physical
Targets
A.10.3.3 Life saving Anesthesia skills training
A.10.3.4 MTP training
A.10.3.5 RTI / STI Training
A.10.3.6 Dai Training
A.10.3.7 Other MH Training (ISD Refresher )
A.10.4 IMEP Training
A.10.5 Child Health Training
A.10.5.1 IMNCI
A.10.5.2
A.10.5.3
A.10.5.4
A.10.5.5
Facility Based Newborn Care
Home Based Newborn Care
Care of Sick Children and severe malnutrition
Other CH Training (pl. specify)
Required
fund under
NRHM
A.10.6 Family Planning Training
A.10.6.1 Laparoscopic Sterilisation Training
A.10.6.2 Minilap Training
A.10.6.3 NSV Training
A.10.6.4 IUD Insertion Training
A.10.6.5 Contraceptive Update/ISD Training
A.10.6.6 Other FP Training (pl. specify)
A.10.7 ARSH Training
A.10.8 Programme Management Training
A.10.8.1 SPMU Training
A.10.8.2 DPMU Training
A.10.9 Other training (pl. specify)
A.10.10 Training (Nurshing)
A.10.10.1 Strengthening of Existing Training
Institutions/Nursing School
A.10.10.2 New Training Institutions/School
A.10.11 Training (Other Health Pesonnels)
A.10.11.1 Promotional Trg of health workers females to
lady health visitor etc.
A.10.11.2 Training of AMNs,Staff nurses,AWW,AWS
A.10.11.3 Other training and capacity building
programmes
2 Routine Immunisation
2.1 Training for Cold Chain Handlers/refrigerator
mechanics
2.2 Training of M.O.s /Other Staffs on R.I. 0.25 1 0.25
2.3 Training of MOs/other staff on RI.
Other National Disease Control Programme
3 NVBDCP
3.1 Training of MPWs 1.65

Sl.No. Activity Unit Cost Physical
Targets
Required
fund under
NRHM
3.2 Training of ASHAs 2068 6.18
3.3 Training of Supervisor 0.42
3.4 Training of Para‐medical for MDA
3.5 Other training & capacity building programme
4 NLEP
4.1 Training for Newly appointed medical and para
medical staffs
4.2 Training for existing medical and para medical
staffs
4.3 Other Training & Capacity building
programmes
140 2.52
155 2.00
5 NBCP
5.1 Training /Capacity Building for Health personnels
5.2 Training of Teachers & Others
6 RNTCP
6.1 Induction Training 906 6.26
7 IDSP
7.1 Training for M.O.s,Nurses, Data Managers and DEO 6 0.52
8 NIDDCP
Note: FMR Codes of NDCP' has not been given
Civil Work
B NRHM Additionalities
B.4 Hospital Strengthening
B.4.1 Upgradation of CHCs, PHCs, Dist. Hospitals to
IPHS)
B4.1.1 District Hospitals 50.00 1 50.00
B4.1.2 CHCs RH/SDH 20.00 5 100.00
B4.1.3 PHCs 5.00 34 170.00
B4.1.4 Sub Centers 1.00 83 83.00
B4.1.5 Others
B4.1.5.1 WH 35.00 1 35.00
B4.1.5.2 ISO 10 50.00
B 4.2 Strengthening of District,Su‐divisional
Hospitals,CHCs, PHCs
B.4.3 Sub Centre Rent and Contingencies

Sl.No. Activity Unit Cost Physical
Targets
B.4.4 Construction (Others)
Required
fund under
NRHM
B5 New Constructions/ Renovation and
Settingup
B5.1 CHCs 5.00 1 5.00
B5.2 PHCs 18 275.00
B5.3 SHCs/Sub Centers 13 150.00
B5.4 Setting up Infrastructure wing for Civil works
B5.6 Construction of BHO, Facility improvement, civil
work, BemOC and CemOC centers
B.5.7 Major civil works for operationalisation of FRUS
B.5.8 Major civil works for operationalisation of 24
hour services at PHCs
B.5.9 Civil Works for Operationalise Infection
Management & Environment Plan at health
facilities
B6 Minor Civil Works
B6.1 Minor civil works for operationalisation of FRUs
B6.2 Minor civil works for operationalisation of 24
hour services at PHCs
E RNTCP
39 106.50
a) Civil Works 3 1.35
F IDSP
a) Civil Works
Note: FMR Codes of NDCP' has not been given
Procurements‐Drugs & Supplies
B NRHM Additionalities
B.16.2 Procurement of Drugs and supplies
B.16.2.1 Drugs & supplies for MH
B.16.2.2 Drugs & supplies for CH
B.16.2.3 Drugs & supplies for FP
B.16.2.4 Supplies for IMEP

