PIP 2011-12-ROP - Department of Health & Family Welfare, Punjab ...

3. The State is expected to keep in mind the management imperatives already outlined in thePIP guidelines for 2011-12 for their attention & systemic reforms. Progress would bereviewed in the light thereof.4. Further, the approval is subject to the following mandatory requirements. Noncompliance to any of the following requirement may result in withholding of grantto the State:A. Release of the first tranche of fundsThe first tranche of funds would be released by GOI to States for PIPs 2011-12 on fulfilmentof the following conditions:1. A full- time Mission Director for NRHM (for States having resource envelop of morethan Rs 50 crores), other than the administrative Secretary.2. A full- time Director/Joint Director/Deputy Director (Finance) (depending on resourceenvelop of State), from the State Finance Services not holding any additional chargeoutside the Health Department.B. Release of Second Tranche of FundsAction on the following issues would be looked at while considering the release of secondtranche of funds:3. The State shall ensure that 15% of the State share, based on release of funds byGovernment of India is credited to the account of the State Health Society.4. Increase in State Plan Budget for 2011-12 by at least 10% over and above the 15% Stateshare under NRHM.5. State shall articulate policy on entitlements, rational prescriptions, timely procurements,smooth distribution to facilities, prescription audits, EDL in public domain, computerizeddrugs and logistic MIS System with the objective of minimizing out-of-pocket expenses.6. State shall submit report sharing progress against all the new construction andupgradation work approved under NRHM. The percentage wise progress indicatedagainst each facility taken up for new construction and upgradation.Punjab Administration Approval 2011-12 Page 4

Monitoring Requirements7. State shall ensure submission of quarterly report on the Measurable Target/indicators atthe end of every quarter as per Attachment A and expected outputs stated in the Recordof Proceeding (RoP) of NPCC in Attachment B. All approvals are subject to theobservations made in the RoP which is inclusive of commodity grants under DiseaseControl Programme in the respective Annexures.C. Human Resource8. All Posts under NRHM shall be on contract and for the Plan period. All suchappointments would be for a particular facility and non transferable in nature. Priority incontractual recruitments and placements would be for backward districts, difficult, mostdifficult and inaccessible health facilities. The contractual appointments would be needbased. Performance must be measured against pre-determined benchmarks regularly.9. State shall prepare action plan for recruitment, deployment and training of humanresources within six months and send it to the ministry.D. Infrastructure10. All civil works undertaken to achieve IPHS standards, would be based on expectedpatient load and priority would be accorded to the backward districts, inaccessible andremote areas as per prescribed criteria.11. In all new constructions, care should be taken to ensure that the locations of thesefacilities are such that beneficiary households can access them easily. They shouldpreferably be located in the midst of habitation and definitely not in agriculture fields,outskirts of villages, or in unhygienic environment under any circumstances. Anydeviation from the above would be treated as ineligible expenditure under NRHM.12. All new constructions would require prior approval of GoI if names of facilities have notbeen mentioned in the NRHM-PIP, and also if any shift is proposed. No shift frombackward and inaccessible areas would be allowed.13. The State shall set up implementation arrangement to monitor all civil works beingundertaken, on a monthly basis, to ensure quality of works and completion as perschedule.Punjab Administration Approval 2011-12 Page 5

E. Communitization14. The State shall ensure that all operational guidelines relating to VH&NDs are compliedwith.15. The State shall ensure timely performance based payments to ASHAs/Community LinkWorkers and put in place a supportive supervision mechanism is put in place within sixmonths.16. The State shall ensure that RKS meets as frequently as possible and mandatorily at leastonce in every quarter to review proper utilisation of allocated funds for achievement ofgoals. The proceedings of such meetings should be maintained for scrutiny.F. Financial17. The State shall not make any change in allocation among different components/ activitieswithout approval of GoI. Any proposal for re-appropriation between activities withinactivities should be informed to GoI in advance. However, such re-appropriation shouldreflect realignment of activities in accordance with priority to high focusdistricts/involvement of NGOs etc.18. The State shall ensure the completion of delegation of administrative and financialpowers during the current financial year. Funding of NRHM to the State in 2011-2012will be based on clear delegation as per earlier directions.19. The State shall follow all the financial management systems under operation underNRHM and shall submit Audit Reports, Quarterly Summary Concurrent Audit Report,FMRs, Statement of Fund Position, as and when they are due. State also agrees toundertake Monthly District Audit and periodic assessment of the financial system.20. The accounts of the State/ grantee institution/ organization shall be open to inspection bythe sanctioning authority and audit by the Comptroller and Auditor General of Indiaunder the provisions of CAG (DPC) Act 1971 and internal audit by Principal AccountsOffice of the Ministry of Health & Family Welfare.21. State shall ensure submission of details of unspent balance indicating, inter alia, fundsreleased in advance and funds available under State Health Societies. The State shall alsointimate the interest amount earned on unspent balance. This amount can be spent againstactivities already approved.Punjab Administration Approval 2011-12 Page 6

