West Bengal State Health and Family Welfare Samiti

West Bengal State Health and Family Welfare Samiti

Resource Envelop of State 2010-11
Total Financial Requirements projected in
PIP of 2011-12
Cumulative Outstanding State Share
Contribution
Proposed % increase in State Health Budget
in 2011-12 over 2010-11
Additional funding from other sources for
Health (Apart from NRHM funds and State
Health Budget)
Rs.1291.29 Cr.
Rs.1296.48 Cr.
Rs.90.07 Cr.
21.72%
Rs.46.78 Cr.
(NACO)

Rs. in Crore
Scheme/Programme
Proposed
Budget
Likely uncommitted
Unspent balance
available as on 1.4.2011
Resource
Envelop under
NRHM
RCH Flexipool 235.93 138.82 97.11
MRHM Mission Flexipool 737.69 53.64 684.05
Routine Immunisation 24.93 4.1 20.83
NVBDCP 28.82 0.74 28.08
RNTCP 23.84 0 23.84
NPCB 16.72 11.44 5.28
NIDDCP 0.25 0 0.25
IDSP 2.60 1.88 0.72
NLEP 2.58 0.56 2.02
NMHP 2.33 0 2.33
PPI Operational Cost 19.05 19.05
Director & Admn. (Treasury) 201.74 201.74
15% State share 191.52
15% over and above GoI resource
envelope for purpose of PIP approval
162.80
GRAND TOTAL 1296.48 1439.62
Committed Unspent balance up to 2010-11 to be revalidated in 2011-12 351.92

Sl.
No.
Budget head 2010-11
Budget
2010-11
Expenditure
(Feb 2011)
2011-12
Budget
% Change Over
2010-11
1 MATERNAL HEALTH(excluding JSY) 4913.39 1984.72 2399.93 -51.2
2 CHILD HEALTH 5074.2 631.24 4356.06 -14.2
3
FAMILY PLANNING (Excluding
sterilization compensation related
activities)
178.47 53.04 503.11 181.9
4 ARSH 12.6 18.39 1016.02 7963.7
5 URBAN RCH 58 668.44 1052.5
6 TRIBAL RCH 407.75 103.82 706.00 73.1
7 VULNERABLE GROUPS 299.32 204.55 255.00 -14.8
8 INNOVATIONS/ PPP/ NGO 944.5 50.75 609.00 -35.5
9 INFRASTRUCTURE & HR 2098.89 1067.92 1746.68 -16.8
10 INSTITUTIONAL STRENGTHENING 783.55 280.38 980.08 25.1
11 TRAINING 1572.89 223.11 1843.10 17.2
12 IEC/ BCC 450 37.17 328.60 -27.0
13 PROCUREMENT 225 1.8
14 PROGRAMME MANAGEMENT 128.78 218.86
Rs. in Lakh
Budgeted under NRHM
15 JSY 4330.01 4510.73 4754.15 9.8
16 STERILISATION COMPENSATION, ETC. 4071.26 1659.55 3426.97 -15.8
TOTAL RCH II 25548.6 11046.03 23593.14 -7.7

Indicator Target WB India
MMR

80
70
69.5
60
50
40
30
20
10
43
49.2
0
NFHS-III DLHS-III CES 2009

36
36
28
32
37
31
39
26
35
38
31
31
28
33
39
28.6
23
48.4
60
50
40
30
20
10
0
2005-06 2006-07 2007-08 2008-09 2009-10 2010-11
(up to Jan 11)
Before Delivery During Delivery within 6 weeks of Delivery
Source :HMIS,WB

40
38 38
37
35
35
30
30
28 28
25
20
23
20
23
26
21
15
10
8
10 9
9
5
0
2005 2006 2007 2008
Infant Mortality Neo Natal Mortality Post Neonatal Mortality Early Neo Natal Mortality
Source : Sample Registration Survey

10-11
26.3
41.0
14.7
18.0
09-10
30.2
36.8
13.5
19.5
08-09
24.6
38.6
16.2
20.6
07-08
8.4
53.0
16.3
22.3
0.0 20.0 40.0 60.0 80.0 100.0
Within 24 hrs 1 day- 7 days 1 week - 1 month 1 month - below 1 year
Source :HMIS,WB

90
80
Percentage of ELA achieved-Sterilization
84.92
77.9
74.7
70
60
50
40
30
55.34
41.15
49.32
20
10
0
2005-06 2006-07 2007-08 2008-09 2009-10 2010-11
(Jan'11)
Source :HMIS,WB

100
90
80
70
60
50
40
30
20
10
75.95
Percentage of ELA achieved-IUCD
90.5
86.1
73.2
44.3
64.67
0
2005-06 2006-07 2007-08 2008-09 2009-10 2010-11
(Jan'11)
Source :HMIS,WB

104.86
96
86.14
82.37
80.76
94.85
83.9
91.1
72
91.3
74.71
82.74
120
Percentage of ELA achieved(CC & OP)
100
80
60
40
20
0
CC UserOP UserCC UserOP UserCC UserOP UserCC UserOP UserCC UserOP UserCC UserOP User
2005-06 2006-07 2007-08 2008-09 2009-10 2010-11
(Jan'11)
Source :HMIS,WB

Rs. in Lakh
Home
Delivery
Inst. Delivery
– Rural
Inst. Delivery
– Urban
C-sections
ASHA
incentive
Admin.
Costs
Target
‘10-11
Achievement
‘10-11
(till Dec)
Proposed
‘11-12
154798 258422 170274
Budget
‘10-11
Exp. ‘10-
11
(till Dec)
Budget
‘11-12
851.37
428179 252040 470999 3296.99
4330.01 4510.73
64079 37982 70489 422.93
Included
in ASHA
package
182.85

Service Overview
Sl.
No.
Indicator Expected /
planned in 2010-
2011
Reported
(Up to Jan
2011)
% Achiev.
(Upto Jan 2011)
1 Institutional delivery (Total
delivery in State:
1704030)
1192821 (70% of
total delivery)
884954 74.19
2 Full immunisation 1671626 1096302 65.6
3 Sterilisation 387489 186664 49.31
4 IUD insertion 96080 62131 64.67
‣ No. of beneficiaries verified by officers at various levels (‘10-11 till Dec)- 8 to 10 % verified
‣ Mode of payment to beneficiaries -cash
‣ What grievance redressal mechanisms are in place- grievance registers as well as
grievance/suggestion boxes are in place where beneficiaries/service receivers can
write/drop their comments which are subsequently addressed by the concerned
authority.
‣ No. of private facilities accredited – current (131) and planned –additional 19
‣ No. of deliveries in private accredited facilities (‘10-11 till Dec) - 15564
‣ Review of private accredited facilities planned in 2011-12

