PIP 2012-13-Approved ROP - Pbnrhm.org

2012-13
Ministry of Health & Family Welfare
GOVERNMENT OF INDIA
APPROVAL OF STATE PROGRAMME
IMPLEMENTATION PLAN 2012- 13;
PUNJAB
1

Preface
I truly believe that the National Rural Health Mission affords us a
unique opportunity to be aspirational and to bring about transformational
change.
This document evolves out of a shared vision – about where the State
of Punjab must reach and the path to be traversed. Strides in the right
direction get the State more money while there is danger too of losing funds
for slippages.
As NRHM embarks on the second phase of its journey, let us be
inspired by what Mahatma Gandhi said “A small body of determined spirits
fired by an unquenchable faith in their mission can alter the course of
history.’’
Let us believe in ourselves and our ability to make a difference.
Anuradha Gupta
Additional Secretary & Mission Director

To,
The Mission Director (NRHM)
Department of Health & Family Welfare
Room No. 1, 5th Floor,
Prayas Building, Dakshin Marg,
Sector 38-B,
Chandigarh - 160036, Punjab
No. 10(25)/2012-NRHM-1
Government of India
Ministry of Health and Family Welfare
(National Rural Health Mission)
Nirman Bhavan, New Delhi
Dated May 31, 2012
Subject: Approval of NRHM State Programme Implementation Plan for the year 2012-13
1. This refers to the Programme Implementation Plan (PIP) for the year 2012-13
submitted by the State and subsequent discussions in the NPCC meeting held on May 14,
2012 at New Delhi.
2. Against a resource envelope of Rs 458.22crores, the administrative approval of the
PIP for your State is conveyed for an amount of Rs 380.30 crores. Details are provided in
Table A, B and C below:
TABLE-A
Rs. Crores
Uncommitted Unspent Balance available under NRHM as on
33.01
01.04.2012
GOI Resource Envelope for 2012-13 under NRHM 318.91
25% State Share (2012-13) 106.30
Total 458.22
TABLE-B
Sr.
No.
Break up of total resources under NRHM (Rs. crores)
Programme
Uncommitted GoI Resource
Unspent balance Envelope
available as on under NRHM
01.04.2012
Total
1 RCH Flexible Pool 22.60 84.67 107.27
2 NRHM Flexible Pool 10.41 105.20 115.61
3 Immunization (from RCH
0.00 4.14 4.14
Flexible Pool)
4 NIDDCP 0.00 3.90 3.90

5 IDSP 0.00 9.85 9.85
6 NVBDCP 0.00 6.67 6.67
7 NLEP 0.00 1.75 1.75
8 NPCB 0.00 2.60 2.60
9 RNTCP 0.00 0.24 0.24
10 Direction &
0.00 90.57 90.57
Administration
11 PPI Operation Cost 0.00 9.32 9.32
12 25% State Share 106.30
Total Resource Envelope 33.01 318.91 458.22
Committed Unspent Balance up to 2011-12 to
136.16 crore
be revalidated in 2012-13
TABLE-C
SUMMARY OF APPROVAL
Sr.
No.
Scheme /Programme
Approved
Amount
(Rs. Crores)
1 RCH Flexible Pool
110.38
2 NRHM Flexible Pool
137.93
3 Immunization and PPI operation cost
20.41
4 NIDDCP
0.37
5 IDSP
2.85
6 NVBDCP
3.90
7 NLEP
1.65
8 NPCB
2.95
9 RNTCP
9.27
10 Infrastructure maintenance(Treasury
90.57
route)
Total
380.30
Annexure ref
1
2
3
4A
4B
4C
4D
4E
4F
Thus, there is a cushion of Rs. 77.92 crores (Rs. 458.22 less Rs 380.30 crores) for which, State
is advised to send a supplementary PIP urgently.
Targets, conditionalities and road maps for priority action
3. State has been assigned mutually agreed goals and targets. The state is expected to
achieve them, adhere to key conditionalities introduced this year and implement the road
map provided in each of the sections of the approval document.

4. District resource envelope as indicated in the PIP should be respected by the State
5. All buildings/vehicles supported under NRHM should prominently carry NRHM logo
in English/ Hindi & regional languages.
Mandatory disclosures
6. In addition, the State is directed to ensure mandatory disclosure on the state NRHM
website of the following:
Facility wise deployment of all contractual staff engaged under NRHM with name
and designation.
MMUs- total number of MMUs, registration numbers, operating agency, monthly
schedule and service delivery data on a monthly basis.
Patient Transport ambulances and emergency response ambulances- total number
of vehicles, types of vehicle, registration number of vehicles, service delivery data
including clients served and kilometres logged on a monthly basis.
All procurements- including details of equipments procured (as per directions of CIC
which have been communicated to the States by this Ministry vide letter
No.Z.28015/162/2011-H dated 28th November 2011.
Buildings under construction/renovation –total number, name of the facility/hospital
along with costs, executing agency and execution charges (if any), date of start &
expected date of completion
Release of second tranche of funds
7. Action on the following issues would be looked at while considering the release of
second tranche of funds:
Compliance with conditionalities.
Physical and financial progress made by the State.
It is expected that 25% of the State share, based on release of funds by Government
of India is credited to the account of the State Health Society as early as possible.
Timely submission of Statutory Audit Report for the year 2011-12 is a must for
release of 2nd tranche of funds.
Before the release of funds up to 100% of BE of your state for the year 2012-13,
State needs to provide Utilization Certificates against the grant released to the
State up to 2010-11 duly signed by Mission Director and Auditor.
Monitoring requirements
8. State shall ensure submission of quarterly report on progress against targets and
expenditure including an analysis of adverse variances and corrective action proposed to be
taken.
9. All approvals are subject to the observations made in this document.

10. The State shall not make any change in allocation among different budget heads
without approval of GoI.
11. The accounts of State/ grantee institution/ organization shall be open to inspection
by the sanctioning authority and audit by the Comptroller& Auditor General of India under
the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the
Ministry of Health & Family Welfare.
12. State shall ensure submission of details of unspent balance indicating inter alia,
funds released in advance & funds available under State Health Societies. The State shall
also intimate the interest amount earned on unspent balance. This amount can be spent
against activities already approved.
Yours faithfully,
Dr. Suresh. K. Mohammed,
Director (NRHM-I)

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2012-13: PUNJAB
CONTENTS
PAGE NO.
SUMMARY
State specific goals 1
Key conditionalities and incentives 3
Finance: key issues and guiding principles 4
Road map 6
Approved budget (by program and function) 10
REPRODUCTIVE AND CHILD HEALTH
Maternal Health 18
Child Health & Immunization 32
Family Planning 47
Adolescent Health 58
Urban RCH 65
PC-PNDT 68
Human Resources and programme management 73
MISSION FLEXI POOL
ASHA 88
Untied funds/RKS/AMG 93
Hospital Strengthening 96
Procurement 101
Mobile medical unit & Referral Transport 106
Mainstreaming of AYUSH 109
IEC / BCC 112
Monitoring and evaluation (HMIS) 117
Others 122
NATIONAL DISEASE CONTROL PROGRAMMES
National Iodine Deficiency Disorders Control Programme (NIDDCP) 131
Integrated Disease Surveillance Programme(IDSP) 134
National Vector Borne Disease Control Programme (NVBDCP) 138
National Leprosy Eradication Programme (NLEP) 147
National Programme for control of Blindness (NPCB) 151
Revised National Tuberculosis Control Programme (RNTCP) 155
Annexure (Detailed budgets)
1. RCH Flexible Pool
2. Mission Flexible pool
3. Immunization and PPI operation cost
4A. National Iodine Deficiency Disorders Control Programme (NIDDCP)
4B. Integrated Disease Surveillance Programme (IDSP)
4C. National Vector Borne Disease Control Programme (NVBDCP)
4D. National Leprosy Eradication Programme (NLEP)
4E. National Programme for control of Blindness (NPCB)
4F. Revised National Tuberculosis Control Programme (RNTCP)

SUMMARY

STATE-SPECIFIC GOALS
The following are the goals and service delivery targets specifically laid out for the state of Punjab:
INDICATOR
Current
status
INDIA Punjab STATE TARGETS
Trend (year & source) 2012-13 2013-14 2014-
RCH II/
15
NRHM
(2012) goal
MATERNAL HEALTH
Maternal
Mortality Ratio
(MMR)
212
(SRS 07-09)

Indicators
Mothers who had 4 Ante Natal
Check-ups
Institutional delivery in public
health facilities(%)
Line listing and follow up of
Severely Anaemic pregnant
women (nos)
DLHS-2
(2002-04)
SERVICE DELIVERY TARGETS:
DLHS-3 CES
(2007-08) (2009)
Maternal Health
State Targets
2012-13 2013-14 2014-15
460962 478635 496559
30 32 35
NA NA NA 6219 6278 6337
Child Health
Full Immunisation (%) 72.9 79.9 83.6 95% 100% 100%
Line listing and follow up of Low
8% 4% 6% 8%
Birth Weight babies RURAL Nos;
(% of live births)
Family Planning
Female sterilisations (lakhs) 77480
(HMIS: 2010-11)
80000 85000 90000
Post-Partum sterilizations (lakhs) 2488
(HMIS: 2010-11)
5000 7500 10000
Male sterilisations (lakhs) 16373
(HMIS: 2010-11)
IUD insertions (lakhs) 220651
(HMIS: 2010-11)
Disease Control
ABER for malaria (%) 11.30 To sustain
the ABER
>10
API for malaria (per 1000
0.12

KEY CONDITIONALITIES AND INCENTIVES
As agreed, the following key conditionalities would be enforced during the year
2012-13.
a) Rational and equitable deployment of HR with the highest priority accorded
to high focus districts and delivery points 1 .
b) Facility wise performance audit and corrective action based thereon 2 .
Non-compliance with either of the above conditionalities may translate into
a reduction in outlay upto 7 ½% and non-compliance with both translating
into a reduction of upto 15%.
c) Gaps in implementation of JSSK may lead to a reduction in outlay upto 10%.
d) Continued support under NRHM for 2nd ANM would be contingent on
improvement on ANC coverage and immunization as reflected in MCTS.
e) Vaccines, logistics and other operational costs would also be calculable on
the basis of MCTS data.
INCENTIVES
Initiatives in the following areas would draw additional allocations by way of
incentivisation of performance:
a) Responsiveness, transparency and accountability (upto 8% of the outlay).
b) Quality assurance (upto 3% of the outlay).
c) Inter-sectoral convergence (upto 3% of the outlay).
d) Recording of vital events including strengthening of civil registration of births
and deaths (upto 2% of the outlay).
e) Creation of a public health cadre (by states which do not have it already)
(upto 10% of the outlay)
f) Policy and systems to provide free generic medicines to all in public health
facilities (upto 5% of the outlay)
Note:
The Framework for Implementation of NRHM to be strictly adhered to while
implementing the approved PIP.
1 Rational and equitable deployment would include posting of staff on the basis of case load, posting of
specialists in teams (eg. Gynaecologist and Anaesthetist together), posting of EmOC/ LSAS trained doctors in
FRUs,optimal utilization of specialists in FRUs and above and filling up vacancies in high focus/ remote areas.
2 Performance parameters must include OPD/ IPD/ normal deliveries/ C. Sections (wherever applicable).
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 3 -

FINANCE: KEY ISSUES AND GUIDING PRINCIPLES
Quality FMRs must be submitted on time with both physical and financial progress fully reflected.
1. Refund shown under RCH-I Schedule
2. Status of 15% Contribution
Year
Amounts required on
basis of releases (Rs. in
Crore)
Amount Credited in
SHS Bank A/C (Rs. in
Crore)
Short/
(Excess)
(Rs. In Crore)
2007-08 19.03 - 19.03
2008-09 32.30 28.84 3.46
2009-10 63.45 16.99 46.46
2010-11 44.61 31.62 12.99
2011-12 59.37 50.53 8.84
Total 218.76 127.98 90.78
State is yet to deposit Rs 90.78 crore into the bank account of State Health Society, as per the table
given above.
3. Before the release of funds upto 100% of BE of your state for the year 2012-13, State need to
provide Utilization Certificates against the grant released to the State up to 2010-11. The
pending details for such pending UCs is as under:
Programme 2010-11 Total
RCH-II 47.32 47.32
Mission flexipool
Rs. in crore
4. Before the release of funds up to 100% of BE of your state for the year 2012-13, State needs
to provide Utilization Certificates against the grant released to the State up to 2010-11
5. Release of 100% of funds for the year 2012-13 would be contingent on the state providing
utilisation certificates up to 2010-11, duly signed by Mission Director and Auditor.
6. The appointment of Concurrent Auditor for the year 2012-13 is a prerequisite for release of
2 nd Tranche of funds. The State shall ensure timely appointment of Concurrent Auditor for
State and District level so that concurrent audit shall be completed on time. The state shall
submit the executive summary of the audit report to Govt of India on regular basis
7. Timely submission of Statutory Audit Report for the year 2011-12 is must for release of 2 nd
Tranche of funds. The State shall submit the Audit report as per timelines of the RFP issued
by the Govt of India for the appointment of Statutory Auditor.
8. State has to comply with the instructions and/or guidelines issued for maintenance of bank
account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012.
9. State should provide a confirmation of submission of Action Taken Report/ Compliance
Report on the FMR Analysis (2011-12) and Audit Report Analysis for FY 2010-11.
10. State need to prioritise the internal control procedures for all kind and procurements within
the State. The State shall ensure that expenditure under Procurement should be in uniform
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 4 -

manner which was not as per approved PIP in the year 2007-08 to 2009-10. Further all
Procurements should as per proper procurement procedure
11. State should ensure proper maintenance of books of accounts at all districts and blocks
within the State.
12. The State shall ensure the reconciliation and of old advance lying at the state, district and
block level and also ensure the adjustment/recovery of old outstanding advances within the
first quarter of the year 2012-13.
13. The State shall submit the Monthly & Quarterly MIS report to the FMG, NRHM-finance, and
Govt of India on time.
14. The opening balances do not tally with the previous year closing balances. The opening
balances must match with the previous year closing balances.
15. The state must ensure due diligence in expenditure and observe, in letter and spirit, all rules,
regulations, and procedures to maintain financial discipline and integrity particularly with
regard to procurement; competitive bidding must be ensured and only need-based
procurement should take place.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 5 -

ROAD MAP FOR PRIORITY ACTION
NRHM must take a ‘systems approach’ to Health. It is imperative that States take a holistic view and
work towards putting in place policies and systems in several strategic areas so that there are optimal
returns on investments made under NRHM. For effective outcomes, a sector wide implementation
plan would be essential. Some of the key strategic areas in this regard are outlined below for urgent
and accelerated action on the part of the State:
S.
NO.
STRATEGIC AREAS
ISSUES THAT NEED TO BE ADDRESSED
PUBLIC HEALTH PLANNING & FINANCING
1. Planning and financing Mapping of facilities, differential planning for districts / blocks with
poor health indicators; resources not to be spread too thin /
targeted investments; at least 10% annual increase in state health
budget (plan) over and above State share to NRHM resource
envelope; addressing verticality in health programmes; planning for
full spectrum of RCH services; emphasis on quality assurance in
delivery points
2. Management
strengthening
Full time Mission Director for NRHM and a full-time Director/ Jt.
Director/ Dy. Director Finance, not holding any additional
responsibility outside the health department; fully staffed
programme management support units at state, district and block
levels; training of key health functionaries in planning and use of
data. Strong integration with Health & FW and AYUSH directorates
3. Developing a strong Public
Health focus
HUMAN RESOURCES
Separate public health cadre, induction training for all key cadres;
public health training for doctors working in health administrative
positions; strengthening of public health nursing cadre, enactment
of Public Health Act
4. HR policies for doctors, Minimising regular vacancies; expeditious recruitment (eg. taking
nurses paramedical staff recruitment of MOs out of Public Service Commission purview);
and
programme merit –based and transparent selection; opportunities for career
management staff progression and professional development; rational and equitable
deployment; effective skills utilization; stability of tenure;
sustainability of contractual human resources under RCH / NRHM
and plan for their inclusion in State budget
5. HR Accountability Facility based monitoring; incentives for both the health service
provider and the facility based on functioning; performance
appraisal against benchmarks; renewal of contracts/ promotions
based on performance; incentives for performance above
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 6 -

S.
NO.
STRATEGIC AREAS
ISSUES THAT NEED TO BE ADDRESSED
benchmark; incentives for difficult areas
6. Medical, Nursing and Planning for enhanced supply of doctors, nurses, ANMs, and
Paramedical Education paramedical staff; mandatory rural posting after MBBS and PG
(new institutions and education; expansion of tertiary health care; use of medical colleges
upgradation of existing as resource centres for national health programmes; strengthening/
ones)
revamping of ANM / GNM training centres and paramedical
institutions; re-structuring of pre service education; developing a
7. Training and capacity
building
STRENGTHENING SERVICES
highly skilled and specialised nursing cadre
Strengthening of State Institute of Health & Family Welfare
(SIHFW)/ District Training Centres (DTCs); quality assurance;
availability of centralised training log; monitoring of post training
outcomes; expanding training capacity through partnerships with
NGOs / institutions; up scaling of multi skilling initiatives,
accreditation of training
8. Policies on drugs, Articulation of policy on entitlements on free drugs for out / in
procurement system and patients; rational prescriptions and use of drugs; timely
logistics management procurement of drugs and consumables; smooth distribution to
facilities from the district hospital to the sub centre; uninterrupted
availability to patients; minimisation of out of pocket expenses;
quality assurance; prescription audits; essential drug lists (EDL) in
public domain; computerised drugs and logistics MIS system; setting
up dedicated corporation eg: TNMSC
9. Equipments Availability of essential functional equipments in all facilities; regular
needs assessment; timely indenting and procurement; identification
of unused/ faulty equipment; regular maintenance and MIS/
10. Ambulance Services and
Referral Transport
competitive and transparent bidding processes
Universal availability of GPS fitted ambulances; reliable, assured free
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; a prudent mix of basic level ambulances
and emergency response vehicles
11. New infrastructure and New infrastructure, especially in backward areas; 24x7 maintenance
Maintenance of buildings; and round the clock plumbing, electrical, carpentry services; power
sanitation, water, backup; cleanliness and sanitation; upkeep of toilets; proper
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 7 -

S.
NO.
STRATEGIC AREAS
ISSUES THAT NEED TO BE ADDRESSED
electricity, laundry, disposal of bio medical waste; drinking water; water in toilets;
kitchen, facilities for electricity; clean linen; kitchens, facilities for attendants
attendants
12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable
availability to patients; partnerships with private service providers;
COMMUNITY INVOLVEMENT
prescription audits, free for pregnant women and sick neonates
13. Patient’s feedback and Feedback from patients; expeditious grievance redressal; analysis of
grievance redressal
feedback for corrective action
14. Community Participation Active community participation; empowered PRIs; strong VHSNCs;
social audit; effective Village Health & Nutrition Days (VHNDs),
strengthening of ASHAs, policies to encourage contributions from
public/ community
15. IEC Comprehensive communication strategy with a strong behaviour
change communication (BCC) component in the IEC strategy;
dissemination in villages/ urban slums/ peri urban areas
CONVERGENCE, COORDINATION & REGULATION
16. Inter Sectoral convergence Effective coordination with key departments to address health
determinants viz. water, sanitation, hygiene, nutrition, infant and
young child feeding, gender, education, woman empowerment,
convergence with SABLA, SSA, ICDS etc.
17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be
part of active communitisation process; involvement of NGOs in
18. Private Public Partnership
(PPP)
19. Regulation of services in
the private sector
filling service delivery gaps; active community monitoring
Partnership with private service providers to supplement
governmental efforts in underserved and vulnerable areas for
deliveries, family planning services and diagnostics
Implementation of Clinical Establishment Act; quality of services,
e.g. safe abortion services; adherence to protocols; checking
unqualified service providers; quality of vaccines and vaccinators,
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 8 -

S.
NO.
STRATEGIC AREAS
ISSUES THAT NEED TO BE ADDRESSED
enforcement of PC-PNDT Act
MONITORING & SUPERVISION
20. Strengthening data 100% registration of births and deaths under Civil Registration
capturing, validity / System (CRS); capturing of births in private institutions; data
triangulation
collection on key performance indicators; rationalising HMIS
indicators; reliability of health data / data triangulation mechanisms
21. Supportive Supervision Effective supervision of field activities/ performance; handholding;
strengthening of Lady Health Visitors (LHVs), District Public Health
Nurses (DPHNs), Multi Purpose Health Supervisors (MPHS) etc.
22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for
periodic review and future road map; clear agenda and follow up
action; Regular, focused reviews at different levels viz. Union
Minister/ Chief Minister/ Health Minister/ Health Secretary/ Mission
Director/ District Health Society headed by Collector/ Officers at
Block/ PHC level; use of the HMIS/ MCTS data for reviews;
concurrent evaluation
23. Quality assurance Quality assurance at all levels of service delivery; quality
certification/ accreditation of facilities and services; institutionalized
quality management systems
24. Surveillance Epidemiological surveillance; maternal and infant death review at
facility level and verbal autopsy at community level to identify
causes of death for corrective action; tracking of services to
pregnant women and children under MCTS
25. Leveraging technology Use of GIS maps and databases for planning and monitoring; GPS for
tracking ambulances and mobile health units; mobile phones for
real time data entry; video conferencing for regular reviews; closed
user group mobile phone facility for health staff; endless
opportunities- sky is the limit!
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 9 -

PROGRAMME WISE BUDGET
Approved Budget (by Programme), 2012-13:
Rs 380.30 Crore
NDCPs, Rs
21.00 Cr ,
6%
Infrastructure
maintenance
(Treasury route),
Rs 90.57 Cr, 24%
RCH Flexible Pool,
Rs 110.38 Cr , 29%
NRHM Flexible
Pool, Rs 137.93
Cr, 36%
Immunization and
PPI operation
cost, Rs 20.41 Cr ,
5%
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 10 -

Summary of Budget as per Broad Functional
Heads Punjab PIP 2012-13 Budget (percentage)
14
Vulnerable
Group
0%
13 Other RCH
Activities
1%
15 Other Mission
Activities
12 JSSK
8%
11 Referral
Transport
9%
17 Operational Cost
(NDCPs)
5%
6% 16 PPP/NGO
0%
18 Financial
Aid/Grants to
Institutions
(NDCPs)
0%
19 PPI
3%
20 Other NDCPs
0%
1 Human Resources
26%
2 Training
4%
10 Sterlization
4%
9 JSY
4%
8 RKS
3%
7 ASHA
9%
6 Untied Funds
8%
4 Procurements
7%
5 IEC/BCC
1%
3
Infrastructure
4%
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 11 -

Sterilisation &
IUD
Compensation,
and NSV Camps
9%
Programme
Management
8%
Training
7%
RCH Flexible Pool Budget: Rs 11038.39
lakhs
JSY
7%
Infrastructure
& HR
39%
Maternal
Health
23%
Child Health
5%
Family Planning
0%
Urban RCH
2%
ARSH
PNDT &
0%
Sex
Ratio
0%
Planning,
Implementation
and Monitoring
PPP/
NGOs
0%
Mission Flexible Pool Budget: Rs 13792.52 lakhs
New Initiatives
1%
7% Procurement
14%
Referral Transport
20%
Support Services
2%
ASHA
12%
Mainstreaming of
AYUSH
10%
Untied Funds
(ongoing)
13%
Hospital
Strengthening
8%
Annual
Maintenance
Grants
(ongoing)
3%
Mobile Medical
Units (Including
recurring
expenditures)
3%
IEC-BCC NRHM
2%
Corpus Grants to
HMS/RKS (ongoing)
5%
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 12 -

Immunization (with PPO costs) Budget:
Rs 2040.50 lakhs
Pulse Polio
Operational
Cost
46%
RI
strengthening
project
26%
Salary of
Contractual
Staffs
1%
ASHA Incentive
20%
Training under
Immunisation
Cold chain 7%
maintenance
0%
NDCPs Budget: Rs 2098.40 lakhs
NIDDCP
2%
RNTCP
44%
IDSP
13%
NVBDCP
19%
NPCB
14%
NLEP
8%
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 13 -

SUMMARY BUDGET 12-13: PUNJAB
S. No. Budget Head Proposed Approved %
1. RCH
A1 Maternal Health 1645.84 2487.09 6.26
A2 Child Health 781.50 554.25 1.40
A3 Family Planning 51.54 29.16 0.07
A4 ARSH 624.20 4.20 0.01
A5 Urban RCH 271.44 207.00 0.52
A6 Tribal RCH 0.00 0.00 0.00
A7 PNDT & Sex Ratio 233.22 8.22 0.02
A8 Infrastructure & HR 4527.20 4274.64 10.76
A9 Training 804.54 780.82 1.97
A10
Programme
Management
1136.65 900.14 2.27
A11 Vulnerable groups 0.00 0.00 0.00
Total Base Flexi
10076.14 9245.52 23.28
Pool
A12 JSY 807.04 807.04 2.03
A13
2. MFP
Sterilisation & IUD
Compensation, and
NSV Camps
985.83 985.83 2.48
Total Demand Side 1792.87 1792.87 4.51
Total RCH Flexi Pool 11869.00 11038.39 27.79
B1 ASHA 1982.89 1651.30 4.16
B2 Untied Funds
1789.30 1789.30 4.51
(ongoing)
B3
B4
B5
B6
B7
B8
B9
Annual
Maintenance Grants
(ongoing)
Hospital
Strengthening
New Constructions/
Renovation and
Setting up
Corpus Grants to
HMS/RKS (ongoing)
District Action Plans
(including block,
village)
Panchayati Raj
Initiative
Mainstreaming of
AYUSH
1044.30 446.00 1.12
2578.57 1106.50 2.79
0.00
731.00 726.00 1.83
0.00
0.00
1857.60 1341.84 3.38
B10 IEC-BCC NRHM 453.22 300.00 0.76
B11
Mobile Medical
Units (Including
recurring
expenditures)
360.00 360.00 0.91
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 14 -

S. No. Budget Head Proposed Approved %
B12 Referral Transport 2713.66 2669.31 6.72
B13 PPP/ NGOs 158.30 56.30 0.14
B14 Innovations (if any) 0.00
B15
Planning,
Implementation and
Monitoring
1044.97 999.61 2.52
B16 Procurement 4550.12 1887.12 9.13
B17
Regional drugs
warehouses
B18 New Initiatives 159.80 150.09 0.38
B19
B20
B21
Health Insurance
Scheme
Research, Studies,
Analysis
State level Health
Resources Center
B22 Support Services 453.62 223.11 0.64
B23
3. IMMUNIZATION
C1
C2
C3
C4
Other Expenditures
(Power Backup,
Convergence etc)
TOTAL MFP 19877.35 13792.52 38.97
RI strengthening
project (Review
meeting, Mobility
support, Outreach
services etc)
Salary of
Contractual Staffs
Training under
Immunisation
Cold chain
maintenance
0.00
0.00
0.00
0.00
0.00
523.09 520.99 1.31
27.91 27.91 0.07
178.86 136.12 0.34
5.02 5.02 0.01
C5 ASHA Incentive 418.00 418.00 1.05
C6
Total Immunization 1152.88 1108.04 2.79
Pulse Polio
932.46 2.35
Operational Cost
Total RI & PPO costs 1152.88 2040.50 5.14
4. NATIONAL DISEASE CONTROL PROGRAMMES
4A. National Iodine
Deficiency Disorders
Control Programme
(NIDDCP)
4B. Integrated Disease
Surveillance
Programme(IDSP)
21.85 37.01 0.10
345.68 284.71 0.72
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 15 -

S. No. Budget Head Proposed Approved %
4C. National Vector
Borne Disease
Control Programme
(NVBDCP)
340.00 390.00 0.98
4D. National Leprosy
Eradication
Programme (NLEP)
4E. National
Programme for
control of Blindness
(NPCB)
4F. Revised National
Tuberculosis Control
Programme (RNTCP)
210.34 164.87 0.42
674.58 295.26 0.74
1227.16 926.55 2.33
Total NDCP 2819.61 2098.40 5.29
5. INFRASTRUCTURE MAINTENANCE
Total Infrastructure
Maintenance
7448.00 9057.00 22.81
GRAND TOTAL 43166.84 38026.81 100.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 16 -

MATERNAL HEALTH
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 17 -

GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH
Indicator
Target
Maternal Mortality Ratio 147
4 ANCs 460962
Institutional Deliveries (out of the total estimated deliveries) to be
conducted in Public health institutions from 40% in 2010-11 to 45% in
2012-13
Caesarean Section rate in public health facilities from 8% in 2010-11 to 10%
in 2012-13
Severely anaemic pregnant women out of total anaemic pregnant women
(@2%)to be line listed and managed
30%
Maintain levels at
19%
6219
DELIVERY POINTS:
Level of Facility
Target
DHs & DH Women’s Hospitals 21
CHCs and other health facilities at sub district level 114
24*7 PHCs and Non FRUs 122
Total 257
TRAINING:
Training Programme
LSAS 48
EmOC 32
Target
BEmOC 32
SBA
360 ANMS/ LHVs, 360 SNs
MTP 30
RTI/STI 800 MOs, 1000 SNs, 1200
LHVs/ ANMs, 400 LTs
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 18 -

ROAD MAP FOR PRIORITY ACTION: MATERNAL HEALTH
Commitment No. 1- Operationalizing Delivery Points
Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the
necessary resources in order to ensure quality of services and provision of comprehensive RMNCH
(Reproductive Maternal Neonatal and Child Health) services at these facilities. These must be
branded and positioned as quality RMNCH 24x7 Service Centres within the current year.
The targets for different categories of facilities are:
A) All District Hospitals and other similar district level facilities to provide the following
services:
24*7 service delivery for CS and other Emergency Obstetric Care.
1 st and 2 nd trimester abortion services.
Facility based MDR.
Essential newborn care and facility based care for sick newborns.
Family planning and adolescent friendly health services
RTI/STI services.
Functional BSU/BB.
B) 114 CHCs and other health facilities at sub district level (above block and below district
level) functioning as FRUs to provide the same comprehensive RMNCH Services as the
district hospitals.
C) 122, 24*7 PHCs and Non FRUs to provide the following services:
24*7 BeMOC services including conducting normal delivery and handling common
obstetric complications.
1 st trimester safe abortion services. (MVA upto 8 weeks and MMA upto 7 weeks)
RTI/STI services.
Essential newborn care and facility based care for sick newborns.
Family planning
D) All identified SCs/ facilities will:
Conduct Delivery by SBAs.
Provide IUD Services
Provide Essential New born care services.
Provide ANC, PNC and Immunization services.
Provide Nutritional and Family planning counseling.
Conduct designated VHND and other outreach services.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 19 -

Commitment No. 2- Implementing free entitlements under JSSK
A) JSSK entitlements to be ensured to all pregnant women and sick newborns accessing Public
health facilities.
B) Drop back to be ensured to at least 70% of pregnant women delivering in the public health
facilities.
C) Effective IEC and grievance redressal to be ensured.
Commitment No. 3- Centralized Call Centre and Assured Referral
A) To ensure availability of a centralized call centre for referral transport at State or district level
as per requirements along with GPS fitted ambulances.
B) Response time for the ambulance to reach the beneficiary not to exceed 30 minutes.
Commitment No. 4- Essential Drug List
A) To formulate an Essential Drug List (EDL) for each level of facility viz. SC, PHCs, CHCs, DHs,
and Medical colleges
B) Ensure timely procurement and supply linked to case load.
C) The EDL should include drugs for maternal and child health, safe abortion services, RTI/STI.
Commitment No. 5- Capacity Building
A) Delivery points to be first saturated with trained HR. High focus/ remote areas to be covered
first.
B) Shortfall in trained human resource at delivery points particularly sub centres and those in
HFDs/ tribal/ remote areas to be addressed on priority.
C) Training load for skill based trainings to be estimated after gap analysis.
D) Certification /accreditation of the training sites is mandatory.
E) Training plan to factor in reorientation training of HR particularly for those posted at non
functional facilities and being redeployed at delivery points. Orientation training of field
functionaries on newer interventions e.g. MDR.
F) Performance Monitoring during training/post-deployment need to be ensured
G) Specific steps to strengthen SIHFW/ any other nodal institution involved in planning,
implementation, monitoring and post training follow up of all skill based trainings under
NRHM.
Commitment No. 6– Tracking severe anaemia
A) All severely anaemic pregnant woman (2% of the anaemic pregnant woman) to be tracked
and line listed for providing timely treatment of anaemia followed by micro birth planning.
Commitment No. 7– For High Focus Districts
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 20 -

A) The State to make use of the MCH sub plans made for these districts in the recent past and
develop and operationalise the identified facilities as delivery points.
B) At least 25% of all sub centres under each PHC to be made functional as delivery points in the
HFDs.
Commitment No. 8—Demarcation /Division of population and job clarity between the two ANMs
working at the Sub-centre. Ensuring availability of one ANM at the SC, while the other visits
the assigned population/villages.
Commitment No. 9: For 12 High Focus States: Pre service Nursing Training
A) At least one state Master Nodal centre shall be created and made functional.
B) State nursing cell will be created and made functional.
Commitment No.10: Proper implementation of JSY:
A) JSY guidelines to be strictly followed and payments made as per the eligibility criteria.
B) No delays in JSY payments to the beneficiaries and full amount of financial assistance to be
given to the beneficiary before being discharged from the health facility after delivery.
C) All payments to be made through cheques and preferably into bank/ post office accounts.
D) Strict monitoring and physical (at least 5%) verification of beneficiaries to be done by state
and district level health authorities to check malpractices.
E) Grievance redressal mechanisms as stipulated under JSY guidelines to be activated at the
district and state levels.
F) Accuracy of JSY data reported at the HMIS portal of MOHFW to be ensured besides furnishing
quarterly progress reports to the Ministry within the prescribed timeframe.
Commitment No. 11: Strengthening Mother & Child Tracking System
A) State level MCTS call centre to be set up to monitor service delivery to pregnant women and
children.
MCTS to be made fully operational for regular and effective monitoring of service delivery including
tracking and monitoring of severely anaemic women, low birth weight babies and sick neonates.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 21 -

DETAILED BUDGET: MATERNAL HEALTH
FMR
Code
Activity
A.1 MATERNAL HEALTH
A.1.1 Operationalise
facilities (only
dissemination,
meetings and
quality assurance)
A1.1.1 Operationalise FRUs
A1.1.1.1 Organise
dissemination
workshops for FRU
guidelines
A1.1.1.2 Prepare Plan for
Operationalisation
Across districts
(cost of plan
meeting should be
kept)
A1.1.1.3 Monitor quality of
services and
utilisation
Printing of
Guidelines for
Maternal and Child
Health - Guidelines
on JSSK, CHCs/ FRUs
etc.
Guidelines of JSSK,
operational
guidelines for MCH
and other
important
instructions will be
compiled in one
manual and printed
- 5000 copies
A1.1.2 Operationalise 24x7
PHCs
A1.1.2.1 Prepare plan for
operationalisation
across districts (cost
of plan meeting
should be kept)
A1.1.2.2 Monitor progress
and quality of
service delivery
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
200.00 10.00 5.00 Approved for
5000 copies @
Rs 100 each
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 22 -

FMR
Code
A1.1.3
A1.1.3.1
A1.1.3.2
A1.1.4
A1.1.4.1
A1.1.4.2
A1.1.5
A1.1.5.1
Activity
Operationalise Safe
abortion services
(including MVA/
EVA and medical
abortion)at health
facilities
Prepare plan for
operationalisation
across districts
(prioritize facilities
for safe abortion
services; cost of
plan meeting
should be kept)
Monitor progress
and quality of
service delivery
Operationalise
RTI/STI services at
health facilities
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
Prepare plan for
operationalisation
across districts
(priortise facilities
for RTI/STI services;
cost of plan
meeting should be
kept)
Kits for RTI/ STI 28.25 Approved and
booked under
MFP.
Monitor progress
and quality of
service delivery.
Operationalise subcentres
Prepare plan for
operationalising
services at subcentres
(for a range
of RCH services
including antenatal
care and post natal
care; cost of plan
meeting should be
kept)
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 23 -

FMR
Code
A1.1.5.2
Activity
Monitor quality of
service delivery and
utilisation including
through field visits
A1.2 Referral Transport
Referral Support to
all pregnant women
for institutional
deliveries
A1.3 Integrated
outreach RCH
services
A1.3.1 RCH Outreach
Camps in unserved/
underserved
areas (state
should focus on
facility based
services and
outreach camps to
be restricted to
areas without
functional health
facilities)
A1.3.2 Monthly Village
Health and
Nutrition Days
A1.4 Janani Suraksha
Yojana / JSY
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
5,000.00 200 10.00 0.00 Not Approved
To be met out
from VHSC
funds
A1.4.1 Home deliveries 500.00 22000 110.00 110.00 Approved
A1.4.2 Institutional
deliveries
A1.4.2.a Rural 700.00 63037 441.26 441.26 Approved
A1.4.2.b Urban 600.00 15463 92.78 92.78 Approved
A1.4.2.c C-sections
A1.4.3 Admin Cost (5%) JSY 4.00 150000 6.00 6.00 Approved
Cards
A1.4.4 ASHA Incentive - JSY 200.00 78500 157.00 157.00 Approved
A1.5 Maternal Death
Review/Audit
5.00 5.00 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 24 -

FMR
Code
Activity
Incentive to ASHAs -
For Maternal Health
Activities except JSY
A1.6 Other
strategies/activities
(please specify)
A.1.7
A.1.7.1
JSSK (for Pregnant
Women)
Drugs &
Consumables (other
than reflected in
Procurement)
Drugs and
Consumables for
Normal Deliveries
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
350.00 350.00 Approved
Rs. 100 for
registration of
2 lakhs PW
within three
months .(State
to ensure entry
in MCP card)
Rs. 100 for
ensuring
complete ANC
checkups for &
2TT for 1.5
lakhs PW
(State to
ensure entry in
MCP card )
Rs. 50 for
ensuring 100
IFA tablets for
2 lakhs PW (on
the model of
DOTS provider)
Rs.50 for stay
at night in the
hospital with
pregnant
women for
33600 PWs.
400.00 170000 446.25 Proposed for
Rs 680 lakhs
.Approved for
127500 ND @
Rs 350 /case.
(Booked under
MFP)
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 25 -

FMR
Code
Activity
Drugs and
Consumables for
Caesarean
Deliveries
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
1,200.00 30000 360.00 Proposed for
Rs 360 lakhs
.Approved.
(Booked under
MFP)
A.1.7.2 Diagnostic 36,000.00 419 150.84 150.84 Approved
A.1.7.3 Blood Transfusion
A.1.7.4 Diet
A.1.6.3
3 days for Normal
Delivery @ Rs. 100
per day
7 days for
caesarean delivery
@ Rs. 100 per day
Free Referral
Transport (other
than A.1.2)
Strengthening of
pre labour room
and wards
300.00 170000 510.00 382.50 Approved @ Rs
100 / day for 3
days for
127500 ND
700.00 30000 210.00 157.50 Approved @ Rs
100 / day for 7
days for 22500
CD
200.00 200000 400.00 630.00 Approved for
1.5 lakh PW @
Rs 400/case
(200 home to
facility and 200
facility to
home ) +
15000 PW
(10% referral
cases)@ Rs
200/case
Shifted to MFP
MMA Drugs - MTP 0.00 Proposed for
Rs 4 lakhs.
Booked under
MFP.
MVA/ EVA
Equipment
Other activities for
MTP - Training, IEC/
BCC in respective
components
0.00 Proposed for
Rs 4 lakhs.
Booked under
MFP.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 26 -

FMR
Code
A.9.3
A.9.3.1
A.9.3.1.1
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
Sub Total JSSK 1270.84 2127.09 Approved
amount
exceeds
proposed
amount as
State has
budgeted for
drugs under
MFP and
approval for
referral
transport given
for a higher
amount than
proposed.
Sub-total Maternal
1,645.84 2,487.09
Health (excluding
JSY)
Sub-total JSY 807.04 807.04
Maternal Health
Training
0
Skilled Attendance
at Birth / SBA
0
Setting up of SBA
Training Centres
A.9.3.1.2 TOT for SBA 0
A.9.3.1.3
Training of Medical
Officers in
Management of
Common Obstetric
Complications
(BEmOC)
0
A.9.3.1.4
Training of Staff
Nurses in SBA
58,260.00 360
A.9.3.1.5
Training of ANMs /
LHVs in SBA
0
58,260.00 360
A.9.3.2 EmOC Training 0
A.9.3.2.1
Setting up of EmOC
Training Centres
A.9.3.2.2 TOT for EmOC 0
0
4.80 4.80
69.91 69.91
69.91 69.91
Approved
Approved
Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 27 -

