National Rural Health Mission - Amravati

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: