ROP Booklet - National Rural Health Mission Program ...

Approval of State Programme
Implementation Plan of NRHM : Himachal
Pradesh
MAY 2012-13
National Rural Health
Mission
MINISTRY OF HEALTH &
FAMILY WELFARE
GOVERNMENT OF
INDIA

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

The Mission Director, (NRHM)
Directorate of Health & Family Welfare
Government of Himachal Pradesh
Block No. 6, SDA Complex, Kasumpti
Shimla-171 009, H.P
No. 10(18)/2012-NRHM-1
Government of India
Ministry of Health and Family Welfare
(National Rural Health Mission)
Nirman Bhavan, New Delhi
Dated May 31, 2012
Subject: Approval of NRHM State Programme Implementation Plan for the year 2012-13
1. This refers to the Programme Implementation Plan (PIP) for the year 2012-13
submitted by the State and subsequent discussions in the NPCC meeting held on May 11,
2012 at New Delhi.
2. Against a resource envelope of Rs 186.12 crores (which includes outstanding State
share), the administrative approval of the PIP for your State is conveyed for an amount of
Rs 171 crores. Details are provided in Table A, B and C below:
TABLE-A
Rs. crores
Uncommitted Unspent Balance available under NRHM as on
01.04.2012
4.1
GOI Resource Envelope for 2012-13 under NRHM 141.97
10% State Share (2012-13) 15.77
Total 161.84
Outstanding State Share 24.28
Total Resource Envelope 186.12
TABLE-B
Sr.
No.
Break up of total resources under NRHM (Rs. crores)
Programme
Uncommitted GoI Resource
Unspent balance Envelope under
available as on NRHM
01.04.2012
Total
1 RCH Flexible Pool 4.10 31.43 35.53

2 NRHM Flexible Pool 39.05 39.05
3 Immunization (from RCH
1.54 1.54
Flexible Pool)
4 NIDDCP 0.24 0.24
5 IDSP 0.60 0.60
6 NVBDCP 1.39 1.39
7 NLEP 0.59 0.59
8 NPCB 2.44 2.44
9 RNTCP 4.97 4.97
10 Direction & Administration 57.77 57.77
11 PPI Operation Cost 1.95 1.95
12 10% State Share 15.77 15.77
Total Resource Envelope 4.10 157.74 161.84
Committed Unspent Balance up to 2011-12 to be
revalidated in 2012-13
86.42
TABLE-C
SUMMARY OF APPROVAL
Sr.
Scheme /Programme
Approved Annex ref
No.
Amount
(Rs. Crores)
1 RCH Flexible Pool
44.78 1
2 NRHM Flexible Pool
3 Immunization and PPI operation cost
4 NIDDCP
5 IDSP
6 NVBDCP
7 NLEP
8 NPCB
53.03 2
5.31 3
0.78 4A
0.7 4B
0.41 4C
0.59 4D
2.52 4E

9 RNTCP
10 Infrastructure Maintenance(Treasury Route)
Total
5.11 4F
57.77
171
Thus, there is a cushion of Rs. 15.12 crores for which, State is advised to send a
supplementary PIP urgently.
Targets, conditionalities and ROAD MAP FOR PRIORITY ACTION
3. State has been assigned mutually agreed goals and targets. The state is expected to
achieve them, adhere to key conditionalities introduced this year and implement the road
map provided in each of the sections of the approval document.
4. District resource envelope as indicated in the PIP should be respected by the State
5. All buildings/vehicles supported under NRHM should prominently carry NRHM logo in
English, Hindi and Regional language.
Mandatory disclosures
6. In addition, the State is directed to ensure mandatory disclosure on the state NRHM
website of the following:
Facility wise deployment of all contractual staff engaged under NRHM with name and
designation.
MMUs- total number of MMUs, registration numbers, operating agency, monthly
schedule and service delivery data on a monthly basis.
Patient Transport ambulances and emergency response ambulances- total number of
vehicles, types of vehicle, registration number of vehicles, service delivery data
including clients served and kilometres logged on a monthly basis.
All procurements- including details of equipments procured (as per the directions of
CIC which have been communicated to the States by this Ministry vide letter
'No.Z.28015/162/2011-H' dated 28th November 2011).
Buildings under construction/renovation –total number, name of the facility/hospital
along with costs, executing agency and execution charges (if any), date of start &
expected date of completion
Release of second tranche of funds
7. Action on the following issues would be looked at while considering the release of second
tranche of funds:
Compliance with conditionalities.
Physical and financial progress made by the State.

It is expected that 10% of the State share, based on release of funds by Government
of India is credited to the account of the State Health Society as early as possible.
Timely submission of Statutory Audit report for the year 2011-12 is a must for release
of 2 nd tranche of funds.
Before the release of funds upto 100% of BE of your state for the year 2012-13, State
needs to provide utilisation Certificates against the grant released to the State up to
2010-11 duly signed by the Mission Director and auditor.
Monitoring requirements
8. State shall ensure submission of quarterly report on progress against targets and
expenditure including an analysis of adverse variances and corrective action proposed to
be taken.
9. All approvals are subject to the observations made in this document.
10. The State shall not make any change in allocation among different budget heads without
approval of GoI.
11. The accounts of State/ grantee institution/ organization shall be open to inspection by
the sanctioning authority and audit by the Comptroller& Auditor General of India under
the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of
the Ministry of Health & Family Welfare.
12. State shall ensure submission of details of unspent balance indicating inter alia, funds
released in advance & funds available under State Health Societies. The State shall also
intimae the interest amount earned on unspent balance. This amount can be spent
against activities already approved.
Yours faithfully,
(Dr. Suresh K. Mohammed)
Director (NRHM-I)

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2012-13: HIMACHAL PRADESH
CONTENTS
PAGE NO.
SUMMARY
State specific goals 1-2
Key conditionalities and incentives 3
Finance: key issues and guiding principles 4-5
ROAD MAP 6-9
Approved budget (by program and function) 10-12
REPRODUCTIVE AND CHILD HEALTH
Maternal Health 16-25
Child Health & Immunization 26-36
Family Planning 37-45
Adolescent Health 46-53
Urban RCH 54-56
Tribal RCH 57-58
PC-PNDT 59-62
Human Resources and programme management 63-70
MISSION FLEXI POOL
ASHA 72-73
Untied funds/RKS/AMG 74-76
New constructions/ renovation and setting up 77-78
Procurement 79-80
Mobile medical unit 81-82
AYUSH 83-84
IEC / BCC 85-86
Monitoring and evaluation (HMIS) 87-90
Others 91-92
NATIONAL DISEASE CONTROL PROGRAMMES
National Iodine Deficiency Disorders Control Programme (NIDDCP) 94-97
Integrated Disease Surveillance Programme(IDSP) 98-100
National Vector Borne Disease Control Programme (NVBDCP) 101-109
National Leprosy Eradication Programme (NLEP) 110-113
National Programme for control of Blindness (NPCB) 114-116
Revised National Tuberculosis Control Programme (RNTCP) 117-122
Annex (Detailed budgets)
1. RCH Flexible Pool
2. Mission Flexible pool
3. Immunization and PPI operation cost
4A. National Iodine Deficiency Disorders Control Programme (NIDDCP)
4B. Integrated Disease Surveillance Programme (IDSP)
4C. National Vector Borne Disease Control Programme (NVBDCP)
4D. National Leprosy Eradication Programme (NLEP)
4E. National Programme for control of Blindness (NPCB)
4F. Revised National Tuberculosis Control Programme (RNTCP

SUMMARY

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

SERVICE DELIVERY TARGETS:
Indicators
DLHS-2 DLHS-3 CES
(2002-04) (2007-08) (2009)
Maternal Health
Mothers who had 3 or more Ante Natal Check-ups
69.4 59.4% 67.4
(%)
State Targets
2012-13 2013-14 2014-15
126404
(4ANCs)
128692
(4ANCs)
131000
(4ANCs)
Institutional delivery (%) 45.1 48.2 50.3 48 49 50
Women receiving Post Partum check up within 48
hrs. to 14 days(%)
NA 50.5 NA
Line listing and follow up of Severely Anaemic
NA NA NA
1558 1569 1581
pregnant women (nos)
Child Health
Full Immunisation (%) 79.3 82.3 75.8 75 85 100
Line listing and follow up of Low Birth Weight
NA NA
babies Nos; (%)
Family Planning
Female sterilisations 21020
(HMIS:
2010-11)
Post-Partum sterilizations 597
(HMIS:
2010-11)
Male sterilisations 2618
(HMIS:
2010-11)
5398
(5%)
7557
(7%)
10255
(10%)
27000 28000 29000
1000 1500 2500
6000 6250 6500
IUD insertions 21220
(HMIS: 30000 32500 35000
2010-11)
Disease Control
ABER for malaria (%) >10%
API for malaria (per 1000
population)

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

FINANCE: KEY ISSUES AND GUIDING PRINCIPLES
Quality FMRs must be submitted on time with both physical and financial progress fully reflected.
1. Status of 15% Contribution of state share:
Year
Amounts required on basis
of releases
(Rs. in Crore)
Amount Credited in
SHS Bank A/C
(Rs. in Crore)
Short/
(Excess) (Rs.
In Crore)
2007-08 9.25 0.00 9.25
2008-09 11.33 13.65 -2.32
2009-10 20.37 14.80 5.57
2010-11 19.98 20.00 -0.02
2011-12 34.80 23.00 11.80
Total 95.73 71.45 24.28
The above shortfall is 25% of the amount required to be credited on the basis of releases
during the period 2007-08 to 2011-12. State is to ensure that state’s outstanding share is
deposited. Further, with effect from 2012-13, State’s share would be 10%.
2. Refund of RCH-I: The State should refund the unspent balance of Rs. 3.18 Crore under RCH-I.
3. Before the release of funds up to 100% of BE of your state for the year 2012-13, State needs to
provide Utilization Certificates against the grant released to the State up to 2010-11. The details
for such pending UCs is as under:
Pending utilisation certificates (Amount Rs. in Crore)
Programme 2009-10 2010-11 TOTAL
RCH-II 4.53 19.19 23.72
Mission flexipool 0 0 0
4. Release of 100% of funds for the year 2012-13 would be contingent on the state providing
utilisation certificates up to 2010-11.
5. The appointment of Concurrent Auditor for the year 2012-13 is a prerequisite for release of 2nd
tranche of funds.
6. Timely submission of Statutory Audit Report for the year 2011-12 is a must for release of 2nd
tranche of funds.
7. State is required to comply with the instructions and/or guidelines issued for maintenance of
bank account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012.
8. State should provide a confirmation of submission of Action Taken Report/ Compliance Report on
the FMR Analysis (2011-12) and Audit Report Analysis for FY 2010-11.
9. The State should provide the executive summary in the prescribed format and the action taken
thereon.
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 4 -

10. State needs to prioritise the internal control procedures for all transactions.
11. State should ensure proper maintenance of books of accounts at all districts and blocks within
the State.
12. The statutory audit for the year 2011-12, needs to be completed within the stipulated date of 31 st
July, 2012.
13. The State should have a full time Director –Finance / Controller-Finance.
14. The vacant positions under finance and accounts at State level and District level needs to be filled
up.
15. The State should ensure the financial integration of National Disease Control Programme under
NRHM.
16. Regularise field visits of Finance officials to monitor financial utilisation and develop a defined
action plan to improve the utilisation of funds especially under RCH Flexible Pool.
17. The state must ensure due diligence in expenditure and observe, in letter and spirit, all rules,
regulations, and procedures to maintain financial discipline and integrity particularly with
regard to procurement; competitive bidding must be ensured and only need-based
procurement should take place.
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 5 -

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

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

S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
kitchen, facilities for electricity; clean linen; kitchens, facilities for attendants
attendants
12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable
availability to patients; partnerships with private service providers;
COMMUNITY INVOLVEMENT
prescription audits, free for pregnant women and sick neonates
13. Patient’s feedback and Feedback from patients; expeditious grievance redressal; analysis of
grievance redressal
feedback for corrective action
14. Community Participation Active community participation; empowered PRIs; strong VHSNCs;
social audit; effective Village Health & Nutrition Days (VHNDs),
strengthening of ASHAs, policies to encourage contributions from
public/ community
15. IEC Comprehensive communication strategy with a strong behaviour
change communication (BCC) component in the IEC strategy;
CONVERGENCE, COORDINATION & REGULATION
dissemination in villages/ urban slums/ peri urban areas
16. Inter Sectoral convergence Effective coordination with key departments to address health
determinants viz. water, sanitation, hygiene, nutrition, infant and
young child feeding, gender, education, woman empowerment,
convergence with SABLA, SSA, ICDS etc.
17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be
part of active communitisation process; involvement of NGOs in
18. Private Public Partnership
(PPP)
19. Regulation of services in
the private sector
MONITORING & SUPERVISION
filling service delivery gaps; active community monitoring
Partnership with private service providers to supplement
governmental efforts in underserved and vulnerable areas for
deliveries, family planning services and diagnostics
Implementation of Clinical Establishment Act; quality of services,
e.g. safe abortion services; adherence to protocols; checking
unqualified service providers; quality of vaccines and vaccinators,
enforcement of PC-PNDT Act
20. Strengthening data 100% registration of births and deaths under Civil Registration
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 8 -

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

PROGRAMME WISE BUDGET
APPROVED BUDGET (BY PROGRAMME),2012-13: Rs 17099.9
LACS (in percentage)
Total
Infrastructure
Maintenance,
5777.00, 34%
Total RCH Flexi
Pool, 4477.88,
26%
TOTAL MFP ,
5302.64337, 31%
Total NDCP,
1011.04, 6%
Total RI & PPO
costs, 531.34, 3%
Approved Budget (Functional Head wise ) ,2012-13 : Rs.
17099.91 Lakhs (In Percentage)
Programme
Management Infrastructure
1% Training 0%
2%
PPI
1%
Infrastructure
Maintenance
(Direction &
Administration)
34%
Human Resources
15%
Procurement
6%
Hospital
Strengthening
5%
Financial aid/grant
to Institutions
(NDCPs)
0%
PPP/NGO
0%
Operational Cost
(NDCPs)
2%
Other Mission
activities
9%
Vulnerable Group
1%
Other RCH
Activities
5%
JSSK
5%
Referral Transport
3%
JSY
1%
ASHA
1%
IEC/BCC
2%
Untied
funds &
AMG
3%
RKS
1%
Sterlisation
2%
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 10 -

Vulnerable
groups
2%
Compensations
8% JSY
5%
RCH Flexi Pool Rs 4477.88 Lacs (in percentage)
OTHERS
2%
Maternal Health
19%
Child Health
4%
Family
Planning
1%
Programme
Management
3%
Training
7%
HR
35%
ARSH
14%
Other
Expenditures
(Power
Backup,
Convergence
etc)
14%
MFP Flexi Pool Rs 5302.64 Lacs (in percentage)
Grants
12%
Procurement
19%
ASHA
0%
Hospital
Strengthening
15%
Planning,
Implementation
and Monitoring
13%
Referral
Transport
11%
New
Constructions
0%
Mainstreaming of
AYUSH
9%
IEC-BCC
NRHM
4%
Mobile
Medical Units
(Including
recurring
expenditures)
3%
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 11 -

Immunization Rs 531.34 Lacs (in percentage)
Pulse Polio
Operational Cost
37%
RI strengthening
project
34%
ASHA Incentive
22%
Salary of
Contractual
Staffs
Training
3%
Cold chain 3%
maintenance
1%
Disease Control Programmes Rs 1011.04 Lacs (in
percentage)
NIDDCP
8%
IDSP
7%
NVBDCP
4%
RNTCP
50%
NLEP
6%
NPCB
25%
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 12 -

SUMMARY BUDGET 12-13: HIMACHAL PRADESH
FY 2012-13 Budget ( Rs lakhs )
S. No. Budget Head
Proposed Approved %
1. RCH
A1 Maternal Health 1972.46 850.26 4.97
A2 Child Health 463.17 182.79 1.07
A3 Family Planning 58.16 32.31 0.19
A4 ARSH 636.18 601.77 3.52
A5 Urban RCH 54.12 54.12 0.32
A6 Tribal RCH 40.00 40.00 0.23
A7 PNDT & Sex Ratio 0.00 10.00 0.06
A8 HR 2345.08 1567.44 9.17
A9 Training 373.21 317.63 1.86
A10 Programme Management 934.13 151.32 0.88
A11 Vulnerable groups 120.00 66.00 0.39
Total Base Flexi Pool 6996.51 3873.64 22.65
A12 JSY 248.44 233.44 1.37
A13 Sterilisation & IUD
Compensation, and NSV
370.80 370.80 2.17
Camps
Total Demand Side 619.24 604.24 3.53
Total RCH Flexi Pool 7615.75 4477.88 26.19
2. MFP
B1 ASHA 10.00 4.48 0.03
B2 Untied Funds (ongoing) 704.80 185.68 1.09
B3 Annual Maintenance
555.00 243.05 1.42
Grants (ongoing)
B4 Hospital Strengthening 1014.00 786.00 4.60
B5
B6
New Constructions/
Renovation and Setting up
Corpus Grants to HMS/RKS
(ongoing)
1317.09 24.00 0.14
643.00 214.64 1.26
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 13 -

FY 2012-13 Budget ( Rs lakhs )
S. No. Budget Head
Proposed Approved %
B7 District Action Plans
16.45 5.00 0.03
(including block, village)
B8 Panchayati Raj Initiative - - -
B9 Mainstreaming of AYUSH 750.84 500.00 2.92
B10 IEC-BCC NRHM 208.50 208.50 1.22
B11 Mobile Medical Units
(Including recurring
150.00 150.00 0.88
expenditures)
B12 Referral Transport 1379.38 561.00 3.28
B13 PPP/ NGOs 190.00 0.00 0.00
B14 Innovations (if any) - - -
B15 Planning, Implementation 722.10 686.37 4.01
and Monitoring
B16 Procurement 1713.14 991.50 5.80
B17 Regional drugs
- - -
warehouses
B18 New Initiatives - - -
B19 Health Insurance Scheme 1000.00 0.00 0.00
B20 Research, Studies, Analysis 30.00 0.00 0.00
B21 State level Health
- -
Resources Center
B22 Support Services 90.48 42.43 0.25
B23
Other Expenditures
(Power Backup,
700.00 700.00 4.09
Convergence etc)
TOTAL MFP 11194.78 5302.64 31.01
3. IMMUNIZATION
C1 RI strengthening project
(Review meeting, Mobility 406.89 180.89 1.06
support, Outreach services
etc)
C2 Salary of Contractual Staffs 26.99 16.20 0.09
C3 Training under
24.87 15.94 0.09
Immunisation
C4 Cold chain maintenance 13.11 8.12 0.05
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 14 -

FY 2012-13 Budget ( Rs lakhs )
S. No. Budget Head
Proposed Approved %
C5 ASHA Incentive 115.00 115.00 0.67
Total Immunization 586.85 336.15 1.97
C6
Pulse Polio Operational
195.19 195.19 1.14
Cost
Total RI & PPO costs 782.04 531.34 3.11
4. NATIONAL DISEASE CONTROL PROGRAMMES
4A. National Iodine Deficiency
Disorders Control
Programme (NIDDCP)
24.00 78.31 0.46
4B. Integrated Disease
Surveillance
91.89 69.89 0.41
Programme(IDSP)
4C. National Vector Borne
Disease Control
75.85 40.60 0.24
Programme (NVBDCP)
4D. National Leprosy
Eradication Programme
99.44 58.91 0.34
(NLEP)
4E. National Programme for
control of Blindness
702.50 252.00 1.47
(NPCB)
4F. Revised National
Tuberculosis Control
640.55 511.33 2.99
Programme (RNTCP)
Total NDCP 1634.23 1011.04 5.91
5. INFRASTRUCTURE MAINTENANCE
Total Infrastructure
5777.00 5777.00 33.78
Maintenance
GRAND TOTAL 27003.80 17099.90 100.00
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 15 -

MATERNAL
HEALTH
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 16 -

GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH
Indicator
Target
Maternal Mortality Ratio
4 ANCs 126404 in 2012-13
Institutional Deliveries (out of the total estimated deliveries) to be
58197 in 2012-13
conducted in Public health institutions from 45% in 2010-11 to 48 % in
2012-13
Caesarean Section rate in public health facilities from 12% in 2010-11 to 8730 in 2012-13
15% in 2012-13
Severely anaemic pregnant women out of total anaemic pregnant women 1558 in 2012-13
(@2%)to be line listed and managed
DELIVERY POINTS:
Level of Facility
Target
DHs & District women’s hospital 12
CHCs and other health facilities at sub district level 31
24*7 PHCs and Non FRUs 27
SC
All identified SCs
Total 70
TRAINING:
Training Programme
Target
LSAS 24
EmOC 8
BEmOC 36
SBA 36 SNs, FHW: 36
MTP 30
RTI/STI 500 MOs, LT: 480
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 17 -

ROAD MAP FOR PRIORITY ACTION: MATERNAL HEALTH
Commitment No. 1- Operationalizing Delivery Points
Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the
necessary resources in order to ensure quality of services and provision of comprehensive RMNCH
(Reproductive Maternal Neonatal and Child Health) services at these facilities. These must be
branded and positioned as quality RMNCH 24x7 Service Centres within the current year.
The targets for different categories of facilities are:
A) All District Hospitals and other similar district level facilities to provide the following
services:
24*7 service delivery for CS and other Emergency Obstetric Care.
1 st and 2 nd trimester abortion services.
Facility based MDR.
Essential newborn care and facility based care for sick newborns.
Family planning and adolescent friendly health services
RTI/STI services.
Functional BSU/BB.
B) 33 CHCs and other health facilities at sub district level (above block and below district
level) functioning as FRUs to provide the same comprehensive RMNCH Services as the
district hospitals.
C) 33 24*7 PHCs and Non FRUs to provide the following services:
24*7 BeMOC services including conducting normal delivery and handling common
obstetric complications.
1 st trimester safe abortion services. (MVA upto 8 weeks and MMA upto 7 weeks)
RTI/STI services.
Essential newborn care and facility based care for sick newborns.
Family planning
D) All identified SCs/ facilities will:
Conduct Delivery by SBAs.
Provide IUD Services
Provide Essential New born care services.
Provide ANC, PNC and Immunization services.
Provide Nutritional and Family planning counseling.
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 18 -

Conduct designated VHND and other outreach services.
Commitment No. 2- Implementing free entitlements under JSSK
A) JSSK entitlements to be ensured to all pregnant women and sick newborns accessing Public
health facilities.
B) Drop back to be ensured to at least 70% of pregnant women delivering in the public health
facilities.
C) Effective IEC and grievance redressal to be ensured.
Commitment No. 3- Centralized Call Centre and Assured Referral
A) To ensure availability of a centralized call centre for referral transport at State or district level
as per requirements along with GPS fitted ambulances.
B) Response time for the ambulance to reach the beneficiary not to exceed 30 minutes.
Commitment No. 4- Essential Drug List
A) To formulate an Essential Drug List (EDL) for each level of facility viz. SC, PHCs, CHCs, DHs,
and Medical colleges
B) Ensure timely procurement and supply linked to case load.
C) The EDL should include drugs for maternal and child health, safe abortion services, RTI/STI.
Commitment No. 5- Capacity Building
A) Delivery points to be first saturated with trained HR. High focus/ remote areas to be covered
first.
B) Shortfall in trained human resource at delivery points particularly sub centres and those in
HFDs/ tribal/ remote areas to be addressed on priority.
C) Training load for skill based trainings to be estimated after gap analysis.
D) Certification /accreditation of the training sites is mandatory.
E) Training plan to factor in reorientation training of HR particularly for those posted at non
functional facilities and being redeployed at delivery points. Orientation training of field
functionaries on newer interventions e.g. MDR.
F) Performance Monitoring during training/post-deployment need to be ensured
G) Specific steps to strengthen SIHFW/ any other nodal institution involved in planning,
implementation, monitoring and post training follow up of all skill based trainings under
NRHM
Commitment No. 6– Tracking severe anaemia
A) All severely anaemic pregnant woman (2% of the anaemic pregnant woman) to be tracked
and line listed for providing timely treatment of anaemia followed by micro birth planning.
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 19 -

Commitment No. 7– For High Focus Districts
A) The State to make use of the MCH sub plans made for these districts in the recent past and
develop and operationalise the identified facilities as delivery points.
B) At least 25% of all sub centres under each PHC to be made functional as delivery points in the
HFDs.
Commitment No. 8—Demarcation /Division of population and job clarity between the two ANMs
working at the Sub-centre. Ensuring availability of one ANM at the SC, while the other visits
the assigned population/villages.
Commitment No. 9-For 12 High Focus States: Pre service Nursing Training
A) At least one state Master Nodal centre shall be created and made functional.
B) State nursing cell will be created and made functional.
Commitment No.10-- Proper implementation of JSY:
A) JSY guidelines to be strictly followed and payments made as per the eligibility criteria.
B) No delays in JSY payments to the beneficiaries and full amount of financial assistance to be
given to the beneficiary before being discharged from the health facility after delivery.
C) All payments to be made through cheques and preferably into bank/ post office accounts.
D) Strict monitoring and physical (at least 5%) verification of beneficiaries to be done by state
and district level health authorities to check malpractices.
E) Grievance redressal mechanisms as stipulated under JSY guidelines to be activated at the
district and state levels.
F) Accuracy of JSY data reported at the HMIS portal of MOHFW to be ensured besides furnishing
quarterly progress reports to the Ministry within the prescribed timeframe.
Commitment No. 11: Strengthening Mother & Child Tracking System
A) State level MCTS call centre to be set up to monitor service delivery to pregnant women and
children .
MCTS to be made fully operational for regular and effective monitoring of service delivery
including tracking and monitoring of severely anaemic women, low birth weight babies and
sick neonates.
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 20 -