Facility
Cumulative
target (2012)
Cum.
Progress
till Mar ‘11
Incremental
Target
(10-11)
Progress
10-11
till Mar’11
Incr. Target
(11-12)
FRU – DH 16 +4* 16 +4* 0 0 0
FRU – SDH, etc. 65 62 0 0 3
FRU – CHC 47 12 15 2 35
24x7 FACILITIES 294 248 0 0 46
Sub-centres conducting
deliveries, with adequate
infrastructure, incl. LR
80 42 0 0 38
Sub-district facilities providing
safe abortion services
Sub-district facilities providing
RTI/ STI services
528 80 100 0 242
1344 145 1299 100 1199
* MCHs in Bankura , Bardhaman, North Bengal & Medinipur functions as FRU at Dist level. Siliguri SDH functions
as Dist Hospital
• Key bottlenecks in operationalisation :
• Lack of required number of skilled manpower/specialists/Trained MOs
• Delay in Procurement process
• Key steps proposed
– Specialists to be hired/recruited and to be posted at FRUs
– Rational deployment of skilled manpower

• Whether training completed upto block level
– To be initiated in April 2011
• No. of maternal deaths reported in 10-11
– 1699 (Up to January 2011)
• No. of maternal deaths analysed in 10-11
– Process initiated
• Timing of Maternal Death
– Before Delivery – 28.7%
– During Delivery – 23%
– Within 6 weeks of delivery – 48.3%

Facility
Cumulative
target (2012)
Cum.
progress
till Mar ‘11
Incremental
Target (10-11)
Progress
10-11 till
Mar’11
Incremental
Target (11-
12)
SNCU – DH/SDH 40 6 24 1 10
NBSU – SDH,
CHC, etc.
NBCC – DH, SDH,
CHC, PHC, etc.
NBCC – Subcentre
368 100 44 5 224
671 105 520 - 46
- - - - -
NRC 26 6 - 6 20
• Key bottlenecks in operationalisation
−
Shortage of Space for Setting up of SNCUs and procurement of equipment
• No. of districts implementing IMNCI
– current(10) and planned(remaining eight).
– No. of districts where training is saturated- One district (Purulia)
• Plan for HBNC, including incentives to ASHAs
−
Visit of New born (during PNC ) incorporated in revised ASHA comprehensive incentive package.
6 th & 7 th module training initiated in 2 districts
• Status of implementation of Joint MCH card
– Implemented from 1 st April 2011

Fixed Day Static FP
Services
DH & SDH providing Lap
ster. services
DH & SDH providing
Minilap ster. services
DH & SDH providing NSV
services
CHC & PHC providing
Minilap services
CHC & PHC providing
NSV services
Cum.
target
(2012)
Cum.
progress
till Mar
’11
Incremental
Target
(10-11)
Progress
10-11
till Mar’11
Incr.
Target
(11-12)
60 49 On going On going 11
77 63 On going On going 14
26 26 0 0 0
349 349 0 0 0
330 330 0 0 0

• Key issues in operationalisation of FDS services
– All health facilities of West Bengal are having Fixed Day strategy for providing FP
services.
• Post partum FP services
– Post partum sterilisations- 9.4 % of total sterilisations
– Plan for conversion of institutional deliveries to PP sterilisation
- 30% of the institutional delivery of women having at least two living
children.
• State is also giving emphasis on PP IUCD services
– Steps to increase pool of Minilap trained providers
» Additional manpower will be trained per unit
» Post training service utilization will be monitored.
– 45 accredited private and NGO facilities are providing FP services
– Total number of sterilisations at such centres
» On an average 20-25 cases are being conducted per month/facility.

Progress of IUCD training
‣ State TOTs for district trainers have been completed
for all districts.
‣ 50% of District TOT for block trainers have also been
completed till Dec 2010.
‣ Around 22 % of frontline workers have been trained
till Dec 2010.
Note :State had shortage of ZOE models which have been replenished only in Jan’2011.
‣ January 2011 onwards the pace of IUCD training has
increased.

Facility
Target
10-11
Progress
10-11
Target
11-12
AFHS clinic – DH 15 +3 15 3
AFHS clinic – SDH, etc.
AFHS clinic : CHC (1 in each
block)
341 341 -
AFHS clinic – PHC
Districts covered under SHP 18 18 1
Schools covered 8552 6840 1712
Students covered 3092026 1720620 4823645
Students given IFA/ de-worming
tablets
3092026 1720620 4823645
• Key bottlenecks in operationalisation of AFHS clinics and SHP coverage :
– Retention of manpower at AFHS clinics.
– Lack of IEC on AFHS at State and National level to promote demand for service.
– Involvement of key stakeholders of various department at various level.
– HMIS related to AFHS.
• Key steps proposed :
– Adolescent friendly Set up to be established
– Promotional activities for AFHS at all levels.
– Policy advocacy and common understanding (inter departmental)
– Online software based data entry up to block level.

‣ Strengthening Facility based services
– PP units: 80 (78 Govt + 2 Pvt)
– UFWCs: 17
– Setting up Urban Health Centers (UHC) in 121 municipalities
– Human resource
» One Medical Officer (Contractual part-time basis @ Rs.18000/m) for
municipalities having 30000 or more population .
» One full time contractual Staff Nurse ( Salary - @ Rs. 11380/m) - for each 30000
population under municipality.
‣ Strengthening outreach services through UHCs
‣ Subsidy to Maternity Homes run by Municipalities for institutional
deliveries
‣ JSY for Urban BPL/SC/ST pregnant mother.
‣ Promotional activities through IEC/IPC for urban poor
‣ Capacity Building of Service Provider
‣ Structured reporting mechanism for Urban RCH services has already
been designed.

Target Districts : Jalpaiguri, Paschim Medinipur, Bankura, Purulia,
Birbhum, Dakshin Dinajpur
Promotional activities :
– Strengthening Community based Organization for creating enabling
environment at tribal pockets.
– IEC campaigning on different RCH issues for promotion of utilization of RCH
services at govt health facilities and healthy practice.
Preventive & Curative activities
– Conduct outreach service camps at underserved/ un-served pockets of tribal
belts to deliver RCH services including immunization, ANC, PNC, distribution
of FP methods, counselling on various issues and provide medicine free of
cost.
– Treatment of patients according to standard treatment guideline
– Referral linkage with higher tier facility for curative service and follow up
Inter sectoral coordination for proper implementation of these
activities.

‣ Target group and areas : people living in remote and
inaccessible delta regions of Sunderban, North 24
Parganas and South 24 Parganas and tea garden
areas of Dooars region of West Bengal.
‣ Operationalisation of community based Delivery
centres for institutional delivery .
‣ At present,12 Community Delivery Centres (CDC) are
in operation.
‣ Total delivery conducted in these CDC = 2038 (April-
Dec’10)

State and district level Nodal officer has been identified.
West Bengal Women Commission is acting as technical committees to
continue their support at different level in this domain.
PNDT cell is already in situ at State and district level.
HMIS format may be redesigned for monitoring of Sex ratio at birth, both
first and second order. Birth audit for pregnant women undergoing U.S.G
has been undertaken .
IEC campaign through various channels for “save the girl child” are
already in place.
State is organising sensitization workshops/meets on declining child sex
ratio, gender, sex selection and PC&PNDT Act of MO, USG clinic owner
and other stakeholders regularly .
Members of State and district inspection and monitoring committees are
visiting USG clinics to enforce the PC&PNDT Act periodically.