G. Outcomes22. The state shall focus on key NRHM goals of reduction in MMR,IMR & TFR and overalldisease burden. All activities and expenditure must be linked with outcomes andtechnical interventions/strategies recommended by MoHFW implemented in rightearnest.23. The State shall ensure establishment of supportive supervisory structures for RCHprogramme, particularly in districts having low institutional delivery.24. State shall ensure taking appropriate action to monitor the performance of the cold chain/ILR Points and implementation of Supply Chain management System and improvingcoverage and quality of Immunization services.Yours faithfully,(Dr. Sajjan Singh Yadav)Director NRHMCopy to:1. All JSs in the Ministry1. All Programme Division Heads of NRHM/ RCH/ Disease Control Programmes2. DS/Director Finance (NRHM)3. All Under Secretaries concerned4. IFD5. PPS to Secretary(H&FW)/PS to SS&MD, NRHM6. Sanction Folder7. File of Concerned States.Punjab Administration Approval 2011-12 Page 7

12. All performance based payments/incentives should be under the supervision ofCommunity Organizations (PRI)/RKS.13. The State shall focus on the health entitlements of vulnerable social groups like SCs,STs, OBCs, minorities, women, disabled friendly, migrants etc.E. HMIS14. State shall set up a transparent and credible procurement and logistics system. Stateagrees to periodic procurement audit by third party to ascertain progress in thisregard.15. The State shall undertake institution specific monitoring of performance of SubCentre, PHCs, CHCs, DHs, etc. in the prescribed format which is to be regularlyuploaded as Monthly, Quarterly and Annual Data on the HMIS.16. The State shall expand the essential drug list and delivery system to prevent anystock out of drugs in health facilities.17. The funds approved under the Monitoring and Evaluation activities in the PIP aresubject to the State reporting facility-wise performance on the HMIS portal of theMinistry. The States are to also periodically review the quality of data on the HMISportal at the District and Sub-district levels. The funds approved for the Mother andChild Tracking Systems (MCTS) are to be utilized such that there is improvedcoverage of maternal and care services and immunisation of children and reflectedon the MCTS portal of the Ministry.IV. Based on the State’s PIP and deliberations thereon the Plan for the State is finalised asper the detail of Annexure I (RCH Flexible Pool), Annexure II (NRHM Flexible Pool), Annexure-III (Immunization) & Annexure –IV (National Disease Control Programmes) .Punjab Administration Approval 2011-12 Page 10

IAActivity / Measurable indicatorMONITORING TARGETS TO BE ACHIEVED IN 2011-12Monitoring Progress Against Standards:Maternal HealthAchievement up to2010-11TargetAttachment - Ain(Cumulative) upto 2011-2012Additionduring the1 Institutional Deliveries 251475 439724 1882492 24x7 Facilities 140 242 1023 Functional First Referral Units 170 ( 114 CHCs +35BChild healthSDHs+21 DHs)year195 25 CHCs4 Sick New Born Care Units 2 in progress 12 105 New Born Care Corners 170 230 606 Stabilization Units in CHCs/ BPHCs 0 0 07 Full Immunization 385098 425337 40239CPopulation Stabilization8 Male Sterilization 15565 17000 14359 Female Sterilization 68178 88000 1982210 No. of IUD Insertions 199938 287393 87455DDisease Control11 Annualized New Smear PositiveDetection Rate of TB12 Success Rate of New Smear PositiveTreatment initiated on DOTS.65 per lakh per year 75 per lakh per year 10 basispoints86% 90% 4 basispoints13 ABER for malaria 1.54 10% of population14 API for malaria (per 1000 population) 0.0002 0.000215 Annual New Case Detection Rate forLeprosy (per 1,00,000 population)16 Cataract Surgeries performed 162476 180000 17524Punjab Administration Approval 2011-12 Page 11