DETAILED BUDGET: MATERNAL HEALTH
FMR
Code
A.1
A.1.1
A.1.1.1
A.1.1.2
A.1.1.3
A.1.1.4
A.1.1.5
A.1.2
A.1.3
A.1.3.1
A.1.3.2
A.1.4
Activity
MATERNAL
HEALTH
Operationalise
facilities
Operationalise
FRUs
Operationalise
24x7 PHCs
MTP services at
health facilities
RTI/STI services at
health facilities
Operationalise
Sub-centres
Referral
Transport
Integrated
outreach RCH
services
RCH Outreach
Camps/ Others
Monthly Village
Health and
Nutrition Days
Janani Suraksha
Yojana / JSY
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
Remarks
20000.00 100 20.00 20.00 Approved
100.00 18386 18.39 18.39 Approved
A.1.4.1 Home Deliveries 500.00 6670 33.35 33.35 Approved
A.1.4.2
Institutional
0.00
Deliveries
A.1.4.2.a Rural 700.00 17320 121.24 121.24 Approved
A.1.4.2.b Urban 600.00 2670 16.02 16.02 Approved
A.1.4.2.c C-sections 1500.00 2000 30.00 30.00 Approved
A.1.4.3
Administrative
11.83 11.83 Approved
expenses
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 21 -

FMR
Code
A.1.4.4
A.1.5
A.1.6
A.1.7
A.1.7.1
A.1.7.1.1
A.1.7.1.2
Activity
Incentive to
ASHAs
Maternal Death
Review
Other strategies/
activities
JSSK- Janani
Shishu Surakhsha
Karyakram
Drugs &
Consumables
(other thatn
reflected in
Procurement)
Drugs and
Consumables for
Normal Deliveries
Drugs and
Consumables for
Caesarean
Deliveries
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
Remarks
600.00 6000 36.00 21.00 Approved. In case
JSSK is
implemented in
the notified tribal
areas, then the
ASHA incentive
under JSY will be
reduced to Rs.
350/- as pregnant
women are
guaranteed free
transportation
and drop back
from home to
health facility
under this
scheme.
600.00 78215
3000.00 8695
370.74
260.85
213.50 Approved @ Rs
350 for 61000 PW
97.60 Approved @ Rs
1600 for 6100 C
section
Diagnostic 480.00 127463 439.39 254.92 Approved @
A.1.7.2
revised rate of Rs
200
A.1.7.3 Blood Transfusion 45.00 8695 3.91 3.91 Approved
A.1.7.4 Diet
A.1.7.4.1
A.1.7.4.2
3 days for Normal
Delivery
7 days for
Caesarean
30.00 70.39 54.90 Approved for
61000 PW at Rs
30
30.00 18.25 12.81 Approved for
6100 c section at
Rs 30
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 22 -

FMR
Code
A.1.7.5
A.1.7.5.1
A.1.7.5.2
A.9.3
A.9.3.1
A.9.3.2
A.9.3.3
A.9.3.4
Activity
Free Referral
Transport (other
than A1.2)
Inter Facility
Transfer for
mother
Drop Back for
mother
Unit Rate
(Rs.)
Physical
Target
1000.00 8695
1000.00
Proposed
Amount(Rs
in lacs)
86.95
683.59
Approved
Amount(Rs
in lacs)
Sub-total
1972.46 850.26
Maternal Health
(excluding JSY)
Sub-total JSY 248.44 233.44
Maternal Health
Training
Skilled Birth
Attendance / SBA
training
TOT for SBA
Training of
Medical Officers
in Management
of Common
Obstetric
Complications
(BEmOC)
Training of Staff
Nurses in SBA
(DH)
Training of ANMs
/ LHVs in SBA (DH)
Training of ANMs
/ LHVs in SBA
(FRU)
Comprehensive
EmOC training
(including c-
section)
Life saving
Anaesthesia skills
training
Safe abortion
services training
(including MVA/
EVA and Medical
Remarks
21.73 Approved @
revised rate of Rs
250 for 8695
cases
152.50 Approved @ Rs
250 for 61000 PW
48600.00 12 5.83 5.83 Approved
50550.00 12 6.07 6.06 Approved
50550.00 12 6.07 6.06 Approved
195200.00 1 1.95 1.95 Approved
295600.00 3 8.87 8.86 Approved
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 23 -

FMR
Code
Activity
abortion)
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
Remarks
A.9.3.5
A.9.3.6
A.9.3.7
B16.1.1
TOT on safe
abortion services
for MO & SN
ToT of Medical
Officers in safe
abortion
Training of
Medical Officers
in safe abortion
RTI / STI training
TOT for RTI/STI
training
Training of
laboratory
technicians in
RTI/STI
Training of
Medical Officers
in RTI/STI
Training of Staff
Nurses in RTI/STI
Training of ANMs
/ LHVs in RTI/STI
BEmOC
training(Dai
training -TBA)
Other MH training
(MDR for MO's)
Other maternal
health training
(MDR for block
level investigation
team)
Diploma Course
for MO - 2years
Advance training
course for ANMs
66540.00 10 6.65 6.65 Approved
55820.00 24 13.40 13.39 Approved
70540.00 25 17.64 17.63 Approved
100860.00 10 10.09 10.08 Approved
102360.00 20 20.47 20.47 Approved
21060.00 69 14.53 14.53 Approved
Sub Total Training 111.56 111.51
Procurement of
equipment: MH 2.5 2.5 Approved
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 24 -

FMR
Code
B.16.2
B.16.2.1
B.16.2.2
Activity
Procurement of
Drugs and
supplies
Drugs & supplies
for MH
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
Drugs & supplies
for CH
Drugs and
Supplies for MH
CH for Sub
Centers
26432 2065 545.82 0
Sub Total MH 2880.78 1197.71
Remarks
Approval pended.
State to submit
the details
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 25 -

CHILD HEALTH
&
IMMUNIZATION
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 26 -

TARGETS: CHILD HEALTH AND IMMUNIZATION
TREND
TARGETS
Indicator SRS
2008
SRS
2009
Current status-
SRS 2010
SRS 2011 SRS 2012 SRS
2013
SRS
2014
SRS
2015
E-NMR 27 31 25 20 15 11 7 4
NMR 33 36 31 26 21 17 13 9
IMR 44 45 40 35 30 25 20 15
U5MR 50 51 49 43 37 32 27 21
B
KEY PERFORMANCE INDICATORS (CUMULATIVE)
Current Status Target for 2012-13
1 Establishment & Operationalisation of SNCUs 4 (2in MC) 4 (2in MC)
2 Establishment & operationalisation of NBSU 0 0
3 NBCC at delivery points 56 (10in HFD) 76 (18 in HFD)
4 Establishment of NRCs 0 2
4 Personnel trained in IMNCI (ANM+LHV) No. 95 345
5 Personnel trained in F-IMNCI (MO+SN) % 10 35
6 Personnel trained in NSSK (MO+ANM+SN) No. 4 129
7 ASHA trained in Module 6& 7 % 0 12
No. 302 250
8 Immunisation sessions held over planned % 70 58
% 0 100
C
KEY PERFORMANCE INDICATORS (NON CUMULATIVE)
2012-13 2013-14 2014-15
New borns visited by ASHA (as per No. 0 72000 102000 120000
1 HBNC guidelines)
% 0 60% 85% 100%
New borns breastfed with one No. 46560 78000 102000 120000
2 hour of birth (CES 2009)
% 38.80% 65% 85% 100%
Line listing and follow up of LBW No. 11400 6000 2400 1200
3 children (estimated)
% 10% 5% 2% 1%
D. IMMUNIZATION - KEY PERFORMANCE INDICATORS (NON CUMULATIVE)
4 Fully immunized children by age of No 90960 108000 114000 120000
one year (CES 2009)
% 75.80% 90% 95% 100%
DPT-3 coverage for 12-23 months No. 112080 116400 120000 120000
old
5 (CES 2009)
%
93.40% 97% 100% 100%
DPT 1st booster in children aged No. 87840 102000 108000 120000
18-23months
6 (CES 2009)
%
73.20% 85% 90% 100%
*Operationalisation under process from 2011-12 onwards. PIP 12-13 enlists them as being under
process.
Note: The targets are calculated for achieving MDG by 2015 and have been aligned with funds
recommended for approval in FY 2012-13
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 27 -

ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH AND IMMUNIZATION
A. Priority Actions to be carried out by state for Child Health
1. All the delivery points must have a functional Newborn Care Corner consisting of essential
equipment and staff trained in NSSK. All staff must be trained in a 2 days NSSK training
package for skills development in providing Essential Newborn Care.
2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all
Medical Colleges and District Hospitals. All resources meant for establishment of SNCUs
should be aligned in terms of equipment, manpower, drugs etc. to make SNCUs fully
operational.(Refer to facility based new born care guidelines )
3. SNCUs are referral centres with provision of care to sick new born in the entire district and
relevant information must be given to all peripheral health facilities including ANM and ASHA
for optimum utilisation of the facility. Referral and admission of outborn sick neonates
should be encouraged and monitored along with inborn admissions.
4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred from
peripheral units. Dedicated staff posted to NBSU must be adequately trained and should
have the skills to provide care to sick newborns.
5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home
Based Newborn Care Scheme. The ASHA kit and incentives for home visits should be made
available on a regular basis to ASHAs who have completed the Round 1 of training in Module
6 .
6. All ANMs are to be trained in IMNCI. All Medical Officers and Staff Nurses, positioned in
FRUs/DH and 24x7 PHCs should be prioritised for F-IMNCI training so that they can provide
care to sick children with diarrhoea, pneumonia and malnutrition.
7. Infant and Under fives Death Review must be initiated for deaths occurring both at
community and facility level.
8. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and
expectant mothers should be ensured at all delivery points and breastfeeding initiated soon
after birth. At least two health care providers should be trained in ‘Lactation Management’ at
District Hospitals and FRUs; other MCH staff should be provided 2 days training in IYCF and
growth monitoring.
9. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs),
prioritising tribal and high focus districts with high prevalence of child malnutrition. The
optimum utilisation of NRCs must be ensured through identification and referral of Severe
Acute Malnutrition cases in the community through convergence with Anganwadi workers
under ICDS scheme (refer to guidelines on NRCs).
10. Line listing of newly detected cases of SAM and Low birth weight babies must be maintained
by the ANM and their follow-up must be ensured through ASHA.
11. In order to reduce the prevalence of anaemia among children, all children between the ages
of 6 months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a
preventive measure for 100 days in a year. School health teams can, in addition assess
children below 6 years of age at AWCs. Accordingly appropriate formulation and logistics
must be ensured and proper implementation and monitoring should be emphasised through
tracking of stocks using HMIS.
12. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in
children. Availability of ORS and Zinc should be ensured at all sub-centres and with ASHAs.
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 28 -

13. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against
committed training load) must be transmitted on a regular basis to the Child Health Division,
MoHFW.
B. Priority Actions to be carried out by state for Immunisation
1. The year 2012 has been declared as the ‘Year of Intensification’ of Routine Immunisation.
Therefore, state must prepare a detailed district plan for Intensification of Routine
Immunization with special focus on districts with low coverage.
2. The birth dose of immunisation should be ensured for all newborns delivered in the
institutions, before discharge. Daily Immunisation services should be available in PHCs, CHCs,
SDHs/DHs.
3. A dedicated State Immunisation Officer should be in place. District Immunisation Officer
should be in place in all the districts. The placement of ANMs at all session sites must be
ensured. For sub centres without ANMs, special strategy should be formulated.
4. Due list of beneficiaries must be available with ANM and ASHA and village wise list of
beneficiaries should be available with ASHA after each session. MCTS should be made full use
of for generating due lists for ANMs, sending SMS alerts to beneficiaries and maintaining
actual service delivery.
5. The immunisation session must be carried out on a daily basis in District Hospitals and FRUs/
24x7 PHCs with considerable case load in the OPD.
6. Cold chain mechanics must be placed in every district with a definite travel plan so as to
ensure that at least 3 facilities are visited every month as a preventive maintenance of cold
chain equipment.
7. The paramedic person instead of a clerical staff should be identified as the Cold Chain
Handler in all cold chain points and their training must be ensured along with one more
person as a backup.
8. It has been observed that the coverage of DPT 1st booster and Measles 2nd dose to be given
at the age of 18 months is less than 50% across the country. Therefore coverage of DPT 1st
booster and measles 2nd dose must be emphasised and monitored.
9. District AEFI Committees must be in place and investigation report of every serious AEFI case
must be submitted within 15 days of occurrence.
10. Rapid response team should be in place in priority districts of the states to identify pockets of
low immunization coverage and to respond to any threat of polio.
11. Special micro plans are to be developed for inaccessible, remote areas and urban slums. The
micro plans developed under polio programme must be utilised and special focus should be
given to the migrant population (Refer to guidelines).
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page - 29 -

DETAILED BUDGET: CHILD HEALTH & IMMUNIZATION
FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
A.2 CHILD HEALTH
A.2.1 IMNCI
Prepare detailed
A.2.1.1 operational plan for
IMNCI across districts
A.2.1.2
A.2.1.3
A.2.1.4
A.2.2
A.2.2.1
A.2.2.2
A.2.3
A.2.4
A.2.4.1
Implementation of IMNCI
activities in districts
Monitor progress against
plan; follow up with
training, procurement,
etc
Pre-service IMNCI
activities in medical
colleges, nursing colleges,
and ANMTCs
Facility Based Newborn
Care/FBNC (SNCU, NBSU,
NBCC)
Prepare detailed
operational plan for FBNC
across districts (including
training, BCC/IEC, drugs
and supplies, etc.; cost of
plan meeting should be
kept).
Maintenance and
consumables (24-bedded
SNCUs)
Monitor progress against
plan; follow up with
training, procurement,
etc.
Home Based Newborn
Care/HBNC
Infant and Young Child
Feeding/IYCF
Prepare and disseminate
guidelines for IYCF.
900.00 125 1.13 0 Not
Approved.
1000000.0
0
4
40.00
40.00 Approved
2500.00 400 10.00 Shifted to
MFP
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 30

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
A.2.4.2
A.2.4.3
A.2.5
A.2.5.1
.
A.2.5.2
A.2.5.3
A.2.6
A.2.7
A.2.8
A.2.9
A.2.10
Prepare detailed
operational plan for IYCF
across districts (including
training, BCC/IEC, drugs
and supplies, etc.; cost of
plan meeting should be
kept).
Monitor progress against
plan;follow up with
training, procurement,
etc.
Care of Sick Children and
Severe Malnutrition at
facilities (e.g. NRCs,
CDNCs etc.)
Prepare and disseminate
guidelines.
Prepare detailed
operational plan for care
of sick children and
severe malnutrition at
FRUs, across districts (
cost of plan meeting
should be kept).
Implementation of
activities in districts.
Recurring expenses 20-
1250000.0
0
2 25.00 25.00 Approved
bedded NRCs
Management of
Diarrhoea, ARI and
Micronutrient
Malnutrition
ARI 40.00 31286 12.51 12.51 Approved
Diarrhea 2.50 31286 0.78 0.78 Approved
Other strategies/
activities
Infant Death Audit
Incentive to ASHA under
Child Health
JSSK (for Sick neonates
up to 30 days)
20.55 Shifted from
MFP.
Approved for
8220 for LW
@ 250/- as
proposed by
the State.
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 31

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
A.2.10.
1
A.2.10.
2
A.2.10.
3
Drugs & Consumables
(other thatn reflected in
Procurement)
Diagnostics
Exchange Transfusion
(Child Care)
Free Referral Transport
(other than A1.2 and
A1.7.5)
Inter Facility Transfer for
child
1000.00 11500 115.00 23.00 Approved @
revised rate
of Rs 200
500.00 5750 28.75 3.45 10% of
sicknewborn
s may
require
blood
trasnfusion.
Approved for
1150
Sicknewborn
s @ Rs. 300.
1000.00 11500
Free Drop Back for child 1000.00 11500
115.00
115.00
28.75 Approved @
revised rate
of Rs 250 for
11500 cases
28.75 Approved @
Rs 250 for
11500 cases
Sub-total Child Health 463.17 182.79
A.9.5 Child Health Training
A.9.5.1 IMNCI Training 138850 12 16.662 16.66 Approved
TOT on IMNCI (preservice
and in-service)
IMNCI Training for ANMs
/ LHVs
IMNCI Training for
Anganwadi Workers
A.9.5.2 F-IMNCI training 257790 7 18.0453 18.05
TOT on F-IMNCI
F-IMNCI Training for
Medical Officers
F-IMNCI Training for Staff
Nurses
FBNC
Facility Based Newborn
Care/FBNC (SN)
Recommend
ed by GOI in
consultation
with State
72960 2 1.4592 1.45 Approved
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 32

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
A.9.5.3
A.9.5.4
A.9.5.5
B16.1.
2
C.1
Facility Based Newborn
Care/FBNC (MO)
97800 2 1.956 1.95 Approved
Training of master
trainers at PGI
100000 2 2 2 Approved
Printing of training
material
Home Based Newborn
Care training
136800 15 20.52 20.52 Approved
TOT on HBNC
Training on HBNC for
ASHA
Care of Sick Children and
severe malnutrition
training
TOT on Care of sick
children and severe
malnutrition
Training on Care of sick
children and severe
malnutrition for Medical
Officers
Other CH training (pls
specify)
NSSK Training
TOT for NSSK
NSSK Training for Medical
Officers
52560 8 4.2048 4.2 Approved
NSSK Training for SNs 42210 8 3.3768 3.37 Approved
NSSK Training for ANMs
Printing of Manuals &
Procurement of
Mannikins for NSSK
Training
Sub total Training 68.2241 68.2
Procurement of
equipment: CH 105000 20 21 21
Immunization
RI Strengthening Project
(Review meeting,
Mobility Support,
Outreach services etc
Approved
c.1.a
Mobility Support for
supervision for district
level officers.
Rs.50000/
Year
/district
level
officers.
6 6 Approved
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 33

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
c.1.b
c.1.c
c.1.d
Mobility support for
supervision at state level
Printing and
dissemination of
Immunization cards, tally
sheets, monitoring forms
etc.
Support for Quarterly
State level review
meetings of district
officer
Rs.
100000
per year.
Rs. 5
beneficiari
es
1 1 Approved
6.6 6.6 Approved
0.75 0.75 Approved
c.1.e
c.1.f
c.1.g
c.1.h
c.1.i
c.1.j
c.1.k
c.1.l
Quarterly review
meetings exclusive for RI
at district level with one
Block Mos, CDPO, and
other stake holders
Quarterly review
meetings exclusive for RI
at block level
Focus on slum &
underserved areas in
urban areas/alternative
vaccinator
for slums
Mobilization of children
through ASHA or other
mobilizers
Alternative vaccine
delivery in hard to reach
areas
Alternative Vaccine
Delivery in other areas
To develop microplan at
sub-centre level
For consolidation of
microplans at block level
Rs. 150
per
session
Rs. 100
per
session
Rs. 50 per
session
@ Rs
100/- per
subcentre
Rs. 1000
per block/
PHC and
Rs. 2000
per district
1.2 1.2 Approved
2.2 2.2 Approved
0 0
330.95 81.18 Approved
16.62 16.62 Approved
18.75 18.75 Approved
2.07 2.07 Approved
0.97 0.97 Approved
c.1.m
POL for vaccine delivery
from State to district and
from district to PHC/CHCs
Rs100,000
/
district/ye
ar
13 12 Approved
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 34

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
c.1.n
c.1.o
Consumables for
computer including
provision for internet
access for RIMs
Red/Black plastic bags
etc.
@ 400/ -
month/
district
Rs.
2/bags/ses
sion
Rs. 900
per
PHC/CHCp
0.58 0.58
1.51 1.51
Hub
4.7 4.7
Cutter/Bleach/Hypochlori
c.1.p te solution/ Twin bucket er year
c.1.q Safety Pits 0 0
State specific
0 0
c.1.r requirement
c.1.s
Teeka Express
(Operational Cost)
0 24.77
C.1- Sub Total 406.9 180.9
Salary of Contractual
C.2 Staffs -Sub Total
c.2.a
Computer Assistants
support for State level
Rs.12000-
15000 per
person per
month
26.99 1.8
Approved
Approved
Approved
Approved
Approved
8000-
10000 per
person per
month
Computer Assistants
c.2.b support for District level
C.2- Sub Total 26.99 16.2 Approved
C.3
Training under
Immunization
14.4
c.3.a
District level Orientation
training including Hep B,
Measles & JE(wherever
required) for 2 days
ANM, Multi Purpose
Health Worker (Male),
LHV, Health Assistant
(Male/Female), Nurse
Mid Wives, BEEs & other
staff ( as per RCH norms)
0 0
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 35

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
c.3.b
c.3.c
Three day training
including Hep B, Measles
& JE(wherever required)
of Medical Officers of RI
using revised MO training
module)
One day refresher
training of district
Computer assistants on
RIMS/HIMS and
immunization formats
13.83 4.91 Approved
0.3 0.3 Approved
c.3.d
One day cold chain
handlers training for
block level cold chain
handlers by State and
district cold chain officers
10.73 10.73 Approved
c.3.e
One day training of block
level data handlers by
0 0
DIOs and District cold
chain officer
C.3-Sub Total 24.86 15.94
C.4 Cold chain maintenance
ASHA incentive for full
C.5 Immunization
Total under Routine
Immunization
Rs.500/PH
C/CHCs
per year
District
Rs.10000/
year
13.11 8.12 Approved
115 115 Approved
586.85 336.15
C.6
Pulse Polio Operational
195.19 195.19
Cost (Tentative)
Grand Total
Immunization
782.04 531.34
Total Child Health 1334.44 803.33
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 36

FAMILY
PLANNING
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 37

ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING
MISSION: “The mission of the national Family Planning Program is that all women and men (in
reproductive age group) in India will have knowledge of and access to comprehensive range of family
planning services, therefore enabling families to plan and space their children to improve the health of
women and children”.
GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal emphasis on
spacing and limiting methods; promoting ‘children by choice’ in the context of reproductive health.
STRATEGIES:
1. Strengthening spacing methods:
a. Increasing number of providers trained in IUCD 380A
b. Strengthening Fixed Day IUCD services at facilities
c. Introduction of Cu IUCD 375
d. Delivering contraceptives at homes of beneficiaries (in pilot states/ districts)
2. Emphasis on post-partum family planning services:
a. Strengthening Post-Partum IUCD (PPIUCD) services at least at DH level
b. Promoting Post-partum sterilisation (PPS)
c. Establishing Post-Partum Centers at women & child hospitals at district levels
d. Appointing counsellors at high case load facilities
3. Strengthening sterilization service delivery
a. Increasing pool of trained service providers (minilap, lap & NSV)
b. Operationalising FDS centers for sterilisation
c. Holding camps to clear back log
4. Strengthening quality of service delivery:
a. Strengthening QACs for monitoring
b. Disseminating/ following existing protocols/ guidelines/ manuals
c. Monitoring of FP Insurance
5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing methods
6. Focus on using private sector capacity for service delivery (exploring PPP availability):
7. Strengthening programme management structures:
a. Establishing new structures for monitoring and supporting the programme
b. Strengthening programme management support to state and district levels
KEY PERFORMANCE INDICATORS:
a. % IUD inserted against ELA
b. % PPIUCD inserted against total IUCD
c. % PPIUCD inserted against institutional deliveries
d. % of sterilisations conducted against ELA
e. % post-partum sterilisation against total female sterilisations
f. % of male sterilisation out of total sterilisations conducted
g. % facilities delivering FDS services against planned
h. % of personnel trained against planned
i. % point decline in unmet need
j. point decline in TFR
k. % utilisation of funds against approved
Approval of State Programme Implementation Plan- Himachal Pradesh, 2012-13 Page 38

SN.
1 Goal (target):
Indicator
1.1 Reduction in TFR – 2013
2 Service delivery (ELA):
2.1 IUCD:
CONDITIONALITIES FOR FP PIP: 2012-13
Target /
ELA-
2012-13
Maintain
TFR level
Minimum Level of
Achievement
By March
By Sep. 2012
2013
2.1.1 Post-partum IUCD 1000 400 900
2.1.2 Interval IUCD 29000 11600 26100
2.2 Sterilisation:
2.2.1 Tubectomy 27000 8100 21600
2.2.2
Post-partum sterilisation (subset of
tubectomy)
1000 300 800
2.2.3 Vasectomy 6000 1800 4800
3 Training of personnel (target):
3.1 Post-partum IUCD
3.1.1 MO 15 4 11
3.1.2 SN/ ANM
3.2 interval IUCD
3.2.1 MO 300 75 225
3.2.2 SN
3.2.3 ANM/ LHV 300 75 225
3.3 Minilap 8 2 6
3.4 NSV 28 7 21
3.5 Laparoscopic 16 4 12
4 Others (target):
4.1 Appointment of FP Counsellors 100% DH 100% DH NA
4.3
Regular reporting of the scheme of
“home delivery of contraceptives by
ASHAs”
4.4 Fixed Day Services for IUCD
Regular
reporting
Weekly
except
NA
Monthly
reporting till
Sep 12
NA
Quarterly
reporting
after Sep 12
NA 100%
Remarks
Current
TFR - 1.8
(SRS-2010)
Not
proposed
Not
proposed
State has
not
proposed
for
counsellors
State's 3
districts
under the
scheme
State has
not
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 39