Sl.
No.
Training 10-11
Target
10-11
Achievement
11-12
Target
1 SBA - SN 1440 726 1616
2 SBA – ANM/ LHV 148
3 BEmOC – MO 480 15 432
4 CEmOC, incl. c-section – MO 24 4 24
5 LSAS – MO 32 8 16
6 MTP – MO 174 41 264
7 MTP-SN 102 36 244
8 RTI/ STI – MO 2035 558 0
9 RTI/ STI – SN 5325 1305 0
10 RTI/ STI – LT 0 0 630
11 IMNCI – ANM 12480 1883 6336
12 IMNCI - AWW 80
13 F-IMNCI - MO 60 0 96
14 F-IMNCI – SN 0
15 NSSK – MO 500 142 2464
16 NSSK – SN 1000 62

Sl.
No.
Training 10-11
Target
10-11
Achievement
11-12
Target
17 NSSK – ANM/ LHV
18 Lap Ster. 30 8 20
19 Minilap Ster. 500 142 390
20 NSV 700 169 600
21 IUD – MO 469 197 669
22 IUD – SN 871 275 671
23 IUD – ANM/ LHV 10100 2746 8020
24 ARSH – MO 420
25 ARSH – SN 125
26 ARSH – ANM 0
27 ARSH - Counsellor 100
28 ARSH – Programme Mgr. 0

‣ State and Districts have adequate no of training sites for
conducting various trainings under RCH.
‣ Trainers for each training programme are also available
except IMNCI ( initiatives taken for involving Freelance
trainers in IMNCI)
‣ State to elaborate on key issues in training, including e.g.
– Reasons for low utilisation of existing training capacity
– Shortage of attendee
» Due to Acute shortage of doctors/Staff Nurses for regular
functioning of health facilities , CMOs are not able to
release the trainees for long duration training
programme.
‣ Process for right selection of trainees and post training
placement has already initiated.

Steps taken/ planned to meet targets for 2011-12:
– Districts have been instructed to hasten implementation of training
programme (priority wise )
– Preparation of training calendar
– Regular monitoring of and to enhance training capacity to meet targets
for 2011-12.
– Inclusion of DPU, RCH Coordinator in training coordination, Training
Nodal Officer and RCH team at district level in the training programmes
Steps taken to monitor quality of training and post-training skills
utilisation
– Monitoring Visits by State Level Programme Officers and Faculties of
G&O Departments of MCHs and independent agency (SOMI) and
Nursing college and schools at training venues for different training
programmes for improvement of the training quality.
Strengthening T.A. system of 45 SBA training centres and 3 H&FW
centres . Amount requested – 49.50 Lakhs

Rs. in Lakh
Sl.
No.
Budget Head
2010-11
Budget
2010-11
Expenditure
2011-12
Budget
% Change
over 2010-11
1
RI strengthening project (Review
meeting, Mobility support,
Outreach services etc)
1647.80
1803.17 9.43
2 Salary of Contractual Staff 24.24
713.78
24.24 0.00
3 Training under Immunisation 267.74 380.97 42.29
4 Cold chain maintenance 8.25 284.24 3345.33
TOTAL IMMUNISATION 1948.03 2492.62 27.96
5 Pulse Polio operating costs 1905.00 1894.16 1905.00 0.00

Activities Target (10-11) Progress 10-11
(up to Dec’10)
No. of immunisation
sessions
445566
(Apr-Dec)
414523
(Apr-Dec)
Target
(11-12)
651040
Training of MOs 2345 344 1500
Training of HW 5000 74 18000
Training of cold chain
handlers
500 0 1787
Review meetings 1444 2500 (approx.) 1444

Planning on AVD at the session site to be done by the BMOH/Medical Officer of PHC
with the help of BPHN/PHN
Delivery of Vaccine to the Outreach Session Site (Rural & Urban) as per Micro Plan
Rs.100 to be provided to the session sites for the of remote areas of
Forest/Hills/Riverine blocks and Rs.50 to the rest
Common modes of transportation are two/three wheelers, Van Rikshaws, motorised
Boats as per needs /availability
Average 48 to 52 sessions in the year per Immunisation Unit i.e. 4 sessions per
month
Selection of AVD personnel by the vaccinator (ANM) from the locality
District will plan their own means of transportation as per the budget sent by the
State
Cold chain maintenance has been outsourced

Note: In addition, monitoring visits are also being conducted by UNICEF
supported Immunisation Support Cell in 10 districts regularly.

Rs. in Lakh
Activity GPHQ-SC Non-GPHQ- SC
PHC (Proposed
in 2010-11)
PHC to CHC
PHC
(Proposed in
2010-11)
PHC
(Proposed in
2011-12)
No. Amount No. Amount No. Amount No Amount No Amount
New Const. 341 2063.05 1023 6378.41 0 0.00 0 0.00 2 150
Upgradation
0 0.00 0 0.00 2 300 10 500 50 2500
Note: Unit cost is different for all components, 50% of the required amount have been budgeted for all
Activity CHC DH Others
No. Amount No. Amount No. Amount
New Const. 0 0.00 0 0.00 * 2775 Lakh
Up-gradation 6 180 Lakh 8 152 Lakh * 8060 Lakh
* It comprises of various types of components. Details is already shown in the PIP
‣ Total Proposed Budget for Infrastructure: Rs.23058.46 Lakhs
‣ Infrastructure budget as percentage of total budget: 18%
‣ Amount for block and below level facilities (as percentage of Infrastructure Budget) : 76%

Category
Existing
(in 2010-11)
Proposed
(in 2011-12)
Unit cost proposed
(Rs.in lakh/ year)
Total Amount
(Rs.in lakh)
Specialists 50 22 4.80
(Rs.40,000/- per month)
Doctors 221 163 3.84
(Rs.32,000/- per month)
Doctors(hiring
by GP)
64 8 2.28
(Rs.19,000/- per month)
ANMs(2 nd ) 6164 1305 1.13
(Rs.9380/- per month)
Medical
Technicians
Male Health
Workers
0 250 0.80
(Rs.8840/-per month)
0 900 0.36
(Rs.6000/-per month)
345.60
1474.56
164.16
8407.11
198.90
(for 9 months)
324.00
(for 6 months)
Others * 494.11
Total 11408.43
* ‘Others’ comprise of different components (Details are given in the PIP)

Rs. in Lakh
Category
No. of
Staff
Amount proposed
in 2011-12
SPMU 24 120.00 (for salary) +
577.40 (*)
DPMU 104 305.17 (for salary) +
325.48 (*)
Total Amount
proposed
697.40
630.65
Strengthening of financial
management system of DH,SDH
and SGH
245 301.21
(for salary)
BPMU 1023 1246.83 (for Salary) +
850.71 (*)
Others
(Training &
Capacity Building)
301.21
2097.54
114.20 114.20
Total 3841.01
* comprise of different components (Details are given in the PIP)

Phase
No. of
ASHAs
Selected
1st Round
2nd
Round
No. of ASHAs Trained
3rd Round 4th Round 5th Round
Phase I 2919 2673 2598 2548 2526 2472
Phase II 4898 4324 4253 4220 4202 4176
Phase III 11143 10498 10129 9639 9284 8287
Phase IV 13575 10902 9659 6665 5060 3019
Phase V 9088 3218 179 0 0 0
Total 41623 31615 26818 23072 21072 17954
Total Number of ASHAs in the State: 61008 (to be selected during the Mission period)
Total no. of ASHAs selected: 41623 (till 11.2.11)
Population Per ASHA: 800-1200