FMR
Code
A.9.3.2.3
A.9.3.3
A.9.3.3.1
A.9.3.3.2
A.9.3.3.3
(A)
A.9.3.3.3
(B)
A.9.3.4
A.9.3.4.1
A.9.3.4.2
Activity
Training of Medical
Officers in EmOC
Life saving
Anaesthesia skills
training
Setting up of Life
saving Anaesthesia
skills Training
Centres
TOT for Anaesthesia
skills training
Training of Medical
Officers in life
saving Anaesthesia
skills (at Medical
Colleges)
Training of Medical
Officers in life
saving Anaesthesia
skills (at District
Hospitals)
Safe abortion
services training
(including MVA/
EVA and Medical
abortion)
TOT on safe
abortion services
Training of Medical
Officers in safe
abortion
Unit Rate
(Rs.)
Physical
Target
281200 32
0
0
0
281200 48
153840 48
0
0
26,010.00 30
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
30.20 32 MOs in 4
batches @ 1.5
lakhs/ batch=
Rs. 6.00 lakhs
centre running
cost =10.40
lakhs,
orientation
documentation
=70,000/
On Going
Trainings From
the Funds of
PIP 2011-12
33.74 21.60 48 MOs in 12
batches at 6
Medical
Colleges @
1.80 lakhs = Rs
21.60 lakhs
18.46 18.46 LSAS Training
of 48 MOs in
12 batches at
District
Hospitals @
1.54 lakhs = Rs
18.46 lakhs
2.60 2.60
Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 28 -

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
A.9.3.5 RTI / STI Training 0
A.9.3.5.1
TOT for RTI/STI
training
0
A.9.3.5.2
Training of
laboratory
technicians in
RTI/STI
36,360.00 400
A.9.3.5.3
Training of Medical
Officers in RTI/STI
35,760.00 400
A.9.3.5.4
A.9.3.5.5
A.9.3.6
A.9.3.7
B1.1.3
i
Training of Staff
Nurses in RTI/STI
Training of ANMs /
LHVs in RTI/STI
B-Emoc Training
Other maternal
health training
(please specify)
Sub Total MH
Training
Other Incentive to
ASHA
to ensure 100 IFA to
pregnant woman
30,760.00 500
36,360.00 600
Rs 50 per
case
0
2.00 lakh
expected
beneficiaries
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
4.73 4.73
7.15 7.15
6.15 6.15
7.27 7.27
224.72 195.48
Remarks /
Justification
Approved
Approved
Approved
Approved
100.00 100.00 Approved.
ii
iii
if ASHA worker
stays overnight at
hospital with
pregnant woman
for delivery
Reporting death of
mother within 24
hours of delivery OR
reporting death of
infant (birth to 1
year) within 24
hours
Rs 50 per
case
Rs 100
per case
for infant
death
and Rs 50
per case
for
maternal
death
33600
expected
beneficiaries
10,000
expected
16.80 16.80 Approved.
10.00 10.00 Approved @ Rs
100 per case
for infant
death and Rs
50 per case for
maternal
death.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 29 -

FMR
Code
viii
B16.1.1
Activity
Management of
Anemia - Incentive
to ASHA for
ensuring
treatment/cure of
anemic women (any
woman who is
found to be having
Hb less than 7 gm at
the time of ANC is
treated and has a
Hb of more than 9
gm at the time of
delivery)
Sub -Total ASHA
MH incentives
Procurement of
equipment MH
a. Equipment - MVA/
EVA
B16.2.1 Drugs & Supplies for
MH - JSSK
a. Drugs & Supplies for
MH - MTP, RTI/ STI
Unit Rate
(Rs.)
Rs 250
per case
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
40,000 100.00 100.00 Approved.
New Activity.
226.80 226.80
4.00 4.00 Approved
reflected in
RCH budget
32.25 32.25 Approved.
Total 2940.65 3752.66
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 30 -

CHILD HEALTH & IMMUNIZATION
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 31 -

TARGETS: CHILD HEALTH AND IMMUNIZATION
A
OUTCOME INDICATORS
Current Status
Targets
(SRS 2010)
SRS 2013 SRS 2014 SRS 2015
1 Early Neonatal Mortality 19 10 7 5
Early neonatal deaths
8,664 4,560 3,192 2,280
estimated
2 NMR 25 13 10 7
Neonatal deaths Estimated 11,400 5,928 4,560 3,192
3 IMR 34 20 16 12
Infant deaths Estimated 15,504 9,120 7,296 5,472
4 U5MR 43 28 23 18
Under 5 deaths Estimated in
19,608 12,768 10,488 8,208
an year
Current Status Target for 2012-13 2013-14 2014-15
B
KEY PERFORMANCE INDICATORS (CUMULATIVE)
1 Establishment &
0 12* 17 22
operationalisation of SNCUs
2 Establishment &
0 28* 75 120
operationalisation of NBSU
3 NBCC at delivery points 540 540 170 265
4 Establishment of NRCs 0 0 12 22
5 Personnel trained in IMNCI No. 2403 4323 4362 4362
(ANM+LHV)
% 55% 99% 100% 100%
6 Personnel trained in F-IMNCI No. 122 882 1713 2015
(MO+SN)
% 6% 44% 85% 100%
7 Personnel trained in NSSK No. 2259 3459 4668.75 6225
(MO+ANM+SN)
% 36% 56% 75% 100%
8 ASHA trained in Module 6&7 No. 0 14240 16753 16753
% 0% 85% 100% 100%
C
KEY PERFORMANCE INDICATORS (NON CUMULATIVE)
1 New borns visited by ASHA No. 0 273600 387600 456000
(as per HBNC guidelines) % 0 60% 85% 100%
2 New borns breastfed with No. 74784 296400 387600 456000
one hour of birth (CES 2009) % 16.40% 65% 85% 100%
3 LBW children (state HMIS) No. 36480 18240 9120 0
% 8% 4% 2% 0%
D
1 Fully immunized children by
age of 12-23 months (CES
2009)
KEY PERFORMANCE INDICATORS- IMMUNIZATION (NON CUMULATIVE)
No. 381216 433200 456000 456000
% 83.60% 95% 100% 100%
2 DPT-3 coverage for 12-23
months (CES 2009)
3 DPT 1st booster in children
aged 18-23months (CES
2009)
No. 417240 442320 433200 456000
% 91.50% 97% 95% 100%
No. 245328 342000 387600 433200
% 53.80% 75% 85% 95%
4 Sessions held (HMIS) No. 162326 188844 190344 191844
% 87% 100% 100% 100%
*approved in 2011-12, but
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 32 -

still in process
ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH AND IMMUNIZATION
A. Priority Actions to be carried out by state for Child Health
1. All the delivery points must have a functional Newborn Care Corner consisting of essential
equipment and staff trained in NSSK. All staff must be trained in a 2 days NSSK training
package for skills development in providing Essential Newborn Care.
2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all
Medical Colleges and District Hospitals. All resources meant for establishment of SNCUs
should be aligned in terms of equipment, manpower, drugs etc. to make SNCUs fully
operational.(Refer to facility based new born care guidelines )
3. SNCUs are referral centres with provision of care to sick new born in the entire district and
relevant information must be given to all peripheral health facilities including ANM and ASHA
for optimum utilisation of the facility. Referral and admission of outborn sick neonates
should be encouraged and monitored along with inborn admissions.
4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred from
peripheral units. Dedicated staff posted to NBSU must be adequately trained and should
have the skills to provide care to sick newborns.
5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home
Based Newborn Care Scheme. The ASHA kit and incentives for home visits should be made
available on a regular basis to ASHAs who have completed the Round 1 of training in Module
6 .
6. All ANMs are to be trained in IMNCI. All Medical Officers and Staff Nurses, positioned in
FRUs/DH and 24x7 PHCs should be prioritised for F-IMNCI training so that they can provide
care to sick children with diarrhoea, pneumonia and malnutrition.
7. Infant and Under fives Death Review must be initiated for deaths occurring both at
community and facility level.
8. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and
expectant mothers should be ensured at all delivery points and breastfeeding initiated soon
after birth. At least two health care providers should be trained in ‘Lactation Management’ at
District Hospitals and FRUs; other MCH staff should be provided 2 days training in IYCF and
growth monitoring.
9. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs),
prioritising tribal and high focus districts with high prevalence of child malnutrition. The
optimum utilisation of NRCs must be ensured through identification and referral of Severe
Acute Malnutrition cases in the community through convergence with Anganwadi workers
under ICDS scheme (refer to guidelines on NRCs).
10. Line listing of newly detected cases of SAM and Low birth weight babies must be maintained
by the ANM and their follow-up must be ensured through ASHA.
11. In order to reduce the prevalence of anaemia among children, all children between the ages
of 6 months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a
preventive measure for 100 days in a year. School health teams can, in addition assess
children below 6 years of age at AWCs. Accordingly appropriate formulation and logistics
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 33 -

must be ensured and proper implementation and monitoring should be emphasised through
tracking of stocks using HMIS.
12. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in
children. Availability of ORS and Zinc should be ensured at all sub-centres and with ASHAs.
13. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against
committed training load) must be transmitted on a regular basis to the Child Health Division,
MoHFW.
B. Priority Actions to be carried out by state for Immunisation
1. The year 2012 has been declared as the ‘Year of Intensification’ of Routine Immunisation.
Therefore, state must prepare a detailed district plan for Intensification of Routine
Immunization with special focus on districts with low coverage.
2. The birth dose of immunisation should be ensured for all newborns delivered in the
institutions, before discharge. Daily Immunisation services should be available in PHCs,
CHCs, SDHs/DHs.
3. A dedicated State Immunisation Officer should be in place. District Immunisation Officer
should be in place in all the districts. The placement of ANMs at all session sites must be
ensured. For sub centres without ANMs, special strategy should be formulated.
4. Due list of beneficiaries must be available with ANM and ASHA and village wise list of
beneficiaries should be available with ASHA after each session. MCTS should be made full
use of for generating due lists for ANMs, sending SMS alerts to beneficiaries and maintaining
actual service delivery.
5. The immunisation session must be carried out on a daily basis in District Hospitals and FRUs/
24x7 PHCs with considerable case load in the OPD.
6. Cold chain mechanics must be placed in every district with a definite travel plan so as to
ensure that at least 3 facilities are visited every month as a preventive maintenance of cold
chain equipment.
7. The paramedic person instead of a clerical staff should be identified as the Cold Chain
Handler in all cold chain points and their training must be ensured along with one more
person as a backup.
8. It has been observed that the coverage of DPT 1 st booster and Measles 2 nd dose to be given
at the age of 18 months is less than 50% across the country. Therefore coverage of DPT 1 st
booster and measles 2 nd dose must be emphasised and monitored.
9. District AEFI Committees must be in place and investigation report of every serious AEFI
case must be submitted within 15 days of occurrence.
10. Rapid response team should be in place in priority districts of the states to identify pockets
of low immunization coverage and to respond to any threat of polio.
11. Special micro plans are to be developed for inaccessible, remote areas and urban slums. The
micro plans developed under polio programme must be utilised and special focus should be
given to the migrant population (Refer to guidelines).
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 34 -

DETAILED BUDGET: CHILD HEALTH & IMMUNIZATION
FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
A2
A.2.1
A.2.2
CHILD HEALTH
IMNCI (details of training,
drugs and supplies, under
sections 11 and 13)
Facility Based Newborn
Care/FBNC (SNCU, NBSU,
NBCC)
Note: details of training,
drugs and supplies, under
sections 11 & 13
A.2.2.1
Prepare detailed operational
plan for FBNC across
districts (including training,
BCC/IEC, drugs and supplies,
etc.; cost of plan meeting
should be kept).
Establishing SNCUs
Civil Work/ Renovation for
SNCUs in 10 Districts
Hospitals from the funds
already available and 3
SNCUs proposed for Medical
Colleges in Part-B
150000
0
10 Funds Rs. 150 Lakh
already available
Procurement of Equipment
for SNCUs
Recurring cost of 12 SNCUs
250000
0
10 Funds Rs. 250 Lakh
already available
Consumables 350000 12 84.00
Operational Expenditure 650000 12
including Manpower,
156.00
salaries & others
New Born Stabilization
Units
Establishing New Born
Stabilization Units in 10 DHs,
12 SDHs & 6 CHCs
conducting more than 50
deliveries
750000 28
120.00
0.00
Approved for 2
Quarters
Proposed Rs 210
lakhs.
GOI has observed
that funds are
already available
with State. State to
utilize the same for
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 35

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
the activity.
Operational Cost for NBSUs
in 10 DHs, 12 SDHs & 6 CHCs
conducting more than 50
deliveries
43,750.
00
28
24.50 12.25
Approved for first
two quarters.
Six monthly review
of progress should
be done to see the
utilization of
approved budget of
last year.
A.2.2.2
Monitor progress against
plan; follow up with
training, procurement, etc.
A.2.3
A.2.4
Home Based Newborn
Care/HBNC (details of
training, drugs and
supplies, under sections 11
and 13)
Infant and Young Child
Feeding/IYCF (details of
training, drugs & supplies,
under sections 11 and 13)
A.2.4.1
A.2.4.2
Prepare and disseminate
guidelines for IYCF.
Prepare detailed operational
plan for IYCF across districts
(including training, BCC/IEC,
drugs and supplies, etc.;
cost of plan meeting should
be kept).
Scheme on Breast feeding
Training of Middle level
trainers 2 batch for 10
districts
185000 20
Funds Amounting
to Rs. 162.92 Lakh
are available from
the PIP 2011-12
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 36

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
Training of front line
workers in 10 districts - 276
batch
42,000.
00
276
Supervision+ Evaluation @
1.00 lakh per district
100000 10
A.2.4.3
Monitor progress against
plan; follow up with
training, procurement, etc.
Calcium Tablets 50 tabs per
women after delivery
A.2.5
Care of Sick Children and
Severe Malnutrition at
facilities (e.g. NRCs, CDNCs
etc.)
A.2.5.1
Prepare and disseminate
guidelines.
A.2.5.2
Prepare detailed operational
plan for care of sick children
and severe malnutrition at
FRUs, across districts
(including training, BCC/IEC,
drugs and supplies, etc.;
cost of plan meeting should
be kept).
A.2.5.3
Implementation of activities
in districts.
A.2.5.4
Monitor progress against
plan; follow up with
training, procurement, etc.
A.2.6
Management of Diarrhoea,
ARI and Micronutrient
malnutrition
Supply of 10 lakh zinc
sulphate tablets
0.50 1000000 Proposed for Rs 5
lakhs.
Approved and
shifted to MFP
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 37

FMR
Code
A.2.7
Activity
Supply of 90000 bottles of
vitamin solution with 100ml
pack
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
90.00 90000 Proposed for Rs 81
lakhs.
Approved and
shifted to MFP
IFA tablet to children Proposed for Rs 30
lakhs.
Approved and
shifted to MFP
Annual review meeting 50,000.
00
Other strategies/activities
2
1.00 1.00
Approved
A.2.8 Infant Death Audit -
Approximately 16000
deaths apprehended.
Review of at least 50%
deaths
200.00 8000
16.00 16.00
Approved.
16000 deaths are
expected and 50%
will be tracked
A.2.9
A.2.10
Incentive to ASHA for Child
Health Programme
JSSK (for Sick neonates up
to 30 days)
460.00 375.00
Approved for
150000
beneficiaries @ Rs.
250/-
A.2.10.
1
Drugs & Consumables (other
than reflected in
Procurement)
For Sick Neonate 400.00 50000
30.00
Proposed for Rs
200 lakhs.
Approved for
15000 cases (10%)
@ Rs 200 /case.
Booked under MFP
A.2.10.
2
A.2.10.
3
Diagnostic
Free Referral Transport
(other than A.1.2 and
A1.7.5)
Referral Transport for
40,000 Sick Children
200.00 50000
Funds already available for
referral transport 60.00
100.00 0.00
Not Approved
Approved. State to
utilise this fund
which is already
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 38

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
available.
Sub-total Child Health 781.50 554.25
A.9.5 Child Health Training 0
A.9.5.1
IMNCI & F-IMNCI Training
(pre-service and in-service)
0
A.9.5.1.
1
A.9.5.1.
2
A.9.5.1.
3
A.9.5.2
A.9.5.2.
1
A.9.5.2.
2
A.9.5.2.
3
A.9.5.3
A.9.5.3.
1
A.9.5.3.
2
TOT on IMNCI (pre-service
and in-service)
IMNCI Training for ANMs 101000 720 30.30 30.30 Approved
IMNCI Training for LHVs /
ICDS Supervisors
IMNCI Training for
Anganwadi Workers
F-IMNCI Training
0
101000 480 20.20 20.20 Approved
100000 720 30.00
TOT on F-IMNCI 166150 80 8.31
F-IMNCI Training for Faculty
of ANM Training Centres
and Staff Nurse Training
Colleges at SIHFW, Mohali
F-IMNCI Training for Medical
Officers
F-IMNCI Training for Staff
Nurses
Home Based Newborn Care
/ HBNC
151950 40 3.04
TOT on HBNC 0
Training on HBNC for ASHA 0
143560 320 28.71 28.71 Approved
128440 320 25.69 25.69 Approved
0
(The budget
proposed for AWW
is not approved as
they should be
trained in Module 6
and 7 )
On Going Trainings
From the Funds of
PIP 2011-12
A.9.5.4
Care of sick children and
severe malnutrition at FRUs
0
A.9.5.4.
1
TOT on Care of sick children
and severe malnutrition
0
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 39

FMR
Code
A.9.5.4.
2
A.9.5.5
A.9.5.5.
1
A.9.5.5.
1.1
A.9.5.5.
1.2
A.9.5.5.
1.3
A.9.5.5.
1.4
B1.1.3
iii
iv
vi
vii
Activity
Training on Care of sick
children and severe
malnutrition for Medical
Officers
Other child health training
(please specify)
Unit
Rate
(Rs.)
Physical
Target
NSSK Training 0
TOT for NSSK 0
NSSK Training for Medical
Officers
NSSK Training for SNs
81,520.
00
48,320.
00
NSSK Training for ANMs 0
0
0
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
400 8.15 8.15 Approved
800 9.66 9.66 Approved
Sub Total CH Training 122.71 122.71
Other Incentive to ASHA
Reporting death of mother
within 24 hours of delivery
OR reporting death of infant
(birth to 1 year) within 24
hours
100% birth registration and
issue of birth certificate in
their area
support screening camps at
school under school health
programme
timely referral and
management of severely
dehydrated patients
Rs 100
per
case
for
infant
death
and Rs
50 per
case
for
matern
al
death
Rs 20
per
registra
tion
Rs 50
per
school
Rs 30
per
case
10,000
expected
10.00 10.00 Approved @ Rs 100
per case for infant
death and Rs 50
per case for
maternal death.
1,51,200 30.24 30.24 Approved.
Ongoing.
8400 4.20 4.20 Approved.
Ongoing.
8400 2.52 2.52 Approved. New
Activity. State to
monitor activity
closely for impact.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 40

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
ix
Child weight - incentive for
post-natal follow up of LBW
baby to ensure gain in
weight in first 3 months
Rs 200
per
case
50,000 100.00 100.00 Approved. New
Activity.
Sub -Total ASHA incentives 146.96 146.96
B16.1.2
Procurement for CH
a. Establishing NBSUs in 10
DHs, 12 SDHs and 6 CHCs
conducting more than 50
deliveries.
b. Procurement of equipment
for 3 SNCUs at Medical
Colleges
c. Procurement of Steam
Cleaning System for
Hospitals
B16.2.2
Drugs & Supplies for CH
a. Supply of 10 lakh zinc
sulphate tablets
b. Supply of 72000 bottle of
vitamin A solution with
100ml pack
210.00 210.00 Approved.
75.00 75.00 Approved.
371.00 0.00 Not Approved. No
details provided in
the PIP. Not clear
as to what is the
purpose of this
activity and the
facilities for which
the equipment is
needed.
5.00 5.00 Approved.
81.00 81.00 Approved. State to
provide unit cost
and physical target.
c. IFA tablet to children 30.00 30.00 Approved.
Total CH 1823.17 1224.92
C.1 RI Strengthening Project (Review meeting, Mobility Support, Outreach services etc
c.1.a
Mobility Support for
supervision for district level
officers.
Rs.500
00/
Year
/distric
t level
officers
.
11.00 11.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 41

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
c.1.b
c.1.c
Mobility support for
supervision at state level
Printing and dissemination
of Immunization cards, tally
sheets, monitoring forms
etc.
Rs.
100000
per
year.
Rs. 5
benefic
iaries
1.00 1.00
40.90 40.90
c.1.d
Support for Quarterly State
level review meetings of
district officer
3.00 3.00
c.1.e
Quarterly review meetings
exclusive for RI at district
level with one Block Mos,
CDPO, and other stake
holders
1.76 1.76
c.1.f
Quarterly review meetings
exclusive for RI at block level
30.96 30.96
c.1.g
Focus on slum &
underserved areas in urban
areas/alternative vaccinator
22.84 22.84
for slums
c.1.h
c.1.i
c.1.j
Mobilization of children
through ASHA or other
mobilizers
Alternative vaccine delivery
in hard to reach areas
Alternative Vaccine Delivery
in other areas
Rs.
150
per
session
Rs.
100
per
session
Rs. 50
per
session
286.52 286.52
0.00 0.00
90.96 90.96
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 42

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
c.1.k
To develop microplan at
sub-centre level
@ Rs
100/-
per
subcen
tre
2.95 2.95
c.1.l
c.1.m
For consolidation of
microplans at block level
POL for vaccine delivery
from State to district and
from district to PHC/CHCs
Rs.
1000
per
block/
PHC
and Rs.
2000
per
district
Rs100,
000/
district
/year
2.16 2.16
22.00 22.00
c.1.n
Consumables for computer
including provision for
internet access for RIMs
@
400/ -
month/
district
2.16 1.06
c.1.o Red/Black plastic bags etc. Rs.
2/bags
/sessio
n
c.1.p
Hub
Cutter/Bleach/Hypochlorite
solution/ Twin bucket
Rs.
900
per
PHC/C
HC per
year
2.82 2.82
1.06 1.06
c.1.q Safety Pits 0.00 0.00
c.1.r State specific requirement 1.00 0.00
c.1.s
Teeka Express Operational
Cost
0.00 0.00
C.1-Sub Total 523.09 520.99
C.2 Salary of Contractual Staffs -Sub Total
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 43

FMR
Code
c.2.a
c.2.b
Activity
Computer Assistants
support for State level
Computer Assistants
support for District level
Unit
Rate
(Rs.)
Rs.120
00-
15000
per
person
per
month
8000-
10000
per
person
per
month
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
1.51 1.51
26.40 26.40
C.2-Sub Total 27.91 27.91
C.3 Training under Immunization
c.3.a
District level Orientation
training including Hep B,
Measles & JE(wherever
required) for 2 days ANM,
Multi Purpose Health
Worker (Male), LHV, Health
Assistant (Male/Female),
Nurse Mid Wives, BEEs &
other staff ( as per RCH
norms)
107.53 64.79
Remarks /
Justification
c.3.b
c.3.c
Three day training
including Hep B, Measles &
JE(wherever required) of
Medical Officers of RI using
revised MO training
module)
One day refresher training
of district Computer
assistants on RIMS/HIMS
and immunization formats
35.25 35.25
0.56 0.56
c.3.d
One day cold chain
handlers training for block
level cold chain handlers by
State and district cold
chain officers
23.20 23.20
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 44

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
c.3.e
One day training of block
level data handlers by DIOs
and District cold chain
officer
12.32 12.32
C.3-Sub Total
178.86 136.12
C.4 Cold chain maintenance
C.5 ASHA incentive for full
Immunization
Total under Routine
Immunization
C.6 Pulse Polio Operational
Cost (Tentative)
Rs.500/
PHC/C
HCs
per
year
District
Rs.100
00/yea
r
5.02 5.02
418.00 418.00
1152.88 1108.04
0.00 932.46
Grand Total Immunization 1152.88 2040.50
TOTAL CH & Immunization 2976.05 3265.42
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 45

FAMILY PLANNING
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 46

5 YEARS PROJECTION OF KEY INDICATORS
Target/ ELA
SN. Indicator Current Status
2012-13 2013-14 2014-15 2015-16 2016-17
1 Goal Indicators:
1.1 Total Fertility Rate (TFR)
1.8
(SRS – 2010)
Maintain TFR level
1.2
Contraceptive Prevalence Rate
(CPR)
62.9
(DLHS-3)
67.0 70.0 73.0 77.0 80.0
1.3 Unmet Need
2 Service delivery:
2.1 IUCD - Total
11.9
(DLHS-3)
220651
(HMIS: 2010-
11)
10.0 9.0 8.0 7.0 6.0
275000 290000 305000 315000 325000
2.2
Post-partum IUCD (subset of
IUCD-total)
8000 10000 15000 20000 25000
2.3 Female Sterilisation
77480
(HMIS: 2010-
11)
80000 85000 90000 95000 100000
2.4
Post-partum sterilisation (subset
of tubectomy)
2488
(HMIS: 2010-
11)
5000 7500 10000 15000 20000
16373
2.5 Male sterilisation
3 Input/ facility operationalization:
3.1 Fixed Day service delivery:
(HMIS: 2010-
11)
20000 22000 24000 26000 28000
3.1.1 IUCD (daily at DH, SDH, CHC) 170 facilities
Weekly
@ PHC
+ CHC
Weekly
@ PHC
+ CHC
Weekly
@ PHC
+ CHC
Weekly
@ PHC
+ CHC
All SHC
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 47

SN. Indicator Current Status
Target/ ELA
2012-13 2013-14 2014-15 2015-16 2016-17
3.1.2 Sterilisation 170 facilities All DH
DH + 1
SDH/
FRU per
dist
DH + all
FRU per
dist
DH + all
FRU +
25%
PHC per
dist
DH + all
FRU +
50%
PHC per
dist
3.2 Appointment of FP counsellors
State has not
proposed for
FP counsellors
All DH
DH + 1
SDH/
FRU per
dist
DH + all
FRU per
dist
DH + all
FRU per
dist
DH + all
FRU per
dist
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 48

CONDITIONALITIES FOR 2012-13: FAMILY PLANNING
SN.
Indicator
Target /
ELA-
2012-13
Minimum Level of
Achievement
By Sep. 2012
By March
2013
Remarks
1 Goal (target):
1.1 Reduction in TFR – 2013
Maintain
TFR level
NA
NA
Current TFR -
1.8 (SRS 2010)
2 Service delivery (ELA):
2.1 IUCD: 0 0
2.1.1 Post-partum IUCD 8000 3200 7200
2.1.2 Interval IUCD 267000 106800 240300
2.2 Sterilisation:
2.2.1 Tubectomy 80000 24000 64000
2.2.2
Post-partum sterilisation (subset
of tubectomy)
5000 1500 4000
2.2.3 Vasectomy 20000 6000 16000
3 Training of personnel (target):
3.1 Post-partum IUCD
3.1.1 MO 80 20 60
3.1.2 SN/ ANM
3.2 interval IUCD
3.2.1 MO 179 trained
3.2.2 SN 1435 trained
3.2.3 ANM/ LHV 800 200 600 1435 trained
3.3 Minilap 30 8 23 219 trained
3.4 NSV 20 5 15
3.5 Laparoscopic 30 8 23 218 trained
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 49

SN.
Indicator
Target /
ELA-
2012-13
Minimum Level of
Achievement
By Sep. 2012
By March
2013
Remarks
4 Others (target):
4.1 Appointment of FP Counsellors 100% DH 100% DH NA
State has not
proposed for
counsellors
4.3
Regular reporting of the scheme of
“home delivery of contraceptives
by ASHAs”
Regular
reporting
Monthly
reporting till
Sep 12
Quarterly
reporting
after Sep 12
Scheme is not
under
implementation
in the state
4.4 Fixed Day Services for IUCD
170
facilities
NA 100%
State has not
provided
number of SHCs
4.5 Fixed Day Services for Sterilisation
170
facilities
NA 100%
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 50

ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING
MISSION: “The mission of the national Family Planning Program is that all women and men (in reproductive
age group) in India will have knowledge of and access to comprehensive range of family planning services,
therefore enabling families to plan and space their children to improve the health of women and children”.
GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal emphasis on
spacing and limiting methods; promoting ‘children by choice’ in the context of reproductive health.
STRATEGIES:
1. Strengthening spacing methods:
a. Increasing number of providers trained in IUCD 380A
b. Strengthening Fixed Day IUCD services at facilities. Increased focus on IUCD services at
subcentres for at least 2 fixed days a week
c. Introduction of Cu IUCD 375
d. Delivering contraceptives at homes of beneficiaries (in pilot states/ districts)
2. Emphasis on post-partum family planning services:
a. Strengthening Post-Partum IUCD (PPIUCD) services at least at DH level
b. Promoting Post-partum sterilisation (PPS)
c. Establishing Post-Partum Centers at women & child hospitals at district levels
d. Appointing counsellors at high case load facilities
3. Strengthening sterilization service delivery
a. Increasing pool of trained service providers (minilap, lap & NSV)
b. Operationalising FDS centers for sterilisation
c. Holding camps to clear back log
4. Strengthening quality of service delivery:
a. Strengthening QACs for monitoring
b. Disseminating/ following existing protocols/ guidelines/ manuals
c. Monitoring of FP Insurance
5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing methods
6. Focus on using private sector capacity for service delivery (exploring PPP availability):
7. Strengthening programme management structures:
a. Establishing new structures for monitoring and supporting the programme
b. Strengthening programme management support to state and district levels
KEY PERFORMANCE INDICATORS:
a. % IUD inserted against ELA
b. % PPIUCD inserted against total IUCD
c. % PPIUCD inserted against institutional deliveries
d. % of sterilisations conducted against ELA
e. % post-partum sterilisation against total female sterilisations
f. % of male sterilisation out of total sterilisations conducted
g. % facilities delivering FDS services against planned
h. % of personnel trained against planned
i. % point decline in unmet need
j. point decline in TFR
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 51

k. % utilisation of funds against approved
DETAILED BUDGET: FAMILY PLANNING
FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
A.3 FAMILY PLANNING
A.3.1 Terminal/Limiting
Methods
A.3.1.1
Orientation workshop
and dissemination of
manuals on FP
standards & quality
assurance of
sterilisation services
Printing of
Sterilization Files
Printing of
Sterilization Cards
4.00 125000 5.00 5.00 Approved
3.00 100000 3.00 3.00 Approved
Printing of NSV Cards 3.00 25000 0.75 0.75 Approved
Printing of IUCD Cards 3.00 275000 8.25 8.25 Approved
Printing of Operation
Guidelines on fixed
day static (FDS
approach for
sterilization services)
50.00 1000 0.50 0.50 Approved
Printing of Manual on
standard operating
procedures for
sterilization services in
camps
Printing of Manual on
repositioning of IUCD
Printing of Brouchers
on E-pill and IUCD
50.00 1000 0.50 0.50 Approved
50.00 1000 0.50 0.50 Approved
5.00 50000 2.50 2.50 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 52

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
Prepare operational
plan for provision of
sterilisation services at
facilities (fixed day) as
well as camps
(including training,
BCC/IEC, equipment,
drugs and supplies,
etc.; cost of plan
meeting should be
kept).
Implementation of
sterilisation services
by districts
A.3.1.2
Organise female
sterilisation camps
9500.00 0 0.00
A.3.1.3 Organise NSV camps 17500.00 100 17.50 17.50 Approved
A.3.1.4 Compensation for
female sterilisation
A.3.1.5
A.3.1.6
For Others 650.00 53334 346.67 346.67 Approved
For BPL 1000.00 26666 266.66 266.66 Approved
Compensation for NSV 1500.00 20000 300.00 300.00 Approved
Acceptance
Accreditation of
private providers to
provide sterilisation
services
A.3.2
A.3.2.1
A.3.2.2
A.3.2.3
A.3.2.4
Spacing Methods
IUD Camps
Provide IUD services
at health facilities /
compensation
Accreditation of
private providers to
provide IUD insertion
services
Social Marketing of
contraceptives
(including delivery of
contraceptive by
ASHA at door step)
20.00 275000 55.00 55.00 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 53

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
A.3.2.5
Contraceptive Update
seminars
A.3.3
POL for Family
Planning/ Others
(including additional
mobility support to
surgeon's team if req)
A.3.4
A.3.5
A.3.5.1
Repairs of
Laparoscopes
Other
strategies/activities
(please specify)
Monitor progress,
quality and utilisation
of services (both
terminal and spacing
methods) including
complications / deaths
/ failure cases.
Note: cost of
insurance / failure and
death compensation
NOT to be booked
here
250000 3 7.50 3.00 Approved @ Rs. 1.00
lakhs/ laparoscope
120000 1.20 1.20 Approved
A.3.5.2
Performance reward if
any
Incentive to ASHAs for
motivation for IUCD
insertion
Incentive to ASHAs for
retention of IUCD for
one year (visit in 1st,
3rd month and one
year)
50.00 33600 16.80 0.00 State may note that
as per GoI norm Rs.
20/ IUCD is available,
which has already
been approved under
A.3.2.2.1. No
additional amount
approved.
50.00 10080 5.04 0.00 Not Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 54

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
A.3.5.3
World Population Day’
celebration (such as
mobility, IEC activities
etc.): funds earmarked
for district and block
level activities
State -
Rs. 50000
Dist - Rs.
5000
Block -
Rs. 2000
State - 1
Dis - 22
Block -
118
3.96 (1) Shifted from BCC/
IEC component under
Mission Flexi Pool.
State has to follow
GoI guidelines for
service delivery
during WPD
celebration. Approved
Sub-total Family
Planning (excluding
Sterilisation
Compensation and
NSV Camps)
51.54 29.16
Sub-total Sterilisation
Compensation and
NSV Camps
985.83 985.83
A.9.6
A.9.6.1
A.9.6.1.
1
A.9.6.1.
2
Family Planning
Training
Laparoscopic
Sterilisation Training
TOT on laparoscopic
sterilisation
Laparoscopic
sterilisation training
for doctors (teams of
doctor, SN and OT
assistant)
74,840.0
0
0
0
4
23280 30 (10
batch)
2.33 2.33 Approved
A.9.6.2 Minilap Training 0
A.9.6.2. TOT on Minilap 0
1
A.9.6.2.
2
A.9.6.3
A.9.6.3.
1
A.9.6.3.
2
Minilap training for
medical officers, SN,
OT Assistant
Non-Scalpel
Vasectomy (NSV)
Training
23280 30 (10
batch)
TOT on NSV 0
NSV Training of
medical officers
0
37450 20 (5
batches
)
A.9.6.4 IUD Insertion 0
2.33 2.33 Approved
1.87 1.87 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 55

FMR
Code
A.9.6.4.
1
A.9.6.4.
2
A.9.6.4.
3
A.9.6.4.
4
A.9.6.5
Activity
Unit Rate
(Rs.)
TOT for IUD insertion 0
Training of Medical
officers in IUD
insertion
Training of staff
nurses in IUD insertion
Training of ANMs /
LHVs in IUD insertion
TOT for Contraceptive
update Training for
DFWO, Gynae, Trg.
Coordinator at SIHFW
Mohali
Physical
Target
0
0
38380 800 (80
batches
)
70
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
30.70 30.70 Approved
A.9.6.5.
1
Contraceptive update
Training for MOs at
the Districts
21200 400 (20
batches
)
4.24 4.24 Approved
A.9.6.5.
2
Contraceptive update
Training for LHVs,
ANMs, HA(M) and
MPHW (M) at District
Level
14580 600 (30
batches
)
4.37 4.37 Approved
A.9.6.6
Other family planning
training (please
specify)
0
A.9.6.6.
1
TOT for Post-Partum
IUCD Insertion for
DFWO, Gynae, Trg-
Coordinator at SIHFW,
Mohali
136800 80 (2
batches
)
2.74 2.74 Approved
A.9.6.6.
2
A.9.6.6.
3
Training of MO and SN
in PPIUCD
Post-Partum Family
Planning Counseling
Trg for SNs at District
Hospitals
50000 22 (2
batches
)
28400 400 (20
batches
)
1.00 Proposed in
consultation with GOI
5.68 5.68 Approved
Sub Total FP Training 54.26 55.26
Total FP 1091.63 1070.25
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 56

ADOLESCENT HEALTH
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 57

ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH
SETTING UP OF AH CELL
A unit for adolescent health at state level with a nodal officer supported by four consultants one each for
ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components of
Adolescent Health at district level to take care of Adolescent health programme including the SHP.
PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION:
I. Adolescent Reproductive Sexual Health (ARSH) Programme
Clinics
­ Number of functional clinics at the DH, CHC, PHC and Medical Colleges (dedicated days, fixed
time, trained manpower).
­ Number of clinics integrated with ICTCs
­ Quarterly Reporting from the ARSH clinics to be initiated to GoI.
­ Establish a Supportive supervision and Monitoring mechanism
Outreach
­ Utilisation of the VHND platform for improving the clinic attendance.
­ Demand generation in convergence with SABLA and also through Teen Clubs of MOYAS
Capacity Building/Training:
­ Calculation of the training load and development of training plans/ refresher trainings.
­ Deployment of trained manpower at the functional clinics.
II.
School Health Programme:
GoI Guidelines including terms of reference of stakeholders adapted by States and operational
plan in place..
School health committee with diverse stakeholders beyond the health department; this
committee with representation of academia will be responsible for implementation and
monitoring of the programme.
Involvement of nodal teachers from schools in the programme (Screening and communication -
preventive and promotive) is to be ensured.
Height / weight measurement and BMI calculation should be part of School Health Card.
All children in government and government aided schools should be covered.
The programme should focus on three Ds- Deficiency, Disease and Disability.
Referral of children must be tied up and complete treatment at higher facilities to be ensured.
An effort should be made to have dedicated teams for school health. The teams should also
conduct health check- ups for children below 6 years at AWCs.
III. Menstrual Hygiene Scheme (MHS):
Formation of State and district level steering committees.
Training / re-orientation of service providers(MOs, ANMs, ASHAs)
Monthly meeting with BMO.
Regular feedback on quality of sanitary napkins to be sent to GoI
Identification of appropriate storage place for sanitary napkins.
Mechanism of distribution of SN right upto the user level.
Reporting and accounting system in place at various levels.
Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain
management of IFA tabs and Sanitary napkins.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 58

Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and
preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).
IV. Weekly Iron and Folic Acid Supplementation programme (WIFS):
Procurement policy in place for procurement of EDL including IFA and deworming tablets.
Establish “Monday” as a fixed day for WIFS.
Plan for training and capacity building of field level functionaries of concerned Departments (i.e.
Department of Women and Child Development and Department of Education) and plan for
sensitization of Programme Planners on WIFS.
Ensure that monitoring mechanism as outlined in the operational framework (Shared with the
States during the National Adolescent Health Workshop) are put in place across levels and
departments.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 59

DETAILED BUDGET: ADOLESCENT HEALTH
FMR
Code
Activity
A.4 ADOLESCENT
REPRODUCTIVE AND
SEXUAL HEALTH / ARSH
A.4.1
A.4.1.1
A.4.1.2
A.4.1.3
A.4.1.3.1
A.4.1.4.
Adolescent services at
health facilities
Disseminate ARSH
guidelines.
Establishment of new
clinics at DH level
Establishment of new
clinics at CHC/PHC level
Operating expenses for
existing clinics
Outreach activities
including peer educators
Implementation guide of
RCH II. Adolescent
reproductive sexual
health strategy 600
Copies @ Rs. 75/- per
copy.
ARSH Facilitator guide
200 @ Rs.300/- each
Orientation programme
for medical officer,
ANMs, LHVs and others
to provide adolescent
friendly reproductive and
sexual services HAND
OUTS 5000 Handouts @
Rs.. 300 per copy.
Unit
Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
75.00 600.00 0.45 Approved. Funds
already available in
PIP
300.00 200.00 0.60 Approved. Funds
already available in
PIP
300.00 5000.00 15.00 Approved. Funds
already available in
PIP
Prepare operational plan
for ARSH services across
districts (including
training, BCC/IEC,
equipment, drugs and
supplies, etc.).
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 60