Sl.No. Activity Unit Cost Physical
Targets
B.16.2.5 General drugs & supplies for health
facilities
C Routine Immunisation
Procurement ‐Equipments (e.g.ADS, Bags,
Buckets)
Other National Disease Control Programme
D NVBDCP
a) Procurement ‐Kits (e.g. Elisa Kit, Chikengunia Kits
)
E NLEP
a) Procurement of Equipments (Equipments related
to RCS). Printing forms
b) Other Procurements
F NBCP
a) Procurement of Equipments‐Opthalmic
Microscopes, Flash Auto claves etc.
G RNTCP
a) Procurement of Equipments
b) Procurement of Two wheelers
H IDSP
a) Procurement of Equipements for Strengthening
of Survillance Unit.
b) Other Procurements
I NIDDCP
Procurement of Kits (Salt Testing Kits)
Note: In RNTCP, commodity grant for anti TB Drugs
has been approved from Central Level
procurements and specific Laboratory
Equipments
Procurements‐Equipment
B NRHM Additionalities
B16.1.1 Procurement under Maternal Health
B16.1.2 Procurement under Child Health
B16.1.3 Procurement under Family Planning Services
B16.1.4 Procurement under IMEP
B16.1.5 Procurement Others
C Routine Immunisation
Procurement ‐Equipments (e.g.ADS, Bags,
Buckets)
Other National Disease Control Programme
D NVBDCP
Required
fund under
NRHM
8.20
2.97

Sl.No. Activity Unit Cost Physical
Targets
a) Procurement ‐Kits (e.g. Elisa Kit, Chikengunia Kits
)
E NLEP
a) Procurement of Equipments (Equipments related
to RCS). Printing forms
b) Other Procurements
F NBCP
a) Procurement of Equipments‐Opthalmic
Microscopes, Flash Auto claves etc.
G RNTCP
a) Procurement of Equipments
b) Procurement of Two wheelers
Required
fund under
NRHM
H IDSP
a) Procurement of Equipements for
Strengthening of Survillance Unit.
b) Other Procurements
I NIDDCP
Procurement of Kits (Salt Testing Kits) 9.65
IEC/BCC Works
B10 IEC‐BCC NRHM
B.10 Strengthening of BCC/IEC Bureaus (state and
district levels)
B.10.1 Development of State BCC/IEC strategy
B.10.2 Implementation of BCC/IEC strategy
B.10.2.1 BCC/IEC activities for MH
B.10.2.2 BCC/IEC activities for CH
B.10.2.3 BCC/IEC activities for FP
B.10.2.4 BCC/IEC activities for ARSH
B.10.2.5 Other activities (please specify)
B.10.4 Health Mela
B.10.5 Creating awareness on declining sex ratio issue
B.10.6 Other activities 7.80
Other NDCPs
c) Routine Immunisation
IEC‐BCC Activities
D NVBDCP
IEC‐BCC Activities 4.66
E NLEP
IEC‐BCC Activities
F NBCP
IEC‐BCC Activities
a) Cataract Operations

Sl.No. Activity Unit Cost Physical
Targets
b) Eye Donation Camps
c) Other Activities
Required
fund under
NRHM
G RNTCP
IEC/Publicity 2.14
H IDSP
IEC‐BCC Activites
I NIDDCP
Untied Funds
B NRHM Additionalities
B.2 Untied Funds
B2.1 Untied Fund for CHCs 0.50 14 7.00
B2.2 Untied Fund for PHCs 0.25 56 14.00
B2.3 Untied Fund for Sub Centers 0.10 333 33.30
B2.4 Untied fund for VHSC 0.10 1547 154.70
B2.5 Untied fund for PHU 0.25 103 25.75
B.3 Annual Maintenance Grants
B4.1 CHCs 1.00 14 14.00
B4.2 PHCs 0.50 48 24.00
B4.3 Sub Centres 0.10 299 29.90
B4.4 PHU 0.50 62 31.00
B8 Panchayti Raj Initiative
B8.1 Constitution and Orientation of Community
leader & of VHSC,SHC,PHC,CHC etc (DH/RRC/TB)
5.00 3 15.00
B8.2 Orientation Workshops, Trainings and capacity
building of PRI at State/Dist.
Health Societies, CHC,PHC
B8.3 Others
ASHAs
B NRHM Additionalities
B1 ASHA
B1.1 Selection & Training of ASHA
B1.2 Procurement of ASHA Drug Kit
B1.3 Incentive to ASHAs under JSY 11373 28.54
B1.4 Incentive under Family Planning Services
B1.5 Incentive under Child Health
B1.6 Incentive to ASHA's for motivating families for
Sanitary Toilets/Other Incentives
2068 156.51
B1.7 Awards to ASHA's/Link workers
C Routine Immunisation
a) Special ASHA Incentive under
Immunisation

Sl.No. Activity Unit Cost Physical
Targets
Required
fund under
NRHM
b) Social Mobilization by ASHA / Link 31.89
Workers
c) ASHA Incentive on PPI Day (may be considered
with the cost of PPI)
D NVBDCP
a) Incentive to ASHAs 2.07
E NLEP
a) Services through ASHAs
b) Honorium to ASHAs, Sensitization through ASHAs
0.91
F NBCP
a) ASHA Incentive
G RNTCP
ASHA Incentive for DOTs 0.88
1.1 RCH
RKS/HMS
1.2 NRHM Additionalities
(i) Corpus Grants to HMS/RKS
B6.1 District Hospitals 5.00 1 5.00
B6.2 CHCs 1.00 14 14.00
B6.3 PHCs 1.00 56 56.00
B6.4 TB/RRC 5.00 2 10.00
JSY
a)
1.1 RCH
Maternal Health
Janani Suraksha Yojana / JSY
Home Deliveries 0.005 1486 7.43
b) Institutional Deliveries 13380 91.65
c) 24 Hours Deliveries/ Others Operational
15134 24.12
Expenses C‐section & sanitary napkin
d) Payment to Other Link Workers/AWW/AWS
(Other than ASHA's)
Incentive for Sterilization
1 RCH
A.3 FAMILY PLANNING
A.3.1 Terminal/Limiting Methods
A.3.1.1 Dissemination of manuals on sterilisation
standards & quality assurance of sterilisation
services
A.3.1.2 Female Sterilisation camps