Activities proposed Physical target Unit cost
Total Amt.
Proposed
(Rs. in Lakhs)
Selection and training of ASHA
including Hand Holding
- 1 st 5 rounds
- 6 th and 7 th module (4 rounds)
60000 trainee ASHAs
22392 trainee ASHAs
@1845.77/trainee ASHA
@1128.35/trainee ASHA
1107.46
252.66
Procurement and refilling of drug kit
- Kit ( new procurement)
- Refilling of kits
15077 Drug Kits
32123 Drug Kits
@1000.00 per kit/ASHA
@600.00 per kit/ASHA
150.77
192.74
Incentive to ASHAs
- ASHAs initiated into training
- Existing ASHAs
19272 ASHAs
27928 ASHAs
@11100.00 per ASHA/year
@18000.00 per ASHA/year
2139.19
5027.04

Activities proposed
Physical
target
Unit cost
Total Amt.
Proposed
(Rs.in Lakhs)
Other incentives (non monetary) –
Uniforms: ASHAs already initiated into training and to be
inducted into training during the financial year
Monitoring and supervision – state and district support
structures
47200 ASHAs 339.00 160.01
258.58
Others (as per recommendations of Parliamentary
Committee)
- Cost of ASHA talk show
- Innovative communication tools
- Identity cards
- Sensitization and meetings including periodical
reviews
52 episodes
-
47200 ASHAs
-
-
2.00 per card
110.40
100.00
0.94
150.00
Note: Cost per ASHA for all components excluding the incentive component is Rs.5261.78.
Total proposed amount for ASHA component is Rs.9539.39

Rs. in Lakh
Facilities Proposed No. Unit Cost Total
UNTIED FUND
CHCs 341 0.50 170.50
Bedded PHCs having no
delivery
55 0.15 8.25
PHCs with only OPD 604 0.15 90.60
24 X 7 PHCs 250 0.25 62.50
SCs 10356 0.05 517.80
VHSCs 37855 0.10 3785.50
Total: 4635.15

Rs.in Lakh
Facilities Proposed No. Unit Cost Total
AMG
CHCs 341 1.00 341.00
24 X 7 PHCs (Old construction) 50 0.50 25.00
24 X 7 PHCs (New construction) 200 0.10 20.00
Rest of the PHCs 659.00 0.20 131.80
SCs (Govt. owned building) 6492 0.05 324.60
SCs (New establishment) 1000 0.05 50.00
Total: 892.40

Facilities
Proposed
No.
Unit Cost
Rs.in Lakh
Total
DH 16 5.00 80.00
CHCs 348 1.00 348.00
PHCs having more than 100 deliveries 27 1.00 27.00
PHCs having deliveries within 100 223 0.50 111.50
Non-bedded PHCs 659 0.20 131.80
SDHs 45 1.00 45.00
MCHs 18 5.00 90.00
SGHs 34 1.00 34.00
Mental Hospital 6 2.00 12.00
Total: 879.30
Total budget for Untied Fund / AMG / RKS is Rs.6406.85 Lakh

Rs.in Lakh
Category
District
having no
MMU
District
having 1
MMU
District
having > 1
of MMU
No. of
Districts
Existing
No. of
MMU
New
proposed
Operational Cost
Unit Cost
Total
16 0 NA NA NA
1 1 2 75.00 225.00
2 6 0 NA 220.00
Total: 19 7 2 445.00

Facility Status 2010-11
(Till Dec 2010)
Proposed
2011 - 2012
No. of districts having Referral Transport 18 18+ Kol
No. of High focus districts having Referral Transport 10 10
Call Centre at State / district level 18 18+Kol
No of ambulances Total 900
(incl. 341 PPP)
Additional 662
dedicated for
maternal & neonatal
transportation
Whether ambulances fitted with GPS (Y/N) No No
Total No. of patients using referral transport
No. of Pregnant women using referral transport 314633 12 lakhs
No. of sick newborns using referral transport 90,000 1.8 lakhs
No. of calls received
4536 (Oct „10 to
March‟11)
Expected 20 lakhs
No. of calls attended 2130 Expected 15 lakhs
No. of pregnancy related calls attended 1278 Expected 9.60 lakhs

Rs.in Lakh
Facility Status 2010-11
(Till Dec 2010)
Proposed
2011 - 2012
Total annual running cost 4642.00
• Total annual variable cost (includes
POL, telephone charges)
• Total annual fixed cost (includes car
hiring, training, IEC, Running of Call
Centre)
3237.00
1405.00
Average Cost per Trip: Rs.336.00

‣ West Bengal has started implementing the amended Referral Transport
Scheme (Nishchay Yan) since October 2010. However, due to nonavailability
of ambulance and problem in telephone installation,
operationalization of the scheme was delayed
‣ Salient features of the service in 2011-12:
– The service is free for PW and sick Newborns
– Second referral and drop back facility is being provided
– Budgetary provision for the above has been elaborated in earlier slide.
– In order to ensure maximum utilisation dedicated vehicles have been retained at
all BEmOC (having >100 deliveries/year) and CEmOC centres.
– Extensive IEC for information dissemination amongst beneficiaries, smooth fund
flow, fully functional (24 x7) call centre have also been arranged.
– Funding for the service is provided from NRHM Flexipool

Facility
Current Status
(Y/ N)
Plan for 2011-12
(Y/ N)
Provision of free drugs Yes * To be continued
Provision of free blood during
complications
Yes
To be continued
Provision of free diet Yes** To be continued
Provision of free diagnostics Yes*** To be continued
* Except in SNCU ** Upto RH and for BPL in all levels *** Only for BPL/ SC/ ST

Rs. in Lakh
Name of Study Estimated Cost Proposed Institute
An intervention against iron deficiency anaemia
amongst pry school children in Birbhum District
20.00 The society for health and
demographic surveillance
Surveillance of Scrub Typhus in Darjeeling District 3.5 DHFW Samiti, Darjeeling
Factors associated with infant death in
2.5 SPSRC
Murshidabad District
Cancer Registry in West Bengal 9.0 CNC Hosp. & Deptt. of H&FW
Effectiveness of LLIN in Purulia and Jalpaiguri
5.0 SPSRC
Districts
Asymptomatic malaria in Jalpaiguri District 3.5 SPSRC
Factors associated with diarrhoeal deaths in West
Bengal
ORS with Zn, Zn + Fs in management of diarrhoea
in Bankura District
3.0 Institute of H&FW
10.0 Bankura Sammilani Medical
Collage
Surveillance of Anthrax in Murshidabad District 3.5 DHFW Samiti, Murshidabad