SN.
Indicator
Target /
ELA-
2012-13
Minimum Level of
Achievement
By Sep. 2012
By March
2013
Shimla
(twice/
week) and L
& Spiti (no
FDS)
4.5 Fixed Day Services for Sterilisation All DH NA 100%
Remarks
mentioned
number of
facilities
SN. Indicator Current Status
1 Goal Indicators:
1.1 Total Fertility Rate (TFR)
1.2
Contraceptive Prevalence Rate
(CPR)
1.3 Unmet Need
2 Service delivery:
2.1 IUCD - Total
2.2
Post-partum IUCD (subset of
IUCD-total)
2.3 Female Sterilisation
2.4
Post-partum sterilisation (subset
of tubectomy)
2.5 Male sterilisation
3 Input/ facility operationalization:
3.1 Fixed Day service delivery:
3.1.1 IUCD (daily at DH, SDH, CHC)
5 YEARS PROJECTION OF KEY INDICATORS
1.8
(SRS-2010)
68.1
(DLHS-3)
14.9
(DLHS-3)
21220
(HMIS: 2010-
11)
21020
(HMIS: 2010-
11)
597
(HMIS: 2010-
11)
2618
(HMIS: 2010-
11)
Weekly except
Shimla (twice/
week) and L &
Target/ ELA
2012-13 2013-14 2014-15 2015-16 2016-17
Maintain TFR level
70.0 73.0 75.0 77.0 80.0
12.0 11.0 10.0 8.0 7.0
30000 32500 35000 37500 40000
1000 1500 2500 3500 4000
27000 28000 29000 30000 31000
1000 1500 2500 3000 3500
6000 6250 6500 6750 7000
Weekly
@ PHC
+ CHC
Weekly
@ PHC
+ CHC
Weekly
@ PHC
+ CHC
Weekly
@ PHC
+ CHC
All SHC
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 40

Spiti (no FDS)
3.1.2 Sterilisation All DH All DH
3.2 Appointment of FP counsellors
State has not
proposed for
counsellors
All DH
DH + 1
SDH/
FRU per
dist
DH + 1
SDH/
FRU per
dist
DH + all
FRU per
dist
DH + all
FRU per
dist
DH + all
FRU +
25%
PHC per
dist
DH + all
FRU per
dist
DH + all
FRU +
50%
PHC per
dist
DH + all
FRU per
dist
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 41

DETAILED BUDGET: FAMILY PLANNING
FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
Remarks
A.3
FAMILY
PLANNING
A.3.1
Terminal/
Limiting Methods
Dissemination of
manuals on
7000.00 13 0.91 0.91 Approved .
12 Workshop - Dist
A.3.1.1
sterilisation
1 Workshop - State
standards & QA
of sterilisation
services
Prepare
operational plan
for provision of
sterilisation
A..3.1.1.1 services at
facilities (fixed
day) as well as
camps , review
meetings
Implementation
of sterilisation
services by
A.3.1.1.2 districts(including
fixed day services
and PP
sterilization)
Female
10000.00 24 2.40 2.40 Approved
A.3.1.2 Sterilisation
camps
A.3.1.3 NSV camps 20000.00 24 4.80 4.80 Approved
Compensation for 1000.00 27000 270.00 270.00 Approved
A.3.1.4 female
sterilisation
A.3.1.5
Compensation for 1500.00 6000 90.00 90.00 Approved
male sterilisation
Accreditation of
A.3.1.6
private providers
for sterilisation
services
A.3.2 Spacing Methods
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 42

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
A.3.2.1 IUD camps 10000.00 85 8.50 4.25
A.3.2.2
A.3.2.2.1
A.3.2.2.2
A.3.2.3
A.3.2.4
A.3.2.5
A.3.3
A.3.4
A.3.5.
A.3.5.1
Implementation
of IUD services by
districts
(including fixed
day services at
SHC and PHC)
Provide IUD
services at health
facilities /
compensation
PPIUCD services
Accreditation of
private providers
for IUD insertion
services
Social Marketing
of contraceptives
Contraceptive
Update seminars
POL for Family
Planning/ Others
Repairs of
Laparoscopes
Other strategies/
activities
Monitor progress,
quality and
utilisation of
services (both
terminal and
spacing methods)
including
complications /
deaths / failure
cases.
Note: cost of
20.00 30000 6.00 6.00
30000
per
month
12
districts
43.20 21.60
Remarks
Budget has been
revised and reduced
to Rs. 5000/ camp
(based on IUCD
camp being
approved to other
states).
Approved
Approved @ Rs.
15000/ month .
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 43

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
Remarks
A.3.5.2
A.3.5.3
A.9.6
A.9.6.1
A.9.6.2
insurance /
failure and death
compensation
NOT to be booked
here
Performance
reward if any
World Population
Day’ celebration
(such as mobility,
IEC activities
etc.): funds
earmarked for
district and block
level activities
Sub-total Family
Planning
(excluding
compensation)
Sub-total
Sterilisation and
IUD
compensation &
NSV camps
Family Planning
Training
Laparoscopic
Sterilisation
training
TOT on
laparoscopic
sterilisation
Laparoscopic
sterilisation
training for
doctors (16 - 4
batches)
Minilap training
TOT on Minilap
Minilap training
for medical
officers ( 8 - 2
batches)
3.15 3.15
58.16 32.31
370.80 370.80
62960.00 4 2.52 2.51
66540.00 2 1.33 1.33
Approved
Approved
Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 44

FMR
Code
A.9.6.3
A.9.6.4
A.9.6.5
A.9.6.6
B16.1.3
Activity
Unit
Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
Remarks
NSV training (28-
Approved
29150.00 7 2.04 2.04
7 batches)
IUD Insertion
training
TOT for IUD
insertion
Training of
Approved
Medical officers 95212.00 20 19.04 19.04
in IUD insertion
Training of staff
nurses in IUD
insertion
Training of ANMs
Approved
/ LHVs in IUD 20740.00 60 12.44 12.44
insertion
PPIUCD(Mos) 41440.00 3 1.24 1.24 Approved
Contraceptive
Update training
Other FP training
(pls specify)
Sub-total
Training FP
38.62 38.60
Approved @ Rs.
Procurement of 1000000 20 200 140 7.00 lakhs per
equipment: FP
laparoscope
Grand total FP 667.58 581.71
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 45

ADOLESCENT
HEALTH
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 46

SETTING UP OF AH CELL
ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH
A unit for adolescent health at state level with a nodal officer supported by four consultants one each
for ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components
of Adolescent Health at district level to take care of Adolescent health programme including the SHP.
PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION:
I. Adolescent Reproductive Sexual Health (ARSH) Programme
Clinics
­ Number of functional clinics at the DH, CHC, PHC and Medical Colleges(dedicated days,
fixed time, trained manpower).
­ Number of clinics integrated with ICTCs
­ Quarterly Reporting from the ARSH clinics to be initiated to GoI.
­ Establish a Supportive supervision and Monitoring mechanism
Outreach
­ Utilisation of the VHND platform for improving the clinic attendance.
­ Demand generation in convergence with SABLA and also through Teen Clubs of MOYAS
Capacity Building/Training:
­ Calculation of the training load and development of training plans/ refresher trainings.
­ Deployment of trained manpower at the functional clinics.
II.
School Health Programme:
GoI Guidelines including terms of reference of stakeholders adapted by States and operational
plan in place..
School health committee with diverse stakeholders beyond the health department; this
committee with representation of academia will be responsible for implementation and
monitoring of the programme.
Involvement of nodal teachers from schools in the programme (Screening and communication -
preventive and promotive) is to be ensured.
Height / weight measurement and BMI calculation should be part of School Health Card.
All children in government and government aided schools should be covered.
The programme should focus on three Ds- Deficiency, Disease and Disability.
Referral of children must be tied up and complete treatment at higher facilities to be ensured.
An effort should be made to have dedicated teams for school health. The teams should also
conduct health check- ups for children below 6 years at AWCs.
III. Menstrual Hygiene Scheme (MHS):
Formation of State and district level steering committees.
Training / re-orientation of service providers(MOs, ANMs, ASHAs)
Monthly meeting with BMO.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 47

Regular feedback on quality of sanitary napkins to be sent to GoI
Identification of appropriate storage place for sanitary napkins.
Mechanism of distribution of SN right upto the user level.
Reporting and accounting system in place at various levels.
Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain
management of IFA tabs and Sanitary napkins.
Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and
preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).
IV. Weekly Iron and Folic Acid Supplementation programme (WIFS):
Procurement policy in place for procurement of EDL including IFA and deworming tablets.
Establish “Monday” as a fixed day for WIFS.
Plan for training and capacity building of field level functionaries of concerned Departments (i.e.
Department of Women and Child Development and Department of Education) and plan for
sensitization of Programme Planners on WIFS.
Ensure that monitoring mechanism as outlined in the operational framework (Shared with the
States during the National Adolescent Health Workshop) is put in place across levels and
departments.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 48

DETAILED BUDGET: ADOLESCENT HEALTH
FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in
lacs)
Approved
Amount
(Rs in
lacs)
Remarks
A.4
ADOLESCENT
REPRODUCTIVE AND
SEXUAL HEALTH /
ARSH
A.4.1
Adolescent services
at health facilities
A.4.1.1
Disseminate ARSH
guidelines.(Health
Talk on ARSH at 75
colleges)
1000.00
1250 12.50 12.50
Approved
A.4.1.2
Establishment of
new clinics at DH
level
0.00
A.4.1.3
Establishment of
new clinics at
CHC/PHC level
0.00
A.4.1.3.
1
Operating expenses
for existing
clinics(Sensitization
workshop for PRIs
teachers and
parents)
20000.00
350 70.00 70.00
Approved
A.4.1.3.
2
Salary to new
Counselors in District
Hospitals
A.4.1.3.
3
Honorarium for
existing Counselors
at Clinics at AHs &
CHCs( Incentives of
counsellors)
1000.00
24 0.24 0.24
Approved
A.4.1.3.
4
Sensitization
workshop for NYK
youth
32500.00
48 15.60 15.60
Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 49

FMR
Code
Activity
ARSH activities in
schools
Unit Rate
(Rs.)
5000.00
Physical
Target
Proposed
Amount
(Rs in
lacs)
Approved
Amount
(Rs in
lacs)
73 3.65 3.65
Remarks
Approved
A.4.1.4.
Outreach activities
including peer
educators(Outreach
Camps)
500.00
14400 72.00 72.00
Approved
Evaluation of ARSH
Programme (Study of
adolescents
awareness -KABP)
1000000.
00
1 10.00 0.00
Not Approved
Convergence -
Quarterly Quarterly
Joint Review
meetings at state
level
5000.00
4 0.20 0.20
Approved
Convergence -
Quarterly Quarterly
Joint Review
meetings at district
level
1000.00
48 0.48 0.00
Not Approved
A.4.2
A.4.2.1
School Health
Programme
Prepare and
disseminate
guidelines for School
Health
Programme.(Orienta
tion
/sensitization/trainin
g)
10.40 0.00
Not approved, no
write-up has been
provided.
A.4.2.2
Prepare detailed
operational plan for
School Health
Programme across
districts (cost of plan
meeting should be
kept)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 50

FMR
Code
A.4.2.3
A.4.2.4
Activity
Implementation of
School Health
Programme by
districts.
Monitor progress
and quality of
services.(Cluster
camps of 15 member
team -Mobility
Support @Rs 6000
and Org charges @Rs
400 per camp
Unit Rate
(Rs.)
4000.00
Physical
Target
Proposed
Amount
(Rs in
lacs)
Approved
Amount
(Rs in
lacs)
4334 390.06 390.06
Remarks
Approved.Number
to be trained-
4334,Cost/batch-
4000
Mobility support Rs
500 per cluster camp
and contingency @
Rs 200
500.00
4334 21.67 21.67
Approved.Number
to be trained-
4334,Cost/batch-
500
POL for supervision
POL for supervision
10000.00
5000.00
12 1.20 1.00
12*12 7.20 6.00
Approved for 10
months @ 10000
Approved for 10
months @ 5000
A.4.3
Other
strategies/activities
(please specify)
Details of the
Menstrual Hygiene
project to be
provided and
budgeted under this
head
A.4.3.1
Menstrual Hygiene
20.98 8.85
SN vending
machines,procure
ment of
SN,capacity
building of
stakeholders and
internal /external
monitoring &
evaluation not
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 51

FMR
Code
A.4.3.2
A.9.7
Activity
Weekly Iron Folic
Acid
Supplementation
(WIFS) Scheme
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in
lacs)
Approved
Amount
(Rs in
lacs)
Sub-total ARSH 636.18 601.77
ARSH Training
TOT for ARSH
training
approved
Remarks
B.16.2
Orientation training
of state and district
programme
managers
ARSH training for
medical officers 92590
ARSH training for
ANMs/LHVs 80850
ARSH training for
AWWs
10 9.259 9.25
13 10.5105 10.51
ARSH training for
Other
activities(Training
1 0.7389 0.74
ICTC counsellors) 73890
Sub-total training 20.5084 20.5
Procurement of
Drugs and supplies
IFA supplementation
for 15-45 years
females
WIFS for adolscent
girls
115.82 0
700000 28 28
Approved
Approved
Approved
Not approved.
Drugs and
consumables
covered under
JSSK.
Approved State to
ensure the
coverage of both
School going girls
and boys and non
school going girls.
Monday to be
earmarked for
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 52

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in
lacs)
Approved
Amount
(Rs in
lacs)
WIFS.
Remarks
Sub total
Procurement
143.82 28
Total ARSH 800.50 650.27
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 53

URBAN RCH
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 54

ROAD MAP FOR PRIORITY ACTION: URBAN RCH
Carry out a comprehensive third party evaluation of UHCs/ NGO performance including an
assessment of reasons for low expenditure (9.6 % in the first 9 months of 2011-12). State to
apprise MoHFW of action taken on the basis of the findings of the evaluation by September
2012.
Monitor performance of UHCs/NGOs against targets.
Staffing at UHCs to be linked to case load.
FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
A.5 URBAN RCH
A..5.1 Urban RCH Services
Remuneration of 44 8000.00 44 42.24 42.24 Approved
ANM/FHW for 44
Urban RCH Units
Travel (Monitoring) 1000.00 12 5.28 5.28 Approved
Reporting and 500.00 12 2.64 2.64 Approved
documentation
BCC/IEC activity 250.00 12 1.32 1.32 Approved
Contingency 500.00 12 2.64 2.64 Approved
Identification of
A..5.1.1
urban areas /
mapping of urban
slums
A.5.1.2.
Prepare operational
plan for urban RCH
Implementation of
A.5.1.3 Urban RCH plan/
activities
Recruitment and
A.5.1.3.1
training of link
workers for urban
slums
Strengthening of
A.5.1.3.2
urban health posts
and urban health
centres
Provide RCH
A.5.1.3.3 services (please
specify)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 55

FMR
Code
Activity
Unit
Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
A.5.1.4
A.5.1.5
Monitor progress,
quality and
utilisation of
services.
Other Urban RCH
strategies/activities
(please specify)
Sub-total Urban
Health
54.12 54.12
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 56

TRIBAL HEALTH
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 57

ROAD MAP FOR PRIORITY ACTION: TRIBAL HEALTH
State to closely monitor progress (physical, expenditure) on all health activities in notified tribal
areas.
On a quarterly basis, a progress report, including constraints faced and action proposed to be
sent to MoHFW.
The State shall focus on health entitlements of vulnerable social groups like SCs, STs, OBCs,
minorities, women, disabled, migrants etc
FMR
Code
Activity
A.6 TRIBAL RCH
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount
(Rs in lacs)
A..6.1 Tribal RCH services 500000.00 8 40.00 40.00
Remarks
Approved for 8
camps @ Rs 5 lakh
/ camp subject to
state first
providing details
of performance
of such camps
held last year ( In
ROP 2011-12, 6
camps were
approved @ Rs
6.00 lakhs per
camp).
A.6.1.2
A.6.1.3
A.6.1.4
A.6.1.5
Prepare operational
plan for tribal RCH
Implementation of
Tribal RCH activities
Monitor progress,
quality and
utilisation of
services.
Other Tribal RCH
strategies/activities
(please specify)
Sub-total Tribal
Health
40.00 40.00
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 58

PC-PNDT
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 59

ROAD MAP FOR PRIORITY ACTION: PNDT
MISSION:
The mission of PNDT programme is to improve the sex ratio at birth by regulating the pre-conception
and prenatal diagnostic techniques misused for sex selection.
Guiding Principle:
Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio
STRATEGIES:
Strengthening programme management structures:
‣ Appointment of Nodal officer
‣ Strengthening of Human resource
‣ Formation of PNDT Cell at state and district level
Establishment of statutory bodies under the PC&PNDT Act
‣ Constitution of 20 member State Supervisory Board
Reconstitution every three years (other than ex-officio members)
Four meetings in a year
‣ Notification of three members Sate Appropriate Authority,
‣ Constitution of 8 member State Advisory Committee
Reconstitution in every 3 years
At least 6 meetings in a year
‣ Notification of District Appropriate Authorities
‣ Constitution of 8 member district Advisory Committees
Reconstitution in every 3 years
At least 6 meetings in a year
Strengthening of monitoring mechanisms
‣ Monitoring of sex ratio at birth through civil registration of birth data
‣ Formulation of Inspection and Monitoring committees
‣ Increasing the monitoring visits
‣ Review and evaluation of registration records
‣ Online availability of PNDT registration records
‣ Online filling and medical audit of form Fs
‣ Ensure regular reporting of sales of ultrasound machines from manufactures
‣ Enumeration of all Ultrasound machines and identification of un-registered
ultrasound machine
‣ Ensure compliance for maintenance of records mandatory under the Act
‣ Ensure regular quarterly progress reports at state and district level
Capacity building and sensitisation of programme managers
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 60

‣ Appropriate Authorities
‣ Advisory committee members
‣ Nodal officers both State and District
Sensitisation and Alliance building with
‣ Judiciary
‣ Medical Council / associations
‣ Civil society
Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and
promotion of Girl Child
Convergence for Monitoring of Child sex Ratio at birth
KEY PERFORMANCE INDICATORS:
‣ Improvement in child sex ratio at birth
‣ % of civil registration of births
‣ Statutory bodies in place
‣ % registrations renewed
‣ Increase in inspections and action taken
‣ No. of unregistered machines identified
‣ % of court cases filed
‣ % of convictions secured
‣ No. of medical licences of the convicted doctor cancelled or suspended
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 61

DETAILED BUDGET: PNDT
FMR
Code
A.7
A.7.1.
A.7.1.1
A.7.1.2
A.7.2
Activity
PNDT & Sex
Ratio
Support to
PNDT Cell
Operationalise
PNDT Cell
Orientation of
programme
managers and
service
providers on PC
& PNDT Act
Other PNDT
activities
Expenses at
State level
Expenses at
District level
Sub-total PNDT
& Sex Ratio
Unit
Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount (Rs
in lacs)
4.00
6.00
0.00 10.00
Remarks
Approved. Shifted
from MFP. Utilisation
of funds is only
subject to providing
the activity specific
details.
Approved. Shifted
from MFP. Utilisation
of funds is only
subject to providing
the activity specific
details.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 62

HUMAN RESOURCES
AND
PROGRAMME
MANAGEMENT
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 63

ROAD MAP FOR PRIORITY ACTION: HUMAN RESOURCES
A comprehensive HR policy to be formulated and implemented; to be uploaded on the website
too.
Underserved facilities particularly in high focus districts/ areas, to be first strengthened through
contractual staff engaged under NRHM. Similarly high case load facilities to be supplemented as
per need
All appointments under NRHM to be contractual; contracts to be renewed not routinely but
based on structured performance appraisal
Decentralized recruitment of all HR engaged under NRHM by delegating recruitment process to
the District Health Society under the chairpersonship of the District Collector/ Rogi Kalyan
Samitis.
Preference to be given to local candidates to ensure presence of service providers in the
community. Residence at place of posting to be ensured.
Quality of HR ensured through appropriate qualifications and a merit- based, transparent
recruitment process.
Vacant regular posts to be filled on a priority basis: at least 75% by March 2013.
It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors (both
MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent in
inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take
services to the remotest parts of the country, particularly the un-served and under-served
areas. It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed first.
Contractual HR must not be deployed in better served areas until the remotest areas are
adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain without
any ANM. No PHC in these areas should be without a doctor. Further, CHCs in remote areas
must get contractual HR ahead of District Hospitals. Compliance with these conditionalities
will be closely monitored and salaries for contractual HR dis-allowed in case of a violation.
Special financial incentives for difficult areas have been approved in view of the proposal
made by the State. However, it is felt that these special financial incentives need to be further
graded keeping in view the distance of the place of posting from the District HQs and other
relevant factors such as accessibility, time taken to reach a particular facility on account of
geographical terrain, road connectivity etc. The issue should be examined on priority and a
suitable proposal in this regard formulated and sent to MoHFW for consideration. In the
interim, incentives as approved may be implemented.
Details of facility wise deployment of all HR engaged under NRHM to be displayed on the state
NRHM web site.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 64

For SHCs with 2 ANMs, population to be covered to be divided between them. Further, one
ANM to be available at the sub-centre throughout the day while the other ANM undertakes field
visits; timings for ANM’s availability in the SHC to be notified.
AYUSH doctors to be more effectively utilised eg for supportive supervision, school health and
WIFS.
All contractual staff to have job descriptions with reporting relationships and quantifiable
indicators of performance.
Performance appraisal and hence increments of contractual staff to be linked to progress
against indicators.
Staff productivity to be monitored. Continuation of additional staff recruited under NRHM for
24/7 PHCs/FRUs/SDH, etc , who do not meet performance benchmarks, to be reviewed by State
on a priority basis.
All performance based payments/ difficult area incentives should be under the supervision of
RKS/ Community Organizations (PRI).
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 65

DETAILED BUDGET: HUMAN RESOURCES
FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
Remarks
A.8
INFRASTRUCTURE &
HUMAN RESOURCES
A.8.1
A.8.1.1
A.8.1.2
A.8.1.3
Contractual Staff &
Services
ANMs,supervisory nurses,
LHVs
Laboratory
Technicians,MPW
Specialists (Anaesthetists,
Paediatricians, Ob/Gyn,
Surgeons, Physicians,
Dental Surgeons,
Radiologist, Sonologist,
Pathologist, Specialist for
CHC )
13500 150 243.00 243.00
17600.00 24 50.69 14.40
75000.00 132 1188.00 594.00
Approved
subject to
posting
staff in the
High Focus
Districts.
Approved
for 12 LTs
@ Rs
10000/mon
th.
50 % of the
proposed
Specialists
approved.
(66
Specialists
Approved.)
A.8.1.4
A.8.1.5
PHNs at CHC/ PHC
level(School Health Nurse)
Medical Officers at PHCs
and CHCs(Casualty Mos)
13500.00 210 340.20 226.80
26250.00 48 151.20 151.20
Approved
140 School
Health
Nurses
Approved.
A.8.1.6
Additional Allowances/
Incentives to M.O.s of
PHCs and CHCs
6000.00 100 72.00 72.00
Approved
A.8.1.7
Others - Computer
Assistants/ BCC Coordinator
etc
18400.00 12 26.50 0.00
Not
Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 66

FMR
Code
A.8.1.8
Activity
Incentive/ Awards etc. to
SN, ANMs etc.
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
(Rs in lacs)
Approved
Amount
(Rs in lacs)
110.52 110.52
Remarks
Approved.
A.8.1.8
.1
A.8.1.9
A.8.1.1
0
A.8.2
Award Money to
MO/SN/MW/SK
Human Resources
Development (Casualty
SNs)
Other Incentives Schemes
(Pl. Specify)
Minor civil works
7.46 0.00
13500.00 96 155.52 155.52
Not
Approved.
No details
provided
by the
State.
Approved.
A.8.2.1
Minor civil works for
operationalisation of FRUs
A.8.2.2
Minor civil works for
operationalisation of 24
hour services at PHCs
Sub-total Infrastructure &
HR
2345.08 1567.44
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 67

ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT
A full time Mission Director is a prerequisite. Stable tenure of the Mission Director should also
be ensured.
A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on resource
envelope of State), from the State Finance Services not holding any additional charge outside
the Health Department must be put in place, if not already done, considering the quantum of
funds under NRHM and the need for financial discipline and diligence.
Regular meetings of state and district health missions/ societies must take place.
Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff
performance to be monitored against targets and staff sensitised across all areas of NRHM such
that during field visits they do not limit themselves only to their area of functional expertise.
Performance of staff to be monitored against benchmarks; qualifications, recruitment process and
training requirements to be reviewed.
Delegation of financial powers to district/ sub-district levels in line with guidelines should be
implemented.
Funds for implementation of programmes both at the State level and the district level must be
released expeditiously and no delays should take place.
Evidence based district plans prepared, appraised against pre determined criteria; district plans
to be a “live” document. Variance analysis (physical and financial) reports prepared and
discussed/action taken to correct variances.
Supportive supervision system to be established with identification of nodal persons for
districts; frequency of visits; checklists and action taken reports.
Remote/ hard to reach/ high focus areas to be intensively monitored and supervised.
An integrated plan and budget for providing mobility support to be prepared and submitted for
review/approval; this should include allocation to State/ District and Block Levels.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 68