Sl.No. Activity Unit Cost Physical
Targets
Required
fund under
NRHM
A.3.1.3 NSV camps 0.53 1 0.53
A.3.1.4 Compensation for female sterilisation 0.008 10080 83.16
A.3.1.5 Compensation for male sterilisation 0.015 1120 16.80
A.3.1.6 Accreditation of private providers for sterilisation
services
A.3.2.1 IUD camps 0.03 140 4.20
A.3.2.2 IUD services at health facilities
A.3.2.3 Accreditation of private providers for IUD
insertion services
A.3.2.4 Social Marketing of contraceptives
A.3.2.5 Contraceptive Update seminars
A.3.3 POL for Family Planning 0.001 11200 11.20
A.3.4 Repairs of Laparoscopes 2.00
Referral Transport
1.1 RCH
Referral Transport
a) Maternal Health 0.006 1400 8.40
b) Other Programmes
1.2 NRHM Additionalities
Referral Transport
a) Ambulance /EMRI
b) Operating Cost (POL) /EMRI
1.3 Routine Immunisation
1.4 NVBDCP
Referral Services
1.5 NLEP
1.6 NBCP
1.7 RNTCP
1.8 IDSP
1.9 NIDDCP
Other RCH Activities
1 RCH
1.1 Maternal Health 20.97
1.1.2 Operationalise facilities (only
dissemination, monitoring, and quality)
(i) Operationalise FRUs
(ii) Operationalise 24x7 PHCs 0.25 1 0.25
(ii) MTP services at health facilities
(iv) RTI/STI services at health facilities
(v) Operationalise Sub‐centres 0.05 14 0.70
1.1.3 Integrated outreach RCH services
(i) RCH Outreach Camps 0.15 6 0.90
(ii) Monthly Village Health and Nutrition Days

Sl.No. Activity Unit Cost Physical
Targets
Required
fund under
NRHM
1.1.4 CHILD HEALTH 156.79
(i) IMNCI
(ii) Facility Based Newborn Care/FBNC
(ii) Home Based Newborn Care/HBNC
(iv) School Health Programme
(v) Infant and Young Child Feeding/IYCF
(vi) Care of Sick Children and Severe
Malnutrition
(vii) Management of Diarrohea, ARI and
Micronutrient Malnutrition
(viii) Other strategies/activities
1.1.5 URBAN RCH
a) Establishment of New Urban Centres
b) Urban RCH Services 35 35.04
1.1.6 ADOLESCENT REPRODUCTIVE AND SEXUAL
HEALTH / ARSH
a) Adolescent services at health facilities.
b) Other strategies/activities 8.70
Vulnerable Groups
A RCH
A.6 TRIBAL RCH
a) Organise Tribal Camps
b) Other Tribal Activities 33.06
A.7 VULNERABLE GROUPS 2.40
A.7.1 Infrastructure & Human resources 1.60
A.7.2 Innovation/PPP/NGO 5.15
Other Mission Flexible Pool Activities
B NRHM Additionalities
Other MFP activities
B7 District Health Action Plans (Including Block,
Village)
B9 Mainstreaming of AYUSH
B10 Mobile Medical Units (Including recurring
expenditures)
0.56 15 8.40
1 15.76
B13 School Health Programme 16 139.54
B15 Planning, Implementation and Monitoring
B15.1 Community Monitoring (Visioning
workshops at state, Dist, Block level)
B15.1.1 State level
B15.1.2 District level
B15.1.3 Block level
B15.1.4 Other
B15.2 Quality Assurance
B15.3 Monitoring and Evaluation
B15.3.1 Monitoring & Evaluation / HMIS
B15.3.2 Computerization HMIS and e‐governance, e‐
health
B15.3.3 Other M & E 4 12.24