Rs. in Lakh
Name of Study
Impact of JSY, referral transport on improvement
of Institution Delivery
Risk perception on H1N1 influenza by health care
service provider
Descriptive study of H1N1 influenza in West
Bengal
Effectiveness of NS1 Antigen kit in Dengue/ DHF
management
Estimated
Cost
5.0 SPSRC
1.5 CMC, Kolkata
1.5 SPSRC
2.0 STM., Kolkata
Proposed Institute
Health and Health Care in West Bengal 20.00 Pratichi Institute, an
organization of Pratichi Trust
(India)
Survey on Occupational Health in Howrah 10.00 DHFW Samiti, Howrah
Detection & Intervention & setting up of an early
intervention and follow-up clinic for at risk newborn
Total cost 130.00
30.00 M. R. Bangur hospital in South
24-Parganas district with a
nodal centre at IPGMER

Rs. in Lakh
Main activities
Estimated
Cost
Expected Output
Mass media 356.00 Better reach to the community
Publication of News letters 95.00 To brief ASHAs about relevant
Government Orders and medical
treatment protocols
Outdoor Publicity and SMS
messages
Organisation of Events and
Participation in Public Fairs
42.75 Better reach to the community
18.00 Do
Publicity through Folk Media 81.50 Do
Other expenses 40.50
Cost for the same has been budgeted at Rs.633.75 lakhs

Rs. in Lakh
Initiatives
Proposed
Amount
PPP/Grant in aid to NGO 720.46
Public Health interventions for Tea Garden
108.62
area,Char area
VHND 1028.90
Rogi Sahayata Kendra 146.16
Handicapped Certification
170.50
Camp
Human Breast Milk Bank etc. 200.00
Quality Assurance 360.00
Others (*) 528.71
Total: 3263.35
* „Others‟ comprise of different components (Details are given in the PIP)
Targeted Beneficiaries

No. of Districts 19
No. of High Focus Districts 06
No. of DHAP prepared and sent to the Ministry 19
No. of blocks where Block Plan made 341
No of Villages (Revenue village as per Census 2001) 37855
No. of Samsad where VHSC to be formed 37036
No of Samsad with VHSCs 23970
No. of Gram Panchayet where Plan made 2921
Note: Resource envelop indicated to all districts and
High Focus districts given higher weightage of 1:1.3

Category Drugs Equipment Others
Maternal Health 151.25
Child Health 250.00
Amt. proposed Amt. proposed Amt. proposed
Family Planning 30.00 80.40
IMEP 175.20 379.60
(for services)
Others (specify)
MC Kit
4000.00
CEmoC & BEmoC Centres
1854.71
Medicines & consumables
for cash less Delivery
services
100.00
Software for Procurement
100.00
(PROMIS or DRS)
Total: 431.25 255.60 6434.31
Total cost for the same is proposed Rs.7121.26
Rs. in Lakh

1. HMIS : Action plan for shifting to Block level/Facility based
reporting on HMIS portal of MoHFW.
Objective: Reporting of dis-aggregated data in HMIS Portal from 1 st April 2011.
HMIS Data for the month of April will be Entered on line in HMIS web
Portal in the month of May 2011.
Sl. No HMIS Activities Target
1 Mapping of Health Facilities in HMIS web Portal 15 April, 2011.
2 Standardization (Customization) of HMIS formats 15 April ,2011.
3 Capacity Building (District & Block Team) 31 st April, 2011.
4 Deployment of dedicated Computers December 31, 2011
5 Strengthening of internet connectivity: December 31, 2011

2. MOTHER & CHILD TRACKING SYSTEM (MCTS)
(PLAN FOR ROLL-OUT OF MCTS AND UPLOADING DATA)
Sl. MCTS Activities
Target
No
1 Establishing ICT infrastructure including Hardware 31 st December, 2011
2 Establishing Connectivity and Human Resources 31 st July 2011
3 Engaging the Common Service Centres for legacy data
entry and for further need based requirement
4 Capacity Building for district level Trainers Team
comprising of DPHNO & DSM for district level and block
team comprising of BPHN
5 Capacity Building of end users i.e., Block data entry
operators and ANMs
31 st July 2011
31 st May, 2011
31 st August, 2011

3. Capacity Building (Action Plan for enhancing analytical capabilities for
improving Data Quality on HMIS and MCTS)
Sl.
No
Activities Physical Target Target date of
achievement
1 Workshop of the District level Trainers
Team on data quality
2 Acquaintance of different program
officers at State level on issues and
implications of outliers and validations &
data triangulation
3 Process re-engineering including issue
of Guidelines for use of single source of
data (HMIS) for various administrative
and decision making purpose (Use of
information for action)
4 Engaging expert agencies for analysis
of data & viewing efficacy of data on
overall socio-economic perspectives
3 Workshop, 1 in
each quarter
2 workshops, 1 in
six months
1 analytical report
followed by
suggestions /
Recommendations
July , October ‟11,
January April „12
October 2011 &
April ‟12.
May 2011

Rs. in Lakh
Major Heads
Estimated
Amount
1. Community Monitoring 91.20
2. Strengthening of M&E/HMIS/ MCH Tracking 43.50
3. Operationalising HMIS at Sub District level 181.10
4. Operationalising MCH tracking 185.30
5. Computerisation of HMIS and e-governance,
108.79
e-health
6.Impact assessment for NRHM and assessment
45.00
of various component
Total cost: 654.89

Rs. in Lakh
Activities Amount proposed Expected Output
Panchayati Raj Initiatives 500.00 Improved capacity building of
PRI members for utilisation of
VHSC fund
Mainstreaming AYUSH 1062.00
SHSRC 100.00 Improved planning, policy and
research
Support Services 608.55 Improved outcomes of
National Programmes
Other expenditure (Power back-up,
convergence etc.)
Total: 2291.19
20.64 Alternative power supply to
health facilities in island areas
Total budget proposed for NRHM Flexipool is Rs.73768.57 Lakh

RNTCP Performance Indicators :- NSP CDR /TSR
Poor performing
districts
NSPCDR/Treatm
ent Success Rate
(TSR)
Reasons for poor
performance
East Medinipur 29% CDR • Closure of many
DMCs
• Poor involvement of
private practitioners
(PP)
Dakshin Dinajpur 78% TSR • High default rate
• Lack of initial home
visit
Kolkata 77% TSR • Poor treatment
adherence
• Urban migration
• non-involvement of
private sector
Proposed solutions
/Activities in PIP
• Sputum collection
center set up
• involving PPs by IMA
• 2 nd ANM training
• Involving patients in
different social welfare
schemes
• Tribal action plan
implementation
• Treatment service
delivery by other
sectors
• Flexi DOTS
• IEC specially on
slums
Constrain
ts
*Poor performing Districts are Districts with Case Detection rate < 50% and Treatment Success rate < 80%
Moderate performing Districts are Districts with Case Detection 50 – 59% and Treatment Success rate 80 – 85%

RNTCP Performance Indicators :- NSP CDR /TSR
Poor
Performing
Districts
NSP CDR/
Treatment
Success Rate
(TSR)
Reasons for poor
performance
Nadia 54% (CDR) • Poor suspect referral
• Untrained MOs
• Poor involvement of
PPs
South 24
PGs
51% (CDR) • Poor involvement of
MOs
• Poor involvement of
PPs
• Poor suspect referral
Proposed solutions
/Activities in PIP
• Training of untrained.
• Set-up of sputum
collection centers
• Supervision by
BMOHs
• IMA involvement
• Continuous
sensitization of MOs
Constraints
North 24
PGs
55% (CDR) • Poor involvement of
municipalities
• Problem in sputum
collection in rural areas
• Setting up sputum
collection centres
• Human resource at
municipalities
• Reorganising TUs &
creation of new TUs
Darjeeling 83% (TSR) • Poor adherence • Holding more patientprovider
meeting
• IEC