DETAILED BUDGET: PROGRAMME MANAGEMENT
FMR
Code
A.10
A.10.1
A.10.2
A.10.3
A.10.4
Activity
PROGRAMME
MANAGEMENT
Strengthening of
SHS/ SPMU
(Including HR,
Management Cost,
Mobility Support,
field visits)
Strengthening of
DHS/ DPMU
(Including HR,
Management Cost,
Mobility Support,
field visits)
Strengthening of
Block PMU
(Including HR,
Management Cost,
Mobility Support,
field visits)
Strengthening
(others)NRHM
Office
Unit Rate
(Rs.)
5000000.00
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
1 168.88 108.47
12 160.56 0.00
69 480.79 0.00
1 50.00 0.00
Remarks
All existing posts
approved for the
first quarter as per
last years ROP.
State to share
details of SPMU and
strenghthen the
same with technical
staff and nodal
persons in technical
areas.
State to submit
revised proposal for
establishing PMUs
(if required) at the
district level.
State to submit
revised proposal for
establishing PMUs
(if required) at the
block level.
Not Approved. No
details available
A.10.5 Audit Fees 750000.00 1 7.50 7.50 Approved
A.10.6 Concurrent Audit 13 25.00 25.00 Approved
60000.00
A.10.7
Mobility Support
to BMO/ MO/
Others
Sub-total
Programme
Management
69 41.40 10.35
934.13 151.32
25% approved on
interim basis. State
to provide
comprehensive
monitoring plan
and budget for the
programme as a
whole.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 69

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount(Rs
in lacs)
Approved
Amount(Rs
in lacs)
Programme
A.9.8 Management
Training
A.9.8.1 SPMU Training 24920 1 0.2492 0.24 Approved
A.9.8.2 DPMU Training 90810 6 5.4486 0
A.9.9
Other training
(HMIS Training)-
State
29490 1 0.2949 0.29 Approved
Remarks
Not approved. To be
reconsidered in line
with proposal for
establishing DPMUs.
District 43200 2 0.864 0.86 Approved
HMIS training of
DEOs
35050 4 1.402 1.4 Approved
HMIS training of
health worker
36270 100 36.27 36.27 Approved
Training in Ultra
sound(MOs)
1205815 2 24.1163 24.11 Approved
Sub Total Training 68.645 63.17
Total Programme
Management
1002.78 214.49
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 70

MISSION FLEXI POOL
(MFP)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 71

ASHA
TARGETS:
S. No. Activity Targets
1. ASHAs with Drug kits
2. ASHAs trained in 6 th and 7 th modules 400
ROAD MAP FOR PRIORITY ACTION FOR ASHA
Clear criteria for selection of ASHA
Well functioning ASHA support system including ASHA days, ASHA coordinators
Performance Monitoring system for ASHAs designed and implemented (including analysis of
pattern of monthly payments; identification of non/under-performing ASHAs and their
replacement; and reward for well performing ASHAs). State to report on a quarterly basis on
ASHA’s average earnings/ range per month.
Timely replenishment of ASHA kits.
Timely payments to ASHAs and move towards electronic payment.
Detailed data base of ASHAs created and continuously updated; village wise name list of ASHA
to be uploaded on website with address and cell phone number
DETAILED BUDGET: ASHA
FMR
Code
B1
Activity
ASHA
Unit
Cost
Physical
target
Amount
Proposed
( Rs in
lacs)
Amount
Approved
(Rs in
lacs)
Remarks
B.1.1
B1.1.1
B1.1.2
ASHA Cost
Selection &
Training of ASHA
Procurement of
ASHA Drug Kit
Procurement of
Kit for ASHA
(Replenishment)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 72

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
( Rs in
lacs)
Amount
Approved
(Rs in
lacs)
Remarks
Procurement of
HBNC training Kit
for ASHA
2500 400 10 4.48
Approved at the
rate of Rs 1120
per kit State
should only
procure essential
items that are
permissible
under HBNC
guidelines. The
activity may be
shifted to MFP.
B1.1.3
Other Incentive to
ASHAs (if any)
B1.1.4
Awards to
ASHA's/Link
workers
B1.1.5
ASHA Resource
Centre/AHSA
Mentoring Group
Incentive under
Child Health
Sub Total ASHA 10 4.48
Shifted to CH.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 73

UNTIED FUNDS/ RKS/ AMG
ROAD MAP FOR PRIORITY ACTION:
Timely release of untied funds to all facilities; differential allocation based on case load. Funds to
be utilized by respective RKS only and not by higher levels.
Review of practice of utilising RKS funds for procurement of medicines from commercial medical
stores and accordingly revisit guidelines for fund utilisation by RKS.
Well functioning system for monitoring utilization of funds as well as purposes for which funds
are spent.
Plan for capacity building of RKS members developed and implemented.
RKS meetings to take place regularly.
Audit of all untied, annual maintenance grants and RKS funds.
The State must take up capacity building of Village Health & Sanitation Committees Rogi Kalyan
Samitis and other community/ PRI institutions at all levels
The State shall ensure regular meetings of all community Organizations/ District / State Mission
with public display of financial resources received by all health facilities
The State shall also make contributions to Rogi Kalyan Samitis
DETAILED BUDGET:
FMR
Code
B2
B2.1
B2.2
B2.3
B2.4
Activity
Untied Funds
Untied Fund for
CHCs
Untied Fund for
PHCs
Untied Fund for Sub
Centres
Untied fund for
VHSC
Sub Total Untied
fund
Unit Cost
Physical
target
Amount
Proposed
(Rs in lacs)
Amount
Approved
(Rs in lacs)
5000 113 56.5 4.25445
25000 470 117.5 31.725
10000 2065 206.5 149.2789
10000 3243 324.3 0.42159
704.8 185.6799
Remarks
Approved as per the
utilization for the last
financial year i.e 7.53
%
Approved as per the
utilization for the last
financial year i.e 27
%
Approved as per the
utilization for the last
financial year i.e
72.29 %
Approved as per the
utilization for the last
financial year i.e0.13
%.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 74

FMR
Code
B.3
Activity
Annual
Maintenance Grants
Unit Cost
Physical
target
Amount
Proposed
(Rs in lacs)
Amount
Approved
(Rs in lacs)
B.3.1 CHCs 100000 113 113 49.6409
B.3.2 PHCs 50000 470 235.5 79.0395
B.3.3 Sub Centers 10000 2065 206.5 114.367
Remarks
Approved as per the
list of facilities in
government building
provided by the
State i.e 113 CHCs.
However the
approval would be
based on the
utilization of funds in
the last financial year
which is 43.93%.
Approved for 345
facilities as per the
list sent by te State.
However the
approval would be
based on the
utilization of funds in
the last financial year
which is 45.82 %.
Approved for 1274
facilities. However
the approval would
be based on the
utilization of funds in
the last financial year
which is 89.77%.
B.6
B6.1
Total Annual
Maintenance
Grants
Corpus Grants to
HMS/RKS
555 243.0474
District Hospitals 500000 12 60 49.998
Approved. However
the approval would
be based on the last
year’s utilization ie
83.33 %
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 75

FMR
Code
B6.2
B6.3
B6.4
Activity
Unit Cost
Physical
target
Amount
Proposed
(Rs in lacs)
Amount
Approved
(Rs in lacs)
CHCs 100000 113 113 76
PHCs 100000 470 470 88.6401
Other or if not
bifurcated as above
Total Corpus Grants 643 214.6381
Sub Total Grants 1902.8 643.3654
Remarks
Approved as per the
list provided by the
State i.e. of 76 CHCs.
However the
approval would be
based on the last
year’s utilization ie
100 %
Approved as per the
list provided by the
State i.e. of 447
PHCs. However the
approval would be
based on the last
year’s utilization ie
19.83 %
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 76

ROAD MAP FOR PRIORITY ACTION:
NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP
Construction of new SCs only in high focus districts. All newly constructed SCs to be
strengthened with 2 ANMs and service delivery closely monitored.
Works must be completed within a definite time frame. For new constructions upto CHC level, a
maximum of two and a half years and for a District Hospital, a maximum period of three and a
half years is envisaged. Renovation/ repair should be completed within a year. Requirement of
funds should be projected accordingly. Funds would not be permissible for constructions/ works
that spill over beyond the stipulated timeframe. Progress of works being executed to be closely
monitored
Standardized drawing/ detailed specifications and standard costs must be evolved keeping in
view IPHS.
Third party monitoring of works through reputed institutions to be introduced to ensure quality.
Information on all ongoing works to be displayed on the NRHM website
Approved locations for constructions/ renovations will not be altered
All government health institutions in rural areas should carry a logo of NRHM in English, Hindi
and regional languages as recognition of support provided by the Mission in English/ Hindi &
Regional languages.
DETAILED BUDGET:
FMR
Code
B5
Activity
New Constructions/
Renovation and Setting
up
Unit Cost
Physic
al
target
Amount
Proposed
(Rs in lacs)
Amount
Approved
(Rs in lacs)
13371000 3 401.13 0
B 5.1 CHCs
B 5.2 PHCs 4278000 12 513.36 0
B5.3 SHCs/Sub Centers 1793000 20 358.6 0
Remarks
Approval pended.
State may share
the list of
facilities along
with the
functionality
details in terms
of delivery load,
OPD and IPD.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 77

FMR
Code
Activity
Unit Cost
Physic
al
target
Amount
Proposed
(Rs in lacs)
Amount
Approved
(Rs in lacs)
Remarks
B5.4
Setting up Infrastructure
wing for Civil works
600000 4 24 24
Approved
B5.5
Govt. Dispensaries/
others renovations
20000 100 20 0
Not Approved.
May be met from
State budget.
B5.6
Construction of BHO,
Facility improvement,
civil work, BemOC and
CemOC centers
B.5.7
Major civil works for
operationalisation of
FRUS
B.5.8
Major civil works for
operationalisation of 24
hour services at PHCs
B.5.9
B.5.10
Civil Works for
Operationalising
Infection Management &
Environment Plan at
health facilities
Infrastructure of Training
Institutions
B.5.10.1
B.5.10.2
Strengthening of Existing
Training
Institutions/Nursing
School( Other than HR)
a. GNM Schools
1. Infrastructure
2. Equipment
b. ANMTCs
1. Infrastructure
2. Equipment
New Training
Institutions/School(Other
than HR)
Total 1317.09 24
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 78

PROCUREMENT
ROAD MAP FOR PRIORITY ACTION:
Strict compliance of procurement procedures for purchase of medicines, equipments etc as per
state guidelines.
Competitive bidding through open tenders and transparency in all procurements to be ensured
Only need based procurement to be done strictly on indent/requisition by the concerned
facility.
Procurement to be made well in time & not to be pushed to the end of the year.
Audit of equipment procured in the past to be carried out to ensure rational deployment.
Annual Maintenance Contract (AMC) to be built into equipment procurement contracts.
A system for preventive maintenance of equipment to be put in place.
DETAILED BUDGET PROCUREMENT:
FMR
Code
B16.1
B16.1.1
B16.1.2
B16.1.3
B16.1.4
B16.1.5
B.16.2
Activity
Procurement of
Equipment
Unit
Cost
Physica
l target
Amount
Proposed
(Rs in lacs)
Amount
Approved
(Rs in lacs)
Procurement of
equipment: MH 2.5 2.5 Approved
Procurement of
equipment: CH
Procurement of
equipment: FP
Procurement of
equipment: IMEP
Procurement of
Others
equipments
(DH/CH/SDH)
Procurement of
Drugs and
supplies
10500
0 20 21 21 Approved
10000
00 20 200 140
10000
00 5 50 50
17647
06 34 600 600
Remarks
Approved @ Rs. 7.00
lakhs per laparoscope
Approved for
installation of 5
incinerators at ZH
Shimla, ZH Mandi, ZH
Dharmashala, RH Solan
and RH Sirmour. New
activity.
Approved with the
condition that the State
would link the activity
with the deivery points
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 79

FMR
Code
Activity
Unit
Cost
Physica
l target
Amount
Proposed
(Rs in lacs)
Amount
Approved
(Rs in lacs)
Remarks
B.16.2.1
B.16.2.2
B.16.2.3
B.16.2.4
B.16.2.5
Drugs & supplies
for MH
Drugs & supplies
for CH
Drugs and
Supplies for MH
CH for Sub
Centers 26432 2065 545.82 0
Drugs & supplies
for FP
Supplies for IMEP
General drugs &
supplies for health
facilities 150 150
IFA
supplemenattion
for 15-45 years
females 115.82 0
WIFS for
adolscent girls 700000 28 28
Total 702144 1713.14 991.5
Approval pended. State
to submit the details
Approved with
condition that State
prepares its own EDL.
Not approved. Drugs
and consumables
covered under JSSK.
Approved State to
ensure the coverage of
both School going girls
and boys and non school
going girls. Monday to
be earmarked for WIFS.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 80

MOBILE MEDICAL UNIT (MMU)
ROAD MAP FOR PRIORITY ACTION:
Route chart to be widely publicised
GPS to be installed for tracking movement of vehicles
Performance of MMUs to be monitored on a monthly basis (including analysis of number of
patients served and services rendered).
MMUs to be well integrated with Primary Health Care facilities and VHND.
Engagement with village panchayats / communities for monitoring of services
AWCs to be visited for services to children below 6 years of age
AWCs to maintain record of services rendered
Service delivery data to be regularly put in public domain on NRHM website.
A universal name ‘Rashtriya Mobile Medical Unit’ to be used for all MMUs funded under NRHM.
Also uniform colour with emblem of NRHM (in English/ Hindi & Regional languages),
Government of India and State Government to be used on all the MMUs.
FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B11
Mobile Medical
Units 1500000 10 150 150
Sub Total Mobile
Medical Units
(Including recurring
expenditures) 150 150
Approved (last year's
MMU could not be
procured by the State)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 81

REFERRAL TRANSPORT
ROAD MAP FOR PRIORITY ACTION:
Free referral transport to be ensured for all pregnant women and sick neonates accessing public
health facilities.
Universal access to referral transport throughout the State, including too difficult and hard to
reach areas, to be ensured.
A universal toll free number to be operationalized and 24x7 call centre based approach adopted.
Vehicles to be GPS fitted for effective network and utilization.
Rigorous and regular monitoring of usage of vehicles to be done
Service delivery data to be regularly put in public domain on NRHM website.
FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B12
B12.1
Referral Transport
Ambulance /EMRI 1351193 32 432.38 0 Not Approved.
Ambulance/
EMRI/Other
models
B12.2
Operating Cost
(POL) 672 286
ERC (Emergency
Response Center) 275 275 Approved
Operating Cost
(POL)
Sub Total Referral
Transport 1379.38 561
Approved as 20%
operating
cost for 100 old
ambulances and 40% for
the new 12 ambulances
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 82

MAINSTREAMING OF AYUSH
ROAD MAP FOR PRIORITY ACTION:
State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two
streams: Ayurveda and homoeopathy (or Unani, siddha,Yoga as per the local demand).
Panchakarma Unit should also be considered.
OPD in Ayush clinics will be monitored alongwith IPD/OPD for the facility as a whole.
The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load.
Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to
enable them to practice their own system of Medicine without difficulty.
At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered
depending on local preference.
At CHC/PHC level, Post-Graduate Degree may not be insisted upon.
District Ayurveda Officer should be a member of District Health Society in order to participate in
decision making with regard to indent, procurement and issue of AYUSH drugs.
Infrastructure at facilities proposed to be collocated would be provided by Department of
Ayush.
Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under
NRHM should be given priority for collocation of Ayush as these are functional facilities with
substantial footfalls.
Ayush medical officers should increasingly be involved in the implementation of national health
programmes and for the purpose of supportive supervision and monitoring in the field. They
should be encouraged to oversee VHND and outreach activities and in addition programmes
such as school health, weekly supplementation of iron and folic acid for adolescents,
distribution of contraceptives through ASHA, menstrual hygiene scheme for rural adolescent
girls etc.
Ayush medical officer should also be member of the RKS of the facility and actively participate in
decision making.
AYUSH doctors need to be provided under NRHM first in the remotest locations and only
thereafter in better served areas.
Graded incentives based on the difficulty of location of posting may be considered for AYUSH
doctors. State may submit a proposal in this regard.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 83

DETAILED BUDGET: AYUSH
FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B9
B9.1
Mainstreaming
of AYUSH
Medical
Officers at
DH/CHCs/
PHCs (only
AYUSH)
20000 75 180 0
Not Approved
B9.2
B 9.3
Other Staff
Nurse/
Supervisory
Nurses (for
AYUSH)
35500 134 570.84 500
Activities other
than HR
Total 750.84 500
Approved 500 lacs. The salary of
AYUSH doctor @ Rs 20,000 per
month. Pharmacist should be
engaged in those facilities which
have enough case load. Drugs may
be procured as per need.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 84

IEC/BCC
ROAD MAP FOR PRIORITY ACTION:
Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved intersectoral
convergence particularly with WCD.
Details of activities carried out to be displayed on the website
DETAIL BUDGET:
FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B10
B.10
B.10.1
B.10.2
B.10.2.1
B.10.2.2
B.10.2.3
B.10.2.4
B.10.3
B.10.4
B.10.5
IEC-BCC NRHM
Strengthening of
BCC/IEC Bureaus
(state and district
levels)
State 200000 1 2 2 Approved.
Development of
State BCC/IEC
strategy
Implementation of
BCC/IEC strategy
BCC/IEC activities
for MH
BCC/IEC activities
for CH
BCC/IEC activities
for FP
20 150000 30 30
5 15000 7.5 7.5
5 100000 5 5
Approved.
Approved.
Approved.
BCC/IEC activities
5 1600000 80 80
for ARSH
Approved.
Health Mela
Creating
awareness on
declining sex ratio
issue.
State 1000000 1 10 10 Approved.
District 200000 12 24 24 Approved.
Other activities
Health days 26250 10*12 31.5 31.5 Approved.
Print, Electronic
Media, Exhibition,
Fairs
18.5 18.5
Approved.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 85

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
Sub Total IEC-BCC
NRHM
208.5 208.5
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 86

ROAD MAP FOR PRIORITY ACTION:
MONITORING AND EVALUATION (HMIS/MCTS)
Data is uploaded, validated and committed; data for the month available by the 15th of the
following month.
Uploading of facility wise data by the first quarter of 2012-13.
Facility based HMIS to be implemented. HMIS data to be analysed, discussed with concerned
staff at state and district levels and necessary corrective action taken.
Programme managers at all levels use HMIS for monthly reviews.
MCTS to be made fully operational for regular and effective monitoring of service delivery
including tracking and monitoring of severely anemic women, low birth weight babies and sick
neonates.
Pace of registration under MCTS to be speeded up to capture 100% pregnant women and
children
Service delivery data to be uploaded regularly.
Progress to be monitored rigorously at all levels
MCTS call centre to be set up at the State level to check the veracity of data and service delivery.
DETAIL BUDGET:
FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B15
Planning,
Implementation and
Monitoring
Community
Monitoring (Visioning
workshops at state,
B15.1 Dist, Block level)
B15.1.1 State level 500000 1 5 5 Approved
B15.1.2 District level 200000 12 24 24 Approved
B15.1.3 Block level 100000 73 73 73 Approved
B15.1.4 Other
B15.2 Quality Assurance
B15.3
Monitoring and
Evaluation
B15.3.1
Monitoring &
Evaluation /
HMIS/MCTS.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 87

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
Printing of HMIS
Formats
Printing of MCTS
Formats
Printing of MCTS
Registers
Mobile Allowance for
State Programme
Officer & Consultant /
Coordinator for the
Implementation &
Monitoring of HMIS &
MCTS @Rs.500/PM
(2x500x12)
Mobile Allowance for
District Coordinators /
TOTs for the
Implementation &
Monitoring of HMIS &
MCTS @Rs.200/PM
(12x 200x12)
Implementation of
Mobile based HMIS &
MCTS Reporting
5 5
5 5
10 10
0.12 0.048
0.28 0.28
Approved subject to
furnishing details
Approved State may
ensure about universal
coverage in terms of
registration and service
updation on MCTS format
and MCTS Portal as well.
Approved subject to the
condition that the
registers are compatible
with the Integrated RCH
Register (village wise)
designed by MOHFW.
Approved Rs. 4800 @ Rs.
200 per man month. State
may explore the
possibility of CUG
connection for ANMs and
health coordinators. Also
ensure about regular
updation of data on the
MCTS Portal as per the
services delivered to the
beneficiaries
Approved Rs. 28,000 @
Rs. 200 per man month.
State may explore the
possibility of CUG
connection for ANMs and
health coordinators. Also
ensure about regular
updation of data on the
MCTS Portal as per the
services delivered to the
beneficiaries
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 88

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B15.3.2
SMS Pack
Charge/GPRS Pack
Charges/Mobile
Allowance to Health
Workers @Rs150/-PM
(150 x2640x12)
Establishment of State
Data Centre
2 Servers for HMIS,
Hospital MIS
(Application & Data
Base)
SAN Storage Network
including Server &
SAN Switches
Establishment of Call
Centre for MCTS
Infrastructure Cost
(Office/ Computer/
Printer/ Fax/
Telephone/ Internet
etc.)
Man Power Cost
(Hired Manpower-3
persons @8000/- PM
x12)
Recurring Cost (Call
Costs , Telephone &
Internet Charges)
Computerization
HMIS and e-
governance, e-health
47.52 31.36
2 4 4 Approved
1 24 24 Approved
10 10 Approved
2.88 2.88 Approved
12 12 Approved
Approved Rs. 31.36
lakh@ Rs. 100/-per
person per month. State
may explore the
possibility of CUG
connection for ANMs and
health coordinators. Also
ensure about regular
updation of data as per
the services provided to
beneficiaries on MCTS
portal from all health
facilities including subcentres.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 89

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B15.3.3
Implementation of
Hospital MIS
Other M & E
District
State
Sub Total of Planning
Implementation and
Monitoring
479.8 479.8 Approved
18 0
1.5 0
722.1 686.368
Not Approved. No details
provided by the State.
Not Approved. No details
provided by the State.
OTHERS
DETAIL BUDGET: HOSPITAL STRENGTHENING
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 90

FMR
Code Activity Unit Cost
B.4
Hospital
Strengthening
B.4.1
B4.1.1
B4.1.2
B4.1.3
B4.1.4
B4.1.5
B 4.2
Upgradation of
CHCs, PHCs, Dist.
Hospitals to IPHS)
District Hospitals
CHCs
PHCs
Sub Centers
Others
Warehouses at
District level
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
20000 10*12 24 0
Morturies 1200000 17 204 0
Strengthening of
Districts, Subdivisional
Hospitals,
CHCs, PHCs
Remarks
Not Approved
Not approved. To be
met from State
budget
B.4.3
Sub Centre Rent
and Contingencies
B.4.4
Logistics
management/
improvement
Construction
(Others)
Residences Type-IV
3000000 20 600 600
Approved
Married Doctors
Hostel
6200000 3 186 186
Total 1014 786
Approved
DETAIL BUDGET: PPP/NGOs
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 91

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B13
B13.1
PPP/ NGOs
Nongovernmental
providers of health
care RMPs/TBAs
B13.2
B13.3
Public Private
Partnerships
PNDT & Sex Ratio
NGO Programme/
Grant in Aid to NGO 180 0
10
Shifted to
RCH
Not Approved
Total 190 0
DETAIL BUDGET: OTHER EXPENDITURE
FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B.23
Other Expenditures
(Power Backup,
Convergence etc)
Dental Department
50 50 Approved.
Establishment of
four trauma center
in districts Bilaspur, 15000000 4 600 600 Approved.
kangra, Kullu and
Solan
Telemedicine 50 50 Approved.
Total 700 700
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 92

NATIONAL DISEASE
CONTROL
PROGRAMMES
(NDCPs)
NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 93

ROAD MAP FOR PRIORITY ACTION
Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to
below 5% in the entire country by 2017 and (ii) to ensure 100% consumption of adequately iodated salt
(15ppm) at the household level under National Iodine Deficiency Disorders Control programme:
1.Establishment of State IDD Cell, if not established in the State/UT for implementation
programme activities.
2.Establishment of State IDD monitoring laboratory, if not established in the State/UT for
conducting quantitative analysis of iodated salt and urine for iodine content and urinary
iodine excretion.
3.All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab Technician
and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory should be filled on
regular/contractual basis on priority for smooth implementation of programme.
4.Supply, availability and consumption of adequately iodated salt in the state should be
monitored.
5.District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to assess the
magnitude of IDD in the respective districts as approved in the PIP and reports accordingly
submitted.
6.Use of Salt testing kits by ASHA/Health Personnel being supplied in the endemic districts for
creating awareness & monitoring of iodated salt consumption at household level should be
monitored and monthly reports are to be submitted as per the prescribed proforma.
7.ASHA incentives Rs. 25/- per month for testing 50 salt samples per month in endemic districts
should be made available on regular basis to ASHA.
8.Health education and publicity should be conducted with more focus in the endemic districts
emphasizing about IDD and promotion of consumption of adequately iodated salt. Should
observe Global IDD Celebrations on 21 st October by conducting awareness activities at
various level and submission of reports.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 94

DETAILED BUDGET:
FMR
Code
Activity
Unit
cost
Physical
target
Amount
Propose
d
Amount
Approved
Remarks
D
IDD
D.1 Establishment of IDD
Control Cell-
D.1.a Technical Officer 1
D.1.b Statistical Assistant 1
D.1.c LDC Typist 1
Implementa
tion and
monitoring
of the
programme
10.00 10.00 The sanctioned
post of Tech.
Officer may be
filled up on
regular/contract
basis on priority.
State Govt. may
conduct and coordinate
approved
programme
activities and
furnish
quarterly
financial &
physical
achievements as
per prescribed
format
D.2 Establishment of IDD
Monitoring Lab-
Monitoring
of district
level iodine
content of
salt and
urinary
iodine
excretion as
per Policy
Guidelines.
5.00 5.00 Sanctioned post
of Lab Tech. &
Lab Assistant
may be filled up
on priority.
State Govt. may
conduct
qualitative
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 95

