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Presentation to <strong>National</strong> <strong>Program</strong><br />

Coordination Committee<br />

On<br />

State PIP of <strong>Manipur</strong> for 2011-12<br />

25 th March, 2011<br />

State <strong>Health</strong> Society<br />

Department of <strong>Health</strong> & Family Welfare<br />

Govt. of <strong>Manipur</strong>


Achievements<br />

• MCTS implemented on pilot basis in Bishnupur, three valley<br />

districts to follow – from April 2011.<br />

• Successful implementation of Emergency Maternity Care<br />

in HFD in PPP mode. (Photo PPP, UKL)<br />

• Procurement of Drugs/Medicines through TNMSC resumed.<br />

• Transparent financial management.<br />

• Procurements through Open tender, Tender Committee in<br />

place.<br />

25th March 2011 SPIP 2011-12, MANIPUR 2


Achievements<br />

• An officer of MFS As DD-Fin.<br />

• Solar power back up for 2 DHs & 1 SDH<br />

• Solar lighting for 4 DHs.<br />

• EMOC training centre at RIMS.<br />

• Basic Emergency Care Course training in partnership<br />

with JPN trauma centre, AIIMS.<br />

25th March 2011 SPIP 2011-12, MANIPUR 3


Comparison of <strong>Health</strong> Indicators between Pre and Now NRHM<br />

INDICATORS<br />

INDIA<br />

NOW<br />

PRE NRHM<br />

(<strong>Manipur</strong>)<br />

DLHS/NHFS/S<br />

RS<br />

NOW (<strong>Manipur</strong>)<br />

CES-09<br />

HMIS<br />

(April – Jan<br />

2010-11)<br />

Institutional Delivery 47.0(DLHS-3) 46.20(DLHS -2) 80.0 (CES-09) 62.6 %<br />

% of child exclusively breast feed for<br />

NA (DLHS-2) 79.2 (DLHS-3)<br />

57.1(DLHS-3)<br />

6 months<br />

Fully Immunized 54.0(DLHS-3) 42.3 (NFHS-2) 48.5 (DLHS-3) 51.9 (CES-09) 81.4%<br />

Total Unmet Need 21.3(DLHS-3) 35.1(DLHS -2) 25.6 (DLHS-3)<br />

% of mother receiving 3 or more<br />

55.0 (DLHS-2) 58.1 (DLHS-3) 45.7%<br />

49.8(DLHS-3)<br />

ANC<br />

% of mother with full ANC 18.8(DLHS-3) 10.4 (DLHS -2) 12.5 (DLHS-3) 28.4 (CES-09)<br />

% of delivery by skilled health<br />

42.9 (DLHS-2) 55.0 (DLHS-3) 82.7 (CES-09) 74.1%<br />

52.7(DLHS-3)<br />

personnel<br />

Infant Mortality Rate (IMR) 50.0(SRS-11) 16 (SRS-2005) 16 (SRS-11)<br />

CBR (Crude Birth Rate) 22.5(SRS-11) 15.5 (SRS-2005) 15.4 (SRS-11)<br />

CDR (Crude Death Rate) 7.3(SRS-11) 4.8 (SRS-2005) 4.7 (SRS-11)<br />

TFR (Total Fertility Rate) 2.7(NFHS-3) 3.0 (NFHS-2) 2.8 (NFHS-3)<br />

MMR (Maternel Mortality Ratio) 254 (SRS-09) 374 (SRS-2001) 160 (SRS-05)<br />

2007-08:25.6<br />

2008-09: 07.2<br />

2009-10: 18.9<br />

2010-11: 17.7<br />

25th March 2011<br />

SPIP 2011-12, MANIPUR<br />

4


SUCCESSES<br />

• Large financial resources with Flexible financing<br />

• Improved infrastructure at hospitals; significant increase<br />

in HR<br />

(Civil Work Status)<br />

• Significant increase in Institutional deliveries (HMIS), and<br />

Immunization<br />

• Increased access in remote villages, Difficult Areas & Law<br />

& Order Prevalent Areas. (Pictures of RCH & DMMU Camp)<br />

• ASHA and PRI collaboration<br />

25th March 2011 SPIP 2011-12, MANIPUR 5


SPIP 2011-12: SUMMARY BUDGET<br />

Part<br />

Amount (Rs in Lakh)<br />

A RCH FLEXI POOL 2724.867<br />

B NRHM FLEXI POOL 6164.99<br />

C IMMUNIZATION 155.93<br />

D DISEASE CONTROL PROGRAM<br />

1. NVBDCP 1160.582<br />

2. RNTCP 385.64<br />

3. IDSP 426.12<br />

4. NPCB 686.28<br />

5. NLEP 49.98<br />

6. NIPPCD 118.82<br />

7. NIDDCP 50.50<br />

Part-D Total 2877.922<br />

E INTER-SECTORAL CONVERGENCE 0.00<br />

TOTAL 11923.709<br />

Central Share (Rs in Lakh)<br />

15% State Share (Rs in Lakh)<br />

10368.44 1555.27<br />

25th March 2011 SPIP 2011-12, MANIPUR 6


Reproductive<br />

&<br />

Child <strong>Health</strong><br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

7


BUDGET OVERVIEW(Rs. Lakhs)<br />

S. NO. BUDGET HEAD 2010-11<br />

BUDGET<br />

2010-11<br />

EXPENDITURE<br />

2011-12<br />

BUDGET<br />

% CHANGE OVER<br />

2010-11<br />

1 MATERNAL HEALTH 40.27 24.04 57.60 43.03 %<br />

2 CHILD HEALTH 31.50 9.50 29.20 -7.30 %<br />

3 FAMILY PLANNING 9.80 0 22.46 129.18 %<br />

4 ARSH 0.00 0 3.00 -<br />

5 URBAN RCH 80.12 27.23 88.32 10.23 %<br />

6 TRIBAL RCH 12.86 7.01 11.28 -12.29 %<br />

7 VULNERABLE GROUPS 0.00 0 12.52 -<br />

8 INNOVATIONS/ PPP/ NGO 152.36 17.86 Part-B -<br />

9 INFRASTRUCTURE & HR 1132.50 426.933 1387.78 22.54 %<br />

10 INSTITUTIONAL STRENGTHENING 17.82 1.38 59.00 231.09 %<br />

11 TRAINING 263.44 68.83 116.61 -55.74 %<br />

12 IEC/ BCC 133.34 70.52 -<br />

13 PROCUREMENT 353.00 0 -<br />

14 PROGRAMME MANAGEMENT 123.45 141.866* 649.58 426.19 %<br />

15 JSY 131.89 128.197 284.99 116.08 %<br />

16 STERILISATION COMPENSATION, ETC. 38.00 14.53 2.53 -93.34 %<br />

* Additional Fund of 2009-10 expended 2010-11<br />

TOTAL RCH II 2520.35 937.986 2724.87 8.11 %<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