Moderate
Performing
Districts
RNTCP Performance Indicators :- NSP CDR /TSR
NSPCDR/Tre
atment
Success Rate
(TSR)
Howrah 51% CDR /
81% TSR
Reasons for poor
performance
• Poor involvement
of Medical officers
• Migration in urban
area
Proposed
solutions
/Activities in PIP
• Intense
supervision by
BMOHs
• Flexi DOT
Constraints
Hugli
52% CDR/
84% TSR
• Many nonfunctioning
DMCs
• Poor involvement of
PPs
• Vacant LT post
• Poor treatment
adherence
• Setting up sputum
collection centres
• New LTs to be
recruited
• Involving PPs
through IMA
• Intense
supervision
*Poor performing Districts are Districts with Case Detection rate < 50% and Treatment Success rate < 80%
Moderate performing Districts are Districts with Case Detection 50 – 59% and Treatment Success rate 80 – 85%

Districts Implementing
DOTS Plus/Proposed
Status of IRL and
offered
services
DOTS Plus Site
No of
Patients
proposed
to Put on
DOTS
Plus (
2011-12)
Human
Resource
status for
DOTS Plus
Districts
already
implementing
Districts
proposed for
2011-12
Solid
Culture
Liquid
culture
LPA
Kolkata,
North 24
PGs,
Darjiling,
Jalpaiguri
Kochbehar
South 24 PGs
Haora,
bankura,
bardhaman,
Hugli, Nadia,
Birbhum
Available
Not
available
Under
process
2
existing
1247 • DOTS Plus
site
supervisors
– 5
• DOTS Plus
MO – 2
• Statistical
Assistant - 2

Rs. in Lakh
Sl. No. Budget Heads Amount proposed Amount approved
1 Civil works 95.20 91.20
2 Laboratory materials 158.95 147.426
3 Honorarium 65.21 65.21
4 IEC/ Publicity 77.26 30.90
5 Equipment maintenance 25.25 20.796
6 Training 54.07 32.44
7 Vehicle maintenance 74.50 62.23
8 Vehicle hiring 113.04 62.17
9 NGO/PP support 90.75 90.75
10 Miscellaneous 131.65 131.65
11 Contractual services 1451.67 1451.67
12 Printing 106.50 74.55
13 Research and studies 10.00 10.00
14 Medical Colleges 75.64 75.64
15 Procurement –vehicles 31.80 31.80
16 Procurement – equipment 10.63 5.40
17 Tribal Action Plan
Total: 2572.10 2383.83

Year
BSE
PoS
Pf
ABER API SPR Pf % Death
(‘000)
(‘000)
(‘000)
2006 5272 160 43 6.2 1.9 3.0 27 203
2007 4849 86 21 5.8 1.1 1.9 24 96
2008 4486 89 24 5.4 1.1 1.9 27 104
2009 5304 138 38 6.2 1.6 2.6 27 74
2010 5488 139 25 6.4 1.6 2.5 18 46

Year Kala-azar
Cases Death
2006 1842 10
2007 1817 9
2008 1256 3
2009 754 0
2010 1482 4
81 blocks in 11 districts are affected

Year Dengue Chikungunya JE
Cases Death Suspect Confirm Case Death
2006 1064 8 1304 23 24 3
2007 118 0 19316 354 1 0
2008 232 3 17898 593 39 3
2009 399 0 4760 338 56 0
2010 805 1 20503 231 55 1

Sl.
No.
District
2007
(15.11.07)
Mf. Rate (%) Disease Rate (%)
2008
(29.12.08)
2009
(6.5.10)
2007
(15.11.07)
2008
(29.12.08)
2009
(6.5.1
0)
Population Coverage in MDA
(%)
2007
(15.11.0
7)
2008
(29.12.08)
2009
(6.5.10)
1 Coachbihar 2.74 1.8 87 4.22 0.3 1.79 84.39 82 78.28
2 Malda 2.0 8 56 6.3 0.08 0 77 84 94.10
3
Murshidab
ad
2.54 0 0 4.76 0.19
8.28
98.7 89 94.14
4 Nadia 0.028 0 0 11 8.03 0 89.12 89 91.70
5 Birbhum 4.0 1.2 18 4.13 0.45 0 86.99 86 87.66
6 Bankura NA 1.89 1.46 NA 0.35 0 76 84 80.04

Sl.
No.
District
2007
(15.11.07)
Mf. Rate (%) Disease Rate (%)
2008
(29.12.08)
2009
(6.5.10)
2007
(15.11.0
7)
2008
(29.12.08)
2009
(6.5.10)
Population Coverage in MDA
(%)
2007
(15.11.0
7)
2008
(29.12.08)
2009
(6.5.10)
7 Burdwan NA 2.84 0.59 NA 0.12 0.34 47.8 74 72.36
8 Purulia 9.3 ND 3.13 14.2 2.2 6.37 80.53 70 86.72
9
10
Purba
Medinipur
Paschim
Medinipur
2.43 0.4 0 2.26 0.1 0 80.22 86 90.05
2.44 0 0 5.96 0.15 7.28 97.07 85 90.62
11 N 24 Pgs 1.7 ND 0.08 1.1 0.01 0 83.8 78 87.14
12 S 24 Pgs 2.82 1.48 0 1.83 0.009 0 76.19 80 89.38
TOTAL 2.82 1.48 0.48 5.6 0.33 1.32 81.4 82.55 86.93

SL. No.
Component (Sub- Component)
DBS
Amount proposed by the
state (Rs. in Lakhs)
1.1 Malaria 2024.76
1.2 Dengue & Chikungunya 32.00
1.3 AES/ JE 19.00
1.4 L. Filariasis 300.00
1.5 Kala-azar 173.00
EAP
Rs. in Lakh
Total: 2548.76
2.2 Malaria 2.40
2.3 Kala-azar 200.67
3 Decentralized drug procurement 60.00
Grand Total: 2810.83

Indicator
Cataract Performance:-
Cataract Surgery Rate =
Cataract Operations Performed in the year /
Current Population
School Eye Screening:-
1) Children with refractive error –
No. of student detected with refractive error /
No. of students examined
2) Children with ref. errors provided with glass
No. of students provided free glasses /
No. of students detected with refractive error
Present status
(upto 3 rd qtr.)
Goal / target /
expected
189094 325000
968850
41550
20427
830000
50000
15000

Indicator
Cornea Collection and Utilization:-
Utilization of donated eyes –
Donated eyes utilized for corneal transplantation /
Donated eyes collected
Treatment of other Diseases –
New aspect of NPCB Prog. Started from 09 – 10.
Only in the District Hospitals as sophisticated instruments
are required.
Utilization of funds –
Expenditure incurred in Blindness Control Prog. /
Fund released to Blindness Control Prog.
Present status
(upto 3 rd qtr.)
1291
727
56.31
utilization
Goal / target /
expected
3500
4595 15000
Fund received in
Dec’ 10
Rs. 429.50 lakhs
Expended Rs.
592.61 lakhs of
from fund of
previous year
Rs.1000 lakhs