Sl.No. Activity Unit Cost Physical
Targets
Required
fund under
NRHM
B.20 Health Insurance Scheme
B21 Research, Studies, Analysis
B.22 State level health resources
center(SHSRC)
B23 Support Services
B23.1 Support Strengthening NPCB
B23.2 Support Strengthening Midwifery Services under
medical services
B23.3 Support Strengthening NVBDCP
B23.4 Support Strengthening RNTCP
B23.5 Contingency support to Govt. dispensaries
B23.6 Other NDCP Support Programmes
B.24 Other Expenditures
B.24.1 Telemedicine 3 7.35
B.24.2 Strengthning of Nursing school 2 117.40
B.24.3 Sickle cell disease 15 41.52
B.24.4 Coordination cell DH 1 4.58
B.24.5 Maher Scheme 11 16.40
B.24.6 Volunteer to tribal PHC 34 12.96
B.24.7 Diet facility for PHC 14 19.80
INNOVATIONS/ PPP/ NGO
B NRHM Additionalities
B14 PPP/ NGOs
B14.1 Non governmental providers of health care
RMPs/TBAs
B14.2 PNDT and Sex Ratio
B14.3 Public Private Partnerships
B14.4 NGO Programme/ Grant in Aid to NGO
B14.5 Other innovations( if any)
C Routine Immunization 21262 21.76
1.4 NVBDCP
D NLEP
NGO Services
a) NGOs
b) Pvt. Sector
E NBCP
Cataract Performance
a) NGOs 4.00
b) Pvt. Sector
F RNTCP
NGO/PPP Support
G IDSP

Sl.No. Activity Unit Cost Physical
Targets
H NIDDCP
Required
fund under
NRHM
Operational Cost
E
Other NDCPs
NVBDCP
Mobility Support
Lab Consumables/ Materials
Review Meetings
Field Visits
Formats and Reports
Communication facility to Staffs
Repair of Laparoscopes
26.70
Others 320.26
F NLEP
Mobility Support
Lab Consumables
Review Meetings
Field Visits
Office Expenditures, Formats and Reports 8.23
G NBCP
Mobility Support
Lab Consumables
Review Meetings
Field Visits
Formats and Reports
Others 0.42
H RNTCP
Mobility Support
Lab Consumables
Review Meetings
Field Visits
3.00
Formats and Reports 0.82
Others 27.10
I IDSP
Mobility Support
Lab Consumables
Review Meetings
Field Visits
Formats and Reports
0.25
Others 0.36
I NIDDCP
Mobility Support
Lab Consumables
Review Meetings

Sl.No. Activity Unit Cost Physical
Targets
Required
fund under
NRHM
Field Visits
Formats and Reports
DMHP 42.45
DTCP 12.16
Financial Aid /Grant to Institutions
For all NDCP's—
i) Financial Aid /Grant to Medical Collages
ii) Financial Aid /Grant to Referral Institutions
iii) Financial Aid /Grant to Sentinel Sites
iv) Financial Aid /Grant to Medical Hopitals
Financial Aid /Grant to Others (Pl. Specify)
Total.. 3930.03

Sr.
No.
Chapter – 7
Resources and other sources of fund for health sector
Activities
District Expenditure At a Glance
RCH FLEXIPOOL
District - Amravati
Allocation As
Per PIP 2010-
2011
A RCH Flexipool
1 Maternal Health
Expenditure Upto
30 Nov. 2010
(Rs. In Lakhs)
Per. %
(Progressive)
a JSY 58.22 74.26 127.55
b Others 13.46 4.60 34.18
Sub Total 71.68 78.86 110.02
2 Child Health 193.23 56.95 29.47
3 Family planning -
4
Sterlisation Compensation 78.89 37.18 47.13
NSV Camp 0.53 0.10 18.87
Others 16.09 3.66 22.75
Sub Total 95.51 40.94 42.86
Adolscent Reproductive & Sexual
Health
5.70 0.94 16.49
5 Urban RCH 32.38 13.35
6 Tribal RCH 33.73 5.44 16.13
7 Vulnerable Group, including NRC 1.80 0.09 5.00
8 Innovation / PPP/ NGO 4.55 0.45 9.89
9 Infrastructure & Human Resources 103.02 26.44 25.66
10 Institutional Strengthening 8.65 0.22 2.54
11 Training - -
12 BCC/IEC 8.00 0.37 4.63
13 Procurement - -
14 Programme Management 17.61 8.69 49.35
Others - R 14 Register Printing 2.03
TOTAL 575.86 232.74 40.42

Sr.
No.
Activities
District Expenditure At a Glance
NRHM Additionalities
District - Amravati
Allocation As
Per PIP 2009-
2010
B NRHM Additionalities
Expenditure
Upto 30 Nov.
2010
(Rs. In Lakhs)
Per. %
(Progressive)
1 Asha 91.73 43.45 47.37
2 Contractual Staff Payment
a 24 x 7 Nurses . 42.00 12.35 29.40
b LHV/ Supervisor 36.24 9.24 25.50
c ANM Staff 248.40 143.92 57.94
d Fixed TA To ANM / LHV 19.48 9.86 50.63
e Monthly Remuneration To PTLA 30.78 - -
3 Village Health Sanitation Committee 154.70 35.65 23.04
4 Untied Fund
a Sub Centre 33.30 10.62 31.89
b PHU 20.75 3.21 15.47
c PHC 14.00 6.20 44.29
d RH 4.50 1.62 36.00
e SDH 2.00 0.44 22.00
f WH 0.50 0.13 26.00
5 RKS
a RKS at DH 5.00 3.38 67.60
b RKS at PHC 56.00 23.61 42.16
c RKS at RH 9.00 7.80 86.67
d RKS at SDH 4.00 2.60 65.00
e RKS at WH 1.00 0.84 84.00
f RKS at TB Hosital 5.00 - -
g RKS at RR Centre 5.00 3.05 61.00
6 Annual Maintainance
a SC 29.90 8.12 27.16
b PHC 24.00 10.97 45.71
c RH 9.00 3.19 35.44
d DH 5.00 3.46 69.20
e SDH 4.00 2.15 53.75
f WH 1.00 0.07 7.00