8


SERVICES OVERVIEW<br />

S. No. INDICATOR EXPECTED /<br />

PLANNED<br />

REPORTED<br />

% ACHIEV.<br />

1 Institutional delivery 70% 21683 62.6%<br />

2 Full immunisation 80% 33500 81.4%<br />

3 Sterilisation 3000 1108<br />

4 IUD insertion 15000 4063<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

9


MATERNAL HEALTH<br />

Facility<br />

Cumulative Cum. Progress Incremental Progress 10-11 Incr. Target<br />

target (2012) till Mar ‘11 Target (10-11) till Mar’11 (11-12)<br />

FRU – DH 07 01 0 0 6<br />

FRU – SDH, etc. 0 0 0 0 0<br />

FRU – CHC 04 1 0 01 3<br />

24x7 FACILITIES 38 22 0 10 16<br />

Sub-centres conducting deliveries, with<br />

adequate infrastructure, incl. LR<br />

Sub-district facilities providing safe<br />

abortion services<br />

Sub-district facilities providing RTI/ STI<br />

services<br />

0 0 0 0 0<br />

1 1 0 0 0<br />

1 1 0 0 0<br />

Key Activities Proposed:<br />

1. Setting up of 5 Blood storage Units with SACS, <strong>Manipur</strong><br />

2. CEmOC&Life-Saving Anesthesia Skills Training of MBBS Doctors<br />

3. Additional Engagement of 80 Staff Nurses<br />

4. Engagement of 69 MPWs<br />

PHOTO of CHC Wangoi (FRU)<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

10


MATERNAL DEATH REVIEW<br />

1. Govt. of <strong>Manipur</strong> issued order for formation of<br />

1. State Level Task Force for Maternal Mortality Reduction<br />

2. District Level MDR Committee.<br />

2. Identified State& Districts Nodal Officer on MDR<br />

3. Identified 9 Public Facilities & 9 Private Facilities for MDR<br />

4. 8 districts (out of 9) have constituted District MDR Committees.<br />

5. 3 Public facilities (33%) and 6 Private Facilities (66.6) constituted<br />

FBMDR Committees.<br />

6. SNO trained on MDR at NIHFW, Munirka, New Delhi<br />

7. State Level Sensitization Meeting on MDR performed on 23 Feb 2011<br />

with Dr. Dilip Kumar Das, <strong>National</strong> Resource Person, Dr. Ch. Manglem<br />

Singh, HOD, O&G, RIMS and SNO.<br />

8. 3 Nos. of MDs are now under investigation and review<br />

9. Planned for conducting State Level Training of FBMDR & CBMDR in 1 st<br />

week of April 2011<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

11


JANANI SURAKSHA YOJANA (JSY)<br />

Target<br />

Achv.<br />

JANANI SURAKSHA YOJANA<br />

‘10-11 ‘10-11 ‘11-12 ‘10-11<br />

(till Feb)<br />

Proposed<br />

Budget<br />

(Rs. lakh)<br />

Exp. ‘10-11<br />

(till Feb)<br />

(Rs. lakh)<br />

Budget ‘11-12<br />

(Rs. lakh)<br />

Home Deliv. 8089 4424 7101 40.45 32.99 35.50<br />

Inst. Deliv. – <strong>Rural</strong> 3695 3631 13796 25.87<br />

96.57<br />

Inst. Deliv. – Urban 4446 1709 4154 26.68 24.93<br />

C-sections 175 108 360 2.63 95.21 5.39<br />

ASHA incentive 8141 5340 17950 30.06 91.09<br />

Admin. Costs 7.17 13.57<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

12


Child <strong>Health</strong>.<br />

1. IMNCI in all 9 Districts<br />

• Continuation of Training for Paramedics<br />

• Pre service training for under graduate students (MBBS) studying in RIMS.<br />

• FIMNCI & NSSK Trainings<br />

2. School <strong>Health</strong> <strong>Program</strong><br />

• Weekly visit by ANMs<br />

• Pre-planned MO’s Visit (one school per week)<br />

3. Sick Newborn Care Corners in FRUs, 24x7 PHCs<br />

4. Setting up of New Born and Child Stabilization Units at 3 FRUs<br />

• DHs BPR, TBL & CCP<br />

5. Awareness (<strong>Health</strong>y mother/<strong>Health</strong>y child Competition)<br />

6. Observation of Breast Feeding Week, ORS Week and New Born Care Week.<br />

25th March 2011<br />

SPIP 2011-12, MANIPUR<br />

13


Family Planning.<br />

1. Terminal Methods<br />

• Fixed Sterilization Days (Wed-Tub, Sat for Vas) in health institutions<br />

having trained manpower<br />

• Continuation of Training for service providers<br />

• Quarterly District NSV Mega camps<br />

• Incentives to beneficiaries, service provider and to ASHA<br />

• Quality Assurance through SQAC/DQAC<br />

2. Spacing Methods<br />

• Training of MOs, paramedics on IUD<br />

• Community Mobilization through ASHA<br />

• Cu-T 380 insertion services in all facilities<br />

• Joint promotion of condom with SACS<br />

• Ensuring availability of OCPs in all health centres<br />

25th March 2011<br />

SPIP 2011-12, MANIPUR<br />

14


ARSH<br />

1. IFA supplementation to Adol Girls<br />

2. Adol-friendly health facilities<br />

3. Continuation of training of MOs on ARSH<br />

4. Fixed day ARSH Clinics<br />

5. ARSH Collaboration with NGO in line of PPP as pilot activity in 3 District<br />

(I/E, I/W & CCP)<br />

• Helpline<br />

• BCC/IEC activity<br />

• Visit to local youth club<br />

6. Menstrual Hygiene Scheme<br />

• Training of State & district officials<br />

• Training of ANM/ASHA<br />

25th March 2011<br />

SPIP 2011-12, MANIPUR<br />

15


Urban RCH<br />

1. Continuation of Manpower/Drug support for existing 8 UHCs<br />

2. Continuation of <strong>Program</strong> Management Support to State/District Technical<br />

Support Units.<br />

Tribal <strong>Health</strong><br />

1. Continuation of Providing RCH service to 20 villages/Hamlets in 4 valleys<br />

districts<br />

1. Mobile Dispensary Covering tribal hamlets in the valley areas on fixed<br />

day, fixed place basis<br />

2. Mother Meeting, Nutritious meal for PWs<br />

25th March 2011<br />

SPIP 2011-12, MANIPUR<br />

16


Vulnerable Groups<br />

1. RCH Services for community living in Floating Huts of Loktak lake.<br />

1. Engaging volunteers for transportation & disposal by using boats<br />

2. Mobility support for health staffs on weekly basis<br />

3. Filling up disposal pits with mud @ 6 truck loads per month.<br />

25th March 2011<br />

SPIP 2011-12, MANIPUR<br />

17


GENDER & SEX RATIO<br />

Sr.No.<br />

Activities Proposed<br />

1. State supervisor Board Meeting:<br />

The board shall meet of least once in 4 (four) months (Exp. TA/DA. Stationary, PA system, refreshment etc.<br />

2. Stat Advisory Committee:<br />

Meeting at least once every sixty days<br />

3. State Appropriate Authority<br />

To grant, suspend or cancel the registration<br />

4. Field Visits by SAC & SAA<br />

To enforce the standards of ultra sound clinic, to obey the PNDT Act.<br />

Supportive supervision to PPP Centres, Hospital, CHC and PHC etc. to regulate MTP Act and obey PNDT<br />

Act<br />

5. Legal activities:<br />

to make appropriate legal action against the use of any sex selection technique by any person at any place,<br />

suomoto or brought to its notice and also to initiate independent investigations, to order so cause<br />

notice to the Ultra sound Clinic who does not obey PNDT, act<br />

6. 1. Awareness <strong>Program</strong>me<br />

2. To create public awareness against the practice of sex selection or pre- Natal Determination of sex<br />

3. to organise workshop –interaction cum sensitization with Gynaecologist, Radiologist, proprietor of<br />

Ultra sound Clinic, Public prosecutor, Advocate etc.<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