Sl.
No.
Activity
Proposed Amount
1. Cataract Operation 562.00
2. School Eye Screening 50.00
3. Treatment of Other Diseases 10.00
4. Vision Center 18.00
5. Grant -in -Aid for strengthening of 1 District Hospitals 20.00
6. Grant -in -Aid for strengthening of 2 Sub Divisional
Hospitals
7. Remuneration of proposed contractual 10 Ophthalmic
Surgeons
@ Rs.40,000 each per month (as per GOI guideline it is
@ Rs.25,000/- per month)
8. Remuneration of proposed contractual 10 Grief
Counselors
9. Remuneration of proposed contractual 58 MT
(Optometry) erstwhile
Para Medical Ophthalmic Assistants
10. Recurring Grant to Eye Bank & Eye Donation Center for
eye ball collection
Rs. in Lakh
10.00
48.00
24.00
55.68
22.00

Rs. in Lakh
Sl.
No.
Activity
Proposed
Amount
11. Non Recurring Grant to Eye Bank 15.00
12. Non Recurring Grant to Eye Donation Center 2.00
13. Strengthening of Eye Care Hospital (NGO) 30.00
14. Training 10.00
15. IEC 25.00
16. Commodity Assistance 380.00
17. Upgradation of 5 Medical Colleges 200.00
18. Replacement of old instruments at CHC, Rural Hospital, Block
Primary Health Center where Ophthalmic Assistants are working
160.00
19. Recurring Grant for Contractual 30.64
20 New/ Supplementary activities/ Additional Activities(Support from
NRHM)
Total: 1672.32
123.60
Grant Total: 1795.92

Households(%)
90
80
70
85
80
70
67.4
60
50
40
50.4
37.2
33.4
30
20
10
0
Maldah Howrah North 24
PGS
Dakshin
Dinajpur
Purba
Medinipur
Birbhum
Purulia

No. of salt samples tested- 1,33,486
No. of samples found standard- 97,041 (72%)
Report of Salt samples tested
Standard 72%

Rs. in Lakh
Operational Cost
Major Head
• Lab Consumables 1.00
• Review meeting 0.10
• Field Visit 0.50
• Forms and Reports 0.10
Human Resource (For IDD Control Cell)
• Technical Officer 3.00
• Statistical Assistance 2.35
• LDC/Typist 1.75
IDD Monitoring Lab 4.37
IEC/BCC 9.00
Financial Aids to Medical Institutions for conducting
IDD survey @ Rs.65,000/- per district X 5 districts
3.25
Total: 25.42
Amount

Activities 2009-10 2010-11
Expected Achievement Expected Achievement
Surveillance
Preparedness
Outbreak
Investigation
Analysis
P- 1254
L - 650
P- 876
L - 506
P- 1254
L - 650
P- 938
L - 538
72-144 102 72-144 74
Online data entry and analysis
Rs. in Lakh
Subhead
Total
Surveillance Preparedness 194.49
Outbreak Investigation 57.23
Analysis and use of Data 8.23
TOTAL: 259.95

80
70
67.30
60
57.20
50
40
43.30
39.70
30
30.20
24.40
20
10
0
5.25
2.72
4.03
2.69 3.11
18.10
15.40 15.10
13.20
12.53
2.14 1.24 0.99 1.04 0.99 0.98 1
99-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11
upto
Dec'10
PR
ANCDR/100000
8.90

Sl.
No
Activity (broad items)
Budget
Additional
Requirement from Mission
Flexipool
1 Contractual Services 12.86 0
2 Service through ASHA/USHA 21.67 4.93
3 Office Expenses & Consumables 7.19 0
4 Capacity Building (Training Plan) 22.64 22.40
5 Behaviour Change Communication (IEC) 40.05 0
6 POL/Vehicle operation & Hiring 22.50 0
7 DPMR Activities 40.72 0
8 Materials & Supplies 8.65 0
9 Urban Leprosy Control Program 12.67 0
10 NGO-SET Scheme (SET SCHEME) 49.50 0
11
Supervision, Monitoring & Review
Meeting
7.62 0
12 Cash Assistance 12.00 0
Patients Provider Meeting 0 3.00
TOTAL 258.09 30.33
Rs. in Lakh

• State Mental Health Authority under the chairmanship of Prin. Secy, Deptt. of
H & FW
• Zonal Screening Committees (five in number) for admission of mentally ill
persons, Board of Visitors (five in number) for proper monitoring &
supervision of mental hospitals & psychiatry nursing homes have been forme
• Rogi Kalyan Samiti for all mental hospitals of the State has also been
formed.
• Institute of Psychiatry, Kolkata has been selected as Centre of Excellence in
Mental Health under NMHP
• District Mental Health Programme (DMHP) is going on at Bankura, Paschim
Midnapore, Jalpaiguri, and South 24-Parganas districts
• Proposal for starting DMHP in five new districts such as North 24 Parganas,
Birbhum, Nadia, Howrah & Uttar Dinajpur
• 7 (seven) District Hospitals have started functioning with 20 (twenty)
Psychiatry Indoor Beds

Scheme Non Recurring / Recurring Amount
DMHP- New Districts (Five
Districts)
DMHP- Existing Districts (Four
Districts)
Centre of Excellence in Mental
Health
Scheme for Manpower
Development (new
Departments)
Scheme for Manpower
Development (Continuing
Departments)
IEC
Functioning of SMHA & Mental
Health Cell
Non-Recurring- Rs.17,50,000/-
Recurring- Rs.8,70,000/-
Total- Rs.26,20,000/- per Dist.
Non-Recurring- Rs.14,20,000/-
Recurring- Rs.12,00,000/-
Total- Rs.26,20,000/- per Dist.
Non-Recurring- Rs.20.00 Crore
Recurring- Rs.10.00 Crore
Total- Rs.30.00 Crore
Nil
Non-Recurring - Nil
Recurring- Rs.10.00 lakh
Total- Rs.10.00 lakh
Non-Recurring - Nil
Recurring- Rs.30.00 lakh
Total- Rs.30.00 lakh
Non-Recurring - Nil
Recurring- Rs.10.00 lakh
Total- Rs.10.00 lakh
131.00
52.40
30.00 Crore (at a time)
Sanctioned by GoI. Fund
released ` 5.28 Crore till Dec
2010
Nil
10.00
30.00
10.00
TOTAL 233.4
Rs. in Lakh

Rs. in Crore
Functional Head
Requirement projected
Human Resources 195.86
Training 29.55
Infrastructure 241.05
Procurement 94.10
IEC/BCC 11.85
Untied Funds 60.28
ASHA 92.98
RKS 8.79
JSY 47.57
Sterilization 39.30

Rs. in Crore
Functional Head
Requirement projected
Referral Transport 49.35
Other RCH Activities 13.36
Vulnerable Groups 9.61
Other Mission Activities 145.65
PPP/NGO 15.42
Operational cost (NDCPs) 18.05
Financial Aid/Grant to institutions
(NDCPs)
2.95