g PHU 31.00 3.09 -
h RR Centre 5.00 1.47 29.40
i TB Hospital 5.00 - -
7 Repairs and New Construction
a Spill Over Works 72.00 40.55 56.32
8 Ambulance Service Repair -PHC 18.45 7.51 40.70
9 IPHS
Ambulance Service Repair-RH/SDH 1.68 0.76 45.24
a IPHS at SC 83 83.00 5.74 6.92
b IPHS at PHC 34 170.00 29.28 17.22
c IPHS at RH 4 48.00 21.57 44.94
d IPHS at SDH 4 60.00 27.73 46.22
e IPHS at WH 1 35.00 12.56 35.89
f IPHS at DH 1 50.00 23.57 47.14
10 ISO Certification Of IPHS Institutions 34.07 - -
11 Ayush
a Ayush Center in RH / SDH / WH 20.16 10.59 52.53
b Ayush Center in DH 7.08 3.78 53.39
c District Ayush Cell 0.60 - -
12 Telemedicine - Existing Centre 2.20 1.08 49.09
New Telemedicine Node IN SDH 1.47 - -
13 Strengthening of Nursing School 122.40 10.42 8.51
Public Private partnership 15.00 - -
14 Mobile Medical Unit 10.18 - -
15
Hardship Allowance to Regular
Health Staff
58.56 - -
16 Coordination Cell In Tribal Areas 3.64 0.45 12.36
17 Sickle Cell 33.10 1.20 3.63
18 Maher Scheme 10.50 0.84 8.00
19 Honorarium To Volunteer 4.40 1.65 37.50
20 Monitoring & Evalution 9.84 3.56 36.18
21 District Health Action Plan 8.40 - -
22
Streamlining The Procurement
( Repair / New Construction of Dist
Warehouse)
1.20 0.52 43.33
23 Salary for Infrastruture Cell 19.56 6.31 32.26

24
IPHS Wing - Salary IPHS
Coordinator/ Deo / Contingency
6.13 1.60 26.10
25 FMG 3.62 1.11 30.66
26 Institutional Fund Monitoring Unit 1.86 0.09 4.84
27
28
Sr.
No.
Block PMU- Salary / TA /
Contingency
Diet & Loss Of Wages to Deliveries
IN Tribal PHCs
66.36 30.24 45.57
4.95 0.49 9.90
TOTAL 1,880.68 593.69 31.57
Activities
District Expenditure At a Glance
Immunization
District - Amravati
Allocation As Per PIP
2010-2011
Expenditure
Upto 30 Nov.
2010
(Rs. In Lakhs)
Per. %
(Progressive)
C Immunisation
1 Routine Immunisation 49.70 26.39 53.10
TOTAL 49.70 26.39 53.10

National Rural Health Mission
Additional Activity Suggested by
District
PIP 2011‐12

PART‐ A RCH – II Flexipool
1) Child Health
Chapter 8
Additional activities suggested by District for year 2011‐12
1) Loss of daily wages for mother stay at VCDC for Melghat mothers
It is proposed to give Loss of daily wages to mother staying at VCDC with child in Melghat
area. It is proposed to give loss of daily wages for 30 days @ Rs. 60 per day. Total budget of
Rs. 72.00 Lacs is proposed for expected 4000 mothers @ Rs. 60/‐ per day per mother for 30
days.
2) Family Planning
1) Incentive for delaying first pregnancy for three year after marriage
It is proposed to introduced incentive based scheme for the couple keeping spacing for 3
years. Incentive of Rs. 10000/‐ per couple who’s married after 01/04/2008. Estimated couple
will be 45. Total budget of Rs. 4.50 Lacs is proposed for 45 couples @ 10000/‐ per couple.
2) Free diet allowance for Family planning cases 11200
It is proposed to give Free diet allowance to Family Planning cases for 2 days @ Rs. 75/‐ per
day. Total budget of Rs. 11.20 Lacs is proposed for 11200 cases @ Rs. 150/‐ per case.
3) Tribal RCH
1) Provision of MO, ANM, Pharmacist, Driver, POL & maintenance for two Mobile Van.
It is proposed to provide team of MO, LMO, ANM, Pharmacist with Driver for two Mobile
Van. Salary of two MOs at Rs. 15000/‐ per month , Pharmacist and ANM @ Rs. 6000/‐ per
month, Driver & Attendant @ Rs. 5000/‐ & 4000/‐ Res. per month. and POL & maintenance
for each Mobile Van Rs. 10000/‐ per month. The Budget of Rs. 14.64 is proposed for salary of
MO, ANM, Pharmacist, Driver, Attendance and POL & Maintenance of Mobile Van.
2) Helpline in Tribal Block (Dharni and Chikhaldara)
The budget of Rs. 4.32 Lacs is demanded for Emergency Referral Services related to Mother
and child in tribal block through 24 hours call attending system at block level for that office
expenditure, rented vehicle and honorarium of attendance is proposed.