Activity / Measurable indicatorAchievement up toTargetAddition2010-11in(Cumulative) upduring theto 2011-2012yearIIHuman Resources including Training17 Appointment of ANMs 1411 1862 45118 Appointment of staff nurses 103719 Doctors trained on EmOC 10 ( TOT of 7 district 30 20level MOs and 3 MedicalCollege facultycompleted)20 Doctors trained on LSAS 62(35 MOs are certified ) 88 2621 Doctors trained in NSV/ Conventional 90 115 25vasectomy22 Doctors trained in Abdominal199 259 60Tubectomy (Minilap)23 Doctors trained in laparoscopic 206 271 67Tubectomy24 Personnel trained in IMNCI MOs- 256F-IMNCI ( MOs)- ANMs-144SNs-68320AWWs-ANMs-982F-IMNCI ( SNs)- 223AWWs-563416LHV andLHVs and ICDS ANMs-720 ICDSsupervisors-68AWWs-720 supervisors-91III Communitization Processes25 Functional VHSCs 13005 13298 29326 ASHAs with Drug kits 14500 16842 2342IV Improved Management27 Tracking of pregnant mothers and All districtsTo continuechildren28 Evaluation and Assessment of NRHM Not ProposedNot ProposedActivities29 Cold Chain ManagementPunjab Administration Approval 2011-12 Page 12

Activity / Measurable indicatorAchievement up toTargetAddition2010-11in(Cumulative) upduring theto 2011-2012year(number of functional ILR points)V Infrastructure30 Construction of sub-centre buildings 266 316 5031 Construction of PHC buildings 3 0 032 Construction of CHC buildings 1 0 033 Construction of District Hospital 0 0 0buildings34 Construction of Other Hospital 5 8 3buildingsVI MMU and Referral Transport35 Functional Mobile Medical Units 24 0 036 Emergency and Referral Transport 90 154 64Punjab Administration Approval 2011-12 Page 13

Attachment BConsolidated Approval under RCH-II for FY 2011-12Annexure-IA. Summary of Approval under RCH IIS. No. BUDGET HEADAPPROVEDPROPOSED AMOUNT(Rs. Lakhs) (Rs. %Lakhs)1 Maternal Health 690.00 690.00 9.02 Child Health 287.00 287.00 3.73 Family Planning 71.45 63.83 0.84 ARSH 674.85 674.85 8.85 Urban RCH 207.00 207.00 2.76 Tribal RCH 0.00 0.00 0.07 PNDT & Sex Ratio 295.28 295.28 3.88 Infrastructure & HR 4029.25 4029.25 52.39 Training 590.12 590.12 7.710 Programme Management 869.06 869.06 11.311 Vulnerable Groups 0.00 0.00 0.0Total RCH II Base Flexi Pool 7714.01 7706.3912 JSY 807.00 646.3813 Sterilisation & IUD Compensation,and NSV Camps1007.17 1007.17Total RCH II Demand Side 1814.17 1653.55GRAND TOTAL RCH II 9528.18 9359.94NOTE:The following are to be shifted to Mission flexi pool (and are not factored in the proposedamount above): Rs. 773.67 lakhs for Institutional StrengtheningThe following are shifted from Mission flexi pool (and are factored in the proposed amountabove): Rs. 630.00 lakhs for School Health Rs. 295.28 lakhs for PNDT Rs. 150 lakhs for ASHA incentive for early registration of pregnancy Rs. 150 lakhs for ASHA incentive for complete ANC and institutional delivery (fornon-JSY cases) Rs. 50 lakhs for ASHA incentive for consumption of 100 IFA tablets Rs. 50 lakhs ASHA incentive for ensuring 3 PNC visits Rs. 25 lakhs for ASHA incentive for counselling for early breastfeeding Rs. 1 lakh for ASHA incentive for Childhood disability/ Anaemia/ Malnutritionidentification, reporting and accompany the child to the health institution. Rs. 50 lakhs for IUCD Insertion and retention upto one year (visit in first, third monthand one year).Punjab Administration Approval 2011-12 Page 14