Year
Releases from GoI
Amount to be
contributed by
State
Amount
Credited
Shortfall
2007-08 525.23 92.69 22.47 70.22
2008-09 539.79 95.26 88.86 6.40
2009-10 729.17 128.68 91.04 37.64
2010-11 624.14 110.14 108.87 1.27
Total 2418.33 426.76 311.24 115.52

Major Head
1.Strengthening of
M&E/HMIS/ MCH
Tracking
2. Procurement of
HW/SW and other
equipments
3.Operationalising
HMIS at Sub District
level
4.Operationalising
MCH tracking
Minor Head
Budget
in Rs
Details
(including
cost per
unit)
Remarks
Salaries of M&E, MIS & Data Entry
M&E, MIS & Data Entry Consultants
1.1
Consultants
12.00 1
Mobility for M & E Officers 1.2 20.00 20 Lump Sum
Workshops/Training on M & E 1.3
6.00 0.5
M&E Studies 1.4 0.50
12
workshops
Others (specify) 1.5
5.00
4 meetings each in one
quarter
Lump sum the server may be
Hardware/Software Procurement 2.1
Hired. 362 PCs one for each Block,
one for District unit and 2 for
146.3
State Unit
Internet connectivity 2.2
30.69
750 x 12 x
341
Annual Maintenance 2.3 34.1 0.10 Rs.10,000 per year for each block
Operational Costs (consumables etc) 2.4 5.00
Review of existing registers – to make them
3.1
compatible with National HMIS
1.00
Printing of new registers/Forms 3.2
Including printing of Mother &Child
146.00
Protection Card
Training of staff 3.3 34.10 5000 x 341x 2
Printing and reproducing Registers/ Forms 4.1 5.00
Capacity building of teams 4.2 34.10
Ongoing review of MCH tracking activities 4.3 2.00
Monitoring data collection and data quality 4.4 2.00
Others (Specify) 4.5 139.20

NVBDCP
S.
No.
Component (Sub- Component)
Amount
proposed
by the
state (Rs.
in Lakhs)
Amount
Approved
by GoI (Rs.
in Lakhs)
Functional head as per
NRHM
1 Domestic Budget Support (DBS)
1.1 Malaria
1.1.1 MPW/ MTS-LT 725.88 Human Resource
1.1.2
ASHA Honorarium 20
1.1.3 Operational Cost
Spray Wages - for NE states and
UTs without legislation
Impregnation of Bed nets- for NE
states
Monitoring , Evaluation &
Supervision & Epidemic
Preparedness including mobility
32
Honorarium & Incentives
Operating Cost
Operating Cost
Operating Cost
1.1.4 IEC/BCC 30 IEC & BCC
1.1.5
PPP / NGO activities (Biological
control L fish)
10
PPP/NGO
1.1.6 Training / Capacity Building 76.38 Training
1.1.7 LLIN procurement 1200 Procurement
Total Malaria (DBS) 2094.26

NVBDCP
S.
No.
Component (Sub- Component)
Unit Cost
(wherever
applicable)
Physica
l target
Amount
proposed
by the state
(Rs. in
Lakhs)
Amount
Approved
by GoI
(Rs. in
Lakhs)
Functional head
as per NRHM
1.2 Dengue & Chikungunya
1.2.1
Strengthening surveillance
GOI approval)
(As per
Financial aid/grant
to institutions
Ø Apex Referral Labs recurrent @
Rs.1.00 lakh per lab.
1
Ø Sentinel surveillance Hospital recurrent
@ Rs. 0.50 lakhs per lab.
5
Test kits (Nos.) to be supplied by GoI
(kindly indicate numbers of ELISA based
NS1 kit and Mac ELISA Kits required
separately)
Not applicble
1.2.2
Monitoring/Supervision and Rapid
Response
9 Operating cost
1.2.3 Epidemic Preparedness 3 Operating cost
1.2.4 IEC/BCC/Social Mobilization 6 IEC
1.2.5 Training/Workshop 8 Training
Total Dengue/Chikungunya 32

NVBDCP
S.
No.
Component (Sub- Component)
Unit Cost
(wherever
applicable)
Physica
l target
Amount
proposed by
the state
(Rs. in
Lakhs)
Amount
Approved
by GoI
(Rs. in
Lakhs)
Functional head
as per NRHM
1.3
Acute Encephalitis Syndrome (AES)/
Japanese Encephalitis (JE)
1.3.1
Strengthening of Sentinel Sites which
will include diagnostics and
management. Supply of kits by GoI
9 Procurement
1.3.2
IEC/BCC specific to J.E. in endemic
areas
3 IEC
1.3.3
Training specific for J.E. prevention
and management
5 Training
1.3.4 Monitoring and supervision Operatinc cost
1.3.5
Procurement of insecticides (Technical
Malathion)
Total AES/JE 19
2 Procurement

NVBDCP
S.
No.
Component (Sub- Component)
Unit Cost
(wherever
applicable)
Physica
l target
Amount
proposed by
the state
(Rs. in
Lakhs)
Amount
Approved
by GoI
(Rs. in
Lakhs)
Functional head
as per NRHM
1.4 Lymphatic Filariasis
1.4.1
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
33.53 Operating cost
1.4.2 Microfilaria survey
30.98 Operating cost
1.4.3
1.4.4
Post MDA assessment by medical
colleges (Govt. & private)/ ICMR
institutions.
Training/sensitization of district level
officers on ELF and drug distributors
including peripheral health workers
Operating cost
16.02 Training
1.4.5
1.4.6
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 to drug distributors
including ASHA and supervisors
involved in MDA
Total Lymphatic Filariasis 300
38.69 IEC/BCC
180.78 Honorarium &
incentives

NVBDCP
S.
No.
Component (Sub- Component)
1.5 Kala-azar
1.5.1
Case search
Unit Cost
(wherever
applicable)
Physica
l target
2 round
fortnight
Amount
proposed by
the state
(Rs. in
Lakhs)
Amount
Approved
by GoI
(Rs. in
Lakhs)
Functional head
as per NRHM
75 Operating cost
1.5.2 Spray Pumps Procurement
1.5.3
Operational cost for spray including
spray wages
62.5 Operating cost
1.5.4 Mobility/POL 16 Operating cost
1.5.5 Monitoring & Evaluation 10 Operating cost
1.5.6 Training for spraying Training
1.5.7 BCC/IEC 10 IEC
Kala-azar 173.5

NVBDCP
Externally aided Component
S.
No.
Component (Sub- Component)
Unit Cost
(wherever
applicabl
e)
Physic
al
target
Amount
proposed
by the
state (Rs.
in Lakhs)
Amount
Approve
d by GoI
(Rs. in
Lakhs)
Remarks
Functional
head as per
NRHM
2
GFATM support for malaria
2.1
2.3
2.3.1
Project Management Unit including
human resource of N.E. states and
erstwhile GFATM states viz.,
Jharkhand, Orissa and West Bengal
Kala-azar World Bank assisted
Project
Human resource
2.4
Human
Resource
161.4 Human
Resource
2.3.2 Capacity building 26.5 Training
2.3.3 Mobility 12.77 Operating cost
Total : EAC component
3 Decentralized drugs and larvecides
200.67
60 Procurement