Budget Head
3) Provision for Monitoring & Evaluation activity in Melghat through monthly, quarterly
meeting and field visit.
The provision is proposed for expected 24 meeting at Semadoh and quarterly 8 meeting at
block level Dharni & Chikhaldara. The Budget of Rs. 3.00 Lacs is proposed for meeting and
time to time visit of stae level authority.
CHILD HEALTH
Loss of daily wages for
mother stay at VCDC
for Melghat mothers
FAMILY PLANNING
Insentive for delaying
first pregnancy for
three year after
marriage
Free diet allowance for
Family planning cases
11200
TRIBAL RCH
Provision of MO, ANM,
Pharmasist,Driver, POL
& maintainance for two
Mobile Van.
Helpline in Tribal Block
(Dharni and
Chikhaldara)
Unit of
Measu
re
Mothe
r
Budget of Additional Activity RCH-II
PHYSICAL TARGET (where applicable) BUDGET (RS. LAKHS)
Q I
Q II
Q II
Q IV
Total Annual
Rate
(Rs./Unit)
Q I
Q II
Q II
Q IV
Total Annual
Budget
(Rs. Lakhs)
1000 1000 1000 1000 4000 0.018 18.00 18.00 18.00 18.00 72.00
Couple 15 15 15 0 45 0.010 1.50 1.50 1.50 0.00 4.50
Cases 2800 2800 2800 2800 11200
0.001
5
4.20 4.20 4.20 4.20 16.80
Blocks 2 2 2 2 2 1.220 3.66 3.66 3.66 3.66 14.64
Block 2 2 2 2 2 1.08 1.08 1.08 1.08 4.32
Provision for monthly
meeting at Semadoh
and quartorly meeting
at block level Dharni &
Chikhaldara
Block 8 8 8 8 32 0.02 0.16 0.16 0.16 0.16 0.64
Total.. 3827 3827 3827 3812 15281 1 29 29 30 28 112.90

PART – B Mission Felxipool
1) Proposal for Rest house at Chikhaldara, Tq. Chikhaldara,
Requirement / Necessity :
Many of the Health Schemes are implemented by state & central Government in tribal region.
Melghat with primitive development does not suffice to the requirement of rest house and lodging
for the Visitors, Health Officers & dignitaries from State & District Level
Site location :
The site is located at hill station in the premises of Primary Health Center, Chikhaldara. Chikhaldara
Hill Station is 87 Km away from Amravati & the site is easily approachable by road.
Area :
The area available at site is 3 acras (Approximately) surrounded by Hillock and natural beauty.
Details of Proposal :
The rest house proposed in a area 72665 sq. Feet. The facility proposed at rest house includes the
following. :
• Entrance foyer with receptionist counter.
• Managers office block.
• Waiting area about 300 Sq. Feet.
• V.I.P. Suite 4 Nos & regular suites 5 Nos.
• Recreation Hall 1 No.
• Conference hall having sitting arrangement of 30 to 35 Persons.
• Dining hall 2 Nos. VIP Dining hall & Dining Hall
• Dormitories 2 Nos
• Rooms 10 Nos.
• Garden Space with fountains.
• Security officer and guard room.
• Kitchen with store room.
• Quarters for labour staff.
• Parking space for 30 four wheeler.
Estimate Cost :
The estimated cost of Project amount to Rs. 175.00 lakhs which includes Civil work, interior
designing work, electrification of building, installation of security system, water supply and
sanitation
2) THO Office Counstruction ‐
Due to un avaibility of addiquate space from THO Office in District they have to face many
problems and because of non avability of well furnished infrastructure for regular working of THO

Office. The bare necessity of THO Office has been occurred and new construction for THO Office
within available place at either Panchyat Sameeti or SDH/RH premises.
Within Distirct there are 14 blocks which required construction of THO Office hence it is
suggested that to construct well furnished building for THO. Approximetly budget of Rs. 9.00 lacs
per block required, hence total budget of Rs. 126.00 lacs required.
3) New Construction for Sub Center
District proposed new sub center construction of 10 building were existing building of SC is
not available and requirement of SC is needed.
4) Repair of Existing quarter at RH Churni
In Melghat area RH Churni is located at remote place, the distance of hospital is above 140
k.m. from distirict head quarter. There is no alternative arrangement available for residence for
staffs. Hence it is proposed to renovate existing quarters for residential perpose of staff. There is 9
quarter available and all required repairs. Total budget required Rs. 22.00 lacs.
5) Converstion of old PHC building at Churni as residential quarter.
There is old PHC prmises at Churni, which is presentaly of no use. Hence it is proposed to
renove it old building as quarter, for that budget of Rs. 10.00 lacs is required.
6) Construction of compound wall for IPHS Sub Center
In district it is proposed to construct compound wall for IPHS Sub Center, approximetly
budget required for per sub center Rs. 3.60 lacs for 20 IPHS Sub Center. Total budget of Rs. 72.00
lacs required.
7) Concret road for PHC
For IPHS PHC In district infracture development of premises ids done but from entrance to
PHC building there is need of internal concret road. It is proposed to construct concret road for IPHS
PHCs approximetly budget required for per PHC Rs. .75 lacs. And total budget required for 34 IPHS
PHCs is RS 25.50 lacs..
New works proposed during 2011‐12
Sr Type of institute New construction Total budget required
1 Rest House at Chikhaldara 1 175.00 175.00
2 THO Office Construction 14 126.00 126.00
3 Sub Center 10 180.00 180.00
4 Repari of RH Churni Quarter 9 22.00 22.00
5 Converstion of old PHC as residential quarter 1 10.00 10.00
6 Compund wall for SC 20 72.00 72.00
7 Concreat road for PHC 34 25.50 25.50
Total 89 610.50 610.50