FMR
Code
Activity
Unit
cost
Physical
target
Amount
Propose
d
Amount
Approved
Remarks
D.2.a Lab Technician 1 analysis of salt &
D.2.b Lab. Assistant 1
urine as per
NIDDCP
Guidelines and
furnish
monthly/quarter
ly statements
D.3 Health Education &
Publicity
Increased
awareness
about IDD
and iodated
salt.
7.00 07.00 IDD publicity
activities
including Global
IDD Day
celebrations at
various level.
D.4 IDD Survey/resurvey Rs.
50,000
per
district
4 districts 2.00 2.00 State. Govt. may
under take 4
districts IDD
survey as per
guidelines and
furnish report.
4.1 Salt Testing Kits supplies
by GOI inform of kind
grant for 10 endemic
districts
12 STK
per
annum
per
ASHA
5 ASHA Incentive Rs.
25/-
per
month
for
testing
50 salt
sample
Creating
iodated salt
demand and
monitoring
of the same
at the
community
level.
50 salt
samples per
month per
ASHA in 10
endemic
districts
54.31
State Govt. to
monitor the
qualitative
analysis of
iodated salt by
STK through
ASHA in 10
endemic
districts i.e.
Bhilaspur,
Chamba,
Hamirpur,
Kangra, Kullu,
Mandi, Shimla,
Sirmaur, Solan,
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 96

FMR
Code
Activity
Unit
cost
Physical
target
Amount
Propose
d
Amount
Approved
Remarks
s/
month
Una.
TOTAL 24.00 78.31
INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)
ROAD MAP FOR PRIORITY ACTION:
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 97

‣ There are 17 vacant posts of technical contractual staff (13 Epidemiologists, 3 Microbiologist & 1
Entomologist) under IDSP in the State as on March 2012. The State needs to expedite the
recruitment of these staff by September 2012.
‣ The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers under IDSP
has been completed for the State/Districts. However, the State may give the additional list of
participants to be trained for ToT and 2-week FETP.
‣ In 2011, 72% of all the Reporting Units reported weekly surveillance data in P-form through IDSP
Portal. The State needs to ensure regular weekly reporting of all surveillance data (S, P, L) by all
the Reporting Units of all Districts through IDSP Portal.
‣ Following district are reporting irregularly (50% or less reporting) /not reporting in IDSP portal.
‣ Lahual & Spiti
‣ Sirmaur
The State has to ensure regular reporting from all districts by September 2012.
‣ The State has to ensure consistent reporting of L form in portal by the district priority labs at
Bilaspur and Mandi.
‣ The State has to send outbreak report every week to CSU. Even “NIL” reporting under IDSP is
mandatory.
‣ In 2011, clinical samples were sent for laboratory investigation for 1 of the 4 disease outbreaks
and no outbreak was lab confirmed. Appropriate clinical samples need to be sent for the required
lab investigations for all disease outbreaks.
‣ The State needs to send full investigation report for each disease outbreak.
‣ State has to ensure timely submission of quarterly Financial monitoring Report and annual audit
report.
DETAILED BUDGET:
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 98

FMR
Code
Activity
E.1 Operational Cost
Field Visits
Office Expenses
Broad Band
expenses
Outbreak
investigations
including
Collection and
Transport of
samples
Review Meetings
Any other
expenses
E1.2 Laboratory
Support
**District Priority
Lab
E.2 Human Resources
Unit Cost
(where-ever
applicable)
Rs 2,40,000 per
District
Surveillance Unit
per annum
Rs 5,00,000
State
Surveillance Unit
per annum
Amount
Proposed
(Rs. Inlakhs)
33.8 (5.0x1 +
2.40x12)
33.8
Sub Total 33.8 33.8
Rs. 4,00,000 per
district priority
lab per annum
Sub Total
Not
Proposed
Amount
Approved
(Rs in lakhs)
-
Remarks
E.2.3 Remuneration of
Entomologists
Veterinary
Consultant
E.3 Consultant-
Finance/
Procurement
E.3.3 Data Entry
Operator
Rs. 15,000 - Rs.
25,000
1.68 (14,000
x 1 x 12)
Rs.25,000 - 4.80 (40,000
Rs.40,000 x 1 x 12)
Rs. 14,000 3.36 (28,000
x 1 x 12)
Rs. 8,500 28,56,000
(8,500 x 28x
12 )
1.68 (14,000 x 1 x
12)
0.00
1.26
(14,000x1x9)
27.80
(8,500x25x
12+ 8,500x3x
9)
The remuneration
for the vacant
positions is
calculated for 9
months. The State
is requested to fill
the vacant
contractual
positions at the
earliest.
E.8 Training As per NRHM
Guidelines
One day training
of Hospital
Rs. 46,230 for 20
batches of 20
Sub Total 38.40 30.74
9,24,600 2.2 for 10 batches
(22,000x10)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 99

FMR
Code
Doctors
Activity
One day training
of Hospital
Pharmacist /
Nurses
One day
training of
Medical College
Doctors
Unit Cost
(where-ever
applicable)
each
Rs. 34,960 for 20
batches of 20
each
Rs. 34,730 for 2
batches of 20
each
Amount
Proposed
(Rs. Inlakhs)
Amount
Approved
(Rs in lakhs)
6,99,200 1.5 for 10 batches
(15,000x10)
69,460 0.35 for 1 batch
0f 20
Remarks
One day training
for Data Entry
and analysis for
Block Health
Team
One day training
of DM & DEO
Rs. 34,960 for 7
units of 20 each
2,44,720 1.00
Rs. 31,960 for 1 31,960 0.3 for 1 batch of
batch of 20
20
Sub Total 19.69 5.35
Total 91.89 69.89
NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 100

Physical Targets
S.N0
Indicator 2010 2011 2012 Remarks
.
1 Annual Blood Examinate
Rate (ABER) i.e. percentage
of population screened
annually for Malaria
7.54% 7.09% >10% Since this is annual figure the
proportionate target for six
months by monthly blood
examination rate should also be
fixed.
2 Annual Parasite Incidence
(API) i.e. Malaria cases per
1000 population annually
0.04 0.05 10.
Essential Conditionality
Post Sanctioned In Vacant Target for 2012-13
position
1 Asstt. Malaria Officer 23 7 18 Process to be initiated for filling
up of vacant posts
2 At least two review meetings by MD, NRHM should be held ;one before the start of season and
second during the VBD season to assess preparedness.
DesirableConditionality-
1 MPWs (Male) 2025 1165 860 Process to be initiated and
recruitment to be made for 860
MPws under intimation to
Directorate NVBDCP
District wise goals
(To be done by State)
ABER API Death
s
Name of Districts 2011 2011 2011
2012 2012 2012
Road Map: Surveillance & monitoring under NVBDCP to be done throughout the year. Following
salient points are to be monitored for the implementation of programme activities in different
quarters.
• April to June - 1st round spraying and observance of anti-malaria month to be ensured and
accordingly fund availability at districts to be ensured
• July to Sept. - 2nd round of spray and observance of anti-dengue month.
• Oct. to Dec.-Review and Monitor physical and financial performance and preparation of next annual
plan.
• Jan. to March - Consolidation of previous year's physical and financial achievement and plan for next
year.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 101

DETAIL BUDGET:
FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Remarks
F.1 Domestic Budget Support
(DBS)
F.1.1 Malaria
F.1.1.a
Contratual Payments
F.1.1.a
.i
F.1.1.a
.ii
HR Including MPW
contractual
Lab Technicians ( against
vacancy )
0.00 0.00
F.1.1.a
.iii
F.1.1.a
.iv
F.1.1.a
.v
VBD Technical Supervisor
(one for each block)
District VBD Consultant (one
per district) (Non- Project
States)
State Consultant (Non –
Project States), - VBD
Consultant (preferably
entomologist)
0.00 0.00
F.1.1.b ASHA Incentive 0.00 0.00
F.1.1.c
F.1.1.c
.i
F.1.1.c
.ii
F.1.1.c
.iii
Operational Cost
Spray Wages 0.00 0.00
Operational cost for IRS and
contingent items like JSB-I,
JSB-II, Lancet, Slides etc.
Impregnation of Bed netsfor
NE states
0.00 0.00
F.1.1.d Monitoring , Evaluation &
5.00 5.00
Supervision & Epidemic
Preparedness including
mobility
F.1.1.e IEC/BCC 5.00 5.00 IEC/BCC may
be used for all
VBDs in
integrated way
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 102

FMR
Code
F.1.1.f
Activity
PPP / NGO and Intersectoral
Convergence
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
F.1.1.g Training / Capacity Building 5.00 5.00
F.1.1.h Zonal Entomological units 0.00 0.00
F.1.1.i
F.1.1.j
Biological and Environmental
Management through VHSC
Construction and
maintenance of Hatcheries
0.00 0.00
0.00 0.00
Remarks
F.1.1.k Any other Activities (Pl.
specify)
F.1.1.l Procurement of Bednet/LLIN 5.00 0.00 May be met
from State
resources.
Total Malaria (DBS) 20.00 15.00
F.1.2
Dengue & Chikungunya
F.1.2.a Strengthening surveillance
(As per GOI approval)
F.1.2.a
(i)
F.1.2.a
(ii)
F.1.2.a
(iii)
· Apex Referral Labs recurrent 0.00 0.00
·Sentinel surveillance
Hospital recurrent
ELISA facility to Sentinel Surv
Labs
F.1.2.b Test kits (Nos.) to be supplied
by GoI (kindly indicate
numbers of ELISA based NS1
kit and Mac ELISA Kits
required separately)
F.1.2.c Monitoring/supervision and
Rapid response
1.50 2.00 To strengthen
diagnostic
0.00 0.00
facility
3 3
F.1.2.d Epidemic Preparedness 2 1
F.1.2.e Case management 0.00 2.00 *The state
F.1.2.f
F.1.2.g
Vector Control &
environmental management
Specific IEC BCC for Social
Mobilization
0.00 2
3 3
should plan the
activities as per
guidelines to
achieve mid
term plan
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 103

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Remarks
F.1.2.h Inter-sectoral convergence 0 0.25 objectives and
make
F.1.2.i Training including
2 2 additional
operational Research
efforts for
entomological
surveillance,
case
management &
containtment
of disease.
Total Dengue/Chikungunya 11.50 15.25
F.1.3
F.1.3.a
F.1.3.b
Acute Encephalitis Syndrome
(AES)/ Japanese Encephalitis
(JE)
Strengthening of Sentinel
Sites which will include
Diagnostics and Case
Management, supply of kits
by GoI
IEC/BCC specific to J.E. in
endemic areas
2.00 0.00
1.00 0.00
F.1.3.c Capacity Building 2.00 0.00
F.1.3.d Monitoring and supervision 2.00 0.00
F.1.3.e
F.1.3.f
F.1.3.g
F.1.3.h
Procurement of Insecticides
(Technical Malathion)
Fogging Machine
Operational costs for
malathion fogging
Operational Research
F.1.3.i Rehabilitation Setup for
selected endemic districts
F.1.3.j ICU Establishment in
endemic districts
0.00 0.00
Non-endemic
State for JE
F.1.3.k
ASHA Insentivization for
sensitizing community
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 104

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Remarks
F.1.3.l
Other Charges for Training
/Workshop Meeting &
payment to NIV towards JE
kits at Head Quarter
Total AES/JE 7.00 0.00
F.1.4
F.1.4.a
F.1.4.b
F.1.4.c
F.1.4.d
F.1.4.e
F.1.4.f
Lymphatic Filariasis
State Task Force, State
Technical Advisory
Committee meeting, printing
of forms/registers, mobility
support, district coordination
meeting, sensitization of
media etc., morbidity
management, monitoring &
supervision and mobility
support for Rapid Response
Team and contingency
support
Microfilaria Survey
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
Specific IEC/BCC at
state,district, PHC, Subcentre
and village level
including VHSC/GKs for
community mobilization
efforts to realize the desired
drug compliance of 85%
during MDA
Honorarium for Drug
Distribution including ASHAs
and supervisors involved in
MDA
Not Applicable
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 105

FMR
Code
F.1.4.g
F.1.4.g
.i
F.1.4.g
.ii
F.1.4.g
.iii
F.1.4.h
F.1.4.h
.i
F.1.4.h
.ii
F.1.4.h
.iii
F.1.4.i
Activity
Verification and validation for
stoppage of MDA in LF
endemic districts
a) Additional MF Survey
b) ICT Survey
c) ICT Cost
Verification of LF endemicity
in non-endemic districts
a) LY & Hy Survey
b) Mf Survey in Nonendemic
distt
c) ICT survey
Post-MDA surveillance
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Total Lymphatic Filariasis 0.00 0.00
Kala-azar
F.1.5 Case search/ Camp Approach 1.00 1.00
F.1.5.a
Spray Pumps & accessories
F.1.5.b Operational cost for spray
including spray wages
F.1.5.c Mobility/POL/supervision 1.00 0.00
F.1.5.d Monitoring & Evaluation 2.00 2.00
F.1.5.e
Training for spraying
F.1.5.f IEC/ BCC/ Advocacy 1.00 1.00
Total Kala-azar 5.00 4.00
Total (DBS) 43.50 34.25
F.2 Externally aided component
F.2.a
World Bank support for
Malaria (Identified state)
Remarks
F.2.b
F.2.c
Human Resource
Training /Capacity building
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 106

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Remarks
F.2.d
Mobility support for
Monitoring Supervision &
Evaluation including printing
of format & review meetings,
Reporting format (for
printing formats)
Kala-azar World Bank
assisted Project
Not Applicable
F.2.e
F.2.f
F.2.g
Human resource
Capacity building
Mobility
F.3 GFATM support for Malaria
(NE states)
Not Applicable
F.3.a
F.3.b
F.3.c
F.3.d
F.3.e
F.3.f
Project Management Unit
including human resource of
N.E. states
Training/Capacity Building
Planning and
Administration( Office
expenses recurring expenses,
Office automation , printing
and stationary for running of
project)
Monitoring Supervision
(supervisory visits including
travel expenses, etc)
including printing of format
and review meetings,
IEC / BCC activities as per the
project
5.00
5.00
Not
Applicabl
e
Operational cost for
5.00
treatment of bednet and
Infrastructure and Other
Equipment (Computer
Laptops, printers, Motor
cycles for MTS )
Total : EAC component 15.00 0.00
Non-Project
State
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 107

FMR
Code
Activity
F.4 Any other items (Please
specify)
F.5 Operational costs ( mobility,
Review Meeting,
communication, formats &
reports)
Grand total for cash
assistance under NVBDCP
(DBS + EAC)
F.6 Cash grant for decentralized
commodities
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
F.6.a Chloroquine phosphate
5.00
tablets
F.6.b Primaquine tablets 2.5 mg 0.15
F.6.c
F.6.d
F.6.e
Primaquine tablets 7.5 mg
Quinine sulphate tablets
Quinine Injections
F.6.f DEC 100 mg tablets 0.00
F.6.g Albendazole 400 mg tablets 0.00
F.6.h Dengue NS1 antigen kit 0.00
F.6.i
F.6.j
Temephos, Bti (AS) / Bti (wp)
(for polluted & non polluted
water)
Pyrethrum extract 2% for
spare spray
Amount
Approved
(in lacs)
58.50 34.25
0.00
0.00
F.6.k ACT ( For Non Project states) 0.20
F.6.l
F.6.m
RDT Malaria – bi-valent (For
Non Project states)
Any Other Items ( Please
Specify)
Sulphadoxine +
Pyremethamine tablets
0.50
0.50
Scrub Typhus 5.00
Piague 6.00
Total grant for decentralized
commodities
6.35
17.35 6.35
Remarks
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 108

FMR
Code
Activity
Grand Total for grant-in-aid
under NVBDCP
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
75.85 40.60
Commodity Grants 0.00 0.00
Total NVBDCP Cash +
Commodity
Cash assistance required under NRHM Flexi fund
75.85 40.60
Remarks
Cash assistance under NRHM
Flexi fund
5.00 0 Justification
not given
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 109

NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)
State specific Goals and Targets for the year 2012-13
S.No Goals & Target September'12 March 2013
1 Elimination at Sate level NA NA
2 Elimination at District level NA NA
3 Case detection through ASHA NA NA
4 Special activity plan in blocks NA NA
5 MCR footwear procurement & supply 100 200
6 RCS 5 10
7 Development of leprosy expertise 50% of Plan 100% of Plan
8
Treatment Completion Rate
assessment for 2011-12
Completed -
9 Audited Report for the year 2011-12 Completed -
10
Expenditure incurred against
approved plan budget
50% 100%
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 110

DETAIL BUDGET:
FMR
code
Activity
Unit Cost
(In Rupees)
Physical
Targets
Amount
propose
d
Amount
approved
Improved early case
G 1. detection
Incentive to ASHA M 500 - - -
G 1.1
B
P 300 - - -
B
G1.1 a Sensitization of ASHA 50 - - -
G 1.2
G 2
G 2.1
G 2.2
G 2.3
G 2.3 a
G 2.4
G 3
G 3.1
G 4.
Specific -plan for High
Endemic Distrcts
Improved case
management
DPMR Services, (MCR
footwear, Aids and
appliances, Welfare
allowance to BPL
patients for RCS,
Support to govt.
institutions for RCS)
Urban L:eprosy Control,
(Mega city - 0 , Medium
city (1) -3 , Med. City
(2)- 1 Township -19)
Material & Supplies
Supportive drugs, lab.
reagents & equipments
and printing works
NGO - SET Scheme
Stigma Reduced
Mass media, Outdoor
media, Rural media,
Advocacy media
Development of Leprosy
Expertise sustained
MCR - 250/-
Aids/Applia
nce -12500
Welfare/RC
S - 10,000
Meg -
280000
Med (1)-
120000
Med. (2) -
236000
Town -
57000
4 blocks 4.80 0.00
200
0
10
0
0
0
1
0.60
0
1.50
0
0
0
1.14
0.50
0
1.00
0
0
0
0.57
52,000 12 9.60 6.24
500000 - - -
50,000 12 13.98 6.00
Remarks
No high
endemic
district in
H.P.
As NLEP
rates are
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 111

Amount
FMR
Unit Cost Physical
Amount
Activity
propose
Remarks
code
(In Rupees) Targets
approved
d
G 4.1 Training of new MO 60000 - - - very low,
G 4.2
Refresher training of MO 40000 360 8.94 4.80
Training to New
30000 360 6.05 3.60
G 4.3 H.S/H.W.
Other training -
30000 - - -
G 4.4 Physiotherapist
G 4.5 Training to Lab. Tech. 30000 30 0.50 0.30
G 4.6
Management training
for District Nucleus
Team
30000 30 1.08 0.30
G 5.
G 5.1
G 5.1 a
G 5.1 b
Monitoring, Supervision
and Evaluation System
improved
Travel Cost and Review
Meeting
travel expenses -
Contractual Staff at
State level
travel expenses -
Contractual Staff at
District level
50000 1 0.80 0.50
15000 6 1.50 0.90
G 5.1 c Review meetings 20000 4 2.00 0.80
G 5.2
Office Operation &
Maintenance
Office operation - State
38000 1 0.75 0.38
G 5.2 a Cell
Office operation -
18000 12 4.20 2.16
G 5.2 b District Cell
Office equipment maint. 30000 1 0.50 0.30
G 5.2 c State
G 5.3 Consumables
G 5.3 a State Cell 28000 1 0.50 0.28
G 5.3 b
District Cell 14000 12 3.60 1.68
G 5.4
G 5.4 a
Vehicle Hiring and POL
State Cell 85000 2 2.00 1.70
G 5.4 b District Cell 75000 12 18.00 9.00
G 6.
Programme
Management ensured
G 6.1
Contractual Staff at
State level
higher
rates
agreed in
keeping
with other
programm
es
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 112

Amount
FMR
Unit Cost Physical
Amount
Activity
propose
code
(In Rupees) Targets
approved
d
G 6.1 a SMO 1 40000 x12 4.80 4.80
G 6.1 b BFO cum Admn. Officer 1 30000 - - -
G 6.1 c Admn. Asstt. 1 16000 x12 1.92 1.92
G 6.1 d DEO 1 12000 x12 1.44 1.44
G 6.1 e Driver 1 11000 x12 1.32 1.32
G 6.2
Contractual Staff at
Disrrict level
G 6.2 a Driver 6 11000 x12 7.92 7.92
Contractual Staff in
G 6.2 b selected States, NMS 20000
- -
G 7. Others
Travel expenses for
regular staff for specific
programme / training
0.50
G 7.1 need, awards etc
TOTAL 99.44 58.91
Remarks
Added as
essential
requreme
nt
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 113

NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB)
ROAD MAP FOR PRIORITY ACTION:
1. The emphasis will be on primary health care all vision centers will be established immediately
after receipt of grant with PMOA is in position to facilitate eye care delivery at the primary
health centre.
2. Eye Bank to be established only in Government Hospital and Government Medical College. The
names and address may be furnished in the reports submitted to GOI. The amount will not be
split up to more than 1 eye bank.
3. Management of Health Society be restricted within Rs.14 lakh only.
4. Payment of Rs.750/- will be made to NGO per operated case if the NGO has used all facilities of
their own like Drugs & Consumables, Sutures, Spectacles, Transports/POL, organization and
publicity and IOL, Viscoelastics & addl. Consumables including their own Eye Hospital and
Doctors.
5. For organizing and motivating identified persons & transporting them to Govt. / NGO fixed
facilities, the NGO would be eligible for support not exceeding Rs.175/- per operated case.
(Transport/POL and organization & publicity.)
6. No payment will be released towards reimbursement to be made to NGOs w. e. f. 01.04.2012 if
data entry on Management Information System (MIS) is not completed by them.
7. Full details of the NGO funded be provided including the facilities created and the free
operations being done by them in lieu thereof. The amount will be released for only one NGO
and amount will not be split up into more than one NGO.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 114

DETAIL BUDGET:
NATIONAL PROGRAMME FOR CONTROL OF
BLINDNESS GRANT-IN-AID TO STATES/UTS
FOR VARIOUS
PHYSICAL
TARGET
AMOUNT
PROPOSED
(RS IN
LACS)
AMOUNT
APPROVED
(RS IN
LACS)
REMARKS
SL.NO.
H
H 1.1
*Recurring Grant-in aid
For Free Cataract Operation @
Rs.750/- per case
40000 380.00 96.00 Approved on
reimbursement
basis
H 1.2 Other Eye Diseases@ Rs.1000/- 750 7.50 7.50 Approved
H 1.3 School Eye Screening Programme@ 300 10.50 6.00 Approved
Rs.200/- per case
H 1.4 Blindness Survey 0 0 0 Approved
H 1.5 Private Practitioners @as per NGO 0 0 0 Approved
norms
H 1.6 Management of State Health Society
67.00 14.00 Approved
and Distt. Health Society
Remuneration (salary , review
meeting, hiring of vehicle and Other
Activities & Contingency) @ Rs.14
lakh/ Rs.7 lakh depending on the size
of state
H 1.7 Recurring GIA to Eye Donation
1.00 1.00 Approved
Centers @ Rs.1000/- per pair
H 1.8 Eye Ball Collection by Eye Bank @
1.50 1.50 Approved
Rs.1500/- per pair
H 1.9 Training PMOA and MIS training 5.00 6.00 Approved
PMOA and MIS
training
H 1.10 IEC, Eye Donation Fortnight, World
Sight Day & awareness programme in
state & districts etc
10.00 14.00 Approved
1lac per
District and 2
lac for state
H 1.11 Procurement of Ophthalmic
200.00 86.00 Approved
Equipment
H 1.12 Maintenance of Ophthalmic
20.00 20.00 Approved
Equipments
H.2 Non- Recurring Grant-in-aid
H.2.1 For RIO (new) @ Rs.60 lakh 0 0
H.2.2 For Medical College@ Rs.40 lakh 0 0
H.2.3 For vision Centre @ Rs.50000/- 0 0
H.2.4 For Eye Bank @ Rs.15 lakh 0 0
H.2.5 For Eye Donation Centre @ Rs.1 lakh 0 0
H.2.6 For NGOs @ Rs.30 lakh 0 0
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 115

NATIONAL PROGRAMME FOR CONTROL OF
BLINDNESS GRANT-IN-AID TO STATES/UTS
FOR VARIOUS
PHYSICAL
TARGET
AMOUNT
PROPOSED
(RS IN
LACS)
AMOUNT
APPROVED
(RS IN
LACS)
REMARKS
H.2.7 For Eye Wards and Eye OTS @ Rs.75
0 0
lakh
H.2.8 For Mobile Ophthalmic Units with
0 0
tele-network @ Rs.60 lakh
H.2.9 Grant-in-aid for strengthening of
0 0
Distt. Hospitals @ Rs.20 lakh
H.2.10 Grant-in-aid for strengthening of Sub
0 0
Divisional. Hospitals@ Rs.5 lakh
H.3 Contractual Man Power
H.3.1 Ophthalmic Surgeon@ Rs.25000/-
0 0
p.m
H.3.2 Ophthalmic Assistant @ Rs.8000/-
0 0
p.m
H.3.3 Eye Donation Counsellors @
0 0
Rs.10000/- p.m.
Total 702.50 252.00
* The unutilized funds in any of the above said recurring components may be used in any
other recurring component.
Conditionality:
1. The emphasis will be on primary health care all vision centers will be established immediately
after receipt of grant with PMOA is in position to facilitate eye care delivery at the primary
health centre.
2. Eye Bank to be established only in Government Hospital and Government Medical College. The
names and address may be furnished in the reports submitted to GOI. The amount will not be
split up to more than 1 eye bank.
3. Management of Health Society be restricted within Rs.14 lakh only.
4. Payment of Rs.750/- will be made to NGO per operated case if the NGO has used all facilities of
their own like Drugs & Consumables, Sutures, Spectacles, Transports/POL, organization and
publicity and IOL, Viscoelastics & addl. Consumables including their own Eye Hospital and
Doctors.
5. For organizing and motivating identified persons & transporting them to Govt. / NGO fixed
facilities, the NGO would be eligible for support not exceeding Rs.175/- per operated case.
(Transport/POL and organization & publicity.)
6. No payment will be released towards reimbursement to be made to NGOs w. e. f.
01.04.2012 if data entry on Management Information System (MIS) is not
completed by them.
7. Full details of the NGO funded be provided including the facilities created and the free
operations being done by them in lieu thereof. The amount will be released for only one NGO
and amount will not be split up into more than one NGO.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 116