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
Implement ARSH
services in districts.
Setting up of Adolescent
Clinics at health facilities.
To Maintain Multi
Purpose Youth Friendly
Centres in all Districts -
21 DH and 35 SDH
Honorarium to
Psychiatrist @ Rs. 1000
per month & Counselor
@ Rs. 500
Other
strategies/activities
(please specify)
Note: PPP/
Innovations/NGO to be
mentioned under section
8
Details of the Menstrual
Hygiene project to be
provided and budgeted
under this head
50000.00 56.00 28.00 Approved. Funds
already available in
PIP
1500.00 170.00 30.00 Approved for 20
lakhs .
State has requested
for funds for 56
centres and has
budgeted
honorarium for 170
persons. Honorarium
is approved for
psychiatrists and
Counselors at 56
centres i.e 112 @ Rs
1500. Funds
available in the PIP.
A.4.2
Sanitary Napkins to
adolescent girls
Operational Expenses
School Health
Providing Iron Folic Acid
to 30 Lakh students. (For
control of Anaemia 50
tablets per child)
0.00
From funds already
available
Rs. 2.60 Crores
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 61

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
Providing Albendazole
Tablets 2 to per child (For
Deworming)
Providing Scabies lotion
for skin diseases
Providing emergency kits
in all schools
(20,000X240)
Incentives to RMO / MO,
ANMs etc. for examining
and screening of all
children during the year.
Recruiting contractual
staff as per Govt. of
India's guidelines along
with operational
expenses from them
50.00 Approved. The funds
available with the
State Amounting to
Rs. 3.00 Crore will be
utilised
50.00
POL, stationary and other
operational expenses at
State Head Quarter and
District Head Quarters
10.00
IEC material, Health
cards, referral cards etc.
10.00
Complicated Disease
among the children and
adolescents i.e RHD,CHD,
Thelesemia, Cancer, Cleft
palate & Juvenile
diabetics
500.00
Programme Coordinator
- SABLA + Menstrual
Hygiene Scheme
35000.00 1.00 4.20 4.20 Approved
A.9.7
Sub Total School Health 620.00 4.20
Sub-total ARSH 624.20 4.20
Adolescent Reproductive
0.00
and Sexual Health/ARSH
Training
A.9.7.1 TOT for ARSH training 0.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 62

FMR
Code
A.9.7.2
A.9.7.3
A.9.7.4
A.9.7.5
Activity
Orientation training of
state and district
programme managers
ARSH training for medical
officers
ARSH training for
ANMs/LHVs/
AWWs/MPHW(M),HA(M)
and ICTC Counselors
Unit
Rate
(Rs.)
Physical
Target
0.00
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks /
Justification
59760.00 300.00 5.98 Approved .From the
funds of PIP 2011-12
53040.00 1200.00 21.22
ARSH training for AWWs
Sub Total ARSH Training 0.00 0.00
Total ARSH 624.20 4.20
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 63

URBAN RCH
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 64

ROAD MAP FOR PRIORITY ACTION: URBAN RCH
Carry out a comprehensive third party evaluation of UHCs/ NGO performance including an assessment of
reasons for low expenditure (9.6 % in the first 9 months of 2011-12). State to apprise MoHFW of action
taken on the basis of the findings of the evaluation by September 2012.
Monitor performance of UHCs/NGOs against targets.
Staffing at UHCs to be linked to case load.
BUDGET: URBAN RCH
FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks / Justification
A.5 URBAN RCH (focus
on Urban slums)
A.5.1
A.5.1.1
A.5.1.2
Urban RCH Services
Identification of
urban areas /
mapping of urban
slums (already done)
Prepare operational
plan for urban RCH
(including
infrastructure and
human resources,
training, BCC/IEC,
equipment, drugs
and supplies, etc.;
cost of plan meeting
should be kept).
(Already Done)
A.5.1.3
A.5.1.3.1
A.5.1.3.2
A.5.1.3.3
Implementation of
Urban RCH plan/
activities
Recruitment and
training of link
workers for urban
slums
Strengthening of
urban health posts
and urban health
centres
Provide RCH services
(please specify)
8,700.00 260 271.44 207.00 Approved for 230
MPWs @ Rs 7500 pm
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 65

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks / Justification
A.5.1.4
Monitor progress,
quality and
utilisation of
services.
A.5.1.5
Other Urban RCH
strategies/activities
(please specify)
Note:PPP/
Innovations/NGO to
be mentioned under
section 8)
Sub-total Urban
Health
271.44 207.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 66

PC-PNDT
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 67

ROAD MAP FOR PRIORITY ACTION: PNDT
MISSION:
The mission of PNDT program is to improve the sex ratio at birth by regulating the pre-conception and
prenatal diagnostic techniques misused for sex selection.
Guiding Principle:
Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio
STRATEGIES:
Strengthening programme management structures:
‣ Appointment of Nodal officer
‣ Strengthening of Human resource
‣ Formation of PNDT Cell at state and district level
Establishment of statutory bodies under the PC&PNDT Act
‣ Constitution of 20 member State Supervisory Board
Reconstitution every three years (other than ex-officio members)
Four meetings in a year
‣ Notification of three members Sate Appropriate Authority,
‣ Constitution of 8 member State Advisory Committee
Reconstitution in every 3 years
At least 6 meetings in a year
‣ Notification of District Appropriate Authorities
‣ Constitution of 8 member district Advisory Committees
Reconstitution in every 3 years
At least 6 meetings in a year
Strengthening of monitoring mechanisms
‣ Monitoring of sex ratio at birth through civil registration of birth data
‣ Formulation of Inspection and Monitoring committees
‣ Increasing the monitoring visits
‣ Review and evaluation of registration records
‣ Online availability of PNDT registration records
‣ Online filling and medical audit of form Fs
‣ Ensure regular reporting of sales of ultrasound machines from manufactures
‣ Enumeration of all Ultrasound machines and identification of un-registered ultrasound
machine
‣ Ensure compliance for maintenance of records mandatory under the Act
‣ Ensure regular quarterly progress reports at state and district level
Capacity building and sensitisation of program managers
‣ Appropriate Authorities
‣ Advisory committee members
‣ Nodal officers both State and District
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 68

Sensitisation and Alliance building with
‣ Judiciary
‣ Medical Council / associations
‣ Civil society
Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and
promotion of Girl Child
Convergence for Monitoring of Child sex Ratio at birth
KEY PERFORMANCE INDICATORS:
‣ Improvement in child sex ratio at birth
‣ % of civil registration of births
‣ Statutory bodies in place
‣ % registrations renewed
‣ Increase in inspections and action taken
‣ No. of unregistered machines identified
‣ % of court cases filed
‣ % of convictions secured
‣ No. of medical licences of the convicted doctor cancelled or suspended
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 69

FMR
Code
Activity
A.7 PNDT Activities
A.7.1
Support to PNDT
Cell
A.7.1.1
Operationalise
PNDT Cell
A.7.1.1.1
A.7.1.1.2
Programme
Manager PNDT
District PNDT
Coordinator 20
Unit Rate
(Rs.)
DETAILED BUDGET: PNDT
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
0.00
3.36
20,000.00 22 52.80
A.7.1.1.3 Data Analyst 1.80
A.7.1.1.4
A.7.1.1.5
A.7.1.1.6
A.7.1.1.7
A.7.1.2
A.7.2
A.7.2.1
Statistical Asstt.@
Rs. 13000 p m
Computer Asstt. @
Rs. 10000 pm
Data Entry Operator
20 @ Rs. 6000
Office expenses @
Rs. 6000 pm at State
Level
Orientation of
programme
managers and
service providers on
PC & PNDT Act
Monitoring of Sex
Ratio at Birth
Other PNDT
activities (please
specify)
Award money to
villages that perform
well on the sex ratio
scale @ Rs. 1.5 Lakhs
per village for 75
villages in a year
1.56
1.20
6,000.00 20 14.40
Amount
Approved
(Rs in
Lakhs)
0.72 0.72 Approved
4.50 4.50 Approved
3.00 3.00 Approved
0.00
112.50
Remarks / Justification
Approved. Funds available
from the PIP 2011-12
To be taken from 13th
Finance Commission
A.7.2.2
Budget for sting
operation @ Rs.
50,000/- each for 10
operations
5.00
Approved. Funds available
from the PIP 2011-12
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 70

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks / Justification
A.7.2.3
Prize money to
informers/ Decoy
patient @ Rs. 20000
per informer/ decoy
patient
1.60
A.7.2.4
Cost of Tracking
machine for 900
centres @ Rs. 25000
per machine (funds
for 400 centres
already available)
25,000.00 900 225.00 0.00
Sub Total PNDT 233.22 8.22
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 71

HUMAN RESOURCES AND PROGRAM
MANAGEMENT
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 72

ROAD MAP FOR PRIORITY ACTION: HUMAN RESOURCES
A comprehensive HR policy to be formulated and implemented; to be uploaded on the website too.
Underserved facilities particularly in high focus districts/ areas, to be first strengthened through
contractual staff engaged under NRHM. Similarly high case load facilities to be supplemented as
per need
All appointments under NRHM to be contractual; contracts to be renewed not routinely but based
on structured performance appraisal
Decentralized recruitment of all HR engaged under NRHM by delegating recruitment process to the
District Health Society under the chairpersonship of the District Collector/ Rogi Kalyan Samitis.
Preference to be given to local candidates to ensure presence of service providers in the
community. Residence at place of posting to be ensured.
Quality of HR ensured through appropriate qualifications and a merit- based transparent
recruitment process.
Vacant regular posts to be filled on a priority basis: at least 75% by March 2013.
It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors (both
MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent in
inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take
services to the remotest parts of the country, particularly the un-served and under-served areas.
It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed first.
Contractual HR must not be deployed in better served areas until the remotest areas are
adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain without any
ANM. No PHC in these areas should be without a doctor. Further, CHCs in remote areas must get
contractual HR ahead of District Hospitals. Compliance with these conditionalities will be closely
monitored and salaries for contractual HR dis-allowed in case of a violation.
Details of facility wise deployment of all HR engaged under NRHM to be displayed on the state
NRHM web site.
For SHCs with 2 ANMs, population to be covered to be divided between them. Further, one ANM to
be available at the sub-centre throughout the day while the other ANM undertakes field visits;
timings for ANM’s availability in the SHC to be notified.
AYUSH doctors to be more effectively utilised eg for supportive supervision, school health and
WIFS.
All contractual staff to have job descriptions with reporting relationships and quantifiable
indicators of performance.
Performance appraisal and hence increments of contractual staff to be linked to progress against
indicators.
Staff productivity to be monitored. Continuation of additional staff recruited under NRHM for 24/7
PHCs/FRUs/SDH, etc, who do not meet performance benchmarks, to be reviewed by State on a
priority basis.
All performance based payments/ difficult area incentives should be under the supervision of RKS/
Community Organizations (PRI).
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 73

DETAILED BUDGET: HUMAN RESOURCES
FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks / Justification
A.8 INFRASTRUCTURE
AND HUMAN
RESOURCES
A.8.1
A.8.1.1
Contractual Staff &
Services
ANMs, LHVs and Staff
Nurses
ANMs - 1411 8,700.00 1411 1473.08 1269.90 Approved at last years
salary
MPHW (Male) - 454 6,630.00 454
Staff nurse for health
institutions for
providing delivery
services. 3 Staff
Nurses at Level-II
centres & 5 Staff
Nurses at Level-III
centres based on
delivery load and
rationalization of staff
- Salary @ Rs. 10000+
Incentive after
minimum 10
deliveries at Level-II &
30 deliveries at CHCs
& SDH (Level-III)
12,000.00 1296 1866.24 1866.24 Approved.
A.8.1.2
A.8.1.3
OT Assistant - 10 12,000.00 10 14.40 0.00 Not Approved
Laboratory
Technicians
Specialists
Gynecologists,
Pediatricians,
Radiologists & other
specialists,
Anaesthesia
(Empanelled)
40,000.00 100 336.00 336.00 Approved. Proposed for
100 specialists and
amount calculated
including incentives.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 74

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks / Justification
Obstetrician for Level-
III institutions
approximate cost Rs.
35000+Incentive after
minimum 5 C-sections
@ 1000 C-section +
after 15 Deliveries
after 15 deliveries at
CHCs, 25 deliveries at
SDH & 50 deliveries at
DH @ Rs. 300 per
delivery conducted +
after 10 MTPs @ Rs
200/ MTP. Actual
number of
obstetricians will
depend upon
shortage i.e. 37
presently.
A.8.1.4
A.8.1.5
Pediatrician for 114
CHCs/SDH/DH Rs.
35000+Incentive Rs
200 per Emergency
Case during off duty
hours. Actual number
of Pediatricians will
depend upon
shortage i.e.76
presently.
Anesthetist for
CHCs/SDH @
1500/visit + Rs. 6/KM
upto 50 KMs
PHNs T CHC, PHC level
Female Medical
Officer for PHCs
including RH and
Satellite Hospitals @
Rs. 30000 PM
+Incentive after
minimum 10
deliveries @ Rs 300
per delivery + after 10
MTPs @ Rs 200/ MTP
7,200.00 114
30,000.00 120 328.50 406.80 Approved for 113
Female M Os at
facilities conducting
more than 10 deliveries
@ Rs 30000 pm.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 75

FMR
Code
A.8.1.6
A.8.1.7
A.8.1.8
Activity
Additional
Allowances/Incentives
to M.O. of PHCs and
CHCs
Others - Computer
Assistants/ BCC Coordinator
etc.
Computer Operator at
State/District/Block
level
Salary of Chowkidar
for 236 PHCs
Incentive to
Specialists/ Doctors,
Staff Nurses and
ANMs for institutional
delivery and incentive
to ANMs for more
than 90% registration
of ANC@ Rs. 25/-
each case of her area
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
7,500.00 173 155.70 155.70 Approved
Remarks / Justification
4,000.00 236 113.28 0.00 Not Approved
600.00 240.00 240.00 Approved
A.8.1.9
A.8.1.10
A.8.2
A.8.2.1
A.8.2.2
Human Resources
Development (other
than above)
Other Incentives
Schemes (Pls. Specify)
Minor civil works
(repair and
renovation)
Minor civil works for
operationalization of
FRUs
Minor civil works for
operationalization of
24 hour services at
PHCs
Sub-total
Infrastructure and
Human Resources
B1.8 Support Mechanism
for ASHA
a
State Level
4,527.20 4,274.64
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 76

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks / Justification
1 Project Manager
ASHA
Rs. 25000
per
month +
6%
increment
after one
year
1 3.00 2.40 Approved @ Rs 20,000
pm as per RoP 2011-12.
2 Statistical Assistant @ Rs. 11000
per
month +
6%
increment
after one
year
1 1.32 1.20 Approved @ Rs 10,000
pm as per RoP 2011-12.
b District Level
1 Community Mobilizer
@
Rs. 18500
per
month +
6%
increment
after one
year
22 44.40 36.00 Approved. 2 new
positions not
approved. approved for
20 continuing positions
@ Rs 15000 pm = Rs
36.00 lakh
Block Level
2 Honorarium to ASHA
Facilitator (one for 20
ASHAs) 898 AFs @
Fixed Honorarium @
Rs. 1000x9 + Rs. 100
per day including food
& transport x 15 visits
in a month
(maximum) x 12
month = Rs. 30000
per annum
Total Support
Mechanism for ASHA
Rs. 3250
pm
898 350.22 237.00 Approved for 790
existing posts @ Rs
2500 pm (as per RoP
2011-12) = Rs 237.00
lakh
398.94 276.60
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 77

FMR
Code
B9
Activity
Mainstreaming of
AYUSH
B9.1 Contractual
appointment of
AYUSH MO
(Ayurveda) one each
in 236 PHCs, @ Rs.
25000 per MO
B9.2 Contractual
appointment of
AYUSH Dispensor
(Ayurveda) one each
in 236 PHCs, @ Rs.
11000 per MO
B9.3 Contractual
appointment of one
AYUSH MO
(Homeopathy) in 115
CHCs, 35 SDH and 2
MOs at each DH @ Rs.
25000 per MO
B9.4 Contractual
appointment of one
Dispenser in 115
CHCs, 35 SDH and 2 at
each DH @ Rs.
11,000 per Dispenser
B10
Unit Rate
(Rs.)
Rs 25000
pm
Rs 11000
pm
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks / Justification
236 708.00 708.00 Approved. Ongoing.
Approved @ Rs 23,000
pm for 236 MOs.
236 311.52 218.40 Approved. Ongoing
activity. Approved. @
Rs 10,000 pm for 182 in
position = Rs 218.40
lakh. State to
rationalize the existing
HR based on case load
in the AYUSH facilities.
Rs 25000 194 582.00 287.04 Approved. Ongoing
activity. Approved @ Rs
23,000 for existing 104
positions = Rs 287.04
lakh. State to review
the HR in position and
rationalize based on
case load.
Rs 11000
pm
194 256.08 128.40 Approved. Ongoing
activity. Approved @ Rs
10,000 pm for existing
107 positions = Rs
128.40 lakh. State to
rationalize the existing
HR based on case load
in the AYUSH facilities
Total Budget AYUSH 1857.60 1341.84
Strengthening of
BCC/IEC Wing (State
and District Levels)
a. Salary to Art &
Exhibition expert one
at State Level @
14000/- per month
b. Salary to Contractual
one BCC facilitator at
state level @ 16500/-
per month
Rs 14000
pm
Rs 16500
pm
1 1.68 1.68 Ongoing activity. may
be approved @ Rs
14,000 pm = Rs 1.68
lakh as per RoP 2011-
12.
1 1.98 1.80 Ongoing activity. may
be approved @ Rs
15,000 pm = Rs 1.80
lakh as per RoP 2011-
12.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 78

FMR
Code
Activity
c. Technical support for
printing @ 14000/-
per month
d. Salary to Contractual
22 BCC facilitator at
each district level @
14000/- per month
Sub Total BCC/ IEC
Wing
Unit Rate
(Rs.)
Rs 14000
pm
Rs 14000
pm
Physical
Target
12
months
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks / Justification
1.68 1.44 Ongoing activity - may
be approved @ Rs
12,000 pm.
22 36.96 31.20 Ongoing activity - may
be approved @ Rs
13,000 pm for 20 BCC
facilitators as per RoP
2011-12 = Rs 31.20
lakh. 2 NEW posts not
approved.
42.30 36.12
Total 6826.04 5929.20
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 79

ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT
A full time Mission Director is a prerequisite. Stable tenure of the Mission Director should also be
ensured.
A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on resource
envelope of State), from the State Finance Services not holding any additional charge outside the
Health Department must be put in place, if not already done, considering the quantum of funds
under NRHM and the need for financial discipline and diligence.
Regular meetings of state and district health missions/ societies must take place.
Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff
performance to be monitored against targets and staff sensitised across all areas of NRHM such that
during field visits they do not limit themselves only to their area of functional expertise.
Performance of staff to be monitored against benchmarks; qualifications , recruitment process and
training requirements to be reviewed.
Delegation of financial powers to district/ sub-district levels in line with guidelines should be
implemented.
Funds for implementation of programmes both at the State level and the district level must be
released expeditiously and no delays should take place.
Evidence based district plans prepared, appraised against pre determined criteria; district plans to
be a “live” document. Variance analysis (physical and financial) reports prepared and
discussed/action taken to correct variances.
Supportive supervision system to be established with identification of nodal persons for districts;
frequency of visits; checklists and action taken reports.
Remote/ hard to reach/ high focus areas to be intensively monitored and supervised. An integrated
plan and budget for providing mobility support to be prepared and submitted for review/approval;
this should include allocation to State/ District and Block Levels.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 80

DETAILED BUDGET: PROGRAMME MANAGEMENT
FMR
Code
Activity
Unit
Rate
(Rs.)
Physi
cal
Targe
t
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
A.10 PROGRAMME MANAGEMENT
A.10.1
Strengthening of State society/ State
Programme Management Support
Unit
A.10.1.
1
Contractual Staff for SPMU recruited
and in position
Basic
Salary
State Programme Manager 1
Director Finance (
deputation/contract) @ Rs. 50,000/-
pm
50,000.0
0
Specialist - Maternal Health 35,000.0
0
Specialist - Family Welfare 35,000.0
0
Specialist - Child Health 35,000.0
0
State NGO Coordinator 35,000.0
0
Manager Human Resource
35,000.0
Development
0
Manager Finance & Accounts 35,000.0
0
Manager (Monitoring & Evaluation) 35,000.0
0
Manager ARSH & Gender 35,000.0
0
Manager BCC 35,000.0
0
Manager Infrastructure 35,000.0
0
Manager Procurement 35,000.0
0
System Analyst 21,000.0
0
Assistant Manager (Finance) 25,000.0
0
1
1
6.00
4.20
6.00
4.20
All salaries
approved as
per last years
ROP
1 4.20 4.20
1 4.20 4.20
1 4.20 4.20
1 4.20 4.20
1 4.20 4.20
1 4.20 4.20
1 4.20 4.20
1 4.20 4.20
1 4.20 4.20
1 4.20 4.20
2 5.04 5.04
1 3.00 3.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 81

FMR
Code
A.10.2
Activity
Accounts Officer- Compilation &
Audits
Unit
Rate
(Rs.)
20,000.0
0
Hardware Supervisor 20,000.0
0
Accountant / Cashier 13,000.0
0
Accountant - Internal Audit 13,000.0
0
Physi
cal
Targe
t
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
4 9.60 9.60
1 2.40 2.40
3 4.68 4.68
4 6.24 6.24
Procurement Assistant 13,000.0 1 1.56 1.56
0
Statistical Assistant 2 13,000.0 2 3.12 3.12
0
Computer Assistant 2 13,000.0 2 3.12 3.12
0
Office Assistant 10,000.0 1 1.20 1.20
0
Office Assistant 20 10,000.0 20 24.00 24.00
0
Clerk 7,000.00 1 0.84 0.84
Driver 7,000.00 2 1.68 1.68
Peon 6,000.00 9 6.48 6.48
Sub-total SPMU 125.16 125.16
Strengthening of District society/
District Programme Management
Support Unit
Remarks /
Justification
A.10.2.
1
Contractual Staff for DPMUs
recruited and in position
District Programme Manager 28,000.0
0
District Account Officer 19,000.0
0
Monitoring & Evaluation Officer 19,000.0
0
Maintenance Engineer 18,000.0
0
District Accountant / Cashier 12,000.0
0
District Statistical Assistant 12,000.0
0
22 73.92 73.92 All salaries
approved as
22 50.16 50.16 per last years
ROP
22 50.16 50.16
22 47.52 47.52
22 31.68 31.68
22 31.68 31.68
Peon 6,000.00 22 15.84 15.84
Sub-total DPMU 300.96 300.96
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 82

FMR
Code
Activity
Unit
Rate
(Rs.)
Physi
cal
Targe
t
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
A.10.3
Strengthening of Block PMU
(Including HR, Management Cost,
Mobility Support, Field Visits)
Contractual Staff for BPMSU
recruited and in position
Block Statistical Asstt. 12,000.0
0
Block Accountant Cum Cashier 12,000.0
0
118
118
169.92
169.92
311.52 Approved as
per last years
ROP.
Includes POL
and vehicle
maintenance
to blocks.
Sub-total BPMU 339.84 311.52
Sub Total Salaries 765.96 737.64
Increment already given + 6% annual
increment approximately 15% of total
budget
114.89 0.00 Not
Approved
A.10.4
Total Salaries 880.85 737.64
Strengthening of Financial
Management systems
Training in accounting procedures
A.10.5 Audits 2000000 20.00 20.00 Approved
Annual audit of the programme
A.10.6
A.10.7
Concurrent audit
Operationalise E-banking system upto
district levels
Other activities (Programme
Management Expenses, Mobility
support, etc.)
Provision of equipment/furniture and
mobility support for SPMSU staff
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 83

FMR
Code
Activity
Provision of equipment/furniture and
mobility support for SPMSU staff
Operational Cost Rs. 200000 per
month
Unit
Rate
(Rs.)
Physi
cal
Targe
t
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
3000000 30.00 7.50 Approved at
25% of
proposed
amount.
State to
provide a
comprehensi
ve plan.
200000 24.00 24.00 Approved
Rent Electricity Telephone Charges 4800000 48.00 48.00 Approved
Provision of equipment/furniture and
mobility support for DPMSU staff
150000 20
POL & Vehicle Maintenance to
Districts @ Rs 15,000 PM
15,000.0
0
20 3.00 3.00 Approved
POL & Vehicle Maintenance to Blocks
@ Rs 5000 PM
Operational Cost to Districts @ Rs 2-4
lakh per district
60,000.0
0
118 70.80 0.00 Approved as
part of A.
10.3
300000 20 60.00 60.00 Approved
Sub-total Other Activities 255.80 162.50
Sub-total Programme Management 1,136.65 900.14
A.9.8
Programme Management Training
(e.g. M&E, logistics management,
HRD etc.)
A.9.8.1
Training of SPMSU staff (pls add rows
to specify type of training)
Two Programme Management
Training for SPMU, DPM, DAO, DMEO,
Community Mobilizer, School Health
Coordinator 5 days each
125000 140 17.50 17.50 State to
provide
details of
purpose,
objectives
and content
of training
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 84

FMR
Code
A.9.8.2
Activity
Two trainings of Programme
Management Training for District and
Block Accountants, Statistical
Assistants 5 days each
Two training of Programme
Management Training for Information
Assistants, CRAs and Computer
Operators
Training of DPMSU staff (pls add rows
to specify type of training)
Unit
Rate
(Rs.)
Physi
cal
Targe
t
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
95000 280 26.60 26.60 State to
provide
details of
purpose,
objectives
and content
of training
102000 24.48 24.48 State to
provide
details of
purpose,
objectives
and content
of training
Sub Total Programme Mgt Training 68.58 68.58
A.9.9
A.9.9.1
Any Other training (pl. specify)
Continuing Medical and Nursing
Education
BCC Skill Building Training for DPMs
District
MEIOs/ANMs/BCCF/MPHW(M)/HA(M
)/BEE
100500 600 20.10 20.10 Approved
BCC Skill Building Training for Mos 100500 400 20.10 20.10 Approved
Computer Training for SA/Clerks/Jr.
Pharmacists
85200 120
Computer Training for Mos 60000 120
Orientation Training of Medical 100500 800 40.20 40.20 Approved
Officers for NRHM programmes
Orientation Training of AYUSH
Doctors
Orientation Training of ANMs 78,300.0
0
Training of ANMs in Laboratory
Methods, Statistical and Clinical Skills
at Block Level
100500 360 18.09 18.09 Approved
12,575.0
0
1800 35.24 35.24 Approved
500 12.58 0.00 Not
Approved. To
include in
Orientation
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 85

FMR
Code
Activity
Unit
Rate
(Rs.)
Physi
cal
Targe
t
Amount
Propose
d (Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks /
Justification
training of
ANMs
ICD-10, FIC Training of Chief
Pharmacists, Statistical Officers
95,000.0
0
200 9.50 9.50 Approved
ICD-10, FIC Training of
DFWOs/SMOs/DMCs/Mos
105000 200 10.50 10.50 Approved
Sub total any other training 166.31 153.73
Total 1,302.96 1,053.87
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 86

MISSION FLEXI POOL (MFP)
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 87

TARGETS:
ASHA
S. No. Activity Targets
1. ASHAs with Drug kits 16800
2. ASHAs trained in 6 th and 7 th modules 16800
ROAD MAP FOR PRIORITY ACTION:
Clear criteria for selection of ASHA
Well functioning ASHA support system including ASHA days, ASHA coordinators
Performance Monitoring system for ASHAs designed and implemented (including analysis of
pattern of monthly payments; identification of non/under-performing ASHAs and their
replacement; and reward for well performing ASHAs). State to report on a quarterly basis on
ASHA’s average earnings/ range per month.
Timely replenishment of ASHA kits.
Timely payments to ASHAs and move towards electronic payment.
Detailed data base of ASHAs created and continuously updated; village wise name list of ASHA to
be uploaded on website with address and cell phone number
DETAILED BUDGET:
FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B1
ASHA
B1.1.1
Selection and Training
of ASHA
a. Training of ASHA
(16800 ASHAs+898
ASHA facilitator @ Rs.
2800/- per ASHA)
Rs 2800
16800 ASHA
+ 898 ASHA
facilitator =
17698
495.54 495.54 Approved.
b. Refresher Training of
ASHA (16800
ASHAs+898 ASHA
facilitator @ Rs. 500/-
per ASHA)
Rs 500
16800 ASHA
+ 898 ASHA
facilitator =
17698
88.49 88.49 Approved.
State to share
details of
training plan
and cost.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 88

FMR
Code
Activity Unit Cost Physical
Target
c. DA to ASHA for
Monthly Meeting at
PHC level (16800 ASHAs
@ Rs. 1200/- per ASHA)
B1.1.2
Procurement of ASHA
Drug Kit
Rs 1200 per
year
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
1680 ASHA 201.60 0.00 Not Approved.
New Activity.
a. Drug Kit for 16800
ASHAs @ Rs. 400/- per
ASHA
b. ASHA kit for 16800
ASHAs @ Rs. 500 per
ASHA
B1.1.3
Performance Related
Incentives to ASHAs
a. Incentive for Maternal
Health
b. Incentive to ASHA
under JSY
c. Incentive under Family
Planning Services
d. Incentive under Child
Health
e. Other Incentive to
ASHA
Rs 400 16800 67.20 59.55 Approved. As
per PIP - 16500
ASHAs already
have drug kit -
these may be
replenished @
Rs 350 per kit =
57.75 lakh. Rest
300 new kits
procured @ Rs
600 per kit =
1.80 lakh. Total
amount = Rs
59.55 lakh.
Rs 500 16800 84.00 84.00 Approved.
NEW. Proposed
for HBNC kits
for all ASHAs to
be trained in
module 6 & 7.
Rs 350.00 lakh
Booked in Part-
A
Rs 157.00 lakh
Booked in Part-
A
Booked in Part-
A
Rs 460.00 lakh
Booked in Part-
A
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 89

FMR
Code
i
Activity Unit Cost Physical
Target
to ensure 100 IFA to
pregnant woman
Rs 50 per
case
2.00 lakh
expected
beneficiaries
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
100.00 100.00 Approved.
ii
if ASHA worker stays
overnight at hospital
with pregnant woman
for delivery
Rs 50 per
case
33600
expected
beneficiaries
16.80 16.80 Approved.
iii
iv
Reporting death of
mother within 24 hours
of delivery OR reporting
death of infant (birth to
1 year) within 24 hours
100% birth registration
and issue of birth
certificate in their area
Rs 100 per
case for
infant
death and
Rs 50 per
case for
maternal
death
Rs 20 per
registration
10,000
expected
10.00 10.00 Approved @ Rs
100 per case
for infant death
and Rs 50 per
case for
maternal
death.
1,51,200 30.24 30.24 Approved.
Ongoing.
v
to provide first hand
information regarding
disease outbreak
Rs 100 per
information
3360 3.36 3.36 Approved.
Ongoing
vi
vii
viii
support screening
camps at school under
school health
programme
timely referral and
management of
severely dehydrated
patients
Management of
Anemia - Incentive to
ASHA for ensuring
treatment/cure of
anemic women (any
woman who is found to
be having Hb less than
7 gm at the time of ANC
is treated and has a Hb
of more than 9 gm at
the time of delivery)
Rs 50 per
school
Rs 30 per
case
Rs 250 per
case
8400 4.20 4.20 Approved.
Ongoing.
8400 2.52 2.52 Approved. New
Activity. State
to monitor
activity closely
for impact.
40,000 100.00 100.00 Approved. New
Activity.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 90

FMR
Code
ix
x
xi
Activity Unit Cost Physical
Target
Child weight - incentive
for post-natal follow up
of LBW baby to ensure
gain in weight in first 3
months
Identification of
Cancer/Cervical
cancer/Breast cancer
and other cancer
patients,
ensuring/accompanying
for detection and
referring for treatment
Drug De-addiction
Rs 200 per
case
Rs 300 per
case
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
50,000 100.00 100.00 Approved. New
Activity.
10,000 30.00 30.00 Approved. New
Activity. State
to ensure that
ASHA is
incentivized for
confirmed
cancer cases
only. State to
propose a
strategy for
timely referral
for confirmed
cases.
xi.i
xi.ii
B1.1.5
Identification and
taking cases to
rehabilitation center
Follow up and
completion of
treatment at
rehabilitation centre
Support Mechanism
for ASHA
Rs 200 per
case
Rs 500 per
case
a State Level
i Project Manager ASHA Rs. 25000
per month
+ 6%
increment
after one
year
100,000 200.00 200.00 Approved. New
Activity.
10,000 50.00 50.00 Approved. New
Activity.
1 3.00 2.40 Approved @ Rs
20,000 pm as
per RoP 2011-
12.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 91

FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
ii Statistical Assistant Rs. 11000
per month
+ 6%
increment
after one
year
1 1.32 1.20 Approved @ Rs
10,000 pm as
per RoP 2011-
12.
b District Level
i Community Mobilizer Rs. 18500
per month
+ 6%
increment
after one
year
ii
Block Level
Honorarium to ASHA
Facilitator (one for 20
ASHAs) 898 AFs @
Fixed Honorarium @
Rs. 1000x9 + Rs. 100
per day including food
& transport x 15 visits
in a month (maximum)
x 12 month = Rs. 30000
per annum
Rs. 3250
pm
22 44.40 36.00 Approved. 2
new positions
not approved.
approved for
20 continuing
positions @ Rs
15000 pm = Rs
36.00 lakh
898 350.22 237.00 Approved for
790 existing
posts @ Rs
2500 pm (as
per RoP 2011-
12) = Rs 237.00
lakh
Sub-Total ASHA 1982.89 1651.30
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 92

UNTIED FUNDS/ RKS/ AMG
ROAD MAP FOR PRIORITY ACTION:
Timely release of untied funds to all facilities; differential allocation based on case load. Funds to be
utilized by respective RKS only and not by higher levels.
Review of practice of utilising RKS funds for procurement of medicines from commercial medical
stores and accordingly revisit guidelines for fund utilisation by RKS.
Well functioning system for monitoring utilization of funds as well as purposes for which funds are
spent.
Plan for capacity building of RKS members developed and implemented.
RKS meetings to take place regularly.
Audit of all untied, annual maintenance grants and RKS funds.
The State must take up capacity building of Village Health & Sanitation Committees Rogi Kalyan
Samitis and other community/ PRI institutions at all levels
The State shall ensure regular meetings of all community Organizations/ District / State Mission
with public display of financial resources received by all health facilities
The State shall also make contributions to Rogi Kalyan Samitis
BUDGET:
FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B2 Untied Funds Approved. ONGOING activity.
State has revised the
numbers of institution in
revised PIP to 155 CHCs, 424
PHC, 22DH, 37 SDH - list has
been provided in revised PIP.
B2.1 Untied Funds for
155 CHCs @ Rs.
50,000 per annum
B2.2 Untied Funds to 424
PHCs including
Rural Hospitals and
Satellite Hospitals
@ Rs. 25,000 per
annum
B2.3 Untied Funds to
2950 SCs @ Rs.
10,000 per annum
Rs 50000
per year
Rs 2500
per year
Rs 10000
per year
155 77.50 77.50 Approved.
424 106.00 106.00 Approved.
2950 295.00 295.00 Approved.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 93

FMR
Code
Activity Unit Cost Physical
Target
B2.4 Provision of Untied
Funds to 13108
VHSCs @ Rs. 10,000
per VHSC per
annum
Rs 10000
per year
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
13108 1310.80 1310.80 Approved.
B3
Total Budget
Untied Funds
Annual
Maintenance Grant
B3.1 Annual
Maintenance Grant
to 155 CHCs
B3.2 Annual
Maintenance Grant
to 217 PHCs
including Rural
Hospitals and
Satellite Hospitals
B3.3 Annual
Maintenance Grant
to 1828 SCs
Annual
Maintenance Grant
to 1196 Subsidiary
Health Centres
B6
Total Budget
Annual
Maintenance Grant
Corpus Grant to
HMS/ Rogi Kalyan
Samiti
B6.1 RKS Grant to 23 DH
@ Rs. 5.00 lakh
B6.2 RKS Grant to 155
CHCs @ Rs. 1.00
lakh
B6.3 RKS Grant to 424
PHCs including
Rural Hospitals and
Satellite Hospitals
@ Rs. 1.00 lakh
Rs.
100,000
per CHC
Rs.
50,000
Per
annum
Rs.
10,000
Per SC
Rs.
50,000
per
annum
1789.30 1789.30
155 155.00 155.00 Approved.
217 108.50 108.50 Approved.
1828 182.80 182.50 Approved.
1196 598.00 0.00 Not Approved. NEW - not
proposed in 2011-12. No
provision for AMG to
Subsidiary Health Centres.
1044.30 446.00
Rs 5 lakh 23 115.00 110.00 Approved. Ongoing activity.
Approved for 22 DH as per
list provided in the PIP.
Rs 1 lakh 155 155.00 155.00 Approved. Ongoing activity.
Rs 1 lakh 424 424.00 424.00 Approved. Ongoing activity.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 94

FMR
Code
Activity Unit Cost Physical
Target
B6.4 RKS Grant to 37
SDHs @ Rs 1 lakh
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
Rs 1 lakh 37 37.00 37.00 Approved. Ongoing activity.
Approved for 2 additional
SDH as per list provided by
State.
Total Budget RKS 731.00 726.00
GRAND TOTAL 3564.60 2961.30
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 95

HOSPITAL STRENGTHENING/NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP
Construction of new SCs only in high focus districts. All newly constructed SCs to be strengthened with 2
ANMs and service delivery closely monitored.
ROAD MAP FOR PRIORITY ACTION:
Works must be completed within a definite time frame. For new constructions upto CHC level, a
maximum of two years and for a District Hospital, a maximum period of 3 years is envisaged.
Renovation/ repair should be completed within a year. Requirement of funds should be projected
accordingly. Funds would not be permissible for constructions/ works that spill over beyond the
stipulated timeframe. Progress of works being executed to be closely monitored
Standardized drawing/ detailed specifications and standard costs must be evolved keeping in view
IPHS.
Third party monitoring of works through reputed institutions to be introduced to ensure quality.
Information on all ongoing works to be displayed on the NRHM website
Approved locations for constructions/ renovations will not be altered
All government health institutions in rural areas should carry a logo of NRHM as recognition of
support provided by the Mission in English/ Hindi & Regional languages.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 96

BUDGET:
FMR
Code
Activity Unit Cost Physical
Target
B4 Hospital
Strengthening
B4.1 Upgradation of
District Hospitals ,
CHCs, PHCs to IPHS
B4.1.1
Upgradation of
Districts Hospitals
B4.1.1.1
a. Civil Infrastructure in 5
DHs for NABH
Accreditation Name of
the institutions and
unit cost as follows –
District Hospitals
Patiala, Bathinda,
Mohali, Amritsar and
Jalandhar
b Equipment for 5
Hospitals for NABH
Accreditation
c Equipment for 5
District Hospitals - ISO
Accreditation
DH
Amritsar =
Rs 144.48
lakh,
Bathinda =
Rs 157.31
lakh,
Patiala =
Rs 156.30
lakh,
Mohali =
Rs 143.22
lakh,
Jalandhar
= 140.48
lakh,
Sewage Tt.
Plant = Rs
250.00
lakh,
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
5 991.00 741.00 Approved. Ongoing
activity. Rs 250.00
lakh Crore for sewage
treatment plant not
approved.
Conditionality - these
activities should be
completed in the FY
2012-13 and no
further support under
NRHM will be
extended beyond
that.
Rs 730.00 lakh Booked
under Procurement
Rs 466.37 lakh Booked
under Procurement
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 97