18


S.<br />

No.<br />

TRAINING 10-11<br />

Target<br />

10-11<br />

Achiev.<br />

11-12<br />

Target<br />

1 SBA - SN 24 08 24<br />

2 SBA – ANM/ LHV 80 44 0<br />

3 BEmOC – MO 24 0 24<br />

4 CEmOC, incl. c-<br />

section – MO<br />

5 LSAS – MO 04 1 2<br />

6 MTP – MO 40 0 0<br />

7 RTI/ STI – MO 120 12 120<br />

8 RTI/ STI – SN 310 10 310<br />

9 RTI/ STI – LT<br />

10 IMNCI – ANM<br />

11 IMNCI - AWW<br />

12 F-IMNCI - MO 50 0 50<br />

13 F-IMNCI – SN<br />

14 NSSK – MO 80 80 0<br />

15 NSSK – SN 80 80 100<br />

Training<br />

S.<br />

No.<br />

TRAINING 10-11<br />

Target<br />

16 NSSK – ANM/<br />

LHV<br />

17 Lap Ster.<br />

10-11<br />

Achiev.<br />

11-12<br />

Target<br />

18 Minilap Ster. 15 0 0<br />

19 NSV 24 0 10<br />

20 IUD – MO 120 19 120<br />

21 IUD – SN 310<br />

22 IUD – ANM/<br />

LHV<br />

23 ARSH – MO<br />

24 ARSH – SN<br />

25 ARSH – ANM<br />

26 ARSH -<br />

Counsellor<br />

350 0 350<br />

60<br />

29 61<br />

27 ARSH – Prog.<br />

Mgr.<br />

* Achievement of 2010-11 is as on Nov. 2010<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

19


Training<br />

1. SBA Training of SN of 24x7 PHC<br />

2. SBA Training of AYUSH Drs of CHC and 24x7 PHC<br />

3. EmOC& LSA Training for MBBS Doctors of DHs<br />

4. BEmOC& SBA Training for MOs of 24x7<br />

5. IMEP Training of Paramedics<br />

6. Pre-service IMNCI Training for UG students, RIMS<br />

7. F-IMNCI Training for SNa& MOs<br />

8. NSSK for Staffs Nurse<br />

9. NSV Training for MBBS Doctors<br />

10.IUD Training for Sp. Drs/MBBS Drs/SNs/ANMs<br />

11.MOs on ASRH<br />

12.<strong>Program</strong> Management Training<br />

13.PGDPHM for MBBS Drs<br />

14.Mainstreaming of AYUSH for MOs/PHNs/SNs/ANMs<br />

15.PRI Training<br />

16.Blood Storage Training for MBBS Drs/lab Techs.<br />

17.Financial Training<br />

18.BECC Training<br />

25th March 2011<br />

SPIP 2011-12, MANIPUR<br />

20


Part-A: Budget<br />

Sl.No. Activity UnitCost<br />

A.1 MATERNAL HEALTH<br />

1. Janani Suraksha Yojana / JSY 284.99<br />

2. Other Maternal <strong>Health</strong> Activity 57.60<br />

Sub Total 342.59<br />

A.2 CHILD HEALTH 29.20<br />

A.3 FAMILY PLANNING 24.99<br />

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / 3.00<br />

ARSH<br />

A.5 URBAN RCH 88.32<br />

A.6 TRIBAL RCH 11.28<br />

A.7 VULNERABLE GROUPS 12.52<br />

A.8 Other RCH Activities 0.00<br />

A.9 INFRASTRUCTURE & HUMAN RESOURCES 1387.78<br />

A.10 TRAINING 175.607<br />

A.11 PROGRAMME / NRHM MANAGEMENT COSTS 649.58<br />

TOTAL 2724.867<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

21


(Rs. Lakhs)<br />

S.<br />

NO.<br />

BUDGET HEAD 2010-11<br />

BUDGET<br />

2010-11<br />

EXPENDITURE<br />

2011-12<br />

BUDGET<br />

% CHANGE<br />

OVER 2010-11<br />

1 RI strengthening project (Review<br />

meeting, Mobility support, Outreach 92.96<br />

107.38 15.5%<br />

services etc)<br />

137.30<br />

2 Salary of Contractual Staff 11.04 16.50 50%<br />

3 Training under Immunisation 13.70 -<br />

4 Cold chain maintenance 1.47 0.87 19.39 1200%<br />

5 Pulse Polio operating costs 66.75 12.66 -<br />

TOTAL IMMUNISATION 119.17 155.93<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

23


IMMUNISATION<br />

Indicators Target (10-11) Progress 10-11 Target<br />

(11-12)<br />

No. of immunisation sessions 21095 14255 21516<br />

Training of MOs 100 100 200<br />

Training of HW 400 340 400<br />

Training of cold chain handlers 50 - 50<br />

Review meetings 4 State Level 2 4-times (Qtr)<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

24


MISSION<br />

FLEXIPOOL<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

25


INFRASTRUCTURE<br />

Activity SC PHC CHC DH Others<br />

No<br />

Amou<br />

nt<br />

No<br />

Amoun<br />

t<br />

No Amount No Amou<br />

nt<br />

No<br />

Amount<br />

New<br />

Const.<br />

Upgradation<br />

16 320.32 10 434.79 - - - - - -<br />

50 391.50 7 209.50 5 190.75 - - - -<br />

• Infrastructure budget as % of total budget- 31% of Part -B<br />

• Amt. for block and below level facilities (as % of Infra Budget)- 30 %<br />

Sub-Centre rent<br />

No. of SC Amt @ Rs 250/SC/Month Amtproposed in PIP<br />

70 1750.00 2.10 Lakhs<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

26


HUMAN RESOURCE (Medical)<br />

Category<br />

Existing<br />

(in 2010-11)<br />

Proposed<br />

(in 2011-12)<br />

Unit cost<br />

proposed<br />

(Lakh)<br />

Total Amount<br />

(Rs in lakh)<br />

Specialists 11 0 5.40 59.40<br />

Doctors 63 15 3.60 280.80<br />

Ayush Doctors 93 0 2.88 267.84<br />

AyushPermacist 101 0 1.02 103.02<br />

Nurses 140 113 1.08 273.24<br />

ANMs 470 0 0.90 423.00<br />

Lab Tech 55 0 1.02 56.10<br />

Pharmacist 9 0 1.02 9.18<br />

MPWs 0 69 0.72 37.26<br />

PHN 14 0 1.32 18.48<br />

Total 956 197 18.96 1528.32<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