FMRCodeB. Detailed approval under RCH IIActivityUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)A. RCH TECHNICAL STRATEGIES & ACTIVITIES (RCH FLEXIBLE POOL)A.1 MATERNALHEALTHA.1.1 OperationalisefacilitiesA.1.1.1 Operationalise FRUs Rs. 200/ copy 5000 guideline 10 10booklets to beprinted on MHand CH fordisseminationworkshops.A.1.1.2 Operationalise 24x7PHCsA.1.1.3 MTP services athealth facilitiesA.1.1.4 RTI/STI services athealth facilitiesA.1.1.5 Operationalise SubcentresA.1.2 Referral Transport Rs. 200/beneficiaryA.1.3A.1.3.1A.1.3.2Integrated outreachRCH servicesRCH OutreachCamps/ OthersMonthly VillageHealth and NutritionDays1.50 lakhpregnantwomen.Rs. 5000/ camp 200 camps 10 10Remarks300 300 This amount willcover provision offree drop backfacilities.Emergencyresponse servicesin the state willprovide transportfrom home tofacility and secondreferral free of costto the beneficiary.Punjab Administration Approval 2011-12 Page 15

FMRCodeActivityUnit Cost(where-everapplicable)A.1.4 Janani SurakshaYojana / JSYA.1.4.1 Home Deliveries Rs. 500/beneficiaryPhysicaltarget/Expectedoutput11876 homedeliveriesA.1.4.2 InstitutionalDeliveriesA1.4.2.a Rural Rs. 700/beneficiary53000deliveriesA1.4.2.b Urban Rs. 600/ 13000beneficiary deliveriesA1.4.2.c C-sectionsA.1.4.3 Administrative Rs. 4/ card Printing of 1.50Expenseslakh JSY cards.A.1.4.4 Incentive to ASHAs Rs. 200/ 66000delivery deliveriesA.1.5 Maternal DeathReviewAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Remarks220 59.38 Estimated no. oflive births for theState for 2011-12 is4.82 lakhs. BPLpopulation of statebeing 6.16 %, thetotal no. ofbeneficiaries underthe BPL category islikely to be around29691. Considering40% deliveries ashome deliveries,the beneficiary isestimated around11876.Accordingly Rs.59.38 lakhs(against 44,000proposed).371.00 371.0078.00 78.006.00 6.00132.00 132.00A.1.6 Other strategies/ ASHA First trimester 350.00 350.0020.00 20.00 Budgeted as perGOI guidelinesincludingincentives toprimary informers.Punjab Administration Approval 2011-12 Page 16

FMRCodeactivitiesActivityUnit Cost(where-everapplicable)incentives: Rs.100 for firsttrimesterregistration; Rs.100 forcomplete ANCand institutionaldelivery (exceptJSY cases); Rs.50 forconsumption of100 IFA tablets.Physicaltarget/Expectedoutputregistration - 1lakh cases; fullANC andinstitutionaldelivery - 1lakh cases;consumption of100 IFA tablets- 50000 casesAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Sub-total Maternal690.00 690.00Health (excludingJSY)Sub-total JSY 807.00 646.38A.2 CHILD HEALTHA.2.1 IMNCIA.2.2A.2.3A.2.4A.2.5A.2.6Facility BasedNewborn Care/ FBNCHome Based NewbornCare/ HBNCInfant and YoungChild Feeding/ IYCFCare of Sick Childrenand SevereMalnutritionManagement ofDiarrhoea, ARI andMicronutrientMalnutritionConsumables -Rs.42 lakhs;OperationalExpenditureincludingManpower,salaries & others- Rs. 78 lakhsSupervision +Evaluation @1.00 lakh perdistrictRs. 1 lakhAnnual reviewmeeting forARI anddiarrhoeaRemarks120.00 120.00 Break up of HRand other costs tobe provided.10.00 10.001.00 1.00Punjab Administration Approval 2011-12 Page 17