FMR
Code
Activity Unit Cost Physical
Target
d Civil Infrastructure in 5
District Hospitals for
ISO Accreditation
B4.1.2
B4.1.3
B4.1.4
Upgradation of CHCs
to IPHS
Upgradation of PHCs
for 24 hr Services,
IPHS
Upgradation of Sub-
Centres
DH
Gurdaspur
= 16.65
lakh,
Hoshiarpur
= Rs 84.10
lakh,
Mansa =
Rs 7.15
lakh,
Roopnagar
= Rs 9.51
lakh,
Sangrur =
Rs 55.80
lakh
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
5 173.21 173.21 Approved. Ongoing
activity. Conditionality
- these activities
should be completed
in the FY 2012-13 and
no further support
under NRHM will be
extended beyond
that.
a. Construction of 40
New Sub-Centres @
Rs. 6 lakh each
b. Repair & renovation of
75 Sub-Centres @ Rs.
1.5 lakh each
Rs 6 lakh 40 240.00 0.00 Not Approved.
Rs 1.5 lakh 75 112.50 0.00 Not Approved.
B4.2 Strengthening of
District Hospitals,
SDH, CHCs, PHCs
a. Strengthening of
District Hospitals
i
Construction of
Maternity ward at DH
Barnala
400.00 0.00 Not Approved. New
Activity. State may
present a revised
proposal for a
dedicated MCH wing
based on case load
subject to availability
of resource envelope.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 98

FMR
Code
ii
Activity Unit Cost Physical
Target
Diagnostic for Cervical
cancer
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
100.00 0.00 Not Approved. New
Activity - no details of
this activity provided.
b. Strengthening of SDH
i
Construction of OPD
block at SDH Khanna
250.00 0.00 Not Approved. New
Activity.
ii
Upgradation of Sub
Divisional Hospitals/
FRUs
Equipment for 5 Sub
Divisional Hospitals -
ISO Accreditation
Civil Infrastructure in 5
Sub Divisional
Hospitals for ISO
Accreditation
c. Strengthening of CHC
i Strengthening of CHC
Lehragaga from 30
Bedded to 50 Bedded -
Total requirement Rs.
3.08 Crore - Rs. 2.08
Crore approved by GOI
and provision of Rs. 1
Crore is to be made in
this PIP.
SDH
Abohar =
Rs 2.35
lakh,
Dasuya =
Rs 30.24
lakh,
Kharar =
Rs 11.65
lakh,
Malerkotla
= Rs 1.70
lakh,
Rajpura =
Rs 46.35
lakh
Rs 253.50 lakh Booked
under Procurement
5 92.29 92.29 Approved. ONGOING
Activity. Approved
with the conditionality
that these activities
should be completed
in the FY 2012-13 and
no further support
under NRHM will be
extended beyond
that.
100.00 100.00 Approved. Ongoing
activity.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 99

FMR
Code
Activity Unit Cost Physical
Target
ii Strengthening of CHC
Lambi. New Building of
PHC Lambi is being
constructed of NRHM
funds. Rs 3.00 crore
were sanctioned in last
PIP. Additional amount
of Rs 58 lakh is
required to complete
the work
d. Strengthening of PHC
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
58.00 0.00 Not Approved. New
Activity.
Equipment @ Rs. 1
lakh per 24x7 PHCs
B4.3 Sub Centre Rent and
Contingencies
B4.4 Logistics
Management/
Improvement
Mobility Support @
Rs.3000 Per Month at
State Level.
Mobility Support @ Rs.
2000 Per Month Per
District
Mobility Support at @
Rs. 800 per Month Per
Block
Rs 3000
pm
Rs 2000
pm
Rs 217.00 lakh Booked
under Procurement
1 0.36 0.00 Not approved.
22 5.28 0.00 Not approved
11.33 0.00 Not approved
upgradation/
Rs 2 lakh 22 44.00 0.00 Not approved.
strengthening of
godowns at 22 districts
@ of Rs. 2 lakh each
Warehousekeeper 0.60 0.00 Not Approved. No
unit cost or no. of
posts given. State may
fund this activity from
its own budget.
Sub-Total Hospital
Strengthening
2578.57 1106.50
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 100

PROCUREMENT
ROAD MAP FOR PRIORITY ACTION:
Strict compliance of procurement procedures for purchase of medicines, equipments etc as per
state guidelines.
Competitive bidding through open tenders and transparency in all procurements to be ensured.
Only need based procurement to be done strictly on indent/requisition by the concerned facility.
Procurement to be made well in time & not to be pushed to the end of the year.
Audit of equipment procured in the past to be carried out to ensure rational deployment.
Annual Maintenance Contract (AMC) to be built into equipment procurement contracts.
A system for preventive maintenance of equipment to be put in place.
BUDGET:
FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B16 Procurement
B16.1 Procurement of
Equipment
B16.1.1
Procurement of
equipment MH
a. Equipment - MVA/ EVA 4.00 4.00 Approved
B16.1.2
Procurement of
equipment CH
a. Establishing NBSUs in
10 DHs, 12 SDHs and 6
CHCs conducting more
than 50 deliveries.
210.00 210.00 Approved.
b. Procurement of
equipment for 3 SNCUs
at Medical Colleges
75.00 75.00 Approved.
c. Procurement of Steam
Cleaning System for
Hospitals
371.00 0.00 Not Approved.
No details
provided in the
PIP. Not clear
as to what is
the purpose of
this activity
and the
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 101

FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
facilities for
which the
equipment is
needed.
B16.1.3
B16.1.4
Procurement of
equipment FP
Procurement of
equipment IMEP
0.00 0.00
0.00 0.00
B16.1.5 Procurement of others 0.00 0.00
a. Equipment for 5
Hospitals for NABH
Accreditation
b. Equipment for 5
District Hospitals - ISO
Accreditation
DH Amritsar =
122.52 lakh,
Bathinda =
147.05 lakh,
Patiala =
186.30 lakh,
Mohali =
141.41 lakh,
Jalandhar =
131.69 lakh,
forms/signages
etc. = Rs
70,000
DH Gurdaspur
= Rs 72.51
lakh,
Hoshiarpur =
Rs 313.14 lakh,
Mansa = Rs
7.22 lakh,
Roopnagar =
Rs 31.18 lakh,
Sangrur = Rs
42.33 lakh
5 730.00 730.00 Approved.
Ongoing
activity.
Approved with
the
conditionality
that work has
to be
completed this
year with no
further
approvals
beyond FY
2012-13.
5 466.37 466.37 Approved.
Ongoing
activity.
Booked from
Upgradation of
DHs. MH
Comments:
"Since the
activity has
been approved
in the last year
PIP so can be
approved. =
719.00 lakhs . "
(for 10
hospitals) The
conditionality
is that work
has to be
completed this
year with no
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 102

FMR
Code
Activity Unit Cost Physical
Target
c. Equipment @ Rs. 1 lakh
per 24x7 PHCs
d. Equipment for 5 Sub
Divisional Hospitals -
ISO Accreditation
B16.2 Procurement of Drugs
and Supplies
B16.2.1
Drugs & Supplies for
MH - JSSK
a. Drugs & Supplies for
MH - MTP, RTI/ STI
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
further
approvals
beyond FY
2012-13.
Rs 1 lakh 217 217.00 0.00 Not approved.
NEW activity.
Booked from
Strengthening
of PHCs.
Generic
budget
without any
facility wise
details/gap
SDH Abohar =
Rs 44.79 lakh,
Dasuya = Rs
63.73 lakh,
Kharar = Rs
44.08 lakh,
Malerkotla =
Rs 40.62 lakh,
Rajpura = Rs
60.26 lakh.
analysis.
253.50 253.50 Approved.
Ongoing
activity.
Booked from
Upgradation of
SDHs.
Approved with
the
conditionality
that the work
is to be
completed in
2012-13 and
not further
support will be
expended
under NRHM
for
accreditation
activities
beyond FY
2012-13.
reflected in
RCH budget
32.25 32.25 Approved.
B16.2.2
Drugs & Supplies for
CH
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 103

FMR
Code
Activity Unit Cost Physical
Target
a. Supply of 10 lakh zinc
sulphate tablets
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
5.00 5.00 Approved.
b. Supply of 72000 bottle
of vitamin A solution
with 100ml pack
81.00 81.00 Approved.
State to
provide unit
cost and
physical target.
c. IFA tablet to children 30.00 30.00 Approved.
School Health
Providing Iron Folic
Acid to 30 Lakh
students. (For control
of Anaemia 50 tablets
per child)
0.00 Drugs will be
procured from
the funds
already
available
Providing Albendazole
Tablets 2 to per child
(For Deworming)
0.00
Providing Scabies
lotion for skin diseases
0.00
Providing emergency
kits in all schools
(20,000X240)
0.00
B16.2.3
Drugs & Supplies for FP
B16.2.5
General Drugs &
Supplies
a. Drugs & Supplies for 22
DHs + 1 Child Hospital
Bathinda @ Rs. 15 lakh
per DH
Rs 15 lakh per
DH
New Activity.
22 345.00 0.00 Not Approved.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 104

FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
b. Drugs & Supplies for 37
SDH @ Rs. 4 lakh per
SDH
c. Drugs & Supplies for
155 CHC @ Rs. 2 lakh
per CHC
Rs 4 lakh per
SDH
Rs 2 lakh per
CHC
37 148.00 0.00 Not Approved.
155 310.00 0.00 Not Approved.
d. Drugs & Supplies for
24*7 PHCs (221PHCs)
@ 1.50 lakh per PHC &
other 203 PHCs @ Rs.
1.00 lakh per PHC
Rs 1.50 lakh
per 24x7 PHC,
RS 1.00 lakh
per other PHC
221
+203
534.50 0.00 Not Approved.
e. Supplies for IMEP 0.00
f. Procurement of
general drugs and
supplies for health
facilities (including kits,
other drugs etc.) - Kit A
& Kit B for all 2950 SCs
@ Rs. 25000
Rs 25000 per
SC
2950 737.50 0.00 Not approved.
This is already
approved as
per the no. of
pregnant
women under
JSSK.
Sub-Total Procurement 4550.12 1887.12
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 105

MOBILE MEDICAL UNIT (MMU)
ROAD MAP FOR PRIORITY ACTION:
Route chart to be widely publicised
GPS to be installed for tracking movement of vehicles
Performance of MMUs to be monitored on a monthly basis (including analysis of number of
patients served and services rendered).
MMUs to be well integrated with Primary Health Care facilities and VHND.
Engagement with village panchayats / communities for monitoring of services
AWCs to be visited for services to children below 6 years of age
AWCs to maintain record of services rendered
Service delivery data to be regularly put in public domain on NRHM website.
A universal name ‘Rashtriya Mobile Medical Unit’ to be used for all MMUs funded under NRHM.
Also uniform color with emblem of NRHM (in English/ Hindi & Regional languages), Government of
India and State Government to be used on all the MMUs.
BUDGET:
FMR
Code
B11
Activity
Mobile
Medical
Unit
B11.1 Recurring
cost @
Rs. 15.00
lakhs per
MMU
per
annum
for 22
MMUs
Total
Budget
Unit
Cost
Rs 15.00
lakh per
year
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
24 360.00 360.00 Approved @ Rs
360 lakh for 24
MMUs as
approved in
2011-12.
360.00 360.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 106

REFERRAL TRANSPORT
Free referral transport to be ensured for all pregnant women and sick neonates accessing public
health facilities.
Universal access to referral transport throughout the State, including to difficult and hard to reach
areas, to be ensured.
A universal toll free number to be operationalized and 24x7 call centre based approach adopted.
Vehicles to be GPS fitted for effective network and utilization.
Rigorous and regular monitoring of usage of vehicles to be done
Service delivery data to be regularly put in public domain on NRHM website.
FMR
Code
Activity Unit Cost Physical
Target
B12 Referral
Transport
B12.1 Ambulance/ EMRI
B12.1.1 Emergency
Response
Services
Capital Cost of 86
Ambulances
under phase II @
Rs. 12.4 Lakh
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
Rs 12.4 lakh 86 1066.40 1066.40 State has reappropriated
the amount at
its own level
in
anticipation
of approval
from existing
savings and
regularisation
of
expenditure
under NRHM.
Approved
subject to the
conditionality
that under
JSSK these
ambulances
would be used
100% for
bringing
pregnant
women and
sick neonates
to the facility
and for interfacility
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 107

FMR
Code
Activity Unit Cost Physical
Target
B12.2 Operating Cost
(POL)
Recurring cost of
154 Ambulances
(1.18 x 12 x 154 x
40%) + funds for
86 Ambulances
(1.18x12x86x60%)
Total Budget
Referral
Transport
(1.18x12x154x0.40)+
(1.18x12x86x0.60)
154 existing
+ 86 new
ambulances
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
referral. For
drop-back
services, this
facility would
be used 50%
of the time
and the
remaining
50% JSSK
would be
used. State to
look into
developing a
second tier
basic
ambulance
service for
upscaling of
JSSK in the
future.
1647.26 1602.91 Approved. Rs
872.25 lakh
may be
approved as
recurring cost
of 154 existing
ambulances
@ 40% of
OPEX. OPEX of
new 86
ambulances =
Rs 730.66 lakh
@ 60% . Thus,
total OPEX
approved = Rs
1602.91 lakh
2713.66 2669.31
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 108

MAINSTREAMING OF AYUSH
ROAD MAP FOR PRIORITY ACTION:
State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two
streams: Ayurveda and homoeopathy (or Unani, Siddha, Yoga as per the local demand).
Panchakarma Unit should also be considered.
OPD in AYSUH clinics will be monitored along with IPD/OPD for the facility as a whole.
The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load.
Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to enable
them to practice their own system of Medicine without difficulty.
At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered
depending on local preference.
At CHC/PHC level, Post-Graduate Degree may not be insisted upon.
District Ayurveda Officer should be a member of District Health Society in order to participate in
decision making with regard to indent, procurement and issue of AYUSH drugs.
Infrastructure at facilities proposed to be collocated would be provided by Department of AYUSH.
Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under NRHM
should be given priority for collocation of AYUSH as these are functional facilities with substantial
footfalls.
AYUSH medical officers should increasingly be involved in the implementation of national health
programmes and for the purpose of supportive supervision and monitoring in the field. They should
be encouraged to oversee VHND and outreach activities and in addition programmes such as
school health, weekly supplementation of iron and folic acid for adolescents, distribution of
contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.
AYUSH medical officer should also be member of the RKS of the facility and actively participate in
decision making.
AYUSH doctors need to be provided under NRHM first in the remotest locations and only thereafter
in better served areas.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 109

BUDGET:
FMR
Code
B9
Activity
Mainstreaming of
AYUSH
B9.1 Contractual
appointment of AYUSH
MO (Ayurveda) one
each in 236 PHCs, @ Rs.
25000 per MO
Unit
Cost
Rs 25000
pm
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
236 708.00 708.00 Approved.
Ongoing.
Approved @ Rs
23,000 pm for
236 MOs.
B9.2 Contractual
appointment of AYUSH
Dispensor (Ayurveda)
one each in 236 PHCs,
@ Rs. 11000 per MO
Rs 11000
pm
236 311.52 218.40 Approved.
Ongoing activity.
Approved. @ Rs
10,000 pm for
182 in position =
Rs 218.40 lakh.
State to
rationalize the
existing HR based
on case load in
the AYUSH
facilities.
B9.3 Contractual
appointment of one
AYUSH MO
(Homeopathy) in 115
CHCs, 35 SDH and 2
MOs at each DH @ Rs.
25000 per MO
Rs 25000 194 582.00 287.04 Approved.
Ongoing activity.
Approved @ Rs
23,000 for
existing 104
positions = Rs
287.04 lakh.
State to review
the HR in position
and rationalize
based on case
load.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 110

FMR
Code
Activity
B9.4 Contractual
appointment of one
Dispenser in 115 CHCs,
35 SDH and 2 at each
DH @ Rs. 11,000 per
Dispenser
Unit
Cost
Rs 11000
pm
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
194 256.08 128.40 Approved.
Ongoing activity.
Approved @ Rs
10,000 pm for
existing 107
positions = Rs
128.40 lakh.
State to
rationalize the
existing HR based
on case load in
the AYUSH
facilities
Total Budget AYUSH 1857.60 1341.84
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 111

IEC/BCC
ROAD MAP FOR PRIORITY ACTION:
Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved intersectoral
convergence particularly with WCD.
Details of activities carried out to be displayed on the website
BUDGET:
FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B10 IEC-BCC NRHM Ongoing Activity.
Approved amount
of Rs 300.00 lakh.
State to look at
utilisation of funds
and develop a
comprehensive
BCC/IEC strategy.
B10
Strengthening of
BCC/IEC Wing (State
and District Levels)
a. Salary to Art &
Exhibition expert one at
State Level @ 14000/-
per month
b. Salary to Contractual
one BCC facilitator at
state level @ 16500/-
per month
c. Technical support for
printing @ 14000/- per
month
d. Salary to Contractual
22 BCC facilitator at
each district level @
14000/- per month
Rs 14000
pm
Rs 16500
pm
Rs 14000
pm
Rs 14000
pm
1 1.68 1.68 Ongoing activity.
may be approved
@ Rs 14,000 pm =
Rs 1.68 lakh as per
RoP 2011-12.
1 1.98 1.80 Ongoing activity.
may be approved
@ Rs 15,000 pm =
Rs 1.80 lakh as per
RoP 2011-12.
12
months
1.68 1.44 Ongoing activity -
may be approved
@ Rs 12,000 pm.
22 36.96 31.20 Ongoing activity -
may be approved
@ Rs 13,000 pm for
20 BCC facilitators
as per RoP 2011-12
= Rs 31.20 lakh. 2
NEW posts not
approved.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 112

FMR
Code
Activity Unit Cost Physical
Target
B10.2 Implementation of
BCC/ IEC Strategies
B10.2.1
B10.2.2
BCC/ IEC Activities for
Maternal & Child
Health
a. State Level Advocacy
Workshop for Maternal
& Child Health
b. Printing of posters
pamphlets & booklets
c. Radio Spot Jingle -
Topics to be covered
are MH, JSY & JSSK @
188000/- per quarter
d. 2 FGDs at 2950 Sub-
Centres on Maternal &
Child Health @ 300/-
per FGD
B10.2.3
BCC/ IEC Activities for
Family Planning
a. Block Level Workshop
on FP Programmes
B10.2.4
BCC/ IEC Activities for
ARSH
a. Health Melas, Festivals
in schools, colleges -
outreach camps - 1 in
block per month @ Rs.
2000 in all 118 blocks
Rs 3000
per block
Rs 2000
per block
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
1.00 1.00 Approved
20.00 15.00 Approved
7.50 0.00 Approved
17.70 14.75 Approved
118 3.54 3.54 Approved
118 9.44 9.44 Approved
b. Booklet on ARSH 10
lakh copies @ Rs. 10
each
c. Posters on ARSH 25000
copies @ Rs. 20 each
d. Printing of Planners for
Menstrual Hygiene 7
lakh @ Rs. 4 each
e
B10.2.5
Posters on Menstrual
Hygiene 25000 copies
@ Rs.8 each
Other Activities
Rs 10.00 10 lakh 50.00 15.00 Approved
Rs 20.00 25000 2.50 2.50 Approved
Rs 4.00 7 lakh 28.00 21.00 Approved @ Rs
3/poster
Rs 8.00 25000 2.00 1.50 Approved @ Rs 6
/poster
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 113

FMR
Code
Activity Unit Cost Physical
Target
a. Intra Personal
Communication
State Level Advocacy
Workshop on NRHM
One District Level
Workshop on NRHM
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
1.25 1.25 Approved
2.20 2.20 Approved
Sub Total IPC 3.45 3.45 Approved
b. Save the Girl Child
under PNDT Act - Girl
Child Competition
c. Folk Media (From
parties of song &
drama division at
DAVP rates) Twice a
year - Maternal Health,
Child Health, NRHM,
VHSC, FW, ARSH, PNDT
73.75 37.50 Approved 50%
funds
5.90 5.90 Approved
d. Road Shows of NRHM
on 26 January,15
August & District level
Fares based on District
to District requirement
approximately @
40000/- per District
Rs 40,000 22 8.80 6.60 Approved @ Rs
30,000 per district.
e. World Population Day
(11 July 2011)
State @ 50000/-
District @ 5000/- per
district
Block @ 2000/- per
block
f. World Health Day (7
April 2011)
State @ 50000/-
District @ 5000/- per
district
Block @ 2000/- per
block
g. Breast feeding week (1
to 7 August, 2011)
Rs
50,000.00
Rs
5000.00
Rs
2000.00
Rs
50,000.00
Rs
5000.00
Rs
2000.00
1 0.50 0.50 Approved
22 1.10 1.10 Approved
118 2.36 2.36 Approved
1 0.50 0.50 Approved
22 1.10 1.10 Approved
118 2.36 2.36 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 114

FMR
Code
Activity Unit Cost Physical
Target
114 CHC+35 SDH+21
DH @5,000 per
institution
h. National Nutrition
week ( 1 to 7 Sept.
2011)
State @ 50000/-
District @ 5000/- per
district
Block @ 2000/- per
block
Exhibition (Various
Health programmes
under NRHM) - Rs.
5000 per Block and Rs.
10000 per District
Production &
Telecasting on TV
topics to be covered
are MH, JSY, CH, ARSH,
PNDT & NRHM
Radio Spot Jingle -
Topics to be covered
are MH, JSY, CH, ARSH,
PNDT & NRHM @
400000/- per quarter
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
Rs 5000 170 8.50 8.50 Approved
Rs
50,000.00
Rs
5000.00
Rs
2000.00
Rs 10,000
x22
Districts +
Rs 5000 x
118
blocks
Rs 4.00
lakh per
quarter
1 0.50 0.50 Approved
22 1.10 1.10 Approved
118 2.36 2.36 Approved
22+ 118 7.90 7.90 Approved
34.00 18.00 Funds to be utilised
for production Rs
16.00 lakh are
available with the
State as production
was in-process.
Thus, Rs 18.00 Lakh
approved.
4 16.00 16.00 Approved
i. Printing Material
Poster, Pamphlets &
Brouchers to be printed
on Health Issues other
than MCH @ 400000/-
Newspapers
Advertisement - For all
health programmes
j. Orientation &
Meetings
Workshop on
Development of BCC
Plan
4.00 4.00 Approved
90.00 60.00 Approved
0.30 0.30 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 115

FMR
Code
Activity Unit Cost Physical
Target
Review Meetings with
BCC Facilitator
Conference/ Seminars
in collaboration with
Population Research
Centres & Universities
on health gender &
demographic issues
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
0.75 0.75 Approved
10.00 10.00 Approved
Sub-Total IEC/BCC 453.22 300.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 116

ROAD MAP FOR PRIORITY ACTION:
MONITORING AND EVALUATION (HMIS)/ MCTS
Data is uploaded, validated and committed; data for the month available by the 15th of the
following month.
Uploading of facility wise data by the first quarter of 2012-13.
BUDGET:
Facility based HMIS to be implemented. HMIS data to be analysed, discussed with concerned staff
at state and district levels and necessary corrective action taken.
Program managers at all levels use HMIS for monthly reviews.
MCTS to be made fully operational for regular and effective monitoring of service delivery including
tracking and monitoring of severely anemic women, low birth weight babies and sick neonates.
Pace of registration under MCTS to be speeded up to capture 100% pregnant women and children
Service delivery data to be uploaded regularly.
Progress to be monitored rigorously at all levels
MCTS call centre to be set up at the State level to check the veracity of data and service delivery.
FMR
Code
Activity
B15.3 Monitoring and Evaluation
Unit
Cost
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks
B15.3
.1
Monitoring & Evaluation/
HMIS
a. Operationalising the new
MIES formats/PW and Child
Immunization tracking
formats
a.1 Printing of New Format
under NRHM (Monthly,
Quarterly and Annual for
Subcenters, SHCs, PHC, CHC
and Hospitals)
a.2 Printing of New Format for
PW and Child Immunization
tracking
20.00 20.00 Approved. Recommended
for HMIS.
20.00 20.00 Approved. Admissible
subject to the condition
that formats are
compatible with the
Integrated RCH register
designed by MoHFW.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 117

FMR
Code
Activity
a.3 New Register for each ANM
on Survey, MCH, Births and
Deaths, FW, OPD,Disease etc
(Rs120x6000 ANMs/LHVs)
Unit
Cost
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks
80.00 80.00 Approved. Admissible
subject to the condition
that formats are
compatible with the
Integrated RCH register
designed by MoHFW.
b. Trainings on use of
information, analysis, report
writing and MCTS
b.1 2 day (twice a year) training
to District Monitoring and
Evaluation officers & HMIS
Divisional Coordinators (24
Participants) (Rs.12,000 for
booking of lab + 350 per
participant per day)x 2 Days
0.82 0.82 Approved. Admissible.
b.2 2 day (twice a year) Distt.
Level training to District SA,
Block Statistical Assistant,
Information Assistants at
Blocks, DH and SDH[Rs. 300
per participant per day x313
[20 DSA+118 BSA+118 IA+22
DH IA+35 SDH IA+2 IA at dist
HQ]participants x 2
Day]+(8000 for booking of
lab for one dayx20 districts)
6.96 6.96 Approved. Admissible.
b.3 1 day training to ANM ((4910
ANMs)x(Rs.100+Rs.150+Rs.7
5)+15% Inst charges
9.01 9.01 Approved. Admissible.
c. Review Meetings
c.1 1 Day Review Meeting with
District level M&E officers,
SAs and Block levels
Statistical Assistants (20
DMEOs+20DSAs+118
BSAs+118 IAs=276
ParticipantsxRs.200 per day)
200
per
day
276
particip
ants
1.10 1.10 Approved. recommended
by Statistics division
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 118

FMR
Code
B15.3
.3
Activity
Other M & E activities/MCTS
Unit
Cost
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks
a. HMIS Divisional Coordinators
for 4 divisions and
one at State HQ
13.23 12.04 Approved at rate of 2011-
12. Recommended Rs.
12.04 lakh @20,800 per
man month (earlier
approved rate), hike of
6% is not admissible.
State may ensure that all
the facilities are reporting
regularly on MCTS Portal.
b. One Information Assistant at
each DH/SDH/ Block for PW
and Child immunization
tracking and 2 at district HQ
160.50 151.41 Approved. Recommended
Rs. 151.41 lakh @7,210
per man month (earlier
approved rate).
c. 1 Data Card for each DH/SDH
Information Assts (22+35),
Block SA (118 Block SAs) and
for 22 M&E officers at
District level & 4 HMIS
Divisional Co-ordinators
(@300 each month) for PW
and Child immunization
tracking
7.13 4.00 Approved. Recommended
Rs. 4.00 lakh for those
blocks where internet
connectivity is really a
major concern. State may
ensure about universal
coverage in terms of
registration of Pregnant
women & Children and its
regular updation as per
the services delivered to
the beneficiaries on MCTS
Portal on MCTS.
d. Technical support for
customization and trouble
shooting of DHIS2 @
Rs.20,000 pm
2.40 2.40 Approved. Recommended
for one year subject to
State populating the said
data at facility level to
HMIS. The State should
shift to HMIS fully within
next year
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 119

FMR
Code
Activity
e. Reimbursement of Rs.1000/-
pm to Information Assistants
at 118 Blocks, 35 SDH, 22
DH, 22 DSAs for allowing
them to call all beneficiaries
under MCTS to ensure all PW
and children are getting due
services
Unit
Cost
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks
23.16 0.00 Not Approved. Not
recommended. State may
explore the possibility of
CUG connection for all
ANMs for continue keep
in touch with the
beneficiaries and ASHAs.
Note: At B.19, Rs 150.09
lakh is already approved
for reimbursement of cell
phone bills under MFP.
Additional amount may
not be approved.
f. Internet connection and
Consumable (Paper, CD,
Floppy, Printer Cartridge
etc.)
f.1 Rs. 50000/- per Block 59.00 59.00 Approved.
f.2 Rs. 25000/- District Hospital 5.00 5.00 Approved.
f.3 Rs. 15000/- Sub Divisional
Hospital
5.25 5.25 Approved.
Recommended subject to
State ensuring 100%
facility based reporting on
HMIS portal.
f.4 Rs.30000/- District HQ 6.00 6.00 Approved.
f.5 State HQ 7.00 7.00 Approved.
g. POL for state head quarter
monitoring & Evaluation
team
3.00 0.00 Not Approved.
h. Development of integrated
HMIS system in all secondary
level hospitals
200.00 200.00 Approved as a one-time
expenditure for
establishing a robust
hospital management
system.
Digitilization of CRS Record
Approved as a one-time
expenditure for FY 2012-
13. To be funded from
State budget from next
year. No further support
would be provided under
NRHM beyond FY 2012-
13.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 120

FMR
Code
Activity
Strengthening of CRS System
with Salary of Civil
Registration Assistant (Total
33) @ Rs. 10500/-
Unit
Cost
Rs
10,5
00
pm
Physical
Target
Amount
Propose
d (Rs in
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks
33 41.58 41.58 Approved.
Procurement of One Laser
Printer, One Scanner and
One External Hard Disk (I TB)
for 20 Districts for CRAs .
One Colored Printer and 5
External HD (1 TB) for State
HQ
5.00 5.00 Approved.
TA/DA to CRA / Inspecting
Officers
2.00 2.00 Approved.
Review of CRA work(half
yearly)
0.40 0.40 Approved.
Internet Facility to
CRA@1000pm
2.64 2.64 Approved.
Outsourcing of CRS data for
the period 2008 to 2000
@4/- per entry Approx. 19
lakh entries
100.00 100.00 Approved.
New server for the hosting of
births and death online
application and other system
software
10.00 10.00 Approved.
TOTAL M& E 781.18 751.61
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 121

OTHERS
BUDGET: NGO/PPP
FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B13 NGO/PPP
(MNGO-RCH
Scheme
B13.1 Non
governmental
providers of
health care
RMPs/TBAs
B13.2 PNDT and Sex
Ratio
B13.3 Public Private
Partnership
Accreditation of
Private provide
for providing
RCH services as
per GOI
guidelines.
Surakhit Janepa
Yojna: 4038
beneficiaries
during 2011-12.
Rs 4000
per
case
100.00 0.00 Not Approved.
B13.4 Grant in aid to
NGOs/NGO
Programme
a External
Evaluation of
NGOs
Completing 1st
year
Implementation
b. III rd Installment
of Grant-in aid
for 8 MNGO/ 2
SNGOs for 4
months
8
MNGOs
2
SNGOS
Ongoing. Approved for FY
2012-13. No further approvals
will be given under NRHM -
scheme to be wound up in FY
2012-13. R
2.50 2.50 Approved.
50.00 50.00 Approved.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 122

FMR
Code
Activity
c. Grant in aid for
MNGOs in 12
district @ Rs. 15
lacs per district
d. Technical NGO-
PPP Assistant Rs.
15000/- pm
e. Monitoring and
supervision
(review meeting/
seminar/
workshop/ study
tour as per need
assessment)
Unit
Cost
Rs
15,000
pm
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
0.00 0.00
Remarks
1 1.80 1.80 Approved.
Sub-Total NGO 158.30 56.30
4.00 2.00 Approved. Rs 2.00 lakh
approved in 2011-12-
approved at same rate
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 123

BUDGET: NEW INITIATIVES
FMR
Code
Activity
Unit
Cost
Physical Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B18
New
initiatives/
strategies
Interventions
Provision of
Cell Phone
Reimbursement
of monthly cell
phone bill to
ANM/LHV/
Block SA and
Accountant @
Rs.222/- PM
Reimbursement
of monthly cell
phone bill to
BSMOs @
Rs.333/- PM
Reimbursement
of monthly cell
phone bill to
District Officers
@ Rs.333/- PM
Rs
222.00
pm
Rs
333.00
pm
no. of
ANM/LHV/block
SA as per list
provided
145.37 145.37 Approved. ONGOING
activity. Instead of generic
reimbursements the State
may explore CUG type
connection in future.
no. of BSMO 4.72 4.72 Approved. ONGOING
activity.
4.72 0.00 Not Approved. New
Activity.
Provision of Cell
Phone to State
Level Officers
Development
of Mobile
Phone
applications for
SMS by ANMs
Sub-Total New
Initiatives
5.00 0.00 Not Approved. New
Activity. Cell phones to
State officers should be
provided under State
budget.
GOI will provide the
software
159.80 150.09
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 124

BUDGET: SUPPORT SERVICES
FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B22 Support Services
B22.1 Support
Strengthening NPCB
B22.2 Support
Strengthening
Midwifery Services
under medical
services
B22.3 Support
Strengthening
NVBDCP
B22.4 Support
Strengthening RNTCP
Approved. Ongoing
Activity. Revised as per
comments by RNTCP:
a
Double Door
Refrigerator (240 Ltr.)
22 Nos. at the cost of
( one for each district
for freezing Gel Packs
and keeping PPD
vials)
22 4.40 3.30 Approved. Costing limited
to single door refrigerator.
b
ILR -1 (for State Drug
Store, to store PPD
vials) approximate @
Rs
30,000.00
1 0.30 0.30 Approved
c
d
e
f
Budget for generator
for IRL
Budget for ancillary
drugs for MDR
patients
Budget for Photostat
machine at state TB
cell
Ward boy for 3 DOTS
Plus site at Amritsar,
Patiala and Faridkot
10,00,000 1 10.00 10.00 Approved
1.50 0.00 Not approved.
1.50 0.00 Not approved.
3 2.20 0.00 Not Approved. 3 New HR
proposed.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 125

FMR
Code
Activity Unit Cost Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
B22.5 Contingency support
to Govt. dispensaries
B22.6 Other NDCP Support
Progamme
a
Support for
strengthening the
laboratory services in
the hospitals for
establishing public
health lab
b
Support to
Immunization
programme
1 salary of contractual
refrigerator
mechanics
2 Mobility Support for
Refrigerator
Mechanics (rate of
5/km):
3 Mobility Support for
district Vaccine store
keeper
4 Cold chain
strengthening:
Ongoing activity.
8,000 pm 10.20 5.76 Approved. 6 refrigerator
mechanics approved for
one year subject to the
condition that all the
vacant regular posts will be
filled up on priority. The 2
new carved out districts to
be catered as an additional
responsibility by the
refrigerator mechanics of
districts from where the
new districts have been
carved out. Regular posts
in these 2 new districts to
be created.
6.60 0.00 Not approved. To be met
from cold chain
maintenance funds.
Additional amount of Rs
6.6 lakhs is therefore not
recommended
6.60 0.00 Not approved. To be met
from cold chain
maintenance funds.
Additional amount of Rs
6.6 lakhs is therefore not
recommended
3.16 0.00 Not recommended.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 126

FMR
Code
Activity Unit Cost Physical
Target
5 1 contractual
statistical assistant to
support EPI data
management -
Support Ongoing
from NRHM Part B
6 Computer related
support required
from NRHM.(for 24
hard discs and 2 data
cards)
7 2 contractual doctors-
Field Medical Officers
to support EPI
activities @40000 per
month per EPI
technical officer
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
1.35 1.35 Approved. Recommended
1.00 0.00 Not Approved. Approved
activity under part C under
Consumables for computer
including provision for
internet access for RIMs
and the amount of Rs
1.056 lakhs recommended
as per norms. Additional
amount of Rs 1 lakhs is
therefore not
recommended.
7.02 0.00 Not Approved.
8 Intensive monitoring
initiatives in 5 high
priority districts
9 State Immunization
cell:
4.00 0.00 Not Approved. Mobility
Support for supervision for
district level and state level
officers is an approved
activity under part C.1.a
and C.1.b. Amount has
been recommended as per
norms. Additional amount
of Rs 4 lakhs is therefore
not recommended.
Revision of norms is under
process wherein there is
an increase of norms by 5
times for mobility support
at district level
1.00 0.00 Not Recommended
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 127

FMR
Code
Activity Unit Cost Physical
Target
10 Additional
Consumables support
for internet
connections/ Refill
Toner in district
computer
11 Support for
upgradation of 26
immunization clinics
in Govt institutions in
the state includes
medical colleges and
large govt institutions
(22 civil hospitals) and
Mata Kaushalya
Hospital Patiala.
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
1.58 0.00 Not approved. Approved
activity under part C under
Consumables for computer
including provision for
internet access for RIMs
and the amount of Rs
1.056 lakhs recommended
as per norms. Additional
amount of Rs 1.58 lakhs is
therefore not
recommended
15.60 0.00 Not approved. As per the
write up, the projection
involves activities of IEC
and renovation therefore
the funds for the same
may be projected under
IEC Head & Infrastructure
strengthening
12 Support for Cell
phone/SIM card
under closed user
group (as existing in
NRHM presently) for
district staff. Critical
requirement.
5.16 0.00 Not Approved. Note: At
B.19 Rs 150.09 lakh is
already approved for
reimbursement of cell
phone bills under MFP.
Additional amount may
not be approved.
13 Air conditioners for
22 DIO + 1 state
office.
14 Upgradation of
existing workshop
area for cold chain
equipment repairs
(furniture/ workshop
table/benches/ high
voltage elec. fittings
8.05 0.00 Not Approved.
11.50 11.50 Approved.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 128

FMR
Code
c
Activity Unit Cost Physical
Target
Installing Fire safety
equipments
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
d Blood Banks 100.00 0.00 Not Approved. Blood
Banks is Core activity of
NACO.
e Sanitation equipment 0.00
f
g
h
i
Providing hotline in
all hospitals
Signages in the
hospitals
Security Services - CC
TV Camera
Deploying Security in
the hospitals
100.00 100.00 Approved. New Activity.
60.00 0.00 Not Approved. New
Activity. To be part of
comprehensive IEC plan.
0.00
j Tele Medicine 40.00 40.00 Approved.
B23.7 Support
strengthening for
Dental Health
Ongoing activity.
Dental Fortnight
District Hospitals
(20000X22X2)
Sub Divisional
Hospitals
(15000X37X2)
Rs
20,000
per
fortnight
Rs 15,000
per
fortnight
CHCs (10000X155X2) Rs 10,000
per
fortnight
Sub-Total Support
Services
0.00
22x2 8.80 8.80 Approved.
37x2 11.10 11.10 Approved.
155x2 31.00 31.00 Approved.
453.62 223.11
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 129

NATIONAL DISEASE CONTROL PROGRAMMES
(NDCP)
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 130

NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)
TARGETS:
Bring the prevalence of IDD to below 5% by 2017
To ensure 100% consumption of adequately iodated salt (15ppm) at the household level.
ROAD MAP FOR PRIORITY ACTION:
Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to below
5% in the entire country by 2017 and (ii) to ensure 100% consumption of adequately iodated salt (15ppm)
at the household level under National Iodine Deficiency Disorders Control programme:
1. Establishment of State IDD Cell, if not established in the State/UT for implementation
programme activities.
2. Establishment of State IDD monitoring laboratory, if not established in the State/UT for
conducting quantitative analysis of iodated salt and urine for iodine content and urinary
iodine excretion.
3. All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab Technician
and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory should be filled on
regular/contractual basis on priority for smooth implementation of programme.
4. Supply, availability and consumption of adequately iodated salt in the state should be
monitored.
5. District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to assess the
magnitude of IDD in the respective districts as approved in the PIP and reports accordingly
submitted.
6. Use of Salt testing kits by ASHA/Health Personnel being supplied in the endemic districts for
creating awareness & monitoring of iodated salt consumption at household level should be
monitored and monthly reports are to be submitted as per the prescribed proforma.
7. ASHA incentives Rs. 25/- per month for testing 50 salt samples per month in endemic districts
should be made available on regular basis to ASHA.
8. Health education and publicity should be conducted with more focus in the endemic districts
emphasizing about IDD and promotion of consumption of adequately iodated salt. Should
observe Global IDD Celebrations on 21 st October by conducting awareness activities at various
level and submission of reports
Approval of Programme Implementation Plan - Punjab, 2012-13 Page 131