Additional Requirement for District Hospital, Amravati
1) Equipment‐ Color Doppler with Echo probe‐ Rs.16 lacs.
Distt.Hospital has old sonograpy machine with limited functions and less accuracy. Hence
new advanced color Doppler with echo probe is essential.
2) Central Oxigination and suction‐ Rs.20 lacs.
Distt.Hospital has well equipped ICU, but without central oxigination and suction. It creates
many problem during treatment of the patient, so cenrral oxigination and suction is
essential.
3) Intercom‐ Rs. 10 lacs.
Distt hospital has old manually operated intercom system with limited lines. So there are
connections to limited wards, it creates day to day problems to communicate with the staff
and follow up of the patients by the authority. It is essential to have new automatic intercom
system with increase lines.
4) C.C. TV‐ Rs. 5 lacs.
After terrorist attack on the hospital in Gujrat, the local police authority has advised to have
CC TV at all places in the hospital campus. Recently in Women hospital one female patient
was absconded and was found dead in the campus.Police are investigating the matter and
again the police commissioner has advised to set CC TV in govt.hospital. CC TV will help to
control the anti social element and will also assist the authority to monitor the services.
5) Biometric machine‐ Rs.2 lacs
To monitor the attendance and regularity of the hospital staff it is essential.
6) Building repair & coloring‐ Rs. 93 lacs.
Distt hospital was established in 1928, so the building is very old and it requires repair at
many places and coloring of the building. Local B & C deptt.has given an estimate of Rs.93
lacs for the said work, hence it is essential.
Total budget required for the above activities ‐ Rs.1,52 lacs.

Sickle Cell Disease Project in Morshi Taluka
1 Information about sickle cell disease ‐
It is a crippling disease caused by sickling of red blood cell because of hypoxia.
It lowers average age of death and make life miserable for the patient.
2 Project in Short ‐
a) Screening of all population from 0 to 30 yrs age in Morshi Taluka for sickle cell
disease by solubility test and confirmation by electrophoresis of those who found
positive in solubility test. Screening will start from tribal villages in Morshi Taluka
and step by step whole population of Morshi Taluka from 0 to 30 yrs will be covered.
b) Treatment of sickle cell disease patients at government health facilities.
c) Health education through IEC
d) Counseling before marriage by trained counselor.
3 Objective of the Project ‐
1) To reduce mortality of Sickle Cell Disease patients.
2) To reduce prevalence Sickle Cell Disease by doing pre marriage counseling.
4 Implementation of Project ‐
Step 1 ‐ To create awareness in the society about Sickle Cell Disease through IEC.
Step 2 ‐ Mass screening will be done by ASHA. They will refer the client to the PHC, SDH
for Solubility Test. ASHA will be paid Rs.10 per client for motivation. If it is found positive
in solubility test then he will be refer for electrophoresis by ASHA and she will be paid
Rs. 25 per patient.
Step 3 ‐ Counseling of the Sickle Cell Disease patient by trained counselor including
premarriage counseling .
Step 4 ‐ Treatment of Sickle Cell Disease patients at PHC and SDH level including Blood
Transfusion facility at SDH level.
5 Manpower & Material requirement ‐
1) Lab Technician ‐ 1 SDH
Total 6
2) Supervisor ‐ 1
3) Date Entry Operator ‐ 1
4) Counselor ‐ 1
5 PHC

6 Estimated Cost of Project ‐
1) Supervisor ‐ Rs 6000/month x 12 month = Rs. 72000.00
2) Lab Tech ‐ (Rs 6000/monthx 6 person) x 12 month = Rs. 432000.00
3) DEO ‐ Rs 6000/month x 12 month = Rs. 72000.00
4) Counselor ‐ Rs 6000/month x 12 month = Rs. 72000.00
5) TA to Counselor ‐Rs 1000/month x 12 month = Rs. 12000.00
6) TA to Supervisor ‐Rs 1000/month x 12 month = Rs. 12000.00
7) Office expenses ‐Rs 8000/month x 12 month = Rs. 96000.00
8) IEC ‐Rs 1000/month x 12 month = Rs. 12000.00
9) Insturment & Equipment = Rs. 500000.00
10) Incentive to ASHA
Total Population – 176864
Population under screening – 63670 x Rs. 10 = Rs. 636700.00
Population for electrophoresis – 12734 x Rs. 25 = Rs. 318350.00
Total Rs. 2235050.00