27


Human Resource(SPMU)<br />

Sl. No. Designation No. of Post<br />

Basic Pay<br />

(in Rs.)<br />

PBH<br />

(in Rs.)<br />

Honorarium<br />

per Month<br />

TOTAL<br />

AMOUNT<br />

(Rs. In Lakh)<br />

1 Deputy Dir (Fin) 1<br />

30000 (approx<br />

As per grade pay of 6 th including<br />

pay commission increments<br />

3.60<br />

due)<br />

2 State <strong>Program</strong> Manager 1 10000 20000 30000 3.60<br />

3 State Finance Manager 1 10000 19500 29500 3.54<br />

4 Additional State <strong>Program</strong> Manager 1 10000 15000 25000 3.00<br />

5 State Account Officer 1 8000 12000 20000 2.40<br />

6 State Engineering Consultant 1 10000 19500 29500 3.54<br />

7 State HR Consultant 1 10000 16000 26000 3.12<br />

8 State BCC/IEC Consultant 1 10000 16000 26000 3.12<br />

9 State Data Manager (HMIS) 1 10000 16000 26000 3.12<br />

10 State Statistical Assistant 1 5500 8500 14000 1.68<br />

11 Accountant 2 5500 8500 14000 3.36<br />

12 Assistant Engineer Consultant 1 5500 8500 14000 1.68<br />

12 Assistant HMIS Officer 1 5500 8500 14000 1.68<br />

13 Assistant Training Consultant 1 5500 8500 14000 1.68<br />

14 Data Entry-cum-Analyst 2 4000 4000 8000 1.92<br />

15 Steno 1 3025 4975 8000 0.96<br />

16 Office Assistant 3 3050 4950 8000 2.88<br />

17 Grade-IV 2 2000 2000 4000 0.96<br />

TOTAL 45.84<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

28


Human Resource (DPMU)<br />

Existing Staffs:<br />

Sl.<br />

No. of Basic Pay PBH Honorarium TOTAL<br />

Designation<br />

No.<br />

Post (in Rs.) (in Rs.) per Month AMOUNT<br />

1 District <strong>Program</strong> Manager 9 10000 14000 24000 25.92<br />

2 District Finance Manager 9 8000 12000 20000 21.6<br />

3 District Data Manager 9 8000 12000 20000 21.6<br />

4 Office Assistant 9 3050 4950 8000 8.64<br />

77.76<br />

Additional Proposed Staffs:<br />

Sl. No. Designation No of<br />

post<br />

Basic pay PBH Honorarium<br />

per month<br />

Total amt<br />

(Rs in Lakh)<br />

1 District Accountants 9 5500 8500 14000 15.12<br />

Total 15.12<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

29


Human Resource (BPMU)<br />

Existing Staffs:<br />

Sl. No. Designation No of<br />

post<br />

Basic<br />

pay<br />

PBH Honorarium<br />

per month<br />

Total amt<br />

(Rs in Lakh)<br />

1 BPM 36 5500 6500 15000 64.80<br />

2 BFM 36 5500 6500 14500 62.64<br />

3 BDM 36 5500 6500 14500 62.64<br />

4 PHC Accountants 46 5500 5500 14000 77.28<br />

5 Block HMIS Assistant for 36 5500 8500 14000 60.48<br />

MCTS<br />

TOTAL 327.84<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

30


Summary Budget of <strong>Program</strong>me/NRHM Management Cost<br />

FMR Code Particulars Total (Rs. In Lakhs)<br />

A11.1 Strengthening of SHS/SPMU<br />

1 Salary of SPMU 45.84<br />

2 OE of DPMU 50<br />

3 Mobility support and field visit 30<br />

Sub-Total 125.84<br />

A11.2 Strengthening DPMUs Staffs<br />

1 Salary of DPMU 92.88<br />

2 Building rent 0.72<br />

3 OE of 9 DMPU & Mobility support and field visit 49.5<br />

Sub-Total 143.10<br />

A11.3 Strengthening of Block PMU<br />

1 Salary of BPMU 327.84<br />

2 OE of BPMU 10.80<br />

3 Mobility support and field visit 18.00<br />

4 Strengthening of Tally ERP-9 3.00<br />

Sub-Total 359.64<br />

A11.4 Strengthening (others)<br />

A11.5 Audit fees 4.00<br />

A11.6 Concurrent Audit 12.00<br />

A11.7 Mobility Support to BMO/MO/Others 5.00<br />

TOTAL 649.58<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

31


ASHA<br />

25th March 2011 SPIP 2011-12, MANIPUR 32


ASHA<br />

Sr. No.<br />

Particular<br />

1 Total Number of ASHAs in the State 3878<br />

2 Population Per ASHA 542<br />

3 Drug Kits (Norm: Rs 600/Kit)<br />

Amount proposed per kit 950<br />

Total Number of Kits to be procured 3878<br />

Total Amount proposed<br />

4 Expenditure on Training (Norm: Rs 10,000 per ASHA)<br />

Total amount proposed<br />

Rs. 36.84 Lakhs<br />

153.60 Lakhs<br />

Amount proposed per ASHA Rs. 3945.00<br />

5 Total amount proposed for paying incentives Reflected correspond head<br />

6 Non monetary incentives (like uniforms, Umbrella<br />

etc) proposed for ASHA -<br />

Rs. 196.68Lakhs<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

33


Untied Funds/AMG/RKS/VHSC<br />

Facility Type<br />

/<br />

No. of<br />

facilities<br />

(As per<br />

RHS/No.<br />

Proposed in<br />

PIP)<br />

Norm/Total Amount Proposed<br />

Untied funds AMG Corpus Grant VHSC-Untied<br />

HMS/RKS Fund<br />

Total<br />

DH 8 - - Rs. 5,00,000 - Rs. 40,00,000<br />

CHC 17 Rs. 50,000 Rs. 1,00,000 Rs. 1,00,000 - Rs. 42,50,000<br />

PHC 80 Rs. 25,000 Rs. 50,000 Rs. 1,00,000 - Rs. 1,40,00,000<br />

SC 420 Rs. 10,000 Rs. 10,000 - - Rs. 84,00,000<br />

VHSC 3878 - - - Rs. 10,000 Rs. 3,87,80,000<br />

Total Rs. 6,94,30,000<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

34


MOBILE MEDICAL UNITS (MMUs)<br />

Sr. No. Indicators During 2010-11 Remark Plan for 2011-12<br />

1<br />

Frequency of Visit/Camp Twice/thrice per month Planned<br />

15 Camps per<br />

Quarterly Month<br />

2<br />

News papers, Radio, Publicity before Publicity before<br />

Advance Intimation of<br />

ANM, ASHA & Physical one month to 3 one month to 3<br />

Schedule<br />

Visit to the location. months<br />

months<br />

3 Duration of Stay and Timing of<br />

2 days & 1 night 2 day & 1 Night<br />

MMU<br />

4<br />

5<br />

6<br />

Doctors accompanying<br />

Availability of Medicine<br />

Location of MMU Camps<br />

Always<br />

Procured by district<br />

unreached, tribal, law<br />

and order prevalent<br />

and difficult areas<br />

Doctors are<br />

utilized from<br />

DH/CHC/PHC<br />

State allocated<br />

separate fund for<br />

MMU medicine<br />

7 Average distance travelled 100 Km 100 km<br />

8 Average Patients Treated 500 300 km<br />

(Pictures of <strong>Health</strong> Camps)<br />

Proposed MMU<br />

Doctors & Nurse<br />

in PIP<br />

Rs. 5 Lakhs for<br />

Valley & Rs. 7<br />

Lakhs for Hill<br />

Districts<br />

Publicity before<br />

one month to 3<br />

months<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

35


Existing Staffs:<br />

MOBILE MEDICAL UNITS (MMUs)<br />

Districts<br />

Total(Rs. in Lakh)<br />

Driver 18<br />

Monthly honorarium @ Rs. 5500/- 11.88<br />

Lab. Techs 9<br />

Monthly honorarium @ Rs. 8500/- 9.18<br />

X-ray Techs 9<br />

Monthly honorarium @ Rs. 8500/- 9.18<br />

TOTAL 30.24<br />

Additional Proposed Staffs:<br />

Districts<br />

Total(Rs. in Lakh)<br />

MBBS Doctors 9<br />

Monthly honorarium @ Rs. 30,000/- 24.3<br />

Ultrasound Techs 9<br />

Monthly honorarium @ Rs. 8500/- 6.885<br />

Staff Nurses 9<br />

Monthly honorarium @ Rs. 9000/- 7.29<br />

TOTAL 38.475<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

36


MOBILE MEDICAL UNITS (MMUs)<br />

POL, Maintenance & Drugs<br />

Sr. No. Particulars Amount in Lakh<br />

For Valley District For Hilly Districts<br />

1 Drugs 5.00 7.00<br />

2 POL & Maintenance of MMU 3.00 5.00<br />

3 Repairing & Maintenance of gadget 2.00 3.00<br />

4 Misc Expenditure/Management Cost 1.00 1.50<br />

TOTAL 11.00<br />

Per Valley District<br />

16.50<br />

Per hilly district<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

37


Research studies<br />

1. Assessment of ASHA drug kit and its refilling<br />

An assessment/study to understand the existing systems of drug distribution and<br />

refilling mechanism is proposed. This will help in taking corrective measures and<br />

streamlining the drug kit refilling mechanism. For the study 2-3 districts will be<br />

selected. Budget: Rs. 500,000/- (Rs. 5.00 Lakhs)<br />

2. JSY Evaluation<br />

As the NRHM has entered its 6years of implementation, the State proposed to<br />

conduct an evaluation of JSY so as understand the contribution of the scheme<br />

in increasing the institutional delivery, as well as various constraints and<br />

challenges that will held in taking any corrective measures in future for the<br />

further improvement of institutional delivery in the States. For the study 2-3<br />