DETAILED BUDGET:
FMR
Code
Activity
Unit cost
(wherev
er
applicabl
e)
Physical
target
Amount
Proposed
(Rs. In
lakh)
Amount
Approved
(Rs. In lakh)
Remarks
D
IDD
D.1 Establishm
ent of IDD
Control
Cell-
N.A. The sanctioned posts i.e.
Technical Officer, Statistical
Assistant & LDC presently filled
Implemen
tation &
monitorin
g of the
programm
e
0.84* 10.00
on contract basis should be filled
on regular basis by the State
Government for smooth
functioning of the IDD Cell and
implementation of programme in
the State.
D.1.a
D.1.b
Technical
Officer
Statistical
Assistant
D.1.c LDC Typist 1
1
1
State Govt. may conduct and coordinate
approved programme
activities and furnish quarterly
financial & physical achievements
as per prescribed format.
D.2 Establishm
ent of I DD
Monitoring
Lab-
Monitorin
g
of district
level
iodine
content of
salt and
urinary
iodine
excretion
as per
Policy
Guidelines
.
9.30* 5.00 The sanctioned posts i.e. Lab
Technician and Lab assistant
presently filled on contract basis
should be filled on regular basis
by the State Government on
priority.
State Govt. may conduct
quantitative analysis of salt &
urine as per NIDDCP Guidelines
and furnish monthly/quarterly
statements.
D.2.a
Lab
Technician
1
D.2.b Lab. 1
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 132 -

FMR
Code
Activity
Unit cost
(wherev
er
applicabl
e)
Physical
target
Amount
Proposed
(Rs. In
lakh)
Amount
Approved
(Rs. In lakh)
Remarks
Assistant
D.3 Health
Education
& Publicity
Increased
awareness
about IDD
and
iodated
salt.
11.00* 7.00 IDD publicity activities including
Global IDD Day celebrations at
various level.
D.4 IDD
Survey/res
urvey
Rs.
50,000
per
district
4 districts State. Govt. may under take 4
districts IDD survey as per
guidelines and furnish report.
D.5 Salt Testing
Kits
supplies by
GOI inform
of kind
grant for 5
endemic
districts
12 STK
per
annum
per ASH
A
Creating
iodated
salt
demand
and
monitorin
g of the
same at
the
communit
y level.
State Govt. to monitor the
qualitative analysis of iodated
salt by STK through ASHA in 5
endemic districts i.e. Hoshiarpur,
Gurdaspur, Rupnagar, S. Ajit
Singh Nagar & Patiala
D.6 ASHA
Incentive
Rs. 25/-
per
month
for
testing
50 salt
sample/
month
50 salt
samples
per month
per ASHA
in 5
endemic
districts
15.01
TOTAL 21.85* 37.01
*Including proposed activities i.e. orientation & review meetings, support for state IDD Cell and Lab, mobility support, printing, support of
IDD Lab Kits to districts for salt & urine sample collection, support for existing district labs for salt testing, trainings etc. which are not
allowed under the Programme
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 133 -

INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)
‣ There are 9 vacant posts of technical contractual staff (Epidemiologists) under IDSP in the
State as on March 2012. The State needs to expedite the recruitment of these staff by
September 2012.
‣ The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers under
IDSP has been completed for the State/Districts. However, the State may give the additional
list of participants to be trained for ToT and 2-week FETP.
‣ In 2011, 83% of all the Reporting Units are reporting weekly surveillance data in P-form
through IDSP Portal. The State needs to ensure regular weekly reporting of all surveillance
data (S, P, L) by all the Reporting Units of all Districts through IDSP Portal.
‣ Following district are reporting irregularly (50% or less reporting) /not reporting in IDSP portal.
• Fatehgarh Sahib (Sarhind)
• Gurdaspur
• Tarn Taran
The State has to ensure regular reporting from all districts in 2012-13 by September 2012.
‣ The State has to ensure consistent reporting of L form in portal by the district priority labs at
Mohali.
‣ The State has to report about the outbreaks every week. Even weekly “NIL” reporting under
IDSP is mandatory.
‣ The Referral Lab Network needs to be utilized for etiological confirmation of epidemic prone
diseases. Appropriate clinical samples need to be sent for the required lab investigations for
more number of disease outbreaks. In 2011, clinical samples were sent for laboratory
investigation for only 73% of the disease outbreaks in which 20% were lab confirmed.
‣ The State needs to send full investigation report for each disease outbreak. Presently, such
investigation reports are available for only a few outbreaks.
‣ Observations made by auditors for 2009-10 and 2010-11 need to be addressed.
‣ State has to ensure timely submission of quarterly Financial monitoring Report and annual
audit report.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 134 -

DETAILED BUDGET:
FMR
Code
Activity
Unit Cost (whereever
applicable)
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
E.1 Operational Cost
E.1.2
Field Visits
Office Expenses
Broad Band
expenses
Outbreak
investigations
including Collection
and Transport of
samples
Review Meetings
Any other expenses
Laboratory Support
*District
Lab
Referral
Lab
Priority
Network
E.2 Human Resources
Rs 2,40,000 per
District Surveillance
Unit per annum
Rs 5,00,000 State
Surveillance Unit per
annum
57.8
(2.4x22+5
x1)
Sub Total 57.8 57.8
Rs. 4,00,000 per
district priority lab
per annum
Rs. 5,00,000 per
referral lab per
annum
42.0 4
20.0
(5.0x4)
57.8
(2.4x22+5x
1)
20.0
Sub Total 62.0 24
E.2.1 Remuneration of
Epidemiologists
E.2.2 Remuneration of
Microbiologists
E.2.3 Remuneration of
Entomologists
Rs.25,000 - Rs.
40,000/ per month
Rs. 25,000 - Rs.
40,000 (Medical
Graduates)
Rs. 15,000 - Rs.
25,000 (Others)
Rs. 15,000 - Rs.
25,000
103.5
(30,000+2
5%
increase
ie.37,500
x23x
12)
5.4
(18,000+2
5%
increase
ie.
22,500x2
x12)
2.7
(18,000+2
5%
increase
103.5
(37,500x23
x
12)
5.4
(22,500x2x
12)
2.7
(22,500x1x
12)
.
The
remuneration is
calculated as per
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 135 -

FMR
Code
Activity
Unit Cost (whereever
applicable)
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
Veterinary
Consultant
E.3 Consultant-
Finance/
Procurement
E.3.1
Consultant-
Training/ Technical
Rs. 25,000 -
Rs.40,000
ie.
22,500x1
x12)
3.6
(30,000x1
x
12)
Rs. 14,000 2.1
(14,000+2
5%
increase
ie.17,500
x1x 12)
Rs. 28,000 4.50
(30,000+2
5%
increase
ie.37,500
x1x
12)
E.3.2 Data Manager Rs. 14,000 (State)
Rs. 13,500
(District)
E.3.3 Data Entry
Operator
46.75{(13
,500+25%
increase
ie.16,875
x22x12)
+(14,700+
25%
increase
ie.18375x
1x
12)}
Rs. 8,500 34.80
(8925+25
%
increase
ie.
11,156x2
6x
12)
0.00
1.68
(14,000x1x
12)
3.36
(28,000x1x
12)
37.32
(14,000x1x
12+13,500x
22x
12)
26.52
(8,500x26x
12)
Sub Total 203.35 180.48
E.8 Training As per NRHM
Guidelines
One day 44 batches of 11 each 5.69
training of
Hospital
(12925x4
4)
5.69
IDSP guidelines.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 136 -

FMR
Code
Activity
Unit Cost (whereever
applicable)
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
Doctors
One day
training of
Hospital
Pharmacist
/ Nurses
One day
training of
Medical
College
Doctors
One day
training for
Data Entry
and
analysis for
Block
Health
Team
One day
training of
DM & DEO
44 batches of 22 each 4.84
(11000x4
4)
1batch of 16 0.41
(41000x1)
22 batches of 22 each 3.87
(17600x2
2)
1 batch of 23 for DEO and 1
batch of 26 for DM
0.62
(31000x2)
4.84
0.41
3.87
0.62
Sub Total 15.43 15.43
E.4 New formed Rs. 3,50, 000/- per 7.0 7.0 The amount to
Districts
newly formed (3.5x2)
be utilized for
district
for
procurement of
District
ICT equipments
Pathanko
under IDSP as per
t and
programme
Fazilka
guidelines.
Total 345.68 284.71
1. The following heads will be approved once approval from EFC is obtained.
Remuneration of Veterinary Consultant @ Rs. 25,000 - Rs.40,000
2. Based on past trend, Rs. 260 lakhs has been approved for Punjab under IDSP for 2012-13.
However, if there is increase in expenditure by State as per IDSP approved norm, the
budget for State could be increased at RE stage
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 137 -

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)
Physical Targets
S. No. Indicator 2010 2011 2012 Remarks
1 Annual Blood
Examination Rate (ABER)
i.e. percentage of
population screened
annually for Malaria
2 Annual Parasite Incidence
(API) i.e. Malaria cases
per 1000 population
annually
3 Sentinel Surveillance
Hospital made functional
for Dengue &
Chikungunya
11.30% 10.21% To
sustain
the
ABER
>10%
1. Moga and Firozpur districts
need strengthening of
surveillance and should be
monitored at regular interval.
0.12 0.093 1 API needs to
be focussed for micro level
monitoring.
10 10 10 To make sure that all the SSH are
functional.
Priority Area for Focused Attention
1 Districts Moga and Firozpur need to be focused for micro level monitoring for malaria
surveillance.
2 Surveillance for Dengue and Chikungunya may be strengthened well before the rainy season.
Essential Conditionality
1 DMO to be designated
as District VBD Officer
Post Sanctioned In
position
Vacant Target for 2012-13
22 17 5 The vacancies needs to be
filled on priority basis and
training for DMOs in Malaria
and other VBDs
2 Two review meetings under the Chairmanship of Principal Secretary (Health) /Mission
Director; one before transmission season and one during transmission period.
Desirable Conditionality
1 MPWs (Regular)
Desirable Conditionality
2958 1858 1100 Process to be initiated and
recruitment to be made for
1100 MPWs.
2 Assistant Malaria Officer 14 7 7 Process to be initiated to fill
the posts
3 The post of one State Entomologist and three Zonal entomologists should be filled on
priority basis
4 Recent Malaria drug policy (Laminated) should be displayed in all the PHCs/CHCs/Subcentres
ABER API Deaths Mf
Rate
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 138 -

Name of Districts 2011
2012
2011
2012
2011
2012
2011
2012
Road Map: Surveillance & monitoring under NVBDCP is done throughout the year. Following salient
points are to monitor the implementation of programme activities in different quarters:
• April to June - 1st round spraying and observance of anti-malaria month to be ensured and
accordingly funds availability at districts to be ensured
• July to Sept. - 2nd round of spray and observance of anti-dengue month.
• Oct. to Dec.-Review and Monitor physical and financial performance and preparation of next
annual plan.
• Jan. to March - Consolidation of previous year’s physical and financial achievement and plan for
next year.
BUDGET:
FMR
Code
Component (Sub-
Component)
F.1 Domestic Budget
Support (DBS)
F.1.1
F.1.1.a
F.1.1.a.i
F.1.1.a.ii
F.1.1.a.iii
Malaria
Contractual Payments
HR including MPW
contractual
Lab Technicians ( against
vacancy )
VBD Technical Supervisor
(one for each block)
Unit Cost
(wherever
applicable)
Physical
target/
Deliverables
Amount
Proposed
(Rs. in
lakhs)
Amount
Approved
(Rs. in
lakhs)
0.00 0.00
Remarks
F.1.1.a.iv District VBD Consultant
(one per district) (Non-
Project States)
F.1.1.a.v State Consultant (Non –
Project States),
M&E Consultant
(Medical Graduate with
PH qualification)
- VBD Consultant
(preferably
entomologist)
F.1.1.b ASHA Incentive 12.00 15.00 ASHAs
involvement
need in all
VBDs needs
to be
ensured.
F.1.1.c Operational Cost
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 139 -

FMR
Code
Component (Sub-
Component)
Unit Cost
(wherever
applicable)
Physical
target/
Deliverables
Amount
Proposed
(Rs. in
lakhs)
Amount
Approved
(Rs. in
lakhs)
Remarks
F.1.1.c.i Spray Wages 30.00 0.00 Should be
F.1.1.c.ii Operational cost for IRS
from the
state
resources
F.1.1.c.iii Impregnation of Bed
nets- for NE states
F.1.1.d
Monitoring , Evaluation
& Supervision &
Epidemic Preparedness
including mobility
30.00 35.00 Funds can
also be
utilised for
printing of
new forms /
strengthening
of NAMMIS
F.1.1.e IEC/BCC 15.00 20.00 IEC/BCC can
be used for
other VBDs
F.1.1.f
F.1.1.g
F.1.1.h
F.1.1.i
F.1.1.j
F.1.1.k
F.1.1.l
F.1.2
F.1.2.a
PPP / NGO and
Intersectoral
Convergence
Training / Capacity
Building
Zonal Entomological
units
30.00 40.00 Training
through
RHOs may be
included.
Should be
from state
resources
Biological and
Environmental
Management through
VHSC
Larvivorous Fish support
Construction and
maintenance of
Hatcheries
Any other Activities (Pl.
specify)
Total Malaria (DBS) 117.00 110.00
Dengue & Chikungunya
Strengthening
surveillance (As per GOI
approval)
0.00 2.00
F.1.2.a(i) Apex Referral Labs
recurrent
F.1.2.a(ii) Sentinel surveillance
Hospital recurrent
10.00 10.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 140 -

FMR
Code
F.1.2.a(iii)
F.1.2.b
F.1.2.c
Component (Sub-
Component)
ELISA facility to Sentinel
Survey Labs
Test kits (Nos.) to be
supplied by GoI (kindly
indicate numbers of
ELISA based NS1 kit and
Mac ELISA Kits required
separately)
Monitoring/supervision
and Rapid response
Unit Cost
(wherever
applicable)
Physical
target/
Deliverables
Amount
Proposed
(Rs. in
lakhs)
Amount
Approved
(Rs. in
lakhs)
Remarks
0.00 10.00 To
strengthen
diagnostic
facility and
case
management.
20.00 15.00
F.1.2.d Epidemic preparedness 40.00 14.00
F.1.2.e Case management 0.00 8.00
F.1.2. e Vector Control &
0.00 20.50
environmental
management
F.1.2. e IEC BCC for Social
10.00 7.00
Mobilization
F.1.2. e Inter-sectoral
0.00 0.50
convergence
F.1.2.f Training including
10.00 13.00
operational research
Fogging Machine and
10.00
Dengue Kits
Total
100.00 100.00
Dengue/Chikungunya
F.1.3 Acute Encephalitis
Syndrome (AES)/
Japanese Encephalitis
(JE)
F.1.3.a Strengthening of Sentinel
sites which will include
Diagnostics and Case
Management, supply of
kits by GoI
F.1.3.b IEC/BCC specific to J.E. in
endemic areas
Not Applicable
F.1.3.c Capacity Building
F.1.3.d Monitoring and
supervision
F.1.3.e Procurement of
Insecticides (Technical
Malathion)
The state
should plan
the activities
as per
guidelines to
achieve mid
term plan
objectives.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 141 -

FMR
Code
Component (Sub-
Component)
Unit Cost
(wherever
applicable)
Physical
target/
Deliverables
Amount
Proposed
(Rs. in
lakhs)
Amount
Approved
(Rs. in
lakhs)
Remarks
F.1.3.f Fogging Machine
F.1.3.g Operational costs for
malathion fogging
F.1.3.h Operational Research
F.1.3.i Rehabilitation Setup for
selected endemic
districts
F.1.3.j ICU Establishment in
endemic districts
F.1.3.k ASHA Incentivization for
sensitizing community
F.1.3.l Other Charges for
Training /Workshop
Meeting & payment to
NIV towards JE kits at
Head Quarter
Total AES/JE
F.1.4 Lymphatic Filariasis
F.1.4.a State Task Force, State
Technical Advisory
Committee meeting,
printing of
forms/registers, mobility
support, district
coordination meeting,
sensitization of media
etc., morbidity
management,
monitoring & supervision
and mobility support for
Rapid Response Team
and contingency support
F.1.4.b Microfilaria Survey
F.1.4.c Post MDA assessment by
medical colleges (Govt. &
private)/ICMR
institutions
F.1.4.d Training/sensitization of
district level officers on
ELF and drug distributors
including peripheral
health workers
Not Applicable
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 142 -

FMR
Code
F.1.4.e
F.1.4.f
F.1.4.g
F.1.4.g.i
F.1.4.g.ii
F.1.4.g.iii
F.1.4.h
F.1.4.h.i
F.1.4.h.ii
F.1.4.h.iii
F.1.4.i
F.1.5
F.1.5
F.1.5.a
F.1.5.b
F.1.5.c
F.1.5.d
F.1.5.e
F.1.5.f
Component (Sub-
Component)
Unit Cost
(wherever
applicable)
Physical
target/
Deliverables
Amount
Proposed
(Rs. in
lakhs)
Amount
Approved
(Rs. in
lakhs)
Specific IEC/BCC at state,
district, PHC, Sub-centre
and village level including
VHSC/GKs for community
mobilization efforts to
realize the desired drug
compliance of 85%
during MDA
Honorarium for Drug
Distribution including
ASHAs and supervisors
involved in MDA
Verification and
validation for stoppage
of MDA in LF endemic
districts
a) Additional MF Survey
b) ICT Survey
c) ICT Cost
Verification of LF
endemicity in nonendemic
districts
a) LY & Hy Survey
b) Mf Survey in Nonendemic
distt
c) ICT survey
Post-MDA surveillance
Total Lymphatic
Filariasis
Kala-azar
Case search/ Camp
Approach
Spray Pumps &
accessories
Operational cost for
spray including spray
Not Applicable
wages
Mobility/POL/supervision
Monitoring & Evaluation
Training for spraying
IEC/ BCC/ Advocacy
Total Kala-azar
Total (DBS) 217.00 210.00
F.2 Externally aided
component
Remarks
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 143 -

FMR
Code
Component (Sub-
Component)
Unit Cost
(wherever
applicable)
Physical
target/
Deliverables
Amount
Proposed
(Rs. in
lakhs)
Amount
Approved
(Rs. in
lakhs)
Remarks
F.2.a
F.2.b
F.2.c
F.2.d
World Bank support for
Malaria (Identified
state)
Human Resource
Training /Capacity
building
Mobility support for
Monitoring Supervision
& Evaluation including
printing of format &
review meetings,
Reporting format (for
printing formats)
Kala-azar World Bank
assisted Project
Human resource
Capacity building
Mobility
F.2.e
F.2.f
F.2.g
F.3 GFATM support for
Malaria (NE states)
F.3.a
F.3.b
F.3.c
F.3.d
F.3.e
F.3.f
Project Management
Unit including human
resource of N.E. states
Training/Capacity
Building
Planning and
Administration( Office
expenses recurring
expenses, Office
automation , printing
and stationary for
running of project)
Monitoring Supervision
(supervisory visits
including travel
expenses, etc) including
printing of format and
review meetings,
IEC / BCC activities as per
the project
Operational cost for
treatment of bednet and
Infrastructure and Other
Equipment (Computer
Laptops, printers, Motor
cycles for MTS )
Not Applicable
Not Applicable
Not Applicable
Budget for
Training &
Mobility
support
under
domestic
may be used.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 144 -

FMR
Code
Component (Sub-
Component)
Unit Cost
(wherever
applicable)
Physical
target/
Deliverables
Amount
Proposed
(Rs. in
lakhs)
Amount
Approved
(Rs. in
lakhs)
Total : EAC component 0.00 0.00
F.4 Any Other Items ( Please
0.00 0.00
Specify)
F.5 Operational costs (
0.00 0.00
mobility, Review
Meeting,
communication, formats
& reports)
Grand total for cash
217.00 210.00
assistance under
NVBDCP (DBS + EAC)
F.6 Cash grant for
decentralized
commodities
F.6.a Chloroquine phosphate
tablets
29.00
F.6.b Primaquine tablets 7.5
1.00
mg
F.6.c Primaquine tablets 2.5
1.00
mg
F.6.d Quinine sulphate tablets
F.6.e Quinine Injections
F.6.f DEC 100 mg tablets
F.6.g Albendazole 400 mg
tablets
F.6.h Dengue NS1 antigen kit 0.00
F.6.i Temephos, Bti (AS) / Bti
80.00 130.00
(wp) (for polluted & non
polluted water)
F.6.j Pyrethrum extract 2% for
11.00
spare spray
F.6.k ACT ( For Non Project
1.00
states)
F.6.l RDT Malaria – bi-valent
(For Non Project states)
F.6.m
Any Other Items ( Please
Specify)
Total grant for
decentralized
commodities
Grand Total for grant-inaid
under NVBDCP
123.00 130.00
340.00 340.00
Commodity Grants 0.00 50.00
Remarks
• As per new
Drug Policy
2010.
Presumptive
treatment is
not now in
the
programme.
The demand
for CQ is not
justified.
•Town wise
demand not
given and
need proper
technical
justification.
• DEC and
Albendazole
is for LF
elimination
which is not
required for
Punjab.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 145 -

FMR
Code
Component (Sub-
Component)
Unit Cost
(wherever
applicable)
Physical
target/
Deliverables
Amount
Proposed
(Rs. in
lakhs)
Amount
Approved
(Rs. in
lakhs)
Remarks
Total NVBDCP Cash +
Commodity
340.00 390.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 146 -

TARGETS FOR 2012-13:
NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)
S. No. Goals & Target September'12 March 2013
1 Elimination at Sate level NA NA
2 Elimination at District level NA NA
3 Case detection through ASHA 150 296
4 Special activity plan in blocks NA NA
5 MCR footwear procurement & supply 800 1600
6 RCS 10 20
7 Development of leprosy expertise 50% of Plan 100% of Plan
8 Treatment Completion Rate
assessment for 2011-12
Completed -
9 Audited Report for the year 2011-12 Completed -
10 Expenditure incurred against
approved plan budget
50% 100%
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 147 -

DETAILED BUDGET:
FMR
code
G 1.
G 1.1
Activity proposed
Improved early case
detection
Incentive to ASHA
Unit Cost
(In Rupees)
Physic
al
Target
s
Amoun
t
propos
ed (Rs
in
Lakhs)
Amoun
t
approv
ed (Rs
in
Lakhs)
M 500 96 0.48 0.48
B
PB 300 200 0.60 0.60
G1.1 a Sensitization of ASHA 50 9200 4.60 4.60
Specific -plan for High
G 1.2 Endemic Districts
- - -
Improved case
G 2 management
G 2.1
G 2.2
G 2.3
G 2.3 a
G 2.4
G 3
G 3.1
G 4.
DPMR Services, (MCR
footwear, Aids and
appliances, Welfare
allowance to BPL patients
for RCS, Support to govt.
institutions for RCS)
Urban L:eprosy Control,
(Mega city - 0 , Medium
city (1) -3 , Med. City (2)-
1 Township -19)
Material & Supplies
Supportive drugs, lab.
reagents & equipments
and printing works
NGO - SET Scheme
Stigma Reduced
Mass media, Outdoor
media, Rural media,
Advocacy media
Development of Leprosy
Expertise sustained
MCR - 250/-
Aids/Applia
nce -12500
Welfare/RC
S - 10,000
Meg -
280000
Med (1)-
120000
Med. (2) -
236000
Town -
57000
1600
20
20
0
0
0
13
4.80
2.40
1.50
0
0
0
14.82
4.00
2.50
1.50
0
0
0
7.41
52,000 22 17.60 11.44
500000 2
50,000 22 25.00 11.00
G 4.1 Training of new MO 60000 100 4.00 1.80
G 4.2
Refresher training of MO 40000 200 4.00 2.80
G 4.3 Training to New H.S/H.W. 30000 300 5.25 3.00
Remarks
As NLEP
rates are
very low,
higher
rates
agreed in
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 148 -

FMR
code
G 4.4
Activity proposed
Other training -
Physiotherapist
Unit Cost
(In Rupees)
Physic
al
Target
s
Amoun
t
propos
ed (Rs
in
Lakhs)
Amoun
t
approv
ed (Rs
in
Lakhs)
Remarks
30000 - - - keeping
with other
G 4.5 Training to Lab. Tech. 30000 40 1.50 0.30
Management training for
30000 90 1.51 0.90
G 4.6 District Nucleus Team
G 5.
Monitoring, Supervision
and Evaluation System
improved
G 5.1
G 5.1 a
G 5.1 b
Travel Cost and Review
Meeting
travel expenses -
Contractual Staff at State
level
travel expenses -
Contractual Staff at
District level
50000 1 0.50
15000 20 5.50 3.00
G 5.1 c Review meetings 12500 4 1.00 0.50
G 5.2
Office Operation &
Maintenance
Office operation - State
38000 1 0.75 0.38
G 5.2 a Cell
Office operation - District
18000 20 7.70 3.60
G 5.2 b Cell
Office equipment maint.
30000 1 0.75 0.30
G 5.2 c State
G 5.3 Consumables
G 5.3 a State Cell 28000 1 0.50 0.28
G 5.3 b
District Cell 14000 20 6.60 2.80
G 5.4
G 5.4 a
Vehicle Hiring and POL
State Cell 85000 2 2.00 1.70
G 5.4 b District Cell 75000 20 10.00 10.00
G 6.
Programme Management
ensured
G 6.1
Contractual Staff at State
level
G 6.1 a SMO 1 40000 x12 4.80 4.80
G 6.1 b BFO cum Admn. Officer 1 30000 x12 3.60 3.60
G 6.1 c Admn. Asstt. 1 16000 x12 1.92 1.92
G 6.1 d DEO 1 12000 x12 1.44 1.44
G 6.1 e Driver 1 11000 x12 1.32 1.32
G 6.2 Contractual Staff at
program
mes
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 149 -

FMR
code
District level
Activity proposed
Unit Cost
(In Rupees)
Physic
al
Target
s
Amoun
t
propos
ed (Rs
in
Lakhs)
Amoun
t
approv
ed (Rs
in
Lakhs)
Remarks
G 6.2 a Driver 20 11000 x12 26.40 26.40
Contractual Staff in
x12 48.00 48.00
G 6.2 b selected States, NMS 20 20000
G 7. Others
Travel expenses for
regular staff for specific
programme / training
2.00 Added as
essential
requireme
G 7.1 need, awards etc
nt
TOTAL 210.34 164.87
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 150 -

NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB)
ROAD MAP FOR PRIORITY ACTION:
1. The emphasis will be on primary health care All vision centers will be established
immediately after receipt of grant with PMOA is in position to facilitate eye care delivery at
the primary health centre.
2. Eye Bank to be established only in Government Hospital and Government Medical College.
The names and address may be furnished in the reports submitted to GOI. The amount will
not be split up into more than 1 eye bank.
3. Management of Health Society be restricted within Rs.14 lakh only.
4. Payment of Rs.750/- will be made to NGO per operated case if the NGO has used all
facilities of their own like Drugs & Consumables, Sutures, Spectacles, Transports/POL,
organization and publicity and IOL, Viscoelastics & addl. Consumables including their own
Eye Hospital and Doctors.
5. For organizing and motivating identified persons & transporting them to Govt. / NGO fixed
facilities, the NGO would be eligible for support not exceeding Rs.175/- per operated case.
(Transport/POL and organization & publicity.)
6. No payment will be released towards reimbursement to be made to NGOs w. e. f.
01.04.2012 if data entry on Management Information System (MIS) is not completed by
them.
7. Full details of the NGO funded be provided including the facilities created and the free
operations being done by them in lieu thereof. The amount will be released for only one
NGO and amount will not be split up into more than one NGO.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 151 -

DETAILED BUDGET:
FMR
CODE
ACTIVITY
PHYSICAL
TARGET
FUNDS
REQUESTED
(RS IN
LAKHS)
FUNDS
APPROVED AS
PER
GUIDELINES
(RS IN LAKHS)
REMARKS
H
*Recurring Grant-in aid
H 1.1
H 1.2
H 1.3
For Free Cataract
Operation @ Rs.750/- per
case
Other Eye Diseases@
Rs.1000/-
School Eye Screening
Programme@ Rs.200/- per
case
160000 150.00 150.00 Approved
2000 2.00 2.00 Approved
7500 15.00 15.00 Approved
H 1.4 Blindness Survey 0 0
H 1.5
Private Practitioners @as
per NGO norms
0 0
H 1.6
Management of State
Health Society and Distt.
Health Society
Remuneration (salary ,
review meeting, hiring of
vehicle and Other
Activities & Contingency)
@ Rs.14 lakh/ Rs.7 lakh
depending on the size of
state
24.16 14.00 Approved
H 1.7
Recurring GIA to Eye
Donation Centers @
Rs.1000/- per pair
1000 (demand
for about 300
Eye ball
3.00 3.00 Approved
H 1.8
H 1.9
Eye Ball Collection by Eye
Bank @ Rs.1500/- per pair
Training PMOA and MIS
training
300 4.50 4.50 Approved
3.00 4.00 Approved for
PMOA and MIS
training for 1 time
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 152 -

FMR
CODE
ACTIVITY
PHYSICAL
TARGET
FUNDS
REQUESTED
(RS IN
LAKHS)
FUNDS
APPROVED AS
PER
GUIDELINES
(RS IN LAKHS)
REMARKS
H 1.10 IEC, Eye Donation
Fortnight, World Sight Day
& awareness programme
in state & districts etc
H 1.11 Procurement of
Ophthalmic Equipment
H 1.12 Maintenance of
Ophthalmic Equipments
H.2 Non- Recurring Grant-inaid
To pay loan
taken from
NRHM
18.00 19.00 Approved
1lac per District
and 2 lac for state
281.00 0 SHS, Punjab can
use the Recurring
unspent bal to
pay loan taken
from NRHM
30.00 30.00 Approved
H.2.1
H.2.2
H.2.3
For RIO (new) @ Rs.60
lakh
For Medical College@
Rs.40 lakh
For vision Centre @
Rs.50000/-
0 0
0 0
0 0
H.2.4 For Eye Bank @ Rs.15 lakh 1 15.00 15.00 Approved for 1
Eye Bank in Govt.
Hospital
H.2.5
For Eye Donation Centre
@ Rs.1 lakh
H.2.6 For NGOs @ Rs.30 lakh 1 40.00 30.00 Approved for 1
NGO
H.2.7
For Eye Wards and Eye
OTS @ Rs.75 lakh
There is a
proposal from
Distt. Barnala,
Faridkot,
Kapurthala &
Mohali
75.00 0 Not approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 153 -

FMR
CODE
ACTIVITY
PHYSICAL
TARGET
FUNDS
REQUESTED
(RS IN
LAKHS)
FUNDS
APPROVED AS
PER
GUIDELINES
(RS IN LAKHS)
REMARKS
H.2.8
H.2.9
For Mobile Ophthalmic
Units with tele-network @
Rs.60 lakh
Grant-in-aid for
strengthening of Distt.
Hospitals @ Rs.20 lakh
0 0
0 0
H.2.10 Grant-in-aid for
strengthening of Sub
Divisional. Hospitals@ Rs.5
lakh
0 0
H.3 Contractual Man Power
H.3.1
H.3.2
H.3.3
Ophthalmic Surgeon@
Rs.25000/- p.m
Ophthalmic Assistant @
Rs.8000/- p.m
Eye Donation Counsellors
@ Rs.10000/- p.m.
1 6.00 3.00 Approved
1 3.12 0.96 Approved
4 4.80 4.80 Approved
Total 674.58 295.26
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 154 -

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)
TARGETS:
Target for Annualized
New Smear Positive Case
Detection rate per lakh
population (April 2012 to
September 2012 )
Target for Annualized New
Smear Positive Case
Detection rate per lakh
population
(October 2012 to March
2013 )
Target
Treatment
Success rate
for
(April 2012 to
September 2012 )
Target for
Treatment Success
rate
(October 2012 to
March 2013 )
68% 70% 88% 90%
S.No Indicators 2011 2012
1 Annual Suspects Examined Per Lakh
Population
2 Annual Smear Positive Case Notification
Rate (%)
3 Treatment Success Rate among new
smear positive cases
4 Default Rate among New Smear
Positive TB cases
5 Treatment Success rate among Smear
Positive Re-treatment cases
165 180
68% 70%
88% 90%
4% 4%
75% 85%
ROAD MAP FOR PRIORITY ACTION:
All the Key RNTCP contractual staff positions at State/Districts should be filled and ensuring
timely payment of salaries
The State level RNTCP review meetings to be chaired by Health Secretary/Mission Director
(NRHM) at least once in a quarter
To conduct State TB control society meeting, State Coordination committee meeting (TBHIV)
at least once in a quarter
Scaling up of DOTS Plus services as per the State DOTS Plus action plan
Conduct ACSM/Training activities at State/Districts as per the State annual action plan
To involve Private Practitioners and NGOs in the RNTCP
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 155 -

Timely payment of DOT Providers honorarium at Districts
Strengthening Supervision and Monitoring at all levels
The state could be approved more funds based on expenditure pattern in the first six
months
DETAILED BUDGET:
FMR
Code
Activity
Unit
cost
(where
ver
applica
ble)
Physical
target/exp
ected
output
Proposed
Budget (Rs
in Lakhs)
Approv
ed
Budget
(Rs in
lakhs)
Remarks
I.1 Civil works As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) Civil
work Up
gradation
and
maintenan
ce
completed
as planned
28.39 28.39 Approved 100% as the
proposal is within the norm.
The proposal for DOTS Plus
site (1), DTC (2), TUs (2), and
DMC (2) approved.
I.2 Laboratory
materials
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) Sputum
of TB
Suspects
Examined
per lakh
population
per
quarter;
2) All
districts
subjected
to IRL On
Site
Evaluation
and Panel
Testing in
the year;
49.20 45.80 Approval is limited to the
maximum available as per
the norm.
3) IRLs
accredited
and
functioning
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 156 -

FMR
Code
Activity
Unit
cost
(where
ver
applica
ble)
Physical
target/exp
ected
output
Proposed
Budget (Rs
in Lakhs)
Approv
ed
Budget
(Rs in
lakhs)
Remarks
optimally;
I.3 Honorariu
m
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) All
eligible
Community
DOT
Providers
are paid
honorariu
m in all
districts in
the FY
32.12 20.13 Approved 70% budget
proposed for DOTS
honorarium. Approval of
DOTS Plus honorarium and
travel support recalculated
based on the PMDT planned
number of patients (150).
I.4 IEC/
Publicity
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) All
IEC/ACSM
activities
proposed
in PIP
completed;
2) Increase
in case
detection
and
improved
case
holding
24.40 15.00 Approved based on previous
utilization.
The remuneration for
communication facilitators
should be met from IEC.
I.5 Equipment
maintenan
ce
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1)
Maintenan
ce of Office
Equipment
s at
State/Distri
cts and IRL
equipment
s
completed
63.01 27.25 Approved 70%.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 157 -

FMR
Code
Activity
Unit
cost
(where
ver
applica
ble)
Physical
target/exp
ected
output
Proposed
Budget (Rs
in Lakhs)
Approv
ed
Budget
(Rs in
lakhs)
Remarks
as planned;
2) All BMs
are in
functional
condition
I.6 Training As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1)
Induction
training,
Update
and Retraining
of
all cadre of
staff
completed
as planned
42.40 30.00 Approval limited to 30 lakhs,
however if the state able to
utilize this amount
subsequent release can be
considered.
I.7 Vehicle
maintenan
ce
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) All 4
wheelers
and 2
wheelers in
the state
are in
running
condition
and
maintained
46.00 21.25 Approved the maximum
permissible as per the norm.
I.8 Vehicle
hiring
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) Increase
in
supervisory
visit of
DTOs and
MOTCs;
2) Increase
in case
detection
and
5.00 5.00 Approved 100% as the
proposal is within the norm.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 158 -

FMR
Code
Activity
Unit
cost
(where
ver
applica
ble)
Physical
target/exp
ected
output
Proposed
Budget (Rs
in Lakhs)
Approv
ed
Budget
(Rs in
lakhs)
Remarks
improved
case
holding
I.9 NGO/PP
support
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) Increase
in number
of
NGOs/PPs
involved in
signed
schemes of
RNTCP;
2)
Contributio
n of
NGOs/PPS
in case
detection
and
provision
of DOT
57.91 15.00 Approval limited to 15 lakhs
to accommodate the total
state budget in the GOI
approved resource envelop
I.10 Miscellane
ous
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) All
activities
proposed
under
miscellane
ous head in
PIP
completed
amount
56.75 34.05 Approved 60%.
I.11 Contractu
al services
As per
Revise
d
Norms
and
Basis of
1) All
contractual
staff
appointed
and paid
regularly
686.68 577.55 Approval limited to the
sanctioned posts as per
RNTCP norm. Not approved
salary of sweepers as these
posts are not defined under
RNTCP.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 159 -

FMR
Code
Activity
Unit
cost
(where
ver
applica
ble)
Physical
target/exp
ected
output
Proposed
Budget (Rs
in Lakhs)
Approv
ed
Budget
(Rs in
lakhs)
Remarks
Costing
for
RNTCP
as planned
I.12 Printing As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) All
printing
activities at
state and
district
level
completed
as planned
42.00 17.00 Approved 40% based on
previous utilization.
I.13 Research
and
studies
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1)
Proposed
Research
has been
initiated or
completed
in the FY as
planned
0.00 0.00
I.14 Medical
Colleges
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1) All
activities
proposed
under
Medical
Colleges
head in PIP
completed
73.64 73.64 Approved 100% as per the
norm.
I.15 Procurem
ent –
vehicles
As per
Revise
d
Norms
and
1)
Procureme
nt of
vehicles
completed
Approved the proposal for 3
two wheeler purchase.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 160 -

FMR
Code
Activity
Unit
cost
(where
ver
applica
ble)
Physical
target/exp
ected
output
Proposed
Budget (Rs
in Lakhs)
Approv
ed
Budget
(Rs in
lakhs)
Remarks
Basis of
Costing
for
RNTCP
as planned
Four
wheeler
Two
Wheeler
I.16 Procurem
ent –
equipment
As per
Revise
d
Norms
and
Basis of
Costing
for
RNTCP
1)
Procureme
nt of
equipment
s
completed
as planned
0 0
1.50 1.50
18.16 15.00 Approved proposal for
computer and A/C
procurement.
Not approved the proposal
for procurement of Photostat
machines.
I.17 Tribal
Action
Plan
Total (A) 1227.16 926.55
Grand Total (A+B) Rs. 926.55
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 161 -

