National Rural Health Mission - Amravati

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