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)
Target for Annualized
New Smear Positive Case
Detection rate per lakh
population (April 2012 to
September 2012 )
Target for Annualized New
Smear Positive Case
Detection rate per lakh
population
(October 2012 to March 2013
)
Target for
Treatment Success
rate
(April 2012 to
September 2012 )
73% 78% 89% 94%
Target for
Treatment Success
rate
(October 2012 to
March 2013 )
ROAD MAP FOR PRIORITY ACTION:
S.No Indicators 2011 2012
1 Annual Suspects Examined Per Lakh
Population
2 Annual Smear Positive Case Notification
Rate (%)
3 Treatment Success Rate among new
smear positive cases
4 Default Rate among New Smear
Positive TB cases
5 Treatment Success rate among Smear
Positive Re-treatment cases
259 259
73% 90%
89 90
4 4
81 85
Conditionality:
All the Key RNTCP contractual staff positions at State/Districts should be filled and ensuring
timely payment of salaries
The State level RNTCP review meetings to be chaired by Health Secretary/Mission Director
(NRHM) at least once in a quarter
To conduct State TB control society meeting, State Coordination committee meeting (TBHIV)
atleast once in a quarter
Scaling up of DOTS Plus services as per the State DOTS Plus action plan
Conduct ACSM/Training activities at State/Districts as per the State annual action plan
To involve Private Practitioners and NGOs in the RNTCP
Timely payment of DOT Providers honorarium at Districts
Strengthening Supervision and Monitoring at all levels
The state could be approved more funds based on expenditure pattern in the first six months
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 117

DETAIL BUDGET: RNTCP
FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
1.1 Civil works
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Civil work
Up gradation
and
maintenance
completed as
planned; 3.96 3.96
Approved 100% as the
proposal was within the
norm.
1.2
Laboratory
materials
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Sputum of
TB Suspects
Examined per
lac population
per quarter;
2) All districts
subjected to
IRL On Site
Evaluation
and Panel
Testing in the
year;
Approved 90%.
3) IRLs
accredited and
functioning
optimally; 20.60 18.54
1.3 Honorarium
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All eligible
Community
DOT Providers
are paid
honorarium in
all districts in
the FY; 11.87 8.90
Approved 90%.
1.4 IEC/ Publicity
As per
Revised
Norms and
Basis of
1) All
IEC/ACSM
activities
proposed in 26.80 10.00
Approval limited to the
eligibility and to
accommodate in the
allocated resource envelop.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 118

FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
Costing for
RNTCP
PIP completed;
2) Increase in
case detection
and improved
case holding;
1.5
Equipment
maintenance
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)
Maintenance
of Office
Equipments at
State/Districts
and IRL
equipments
completed as
planned;
Approved 80% budgeted for
computer maintenance as
the expenditure was 70%.
Approved 100% for the IRL
equipment maintenance.
2) All BMs are
in functional
condition 14.10 11.78
1.6 Training
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Induction
training,
Update and
Re-training of
all cadre of
staff
completed as
planned; 41.60 36.35
Amount approved as per
the norms.
1.7
Vehicle
Maintenance
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All 4
wheelers and
2 wheelers in
the state are in
running
condition and
maintained; 63.50 53.98
Himachal was given
sanctions by CTD to procure
vehicles for TUs also,
considering the hilly terrain.
Approved 85% of the
proposed.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 119

FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
1.8 Vehicle hiring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
supervisory
visit of DTOs
and MOTCs;
2) Increase in
case detection
and improved
case holding; 0.50 0.30
Approved 60% based on
previous utilization.
1.9
NGO/PP
support
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
number of
NGOs/PPs
involved in
signed
schemes of
RNTCP;
2)Contribution
of NGOs/PPS
in case
detection and
provision of
DOT 71.86 15.00
Approval is limited to 21%
based on the previous
utilization.
*If the state is anticipating
deficit in laboratory capacity
to conduct C&DST test, then
state may budget for funds
under C&DST scheme in the
NGO /PP head as the RNTCP
guidelines for NGO and PPs,
as a priority
1.10
Miscellaneou
s
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed
under
miscellaneous
head in PIP
completed 20.40 15.40
Approved amount as per
the norm.Travel assistance
for MDR TB patients, should
be met form the
honorarium head.
1.11
Contractual
services
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All
contractual
staff
appointed and
paid regularly
as planned 297.21 289.41
Approved as per the norm.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 120

FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
1.12 Printing
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All printing
activities at
state and
district level
completed as
planned 10.25 5.13
Approved 50% based on the
previous utilization.
1.13
Research and
studies
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Proposed
Research has
been initiated
or completed
in the FY as
planned; 10.00 5.00
Approved 50% as Central TB
division Plans for prevalence
survey.
1.14
Medical
Colleges
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed
under Medical
Colleges head
in PIP
completed 32.30 30.28
Approved amount as per
the norm.
1.15
Procurement
–vehicles
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)
Procurement
of vehicles
completed as
planned
Four wheeler 12.00 4.30
Two Wheeler 0.00 0.00
Approved only replacement
of the District four wheeler.
TU level four wheeler
procurement provision is
not available in RNTCP,
hence not approved.
1.16
Procurement
– equipment
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)
Procurement
of equipments
completed as
planned
3.60 3.00
Not approved the budgeted
amount for laptop purchase
as there is no provision.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 121

FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
1.17
Tribal Action
Plan
Total (A) 640.55 511.33
B22.4
Additionality
funds from
NRHM (B) 64.88 42.43
Rs. 553.76
TOTAL (A+B)
Additional Budget Required under NRHM Flexible pool for year 2012-13
FMR
Unit Cost Physical
Activity
code
(In Rupees) Targets
B22.4 Procurement of
Equipment’s for
IRL 24.28 2.43
B22.4 Reimbursement
of overpayment
made to
contractual staff
on NRHM
guidelines
Amount proposed
Approved amount for procuring , Semi auto
analyser, autoclave and double distillation Plant.
Approved.
40.00 40.00
B22.4 Laptop for STO 0.60 0.00 Not approved.
GRAND TOTAL 64.88 42.43
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 122

ANNEXURE
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 123

RCH APPROVAL 2012-13 HIMACHAL PRADESH
Annexure-1
FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.1.1
A.1.1
.1
A.1.1
.2
A.1.1
.3
A.1.1
.4
A.1.1
.5
A.1.2
A.1.3
A.1.3
.1
A.1.3
.2
A.1.4
A.1.4
.1
A.1.4
.2
A.1.4
.2.a
A.1.4
.2.b
A.1.4
.2.c
A.1.4
.3
A.1.4
.4
Operationalise
facilities
Operationalise FRUs
Operationalise 24x7
PHCs
MTP services at
health facilities
RTI/STI services at
health facilities
Operationalise Subcentres
Referral Transport
Integrated outreach
RCH services
RCH Outreach
Camps/ Others
Monthly Village
Health and Nutrition
Days
Janani Suraksha
Yojana / JSY
Home Deliveries
Institutional
Deliveries
Rural
Urban
C-sections
Administrative
expenses
Incentive to ASHAs
20000.00 100 20.00 20.00 Approved
100.00 18386 18.39 18.39 Approved
500.00 6670 33.35 33.35 Approved
0.00
700.00 17320 121.24 121.24 Approved
600.00 2670 16.02 16.02 Approved
1500.00 2000 30.00 30.00 Approved
11.83 11.83 Approved
600.00 6000 36.00 21.00 Approved. In case
JSSK is
implemented in the
notified tribal
areas, then the
ASHA incentive
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 124

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.1.5
A.1.6
A.1.7
A.1.7
.1
A.1.7
.1.1
A.1.7
.1.2
A.1.7
.2
under JSY will be
reduced to Rs.
350/- as pregnant
women are
guaranteed free
transportation and
drop back from
home to health
facility under this
scheme.
Maternal Death
Review
Other strategies/
activities
JSSK- Janani Shishu
Surakhsha
Karyakram
Drugs & Consumables
(other thatn reflected
in Procurement)
Drugs and
600.00 78215
213.50 Approved @ Rs 350
Consumables for
370.74
for 61000 PW
Normal Deliveries
Drugs and
3000.00 8695
97.60 Approved @ Rs
Consumables for
260.85
1600 for 6100 C
Caesarean Deliveries
section
Diagnostic 480.00 127463 439.39 254.92 Approved @
revised rate of Rs
200
Blood Transfusion 45.00 8695 3.91 3.91 Approved
A.1.7
.3
A.1.7 Diet
.4
A.1.7 3 days for Normal
30.00 70.39 54.90 Approved for 61000
.4.1 Delivery
PW at Rs 30
A.1.7 7 days for Caesarean 30.00 18.25 12.81 Approved for 6100
.4.2
c section at Rs 30
Free Referral
A.1.7
Transport (other than
.5
A1.2)
Inter Facility Transfer 1000.00 8695
21.73 Approved @
A.1.7
for mother
86.95
revised rate of Rs
.5.1
250 for 8695 cases
A.1.7 Drop Back for mother 1000.00 683.59 152.50 Approved @ Rs 250
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 125

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
.5.2 for 61000 PW
Sub-total Maternal
1972.46 850.26
Health (excluding
JSY)
Sub-total JSY 248.44 233.44
A.2 CHILD HEALTH
A.2.1 IMNCI
Prepare detailed
A.2.1
operational plan for
.1
IMNCI across districts
A.2.1
.2
A.2.1
.3
A.2.1
.4
A.2.2
A.2.2
.1
A.2.2
.2
A.2.3
A.2.4
Implementation of
IMNCI activities in
districts
Monitor progress
against plan; follow
up with training,
procurement, etc
Pre-service IMNCI
activities in medical
colleges, nursing
colleges, and
ANMTCs
Facility Based
Newborn Care/FBNC
(SNCU, NBSU, NBCC)
Prepare detailed
operational plan for
FBNC across districts
(including training,
BCC/IEC, drugs and
supplies, etc.; cost of
plan meeting should
be kept).
Maintenance and
consumables (24-
bedded SNCUs)
Monitor progress
against plan; follow
up with training,
procurement, etc.
Home Based
Newborn Care/HBNC
Infant and Young
Child Feeding/IYCF
900.00 125 1.13 0 Not Approved.
1000000.00 4
40.00
40.00 Approved
2500.00 400 10.00 Shifted to MFP
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 126

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.2.4
.1
A.2.4
.2
A.2.4
.3
A.2.5
A.2.5
.1.
A.2.5
.2
A.2.5
.3
A.2.6
A.2.7
A.2.8
Prepare and
disseminate
guidelines for IYCF.
Prepare detailed
operational plan for
IYCF across districts
(including training,
BCC/IEC, drugs and
supplies, etc.; cost of
plan meeting should
be kept).
Monitor progress
against plan;follow
up with training,
procurement, etc.
Care of Sick Children
and Severe
Malnutrition at
facilities (e.g. NRCs,
CDNCs etc.)
Prepare and
disseminate
guidelines.
Prepare detailed
operational plan for
care of sick children
and severe
malnutrition at FRUs,
across districts ( cost
of plan meeting
should be kept).
Implementation of
activities in districts.
Recurring expenses 1250000.00 2 25.00 25.00 Approved
20-bedded NRCs
Management of
Diarrhoea, ARI and
Micronutrient
Malnutrition
ARI 40.00 31286 12.51 12.51 Approved
Diarrhea 2.50 31286 0.78 0.78 Approved
Other strategies/
activities
Infant Death Audit
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 127

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.2.9
A.2.1
0
A.2.1
0.1
A.2.1
0.2
A.2.1
0.3
Incentive to ASHA
under Child Health
JSSK (for Sick
neonates up to 30
days)
Drugs & Consumables
(other thatn reflected
in Procurement)
Diagnostics
Exchange Transfusion
(Child Care)
Free Referral
Transport (other than
A1.2 and A1.7.5)
Inter Facility Transfer
for child
Free Drop Back for
child
Sub-total Child
Health
A.3 FAMILY PLANNING
Terminal/ Limiting
A.3.1
Methods
Dissemination of
manuals on
A.3.1
sterilisation
.1
standards & QA of
sterilisation services
A..3.
1.1.1
Prepare operational
plan for provision of
sterilisation services
at facilities (fixed day)
as well as camps ,
20.55 Shifted from MFP.
Approved for 8220
for LW @ 250/- as
proposed by the
State.
1000.00 11500 115.00 23.00 Approved @
revised rate of Rs
200
500.00 5750 28.75 3.45 10% of sick
newborns may
require blood
transfusion.
Approved for 1150
Sick newborns @
Rs. 300.
1000.00 11500
1000.00 11500
28.75 Approved @
115.00
revised rate of Rs
250 for 11500 cases
115.00
28.75 Approved @ Rs 250
for 11500 cases
463.17 182.79
7000.00 13 0.91 0.91 Approved.
12 Workshop - Dist
1 Workshop - State
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 128

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
review meetings
A.3.1
.1.2
A.3.1
.2
A.3.1
.3
A.3.1
.4
A.3.1
.5
A.3.1
.6
A.3.2
A.3.2
.1
A.3.2
.2
A.3.2
.2.1
A.3.2
.2.2
A.3.2
.3
A.3.2
.4
A.3.2
.5
Implementation of
sterilisation services
by districts(including
fixed day services and
PP sterilization)
Female Sterilisation
camps
NSV camps
Compensation for
female sterilisation
Compensation for
male sterilisation
Accreditation of
private providers for
sterilisation services
Spacing Methods
IUD camps
Implementation of
IUD services by
districts (including
fixed day services at
SHC and PHC)
Provide IUD services
at health facilities /
compensation
PPIUCD services
Accreditation of
private providers for
IUD insertion services
Social Marketing of
contraceptives
Contraceptive
Update seminars
10000.00 24 2.40 2.40 Approved
20000.00 24 4.80 4.80 Approved
1000.00 27000 270.00 270.00 Approved
1500.00 6000 90.00 90.00 Approved
10000.00 85 8.50 4.25 Budget has been
revised and
reduced to Rs.
5000/ camp (based
on IUCD camp
being approved to
other states).
20.00 30000 6.00 6.00 Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 129

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.3.3
POL for Family
Planning/ Others
30000 per
month
12
districts
43.20 21.60
Approved @ Rs.
15000/ month .
A.3.4
A.3.5
.
A.3.5
.1
A.3.5
.2
A.3.5
.3
A.4
A.4.1
A.4.1
.1
Repairs of
Laparoscopes
Other strategies/
activities
Monitor progress,
quality and utilisation
of services (both
terminal and spacing
methods) including
complications /
deaths / failure cases.
Note: cost of
insurance / failure
and death
compensation NOT to
be booked here
Performance reward
if any
World Population
Day’ celebration
(such as mobility, IEC
activities etc.): funds
earmarked for district
and block level
activities
Sub-total Family
Planning (excluding
compensation)
Sub-total
Sterilisation and IUD
compensation & NSV
camps
ADOLESCENT
REPRODUCTIVE AND
SEXUAL HEALTH /
ARSH
Adolescent services
at health facilities
Disseminate ARSH
guidelines.(Health
3.15 3.15 Approved
58.16 32.31
370.80 370.80
1000.00 1250 12.50 12.50 Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 130

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.4.1
.2
A.4.1
.3
A.4.1
.3.1
A.4.1
.3.2
A.4.1
.3.3
A.4.1
.3.4
A.4.1
.4.
A.4.2
Talk on ARSH at 75
colleges)
Establishment of new
clinics at DH level
Establishment of
new clinics at
CHC/PHC level
Operating expenses
for existing
clinics(Sensitization
workshop for PRIs
teachers and parents)
Salary to new
Counselors in District
Hospitals
Honorarium for
existing Counselors at
Clinics at AHs &
CHCs( Incentives of
counsellors)
Sensitization
workshop for NYK
youth
ARSH activities in
schools
Outreach activities
including peer
educators(Outreach
Camps)
Evaluation of ARSH
Programme (Study of
adolescents
awareness -KABP)
Convergence -
Quarterly Quarterly
Joint Review
meetings at state
level
Convergence -
Quarterly Quarterly
Joint Review
meetings at district
level
School Health
0.00
0.00
20000.00 350 70.00 70.00 Approved
1000.00 24 0.24 0.24 Approved
32500.00 48 15.60 15.60 Approved
5000.00 73 3.65 3.65 Approved
500.00 14400 72.00 72.00 Approved
1000000.00 1 10.00 0.00 Not Approved
5000.00 4 0.20 0.20 Approved
1000.00 48 0.48 0.00 Not Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 131

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.4.2
.1
A.4.2
.2
A.4.2
.3
A.4.2
.4
A.4.3
Programme
Prepare and
disseminate
guidelines for School
Health
Programme.(Orientat
ion
/sensitization/trainin
g)
Prepare detailed
operational plan for
School Health
Programme across
districts (cost of plan
meeting should be
kept)
Implementation of
School Health
Programme by
districts.
Monitor progress and
quality of
services.(Cluster
camps of 15 member
team -Mobility
Support @Rs 6000
and Org charges @Rs
400 per camp
Mobility support Rs
500 per cluster camp
and contingency @
Rs 200
POL for supervision
POL for supervision
Other
strategies/activities
(please specify)
Details of the
Menstrual Hygiene
project to be
provided and
budgeted under this
10.40 0.00 Not approved, no
write-up has been
provided.
4000.00 4334 390.06 390.06 Approved. Number
to be trained-
4334,Cost/batch-
4000
500.00 4334 21.67 21.67 Approved. Number
to be trained-
4334,Cost/batch-
500
10000.00 12 1.20 1.00 Approved for 10
months @ 10000
5000.00 12*12 7.20 6.00 Approved for 10
months @ 5000
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 132

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
head
A.4.3
.1
A.4.3
.2
Menstrual Hygiene 20.98 8.85 SN vending
machines,
procurement of SN,
capacity building of
stakeholders and
internal /external
monitoring &
evaluation not
approved
Weekly Iron Folic
Acid
Supplementation
(WIFS) Scheme
Sub-total ARSH 636.18 601.77
A.5 URBAN RCH
A..5.
1
A..5.
1.1
A.5.1
.2.
A.5.1
.3
A.5.1
.3.1
A.5.1
.3.2
Urban RCH Services
Remuneration of 44
ANM/FHW for 44
Urban RCH Units
8000.00 44 42.24 42.24 Approved
Travel (Monitoring) 1000.00 12 5.28 5.28 Approved
Reporting and
500.00 12 2.64 2.64 Approved
documentation
BCC/IEC activity 250.00 12 1.32 1.32 Approved
Contingency 500.00 12 2.64 2.64 Approved
Identification of
urban areas /
mapping of urban
slums
Prepare operational
plan for urban RCH
Implementation of
Urban RCH plan/
activities
Recruitment and
training of link
workers for urban
slums
Strengthening of
urban health posts
and urban health
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 133

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
centres
A.5.1 Provide RCH services
.3.3 (please specify)
Monitor progress,
A.5.1
quality and utilisation
.4
of services.
Other Urban RCH
A.5.1
strategies/activities
.5
(please specify)
Sub-total Urban
Health
A.6 TRIBAL RCH
A..6.
1
Tribal RCH services
A.6.1 Prepare operational
.2 plan for tribal RCH
A.6.1 Implementation of
.3 Tribal RCH activities
Monitor progress,
A.6.1
quality and utilisation
.4
of services.
Other Tribal RCH
A.6.1
strategies/activities
.5
(please specify)
Sub-total Tribal
Health
A.7 PNDT & Sex Ratio
A.7.1
Support to PNDT Cell
.
A.7.1 Operationalise PNDT
.1 Cell
Orientation of
A.7.1
programme
.2
managers and service
54.12 54.12
500000.00 8 40.00 40.00 Approved for 8
camps @ Rs 5 lakh /
camp subject to
state first providing
details of
performance of
such camps held
last year ( In ROP
2011-12, 6 camps
were approved @
Rs 6.00 lakhs per
camp).
40.00 40.00
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 134

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.7.2
A.8
A.8.1
A.8.1
.1
A.8.1
.2
A.8.1
.3
A.8.1
.4
A.8.1
.5
providers on PC &
PNDT Act
Other PNDT activities
Expenses at State
level
Expenses at District
level
Sub-total PNDT &
Sex Ratio
INFRASTRUCTURE &
HUMAN RESOURCES
Contractual Staff &
Services
ANMs,supervisory
nurses, LHVs
Laboratory
Technicians,MPW
Specialists
(Anaesthetists,
Paediatricians,
Ob/Gyn, Surgeons,
Physicians, Dental
Surgeons,
Radiologist,
Sonologist,
Pathologist, Specialist
for CHC )
PHNs at CHC/ PHC
level(School Health
Nurse)
Medical Officers at
PHCs and
4.00 Approved. Shifted
from MFP.
Utilisation of funds
is only subject to
providing the
activity specific
details.
6.00 Approved. Shifted
from MFP.
Utilisation of funds
is only subject to
providing the
activity specific
details.
0.00 10.00
13500 150 243.00 243.00 Approved subject
to posting staff in
the High Focus
Districts.
17600.00 24 50.69 14.40 Approved for 12 LTs
@ Rs 10000/month.
75000.00 132 1188.00 594.00 50 % of the
proposed
Specialists
approved. (66
Specialists
Approved.)
13500.00 210 340.20 226.80 Approved 140
School Health
Nurses
26250.00 48 151.20 151.20 Approved.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 135

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.8.1
.6
A.8.1
.7
A.8.1
.8
A.8.1
.8.1
A.8.1
.9
A.8.1
.10
A.8.2
A.8.2
.1
A.8.2
.2
CHCs(Casualty Mos)
Additional
Allowances/
Incentives to M.O.s of
PHCs and CHCs
Others - Computer
Assistants/ BCC Coordinator
etc
Incentive/ Awards
etc. to SN, ANMs etc.
Award Money to
MO/SN/MW/SK
Human Resources
Development
(Casualty SNs)
Other Incentives
Schemes (Pl. Specify)
Minor civil works
Minor civil works for
operationalisation of
FRUs
Minor civil works for
operationalisation of
24 hour services at
PHCs
Sub-total
Infrastructure & HR
A.9 TRAINING
A.9.1
A.9.1
.1
A.9.1
.2
A.9.1
.3
Strengthening of
Training Institutions
(SIHFW, ANMTCs,
etc.)
Carry out repairs/
renovations of the
training institutions
Provide equipment
and training aids to
the training
institutions
Developing systems
for monitoring &
evaluations of
6000.00 100 72.00 72.00 Approved
18400.00 12 26.50 0.00 Not Approved
110.52 110.52 Approved.
7.46 0.00 Not Approved.No
details provided by
the State.
13500.00 96 155.52 155.52 Approved.
2345.08 1567.44
2500000.00 2 50.00 0.00 Approval Pending.
State needs to
provide a detailed
proposal with
justification.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 136

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
training programmes.
A.9.1
.4
A.9.2
9.2.1
9.2.2
A.9.3
A.9.3
.1
A.9.3
.2
A.9.3
.3
A.9.3
.4
Other activities
(SHSRC)
Development of
training packages
Development/
translation and
duplication of
training materials
Other activities
Provision of TA
Maternal Health
Training
Skilled Birth
Attendance / SBA
training
TOT for SBA
Training of Medical
Officers in
Management of
Common Obstetric
Complications
(BEmOC)
Training of Staff
Nurses in SBA (DH)
Training of ANMs /
LHVs in SBA (DH)
Training of ANMs /
LHVs in SBA (FRU)
Comprehensive
EmOC training
(including c-section)
Life saving
Anaesthesia skills
training
Safe abortion services
training (including
MVA/ EVA and
Medical abortion)
TOT on safe abortion
services for MO & SN
10.00 10.00 Approved subject
to State providing
details of training
material.
48600.00 12 5.83 5.83 Approved
50550.00 12 6.07 6.06 Approved
50550.00 12 6.07 6.06 Approved
195200.00 1 1.95 1.95 Approved
295600.00 3 8.87 8.86 Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 137

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.9.3
.5
A.9.3
.6
A.9.3
.7
ToT of Medical
Officers in safe
abortion
Training of Medical
Officers in safe
abortion
RTI / STI training
TOT for RTI/STI
training
Training of laboratory
technicians in RTI/STI
Training of Medical
Officers in RTI/STI
Training of Staff
Nurses in RTI/STI
Training of ANMs /
LHVs in RTI/STI
BEmOC training(Dai
training -TBA)
Other MH training
(MDR for MO's)
Other maternal
health training (MDR
for block level
investigation team)
Diploma Course for
MO - 2years
Advance training
course for ANMs
66540.00 10 6.65 6.65 Approved
55820.00 24 13.40 13.39 Approved
70540.00 25 17.64 17.63 Approved
100860.00 10 10.09 10.08 Approved
102360.00 20 20.47 20.47 Approved
21060.00 69 14.53 14.53 Approved
A.9.4 IMEP Training 47080.00 12 5.65 5.65 Approved.
A.9.5 Child Health Training
A.9.5
138850.00 12 16.66 16.66 Approved
IMNCI Training
.1
A.9.5
.2
TOT on IMNCI (preservice
and inservice)
IMNCI Training for
ANMs / LHVs
IMNCI Training for
Anganwadi Workers
F-IMNCI training
257790.00 7 18.05 18.05 Recommended by
GOI in consultation
with State
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 138