DETAILED BUDGET: REPRODUCTIVE AND CHILD HEALTH (RCH FLEXIPOOL)
Annexure 1
FMR
Code
Activity
A 1 MATERNAL HEALTH
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
A 1.1 Operationalise facilities
(only dissemination,
meetings and quality
assurance)
A 1.1.1 Operationalise FRUs
A 1.1.1.
1
A 1.1.1.
2
A 1.1.1.
3
Organise dissemination
workshops for FRU
guidelines
Prepare Plan for
Operationalisation Across
districts (cost of plan
meeting should be kept)
Monitor quality of services
and utilisation
Printing of Guidelines for
Maternal and Child Health -
Guidelines on JSSK, CHCs/
FRUs etc.
Guidelines of JSSK,
operational guidelines for
MCH and other important
instructions will be
compiled in one manual
and printed - 5000 copies
A 1.1.2 Operationalise 24x7 PHCs
200 10.00 5.00 Approved for
5000 copies @
Rs 100 each
A 1.1.2.
1
A 1.1.2.
2
Prepare plan for
operationalisation across
districts (cost of plan
meeting should be kept)
Monitor progress and
quality of service delivery
A 1.1.3 Operationalise Safe
abortion services (including
MVA/ EVA and medical
abortion)at health facilities
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FMR
Code
A 1.1.3.
1
A 1.1.3.
2
Activity
Prepare plan for
operationalisation across
districts (prioritize facilities
for safe abortion services;
cost of plan meeting should
be kept)
Monitor progress and
quality of service delivery
A 1.1.4 Operationalise RTI/STI
services at health facilities
A 1.1.4.
1
A 1.1.4.
2
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
Prepare plan for
operationalisation across
districts (prioritize facilities
for RTI/STI services; cost of
plan meeting should be
kept)
Kits for RTI/ STI 28.25 Approved and
booked under
MFP.
Monitor progress and
quality of service delivery.
A 1.1.5 Operationalise sub-centres
A 1.1.5.
1
A 1.1.5.
2
Prepare plan for
operationalising services at
sub-centres (for a range of
RCH services including
antenatal care and post
natal care; cost of plan
meeting should be kept)
Monitor quality of service
delivery and utilisation
including through field
visits
A 1.2 Referral Transport
Referral Support to all
pregnant women for
institutional deliveries
A 1.3 Integrated outreach RCH
services
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FMR
Code
Activity
A 1.3.1 RCH Outreach Camps in unserved/
under-served areas
(state should focus on
facility based services and
outreach camps to be
restricted to areas without
functional health facilities)
A 1.3.2 Monthly Village Health and
Nutrition Days
A 1.4 Janani Suraksha Yojana /
JSY
Unit Rate
(Rs.)
Targe
t
A 1.4.1 Home deliveries 500 2200
0
A 1.4.2 Institutional deliveries
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
5000 200 10.00 0.00 Not Approved
To be met out
from VHSC
funds
110.00 110.00 Approved
A 1.4.2.
a
A 1.4.2.
b
A 1.4.2.
c
Rural 700 6303
7
Urban 600 1546
3
C-sections
A 1.4.3 Admin Cost (5%)(JSY CARD) 4 1500
00
A 1.4.4 ASHA Incentive - JSY 200 7850
0
441.26 441.26 Approved
92.78 92.78 Approved
6.00 6.00 Approved
157.00 157.00 Approved
A 1.5 Maternal Death
Review/Audit
5.00 5.00 Approved
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FMR
Code
Activity
Incentive to ASHAs - For
Maternal Health Activities
except JSY
A 1.6 Other strategies/activities
(please specify)
A 1.7 JSSK (for Pregnant
Women)
A 1.7.1 Drugs & Consumables
(other than reflected in
Procurement)
Drugs and Consumables
for Normal Deliveries
Unit Rate
(Rs.)
Targe
t
400 1700
00
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
350.00 350.00 Approved
Rs. 100 for
registration of
2 lakhs PW
within three
months .(State
to ensure
entry in MCP
card)
Rs. 100 for
ensuring
complete ANC
checkups for &
2TT for 1.5
lakhs PW
(State to
ensure entry in
MCP card )
Rs. 50 for
ensuring 100
IFA tablets for
2 lakhs PW (on
the model of
DOTS
provider)
Rs.50 for stay
at night in the
hospital with
pregnant
women for
33600 PWs.
446.25 Proposed for
Rs 680 lakhs
.Approved for
127500 ND @
Rs 350 /case.
(Booked
under MFP)
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FMR
Code
Activity
Drugs and Consumables for
Caesarean Deliveries
Unit Rate
(Rs.)
Targe
t
1200 3000
0
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
360.00 Proposed for
Rs 360 lakhs
.Approved.
(Booked under
MFP)
A 1.7.2 Diagnostic 36000 419 150.84 150.84 Approved
A 1.7.3 Blood Transfusion
A 1.7.4 Diet
3 days for Normal Delivery
@ Rs. 100 per day
7 days for caesarean
delivery @ Rs. 100 per day
A 1.7.5 Free Referral Transport
(other than A.1.2)
300 1700
00
700 3000
0
200 2000
00
510.00 382.50 Approved @
Rs 100 / day
for 3 days for
127500 ND
210.00 157.50 Approved @
Rs 100 / day
for 7 days for
22500 CD
400.00 630.00 Approved for
1.5 lakh PW @
Rs 400/case
(200 home to
facility and
200 facility to
home ) +
15000 PW
(10% referral
cases)@ Rs
200/case
Shifted to MFP
Strengthening of pre labour
room and wards
MMA Drugs - MTP 0.00 Proposed for
Rs 4 lakhs.
Booked under
MFP.
MVA/ EVA Equipment 0.00 Proposed for
Rs 4 lakhs.
Booked under
MFP.
Other activities for MTP -
Training, IEC/ BCC in
respective components
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 166 -

FMR
Code
Activity
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Sub Total JSSK 1270.84 2127.0
9
Sub-total Maternal Health
(excluding JSY)
1,645.8
4
2,487.0
9
Sub-total JSY 807.04 807.04
A 2 CHILD HEALTH
Remarks /
Justification
Approved
amount
exceeds
proposed
amount as
State has
budgeted for
drugs under
MFP and
approval for
refferal
transport
given for a
higher amount
than
proposed.
A 2.1 IMNCI (details of training,
drugs and supplies, under
sections 11 and 13)
A 2.2 Facility Based Newborn
Care/FBNC (SNCU, NBSU,
NBCC)
A 2.2.1 Prepare detailed
operational plan for FBNC
across districts (including
training, BCC/IEC, drugs
and supplies, etc.; cost of
plan meeting should be
kept).
A 2.2.1.
1
Establishing SNCUs
A 2.2.1.
1.1
A 2.2.1.
1.1
Civil Work/ Renovation for
SNCUs in 10 Districts
Hospitals from the funds
already available and 3
SNCUs proposed for
Medical Colleges in Part-B
Procurement of Equipment
for SNCUs
1500000 10 Funds Rs. 150
Lakh already
available
2500000 10 Funds Rs. 250
Lakh already
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FMR
Code
Activity
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
available
A 2.2.1.
2
A 2.2.1.
2.1
Recurring cost of 12 SNCUs
Consumables 350000 12 84.00 120.00 Approved for 2
Quarters
A 2.2.1.
2.2
A 2.2.1.
3
A 2.2.1.
3.1
A 2.2.1.
3.2
Operational Expenditure
including Manpower,
salaries & others
New Born Stabilization
Units
Establishing New Born
Stabilization Units in 10
DHs, 12 SDHs & 6 CHCs
conducting more than 50
deliveries
Operational Cost for NBSUs
in 10 DHs, 12 SDHs & 6
CHCs conducting more
than 50 deliveries
A 2.2.2 Monitor progress against
plan; follow up with
training, procurement, etc.
A 2.3 Home Based Newborn
Care/HBNC (details of
training, drugs and
supplies, under sections 11
650000 12 156.00
750000 28 0.00 Proposed Rs
210 lakhs.
GOI has
observed that
funds are
already
available with
State. State to
utilise the
same for the
activity.
43750 28 24.50 12.25 Approved for
first two
quarters.
Six monthly
review of
progress
should be
done to see
the utilization
of approved
budget of last
year.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 168 -

FMR
Code
Activity
and 13)
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
A 2.4 Infant and Young Child
Feeding/IYCF (details of
training, drugs & supplies,
under sections 11 and 13)
A 2.4.1 Prepare and disseminate
guidelines for IYCF.
A 2.4.2 Prepare detailed
operational plan for IYCF
across districts (including
training, BCC/IEC, drugs
and supplies, etc.; cost of
plan meeting should be
kept).
A 2.4.2.
1
Scheme on Breast feeding
A 2.4.2.
1.1
A 2.4.2.
1.2
A 2.4.2.
1.3
Training of Middle level
trainers 2 batch for 10
districts
Training of front line
workers in 10 districts - 276
batch
Supervision + Evaluation @
1.00 lack per district
A 2.4.3 Monitor progress against
plan; follow up with
training, procurement, etc.
Calcium Tablets 50 tabs per
women after delivery
A 2.5 Care of Sick Children and
Severe Malnutrition at
facilities (e.g. NRCs, CDNCs
etc.)
A 2.5.1 Prepare and disseminate
guidelines.
A 2.5.2 Prepare detailed
operational plan for care of
sick children and severe
malnutrition at FRUs,
across districts (including
training, BCC/IEC, drugs
185000 20
42000 276
100000 10
Funds
Amounting to
Rs. 162.92
Lakh are
available from
the PIP 2011-
12
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 169 -

FMR
Code
Activity
and supplies, etc.; cost of
plan meeting should be
kept).
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
A 2.5.3 Implementation of
activities in districts.
A 2.5.4 Monitor progress against
plan; follow up with
training, procurement, etc.
A 2.6 Management of
Diarrhoea, ARI and
Micronutrient malnutrition
A 2.6.1 Supply of 10 lakh zinc
sulphate tablets
A 2.6.2 Supply of 90000 bottles of
vitamin solution with
100ml pack
0.5 1000
000
90 9000
0
Proposed for
Rs 5 lakhs.
Approved and
shifted to MFP
Proposed for
Rs 81 lakhs.
Approved and
shifted to MFP
A 2.6.3 IFA tablet to children Proposed for
Rs 30 lakhs.
Approved and
shifted to MFP
A 2.6.4 Annual review meeting 50000 2 1.00 1.00 Approved
A 2.7 Other strategies/activities
A 2.8 Infant Death Audit -
Approximately 16000
deaths apprehended.
Review of at least 50%
deaths
A 2.9 Incentive to ASHA for Child
Health Programme
A 2.10 JSSK (for Sick neonates up
to 30 days)
A 2.10.
1
Drugs & Consumables
(other than reflected in
200 8000 16.00 16.00 Approved.
16000 deaths
are expected
and 50% will
be tracked
460.00 375.00 Approved for
150000
beneficiaries
@ Rs. 250/-
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FMR
Code
Activity
Procurement)
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
A 2.10.
1.1
A 2.10.
2
A 2.10.
3
A 2.10.
3.1
A 2.10.
3.2
For Sick Neonate 400 5000
0
Diagnostic
Free Referral Transport
(other than A.1.2 and
A1.7.5)
Referral Transport for
40,000 Sick Children
Funds already available for
referral transport
200 5000
0
30.00 Proposed for
Rs 200 lakhs.
Approved for
15000 cases
(10%) @ Rs
200 /case.
Booked under
MFP
100.00 0.00 Not Approved
Sub-total Child Health 781.50 554.25
A 3 FAMILY PLANNING
60.00 Approved.
State to utilise
this fund
which is
already
available.
A 3.1 Terminal/Limiting
Methods
A 3.1.1 Orientation workshop and
dissemination of manuals
on FP standards & quality
assurance of sterilisation
services
A 3.1.1.
1
A 3.1.1.
2
A 3.1.1.
3
A 3.1.1.
4
Printing of Sterilization
Files
Printing of Sterilization
Cards
4 1250
00
3 1000
00
Printing of NSV Cards 3 2500
0
Printing of IUCD Cards 3 2750
00
5.00 5.00 Approved
3.00 3.00 Approved
0.75 0.75 Approved
8.25 8.25 Approved
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FMR
Code
A 3.1.1.
5
A 3.1.1.
6
A 3.1.1.
7
A 3.1.1.
8
Activity
Printing of Operation
Guidelines on fixed day
static (FDS approach for
sterilization services)
Printing of Manual on
standard operating
procedures for sterilization
services in camps
Printing of Manual on
repositioning of IUCD
Printing of Brouchers on E-
pill and IUCD
A 3.1.2 Organise female
sterilisation camps
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
50 1000 0.50 0.50 Approved
50 1000 0.50 0.50 Approved
50 1000 0.50 0.50 Approved
5 5000
0
9500 0 0.00
2.50 2.50 Approved
A 3.1.3 Organise NSV camps 17500 100 17.50 17.50 Approved
A 3.1.4 Compensation for female
sterilisation
A 3.1.4.
1
A 3.1.4.
2
For Others 650 5333
4
For BPL 1000 2666
6
A 3.1.5 Compensation for NSV
Acceptance
A 3.1.6 Accreditation of private
providers to provide
sterilisation services
A 3.2 Spacing Methods
1500 2000
0
346.67 346.67 Approved
266.66 266.66 Approved
300.00 300.00 Approved
A 3.2.1 IUD Camps
A 3.2.2 Provide IUD services at
health facilities /
compensation
A 3.2.3 Accreditation of private
providers to provide IUD
insertion services
A 3.2.4 Social Marketing of
contraceptives (including
delivery of contraceptive
by ASHA at door step)
20 2750
00
55.00 55.00 Approved
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FMR
Code
Activity
A 3.2.5 Contraceptive Update
seminars
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
A 3.3 POL for Family Planning/
Others (including
additional mobility
support to surgeon's team
if req)
A 3.4 Repairs of Laparoscopes 250000 3 7.50 3.00 Approved @
Rs. 1.00 lakhs/
laparoscope
A 3.5 Other strategies/activities
(please specify)
A 3.5.1 Monitor progress, quality
and utilisation of services
(both terminal and spacing
methods) including
complications / deaths /
failure cases.
Note: cost of insurance /
failure and death
compensation NOT to be
booked here
A 3.5.2 Performance reward if any
120000 1.20 1.20 Approved
A 3.5.2.
1
A 3.5.2.
2
Incentive to ASHAs for
motivation for IUCD
insertion
Incentive to ASHAs for
retention of IUCD for one
year (visit in 1st, 3rd month
and one year)
50 3360
0
50 1008
0
16.80 0.00 State may note
that as per GoI
norm Rs. 20/
IUCD is
available,
which has
already been
approved
under
A.3.2.2.1. No
additional
amount
approved.
5.04 0.00 Not Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 173 -

FMR
Code
Activity
A 3.5.3 World Population Day’
celebration (such as
mobility, IEC activities etc.):
funds earmarked for
district and block level
activities
Sub-total Family Planning
(excluding Sterilisation
Compensation and NSV
Camps)
Sub-total Sterilisation
Compensation and NSV
Camps
A 4 ADOLESCENT
REPRODUCTIVE AND
SEXUAL HEALTH / ARSH
A 4.1 Adolescent services at
health facilities
A 4.1.1 Disseminate ARSH
guidelines.
A 4.1.2 Establishment of new
clinics at DH level
A 4.1.3 Establishment of new
clinics at CHC/PHC level
A 4.1.3.
1
Operating expenses for
existing clinics
A 4.1.4. Outreach activities
including peer educators
A 4.1.4.
1
A 4.1.4.
2
Implementation guide of
RCH II. Adolescent
reproductive sexual health
strategy 600 Copies @ Rs..
75/- per copy.
ARSH Facilitator guide 200
@ Rs.300/- each
Unit Rate
(Rs.)
State - Rs.
50000
Dist - Rs.
5000
Block - Rs.
2000
Targe
t
State
- 1
Dis -
22
Block
- 118
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
51.54 29.16
985.83 985.83
Remarks /
Justification
3.96 (1) Shifted
from BCC/ IEC
component
under Mission
Flexi Pool.
State has to
follow GoI
guidelines for
service
delivery during
WPD
celebration.
Approved
75 600 0.45 Approved.
Funds already
available in PIP
300 200 0.60 Approved.
Funds already
available in PIP
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 174 -

FMR
Code
A 4.1.4.
3
Activity
Orientation programme for
medical officer, ANMs,
LHVs and others to provide
adolescent friendly
reproductive and sexual
services HAND OUTS 5000
Handouts @ Rs.. 300 per
copy.
A 4.1.5 Prepare operational plan
for ARSH services across
districts (including
training, BCC/IEC,
equipment, drugs and
supplies, etc.).
A 4.1.5.
1
A 4.1.5.
1.1
A 4.1.5.
1.2
A 4.1.5.
1.3
Implement ARSH services
in districts.
Setting up of Adolescent
Clinics at health facilities.
To Maintain Multi Purpose
Youth Friendly Centres in all
Districts -21 DH and 35 SDH
Honorarium to Psychiatrist
@ Rs. 1000 per month &
Counselor @ Rs. 500
A 4.2 School Health
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
300 5000 15.00 Approved.
Funds already
available in PIP
50000 56 28.00 Approved.
Funds already
available in PIP
1500 170 30.00 Approved for
20 lakhs .
State has
requested for
funds for 56
centres and
has budgeted
honorarium
for 170
persons.
Honorarium is
approved for
psychiatrists
and
Counsellors at
56 centres i.e
112 @ Rs
1500. Funds
available in the
PIP.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 175 -

FMR
Code
Activity
A 4.2.1 Providing Iron Folic Acid to
30 Lakh students. (For
control of Anaemia 50
tablets per child)
A 4.2.2 Providing Albendazole
Tablets 2 to per child (For
Deworming)
A 4.2.3 Providing Scadies lotion for
skin diseases
A 4.2.4 Providing emergency kits in
all schools (20,000X240)
A 4.2.5 Incentives to RMO / MO,
ANMs etc. for examining
and screening of all
children during the year.
A 4.2.6 Recruiting contractual staff
as per Govt. of India's
guidelines along with
operational expenses from
them
A 4.2.7 POL, stationary and other
operational expense at
State Head Quarter and
District Head Quarters
A 4.2.8 IEC material, Health cards,
referral cards etc.
A 4.2.9 Complicated Disease
among the children and
adolescents i.e RHD,CHD,
Thallasemia, Cancer, Cleft
palate & Juvenile diabetics
A 4.2.1
0
Programme Coordinator -
SABLA + Menstrual Hygiene
Scheme
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
From funds
already
available
Rs. 2.60
Crores
50.00 Approved. The
funds available
with the State
Amounting to
50.00
Rs. 3.00 Crore
will be utilised
10.00
10.00
500.00
35000 1 4.20 4.20 Approved
Sub Total School Health 620.00 0.00
A 4.3 Other strategies/activities
(please specify)
Note: PPP/
Innovations/NGO to be
mentioned under section 8
Details of the Menstrual
Hygiene project to be
provided and budgeted
under this head
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FMR
Code
Activity
A 4.3.1 Sanitary Napkins to
adolescent girls
A 4.32 Operational Expenses
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
0.00
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
Sub-total ARSH 624.20 4.20
A 5 URBAN RCH (focus on
Urban slums)
A 5.1 Urban RCH Services
A 5.1.1 Identification of urban
areas / mapping of urban
slums (already done)
A 5.1.2 Prepare operational plan
for urban RCH (including
infrastructure and human
resources, training,
BCC/IEC, equipment, drugs
and supplies, etc.; cost of
plan meeting should be
kept). (Already Done)
A 5.1.3 Implementation of Urban
RCH plan/ activities
A 5.1.3.
1
A 5.1.3.
2
A 5.1.3.
3
Recruitment and training of
link workers for urban
slums
Strengthening of urban
health posts and urban
health centres
Provide RCH services
(please specify)
A 5.1.4 Monitor progress, quality
and utilisation of services.
8700 260 271.44 207.00 Approved for
230 MPWs @
Rs 7500 pm
A 5.1.5 Other Urban RCH
strategies/activities
(please specify)
Note:PPP/
Innovations/NGO to be
mentioned under section
8)
Sub-total Urban Health 271.44 207.00
A 6 TRIBAL RCH
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FMR
Code
Activity
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Sub-total Tribal Health 0.00 0.00
Remarks /
Justification
A 7 PNDT Activities
A 7.1 Support to PNDT Cell
A 7.1.1 Operationalise PNDT Cell 0.00
A 7.1.1.
1
A 7.1.1.
2
A 7.1.1.
3
A 7.1.1.
4
A 7.1.1.
5
A 7.1.1.
6
A 7.1.1.
7
Programme Manager PNDT 3.36 Approved.
Funds
District PNDT Coordinator
20
20000 22 52.80
Data Analyst 1.80
Statistical Asstt.@ Rs.
13000 p m
Computer Asstt. @ Rs.
10000 pm
Data Entry Operator 20 @
Rs. 6000
Office expenses @ Rs. 6000
pm at State Level
A 7.1.2 Orientation of programme
managers and service
providers on PC & PNDT
Act
Monitoring of Sex Ratio at
Birth
A 7.2 Other PNDT activities
(please specify)
A 7.2.1 Award money to villages
that perform well on the
sex ratio scale @ Rs. 1.5
Lakhs per village for 75
villages in a year
A 7.2.2 Budget for sting operation
@ Rs. 50,000/- each for 10
operations
A 7.2.3 Prize money to informers/
Decoy patient @ Rs. 20000
per informer/ decoy
patient
available from
the PIP 2011-
12
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 178 -
1.56
1.20
6000 20 14.40
0.72 0.72 Approved
4.50 4.50 Approved
3.00 3.00 Approved
0.00
112.50 To be taken
from 13th
Finance
Commission
5.00 Approved.
Funds
available from
1.60
the PIP 2011-
12

FMR
Code
Activity
A 7.2.4 Cost of Tracking machine
for 900 centres @ Rs.
25000 per machine (funds
for 400 centres already
available)
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
25000 900 225.00 0.00
Sub Total PNDT 233.22 8.22
A 8 INFRASTRUCTURE AND
HUMAN RESOURCES
A 8.1 Contractual Staff &
Services
A 8.1.1 ANMs, LHVs and Staff
Nurses
ANMs - 1411 8700 1411 1473.08 1269.9
0
MPHW (Male) - 454 6630 454
Staff nurse for health
institutions for providing
delivery services. 3 Staff
Nurses at Level-II centres &
5 Staff Nurses at Level-III
centres based on delivery
load and rationalization of
staff - Salary @ Rs. 10000+
Incentive after minimum
10 deliveries at Level-II &
30 deliveries at CHCs &
SDH (Level-III)
12000 1296 1866.24 1866.2
4
Remarks /
Justification
Approved at
last years
salary
Approved.
OT Assistant - 10 12000 10 14.40 0.00 Not Approved
A 8.1.2 Laboratory Technicians
A 8.1.3 Specialists Gynaecologists,
Paediatricians, Radiologists
& other specialists,
Anaesthesia (Empanelled)
40000 100 336.00 336.00 Approved.
Proposed for
100 specialists
and amount
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 179 -

FMR
Code
Activity
Obstetrician for Level-III
institutions approximate
cost Rs. 35000+Incentive
after minimum 5 C-sections
@ 1000 C-section + after
15 Deliveries after 15
deliveries at CHCs, 25
deliveries at SDH & 50
deliveries at DH @ Rs. 300
per delivery conducted +
after 10 MTPs @ Rs 200/
MTP. Actual number of
obstetricians will depend
upon shortage i.e. 37
presently.
Paediatrician for 114
CHCs/SDH/DH Rs.
35000+Incentive Rs 200
per Emergency Case during
off duty hours. Actual
number of Paediatricians
will depend upon shortage
i.e.76 presently.
Anaesthetist for CHCs/SDH
@ 1500/visit + Rs. 6/KM
upto 50 KMs
A 8.1.4 PHNs T CHC, PHC level
Unit Rate
(Rs.)
Targe
t
7200 114
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
calculated
including
incentives.
A 8.1.5 Female Medical Officer for
PHCs including RH and
Satellite Hospitals @ Rs.
30000 PM +Incentive after
minimum 10 deliveries @
Rs 300 per delivery + after
10 MTPs @ Rs 200/ MTP
A 8.1.6 Additional
Allowances/Incentives to
M.O. of PHCs and CHCs
A 8.1.7 Others - Computer
Assistants/ BCC Coordinator
etc.
A 8.1.7.
1
Computer Operator at
State/District/Block level
30000 120 328.50 406.80 Approved for
113 Female
MOs at
facilities
conducting
more than 10
deliveries @
Rs 30000 pm.
7500 173 155.70 155.70 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 180 -

FMR
Code
A 8.1.7.
2
Activity
Salary of Chowkidar for 236
PHCs
A 8.1.8 Incentive to Specialists/
Doctors, Staff Nurses and
ANMs for institutional
delivery and incentive to
ANMs for more than 90%
registration of ANC@ Rs.
25/- each case of her area
A 8.1.9 Human Resources
Development (other than
A 8.1.1
0
above)
Other Incentives Schemes
(Pls. Specify)
A 8.2 Minor civil works (repair
and renovation)
A 8.2.1 Minor civil works for
operationalization of FRUs
A 8.2.2 Minor civil works for
operationalization of 24
hour services at PHCs
A 9 TRAINING
Sub-total Infrastructure
and Human Resources
A 9.1 Strengthening of Training
Institutions (SIHFW,
ANMTCs, etc.)
A 9.1.1 Carry out repairs/
renovations of the training
institutions
A 9.1.2 Provide equipment and
training aids to the training
institutions
A 9.1.3 Developing systems for
monitoring & evaluations
of training programmes.
A 9.1.4 Other activities (pl. specify)
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
4000 236 113.28 0.00 Not Approved
600 240.00 240.00 Approved
4,527.2
0
4,274.6
4
70.00 70.00 Approved
64.00 64.00 Approved
2.00 2.00 Approved
A 9.2 Development of training
packages
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 181 -

FMR
Code
Activity
A 9.2.1 Development/ translation
and duplication and
printing of training
materials
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
2.00 2.00 Approved
A 9.2.2 Other activities (pl. specify) 0 2.00 2.00 Approved for
subscription of
journals etc.
Sub Total Development of
Training Material
A 9.3 Maternal Health Training 0
A 9.3.1 Skilled Attendance at Birth
/ SBA
A 9.3.1.
1
A 9.3.1.
2
A 9.3.1.
3
A 9.3.1.
4
A 9.3.1.
5
Setting up of SBA Training
Centres
TOT for SBA 0
Training of Medical Officers
in Management of
Common Obstetric
Complications (BEmOC)
Training of Staff Nurses in
SBA
Training of ANMs / LHVs in
SBA
A 9.3.2 EmOC Training 0
0
0
140.00 140.00
0 4.80 4.80 Approved
58260 360 69.91 69.91 Approved
58260 360 69.91 69.91 Approved
A 9.3.2.
1
A 9.3.2.
2
A 9.3.2.
3
Setting up of EmOC
Training Centres
TOT for EmOC 0
Training of Medical Officers
in EmOC
0
477440 32 30.20 32 MOs in 4
batches @ 1.5
lakhs/ batch=
Rs. 6.00 lakhs
centre running
cost =10.40
lakhs,
orientation
documentatio
n =70,000/
On Going
Trainings From
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 182 -

FMR
Code
Activity
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
the Funds of
PIP 2011-12
A 9.3.3 Life saving Anaesthesia
skills training
A 9.3.3. Setting up of Life saving
1 Anaesthesia skills Training
A 9.3.3.
2
A 9.3.3.
3 (A)
A 9.3.3.
3 (B)
Centres
TOT for Anaesthesia skills
training
Training of Medical Officers
in life saving Anaesthesia
skills (at Medical Colleges)
Training of Medical Officers
in life saving Anaesthesia
skills (at District Hospitals)
A 9.3.4 Safe abortion services
training (including MVA/
EVA and Medical abortion)
A 9.3.4.
1
A 9.3.4.
2
TOT on safe abortion
services
Training of Medical Officers
in safe abortion
A 9.3.5 RTI / STI Training 0
0
0
0
281200 48 33.74 21.60 48 MOs in 12
batches at 6
Medical
Colleges @
1.80 lakhs = Rs
21.60 lakhs
153840 48 18.46 18.46 LSAS Training
of 48 MOs in
12 batches at
District
Hospitals @
1.54 lakhs = Rs
18.46 lakhs
0
0
26010 30 2.60 2.60 Approved
A 9.3.5.
1
A 9.3.5.
2
A 9.3.5.
3
TOT for RTI/STI training 0
Training of laboratory
technicians in RTI/STI
Training of Medical Officers
in RTI/STI
36360 400 4.73 4.73 Approved
35760 400 7.15 7.15 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 183 -

FMR
Code
A 9.3.5.
4
A 9.3.5.
5
Activity
Training of Staff Nurses in
RTI/STI
Training of ANMs / LHVs in
RTI/STI
A 9.3.6 B-Emoc Training
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
30760 500 6.15 6.15 Approved
36360 600 7.27 7.27 Approved
A 9.3.7 Other maternal health
training (please specify)
Sub Total MH Training 224.72 212.58
A 9.4 IMEP Training 0
A 9.4.1 TOT on IMEP 0
A 9.4.2 IMEP training for state and
district programme
managers
A 9.4.3 IMEP training for medical
officers
A 9.4.4 IMEP training for
paramedical staff
0
0
58600 600 17.58 17.58 Approved.
58600 per
batch *30
batches
34600 600 10.38 10.38 Training of
Pharmacists,
Lab
Technicians,
LHVs, ANMs,
Staff Nurses,
HA (M),
MPHW (M) at
SIHFW Mohali
and HFWTC
Amritsar
34600 per
batch*30
batches
Sub Total IMEP Training 27.96 27.96
A 9.5 Child Health Training 0
A 9.5.1 IMNCI & F-IMNCI Training
(pre-service and in-service)
A 9.5.1.
1
TOT on IMNCI (pre-service
and in-service)
0
0
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 184 -

FMR
Code
A 9.5.1.
2
Activity
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
IMNCI Training for ANMs 101000 720 30.30 30.30 Approved
IMNCI Training for LHVs /
ICDS Supervisors
A 9.5.1. IMNCI Training for
3 Anganwadi Workers
A 9.5.2 F-IMNCI Training
A 9.5.2.
1
A 9.5.2.
2
A 9.5.2.
3
101000 480 20.20 20.20 Approved
100000
151950
720
40
30.00
3.04
(The budget
proposed for
AWW is not
approved as
they should be
trained in
Module 6 and
7 )
On Going
Trainings From
the Funds of
PIP 2011-12
143560 320 28.71 28.71 Approved
TOT on F-IMNCI 166150 80 8.31
F-IMNCI Training for
Faculty of ANM Training
Centres and Staff Nurse
Training Colleges at SIHFW,
Mohali
F-IMNCI Training for
Medical Officers
F-IMNCI Training for Staff
Nurses
A 9.5.3 Home Based Newborn Care
/ HBNC
A 9.5.3.
1
A 9.5.3.
2
TOT on HBNC 0
Training on HBNC for ASHA 0
A 9.5.4 Care of sick children and
severe malnutrition at FRUs
A 9.5.4.
1
A 9.5.4.
2
TOT on Care of sick
children and severe
malnutrition
Training on Care of sick
children and severe
malnutrition for Medical
Officers
A 9.5.5 Other child health training
(please specify)
A 9.5.5.
1
A 9.5.5.
1.1
NSSK Training 0
TOT for NSSK 0
128440 320 25.69 25.69 Approved
0
0
0
0
0
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 185 -

FMR
Code
A 9.5.5.
1.2
A 9.5.5.
1.3
A 9.5.5.
1.4
Activity
NSSK Training for Medical
Officers
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
81520 400 8.15 8.15 Approved
NSSK Training for SNs 48320 800 9.66 9.66 Approved
NSSK Training for ANMs 0
Sub Total CH Training 122.71 122.71
A 9.6 Family Planning Training 0
A 9.6.1 Laparoscopic Sterilisation
Training
A 9.6.1.
1
A 9.6.1.
2
TOT on laparoscopic
sterilisation
Laparoscopic sterilisation
training for doctors (teams
of doctor, SN and OT
assistant)
0
74840 4
23280 30
(10
batch
)
A 9.6.2 Minilap Training 0
A 9.6.2.
1
A 9.6.2.
2
TOT on Minilap 0
Minilap training for medical
officers, SN, OT Assistant
A 9.6.3 Non-Scalpel Vasectomy
(NSV) Training
A 9.6.3.
1
A 9.6.3.
2
23280 30
(10
batch
)
0
TOT on NSV 0
NSV Training of medical
officers
37450 20 (5
batch
es)
A 9.6.4 IUD Insertion 0
2.33 2.33 Approved
2.33 2.33 Approved
1.87 1.87 Approved
A 9.6.4.
1
A 9.6.4.
2
A 9.6.4.
3
TOT for IUD insertion 0
Training of Medical officers
in IUD insertion
Training of staff nurses in
IUD insertion
0
0
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 186 -

FMR
Code
A 9.6.4.
4
Activity
Training of ANMs / LHVs in
IUD insertion
A 9.6.5 TOT for Contraceptive
update Training for DFWO,
Gynae, Trg. Coordinator at
SIHFW Mohali
A 9.6.5.
1
A 9.6.5.
2
Contraceptive update
Training for MOs at the
Districts
Contraceptive update
Training for LHVs, ANMs,
HA(M) and MPHW (M) at
District Level
A 9.6.6 Other family planning
training (please specify)
A 9.6.6.
1
A 9.6.6.
2
A 9.6.6.
3
TOT for Post-Partum IUCD
Insertion for DFWO,
Gynae,Trg-Coordinator at
SIHFW, Mohali
Training of MO and SN in
PPIUCD
Post-Partum Family
Planning Counseling Trg for
SNs at District Hospitals
Unit Rate
(Rs.)
Targe
t
38380 800
(80
batch
es)
70
21200 400
(20
batch
es)
14580 600
(30
batch
es)
0
136800 80 (2
batch
es)
50000 22 (2
batch
es)
28400 400
(20
batch
es)
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
30.70 30.70 Approved
4.24 4.24 Approved
4.37 4.37 Approved
2.74 2.74 Approved
1.00 Proposed in
consultation
with GOI
5.68 5.68 Approved
Sub Total FP Training 54.26 55.26
0
A 9.7 Adolescent Reproductive
and Sexual Health/ARSH
Training
A 9.7.1 TOT for ARSH training 0
A 9.7.2 Orientation training of
state and district
programme managers
A 9.7.3 ARSH training for medical
officers
A 9.7.4 ARSH training for
ANMs/LHVs/
AWWs/MPHW(M),HA(M)
and ICTC Counsellors
0
59760 300 5.98 Approved
.From the
53040 1200 21.22
funds of PIP
2011-12
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 187 -

FMR
Code
Activity
A 9.7.5 ARSH training for AWWs
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
Sub Total ARSH Training 0.00 0.00
A 9.8 Programme Management
Training (e.g. M&E,
logistics management,
HRD etc.)
A 9.8.1 Training of SPMSU staff (pls
add rows to specify type of
training)
A 9.8.1.
1
Two Programme
Management Training for
SPMU, DPM, DAO, DMEO,
Community Mobilizer,
School Health Coordinator
5 days each
A 9.8.2 Two trainings of
Programme Management
Training for District and
Block Accountants,
Statistical Assistants 5 days
each
A 9.8.2.
1
A 9.8.2.
2
Two training of Programme
Management Training for
Information Assistants,
CRAs and Computer
Operators
Training of DPMSU staff
(pls add rows to specify
type of training)
Sub Total Programme Mgt
Training
A 9.9 Any Other training (pl.
specify)
A 9.9.1 Continuing Medical and
Nursing Education
A 9.9.2 BCC Skill Building Training
for DPMs District
MEIOs/ANMs/BCCF/MPHW
(M)/HA(M)/BEE
A 9.9.3 BCC Skill Building Training
for MOs
125000 140 17.50 17.50 State to
provide details
of purpose,
objectives and
content of
training
95000 280 26.60 26.60 State to
provide details
of purpose,
objectives and
content of
training
102000 24.48 24.48 State to
provide details
of purpose,
objectives and
content of
training
68.58 68.58
100500 600 20.10 20.10 Approved
100500 400 20.10 20.10 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 188 -

FMR
Code
Activity
A 9.9.4 Computer Training for
SA/Clerks/Jr. Pharmacists
Unit Rate
(Rs.)
Targe
t
85200 120
A 9.9.5 Computer Training for MOs 60000 120
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
A 9.9.6 Orientation Training of
Medical Officers for NRHM
programmes
A 9.9.7 Orientation Training of
AYUSH Doctors
A 9.9.8 Orientation Training of
ANMs
A 9.9.9 Training of ANMs in
Laboratory Methods,
Statistical and Clinical Skills
at Block Level
A 9.9.1
0
A 9.9.1
1
ICD-10, FIC Training of
Chief Pharmacists,
Statistical Officers
ICD-10, FIC Training of
DFWOs/SMOs/DMCs/Mos
100500 800 40.20 40.20 Approved
100500 360 18.09 18.09 Approved
78300 1800 35.24 35.24 Approved
12575 500 12.58 0.00 Not Approved.
To include in
Orientation
training of
ANMs
95000 200 9.50 9.50 Approved
105000 200 10.50 10.50 Approved
Sub total any other training 166.31 153.73
Total Training 804.54 780.82
A 10 PROGRAMME
MANAGEMENT
A 10.1 Strengthening of State
society/ State Programme
Management Support Unit
A 10.1.
1
Contractual Staff for SPMU
recruited and in position
Basic
Salary
State Programme Manager 1
Director Finance (
deputation/contract) @ Rs.
50,000/- pm
50000 1 6.00 6.00 All salaries
approved as
per last years
ROP
Specialist - Maternal Health 35000 1 4.20 4.20
Specialist - Family Welfare 35000 1 4.20 4.20
Specialist - Child Health 35000 1 4.20 4.20
State NGO Coordinator 35000 1 4.20 4.20
Manager Human Resource
Development
35000 1 4.20 4.20
Manager Finance & 35000 1 4.20 4.20
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 189 -

FMR
Code
Activity
Accounts
Manager (Monitoring &
Evaluation)
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
35000 1 4.20 4.20
Manager ARSH & Gender 35000 1 4.20 4.20
Manager BCC 35000 1 4.20 4.20
Manager Infrastructure 35000 1 4.20 4.20
Manager Procurement 35000 1 4.20 4.20
System Analyst 21000 2 5.04 5.04
Assistant Manager
(Finance)
Accounts Officer-
Compilation & Audits
25000 1 3.00 3.00
20000 4 9.60 9.60
Hardware Supervisor 20000 1 2.40 2.40
Accountant / Cashier 13000 3 4.68 4.68
Accountant - Internal Audit 13000 4 6.24 6.24
Procurement Assistant 13000 1 1.56 1.56
Statistical Assistant 2 13000 2 3.12 3.12
Computer Assistant 2 13000 2 3.12 3.12
Office Assistant 10000 1 1.20 1.20
Office Assistant 20 10000 20 24.00 24.00
Clerk 7000 1 0.84 0.84
Driver 7000 2 1.68 1.68
Peon 6000 9 6.48 6.48
Sub-total SPMU 125.16 125.16
A 10.2 Strengthening of District
society/ District
Programme Management
Support Unit
A 10.2.
1
Contractual Staff for
DPMUs recruited and in
position
District Programme
Manager
Remarks /
Justification
District Account Officer
28000
19000
22
22
73.92
50.16
73.92
50.16
All salaries
approved as
per last years
Monitoring & Evaluation 19000 22 50.16 50.16 ROP
Officer
Maintenance Engineer 18000 22 47.52 47.52
District Accountant / 12000 22 31.68 31.68
Cashier
District Statistical Assistant 12000 22 31.68 31.68
Peon 6000 22 15.84 15.84
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 190 -

FMR
Code
Activity
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
Sub-total DPMU 300.96 300.96
A 10.3 Strengthening of Block
PMU (Including HR,
Management Cost,
Mobility Support, Field
Visits)
Contractual Staff for
BPMSU recruited and in
position
Block Statistical Asstt. 12000 118 169.92 311.52 Approved as
Block Accountant Cum 12000 118 169.92
Cashier
Sub-total BPMU 339.84 311.52
Sub Total Salaries 765.96 737.64
Increment already given +
6% annual increment
approximately 15% of total
budget
Total Salaries 880.85 737.64
A 10.4 Strengthening of Financial
Management systems
per last years
ROP. Includes
POL and
vehicle
maintenance
to blocks.
114.89 0.00 Not Approved
Training in accounting
procedures
A 10.5 Audits 2000000 20.00 20.00 Approved
Annual audit of the
programme
A 10.6 Concurrent audit
Operationalise E-banking
system upto district levels
A 10.7 Other activities
(Programme Management
Expenses, Mobilty support,
etc.)
Provision of
equipment/furniture and
mobility support for
SPMSU staff
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 191 -

FMR
Code
Activity
Provision of
equipment/furniture and
mobility support for
SPMSU staff
Operational Cost Rs.
200000 per month
Unit Rate
(Rs.)
Targe
t
Amount
Propose
d (Rs.
Lakhs)
Amoun
t
Approv
ed (Rs
in
Lakhs)
Remarks /
Justification
3000000 30.00 7.50 Approved at
25% of
proposed
amount. State
to provide a
comprehensiv
e plan.
200000 24.00 24.00 Approved
Rent Electricity Telephone 4800000 48.00 48.00 Approved
Charges
Provision of
150000 20
equipment/furniture and
mobility support for
DPMSU staff
POL & Vehicle
15000 20 3.00 3.00 Approved
Maintenance to Districts @
Rs 15,000 PM
POL & Vehicle
Maintenance to Blocks @
60000 118 70.80 0.00 Approved as
part of A. 10.3
Rs 5000 PM
Operational Cost to 300000 20 60.00 60.00 Approved
Districts @ Rs 2-4 lakh per
district
Sub-total Other Activities 255.80 162.50
Sub-total Programme
Management
1,136.6
5
900.14
Total RCH II Base Flexi Pool 10076.1
4
9245.5
2
Total RCH II Demand Side 1792.87 1792.8
7
GRAND TOTAL RCH II 11869.0
0
11038.
39
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 192 -