FMRCodeA.2.7A.2.8A.2.9ActivityOtherstrategies/activitiesInfant Death AuditIncentive to ASHAunder Child HealthUnit Cost(where-everapplicable)Rs.200/ childRs. 100 forChildhooddisability/Anaemia/Malnutritionidentification,reporting andaccompany thechild to thehealthinstitution; Rs.50 to ensurethree post natalvisits (on 0,3rdand 7th day);Rs. 25 forcounselling onearlybreastfeedingSub-total ChildHealthA.3 FAMILYPLANNINGA.3.1 Terminal/ LimitingMethodsA.3.1.1 Dissemination of Printing ofmanuals on Sterilizationsterilisation standards Files - Rs.4/file;& QA of sterilisation Printing ofservicesSterilizationCards -Rs.3/card;Physicaltarget/ExpectedoutputmanagementReferraltransport for0.40 lakh sickchildrenChildhooddisability/Anaemia/Malnutritionidentification,reporting andaccompany thechild to thehealthinstitution -100 cases; Toensure threepost natal visits(on 0, 3rd and7th day) - 1lakh cases;Counselling forearlybreastfeeding -1 lakh casesPrinting ofSterilizationFiles - 1.25lakhs; Printingof SterilizationCards - 1 lakhcards; PrintingAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)80.00 80.00Remarks76.00 76.00 State may note thatin case of low birthweight babies,additional 3 visitsneed to be made asper guidelines.287.00 287.0015.25 7.63 State had proposedsimilar activities(for printing) in2010-11 as well;however, reportedprogress (in FMR)seems to be low tillPunjab Administration Approval 2011-12 Page 18

FMRCodeActivityUnit Cost(where-everapplicable)Printing of NSVCards -Rs.3/card;Printing ofOperationGuidelines onfixed day static(FDS approachfor sterilizationservices) -Rs.50/guideline;Printing ofManual onstandardoperatingprocedures forsterilizationservices incamps -Rs.50/guidelines; Printing ofManual onrepositioning ofIUCD -Rs.50/guidelines; Printing ofBrochures on E-pill and IUCD -Rs. 5/ brochurePhysicaltarget/Expectedoutputof NSV Cards -0.25 lakh;Printing ofOperationGuidelines onfixed day static(FDS approachfor sterilizationservices) -1000 booklets;Printing ofManual onstandardoperatingprocedures forsterilizationservices incamps - 1000manuals;Printing ofManual onrepositioningof IUCD -1000 manuals;Printing ofBrochures onE-pill andIUCD - 1 lakhAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)A.3.1.2 Female SterilisationcampsA.3.1.3 NSV camps Rs.17500/camp 100 camps 17.50 17.50A.3.1.4A.3.1.5A.3.1.6Compensation forfemale sterilisationCompensation formale sterilisationAccreditation ofRs.1000/BPLcase; Rs. 650/case (others)29333 BPLcases and58667 othercases674.67 674.67Rs.1500/case 17000 cases 255.00 255.00RemarksDecember 10 (Rs.3.42 lakhs against abudget of Rs. 28.05lakhs). Therefore50% of theproposed budget isapproved.Punjab Administration Approval 2011-12 Page 19

FMRCodeA.3.2A.3.2.1A.3.2.2A.3.2.3A.3.2.4A.3.2.5A.3.3A.3.4A.3.5ActivityUnit Cost(where-everapplicable)private providers forsterilisation servicesSpacing MethodsIUD campsIUD services at health Rs.20/IUDfacilitiesinsertionAccreditation ofprivate providers forIUD insertion servicesSocial Marketing ofcontraceptivesContraceptive UpdateseminarsPOL for FamilyPlanningRepairs ofRs.5 lakh/Laparoscopes laparoscopeOther strategies/activitiesASHA incentiveRs. 100 forfollow up andensuring IUCDretention uptoone year (visit infirst, third monthand one year)Physicaltarget/Expectedoutput3 lakh IUDinsertionsAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)60.00 60.001 laparoscope 5.00 5.00Monitorprogress,quality andutilisation ofservices (bothterminal andspacingmethods)includingcomplications /deaths / failurecases; ASHAincentive forfollow up andensuring IUCDretention uptoone year (visitin first, thirdmonth and oneyear) - 1 lakhcases51.20 51.20Sub-total Family 71.45 63.83RemarksPunjab Administration Approval 2011-12 Page 20