districts will be selected. Budget- 600,000/- (Rs. 6.00 Lakhs)<br />

For both the study, state will propose agency which has been already engaged<br />

organizations/agencies having involvement in similar study like ASHA and JSY in<br />

past.<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

38


BCC/IEC<br />

Main Activities<br />

One <strong>Health</strong> Melas @ 5 lacs per district except<br />

Senapati (2 health melas) (PICTURES)<br />

Creating awareness on declining sex ratio<br />

Weekly <strong>Health</strong> ASHA <strong>Program</strong> on Radio<br />

Promotion of <strong>Health</strong> seeking behaviors in<br />

<strong>Manipur</strong>i Digital Movies<br />

Total<br />

Amount Proposed<br />

(Lakhs)<br />

Expected output<br />

50.00 10 <strong>Health</strong> Melas<br />

1.8 18 workshops<br />

3.50<br />

Weekly Radio<br />

<strong>Program</strong><br />

13.00 Target 50 Movies<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

39


NGO/PPP/Innovations<br />

Name of Initiative<br />

1.Emergency Patient<br />

Transport Services<br />

2. Intervention in Difficult,<br />

Very Difficult and<br />

Inaccessible Areas<br />

3. Pilot Project on<br />

Community HIV Counseling<br />

and Testing<br />

4. MamagiKhudol Scheme<br />

(Incentives to Mothers for 48<br />

hrs stay after delivery)<br />

5. Solar Power Plants for 5<br />

District Hospitals<br />

6. <strong>Manipur</strong> <strong>Health</strong> Help Line<br />

(MHHL)- 104<br />

7. PPP with CHSRC for<br />

EmOC, Ukhrul<br />

Amount Proposed No of Beneficiary Targeted<br />

(Rs in Lakh)<br />

163.68 15000 Patients Transport<br />

including PWs<br />

191.202 Difficult Areas – 121 Staffs<br />

Very Diff Areas – 145 Staffs<br />

Inaccesible Areas – 82 Staffs<br />

0.67 Thoubal District only<br />

81.86 16372 Mothers<br />

172.50 Chandel, Tamenglong,<br />

Ukhrulsenapati and Bishnupur<br />

Districts<br />

394.00 1,00,000 call targeted<br />

29.15 1000 PWs<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

40


DECENTRALIZED HEALTH PLANNING<br />

• State Planning Team (15 Members)<br />

• Orientation of 180 VHSCs on Village <strong>Health</strong> Plan by Block Planning Team &<br />

BPMUs<br />

• Field Study on MCH and Immunization by Districts<br />

• Family Household Survey by Village Planning Team<br />

• Facility Survey by Block Planning Team<br />

• 180 FGD held at village/community level<br />

• Development of 180 VHPs, all the Blocks and Districts HAP<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

41


DECENTRALIZED HEALTH PLANNING<br />

BOTTOM UP PLANNING STRUCTURE<br />

STATE<br />

SMD/Add. Dir (H)/ Add FW/SPOs/<br />

SPMU/PHED/WCD/Edn<br />

9 DISTRICTS<br />

DC/CMO/RKS DH/DPOs/DPMU/PHED/WCD/Edn<br />

36 BLOCKS<br />

Block HAP Committee/ SDO/ BDO/PHED/ICDS/PRI Members/<br />

RKS committees/Club leaders/ NGOs/ CBO<br />

180 VHAPS<br />

VHAP Committee<br />

(PRI Members, Village Authorities,<br />

ASHA,AWW,CBO, Club leaders, Women Assn.)<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

42


DECENTRALIZED HEALTH PLANNING<br />

• Inputs for situational analysis:<br />

• Field level data;<br />

• DHAP- 9 Nos<br />

• BHAP – 36 Nos<br />

• VHAP – 180 Nos<br />

• FGD Conducted – 180 Nos<br />

• Sources of <strong>Health</strong> Information;<br />

• DLHS-3<br />

• SRS -2009<br />

• CES - 2009<br />

• HMIS (April – November 2010)<br />

• Physical infrastructure status: DHAP & <strong>Health</strong> Directorate, Manpower<br />

status: DHAP & <strong>Health</strong> Directorate<br />

• Inputs from experts<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

43


Procurement<br />

Activity Particulars Amount<br />

(Rs in Lakh)<br />

1 Procurement of 03 radiant warmer 4.40<br />

2 Procurement of Dental Equipment 32.00<br />

3 Procurement of 02 electronics display 5.40<br />

4 Logistic Support for collection and distribution of<br />

equipment, furniture and drugs<br />

5.00<br />

5 Procurement Equipment gaps in DH Thoubal 179.72<br />

6 Procurement of one Colour Doppler Ultrasound machine 25.00<br />

7 Procurement of Shadow less Mobile Lamp 7.20<br />

8 Procurement of Labour Examination Table with Stirrup 1.20<br />

9 Procurement of one New Born Resuscitation Kit 2.74<br />

10 Procurement of 20 Solar Freeze 62.00<br />

TOTAL 324.66<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

44


Monitoring & Evaluation (M&E)<br />

1. HMIS<br />

a) Block level - facility based monthly reporting started from 1 st April 2009<br />

in local software application.<br />

b) Shifting to Block level facility based monthly reporting on HMIS portal to<br />

be started from April 2011<br />

c) Legacy data for health facilities for 2009-10 & 2010-11 to be imported<br />

to HMIS portal in June-July 2011.<br />

d) Hands-on training of district/block data staffs (tentative schedule)<br />

Bishnupur, Imphal East, Imphal West, Thoubal&Chandel 5 th – 6 th<br />

April 2011<br />

Churachandpur, Senapati, Tamenglong, Ukhrul 7 th –<br />

8 th April 2011<br />

e) Completion of Masters in HMIS portal : expected in the month of<br />

March 2011 before the training.<br />

25th March 2011 State <strong>Health</strong> Society, <strong>Manipur</strong> SPIP 2011-12<br />

45


Monitoring & Evaluation (M&E)<br />

2. Mother & Child Tracking System (MCTS)<br />

• MCTS implemented in Bishnupur district on pilot basis<br />

<strong>Health</strong> blocks under No. of Cases registered under MCTS 2010-11 through Excel<br />

Bishnupur district<br />

PW<br />

Child<br />

Nambol block 1093 1118<br />

Moirang block 927 790<br />

Bishnupur block 460 381<br />

Total 2480 2289<br />

• 393 cases of PW entered in MCTS application; Child cases yet to start<br />

due to unavailability of the Mother’s ID which is currently mandatory.<br />

• 97.22% of health facilities mapped with census villages.<br />

• 3 valley district - Thoubal, Imphal East &Imphal West to follow in April<br />

2011; Sensitization workshops at district/block/ facility level already<br />

started in these districts.<br />

• Focus on implementation of online MCTS in district HQ area in 5 hill<br />

district in mid 2011, offline MCTS in rest of the hill districts.<br />

25th March 2011 State <strong>Health</strong> Society, <strong>Manipur</strong> SPIP 2011-12<br />