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.9.5
.3
A.9.5
.4
A.9.5
.5
TOT on F-IMNCI
F-IMNCI Training for
Medical Officers
F-IMNCI Training for
Staff Nurses
FBNC
Facility Based
72960.00 2 1.46 1.45 Approved
Newborn Care/FBNC
(SN)
Facility Based
97800.00 2 1.96 1.95 Approved
Newborn Care/FBNC
(MO)
Training of master 100000.00 2 2.00 2.00 Approved
trainers at PGI
Printing of training
material
Home Based
136800.00 15 20.52 20.52 Approved
Newborn Care
training
TOT on HBNC
Training on HBNC for
ASHA
Care of Sick Children
and severe
malnutrition training
TOT on Care of sick
children and severe
malnutrition
Training on Care of
sick children and
severe malnutrition
for Medical Officers
Other CH training (pls
specify)
NSSK Training
TOT for NSSK
NSSK Training for 52560.00 8 4.20 4.20 Approved
Medical Officers
NSSK Training for SNs 42210.00 8 3.38 3.37 Approved
NSSK Training for
ANMs
Printing of Manuals &
Procurement of
Mannikins for NSSK
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 139

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
Training
A.9.6
A.9.6
.1
A.9.6
.2
A.9.6
.3
A.9.6
.4
A.9.6
.5
A.9.6
.6
A.9.7
Family Planning
Training
Laparoscopic
Sterilisation training
TOT on laparoscopic
sterilisation
Laparoscopic
sterilisation training
for doctors (16 - 4
batches)
Minilap training
TOT on Minilap
Minilap training for
medical officers ( 8 -
2 batches)
NSV training (28- 7
batches)
IUD Insertion training
62960.00 4 2.52 2.51 Approved
66540.00 2 1.33 1.33 Approved
29150.00 7 2.04 2.04 Approved
TOT for IUD insertion
Training of Medical 95212.00 20 19.04 19.04 Approved
officers in IUD
insertion
Training of staff
nurses in IUD
insertion
Training of ANMs / 20740.00 60 12.44 12.44 Approved
LHVs in IUD insertion
PPIUCD(Mos) 41440.00 3 1.24 1.24 Approved
Contraceptive
Update training
Other FP training (pls
specify)
ARSH Training
TOT for ARSH training
Orientation training
of state and district
programme
managers
ARSH training for 92590.00 10 9.26 9.25 Approved
medical officers
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 140

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.9.8
A.9.8
.1
A.9.8
.2
A.9.9
A.9.1
0
A.9.1
0.1
A.9.1
0.2
A.9.1
1
A.9.1
1.1
A.9.1
1.2
ARSH training for
ANMs/LHVs
ARSH training for
AWWs
ARSH training for
Other
activities(Training
ICTC counsellors)
Programme
Management
Training
SPMU Training
80850.00 13 10.51 10.51 Approved
73890.00 1 0.74 0.74 Approved
24920.00 1 0.25 0.24 Approved
90810.00 6 5.45 0.00 Not approved. To
be reconsidered in
DPMU Training
line with proposal
for establishing
DPMUs.
Other training (HMIS 29490.00 1 0.29 0.29 Approved
Training)- State
District 43200.00 2 0.86 0.86 Approved
HMIS training of
35050.00 4 1.40 1.40 Approved
DEOs
HMIS training of
36270.00 100 36.27 36.27 Approved
health worker
Training in Ultra 1205815.00 2 24.12 24.11 Approved
sound(MOs)
Training (Nursing)
Strengthening of
Existing Training
Institutions/ Nursing
School
New Training
Institutions/ School
Training (Other
Health Personnel)
Promotional Trg of
health workers
females to lady
health visitor etc.
Training of AMNs,
Staff nurses, AWW,
AWS
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 141

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.9.1
1.3
A.10
A.10.
1
A.10.
2
A.10.
3
A.10.
4
A.10.
5
A.10.
6
A.10.
7
Other training and
capacity building
programmes
Sub-total Training 373.21 317.63
PROGRAMME
MANAGEMENT
Strengthening of
SHS/ SPMU (Including
HR, Management
Cost, Mobility
Support, field visits)
Strengthening of
DHS/ DPMU
(Including HR,
Management Cost,
Mobility Support,
field visits)
Strengthening of
Block PMU (Including
HR, Management
Cost, Mobility
Support, field visits)
Strengthening
(others)NRHM Office
Audit Fees
Concurrent Audit
Mobility Support to
BMO/ MO/ Others
Sub-total Programme
Management
1 168.88 108.47 All existing posts
approved for the
first quarter as per
last years ROP.
State to share
details of SPMU
and strenghthen
the same with
technical staff and
nodal persons in
technical areas.
12 160.56 0.00 State to submit
revised proposal for
establishing PMUs
(if required) at the
district level.
69 480.79 0.00 State to submit
revised proposal for
establishing PMUs
(if required) at the
block level.
5000000.00 1 50.00 0.00 Not Approved. No
details available
750000.00 1 7.50 7.50 Approved
13 25.00 25.00 Approved
60000.00 69 41.40 10.35 25% approved on
interim basis. State
to provide
comprehensive
monitoring plan
and budget for the
programme as a
whole.
934.13 151.32
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 142

FMR
Code
Activity
Unit Rate
(Rs.)
Physical
Target
Proposed
Amount
Approved
Amount
Remarks
A.11
VULNERABLE
GROUPS
Implementation of
RCH activities
500000.00 24 120.00 66.00 Approved as per
last year’s ROP
Total RCH II Base
6996.51 3873.64
Flexi Pool
Total RCH II Demand
619.24 604.24
Side
GRAND TOTAL RCH II 7615.75 4477.88
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 143

MFP APPROVAL 2012-13 HIMACHAL PRADESH
ANNEXURE-2
FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B.1.1
ASHA Cost
B1.1.1
Selection & Training of
ASHA
B1.1.2
Procurement of ASHA
Drug Kit
Procurement of Kit for
ASHA (Replenishment)
Procurement of HBNC
training Kit for ASHA
2500 400 10 4.48
Approved at
the rate of Rs
1120 per kit
State should
only procure
essential items
that are
permissible
under HBNC
guidelines. The
activity may be
shifted to MFP.
B1.1.3
Other Incentive to ASHAs
(if any)
B1.1.4
Awards to ASHA's/Link
workers
B1.1.5
ASHA Resource
Centre/AHSA Mentoring
Group
Incentive under Child
Health
Shifted to CH.
Sub Total ASHA 10 4.48
B2
Untied Funds
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 144

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
B2.1 Untied Fund for CHCs 5000 113 56.5 4.254
B2.2 Untied Fund for PHCs 25000 470 117.5 31.725
B2.3
Untied Fund for Sub
Centres
10000 2065 206.5 149.279
B2.4 Untied fund for VHSC 10000 3243 324.3 0.42159
B.3
Sub Total 704.8 185.680
Annual Maintenance
Grants
B.3.1 CHCs 100000 113 113 49.641
Remarks
Approved as
per the
utilization for
the last
financial year
i.e 7.53 %
Approved as
per the
utilization for
the last
financial year
i.e 27 %
Approved as
per the
utilization for
the last
financial year
i.e 72.29 %
Approved as
per the
utilization for
the last
financial year
i.e0.13 %.
Approved as
per the list of
facilities in
government
building
provided by the
State i.e 113
CHCs. However
the approval
would be based
on the
utilization of
funds in the last
financial year
which is
43.93%.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 145

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
B.3.2 PHCs 50000 470 235.5 79.040
B.3.3 Sub Centers 10000 2065 206.5 114.367
B.4 Hospital Strengthening
B.4.1
B4.1.1
B4.1.2
B4.1.3
B4.1.4
B4.1.5
B 4.2
B.4.3
Total 555 243.047
Upgradation of CHCs,
PHCs, Dist. Hospitals to
IPHS)
District Hospitals
CHCs
PHCs
Sub Centers
Others
Warehouses at District
level
Remarks
Approved for
345 facilities as
per the list sent
by te State.
However the
approval would
be based on the
utilization of
funds in the last
financial year
which is 45.82
%.
Approved for
1274 facilities.
However the
approval would
be based on the
utilization of
funds in the last
financial year
which is
89.77%.
20000 10*12 24 0 Not Approved
Morturies 1200000 17 204 0
Strengthening of
Districts, Sub-divisional
Hospitals, CHCs, PHCs
Sub Centre Rent and
Contingencies
Not approved.
To be met from
State budget
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 146

FMR
Code
B.4.4
B5
Activity
Logistics management/
improvement
Construction (Others)
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
Residences Type-IV 3000000 20 600 600 Approved
Married Doctors Hostel 6200000 3 186 186 Approved
Total 1014 786
New Constructions/
Renovation and Setting
up
B 5.1 CHCs 13371000 3 401.13 0
B 5.2 PHCs 4278000 12 513.36 0
B5.3 SHCs/Sub Centers 1793000 20 358.6 0
B5.4
B5.5
B5.6
Setting up Infrastructure
wing for Civil works
Govt. Dispensaries/
others renovations
Construction of BHO,
Facility improvement,
civil work, BemOC and
CemOC centers
Approval
pended. State
may share the
list of facilities
along with the
functionality
details in terms
of delivery load,
OPD and IPD.
600000 4 24 24 Approved
20000 100 20 0
Not Approved.
May be met
from State
budget.
B.5.7
B.5.8
B.5.9
B.5.10
Major civil works for
operationalisation of
FRUS
Major civil works for
operationalisation of 24
hour services at PHCs
Civil Works for
Operationalising
Infection Management &
Environment Plan at
health facilities
Infrastructure of
Training Institutions
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 147

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B.5.10.1
Strengthening of Existing
Training
Institutions/Nursing
School( Other than HR)
a. GNM Schools
1. Infrastructure
2. Equipment
b. ANMTCs
1. Infrastructure
2. Equipment
B.5.10.2
B.6
New Training
Institutions/School(Other
than HR)
Total 1317.09 24
Corpus Grants to
HMS/RKS
B6.1 District Hospitals 500000 12 60 50.00
B6.2 CHCs 100000 113 113 76.00
B6.3 PHCs 100000 470 470 88.64
Approved.
However the
approval would
be based on the
last year’s
utilization ie
83.33 %
Approved as
per the list
provided by the
State i.e. of 76
CHCs. However
the approval
would be based
on the last
year’s
utilization ie
100 %
Approved as
per the list
provided by the
State i.e. of 447
PHCs. However
the approval
would be based
on the last
year’s
utilization ie
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 148

FMR
Code
B6.4
B7
B8
B8.1
B8.2
Activity
Other or if not bifurcated
as above
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Total 643 214.64
District Action Plans
(Including Block, Village)
Panchayati Raj Initiative
Constitution and
Orientation of
Community leader & of
VHSC,SHC,PHC,CHC etc
Orientation Workshops,
Trainings and capacity
building of PRI at
State/Dist. Health
Societies, CHC,PHC
B8.3 Others
B9
Total
Mainstreaming of
AYUSH
Remarks
19.83 %
16.45 5 Not Approved
B9.1
Medical Officers at
DH/CHCs/ PHCs (only
AYUSH)
20000 75 180 0 Not Approved
B9.2
B 9.3
B10
Other Staff Nurse/
Supervisory Nurses (for
AYUSH)
Activities other than HR
35500 134 570.84 500
Total 750.84 500
IEC-BCC NRHM
Approved 500
lacs. The salary
of AYUSH
doctor @ Rs
20,000 per
month.
Pharmacist
should be
engaged in
those facilities
which have
enough case
load. Drugs may
be procured as
per need.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 149

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B.10
Strengthening of
BCC/IEC Bureaus (state
and district levels)
State 200000 1 2 2 Approved.
B.10.1
B.10.2
Development of State
BCC/IEC strategy
Implementation of
BCC/IEC strategy
B.10.2.1 BCC/IEC activities for MH 20 150000 30 30 Approved.
B.10.2.2 BCC/IEC activities for CH 5 15000 7.5 7.5 Approved.
B.10.2.3 BCC/IEC activities for FP 5 100000 5 5 Approved.
B.10.2.4
B.10.3
B.10.4
B.10.5
BCC/IEC activities for
ARSH
Health Mela
Creating awareness on
declining sex ratio issue.
5 1600000 80 80 Approved.
State 1000000 1 10 10 Approved.
District 200000 12 24 24 Approved.
Other activities
Health days 26250 10*12 31.5 31.5 Approved.
Print, Electronic Media,
Exhibition, Fairs
Sub Total IEC-BCC NRHM 208.5 208.5
B11 Mobile Medical Units 1500000 10 150 150
B12
Sub Total Mobile
Medical Units (Including
recurring expenditures)
Referral Transport
18.5 18.5 Approved.
150 150
Approved (last
year's MMU
could not be
procured by the
State)
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 150

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
Ambulance /EMRI 1351193 32 432.38 0 Not Approved.
B12.1
Ambulance/ EMRI/Other
models
B12.2 Operating Cost (POL) 672 286
B13
B13.1
B13.2
B13.3
ERC (Emergency
Response Center)
Operating Cost (POL)
Sub TotalReferral
Transport
PPP/ NGOs
Nongovernmental
providers of health care
RMPs/TBAs
Public Private
Partnerships
Approved as
20%
operating
cost for 100 old
ambulances
and 40% for the
new 12
ambulances
275 275 Approved
1379.38 561
PNDT & Sex Ratio 10 Shifted to RCH
NGO Programme/ Grant
in Aid to NGO
B14. Innovations( if any)
Planning,
B15 Implementation and
Monitoring
B15.1
Total 190 0
Community Monitoring
(Visioning workshops at
state, Dist, Block level)
180 0 Not Approved
B15.1.1 State level 500000 1 5 5 Approved
B15.1.2 District level 200000 12 24 24 Approved
B15.1.3 Block level 100000 73 73 73 Approved
B15.1.4
Other
B15.2 Quality Assurance
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 151

FMR
Code
B15.3
B15.3.1
Activity
Monitoring and
Evaluation
Monitoring & Evaluation
/ HMIS/MCTS.
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Printing of HMIS Formats 5.00 5
Printing of MCTS
Formats
Printing of MCTS
Registers
Mobile Allowance for
State Programme Officer
& Consultant /
Coordinator for the
Implementation &
Monitoring of HMIS &
MCTS @Rs.500/PM
(2x500x12)
5.00 5
10.00 10.00
0.12 0.048
Remarks
Approved
subject to
furnishing
details
Approved State
may ensure
about universal
coverage in
terms of
registration and
service
updation on
MCTS format
and MCTS
Portal as well.
Approved
subject to the
condition that
the registers
are compatible
with the
Integrated RCH
Register (village
wise) designed
by MOHFW.
Approved Rs.
4800 @ Rs. 200
per man month.
State may
explore the
possibility of
CUG connection
for ANMs and
health
coordinators.
Also ensure
about regular
updation of
data on the
MCTS Portal as
per the services
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 152

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
delivered to the
beneficiaries
Mobile Allowance for
District Coordinators /
TOTs for the
Implementation &
Monitoring of HMIS &
MCTS @Rs.200/PM (12x
200x12)
0.28 0.28
Approved Rs.
28,000 @ Rs.
200 per man
month. State
may explore the
possibility of
CUG connection
for ANMs and
health
coordinators.
Also ensure
about regular
updation of
data on the
MCTS Portal as
per the services
delivered to the
beneficiaries
Implementation of
Mobile based HMIS &
MCTS Reporting
SMS Pack Charge/GPRS
Pack Charges/Mobile
Allowance to Health
Workers @Rs150/-PM
(150 x2640x12)
47.52 31.36
Approved Rs.
31.36 lakh@ Rs.
100/-per
person per
month. State
may explore the
possibility of
CUG connection
for ANMs and
health
coordinators.
Also ensure
about regular
updation of
data as per the
services
provided to
beneficiaries on
MCTS portal
from all health
facilities
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 153

FMR
Code
B15.3.2
B15.3.3
Activity
Establishment of State
Data Centre
2 Servers for HMIS,
Hospital MIS (Application
& Data Base)
SAN Storage Network
including Server & SAN
Switches
Establishment of Call
Centre for MCTS
Infrastructure Cost
(Office/ Computer/
Printer/ Fax/ Telephone/
Internet etc.)
Man Power Cost (Hired
Manpower-3 persons
@8000/- PM x12)
Recurring Cost (Call Costs
, Telephone & Internet
Charges)
Computerization HMIS
and e-governance, e-
health
Implementation of
Hospital MIS
Other M & E
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
including subcentres.
2 4.00 4.00 Approved
1 24.00 24.00 Approved
District 18.00 0
State 1.50 0
Sub Total of Planning
Implementation and
Monitoring
B.16 PROCUREMENT
10.00 10.00 Approved
2.88 2.88 Approved
12.00 12.00 Approved
479.80 479.80 Approved
722.1 686.368
Not Approved.
No details
provided by the
State.
Not Approved.
No details
provided by the
State.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 154

FMR
Code
B16.1
B16.1.1
Activity
Procurement of
Equipment
Procurement of
equipment: MH
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
2.5 2.5 Approved
B16.1.2
Procurement of
equipment: CH
105000 20 21 21 Approved
B16.1.3
B16.1.4
B16.1.5
B.16.2
B.16.2.1
B.16.2.2
B.16.2.3
B.16.2.4
B.16.2.5
Procurement of
equipment: FP
Procurement of
equipment: IMEP
Procurement of Others
equipments
(DH/CH/SDH)
Procurement of Drugs
and supplies
Drugs & supplies for MH
Drugs & supplies for CH
Drugs and Supplies for
MH CH for Sub Centers
Drugs & supplies for FP
Supplies for IMEP
General drugs & supplies
for health facilities
IFA supplemenattion for
15-45 years females
1000000 20 200 140
1000000 5 50 50
1764706 34 600 600
26432 2065 545.82 0
150 150
115.82 0
Approved @ Rs.
7.00 lakhs per
laparoscope
Approved for
installation of 5
incinerators at
ZH Shimla, ZH
Mandi, ZH
Dharmashala,
RH Solan and
RH Sirmour.
New activity.
Approved with
the condition
that the State
would link the
activity with the
delivery points
Approval
pended. State
to submit the
details
Approved with
condition that
State prepares
its own EDL.
Not approved.
Drugs and
consumables
covered under
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 155

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
JSSK.
B.17
B.18
B.19
B.20
B.21
WIFS for adolscent girls 700000 28 28
Total 702144 1713.14 991.5
Regional drugs
warehouses
New Initiatives/
Strategic Interventions
(As per State health
policy)/ Innovation/
Projects (Telemedicine,
Hepatitis, Mental Health,
Nutrition Programme for
Pregnant Women,
Neonatal) NRHM
Helpline) as per need
(Block/ District Action
Plans)
Health Insurance
Scheme
Research, Studies,
Analysis
State level health
resources center(SHSRC)
B.22 Support Services
B22.1
Support Strengthening
NPCB
Approved State
to ensure the
coverage of
both School
going girls and
boys and non
school going
girls. Monday
to be
earmarked for
WIFS.
1000 0 Not approved.
30 0 Not approved
B22.2
B22.3
Support Strengthening
Midwifery Services under
medical services
Support Strengthening
NVBDCP
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 156

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
B22.4
Support Strengthening
RNTCP
90.48 42.43
Approved
subject to the
submission of
details of the
reimbursement
of salary by the
State.
B22.5
Contingency support to
Govt. dispensaries
B22.6
Other NDCP Support
Programmes
B.23
Other Expenditures
(Power Backup,
Convergence etc)
Dental Department 50 50 Approved.
Establishment of four
trauma center in districts
Bilaspur, kangra, Kullu
and Solan
15000000 4 600 600 Approved.
Telemedicine 50 50 Approved.
Total 700 700
Grand Total 11194.78 5302.64337
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 157

IMMUNIZATION APPROVAL 2012-13 HIMACHAL PRADESH
ANNEXURE-3
FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
C.1 RI Strengthening Project (Review meeting, Mobility Support, Outreach services etc
Remarks
c.1.a
Mobility Support for
supervision for district level
officers.
Rs.50000/
Year
/district
level
officers.
6.00 6.00 Approved
c.1.b
Mobility support for
supervision at state level
Rs. 100000
per year.
1.00 1.00 Approved
c.1.c
Printing and dissemination
of Immunization cards, tally
sheets, monitoring forms
etc.
Rs. 5
beneficiarie
s
6.60 6.60 Approved
c.1.d
Support for Quarterly State
level review meetings of
district officer
0.75 0.75 Approved
c.1.e
Quarterly review meetings
exclusive for RI at district
level with one Block Mos,
CDPO, and other stake
holders
1.20 1.20 Approved
c.1.f
Quarterly review meetings
exclusive for RI at block
level
2.20 2.20 Approved
c.1.g
Focus on slum &
underserved areas in urban
areas/alternative vaccinator
for slums
0.00 0.00 Approved
c.1.h
Mobilization of children
through ASHA or other
mobilizers
Rs. 150 per
session 330.95 81.18 Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 158

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
c.1.i
Alternative vaccine delivery
in hard to reach areas
Rs. 100 per
session
16.62 16.62 Approved
c.1.j
Alternative Vaccine
Delivery in other areas
Rs. 50 per
session
18.75 18.75 Approved
c.1.k
To develop microplan at
sub-centre level
@ Rs 100/-
per
subcentre
2.07 2.07 Approved
c.1.l
For consolidation of
microplans at block level
Rs. 1000
per block/
PHC and Rs.
2000 per
district
0.97 0.97 Approved
c.1.
m
POL for vaccine delivery
from State to district and
from district to PHC/CHCs
Rs100,000/
district/year 13.00 12.00 Approved
c.1.n
Consumables for computer
including provision for
internet access for RIMs
@ 400/ -
month/
district
0.58 0.58 Approved
c.1.o
Red/Black plastic bags etc.
Rs.
2/bags/sessi
on
1.51 1.51 Approved
c.1.p
Hub
Cutter/Bleach/Hypochlorite
solution/ Twin bucket
Rs. 900 per
PHC/CHC
per year
4.70 4.70 Approved
c.1.q
Safety Pits
0.00 0.00
c.1.r State specific requirement 0.00 0.00
c.1.s
Teeka Express (Operational
Cost)
0.00 24.77 Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 159

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
C.1-Sub Total 406.89 180.89
C.2 Salary of Contractual Staffs -Sub Total
c.2.a
Computer Assistants
support for State level
Rs.12000-
15000 per
person per
month
26.99
1.80 Approved
c.2.b
Computer Assistants
support for District level
8000-10000
per person
per month
14.40 Approved
C.2-Sub Total 26.99 16.20
C.3 Training under Immunization
c.3.a
c.3.b
c.3.c
c.3.d
District level Orientation training
including Hep B, Measles &
JE(wherever required) for 2 days
ANM, Multi Purpose Health
Worker (Male), LHV, Health
Assistant (Male/Female), Nurse
Mid Wives, BEEs & other staff (
as per RCH norms)
Three day training including Hep
B, Measles & JE(wherever
required) of Medical Officers of
RI using revised MO training
module)
One day refresher training of
district Computer assistants on
RIMS/HIMS and immunization
formats
One day cold chain handlers
training for block level cold chain
handlers by State and district
cold chain officers
0.00 0.00
13.83 4.91 Approved
0.30 0.30 Approved
10.73 10.73 Approved
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 160

FMR
Code
Activity
Unit Cost
Physical
target
Amount
Proposed
Amount
Approved
Remarks
c.3.e
One day training of block level
data handlers by DIOs and
District cold chain officer
0.00 0.00
C.3-Sub Total 24.87 15.94
C.4 Cold chain maintenance
C.5 ASHA incentive for full
Immunization
Total under Routine
Immunization
C.6 Pulse Polio Operational
Cost (Tentative)
Rs.500/PHC/
CHCs per
year District
Rs.10000/ye
ar
13.11 8.12 Approved
115.00 115.00 Approved
586.85 336.15
195.19 195.19
Grand Total Immunization 782.04 531.34
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 161

NIDDCP APPROVAL 2012-13 HIMACHAL PRADESH
ANNEXURE-4A
FMR
Code
Activity
Unit
cost
Physical
target
Amount
Propose
d
Amount
Approved
Remarks
D
IDD
D.1 Establishment of IDD
Control Cell-
D.1.a Technical Officer 1
D.1.b Statistical Assistant 1
D.1.c LDC Typist 1
Implementa
tion and
monitoring
of the
programme
10.00 10.00 The sanctioned
post of Tech.
Officer may be
filled up on
regular/contract
basis on priority.
State Govt. may
conduct and coordinate
approved
programme
activities and
furnish
quarterly
financial &
physical
achievements as
per prescribed
format
D.2 Establishment of IDD
Monitoring Lab-
Monitoring
of district
level iodine
content of
salt and
urinary
iodine
excretion as
per Policy
5.00 5.00 Sanctioned post
of Lab Tech. &
Lab Assistant
may be filled up
on priority.
State Govt. may
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 162