Annexure-2
Detailed Budget Mission Flexible Pool (MFP)
FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B1
B1.1.
1
ASHA
Selection and
Training of ASHA
a. Training of ASHA
(16800 ASHAs+898
ASHA facilitator @
Rs. 2800/- per ASHA)
b. Refresher Training of
ASHA (16800
ASHAs+898 ASHA
facilitator @ Rs.
500/- per ASHA)
c. DA to ASHA for
Monthly Meeting at
PHC level (16800
ASHAs @ Rs. 1200/-
per ASHA)
B1.1.
2
Procurement of
ASHA Drug Kit
a. Drug Kit for 16800
ASHAs @ Rs. 400/-
per ASHA
b. ASHA kit for 16800
ASHAs @ Rs. 500 per
ASHA
Rs
2800
16800
ASHA +
898
ASHA
facilitat
or =
17698
Rs 500 16800
ASHA +
898
ASHA
facilitat
or =
17698
Rs
1200
per
year
1680
ASHA
495.54 495.54 Approved.
88.49 88.49 Approved. State to
share details of
training plan and
cost.
201.60 0.00 Not Approved. New
Activity.
Rs 400 16800 67.20 59.55 Approved. As per PIP
- 16500 ASHAs
already have drug kit
-these may be
replenished @ Rs 350
per kit = 57.75 lakh.
Rest 300 new kits
procured @ Rs 600
per kit = 1.80 lakh.
Total amount = Rs
59.55 lakh.
Rs 500 16800 84.00 84.00 Approved. NEW.
Proposed for HBNC
kits for all ASHAs to
be trained in module
6 & 7.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 193 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B1.1.
3
Performance Related
Incentives to ASHAs
a. Incentive for
Maternal Health
b. Incentive to ASHA
under JSY
c. Incentive under
Family Planning
Services
d. Incentive under Child
Health
e. Other Incentive to
ASHA
i to ensure 100 IFA to
pregnant woman
ii
iii
iv
v
if ASHA worker stays
overnight at hospital
with pregnant
woman for delivery
Reporting death of
mother within 24
hours of delivery OR
reporting death of
infant (birth to 1
year) within 24 hours
100% birth
registration and issue
of birth certificate in
their area
to provide first hand
information
regarding disease
outbreak
Rs 50
per
case
Rs 50
per
case
Rs 100
per
case
for
infant
death
and Rs
50 per
case
for
matern
al
death
Rs 20
per
registra
tion
Rs 100
per
inform
ation
2.00
lakh
expecte
d
benefici
aries
33600
expecte
d
benefici
aries
10,000
expecte
d
1,51,20
0
Rs 350.00 lakh
Booked in Part-A
Rs 157.00 lakh
Booked in Part-A
Booked in Part-A
Rs 460.00 lakh
Booked in Part-A
100.00 100.00 Approved.
16.80 16.80 Approved.
10.00 10.00 Approved @ Rs 100
per case for infant
death and Rs 50 per
case for maternal
death.
30.24 30.24 Approved. Ongoing.
3360 3.36 3.36 Approved. Ongoing
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 194 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
vi support screening
camps at school
under school health
programme
vii timely referral and
management of
severely dehydrated
patients
viii Management of
Anemia - Incentive to
ASHA for ensuring
treatment/cure of
anemic women (any
woman who is found
to be having Hb less
than 7 gm at the time
of ANC is treated and
has a Hb of more
than 9 gm at the time
of delivery)
ix Child weight -
incentive for postnatal
follow up of
LBW baby to ensure
gain in weight in iorst
3 months
x Identification of
Cancer/Cervical
cancer/Breast cancer
and other cancer
patients,
ensuring/accompanyi
ng for detection and
referring for
treatment
xi Drug De-addiction
xi.i Identification and
taking cases to
rehabilitation center
xi.ii
B1.1.
5
Follow up and
completion of
treatment at
rehabilitation centre
Support Mechanism
for ASHA
Rs 50
per
school
Rs 30
per
case
Rs 250
per
case
Rs 200
per
case
Rs 300
per
case
Rs 200
per
case
Rs 500
per
case
8400 4.20 4.20 Approved. Ongoing.
8400 2.52 2.52 Approved. New
Activity. State to
monitor activity
closely for impact.
40,000 100.00 100.00 Approved. New
Activity.
50,000 100.00 100.00 Approved. New
Activity.
10,000 30.00 30.00 Approved. New
Activity. State to
ensure that ASHA is
incentivized for
confirmed cancer
cases only. State to
propose a strategy for
timely referral for
confirmed cases.
100,000 200.00 200.00 Approved. New
Activity.
10,000 50.00 50.00 Approved. New
Activity.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 195 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
a
i
ii
b
i
ii
State Level
Project Manager
ASHA
Statistical Assistant
@
District Level
Community Mobilizer
@
Honorarium to ASHA
Facilitator (one for 20
ASHAs) 898 AFs @
Rs.
25000
per
month
+ 6%
increm
ent
after
one
year
Rs.
11000
per
month
+ 6%
increm
ent
after
one
year
Rs.
18500
per
month
+ 6%
increm
ent
after
one
year
Rs.
3250
pm
1 3.00 2.40 Approved @ Rs
20,000 pm as per RoP
2011-12.
1 1.32 1.20 Approved @ Rs
10,000 pm as per RoP
2011-12.
22 44.40 36.00 Approved. 2 new
positions not
approved. approved
for 20 continuing
positions @ Rs 15000
pm = Rs 36.00 lakh
898 350.22 237.00 Approved for 790
existing posts @ Rs
2500 pm (as per RoP
2011-12) = Rs 237.00
lakh
Fixed Honorarium @
Rs. 1000x9 + Rs. 100
per day including
food & transport x 15
visits in a month
(maximum) x 12
month = Rs. 30000
per annum
Sub-Total ASHA 1982.89 1651.30
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 196 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B2 Untied Funds Approved. ONGOING
activity. State has
revised the numbers
of institution in
revised PIP to 155
CHCs, 424 PHC, 22DH,
37 SDH - list has been
provided in revised
PIP.
B2.1 Untied Funds for 155
CHCs @ Rs. 50,000
per annum
B2.2 Untied Funds to 424
PHCs including Rural
Hospitals and
Satellite Hospitals @
Rs. 25,000 per
annum
B2.3 Untied Funds to 2950
SCs @ Rs. 10,000 per
annum
B2.4 Provision of Untied
Funds to 13108
VHSCs @ Rs. 10,000
per VHSC per annum
Sub-Total United
B3
Funds
Annual Maintenance
Grant
B3.1 Annual Maintance
Grant to 155 CHCs
B3.2 Annual Maintance
Grant to 217 PHCs
including Rural
Hospitals and
Satellite Hospitals
B3.3 Annual Maintenance
Grant to 1828 SCs
Annual Maintenance
Grant to 1196
Subsidary Health
Rs
50000
per
year
Rs
2500
per
year
Rs
10000
per
year
Rs
10000
per
year
Rs.
100,00
0 per
CHC
Rs.
50,000
Per
annum
Rs.
10,000
Per SC
Rs.
50,000
per
155 77.50 77.50 Approved.
424 106.00 106.00 Approved.
2950 295.00 295.00 Approved.
13108 1310.80 1310.80 Approved.
1789.30 1789.30
155 155.00 155.00 Approved.
217 108.50 108.50 Approved.
1828 182.80 182.50 Approved.
1196 598.00 0.00 Not Approved. NEW -
not proposed in 2011-
12. No provision for
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 197 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
Centres @ annum AMG to Subsidiary
Health Centres.
Sub-Total AMG 1044.30 446.00
B4 Hospital
Strengthening
B4.1 Upgradation of
District Hospitals ,
CHCs, PHCs to IPHS
B4.1.
1
Upgradation of
Districts Hospitals
B4.1.
1.1
a. Civil Infrastructure in
5 DHs for NABH
Accreditation Name
of the institutions
and unit cost as
follows – District
Hospitals Patiala,
Bathinda, Mohali,
Amritsar and
Jalandhar
b Equipment for 5
Hospitals for NABH
Accreditation
c Equipment for 5
District Hospitals -
DH
Amrits
ar = Rs
144.48
lakh,
Bathin
da = Rs
157.31
lakh,
Patiala
= Rs
156.30
lakh,
Mohali
= Rs
143.22
lakh,
Jalandh
ar =
140.48
lakh,
Sewag
e Tt.
Plant =
Rs
250.00
lakh,
5 991.00 741.00 Approved. Ongoing
activity. Rs 250.00
lakh Crore for sewage
treatment plant not
approved.
Conditionality - these
activities should be
completed in the FY
2012-13 and no
further support under
NRHM will be
extended beyond
that.
Rs 730.00 lakh
Booked under
Procurement
Rs 466.37 lakh
Booked under
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 198 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
ISO Accreditation
Procurement
d
B4.1.
2
B4.1.
3
Civil Infrastructure in
5 District Hospitals
for ISO Accreditation
Upgradation of
CHCs to IPHS
Upgradation of PHCs
for 24 hr Services,
IPHS
B4.1. Upgradation of Sub-
4 Centres
a. Construction of 40
New Sub-Centres @
Rs. 6 lakh each
b. Repair & renovation
of 75 Sub-Centres @
Rs. 1.5 lakh each
B4.2 Strengthening of
District Hospitals,
SDH, CHCs, PHCs
a. Strengthening of
District Hospitals
DH
Gurdas
pur =
16.65
lakh,
Hoshia
rpur =
Rs
84.10
lakh,
Mansa
= Rs
7.15
lakh,
Roopn
agar =
Rs 9.51
lakh,
Sangru
r = Rs
55.80
lakh
Rs 6
lakh
Rs 1.5
lakh
5 173.21 173.21 Approved. Ongoing
activity.
Conditionality - these
activities should be
completed in the FY
2012-13 and no
further support under
NRHM will be
extended beyond
that.
40 240.00 0.00 Not Approved.
75 112.50 0.00 Not Approved.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 199 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
i
ii
Construction of
Maternity ward at
DH Barnala
Diagnostic for
Cervical cancer
b. Strengthening of
SDH
i Construction of OPD
block at SDH Khanna
ii
Upgradation of Sub
Divisional Hospitals/
FRUs
Equipment for 5 Sub
Divisional Hospitals -
ISO Accreditation
400.00 0.00 Not Approved. New
Activity. State may
present a revised
proposal for a
dedicated MCH wing
based on case load
subject to availability
of resource envelope.
100.00 0.00 Not Approved. New
Activity - no details of
this activity provided .
250.00 0.00 Not Approved. New
Activity.
Rs 253.50 lakh
Booked under
Procurement
Civil Infrastructure in
5 Sub Divisional
Hospitals for ISO
Accreditation
SDH
Abohar
= Rs
2.35
lakh,
Dasuya
= Rs
30.24
lakh,
Kharar
= Rs
11.65
lakh,
Malerk
otla =
Rs 1.70
lakh,
Rajpur
a = Rs
5 92.29 92.29 Approved. ONGOING
Activity. Approved
with the
conditionality that
these activities should
be completed in the
FY 2012-13 and no
further support under
NRHM will be
extended beyond
that.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 200 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
46.35
lakh
c. Strengthening of
CHC
i Strengthening of CHC
Lehragaga from 30
Bedded to 50 Bedded
- Total requirement
Rs. 3.08 Crore - Rs.
2.08 Crore approved
by GOI and provision
of Rs. 1 Crore is to be
made in this PIP.
ii Strengthening of CHC
Lambi. New Building
of PHC Lambi is being
constructed of of
NRHM funds.Rs 3.00
crore were
sanctioned in last
PIP. Additional
amount of Rs 58 lakh
is required to
complete the work
d. Strengthening of
PHC
Equipment @ Rs. 1
lakh per 24x7 PHCs
B4.3 Sub Centre Rent and
Contingencies
B4.4 Logistics
Management/
Improvement
Mobility Support @
Rs.3000 Per Month
at State Level.
Mobility Support @
Rs. 2000 Per Month
Per District
Mobility Support at
@ Rs. 800 per Month
Per Block
Rs
3000
pm
Rs
2000
pm
100.00 100.00 Approved. Ongoing
activity.
58.00 0.00 Not Approved. New
Activity.
Rs 217.00 lakh
Booked under
Procurement
1 0.36 0.00 Not approved.
22 5.28 0.00 Not approved
11.33 0.00 Not approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 201 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B5
B6
upgradation/
strengthening of
godowns at 22
districts @ of Rs. 2
lakh each
Rs 2
lakh
22 44.00 0.00 Not approved.
Warehousekeeper 0.60 0.00 Not Approved. No
unit cost or no. of
posts given. State
may fund this activity
from its own budget.
Sub-Total Hospital
Strengthening
New Construction/
Renovation and
Setting Up
Corpus Grant to
HMS/ Rogi Kalyan
Samiti
B6.1 RKS Grant to 23 DH
@ Rs. 5.00 lakh
B6.2 RKS Grant to 155
CHCs @ Rs. 1.00 lakh
B6.3 RKS Grant to 424
PHCs including Rural
Hospitals and
Satellite Hospitals @
Rs. 1.00 lakh
B6.4 RKS Grant to 37 SDHs
@ Rs 1 lakh
Rs 5
lakh
Rs 1
lakh
Rs 1
lakh
Rs 1
lakh
2578.57 1106.50
23 115.00 110.00 Approved. Ongoing
activity. Approved for
22 DH as per list
provided in the PIP.
155 155.00 155.00 Approved. Ongoing
activity.
424 424.00 424.00 Approved. Ongoing
activity.
37 37.00 37.00 Approved. Ongoing
activity. Approved for
2 additional SDH as
per list provided by
State.
731.00 726.00
Sub-Total Corpus
Grants
B7 District Action Plans 0.00 0.00
B8 Panchayati Raj
0.00 0.00
Initiative
B9 Mainstreaming of
AYUSH
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 202 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B9.1 Contractual
appointment of
AYUSH MO
(Ayurveda) one each
in 236 PHCs, @ Rs.
25000 per MO
B9.2 Contractual
appointment of
AYUSH Dispensor
(Ayurveda) one each
in 236 PHCs, @ Rs.
11000 per MO
B9.3 Contractual
appointment of one
AYUSH MO
(Homeopathy) in 115
CHCs, 35 SDH and 2
MOs at each DH @
Rs. 25000 per MO
B9.4 Contractual
appointment of one
Dispenser in 115
CHCs, 35 SDH and 2
at each DH @ Rs.
11,000 per Dispenser
Rs
25000
pm
Rs
11000
pm
Rs
25000
Rs
11000
pm
236 708.00 708.00 Approved. Ongoing.
Approved @ Rs
23,000 pm for 236
MOs.
236 311.52 218.40 Approved. Ongoing
activity. Approved. @
Rs 10,000 pm for 182
in position = Rs
218.40 lakh. State to
rationalize the
existing HR based on
case load in the
AYUSH facilities.
194 582.00 287.04 Approved. Ongoing
activity. Approved @
Rs 23,000 for existing
104 positions = Rs
287.04 lakh. State to
review the HR in
position and
rationalize based on
case load.
194 256.08 128.40 Approved. Ongoing
activity. Approved @
Rs 10,000 pm for
existing 107 positions
= Rs 128.40 lakh.
State to rationalize
the existing HR based
on case load in the
AYUSH facilities
Sub-Total AYUSH 1857.60 1341.84
B10 IEC-BCC NRHM Ongoing Activity.
Approved amount of
Rs 300.00 lakh. State
to look at utilisation
of funds and develop
a comprehensive
BCC/IEC strategy.
B10 Strengthening of
BCC/IEC Wing (State
and District Levels)
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 203 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
a. Salary to Art &
Exhibition expert one
at State Level @
14000/- per month
b. Salary to Contractual
one BCC facilitator at
state level @ 16500/-
per month
c. Technical support for
printing @ 14000/-
per month
d. Salary to Contractual
22 BCC facilitator at
each district level @
14000/- per month
B10.2 Implementation of
BCC/ IEC Strategies
B10.2
.1
B10.2
.2
BCC/ IEC Activities
for Maternal & Child
Health
a. State Level Advocacy
Workshop for
Maternal & Child
Health
b. Printing of posters
pamphlets &
booklets
c. Radio Spot Jingle -
Topics to be covered
are MH, JSY & JSSK
@ 188000/- per
quarter
d. 2 FGDs at 2950 Sub-
Centres on Maternal
& Child Health @
300/- per FGD
B10.2
.3
BCC/ IEC Activities
for Family Planning
Rs
14000
pm
Rs
16500
pm
Rs
14000
pm
Rs
14000
pm
1 1.68 1.68 Ongoing activity. May
be approved @ Rs
14,000 pm = Rs 1.68
lakh as per RoP 2011-
12.
1 1.98 1.80 Ongoing activity. May
be approved @ Rs
15,000 pm = Rs 1.80
lakh as per RoP 2011-
12.
12
months
1.68 1.44 Ongoing activity -
may be approved @
Rs 12,000 pm.
22 36.96 31.20 Ongoing activity -
may be approved @
Rs 13,000 pm for 20
BCC facilitators as per
RoP 2011-12 = Rs
31.20 lakh. 2 NEW
posts not approved.
1.00 1.00 Approved
20.00 15.00 Approved
7.50 0.00 Approved
17.70 14.75 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 204 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
a. Block Level
Workshop on FP
Programmes
B10.2 BCC/ IEC Activities
.4 for ARSH
a. Health Melas,
Festivals in schools,
colleges - outreach
camps - 1 in block
per month @ Rs.
2000 in all 118 blocks
b. Booklet on ARSH 10
lakh copies @ Rs. 10
each
c. Posters on ARSH
25000 copies @ Rs.
20 each
d. Printing of Planners
for Menstrual
Hygiene 7 lakh @ Rs.
4 each
e Posters on Menstrual
Hygiene 25000
copies @ Rs.8 each
B10.2 Other Activities
.5
a. Intra Personal
Communication
State Level Advocacy
Workshop on NRHM
One District Level
Workshop on NRHM
Rs
3000
per
block
Rs
10.00
Rs
20.00
118 3.54 3.54 Approved
0 0.00 9.44 Approved
10 lakh 50.00 15.00 Approved
25000 2.50 2.50 Approved
Rs 4.00 7 lakh 28.00 21.00 Approved @ Rs
3/poster
Rs 8.00 25000 2.00 1.50 Approved @ Rs 6
/poster
1.25 1.25 Approved
2.20 2.20 Approved
Sub Total IPC 3.45 3.45 Approved
b. Save the Girl Child
under PNDT Act - Girl
Child Competition
73.75 37.50 Approved 50% funds
c. Folk Media (From
parties of song &
drama division at
DAVP rates) Twice a
year - Maternal
Health, Child Health,
NRHM, VHSC, FW,
ARSH, PNDT
5.90 5.90 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 205 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
d. Road Shows of
NRHM on 26
January,15 August &
District level Fares
based on District to
District requirement
approximately @
40000/- per District
e. World Population
Day (11 July 2011)
State @ 50000/-
District @ 5000/- per
district
Block @ 2000/- per
block
f. World Health Day (7
April 2011)
State @ 50000/-
District @ 5000/- per
district
Block @ 2000/- per
block
g. Breast feeding week
(1 to 7 August, 2011)
114 CHC+35 SDH+21
DH @5,000 per
institution
h. National Nutrition
week ( 1 to 7 Sept.
2011)
State @ 50000/-
District @ 5000/- per
district
Rs
40,000
Rs
50,000.
00
Rs
5000.0
0
Rs
2000.0
0
Rs
50,000.
00
Rs
5000.0
0
Rs
2000.0
0
Rs
5000
Rs
50,000.
00
Rs
5000.0
0
22 8.80 6.60 Approved @ Rs
30,000 per district.
1 0.50 0.50 Approved
22 1.10 1.10 Approved
118 2.36 2.36 Approved
1 0.50 0.50 Approved
22 1.10 1.10 Approved
118 2.36 2.36 Approved
170 8.50 8.50 Approved
1 0.50 0.50 Approved
22 1.10 1.10 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 206 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
Block @ 2000/- per
block
Exhibition (Various
Health programmes
under NRHM) - Rs.
5000 per Block and
Rs. 10000 per District
Production &
Telecasting on TV
topics to be covered
are MH, JSY, CH,
ARSH, PNDT & NRHM
Radio Spot Jingle -
Topics to be covered
are MH, JSY, CH,
ARSH, PNDT & NRHM
@ 400000/- per
quarter
i. Printing Material
Poster, Pamphlets &
Brouchers to be
printed on Health
Issues other than
MCH @ 400000/-
Newspapers
Advertisement - For
all health
programmes
j. Orientation &
Meetings
Workshop on
Development of BCC
Plan
Review Meetings
with BCC Facilitator
Rs
2000.0
0
Rs
10,000
x22
District
s + Rs
5000 x
118
blocks
Rs 4.00
lakh
per
quarter
118 2.36 2.36 Approved
22+ 118 7.90 7.90 Approved
34.00 18.00 Funds to be utilised
for production Rs
16.00 lakh are
available with the
State as production
was in-process. Thus,
Rs 18.00 Lakh
approved.
4 16.00 16.00 Approved
4.00 4.00 Approved
90.00 60.00 Approved
0.30 0.30 Approved
0.75 0.75 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 207 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B11
Conference/
10.00 10.00 Approved
Seminars in
collaboration with
Population Research
Centres &
Universities on
health gender &
demographic issues
Sub-Total IEC/BCC 453.22 300.00
Mobile Medical Unit
B11.1 Recurring cost @ Rs.
15.00 lakhs per MMU
per annum for 22
MMUs
Rs
15.00
lakh
per
year
24 360.00 360.00 Approved @ Rs 360
lakh for 24 MMUs as
approved in 2011-12.
Sub-Total MMU 360.00 360.00
B12 Referral Transport
B12.1 Ambulance/ EMRI
B12.1
.1
Emergency Response
Services
Capital Cost of 86
Ambulances under
phase II @ Rs. 12.4
Lakh
Rs 12.4
lakh
86 1066.40 1066.40 State has
reappropriated the
amount at its own
level in anticipation
of approval from
existing savings and
regularisation of
expenditure under
NRHM. Approved
subject to the
conditionality that
under JSSK these
ambulances would be
used 100% for
bringing pregnant
women and sick
neonates to the
facility and for interfacility
referral. For
drop-back services,
this facility would be
used 50% of the time
and the remaining
50% JSSK would be
used. State to look
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 208 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
into developing a
second tier basic
ambulance service for
upscaling of JSSK in
the future.
B12.2 Operating Cost (POL)
Recurring cost of 154
Ambulances (1.18 x
12 x 154 x 40%) +
funds for 86
Ambulances
(1.18x12x86x60%)
B13
Sub-Total Referral
Transport
NGO/PPP (MNGO-
RCH Scheme
B13.1 Non governmental
providers of health
care RMPs/TBAs
(1.18x1
2x154x
0.40)+
(1.18x1
2x86x0
.60)
154
existing
+ 86
new
ambula
nces
1647.26 1602.91 Approved. Rs 872.25
lakh may be approved
as recurring cost of
154 existing
ambulances @ 40% of
OPEX. OPEX of new
86 ambulances = Rs
730.66 lakh @ 60%.
Thus, total OPEX
approved = Rs
1602.91 lakh
2713.66 2669.31
B13.2 PNDT and Sex Ratio
B13.3 Public Private
Partnership
Accreditation of
Private provide for
providing RCH
services as per GOI
guidelines.
Surakhit Janepa
Yojna: 4038
beneficiaries during
2011-12.
B13.3 Grant in aid to
NGOs/NGO
Programme
Rs
4000
per
case
100.00 0.00 Not Approved.
Ongoing. Approved
for FY 2012-13. No
further approvals will
be given under NRHM
- scheme to be
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 209 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
wound up in FY 2012-
13. R
a External Evaluation
of NGOs Completing
1st year
Implementation
b. III rd Installment of
Grant-in aid for 8
MNGO/ 2 SNGOs for
4 months
c. Grant in aid for
MNGOs in 12 district
@ Rs. 15 lacs per
district
d. Technical NGO-PPP
Assistant Rs. 15000/-
pm
e. Monitoring and
supervision (review
meeting/ seminar/
workshop/ study
tour as per need
assessment)
B14
B15
Rs
15,000
pm
8
MNGOs
2
SNGOS
2.50 2.50 Approved.
50.00 50.00 Approved.
0.00 0.00
1 1.80 1.80 Approved.
Sub-Total NGO 158.30 56.30
Innovation
Planning,
Implementation and
Monitoring
B15.1 Community,
Monitoring
(Visioning
workshops at state,
district, block level)
B15.2 Quality Assurance
B15.2
.1
Accreditation of
District Hospitals and
Sub Divisional
Hospitals for ISO/
other certification -
ongoinng activity -
funds required for
filling the gaps
4.00 2.00 Approved. Rs 2.00
lakh approved in
2011-12- approved at
same rate
200.00 200.00 Approved subject to
thorough evaluation
and a clear road map
of community
monitoring to be
developed by the
State.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 210 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
Cost of Certification
Audit for 10 Facilities
B15.2
.4
Hospital
Administrator 22
B15.3 Monitoring and
Evaluation
B15.3 Monitoring &
.1 Evaluation/ HMIS
a. Operationalising the
new MIES
formats/PW and
Child Immunization
tracking formats
a.1 Printing of New
Format under NRHM
(Monthly, Quarterly
and Annual for
Subcenters, SHCs,
PHC, CHC and
Hospitals)
a.2 Printing of New
Format for PW and
Child Immunization
tracking
a.3 New Register for
each ANM on Survey,
MCH, Births and
Deaths, FW, OPD ,
Disease etc
(Rs120x6000
ANMs/LHVs)
b. Trainings on use of
information,
analysis, report
writing and MCTS
5.39 0.00 Not Approved.
22 48.40 48.00 Approved. Ongoing
activity.
20.00 20.00 Approved.
Recommended for
HMIS.
20.00 20.00 Approved. Admissible
subject to the
condition that
formats are
compatible with the
Integrated RCH
register designed by
MoHFW.
80.00 80.00 Approved. Admissible
subject to the
condition that
formats are
compatible with the
Integrated RCH
register designed by
MoHFW.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 211 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
b.1 2 day (twice a year)
training to District
Monitoring and
Evaluation officers &
HMIS Divisional
Coordinators (24
Participants)
(Rs.12,000 for
booking of lab + 350
per participant per
day)x 2 Days
b.2 2 day (twice a year)
Distt. Level training
to District SA, Block
Statistical Assistant,
Information
Assistants at Blocks,
DH and SDH[Rs. 300
per participant per
day x313 [20
DSA+118 BSA+118
IA+22 DH IA+35 SDH
IA+2 IA at dist
HQ]participants x 2
Day]+(8000 for
booking of lab for
one dayx20 districts)
b.3 1 day training to
ANM ((4910
ANMs)x(Rs.100+Rs.1
50+Rs.75)+15% Inst
charges
c. Review Meetings
c.1 1 Day Review
Meeting with District
level M&E officers,
SAs and Block levels
Statistical Assistants
(20
DMEOs+20DSAs+118
BSAs+118 IAs=276
ParticipantsxRs.200
B15.3
.3
per day)
Other M & E
activities/MCTS
200
per day
276
particip
ants
0.82 0.82 Approved.
Admissible.
6.96 6.96 Approved.
Admissible.
9.01 9.01 Approved.
Admissible.
1.10 1.10 Approved.
recommended by
Statistics division
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 212 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
a. HMIS Divisional Coordinators
for 4
divisions and one at
State HQ
b. One Information
Assistant at each
DH/SDH/ Block for
PW and Child
immunization
tracking and 2 at
district HQ
c. 1 Data Card for each
DH/SDH Information
Assts (22+35), Block
SA (118 Block SAs)
and for 22 M&E
officers at District
level & 4 HMIS
Divisional Coordinators
(@300
each month) for PW
and Child
immunization
tracking
d. Technical support for
customization and
trouble shooting of
DHIS2 @ Rs.20,000
pm
13.23 12.04 Approved at rate of
2011-12.
Recommended Rs.
12.04 lakh @20,800
per man month
(earlier approved
rate), hike of 6% is
not admissible. State
may ensure that all
the facilities are
reporting regularly on
MCTS Portal.
160.50 151.41 Approved.
Recommended Rs.
151.41 lakh @7,210
per man month
(earlier approved
rate).
7.13 4.00 Approved.
Recommended Rs.
4.00 lakh for those
blocks where internet
connectivity is really a
major concern. State
may ensure about
universal coverage in
terms of registration
of Pregnant women &
Children and its
regular updation as
per the services
delivered to the
beneficiaries on MCTS
Portal on MCTS.
2.40 2.40 Approved.
Recommended for
one year subject to
State populating the
said data at facility
level to HMIS. The
State should shift to
HMIS fully within next
year
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 213 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
e. Reimbursement of
Rs.1000/- pm to
Information
Assistants at 118
Blocks, 35 SDH, 22
DH, 22 DSAs for
allowing them to call
all beneficiaries
under MCTS to
ensure all PW and
children are getting
due services
f. Internet connection
and Consumable
(Paper, CD, Floppy,
Printer Cartridge
etc.)
23.16 0.00 Not Approved. Not
recommended. State
may explore the
possibility of CUG
connection for all
ANMs for continue
keep in touch with
the beneficiaries and
ASHAs. Note: At
B.19, Rs 150.09 lakh
is already approved
for reimbursement of
cell phone bills under
MFP. Additional
amount may not be
approved.
Recommended
subject to State
ensuring 100% facility
based reporting on
HMIS portal.
f.1 Rs. 50000/- per Block 59.00 59.00 Approved.
f.2 Rs. 25000/- District
5.00 5.00 Approved.
Hospital
f.3 Rs. 15000/- Sub
Divisional Hospital
5.25 5.25 Approved.
f.4 Rs.30000/- District
6.00 6.00 Approved.
HQ
f.5 State HQ 7.00 7.00 Approved.
g. POL for state head
quarter monitoring &
Evaluation team
3.00 0.00 Not Approved.
h. Development of
integrated HMIS
system in all
secondary level
hospitals
Digitilization of CRS
Record
200.00 200.00 Approved as a onetime
expenditure for
establishing a robust
hospital management
system.
Approved as a onetime
expenditure for
FY 2012-13. To be
funded from State
budget from next
year. No further
support would be
provided under
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 214 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
NRHM beyond FY
2012-13.
Strengthening of CRS
System with Salary of
Civil Registration
Assistant (Total 33)
@ Rs. 10500/-
Procurement of One
Laser Printer, One
Scanner and One
External Hard Disk (I
TB) for 20 Districts
for CRAs . One
Colored Printer and 5
External HD (1 TB) for
State HQ
TA/DA to CRA /
Inspecting Officers
Review of CRA
work(half yearly)
Internet Facility to
CRA@1000pm
Outsourcing of CRS
data for the period
2008 to 2000 @4/-
per entry Approx. 19
lac entries
New server for the
hosting of births and
death online
appliation and other
system softwares
Sub-Total Planning,
Implementation and
Monitoring
B16 Procurement
B16.1 Procurement of
Equipment
B16.1 Procurement of
.1 equipment MH
a. Equipment - MVA/
EVA
Rs
10,500
pm
33 41.58 41.58 Approved.
5.00 5.00 Approved.
2.00 2.00 Approved.
0.40 0.40 Approved.
2.64 2.64 Approved.
100.00 100.00 Approved.
10.00 10.00 Approved.
1044.97 999.61
4.00 4.00 Approved
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 215 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B16.1
.2
Procurement of
equipment CH
a. establishing NBSUs in
10 DHs, 12 SDHs and
6 CHCs conducting
more than 50
deliveries.
b. Procurement of
equipment for 3
SNCUs at Medical
Colleges
c. Procurement of
Steam Cleaning
System for Hospitals
B16.1
.3
B16.1
.4
Procurement of
equipment FP
Procurement of
equipment IMEP
B16.1 Procurement of
.5 others
a. Equipment for 5
Hospitals for NABH
Accreditation
DH
amritsa
r =
122.52
lakh,
Bathin
da =
147.05
lakh,
Patiala
=
186.30
lakh,
Mohali
=
141.41
lakh,
Jalandh
ar =
131.69
lakh,
210.00 210.00 Approved.
75.00 75.00 Approved.
371.00 0.00 Not Approved. No
details provided in
the PIP. Not clear as
to what is the
purpose of this
activity and the
facilities for which the
equipment is needed.
0.00 0.00
0.00 0.00
0.00 0.00
5 730.00 730.00 Approved. Ongoing
activity.Aapproved
with the
conditionality that
work has to be
completed this year
with no further
approvals beyond FY
2012-13.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 216 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
forms/
signage
s etc. =
Rs
70,000
b. Equipment for 5
District Hospitals -
ISO Accreditation
c. Equipment @ Rs. 1
lakh per 24x7 PHCs
DH
Gurdas
pur =
Rs
72.51
lakh,
Hoshia
rpur =
Rs
313.14
lakh,
Mansa
= Rs
7.22
lakh,
Roopn
agar =
Rs
31.18
lakh,
Sangru
r = Rs
42.33
lakh
Rs 1
lakh
5 466.37 466.37 Approved. Ongoing
activity. Booked from
Upgradation of DHs.
The conditionality is
that work has to be
completed this year
with no further
approvals beyond FY
2012-13.
217 217.00 0.00 Not approved. NEW
activity. Booked from
Strengthening of
PHCs. Generic budget
without any facility
wise details/gap
analysis.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 217 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
d. Equipment for 5 Sub
Divisional Hospitals -
ISO Accreditation
B16.2 Procurement of
Drugs and Supplies
B16.2
.1
Drugs & Supplies for
MH - JSSK
a. Drugs & Supplies for
MH - MTP, RTI/ STI
B16.2 Drugs & Supplies for
.2 CH
a. Supply of 10 lakh zinc
sulphate tablets
b. Supply of 72000
bottle of vitamin A
solution with 100ml
pack
SDH
Abohar
= Rs
44.79
lakh,
Dasuya
= Rs
63.73
lakh,
Kharar
= Rs
44.08
lakh,
Malerk
otla =
Rs
40.62
lakh,
Rajpur
a = Rs
60.26
lakh
253.50 253.50 Approved. Ongoing
activity. Booked from
Upgradation of SDHs.
Approved with the
conditionality that
the work is to be
completed in 2012-13
and not further
support will be
expended under
NRHM for
accreditation
activities beyond FY
2012-13.
reflected in RCH
budget
32.25 32.25 Approved.
5.00 5.00 Approved.
81.00 81.00 Approved. State to
provide unit cost and
physical target.
c. IFA tablet to children 30.00 30.00 Approved.
School Health
Providing Iron Folic
Acid to 30 Lakh
students. (For control
of Anaemia 50
tablets per child)
0.00 Drugs will be
procured from the
funds already
available
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 218 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
Providing
Albendazole Tablets
2 to per child (For
Deworming)
Providing Scabies
lotion for skin
diseases
Providing emergency
kits in all schools
(20,000X240)
B16.2 Drugs & Supplies for
.3 FP
B16.2 General Drugs &
.5 Supplies
a. Drugs & Supplies for
22 DHs + 1 Child
Hospital Bathinda @
Rs. 15 lakh per DH
b. Drugs & Supplies for
37 SDH @ Rs. 4 lakh
per SDH
c. Drugs & Supplies for
155 CHC @ Rs. 2 lakh
per CHC
d. Drugs & Supplies for
24*7 PHCs (221PHCs)
@ 1.50 lakh per PHC
& other 203 PHCs @
Rs. 1.00 lakh per PHC
Rs 15
lakh
per DH
Rs 4
lakh
per
SDH
Rs 2
lakh
per
CHC
Rs 1.50
lakh
per
24x7
PHC,
RS 1.00
lakh
per
other
PHC
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 219 -
0.00
0.00
0.00
New Activity.
22 345.00 0.00 Not Approved.
37 148.00 0.00 Not Approved.
155 310.00 0.00 Not Approved.
221
+203
e. Supplies for IMEP 0.00
f. Procurement of
general drugs and
supplies for health
facilities (including
kits, other drugs etc.)
- Kit A & Kit B for all
2950 SCs @ Rs.
25000
Rs
25000
per SC
534.50 0.00 Not Approved.
2950 737.50 0.00 Not approved. This is
already approved as
per the no. of
pregnant women
under JSSK.
Sub-Total 4550.12 1887.12

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B17
B18
Procurement
Regional Drugs
warehouses
New initiatives/
strategies
Interventions
Provision of Cell
Phone
Reimbursement of
monthly cell phone
bill to ANM/LHV/
Block SA and
Accountant @
Rs.222/- PM
Reimbursement of
monthly cell phone
bill to BSMOs @
Rs.333/- PM
Reimbursement of
monthly cell phone
bill to District
Officers @ Rs.333/-
PM
Provision of Cell
Phone to State Level
Officers
Development of
Mobile Phone
applications for SMS
by ANMs
Sub-Total New
Initiatives
B19 Health Insurance
Scheme
B20 Research, Studies,
Analysis
B21 State Level Health
Resources Centre
(SHSRC)
B22 Support Services
B22.1 Support
Strengthening NPCB
Rs
222.00
pm
Rs
333.00
pm
no. of
ANM/LH
V/block
SA as
per list
provide
d
no. of
BSMO
145.37 145.37 Approved. ONGOING
activity. Instead of
generic
reimbursements the
State may explore
CUG type connection
in future.
4.72 4.72 Approved. ONGOING
activity.
4.72 0.00 Not Approved. New
Activity.
5.00 0.00 Not Approved. New
Activity. Cell phones
to State officers
should be provided
under State budget.
GOI will provide the
software
159.80 150.09
0.00 0.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 220 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
B22.2 Support
Strengthening
Midwifery Services
under medical
services
B22.3 Support
Strengthening
NVBDCP
B22.4 Support
Strengthening RNTCP
a
b
c
d
e
f
Double Door
Refrigerator (240
Ltr.) 22 Nos. at the
cost of ( one for each
district for freezing
Gel Packs and
keeping PPD vials)
ILR -1 (for State Drug
Store, to store PPD
vials) approximate @
Budget for generator
for IRL
Budget for ancillary
drugs for MDR
patients
Budget for Photostat
machine at state TB
cell
Ward boy for 3 DOTS
Plus site at Amritsar,
Patiala and Faridkot
Rs
30,000.
00
10,00,0
00
Approved. Ongoing
Activity. Revised as
per comments by
RNTCP:
22 4.40 3.30 Approved. Costing
limited to single door
refrigerator.
1 0.30 0.30 Approved
1 10.00 10.00 Approved
1.50 0.00 Not approved.
1.50 0.00 Not approved.
3 2.20 0.00 Not Approved. 3 New
HR proposed.
B22.5 Contingency support
to Govt. dispensaries
B22.6 Other NDCP Support
Programme
a
Support for
strengthening the
laboratory services in
the hospitals for
establishing public
health lab
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 221 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
b
Support to
Immunization
programme
Ongoing activity.
1 salary of contractual
refrigerator
mechanics
2 Mobility Support for
Refrigerator
Mechanics (rate of
5/km):
3 Mobility Support for
district Vaccine store
keeper
4 Cold chain
strengthening:
8,000
pm
10.20 5.76 Approved. 6
refrigerator
mechanics approved
for one year subject
to the condition that
all the vacant regular
posts will be filled up
on priority. The 2 new
carved out districts to
be catered as an
additional
responsibility by the
refrigerator
mechanics of districts
from where the new
districts have been
carved out. Regular
posts in these 2 new
districts to be
created.
6.60 0.00 Not approved. To be
met from cold chain
maintenance funds.
Additional amount of
Rs 6.6 lakhs is
therefore not
recommended
6.60 0.00 Not approved. To be
met from cold chain
maintenance funds.
Additional amount of
Rs 6.6 lakhs is
therefore not
recommended
3.16 0.00 Not recommended.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 222 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
5 1 contractual
statistical assistant to
support EPI data
management -
Support Ongoing
from NRHM Part B
6 Computer related
support required
from NRHM.(for 24
hard discs and 2 data
cards)
7 2 contractual
doctors-Field Medical
Officers to support
EPI activities @40000
per month per EPI
technical officer
8 Intensive monitoring
initiatives in 5 high
priority districts
1.35 1.35 Approved.
Recommended
1.00 0.00 Not Approved.
Approved activity
under part C under
Consumables for
computer including
provision for internet
access for RIMs and
the amount of Rs
1.056 lakhs
recommended as per
norms. Additional
amount of Rs 1 lakhs
is therefore not
recommended.
7.02 0.00 Not Approved.
4.00 0.00 Not Approved.
Mobility Support for
supervision for
district level and state
level officers is an
approved activity
under part C.1.a and
C.1.b. Amount has
been recommended
as per norms.
Additional amount of
Rs 4 lakhs is therefore
not recommended.
Revision of norms is
under process
wherein there is an
increase of norms by
5 times for mobility
support at district
level
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 223 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
9 State Immunization
cell:
10 Additional
Consumables
support for internet
connections/ Refill
Toner in district
computer
11 Support for
upgradation of 26
immunization clinics
in Govt. institutions
in the state includes
medical colleges and
large govt.
institutions (22 civil
hospitals) and Mata
Kaushalya Hospital
Patiala.
12 Support for Cell
phone/SIM card
under closed user
group (as existing in
NRHM presently) for
district staff. Critical
requirement.
13 Air conditioners for
22 DIO + 1 state
office.
14 Upgradation of
existing workshop
area for cold chain
equipment repairs
(furniture/ workshop
table/benches/ high
voltage elec fittings
1.00 0.00 Not Recommended
1.58 0.00 Not approved.
Approved activity
under part C under
Consumables for
computer including
provision for internet
access for RIMs and
the amount of Rs
1.056 lakhs
recommended as per
norms. Additional
amount of Rs 1.58
lakhs is therefore not
recommended
15.60 0.00 Not approved. As per
the write up, the
projection involves
activities of IEC and
renovation therefore
the funds for the
same may be
projected under IEC
Head & Infrastructure
strengthening
5.16 0.00 Not Approved. Note:
At B.19 Rs 150.09
lakh is already
approved for
reimbursement of cell
phone bills under
MFP. Additional
amount may not be
approved.
8.05 0.00 Not Approved.
11.50 11.50 Approved.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 224 -