46


Major Head Minor Head Budget in Rs<br />

Details<br />

(including<br />

cost per unit)<br />

Remarks<br />

1.Strengthening of<br />

M&E/HMIS/ MCH Tracking<br />

2. Procurement of HW/SW and<br />

other equipments<br />

3.Operationalising HMIS at<br />

Sub District level<br />

4.Operationalising MCH<br />

tracking<br />

Salaries of M&E, MIS & Data Entry Consultants 1.1<br />

Mobility for M & E Officers 1.2 53.28<br />

Workshops/Training on M & E 1.3<br />

60.6<br />

M&E Studies 1.4 26.28<br />

Others (specify) 1.5<br />

Hardware/Software Procurement 2.1 2.28<br />

Internet connectivity 2.2 22.50<br />

Annual Maintenance 2.3 13.80<br />

Operational Costs (consumables etc) 2.4<br />

Others (GIS & high-speed printers) 2.5<br />

Review of existing registers – to make them<br />

compatible with <strong>National</strong> HMIS<br />

3.1<br />

18.97<br />

26.40<br />

Printing of new registers/Forms 3.2 5.00<br />

Training of staff 3.3<br />

Printing and reproducing Registers/ Forms 4.1<br />

10.00<br />

Reflected at Management Cost<br />

Incorporated in M&E training<br />

Capacity building of teams 4.2 Incorporated in M&E training<br />

Ongoing review of MCH tracking activities 4.3<br />

Monitoring data collection and data quality 4.4<br />

Others (Specify) 4.5<br />

13.80<br />

Incorporated in M&E Quality<br />

Review<br />

25th March 2011 State <strong>Health</strong> Society, <strong>Manipur</strong> SPIP 2011-12<br />

47


Key Activities/Innovations<br />

1. MamagiKhudol: 48 hours PNC<br />

2. Emergency Response System for Imphal (East/West).<br />

3. Helpline Initiative.<br />

4. Solar Power Planfor all remaining 5 DHs.<br />

5. MCTS in all Valley Districts.<br />

6. Mobile phones to all ASHAs (3878).<br />

7. Record book for ASHAs.<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

48


RNTCP<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

49


State Name:- <strong>Manipur</strong><br />

RNTCP Performance Indicators:- NSP CDR/TSR<br />

Name of the<br />

district / districts<br />

DISTRICTS WITH POOR TO MODERATE PERFORMANCE<br />

NSP CDR/Treatment<br />

Success Rate (TSR)<br />

Reasons for<br />

poor<br />

performance<br />

Proposed<br />

solutions/<br />

Activities in PIP<br />

Constraints<br />

Bishnupur 100% / 92% 1. Less ACSM Increase ACSM No 2 nd MO<br />

Chandel 65% / 83%<br />

in all districts and Placement of<br />

level<br />

2 nd MO<br />

Do<br />

Churachandpur 25% / 90% 2. No 2 nd MO<br />

Do<br />

(Except<br />

Imphal East 59% / 86% -<br />

Imphal West<br />

Imphal West 64% / 92% and Imphal<br />

-<br />

Senapati 31% / 81% East).<br />

No 2 nd MO<br />

Tamenglong 61% / 90% Do<br />

Thoubal 47% / 83% Do<br />

Ukhrul 30% / 75% do<br />

State 53% / 87%<br />

•Poor Performance Districts NSP CDR


STATUS OF IRL AND DOTS PLUS<br />

Districts Implementing DOTS Plus /<br />

Proposed<br />

Status of IRL and services offered DOTS Plus Site No of<br />

Patients<br />

proposed<br />

to Put on<br />

DOTS<br />

Plus<br />

(2011-12)<br />

Human Resource<br />

status for DOTS<br />

Plus<br />

Districts already<br />

implementing<br />

Districts<br />

proposed for<br />

2011-12<br />

Solid<br />

Culture<br />

Liquid<br />

culture<br />

LPA<br />

Imphal East and<br />

Imphal West<br />

7 districts March<br />

2011<br />

4Q 2011 1Q2012 1. Under Process<br />

at JNIMS.<br />

2. Churachandpur<br />

Hospital (purpose)<br />

<strong>Manipur</strong>,<br />

Nagaland<br />

and<br />

Mizoram<br />

13<br />

Patients<br />

each. Total<br />

39 patients<br />

*5 Master<br />

Trainers have<br />

been trained in<br />

DOTS Plus<br />

*Appointment of<br />

MO, SA and TB-<br />

HIV (Contractual)<br />

under process<br />

* 4 master<br />

trainers are going<br />

to be trained from<br />

28 th March to 1 st<br />

April 2011 at<br />

Hyderabad


PROPOSED<br />

Sl.<br />

No.<br />

Budget heads<br />

Proposed Budget<br />

Amount proposed<br />

(INR in lacs)<br />

Amount Approved<br />

(INR in lacs)<br />

Remarks<br />

1 Civil works 2155000<br />

2. Laboratory materials 1000000<br />

3. Honorarium 1500000<br />

4. IEC/ Publicity 1876800<br />

5. Equipment maintenance 800000<br />

6. Training 1515860<br />

7. Vehicle maintenance 2860000<br />

8. Vehicle hiring 1208000<br />

9. NGO/PP support 2530000<br />

10. Miscellaneous 2000000<br />

11. Contractual services 17109300<br />

12. Printing 700000<br />

13. Research and studies 20000<br />

14. Medical Colleges 300000<br />

15. Procurement – vehicles 1877000<br />

16. Procurement-equipment 1112000<br />

17. Tribal Action Plan<br />

Total 38563960


• Note:-1. Up-gradation of DOT plus including airborne infection control<br />

measures at JNIMS and Churachandpur District Hospital :- Rs. 20,00,000.00.<br />

<strong>Manipur</strong> is hilly Tarrant the valley is only 1/10 of the total area of <strong>Manipur</strong>, so<br />

we need another DOT PLUS Site in the hilly area CCpur is the biggest hilly<br />

district in the <strong>Manipur</strong>.<br />

• Note 2. The DTC of Chandel District have been dismantle 80% of the previous<br />

building due to the need of areas for the construction of District Hospital, it<br />

need up-gradation and DTC Imphal East located at JINMS presently, is now to<br />

be shifted to the new place allotted by the Govt. of <strong>Manipur</strong> also need upgradation.<br />

• Note 3. DMC for the new medical College at JINMS:- Staff for approval 1<br />

MO, 1STLS, 1LT and 1 TBHV and required budget is included in the<br />

Contractual Service.<br />

• Note 4. Out of the 9 district 3 hill district and 2 valley is approved but the<br />

other remaining district i.eSenapati , Ukhrul in hilly district and Imphal west in<br />

valley have also same condition of the vehicles and matter may kindly be<br />

treated as compulsory.


NVBDCP<br />

25th March 2011 SPIP 2011-12, MANIPUR 54


ABER (Minimum 10%)<br />

NVBDCP<br />

<strong>National</strong> Vector Borne Disease Control <strong>Program</strong>me : State of MANIPUR<br />

A. Performance of VBD activities<br />

Issues Status Action to be taken<br />

Name of Districts with less than<br />

10% ABER All 10 Districts<br />

• Involvement of ASHAs,<br />

Community volunteers<br />

• Motivation & re-orientation<br />

training of MPW(Regular)<br />

No. of Sentinel Surveillance Hospitals (SSH) for<br />

Dengue, Chikungunya and J.E.<br />

No. of SSH established No. of SSH functional 1<br />

No. of new SSH identified -1 No. of new SSH functional 1 To be made functional in April<br />

Human Resource vacancy<br />

Regular Staff<br />

District Malaria Officers 10 3 DMOs are to be trained<br />

Multi Purpose Workers (Male) 274<br />

Laboratory Technicians 202<br />

Contractual Staff<br />

Multi Purpose Workers (Male) 100 + 65 Recruitment under process<br />

Laboratory Technicians 12<br />

State Consultants 0<br />

District VBD Consultants 0 10 after GFATM Round 9<br />

Malaria Technical Supervisors 14 Additional 13 after GFATM Round 9<br />

Kala-azar Technical Supervisors 0<br />

Status of training of ASHAs<br />

No. of ASHAs engaged 3878<br />

No. of ASHAs trained in use of RDT and ACT 3386 492 training to be undertaken<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

55


NVBDCP<br />

<strong>National</strong> Vector Borne Disease Control <strong>Program</strong>me : State of MANIPUR<br />