FMR
Code
Activity
Unit
cost
Physical
target
Amount
Propose
d
Amount
Approved
Remarks
D.2.a Lab Technician 1
D.2.b Lab. Assistant 1
D.3 Health Education &
Publicity
Guidelines.
Increased
awareness
about IDD
and iodated
salt.
conduct
qualitative
analysis of salt &
urine as per
NIDDCP
Guidelines and
furnish
monthly/quarter
ly statements
7.00 07.00 IDD publicity
activities
including Global
IDD Day
celebrations at
various level.
D.4 IDD Survey/resurvey Rs.
50,000
per
district
4 districts 2.00 2.00 State. Govt. may
under take 4
districts IDD
survey as per
guidelines and
furnish report.
4.1 Salt Testing Kits supplies
by GOI inform of kind
grant for 10 endemic
districts
12 STK
per
annum
per
ASHA
5 ASHA Incentive Rs.
25/-
per
month
for
testing
Creating
iodated salt
demand and
monitoring
of the same
at the
community
level.
50 salt
samples per
month per
ASHA in 10
endemic
54.31
State Govt. to
monitor the
qualitative
analysis of
iodated salt by
STK through
ASHA in 10
endemic
districts i.e.
Bhilaspur,
Chamba,
Hamirpur,
Kangra, Kullu,
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 163

FMR
Code
Activity
Unit
cost
Physical
target
Amount
Propose
d
Amount
Approved
Remarks
50 salt
sample
s/
month
districts Mandi, Shimla,
Sirmaur, Solan,
Una.
TOTAL 24.00 78.31
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 164

IDSP APPROVAL 2012-13 HIMACHAL PRADESH
FMR
Code
Activity
E.1 Operational Cost
E 2.2
Field Visits
Office Expenses
Broad Band
expenses
Outbreak
investigations
including
Collection and
Transport of
samples
Review Meetings
Any other
expenses
Laboratory
Support
**District Priority
Lab
E.2 Human Resources
Unit Cost
(where-ever
applicable)
Rs 2,40,000 per
District
Surveillance Unit
per annum
Rs 5,00,000
State
Surveillance Unit
per annum
Amount
Proposed
(Rs. Inlakhs)
33.8 (5.0x1 +
2.40x12)
33.8
Sub Total 33.8 33.8
Rs. 4,00,000 per
district priority
lab per annum
Sub Total
Not
Proposed
Amount
Approved
(Rs in lakhs)
-
ANNEXURE-4B
Remarks
E.2.3 Remuneration of
Entomologists
Veterinary
Consultant
E.3 Consultant-
Finance/
Procurement
E.3.3 Data Entry
Operator
Rs. 15,000 - Rs.
25,000
1.68 (14,000
x 1 x 12)
Rs.25,000 - 4.80 (40,000
Rs.40,000 x 1 x 12)
Rs. 14,000 3.36 (28,000
x 1 x 12)
Rs. 8,500 28,56,000
(8,500 x 28x
12 )
1.68 (14,000 x 1 x
12)
0.00
1.26
(14,000x1x9)
27.80
(8,500x25x
12+ 8,500x3x
9)
The remuneration
for the vacant
positions is
calculated for 9
months. The State
is requested to fill
the vacant
contractual
positions at the
earliest.
Sub Total 38.40 30.74
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 165

FMR
Code
Activity
Unit Cost
(where-ever
applicable)
E.8 Training As per NRHM
Guidelines
One day training
of Hospital
Doctors
Rs. 46,230 for 20
batches of 20
each
One day training
of Hospital
Pharmacist /
Nurses
One day
training of
Medical College
Doctors
Rs. 34,960 for 20
batches of 20
each
Rs. 34,730 for 2
batches of 20
each
Amount
Proposed
(Rs. Inlakhs)
Amount
Approved
(Rs in lakhs)
9,24,600 2.2 for 10 batches
(22,000x10)
6,99,200 1.5 for 10 batches
(15,000x10)
69,460 0.35 for 1 batch
0f 20
Remarks
One day training
for Data Entry
and analysis for
Block Health
Team
One day training
of DM & DEO
Rs. 34,960 for 7
units of 20 each
2,44,720 1.00
Rs. 31,960 for 1 31,960 0.3 for 1 batch of
batch of 20
20
Sub Total 19.69 5.35
Total 91.89 69.89
**State has not requested any funds for district priority labs (2). State is eligible for Rs. 8.00
lakhs (4.00 lakh each). The programmed division will approve an additional budget of Rs. 8 lakhs,
If the state submits a proposal for the same.
1. The following head will be approved once approval from EFC is obtained.
Remuneration of Veterinary Consultant @ Rs. 25,000 -Rs.40, 000
2. Based on past trend, Rs. 60 lakhs has been approved for Himachal Pradesh under IDSP for 2012-
13. However, if there is increase in expenditure by State as per IDSP approved norm, the budget
for State could be increased at RE stage
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 166

NVBDCP APPROVAL 2012-13 HIMACHAL PRADESH
ANNEXURE-4C
FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Remarks
F.1 Domestic Budget Support
(DBS)
F.1.1 Malaria
F.1.1.a
Contratual Payments
F.1.1.a
.i
F.1.1.a
.ii
HR Including MPW
contractual
Lab Technicians ( against
vacancy )
0.00 0.00
F.1.1.a
.iii
F.1.1.a
.iv
F.1.1.a
.v
VBD Technical Supervisor
(one for each block)
District VBD Consultant (one
per district) (Non- Project
States)
State Consultant (Non –
Project States), - VBD
Consultant (preferably
entomologist)
0.00 0.00
F.1.1.b ASHA Incentive 0.00 0.00
F.1.1.c
F.1.1.c
.i
F.1.1.c
.ii
F.1.1.c
.iii
Operational Cost
Spray Wages 0.00 0.00
Operational cost for IRS and
contingent items like JSB-I,
JSB-II, Lancet, Slides etc.
Impregnation of Bed netsfor
NE states
0.00 0.00
F.1.1.d Monitoring , Evaluation &
5.00 5.00
Supervision & Epidemic
Preparedness including
mobility
F.1.1.e IEC/BCC 5.00 5.00 IEC/BCC may
be used for all
VBDs in
integrated way
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 167

FMR
Code
F.1.1.f
Activity
PPP / NGO and Intersectoral
Convergence
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
F.1.1.g Training / Capacity Building 5.00 5.00
F.1.1.h Zonal Entomological units 0.00 0.00
F.1.1.i
F.1.1.j
Biological and Environmental
Management through VHSC
Construction and
maintenance of Hatcheries
0.00 0.00
0.00 0.00
Remarks
F.1.1.k Any other Activities (Pl.
specify)
F.1.1.l Procurement of Bed net/LLIN 5.00 0.00 May be met
from State
resources.
Total Malaria (DBS) 20.00 15.00
F.1.2
Dengue & Chikungunya
F.1.2.a Strengthening surveillance
(As per GOI approval)
F.1.2.a
(i)
F.1.2.a
(ii)
F.1.2.a
(iii)
· Apex Referral Labs recurrent 0.00 0.00
·Sentinel surveillance
Hospital recurrent
ELISA facility to Sentinel Surv
Labs
F.1.2.b Test kits (Nos.) to be supplied
by GoI (kindly indicate
numbers of ELISA based NS1
kit and Mac ELISA Kits
required separately)
F.1.2.c Monitoring/supervision and
Rapid response
1.50 2.00 To strengthen
diagnostic
0.00 0.00
facility
3 3
F.1.2.d Epidemic Preparedness 2 1
F.1.2.e Case management 0.00 2.00 *The state
F.1.2.f
F.1.2.g
Vector Control &
environmental management
Specific IEC BCC for Social
Mobilization
0.00 2
3 3
should plan the
activities as per
guidelines to
achieve mid
term plan
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 168

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Remarks
F.1.2.h Inter-sectoral convergence 0 0.25 objectives and
make
F.1.2.i Training including
2 2 additional
operational Research
efforts for
entomological
surveillance,
case
management &
containtment
of disease.
Total Dengue/Chikungunya 11.50 15.25
F.1.3
F.1.3.a
F.1.3.b
Acute Encephalitis Syndrome
(AES)/ Japanese Encephalitis
(JE)
Strengthening of Sentinel
Sites which will include
Diagnostics and Case
Management, supply of kits
by GoI
IEC/BCC specific to J.E. in
endemic areas
2.00 0.00
1.00 0.00
F.1.3.c Capacity Building 2.00 0.00
F.1.3.d Monitoring and supervision 2.00 0.00
F.1.3.e
F.1.3.f
F.1.3.g
F.1.3.h
Procurement of Insecticides
(Technical Malathion)
Fogging Machine
Operational costs for
malathion fogging
Operational Research
F.1.3.i Rehabilitation Setup for
selected endemic districts
F.1.3.j ICU Establishment in
endemic districts
0.00 0.00
Non-endemic
State for JE
F.1.3.k
ASHA Insentivization for
sensitizing community
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 169

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Remarks
F.1.3.l
Other Charges for Training
/Workshop Meeting &
payment to NIV towards JE
kits at Head Quarter
Total AES/JE 7.00 0.00
F.1.4
F.1.4.a
F.1.4.b
F.1.4.c
F.1.4.d
F.1.4.e
F.1.4.f
Lymphatic Filariasis
State Task Force, State
Technical Advisory
Committee meeting, printing
of forms/registers, mobility
support, district coordination
meeting, sensitization of
media etc., morbidity
management, monitoring &
supervision and mobility
support for Rapid Response
Team and contingency
support
Microfilaria Survey
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
Specific IEC/BCC at
state,district, PHC, Subcentre
and village level
including VHSC/GKs for
community mobilization
efforts to realize the desired
drug compliance of 85%
during MDA
Honorarium for Drug
Distribution including ASHAs
and supervisors involved in
MDA
Not Applicable
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 170

FMR
Code
F.1.4.g
F.1.4.g
.i
F.1.4.g
.ii
F.1.4.g
.iii
F.1.4.h
F.1.4.h
.i
F.1.4.h
.ii
F.1.4.h
.iii
F.1.4.i
Activity
Verification and validation for
stoppage of MDA in LF
endemic districts
a) Additional MF Survey
b) ICT Survey
c) ICT Cost
Verification of LF endemicity
in non-endemic districts
a) LY & Hy Survey
b) Mf Survey in Nonendemic
distt
c) ICT survey
Post-MDA surveillance
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Total Lymphatic Filariasis 0.00 0.00
Kala-azar
F.1.5 Case search/ Camp Approach 1.00 1.00
F.1.5.a
Spray Pumps & accessories
F.1.5.b Operational cost for spray
including spray wages
F.1.5.c Mobility/POL/supervision 1.00 0.00
F.1.5.d Monitoring & Evaluation 2.00 2.00
F.1.5.e
Training for spraying
F.1.5.f IEC/ BCC/ Advocacy 1.00 1.00
Total Kala-azar 5.00 4.00
Total (DBS) 43.50 34.25
F.2 Externally aided component
F.2.a
World Bank support for
Malaria (Identified state)
Remarks
F.2.b
F.2.c
Human Resource
Training /Capacity building
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 171

FMR
Code
Activity
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
Remarks
F.2.d
Mobility support for
Monitoring Supervision &
Evaluation including printing
of format & review meetings,
Reporting format (for
printing formats)
Kala-azar World Bank
assisted Project
Not Applicable
F.2.e
F.2.f
F.2.g
Human resource
Capacity building
Mobility
F.3 GFATM support for Malaria
(NE states)
Not Applicable
F.3.a
F.3.b
F.3.c
F.3.d
F.3.e
F.3.f
Project Management Unit
including human resource of
N.E. states
Training/Capacity Building
Planning and
Administration( Office
expenses recurring expenses,
Office automation , printing
and stationary for running of
project)
Monitoring Supervision
(supervisory visits including
travel expenses, etc)
including printing of format
and review meetings,
IEC / BCC activities as per the
project
5.00
5.00
Not
Applicabl
e
Operational cost for
5.00
treatment of bednet and
Infrastructure and Other
Equipment (Computer
Laptops, printers, Motor
cycles for MTS )
Total : EAC component 15.00 0.00
Non-Project
State
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 172

FMR
Code
Activity
F.4 Any other items (Please
specify)
F.5 Operational costs ( mobility,
Review Meeting,
communication, formats &
reports)
Grand total for cash
assistance under NVBDCP
(DBS + EAC)
F.6 Cash grant for decentralized
commodities
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
F.6.a Chloroquine phosphate
5.00
tablets
F.6.b Primaquine tablets 2.5 mg 0.15
F.6.c
F.6.d
F.6.e
Primaquine tablets 7.5 mg
Quinine sulphate tablets
Quinine Injections
F.6.f DEC 100 mg tablets 0.00
F.6.g Albendazole 400 mg tablets 0.00
F.6.h Dengue NS1 antigen kit 0.00
F.6.i
F.6.j
Temephos, Bti (AS) / Bti (wp)
(for polluted & non polluted
water)
Pyrethrum extract 2% for
spare spray
Amount
Approved
(in lacs)
58.50 34.25
0.00
0.00
F.6.k ACT ( For Non Project states) 0.20
F.6.l
F.6.m
RDT Malaria – bi-valent (For
Non Project states)
Any Other Items ( Please
Specify)
Sulphadoxine +
Pyremethamine tablets
0.50
0.50
Scrub Typhus 5.00
Piague 6.00
Total grant for decentralized
commodities
6.35
17.35 6.35
Remarks
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 173

FMR
Code
Activity
Grand Total for grant-in-aid
under NVBDCP
Unit
Cost
Physical
target
Amount
Proposed
(in lacs)
Amount
Approved
(in lacs)
75.85 40.60
Commodity Grants 0.00 0.00
Total NVBDCP Cash +
Commodity
Cash assistance required under NRHM Flexi fund
75.85 40.60
Remarks
Cash assistance under NRHM
Flexi fund
5.00 0 Justification
not given
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 174

NLEP APPROVAL 2012-13 HIMACHAL PRADESH
ANNEXURE-4D
FMR
code
Activity
Unit Cost
(In Rupees)
Physical
Targets
Amount
propose
d
Amount
approved
Improved early case
G 1. detection
Incentive to ASHA M 500 - - -
G 1.1
B
P 300 - - -
B
G1.1 a Sensitization of ASHA 50 - - -
G 1.2
G 2
G 2.1
G 2.2
G 2.3
G 2.3 a
G 2.4
G 3
G 3.1
Specific -plan for High
Endemic Distrcts
Improved case
management
DPMR Services, (MCR
footwear, Aids and
appliances, Welfare
allowance to BPL
patients for RCS,
Support to govt.
institutions for RCS)
Urban L:eprosy Control,
(Mega city - 0 , Medium
city (1) -3 , Med. City
(2)- 1 Township -19)
Material & Supplies
Supportive drugs, lab.
reagents & equipments
and printing works
NGO - SET Scheme
Stigma Reduced
Mass media, Outdoor
media, Rural media,
Advocacy media
MCR - 250/-
Aids/Applia
nce -12500
Welfare/RC
S - 10,000
Meg -
280000
Med (1)-
120000
Med. (2) -
236000
Town -
57000
4 blocks 4.80 0.00
200
0
10
0
0
0
1
0.60
0
1.50
0
0
0
1.14
0.50
0
1.00
0
0
0
0.57
52,000 12 9.60 6.24
500000 - - -
50,000 12 13.98 6.00
Remarks
No high
endemic
district in
H.P.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 175

FMR
code
G 4.
Activity
Development of Leprosy
Expertise sustained
Unit Cost
(In Rupees)
Physical
Targets
Amount
propose
d
Amount
approved
G 4.1 Training of new MO 60000 - - -
G 4.2
Refresher training of MO 40000 360 8.94 4.80
Training to New
30000 360 6.05 3.60
G 4.3 H.S/H.W.
Other training -
30000 - - -
G 4.4 Physiotherapist
G 4.5 Training to Lab. Tech. 30000 30 0.50 0.30
Management training
30000 30 1.08 0.30
G 4.6
for District Nucleus
Team
G 5.
Monitoring, Supervision
and Evaluation System
improved
G 5.1
Travel Cost and Review
Meeting
travel expenses -
50000 1 0.80 0.50
G 5.1 a
Contractual Staff at
State level
travel expenses -
15000 6 1.50 0.90
G 5.1 b
Contractual Staff at
District level
G 5.1 c Review meetings 20000 4 2.00 0.80
G 5.2
Office Operation &
Maintenance
Office operation - State
38000 1 0.75 0.38
G 5.2 a Cell
Office operation -
18000 12 4.20 2.16
G 5.2 b District Cell
Office equipment maint. 30000 1 0.50 0.30
G 5.2 c State
G 5.3 Consumables
G 5.3 a State Cell 28000 1 0.50 0.28
G 5.3 b
District Cell 14000 12 3.60 1.68
G 5.4
G 5.4 a
Vehicle Hiring and POL
State Cell 85000 2 2.00 1.70
G 5.4 b District Cell 75000 12 18.00 9.00
Programme
G 6. Management ensured
Remarks
As NLEP
rates are
very low,
higher
rates
agreed in
keeping
with other
programm
es
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 176

FMR
code
Activity
Unit Cost
(In Rupees)
Physical
Targets
Amount
propose
d
Amount
approved
Contractual Staff at
G 6.1 State level
G 6.1 a SMO 1 40000 x12 4.80 4.80
G 6.1 b BFO cum Admn. Officer 1 30000 - - -
G 6.1 c Admn. Asstt. 1 16000 x12 1.92 1.92
G 6.1 d DEO 1 12000 x12 1.44 1.44
G 6.1 e Driver 1 11000 x12 1.32 1.32
G 6.2
Contractual Staff at
Disrrict level
G 6.2 a Driver 6 11000 x12 7.92 7.92
Contractual Staff in
G 6.2 b selected States, NMS 20000
- -
G 7. Others
Travel expenses for
regular staff for specific
programme / training
0.50
G 7.1 need, awards etc
TOTAL 99.44 58.91
Remarks
Added as
essential
requreme
nt
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 177

NPCB APPROVAL 2012-13 HIMACHAL PRADESH
ANNEXURE-4E
NATIONAL PROGRAMME FOR CONTROL OF
BLINDNESS GRANT-IN-AID TO STATES/UTS
FOR VARIOUS
PHYSICAL
TARGET
AMOUNT
PROPOSED
(RS IN
LACS)
AMOUNT
APPROVED
(RS IN
LACS)
REMARKS
SL.NO.
H
H 1.1
*Recurring Grant-in aid
For Free Cataract Operation @
Rs.750/- per case
40000 380.00 96.00 Approved on
reimbursement
basis
H 1.2 Other Eye Diseases@ Rs.1000/- 750 7.50 7.50 Approved
H 1.3 School Eye Screening Programme@ 300 10.50 6.00 Approved
Rs.200/- per case
H 1.4 Blindness Survey 0 0 0 Approved
H 1.5 Private Practitioners @as per NGO 0 0 0 Approved
norms
H 1.6 Management of State Health Society
67.00 14.00 Approved
and Distt. Health Society
Remuneration (salary , review
meeting, hiring of vehicle and Other
Activities & Contingency) @ Rs.14
lakh/ Rs.7 lakh depending on the size
of state
H 1.7 Recurring GIA to Eye Donation
1.00 1.00 Approved
Centers @ Rs.1000/- per pair
H 1.8 Eye Ball Collection by Eye Bank @
1.50 1.50 Approved
Rs.1500/- per pair
H 1.9 Training PMOA and MIS training 5.00 6.00 Approved
PMOA and MIS
training
H 1.10 IEC, Eye Donation Fortnight, World
Sight Day & awareness programme in
state & districts etc
10.00 14.00 Approved
1lac per
District and 2
lac for state
H 1.11 Procurement of Ophthalmic
200.00 86.00 Approved
Equipment
H 1.12 Maintenance of Ophthalmic
20.00 20.00 Approved
Equipments
H.2 Non- Recurring Grant-in-aid
H.2.1 For RIO (new) @ Rs.60 lakh 0 0
H.2.2 For Medical College@ Rs.40 lakh 0 0
H.2.3 For vision Centre @ Rs.50000/- 0 0
H.2.4 For Eye Bank @ Rs.15 lakh 0 0
H.2.5 For Eye Donation Centre @ Rs.1 lakh 0 0
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 178

NATIONAL PROGRAMME FOR CONTROL OF
BLINDNESS GRANT-IN-AID TO STATES/UTS
FOR VARIOUS
PHYSICAL
TARGET
AMOUNT
PROPOSED
(RS IN
LACS)
AMOUNT
APPROVED
(RS IN
LACS)
REMARKS
H.2.6 For NGOs @ Rs.30 lakh 0 0
H.2.7 For Eye Wards and Eye OTS @ Rs.75
0 0
lakh
H.2.8 For Mobile Ophthalmic Units with
0 0
tele-network @ Rs.60 lakh
H.2.9 Grant-in-aid for strengthening of
0 0
Distt. Hospitals @ Rs.20 lakh
H.2.10 Grant-in-aid for strengthening of Sub
0 0
Divisional. Hospitals@ Rs.5 lakh
H.3 Contractual Man Power
H.3.1 Ophthalmic Surgeon@ Rs.25000/-
0 0
p.m
H.3.2 Ophthalmic Assistant @ Rs.8000/-
0 0
p.m
H.3.3 Eye Donation Counsellors @
0 0
Rs.10000/- p.m.
Total 702.50 252.00
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 179

RNTCP APPROVAL 2012-13 HIMACHAL PRADESH
ANNEXURE-4F
FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
1.1 Civil works
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Civil work
Up gradation
and
maintenance
completed as
planned;
3.96 3.96
Approved 100% as the
proposal was within the
norm.
1.2
Laboratory
materials
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Sputum of
TB Suspects
Examined per
lac population
per quarter;
2) All districts
subjected to
IRL On Site
Evaluation
and Panel
Testing in the
year;
20.60 18.54 Approved 90%.
3) IRLs
accredited and
functioning
optimally;
1.3 Honorarium
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All eligible
Community
DOT Providers
are paid
honorarium in
all districts in
the FY;
11.87 8.90 Approved 90%.
1.4 IEC/ Publicity
As per
Revised
Norms and
1) All
IEC/ACSM
activities
26.80 10.00
Approval limited to the
eligibility and to
accommodate in the
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 180

FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
Basis of
Costing for
RNTCP
proposed in
PIP completed;
2) Increase in
case detection
and improved
case holding;
allocated
envelope.
resource
1.5
Equipment
maintenance
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)
Maintenance
of Office
Equipments at
State/Districts
and IRL
equipments
completed as
planned;
14.10 11.78
Approved 80% budgeted for
computer maintenance as
the expenditure was 70%.
Approved 100% for the IRL
equipment maintenance.
2) All BMs are
in functional
condition
1.6 Training
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Induction
training,
Update and
Re-training of
all cadre of
staff
completed as
planned;
41.60 36.35
Amount approved as per
the norms.
1.7
Vehicle
Maintenance
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All 4
wheelers and
2 wheelers in
the state are in
running
condition and
maintained;
63.50 53.98
Himachal was given
sanctions by CTD to procure
vehicles for TUs also,
considering the hilly terrain.
Approved 85% of the
proposed.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 181

FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
1.8 Vehicle hiring
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
supervisory
visit of DTOs
and MOTCs;
2) Increase in
case detection
and improved
case holding;
0.50 0.30
Approved 60% based on
previous utilization.
1.9
NGO/PP
support
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Increase in
number of
NGOs/PPs
involved in
signed
schemes of
RNTCP;
2)Contribution
of NGOs/PPS
in case
detection and
provision of
DOT
71.86 15.00
Approval is limited to 21%
based on the previous
utilization.
*If the state is anticipating
deficit in laboratory capacity
to conduct C&DST test, then
state may budget for funds
under C&DST scheme in the
NGO /PP head as the RNTCP
guidelines for NGO and PPs,
as a priority
1.10
Miscellaneou
s
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed
under
miscellaneous
head in PIP
completed
20.40 15.40
Approved amount as per
the norm.Travel assistance
for MDR TB patients, should
be met form the
honorarium head.
1.11
Contractual
services
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All
contractual
staff
appointed and
paid regularly
as planned
297.21 289.41 Approved as per the norm.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 182

FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
1.12 Printing
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All printing
activities at
state and
district level
completed as
planned
10.25 5.13
Approved 50% based on the
previous utilization.
1.13
Research and
studies
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) Proposed
Research has
been initiated
or completed
in the FY as
planned;
10.00 5.00
Approved 50% as Central TB
division Plans for prevalence
survey.
1.14
Medical
Colleges
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1) All activities
proposed
under Medical
Colleges head
in PIP
completed
32.30 30.28
Approved amount as per
the norm.
1.15
Procurement
–vehicles
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)
Procurement
of vehicles
completed as
planned
Four wheeler 12.00 4.30
Two Wheeler 0.00 0.00
Approved only replacement
of the District four wheeler.
TU level four wheeler
procurement provision is
not available in RNTCP,
hence not approved.
1.16
Procurement
– equipment
As per
Revised
Norms and
Basis of
Costing for
RNTCP
1)
Procurement
of equipments
completed as
planned
3.60 3.00
Not approved the budgeted
amount for laptop purchase
as there is no provision.
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 183

FMR
code
Activity
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
Amount
approved
Remarks
1.17
Tribal Action
Plan
Total (A) 640.55 511.33
B22.4
Additionality
funds from
NRHM (B) 64.88 42.43
TOTAL (A+B)
Rs. 553.76
Additional Budget Required under NRHM Flexible pool for year 2012-13
FMR code
Activity
Unit Cost
(In Rupees)
Physical
Targets
B22.4 Procurement of
Equipment’s for
IRL 24.28 2.43
B22.4 Reimbursement
of overpayment
made to
contractual staff
on NRHM
guidelines
Amount proposed
Approved amount for procuring , Semi auto
analyser, autoclave and double distillation
Plant.
Approved.
40.00 40.00
B22.4 Laptop for STO 0.60 0.00 Not approved.
GRAND TOTAL 64.88 42.43
Approval of Programme Implementation Plan-Himachal Pradesh, 2012-13 Page 184