Additional activity suggested for Melghat region
1) Taluka Training Center :‐
Justification :‐ The distance of District Training center from Melghat is about 100‐150 km.
aprox. Travel facility between these two destination is not so frequent so the health
personnel suffer from physical as well as mental stress and looking behind faulty technical
training facility. So to save the time and avoid long journey to workers. So taluka training
center is essential.
Budget Required :‐
Building ‐ 5000000/‐
Manpower ‐ 500000 /‐
Contigency ‐ 100000 /‐
Equipments ‐ 400000 /‐
Total 6000000/‐
2) Two wheeler facility at PHC level :‐
Justification :‐ As our taluka is tribal and villages are in remote places where the roads and
transport facility is so poor. At the many villages there is difficulty in reaching by four
wheelers.
Also to implement many national programmes properly and timely with proper information
and communication. Like immunization session in every month.
Tracking sporadic cases first information to phc. There is a need of at least 4 two wheelers
for supervisors with fuel facility.
Budget Required for 11 PHC for Melghat:‐
Vehicle Price ‐ 220000 /‐
Fuel for year ‐ 48000 /‐
Total Budget ‐ 268000/‐
3) Strengthening of Bharari Pathak Yojana :‐
Justification :‐ As there are 22 Medical officer working in 22 Bharari Pathak in very remote
places where residence facility for Doctors are not available so many Doctors are not
interested to give there best services. So there is a urgent need of residensial 1 BHK quarter
at head quarter place of Bharari Pathak.
Budget Required :‐ Per Quarter ‐ 1000000/‐
5) Strengthening of Health workers, by providing residential quarters :‐
Justification :‐Health workers in melghat are giving there services in so many remote places
where the residence facility is not available for them.
Only permanent ANMs lives in subcenter building but other contractual ANM and
MPW are not provided with residence facility. So to improve ground level health services for

door to door facility residential quarters for MPW & Contractual ANM are required at each
subcenter.
6) OT Extension :‐
Justification :‐ The already constructed OT’s in all PHC’s are of inadequate space so for
adequate spacing and operative services OT extension is needed at each PHC level. Budget
required of per PHC @ Rs. 5.00 lacs.
7) Deep Burial Pit facility with sharp pit at each subcenter level :‐
Justification :‐To dispose the biomedical waste (placenta) as well as chemical & sharp waste
the deep burial pit with sharp pit is required at each subcenter. Budget required for 95 sub
center @ Rs. 0.35 lacs per SC.
8) Solar water heating facility at each subcenter level :‐
Justification :‐To improve institutional deliveries at subcenter level warm water is required
for patients so solar water heating system is needed at each subcenter level. Budget
required @ Rs. 0.50 lacs per SC.
9) Express feeder at each PHC’s :‐
Justification :‐ PHC Services consist of immunization vaccines OT services, delivery services,
emergency health services all needs 24 hour electricity. So there is a need of express feeder
at each PHC’s in Dharni Taluka.
10) Regular Workshop for Bhumka/Padiyal :‐
Justification :‐In tribal melghat the impact of bhumka/padiyal is highly influenced on the
mindset of villagers so the believe on them first of all to come out of there sufferings than
health services and ultimately it results in increased child mortality and maternal mortality in
tribal area. So to tackle the situation there is a need to organize regular training workshop
for bhumka/padiyal in tribal region at block villages, PHC’s to change the killers to healer
situation.
11) Strengthening of MHU :‐
Justification :‐ At Present there is a sanctioned mobile health vehicle but no staff and fuel as
per previous year PIP. So there is a need of fulfillment of staff consisting of medical officer‐1,
health worker (M/F)‐2, attendant‐1 & Driver‐1 for this mobile health unit to improve the IEC
as well as campaign facility at remote villages.
Budget Required :‐
Employees Salary ‐ 360000 / year
Vehicle maintenance & Fuel ‐ 75000 / year
Total 435000 / year

12) Ideal awards for health employees :‐
Justification :‐ Health employees are giving health services at very remote villages with their
devotion & dedication. To encouraged them, an awards should be given for hard working &
best working health employees.
1) For best health assistant – Male & Female
2) For best health worker – Male & Female
3) For best Medical officer
4) For best Honorary Medical Officer
13) Healthy baby competition at each village per quarter :‐
Justification :‐To enhance the community participation and effective reduction in protein
energy malnutrition status of children at each villages. There is urgent need to give special
prizes to health babies.
1) Healthy baby at 6 month age
2) Healthy baby at 12 month age
3) Healthy baby at 36 month age
4) Healthy baby at 5 year age
So that the parents/ relative on their own try to feed their babies take care, give health
facility and ultimately the health babies in the community.
14) Additional quarters at PHC’s :‐
Justification :‐The health staff/employees give health services at PHC level where there is
difficulty in getting the residence facility in villages. So to enhance the capacity of employees
& better quality health services there is a need for additional residential quarters to
1) For Lab Technician
2) For Health Assistant Male
3) For additional Medical Officer on deputation/specialist
4) For Health worker Male
15) Kitchen facility at PHC’s level :‐
Justification :‐ At Present the diet tenders are given to personnel who resides out of PHC
campus & not fully able to fulfill the quality diet needs of indoor patients. Hence there need
to provide kitchen facility/canteen at each PHC consisting of cook & cooking experts &
Kitchen room.