FMR
Code
Activity
Unit
Cost
Physical
Target
Amount
Proposed
(Rs in
Lakhs)
Amount
Approve
d (Rs in
Lakhs)
Remarks
c
Installing Fire safety
equipments
d Blood Banks 100.00 0.00 Not Approved. Blood
Banks is Core activity
of NACO.
e Sanitation equipment 0.00
f
g
h
i
Providing hotline in
all hospitals
Signages in the
hospitals
Security Services - CC
TV Camera
Deploying Security in
the hospitals
100.00 100.00 Approved. New
Activity.
60.00 0.00 Not Approved. New
Activity. To be part of
comprehensive IEC
plan.
0.00
j Tele Medicine 40.00 40.00 Approved.
B22.6 Support
Ongoing activity.
strengthening for
Dental Health
Dental Fortnight
District Hospitals
(20000X22X2)
Rs
20,000
per
fortnig
ht
22x2 8.80 8.80 Approved.
Sub Divisional
Hospitals
(15000X37X2)
CHCs (10000X155X2)
Rs
15,000
per
fortnig
ht
Rs
10,000
per
fortnig
ht
0.00
37x2 11.10 11.10 Approved.
155x2 31.00 31.00 Approved.
Sub-Total Support
453.62 223.11
Services
GRAND TOTAL 19877.35 13792.52
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 225 -

Annexure 3
Detailed Budget: Immunization and PPI operation cost
FMR
Cod
e
Activity
Unit Rate
(Rs.)
Physical
Target/
Expecte
d
Output
Amount
Propose
d (Rs
Lakhs)
Amount
Approve
d (Rs
Lakhs)
C.1 RI Strengthening Project (Review meeting, Mobility Support, Outreach services etc
Remarks
c.1.a
c.1.b
Mobility Support for
supervision for district level
officers.
Mobility support for
supervision at state level
Rs.50000/
Year /district
level
officers.
Rs. 100000
per year.
11.00 11.00
1.00 1.00
c.1.c
Printing and dissemination of
Immunization cards, tally
sheets, monitoring forms etc.
Rs. 5
beneficiaries
40.90 40.90
c.1.d
Support for Quarterly State
level review meetings of
district officer
3.00 3.00
c.1.e
Quarterly review meetings
exclusive for RI at district level
with one Block Mos, CDPO,
and other stake holders
1.76 1.76
c.1.f
Quarterly review meetings
exclusive for RI at block level
30.96 30.96
c.1.g
Focus on slum & underserved
areas in urban
areas/alternative vaccinator
for slums
22.84 22.84
c.1.h
Mobilization of children
through ASHA or other
mobilizers
Rs. 150 per
session
286.52 286.52
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 226 -

FMR
Cod
e
c.1.i
Activity
Alternative vaccine delivery in
hard to reach areas
Unit Rate
(Rs.)
Rs. 100 per
session
Physical
Target/
Expecte
d
Output
Amount
Propose
d (Rs
Lakhs)
Amount
Approve
d (Rs
Lakhs)
0.00 0.00
Remarks
c.1.j
Alternative Vaccine Delivery
in other areas
Rs. 50 per
session
90.96 90.96
c.1.k
c.1.l
c.1.
m
To develop microplan at subcentre
level
For consolidation of
microplans at block level
POL for vaccine delivery from
State to district and from
district to PHC/CHCs
@ Rs 100/-
per
subcentre
Rs. 1000 per
block/ PHC
and Rs. 2000
per district
Rs100,000/
district/year
2.95 2.95
2.16 2.16
22.00 22.00
c.1.n
Consumables for computer
including provision for internet
access for RIMs
@ 400/ -
month/
district
2.16 1.06
c.1.o
c.1.p
Red/Black plastic bags etc.
Hub
Cutter/Bleach/Hypochlorite
solution/ Twin bucket
Rs.
2/bags/sessi
on
Rs. 900 per
PHC/CHCper
year
2.82 2.82
1.06 1.06
Safety Pits 0.00 0.00
c.1.q
c.1.r State specific requirement 1.00 0.00
c.1.s
Teeka Express Operational
Cost
0.00 0.00
C.1-Sub Total 523.09 520.99
C.2 Salary of Contractual Staffs -Sub Total
Computer Assistants support Rs.12000-
1.51 1.51
c.2.a for State level
15000 per
person per
month
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 227 -

FMR
Cod
e
c.2.b
Activity
Computer Assistants support
for District level
Unit Rate
(Rs.)
8000-10000
per person
per month
Physical
Target/
Expecte
d
Output
Amount
Propose
d (Rs
Lakhs)
Amount
Approve
d (Rs
Lakhs)
26.40 26.40
Remarks
C.2-Sub Total 27.91 27.91
C.3 Training under Immunization
District level Orientation
107.53 64.79
c.3.a training including Hep B,
Measles & JE(wherever
required) for 2 days ANM,
Multi Purpose Health Worker
(Male), LHV, Health Assistant
(Male/Female), Nurse Mid
Wives, BEEs & other staff ( as
per RCH norms)
Three day training including
35.25 35.25
c.3.b Hep B, Measles & JE(wherever
required) of Medical Officers
of RI using revised MO training
module)
c.3.c
One day refresher training of
district Computer assistants on
RIMS/HIMS and immunization
formats
0.56 0.56
c.3.d
c.3.e
One day cold chain handlers
training for block level cold
chain handlers by State and
district cold chain officers
One day training of block level
data handlers by DIOs and
District cold chain officer
23.20 23.20
12.32 12.32
C.3-Sub Total
C.4 Cold chain maintenance
C.5 ASHA incentive for full
Immunization
Rs.500/PHC/
CHCs per
year District
Rs.10000/ye
ar
178.86 136.12
5.02 5.02
418.00 418.00
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 228 -

FMR
Cod
e
Activity
Total under Routine
Immunization
C.6 Pulse Polio Operational Cost
(Tentative)
Unit Rate
(Rs.)
Physical
Target/
Expecte
d
Output
Amount
Propose
d (Rs
Lakhs)
Amount
Approve
d (Rs
Lakhs)
1152.88 1108.04
0.00 932.46
Remarks
Grand Total Immunization 1152.88 2040.50
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 229 -

Annexure 4A
DETAILED BUDGET: NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)
FMR
Code
Activity
Unit
cost
Physical
target
Amount
Proposed
(Rs. In
lakh)
Amount
Approved
(Rs. In lakh)
Remarks
D
IDD
D.1 Establishm
ent of IDD
Control
Cell-
D.1.a
Technical
Officer
N.A.
1
Implement
ation &
monitoring
of the
programm
e
0.84* 10.00
The sanctioned posts i.e.
Technical Officer, Statistical
Assistant & LDC presently
filled on contract basis
should be filled on regular
basis by the State
Government for smooth
functioning of the IDD Cell
and implementation of
programme in the State.
D.1.b
Statistical
Assistant
D.1.c LDC Typist 1
1
State Govt. may conduct and
co-ordinate approved
programme activities and
furnish quarterly financial &
physical achievements as per
prescribed format.
D.2 Establishm
ent of I DD
Monitoring
Lab-
D.2.a
Lab
Technician
D.2.b Lab. 1
1
Monitoring
of district
level iodine
content of
salt and
urinary
iodine
excretion
as per
Policy
Guidelines.
9.30* 5.00 The sanctioned posts i.e. Lab
Technician and Lab assistant
presently filled on contract
basis should be filled on
regular basis by the State
Government on priority.
State Govt. may conduct
quantitative analysis of salt
& urine as per NIDDCP
Guidelines and furnish
monthly/quarterly
statements.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 230 -

FMR
Code
Activity
Unit
cost
Physical
target
Amount
Proposed
(Rs. In
lakh)
Amount
Approved
(Rs. In lakh)
Remarks
Assistant
D.3 Health
Education
& Publicity
Increased
awareness
about IDD
and
iodated
salt.
11.00* 7.00 IDD publicity activities
including Global IDD Day
celebrations at various level.
D.4 IDD
Survey/res
urvey
Rs.
50,000
per
district
4 districts State. Govt. may under take
4 districts IDD survey as per
guidelines and furnish
report.
D.5 Salt Testing
Kits
supplies by
GOI inform
of kind
grant for 5
endemic
districts
12 STK
per
annum
per ASH
A
Creating
iodated
salt
demand
and
monitoring
of the
same at
the
community
level.
State Govt. to monitor the
qualitative analysis of
iodated salt by STK through
ASHA in 5 endemic districts
i.e. Hoshiarpur, Gurdaspur,
Rupnagar, S. Ajit Singh Nagar
& Patiala
D.6 ASHA
Incentive
Rs. 25/-
per
month
for
testing
50 salt
sample/
month
50 salt
samples
per month
per ASHA
in 5
endemic
districts
15.01
TOTAL 21.85* 37.01
Including proposed activities i.e. orientation & review meetings, support for state IDD Cell and Lab, mobility support, printing,
support of IDD Lab Kits to districts for salt & urine sample collection, support for existing district labs for salt testing, trainings
etc. which are not allowed under the Programme
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 231 -

Detailed budget: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)
Annexure 4B
FMR
Code
Activity
Unit Cost (whereever
applicable)
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
E.1 Operational Cost
E.1.2
Field Visits
Office Expenses
Broad Band
expenses
Outbreak
investigations
including Collection
and Transport of
samples
Review Meetings
Any other expenses
Laboratory Support
*District
Lab
Referral
Lab
Priority
Network
E.2 Human Resources
Rs 2,40,000 per
District Surveillance
Unit per annum
Rs 5,00,000 State
Surveillance Unit per
annum
57.8
(2.4x22+5
x1)
Sub Total 57.8 57.8
Rs. 4,00,000 per
district priority lab
per annum
Rs. 5,00,000 per
referral lab per
annum
42.0 4
20.0
(5.0x4)
57.8
(2.4x22+5x
1)
20.0
Sub Total 62.0 24
E.2.1 Remuneration of
Epidemiologists
E.2.2 Remuneration of
Microbiologists
E.2.3 Remuneration of
Entomologists
Rs.25,000 - Rs.
40,000/ per month
Rs. 25,000 - Rs.
40,000 (Medical
Graduates)
Rs. 15,000 - Rs.
25,000 (Others)
Rs. 15,000 - Rs.
25,000
103.5
(30,000+2
5%
increase
ie.37,500
x23x
12)
5.4
(18,000+2
5%
increase
ie.
22,500x2
x12)
2.7
(18,000+2
103.5
(37,500x23
x
12)
5.4
(22,500x2x
12)
2.7
(22,500x1x
.
The
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 232 -

FMR
Code
Activity
Unit Cost (whereever
applicable)
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
Veterinary
Consultant
E.3 Consultant-
Finance/
Procurement
E.3.1
Consultant-
Training/ Technical
Rs. 25,000 -
Rs.40,000
5%
increase
ie.
22,500x1
x12)
3.6
(30,000x1
x
12)
Rs. 14,000 2.1
(14,000+2
5%
increase
ie.17,500
x1x 12)
Rs. 28,000 4.50
(30,000+2
5%
increase
ie.37,500
x1x
12)
E.3.2 Data Manager Rs. 14,000 (State)
Rs. 13,500
(District)
E.3.3 Data Entry
Operator
46.75{(13
,500+25%
increase
ie.16,875
x22x12)
+(14,700+
25%
increase
ie.18375x
1x
12)}
Rs. 8,500 34.80
(8925+25
%
increase
ie.
11,156x2
6x
12)
12) remuneration is
calculated as per
IDSP guidelines.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 233 -
0.00
1.68
(14,000x1x
12)
3.36
(28,000x1x
12)
37.32
(14,000x1x
12+13,500x
22x
12)
26.52
(8,500x26x
12)
Sub Total 203.35 180.48
E.8 Training As per NRHM
Guidelines
One day 44 batches of 11 each 5.69 5.69

FMR
Code
Activity
Unit Cost (whereever
applicable)
Amount
Proposed
(Rs in
Lakhs)
Amount
Approved
(Rs in
Lakhs)
Remarks
training of
Hospital
Doctors
One day
training of
Hospital
Pharmacist
/ Nurses
One day
training of
Medical
College
Doctors
One day
training for
Data Entry
and
analysis for
Block
Health
Team
One day
training of
DM & DEO
(12925x4
4)
44 batches of 22 each 4.84
(11000x4
4)
1batch of 16 0.41
(41000x1)
22 batches of 22 each 3.87
(17600x2
2)
1 batch of 23 for DEO and 1
batch of 26 for DM
0.62
(31000x2)
4.84
0.41
3.87
0.62
Sub Total 15.43 15.43
E.4 New formed Rs. 3,50, 000/- per 7.0 7.0 The amount to
Districts
newly formed (3.5x2)
be utilized for
district
for
procurement of
District
ICT equipments
Pathanko
under IDSP as per
t and
programme
Fazilka
guidelines.
Total 345.68 284.71
3. The following heads will be approved once approval from EFC is obtained.
Remuneration of Veterinary Consultant @ Rs. 25,000 - Rs.40,000
4. Based on past trend, Rs. 260 lakhs has been approved for Punjab under IDSP for 2012-
13. However, if there is increase in expenditure by State as per IDSP approved norm, the
budget for State could be increased at RE stage
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 234 -

Annexure 4C
Detailed Budget: NATIONAL VECTOR BORNE DISEASES CONTROL PROGRAMME (NVBDCP)
FMR
Code
Component (Sub-
Component)
F.1 Domestic Budget
Support (DBS)
F.1.1
F.1.1.a
F.1.1.a.i
Malaria
Contractual Payments
HR including MPW
contractual
F.1.1.a.ii Lab Technicians (
against vacancy )
F.1.1.a.iii
F.1.1.a.iv
F.1.1.a.v
VBD Technical
Supervisor (one for
each block)
District VBD Consultant
(one per district) (Non-
Project States)
State Consultant (Non
– Project States),
M&E Consultant
(Medical Graduate with
PH qualification)
- VBD Consultant
(preferably
entomologist)
Unit Cost
(whereve
r
applicabl
e)
Physical
target/
Deliverable
s
Amount
Propose
d (Rs. in
lakhs)
Amount
Approve
d (Rs. in
lakhs)
0.00 0.00
Remarks
F.1.1.b ASHA Incentive 12.00 15.00 ASHAs
involvement
need in all
VBDs needs
to be
ensured.
F.1.1.c Operational Cost
F.1.1.c.i Spray Wages 30.00 0.00 Should be
F.1.1.c.ii Operational cost for IRS
from the
state
resources
F.1.1.c.iii
F.1.1.d
Impregnation of Bed
nets- for NE states
Monitoring , Evaluation
& Supervision &
Epidemic Preparedness
including mobility
30.00 35.00 Funds can
also be
utilised for
printing of
new forms /
strengthenin
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 235 -

FMR
Code
Component (Sub-
Component)
Unit Cost
(whereve
r
applicabl
e)
Physical
target/
Deliverable
s
Amount
Propose
d (Rs. in
lakhs)
Amount
Approve
d (Rs. in
lakhs)
Remarks
g of
NAMMIS
F.1.1.e IEC/BCC 15.00 20.00 IEC/BCC can
be used for
other VBDs
F.1.1.f PPP / NGO and
Intersectoral
F.1.1.g
F.1.1.h
F.1.1.i
F.1.1.j
F.1.1.k
F.1.1.l
Convergence
Training / Capacity
Building
Zonal Entomological
units
Biological and
Environmental
Management through
VHSC
Larvivorous Fish
support
Construction and
maintenance of
Hatcheries
30.00 40.00 Training
through
RHOs may
be included.
Should be
from state
resources
Any other Activities (Pl.
specify)
Total Malaria (DBS) 117.00 110.00
F.1.2 Dengue &
Chikungunya
F.1.2.a Strengthening
surveillance (As per
GOI approval)
F.1.2.a(i) Apex Referral Labs
recurrent
F.1.2.a(ii Sentinel surveillance
) Hospital recurrent
F.1.2.a(iii
)
ELISA facility to
Sentinel Survey Labs
0.00 2.00
10.00 10.00
0.00 10.00 To
strengthen
diagnostic
facility and
case
managemen
t.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 236 -

FMR
Code
F.1.2.b
F.1.2.c
Component (Sub-
Component)
Test kits (Nos.) to be
supplied by GoI (kindly
indicate numbers of
ELISA based NS1 kit
and Mac ELISA Kits
required separately)
Monitoring/supervision
and Rapid response
Unit Cost
(whereve
r
applicabl
e)
Physical
target/
Deliverable
s
Amount
Propose
d (Rs. in
lakhs)
Amount
Approve
d (Rs. in
lakhs)
20.00 15.00
F.1.2.d Epidemic preparedness 40.00 14.00
F.1.2.e Case management 0.00 8.00
F.1.2.e Vector Control &
0.00 20.50
environmental
management
F.1.2.e IEC BCC for Social
10.00 7.00
Mobilization
F.1.2.e Inter-sectoral
0.00 0.50
convergence
F.1.2.f Training including
10.00 13.00
operational research
Fogging Machine and
10.00
Dengue Kits
Total
100.00 100.00
Dengue/Chikungunya
F.1.3 Acute Encephalitis
Syndrome (AES)/
Japanese Encephalitis
(JE)
F.1.3.a Strengthening of
Sentinel sites which will
include Diagnostics and
Case Management,
supply of kits by GoI
F.1.3.b IEC/BCC specific to J.E.
in endemic areas
F.1.3.c Capacity Building
F.1.3.d Monitoring and
Not Applicable
supervision
F.1.3.e Procurement of
Insecticides (Technical
Malathion)
F.1.3.f Fogging Machine
F.1.3.g Operational costs for
malathion fogging
F.1.3.h Operational Research
Remarks
The state
should plan
the activities
as per
guidelines to
achieve mid
term plan
objectives.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 237 -

FMR
Code
Component (Sub-
Component)
F.1.3.i Rehabilitation Setup
for selected endemic
districts
F.1.3.j ICU Establishment in
endemic districts
F.1.3.k ASHA Incentivization
for sensitizing
community
F.1.3.l Other Charges for
Training /Workshop
Meeting & payment to
NIV towards JE kits at
Head Quarter
Total AES/JE
F.1.4 Lymphatic Filariasis
F.1.4.a State Task Force, State
Technical Advisory
Committee meeting,
printing of
forms/registers,
mobility support,
district coordination
meeting, sensitization
of media etc.,
morbidity
management,
monitoring &
supervision and
mobility support for
Rapid Response Team
and contingency
support
F.1.4.b Microfilaria Survey
F.1.4.c Post MDA assessment
by medical colleges
(Govt. & private)/ICMR
institutions
F.1.4.d Training/sensitization
of district level officers
on ELF and drug
distributors including
peripheral health
workers
Unit Cost
(whereve
r
applicabl
e)
Physical
target/
Deliverable
s
Amount
Propose
d (Rs. in
lakhs)
Amount
Approve
d (Rs. in
lakhs)
Not Applicable
Remarks
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 238 -

FMR
Code
F.1.4.e
F.1.4.f
F.1.4.g
F.1.4.g.i
F.1.4.g.ii
F.1.4.g.iii
F.1.4.h
F.1.4.h.i
F.1.4.h.ii
F.1.4.h.iii
F.1.4.i
F.1.5
F.1.5
F.1.5.a
F.1.5.b
F.1.5.c
F.1.5.d
F.1.5.e
Component (Sub-
Component)
Specific IEC/BCC at
state, district, PHC,
Sub-centre and village
level including
VHSC/GKs for
community
mobilization efforts to
realize the desired drug
compliance of 85%
during MDA
Honorarium for Drug
Distribution including
ASHAs and supervisors
involved in MDA
Verification and
validation for stoppage
of MDA in LF endemic
districts
a) Additional MF
Survey
b) ICT Survey
c) ICT Cost
Verification of LF
endemicity in nonendemic
districts
a) LY & Hy Survey
b) Mf Survey in Nonendemic
distt
c) ICT survey
Post-MDA surveillance
Total Lymphatic
Filariasis
Kala-azar
Case search/ Camp
Approach
Spray Pumps &
accessories
Operational cost for
spray including spray
wages
Mobility/POL/supervisi
on
Monitoring &
Evaluation
Training for spraying
Unit Cost
(whereve
r
applicabl
e)
Physical
target/
Deliverable
s
Amount
Propose
d (Rs. in
lakhs)
Amount
Approve
d (Rs. in
lakhs)
Not Applicable
Remarks
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 239 -

FMR
Code
F.1.5.f
Component (Sub-
Component)
Unit Cost
(whereve
r
applicabl
e)
Physical
target/
Deliverable
s
Amount
Propose
d (Rs. in
lakhs)
Amount
Approve
d (Rs. in
lakhs)
IEC/ BCC/ Advocacy
Total Kala-azar
Total (DBS) 217.00 210.00
F.2 Externally aided
component
F.2.a World Bank support
for Malaria (Identified
state)
F.2.b Human Resource
F.2.c Training /Capacity
building
F.2.d Mobility support for
Monitoring Supervision
& Evaluation including
printing of format &
review meetings,
Reporting format (for
printing formats)
Kala-azar World Bank
assisted Project
F.2.e Human resource
F.2.f Capacity building
F.2.g Mobility
F.3 GFATM support for
Malaria (NE states)
F.3.a
F.3.b
F.3.c
F.3.d
Project Management
Unit including human
resource of N.E. states
Training/Capacity
Building
Planning and
Administration( Office
expenses recurring
expenses, Office
automation , printing
and stationary for
running of project)
Monitoring
Supervision
(supervisory visits
including travel
expenses, etc)
including printing of
format and review
meetings,
Not Applicable
Not Applicable
Not Applicable
Remarks
Budget for
Training &
Mobility
support
under
domestic
may be
used.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 240 -

FMR
Code
F.3.e
Component (Sub-
Component)
IEC / BCC activities as
per the project
Unit Cost
(whereve
r
applicabl
e)
Physical
target/
Deliverable
s
Amount
Propose
d (Rs. in
lakhs)
Amount
Approve
d (Rs. in
lakhs)
F.3.f Operational cost for
treatment of bednet
and Infrastructure and
Other Equipment
(Computer Laptops,
printers, Motor cycles
for MTS )
Total : EAC component 0.00 0.00
F.4 Any Other Items (
0.00 0.00
Please Specify)
F.5 Operational costs (
0.00 0.00
mobility, Review
Meeting,
communication,
formats & reports)
Grand total for cash
assistance under
217.00 210.00
NVBDCP (DBS + EAC)
F.6 Cash grant for
decentralized
commodities
F.6.a Chloroquine phosphate
tablets
29.00
F.6.b Primaquine tablets 7.5
1.00
mg
F.6.c Primaquine tablets 2.5
1.00
mg
F.6.d Quinine sulphate
tablets
F.6.e Quinine Injections
F.6.f DEC 100 mg tablets
F.6.g Albendazole 400 mg
tablets
F.6.h Dengue NS1 antigen kit 0.00
F.6.i Temephos, Bti (AS) / Bti
80.00
(wp) (for polluted &
non polluted water)
F.6.j Pyrethrum extract 2%
11.00
for spare spray
F.6.k ACT ( For Non Project
1.00
states)
F.6.l RDT Malaria – bi-valent
(For Non Project states)
130.00
Remarks
• As per new
Drug Policy
2010.
Presumptive
treatment is
not now in
the
programme.
The demand
for CQ is not
justified.
•Town wise
demand not
given and
need proper
technical
justification.
• DEC and
Albendazole
is for LF
elimination
which is not
required for
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 241 -

FMR
Code
Component (Sub-
Component)
Unit Cost
(whereve
r
applicabl
e)
Physical
target/
Deliverable
s
Amount
Propose
d (Rs. in
lakhs)
Amount
Approve
d (Rs. in
lakhs)
Remarks
Punjab.
F.6.m Any Other Items (
Please Specify)
Total grant for
decentralized
commodities
Grand Total for grantin-aid
under NVBDCP
123.00 130.00
340.00 340.00
Commodity Grants 0.00 50.00
Total NVBDCP Cash +
340.00 390.00
Commodity
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 242 -

Detailed Budget: NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)
Annexure 4D
FMR
code
G 1.
G 1.1
Activity proposed
Improved early case
detection
Incentive to ASHA
Unit Cost
(In Rupees)
Physic
al
Target
s
Amoun
t
propos
ed (Rs
in
Lakhs)
Amoun
t
approv
ed (Rs
in
Lakhs)
M 500 96 0.48 0.48
B
PB 300 200 0.60 0.60
G1.1 a Sensitization of ASHA 50 9200 4.60 4.60
Specific -plan for High
G 1.2 Endemic Districts
- - -
Improved case
G 2 management
G 2.1
G 2.2
G 2.3
G 2.3 a
G 2.4
G 3
G 3.1
G 4.
DPMR Services, (MCR
footwear, Aids and
appliances, Welfare
allowance to BPL patients
for RCS, Support to govt.
institutions for RCS)
Urban L:eprosy Control,
(Mega city - 0 , Medium
city (1) -3 , Med. City (2)-
1 Township -19)
Material & Supplies
Supportive drugs, lab.
reagents & equipments
and printing works
NGO - SET Scheme
Stigma Reduced
Mass media, Outdoor
media, Rural media,
Advocacy media
Development of Leprosy
Expertise sustained
MCR - 250/-
Aids/Applia
nce -12500
Welfare/RC
S - 10,000
Meg -
280000
Med (1)-
120000
Med. (2) -
236000
Town -
57000
1600
20
20
0
0
0
13
4.80
2.40
1.50
0
0
0
14.82
4.00
2.50
1.50
0
0
0
7.41
52,000 22 17.60 11.44
500000 2
50,000 22 25.00 11.00
G 4.1 Training of new MO 60000 100 4.00 1.80
G 4.2
Refresher training of MO 40000 200 4.00 2.80
Remarks
As NLEP
rates are
very low,
higher
rates
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 243 -

FMR
code
Activity proposed
Unit Cost
(In Rupees)
Physic
al
Target
s
Amoun
t
propos
ed (Rs
in
Lakhs)
Amoun
t
approv
ed (Rs
in
Lakhs)
Remarks
G 4.3 Training to New H.S/H.W. 30000 300 5.25 3.00 agreed in
Other training -
30000 - - - keeping
G 4.4 Physiotherapist
with other
G 4.5 Training to Lab. Tech. 30000 40 1.50 0.30 program
Management training for
30000 90 1.51 0.90
mes
G 4.6 District Nucleus Team
Monitoring, Supervision
and Evaluation System
G 5. improved
Travel Cost and Review
G 5.1 Meeting
travel expenses -
50000 1 0.50
Contractual Staff at State
G 5.1 a level
travel expenses -
15000 20 5.50 3.00
Contractual Staff at
G 5.1 b District level
G 5.1 c Review meetings 12500 4 1.00 0.50
G 5.2
Office Operation &
Maintenance
Office operation - State
38000 1 0.75 0.38
G 5.2 a Cell
Office operation - District
18000 20 7.70 3.60
G 5.2 b Cell
Office equipment maint.
30000 1 0.75 0.30
G 5.2 c State
G 5.3 Consumables
G 5.3 a State Cell 28000 1 0.50 0.28
G 5.3 b
District Cell 14000 20 6.60 2.80
G 5.4
G 5.4 a
Vehicle Hiring and POL
State Cell 85000 2 2.00 1.70
G 5.4 b District Cell 75000 20 10.00 10.00
G 6.
Programme Management
ensured
G 6.1
Contractual Staff at State
level
G 6.1 a SMO 1 40000 x12 4.80 4.80
G 6.1 b BFO cum Admn. Officer 1 30000 x12 3.60 3.60
G 6.1 c Admn. Asstt. 1 16000 x12 1.92 1.92
G 6.1 d DEO 1 12000 x12 1.44 1.44
G 6.1 e Driver 1 11000 x12 1.32 1.32
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 244 -

FMR
code
Activity proposed
Unit Cost
(In Rupees)
Physic
al
Target
s
Amoun
t
propos
ed (Rs
in
Lakhs)
Amoun
t
approv
ed (Rs
in
Lakhs)
Contractual Staff at
G 6.2 District level
G 6.2 a Driver 20 11000 x12 26.40 26.40
G 6.2 b
G 7.
G 7.1
Remarks
Contractual Staff in
x12 48.00 48.00
selected States, NMS 20 20000
Others
Travel expenses for
2.00 Added as
regular staff for specific
essential
programme / training
requireme
need, awards etc
nt
TOTAL 210.34 164.87
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 245 -

Detailed Budget: NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB)
Annexure 4E
FMR
CODE
ACTIVITY
PHYSICAL
TARGET
FUNDS
REQUESTED
(RS IN LAKHS)
FUNDS
APPROVED
AS PER
GUIDELINES
(RS IN
LAKHS)
REMARKS
H
*Recurring Grant-in aid
H 1.1
H 1.2
H 1.3
For Free Cataract Operation
@ Rs.750/- per case
Other Eye Diseases@
Rs.1000/-
School Eye Screening
Programme@ Rs.200/- per
case
160000 150.00 150.00 Approved
2000 2.00 2.00 Approved
7500 15.00 15.00 Approved
H 1.4 Blindness Survey 0 0
H 1.5
Private Practitioners @as per
NGO norms
0 0
H 1.6
Management of State Health
Society and Distt. Health
Society Remuneration (salary
, review meeting, hiring of
vehicle and Other Activities &
Contingency) @ Rs.14 lakh/
Rs.7 lakh depending on the
size of state
24.16 14.00 Approved
H 1.7
Recurring GIA to Eye
Donation Centers @
Rs.1000/- per pair
1000
(demand
for about
300 Eye
ball
3.00 3.00 Approved
H 1.8
Eye Ball Collection by Eye
Bank @ Rs.1500/- per pair
300 4.50 4.50 Approved
H 1.9 Training PMOA and MIS 3.00 4.00 Approved for
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 246 -

FMR
CODE
ACTIVITY
PHYSICAL
TARGET
FUNDS
REQUESTED
(RS IN LAKHS)
FUNDS
APPROVED
AS PER
GUIDELINES
(RS IN
LAKHS)
REMARKS
training
H 1.10 IEC, Eye Donation Fortnight,
World Sight Day &
awareness programme in
state & districts etc
PMOA and
MIS training
for 1 time
18.00 19.00 Approved1lac
per District
and 2 lac for
state
H 1.11
Procurement of Ophthalmic
Equipment
To pay
loan taken
from
NRHM
281.00 0 SHS, Punjab
can use the
Recurring
unspent bal
to pay loan
taken from
NRHM
H 1.12
Maintenance of Ophthalmic
Equipments
30.00 30.00 Approved
H.2 Non- Recurring Grant-in-aid
H.2.1 For RIO (new) @ Rs.60 lakh 0 0
H.2.2
H.2.3
For Medical College@ Rs.40
lakh
For vision Centre @
Rs.50000/-
0 0
0 0
H.2.4 For Eye Bank @ Rs.15 lakh 1 15.00 15.00 Approved for
1 Eye Bank in
Govt.
Hospital
H.2.5
For Eye Donation Centre @
Rs.1 lakh
H.2.6 For NGOs @ Rs.30 lakh 1 40.00 30.00 Approved for
1 NGO
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 247 -

FMR
CODE
ACTIVITY
PHYSICAL
TARGET
FUNDS
REQUESTED
(RS IN LAKHS)
FUNDS
APPROVED
AS PER
GUIDELINES
(RS IN
LAKHS)
REMARKS
H.2.7
For Eye Wards and Eye OTS
@ Rs.75 lakh
There is a
proposal
from Distt.
Barnala,
Faridkot,
Kapurthala
& Mohali
75.00 0 Not approved
H.2.8
For Mobile Ophthalmic Units
with tele-network @ Rs.60
lakh
0 0
H.2.9
Grant-in-aid for
strengthening of Distt.
Hospitals @ Rs.20 lakh
0 0
H.2.10 Grant-in-aid
for
strengthening of Sub
Divisional. Hospitals@ Rs.5
lakh
0 0
H.3 Contractual Man Power
H.3.1
H.3.2
H.3.3
Ophthalmic Surgeon@
Rs.25000/- p.m
Ophthalmic Assistant @
Rs.8000/- p.m
Eye Donation Counsellors @
Rs.10000/- p.m.
1 6.00 3.00 Approved
1 3.12 0.96 Approved
4 4.80 4.80 Approved
Total 674.58 295.26
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 248 -

Detailed Budget: REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME
Annexure 4F
FM
R
Cod
e
Activity
Unit
cost
(wher
ever
applic
able)
Physical
target/exp
ected
output
Propos
ed
Budget
(Rs in
Lakhs)
Approved
Budget
(Rs in
lakhs)
Remarks
I.1 Civil works As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) Civil
work Up
gradation
and
maintenan
ce
completed
as planned
28.39 28.39 Approved 100% as the
proposal is within the
norm. The proposal for
DOTS Plus site (1), DTC
(2), TUs (2), and DMC (2)
approved.
I.2 Laboratory
materials
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) Sputum
of TB
Suspects
Examined
per lakh
population
per
quarter;
2) All
districts
subjected
to IRL On
Site
Evaluation
and Panel
Testing in
the year;
49.20 45.80 Approval is limited to the
maximum available as per
the norm.
3) IRLs
accredited
and
functioning
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 249 -

FM
R
Cod
e
Activity
Unit
cost
(wher
ever
applic
able)
Physical
target/exp
ected
output
Propos
ed
Budget
(Rs in
Lakhs)
Approved
Budget
(Rs in
lakhs)
Remarks
optimally;
I.3 Honorariu
m
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) All
eligible
Communit
y DOT
Providers
are paid
honorariu
m in all
districts in
the FY
32.12 20.13 Approved 70% budget
proposed for DOTS
honorarium. Approval of
DOTS Plus honorarium
and travel support
recalculated based on the
PMDT planned number of
patients (150).
I.4 IEC/
Publicity
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) All
IEC/ACSM
activities
proposed
in PIP
completed;
2) Increase
in case
detection
and
improved
case
holding
24.40 15.00 Approved based on
previous utilization.
The remuneration for
communication
facilitators should be met
from IEC.
I.5 Equipment
maintenan
ce
As per
Revise
d
Norms
and
Basis
of
Costin
g for
1)
Maintenan
ce of Office
Equipment
s at
State/Distri
cts and IRL
equipment
s
completed
63.01 27.25 Approved 70%.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 250 -

FM
R
Cod
e
Activity
Unit
cost
(wher
ever
applic
able)
Physical
target/exp
ected
output
Propos
ed
Budget
(Rs in
Lakhs)
Approved
Budget
(Rs in
lakhs)
Remarks
RNTCP
as planned;
2) All BMs
are in
functional
condition
I.6 Training As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1)
Induction
training,
Update
and Retraining
of
all cadre of
staff
completed
as planned
42.40 30.00 Approval limited to 30
lakhs, however if the state
able to utilize this amount
subsequent release can
be considered.
I.7 Vehicle
maintenan
ce
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) All 4
wheelers
and 2
wheelers in
the state
are in
running
condition
and
maintained
46.00 21.25 Approved the maximum
permissible as per the
norm.
I.8 Vehicle
hiring
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) Increase
in
supervisory
visit of
DTOs and
MOTCs;
2) Increase
in case
detection
and
5.00 5.00 Approved 100% as the
proposal is within the
norm.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 251 -

FM
R
Cod
e
Activity
Unit
cost
(wher
ever
applic
able)
Physical
target/exp
ected
output
Propos
ed
Budget
(Rs in
Lakhs)
Approved
Budget
(Rs in
lakhs)
Remarks
improved
case
holding
I.9 NGO/PP
support
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) Increase
in number
of
NGOs/PPs
involved in
signed
schemes of
RNTCP;
2)
Contributio
n of
NGOs/PPS
in case
detection
and
provision
of DOT
57.91 15.00 Approval limited to 15
lakhs to accommodate
the total state budget in
the GOI approved
resource envelop
I.10 Miscellane
ous
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) All
activities
proposed
under
miscellane
ous head in
PIP
completed
amount
56.75 34.05 Approved 60%.
I.11 Contractu
al services
As per
Revise
d
Norms
and
1) All
contractual
staff
appointed
and paid
686.68 577.55 Approval limited to the
sanctioned posts as per
RNTCP norm. Not
approved salary of
sweepers as this posts are
not defined under RNTCP.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 252 -

FM
R
Cod
e
Activity
Unit
cost
(wher
ever
applic
able)
Physical
target/exp
ected
output
Propos
ed
Budget
(Rs in
Lakhs)
Approved
Budget
(Rs in
lakhs)
Remarks
Basis
of
Costin
g for
RNTCP
regularly
as planned
I.12 Printing As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) All
printing
activities at
state and
district
level
completed
as planned
42.00 17.00 Approved 40% based on
previous utilization.
I.13 Research
and
studies
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1)
Proposed
Research
has been
initiated or
completed
in the FY as
planned
0.00 0.00
I.14 Medical
Colleges
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1) All
activities
proposed
under
Medical
Colleges
head in PIP
completed
73.64 73.64 Approved 100% as per the
norm.
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 253 -

FM
R
Cod
e
Activity
Unit
cost
(wher
ever
applic
able)
Physical
target/exp
ected
output
Propos
ed
Budget
(Rs in
Lakhs)
Approved
Budget
(Rs in
lakhs)
Remarks
I.15 Procurem
ent –
vehicles
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1)
Procureme
nt of
vehicles
completed
as planned
Approved the proposal
for 3 two wheeler
purchase.
Four
wheeler
Two
Wheeler
I.16 Procurem
ent –
equipment
As per
Revise
d
Norms
and
Basis
of
Costin
g for
RNTCP
1)
Procureme
nt of
equipment
s
completed
as planned
0 0
1.50 1.50
18.16 15.00 Approved proposal for
computer and A/C
procurement.
Not approved the
proposal for procurement
of Photostat machines.
I.17 Tribal
Action
Plan
Total (A) 1227.16 926.55
Grand Total (A+B) Rs. 942.35
Approval of Programme Implementation Plan - Punjab, 2012-13 Page - 254 -