B. Financial requirement for NVBDCP (Rs. in Lakhs)<br />

S. Diseases<br />

Funds approved in Funds required 2011-12 Funds required 2011-12<br />

No.<br />

ROP 2010-11 as per original PIP as per revised PIP<br />

1 Malaria<br />

1.1 Malaria (DBS) 204.00 489.92 501.40<br />

1.2 Malaria (World Bank)<br />

1.3 Malaria (GFATM) 180.00 580.69 588.49<br />

2 Kala-azar<br />

2.1 Kala-azar (DBS)<br />

2.2 Kala-azar (World Bank)<br />

3 Dengue 5.00 5.00 9.00<br />

4 Chikungunya<br />

5 AES including JE 5.00 5.00 9.00<br />

6 Lymphatic Filariasis<br />

7 Decentralized commodities 2.63 79.97 91.40<br />

Total grant-in-aid under NVBDCP: 550.78 1160.58 1199.29<br />

NRHM Additionality 20.00 411.80 411.80<br />

Grand Total 570.78 1572.38 1611.09<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

56


NLEP<br />

25th March 2011 SPIP 2011-12, MANIPUR 57


NLEP<br />

1. Physical Achievements 2010-11<br />

No. of Newly detected cases is 24 (13P.B. & 11M.B)<br />

No. of Discharged cases is 26 (16 P.B & 10M.B)<br />

No. of under treatment cases(as on 1 st March 2011) is 16 (4 P.B & 12 M.B)<br />

2. Special Achievements 2010-11<br />

•Proposals have been sent to Central Leprosy Division (CLD)for Reconstructive<br />

Surgery (RCS) of Person Affected by Leprosy (PALs). Department of Physical<br />

Medicine and Rehabilitation (PMR), RIMS, Imphal have been approved by<br />

CLD, GOI in month of Dec. 2010. Two reconstructive surgery have been<br />

conducted successfully with financial support of NLEP <strong>Manipur</strong> as per GOI<br />

guideline.<br />

•A self care group (SCG) of PALs have been formed at Lei-<br />

IngkholChingmeirong as per guideline. Two self care practices training have<br />

also been given to this SCG as per guideline.<br />

•<strong>National</strong> Sample Survey (NSS) have been completed in two District-<br />

Churachandpur and Imphal-East.<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

58


NLEP: Budget<br />

Sl.No. Activities Proposed Amount Proposed<br />

1. Contractual Services:<br />

1.1 State<br />

1.2 District<br />

2. Services through ASHA:<br />

2.1 Incentive to ASHA.<br />

2.2 Sensitization of ASHA.<br />

Total= Rs.11,76,000.00<br />

Rs. 5,28,000.00<br />

Rs. 6,48,000.00<br />

Rs.15,400.00<br />

Rs.90,000.00<br />

Total= Rs.1,05,000.00<br />

3. Office Expenses & Consumable Rs.3,49,000.00<br />

4. Capacity Building (Training)<br />

4.1<br />

4.2<br />

4.3<br />

2 days refresher training of MO.<br />

2 days refresher training of HW/HS.<br />

5 days training for Lab. Technicians.<br />

5. Behavioral Change Communication (IEC)<br />

5.1 Mass Media<br />

5.2 Outdoor Media<br />

5.3 <strong>Rural</strong> Media<br />

5.4 Advocacy<br />

Total= Rs.4,52,250.00<br />

Rs.2,00,000.00<br />

Rs.1,75,000.00<br />

Rs. 77,250.00<br />

Rs. 40,000.00<br />

Rs.5,69,000.00<br />

Rs.3,02,000.00<br />

Rs.3,05,000.00<br />

Total= Rs.12,16,000.00<br />

6. POL/Vehicle Operation & Hiring Rs. 7,32,000.00<br />

7. DPMR Rs. 3,70,000.00<br />

8. Material & Supplies Rs. 2,49,000.00<br />

9. Urban Leprosy Control Rs. 50,000.00<br />

10. NGO-SET Scheme Rs. 00.00<br />

11. Supervision, Monitoring & Review Rs. 98,400.00<br />

12. Cash Assistance Rs, 2,00,000.00<br />

Grand Total= Rs.49,97,650.00<br />

(Rupees forty nine lakh ninety seven thousand six hundred fifty) only<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

59


NIDDCP<br />

25th March 2011 SPIP 2011-12, MANIPUR 60


NIDDCP<br />

Sl. Activities 2010-11<br />

(Rs. in lakh)<br />

1. Survey of Goitre prevalence and to estimate the percentage of 9.0<br />

household having access to iodised salt<br />

2. Study to determine iodine deficiency in the population through 0.50<br />

analysis of iodine content in iodised salt and UIE and<br />

maintenance of laboratory.<br />

3. a) Sate Level meeting, Sensitization Society at District Level, 22.0<br />

School <strong>Health</strong> Survey, Printing on IDD, etc.<br />

b) State & District Level meeting, Training of Trainers Supervisors 12.0<br />

of Social Welfare Dept. & Medical Dept., Teaches Male and<br />

Female <strong>Health</strong> Workers, etc. Capacity building, Observance of<br />

Global prevention on IDD etc.<br />

4. Survey and resurvey 2.5<br />

5. Maintenance of IDD cell, Contingencies 4.5<br />

Total 50.50<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

61


IDSP<br />

25th March 2011 SPIP 2011-12, MANIPUR 62


IDSP<br />

Sl. No. Activity Unit cost Physical Targets Required fund<br />

under NRHM<br />

V<br />

IDSP<br />

1 Operational Cost<br />

1.1 Mobility support 140000+60000 1+11 8,00,000/-<br />

1.2 Lab Consumables 45000+20000 1+7 1,85,000/-<br />

1.3 Review Meetings 80000 1 80,000/-<br />

1.4 Field visits 30000 11 3,30,000/-<br />

1.5 Formats and reports 1,20,000+15,000+15000 1+11+11 4,50,000/-<br />

1.6 Office expenses 85000+30000 1+11 4,15,000/-<br />

1.7 Broadband Exenses 20000 12 2,40,000/-<br />

1.8 ASHA incentives 120*150 9 1,62,000<br />

1.9 Misc including contingency 85000+30000 1+11 4,15,000/-<br />

2 Human Resources<br />

2.1 Remuneration of<br />

Epidemiologists<br />

30000 10 36,00,000/-<br />

2.2 Remuneration of<br />

30000 2 7,20,000/-<br />

Microbiologists<br />

2.3 Remuneration of<br />

15000 1 1,80,000/-<br />

Entomologist<br />

3 Consultant<br />

3.1 Consultant Finance 14000 1 1,68,000/-<br />

3.2 Consultant Training 28000 1 3,36,000/-<br />

3.3 Data Managers 14000+13500 1+9 16,26,000/-<br />

3.4 Data Entry Operators 8500 12 12,24,000/-<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

63


IDSP Contd…<br />

Sl. No. Activity Unit cost Physical<br />

Targets<br />

Required fund<br />

under NRHM<br />

4 Procurements<br />

4.1 ICT Equipments for DSU<br />

1 3,55,876/-<br />

Senapati<br />

4.2 Computers for SSU 60000+30000 2+2 1,80,000/-<br />

4.3 Generator 25000 10 2,50,000/-<br />

4.4 Xerox Machine for SSU 90000 1 90,000/-<br />

4.5 AC for SSU 35000 1 35,000/-<br />

4.6 Fax for DSU & MC 15000 11 1,65,000/-<br />

4.7 Procurements – Drugs and 200000 1 2,00,000/-<br />

Supplies (Priority District lab.<br />

Churachandpur)<br />

7 Innovations/PPP/NGOs Newspaper & Mobile Recharger<br />

4,11,040/-<br />

coupon for ASHA<br />

8 Training Training for Doctors, Pharmacist,<br />

22,30,000/-<br />

Nurses, Data Manager, DEO, Lab.<br />

Technician, <strong>Health</strong> Workers<br />

9 District lab Developing one model lab per<br />

2,77,64,000/-<br />

district for diagnosis of epidemic<br />

prone disease<br />

Grand Total 4,26,11,916/-<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

64


NPPCD<br />

25th March 2011 SPIP 2011-12, MANIPUR 65


NPPCD<br />

S.No. Component Nature of Expenses Total Amount<br />

1 Training One time Expenditure<br />

1. Training of the doctors at the Primary<br />

<strong>Health</strong> Centre and Community <strong>Health</strong><br />

Centre<br />

2. Training of Public <strong>Health</strong> Nurses, Multi<br />

Purpose Workers male and female (ANMs),<br />

Anganwadi Supervisors (AWW Supervisor)<br />

and ChildDevelopment Project Officers<br />

(CDPO) (For one day)<br />

Rs. 45,700.00x4<br />

Rs. 6600x8<br />

Rs. 3350x30<br />

Rs. 1,82800/-<br />

Rs. 52800/-<br />

Rs. 100500/-<br />

3.Training of <strong>Health</strong> workers at Grass root<br />

level: Anganwadi workers (AWW), ASHAs,<br />

TBAs:<br />

Rs. 5375.00x90<br />

Rs. 483750/-<br />

4. Training of the Primary School teachers<br />

and Parents of Hearing/Speech impaired<br />

children at the village level:<br />

Sub Total: Rs. 819850/-<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

66


NPPCD Contd…<br />

S.No. Component Nature of<br />

Expenses<br />

2. Capacity Building PHCs/CHCs & District One time<br />

Hospitals ( Rs 9.5 lakh per district hospital Expenditure<br />

and Rs 10000/- per CHC and PHC of the<br />

selected/proposed district)<br />

3. Manpower at district level<br />

(Audiometric assistant & Instructor for<br />

hearing Impaired)<br />

(@ Rs 7500/- per person for 2 contractual<br />

person)<br />

4. Screening Camps (Rs. 10,000/- per camp<br />

per month per district)<br />

Recurring<br />

expenditure<br />

Recurring<br />

expenditure<br />

Rs 9.5 lakh X no of<br />

Dist.(6)<br />

+<br />

Rs 10000 X total No of<br />

CHC and PHC in<br />

proposed dist.<br />

Rs 180000 x no of Dist.<br />

7500X2X12X6=1,08,00,0<br />

0/-<br />

Rs. 1,080,000.00/-<br />

Rs 120000 x no of Dist.<br />

10000X6X8months=600,<br />

000/-<br />

Total Amount<br />

Rs. 5,700,000/-<br />

Rs. 300,000(6CHC)<br />

(24 PHC)<br />

Tot: Rs. 6,000,000/-<br />

10000X6X8= Rs.<br />

480,000/-(8 months)<br />

5. Hearing Aids 200 HI per district per year (Rs Recurring Rs 486600 X no of Dist. Rs. 2,919,600.00/-<br />

4,86,600/- per district for 200 hearing aids) expenditure 486600X6=2,919600/-<br />

6. Central Cell at state level Recurring<br />

Rs 5.72 lakh Rs. 572000/-<br />

expenditure<br />

7. Misc. & Contingency Recurring<br />

Rs 10000/- Rs. 10,000.00/-<br />

expenditure<br />

TOTAL Rs. 11,881450/-<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

67


NPCB<br />

25th March 2011 SPIP 2011-12, MANIPUR 68


NPCB<br />

Sl.No. Strategy Activities Target Time Line<br />

Total Amt.<br />

in Lacs<br />

A Catop 4000 1-4Q Rs 80,00,000.00<br />

B GIA to NGO’s Expandable Eye Care 2(two) 1-4Q Rs 60,00,000.00<br />

C<br />

Infrastructure<br />

Strengthening<br />

Eye Wing & O.T. 3 (three) 1-4Q Rs 2,25,00,000.00<br />

District Hospital 1 1-4Q Rs 20,00,000.00<br />

Vision Centre 10 1-4Q Rs 5,00,000.00<br />

Mobile Ophth. Unit with<br />

Tele Network<br />

1 1-4Q Rs 60,00,000.00<br />

Eye Bank 2 1-4Q Rs 30,00,000.00<br />

Eye Donation Centre 2 1-4Q Rs 2,00,000.00<br />

Eye Donation 1-4Q Rs 1,10,000.00<br />

D SES 70000 1-4Q Rs 8,00,000.00<br />

E Other Eye Diseases 1-4Q Rs 2,00,000.00<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

69


NPCB Contd…<br />

Sl.No. Strategy Activities Target Time Line<br />

Total Amt.<br />

in Lacs<br />

F Training MO Training 60 1-4Q Rs 1,50,000.00<br />

PMOA Training 39 1-4Q Rs 70,000.00<br />

Ophth Nurse 15 1-4Q Rs 90,000.00<br />

ASHA/HW Training 2000 1-4Q Rs 5,00,000.00<br />

Teachers Training 1300 1-4Q Rs 3,00,000.00<br />

G IEC Eye Donation Forthnigt 3Q Rs 9,00,000.00<br />

World Sight Day 1-4Q Rs 20,00,000.00<br />

Awarness <strong>Program</strong> 1-4Q Rs 20,00,000.00<br />

H Salary<br />

Mobile Opth. Unit, D/H Eye<br />

Manpower Bank, V.C’s, SBCS<br />

1-4Q Rs 26,08,000.00<br />

I Contingency &<br />

SBCS<br />

1-4Q Rs 7,00,000.00<br />

Honorarium<br />

BDCS<br />

1-4Q Rs 20,00,000.00<br />

J Opthalmic District Hospitals, CHCs, State<br />

Equipments Hospital<br />

1-4Q Rs 80,00,000.00<br />

TOTAL Rs 6,86,28,000.00<br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

70


Mental <strong>Health</strong><br />

25th March 2011 SPIP 2011-12, MANIPUR<br />

71


Functional head wise summary of PIP<br />

S. No Main Heads<br />

BudgetAmount<br />

(Rs in Lakh)<br />

1 HumanResources 2103.342<br />

2 Training 925.898<br />

3 Infrastructure 1932.47<br />

4 Procurement 324.66<br />

5 IEC/BCC 156.9<br />

6 Untied funds 576.25<br />

7 ASHA 387.12<br />

8 RKS 421.99<br />

9 JSY 284.99<br />

10 Sterilization 24.99<br />

11 Referral Transport 66<br />

12 Other RCH Activities 91.32<br />

13 Vulnerable Group 23.80<br />

14 Other <strong>Mission</strong> activities 1819.855<br />

15 PPP/NGO 29.15<br />

16 OperationalCost (NDCPs) 471.91<br />

17 Financialaid/grant toInstitutions (NDCPs) 0.00<br />

25th March 2011 SPIP 2011-12, MANIPUR 72


SPIP 2011-12: SUMMARY BUDGET<br />

Part<br />

Amount (Rs in Lakh)<br />

A RCH FLEXI POOL 2724.867<br />

B NRHM FLEXI POOL 6164.99<br />

C IMMUNIZATION 155.93<br />

D DISEASE CONTROL PROGRAM<br />

1. NVBDCP 1160.582<br />

2. RNTCP 385.64<br />

3. IDSP 426.12<br />

4. NPCB 686.28<br />

5. NLEP 49.98<br />

6. NIPPCD 118.82<br />

7. NIDDCP 50.50<br />

Part-D Total 2877.922<br />

E INTER-SECTORAL CONVERGENCE 0.00<br />

TOTAL 11923.709<br />

Central Share (Rs in Lakh)<br />

15% State Share (Rs in Lakh)<br />

10368.44 1555.27<br />

25th March 2011 SPIP 2011-12, MANIPUR 73


THANK YOU<br />

State <strong>Health</strong> Society<br />

Department of <strong>Health</strong> & Family Welfare<br />

Govt. of <strong>Manipur</strong>

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