FMRCodeActivityPlanning (excludingcompensation)Sub-totalSterilisation and IUDcompensation, andNSV campsA.4 ADOLESCENTREPRODUCTIVEAND SEXUALHEALTH / ARSHA.4.1Adolescent services athealth facilitiesUnit Cost(where-everapplicable)Implementationguide of RCH IIAdolescentreproductivesexual healthstrategy -Rs.75/copy;ARSHFacilitator guide- Rs.700/guide;Orientationprogramme formedical officer,ANMs, LHVsand others toprovideadolescentfriendlyreproductive andsexual servicesHAND OUTS -Rs.300/copy; ToMaintain MultiPurpose YouthFriendly Centresin all Districts -21 DH and 35SDH - Rs.0.50lakhs/centrePhysicaltarget/ExpectedoutputImplementationguide of RCHII. Adolescentreproductivesexual healthstrategy 600Copies; ARSHFacilitatorguide 200guides;Orientationprogramme formedical officer,ANMs, LHVsand others toprovideadolescentfriendlyreproductiveand sexualservicesHAND OUTS5000Handouts; ToMaintain MultiPurpose YouthFriendlyCentres in allDistricts -21AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)1007.17 1007.1744.85 44.85RemarksPunjab Administration Approval 2011-12 Page 21

FMRCodeA.4.2ActivitySchool HealthProgrammeUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputDH & 35 SDHAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)A.4.3 Other Strategies/ActivitiesSub-total ARSH 674.85 674.85A.5 URBAN RCH Rs.7500/month 230 MPWs 207.00 207.00A.6 TRIBAL RCHA.7 PNDT & Sex RatioA.7.1 Support to PNDT Cell 68.68 68.68A.7.2Other PNDTActivitiesRs. 1.5 lakhs / Orientation ofvillage prize; Rs. programme50000 / sting managers andoperation; Rs. service20000 / providers oninformer; Rs. PC&PNDT25000 / tracking Act;machine Monitoring ofsex ratio atbirth; award tovillages thatperform wellon the sex ratioscale; 10 stingoperations;prize money toRemarks630.00 630.00 Amount isapproved subject tothe State providingdetails of thenumber of schoolsto be covered, thenumber of studentsto be covered, thenumber of staff tobe recruited andtheir salary andincentive structure,POL costs, referralsystem, tertiarycare etc.226.60 226.60Punjab Administration Approval 2011-12 Page 22

FMRCodeActivitySub-total PNDT &Sex RatioA.8 INFRASTRUCTURE (Minor CivilWorks) & HUMANRESOURCES(Except AYUSH)A.8.1 Contractual Staff &ServicesA.8.1.1 ANMs, Staff Nurses,Supervisory NursesUnit Cost(where-everapplicable)ANMs -Rs.7500/month;Staff nurse forPHCs includingRH and SatelliteHospitals (3 SNsper institution) -Rs. 10000 P.M +Incentive afterminimum 10deliveriesconducted in theinstitution; SNsfor CHCs, 5SNs/CHC/SDH/DH - Rs.10,000/- +Incentive after15 deliveriesconducted atinstitutionPhysicaltarget/Expectedoutputinformer /decoy patient;trackingmachines for400 USGcentresANMs - 1411;SNs at PHCsincluding RHand SatelliteHospitals-726;5 SNs perCHC/SDH/DH- 570AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)295.28 295.282819.70 2819.70A.8.1.2 LaboratoryTechnicians, MPWsA.8.1.3 Specialists Obstetrician for 40 347.35 347.35RemarksPunjab Administration Approval 2011-12 Page 23

FMRCodeA.8.1.4A.8.1.5Activity(Anaesthetists,Paediatricians,Ob/Gyn, Surgeons,Physicians, DentalSurgeons, Radiologist,Sonologist,Pathologist, Specialistfor CHC )PHNs at CHC, PHClevelMedical Officers atCHCs / PHCsUnit Cost(where-everapplicable)114 CHCs/SDH/ DH Rs.35000 +Incentive afterminimum 5 C-sections @ 1000C-section + after15 Deliveries @Rs. 300 perdeliveryconducted +after 10 MTPs@ Rs 200/ MTP.Paediatrician for114 CHCs/SDH/ DH Rs.35000 +Incentive Rs 200per EmergencyCase during offduty hours.Anaesthetist forCHCs/ SDH @Rs. 1500/ visit +Rs. 6/KM upto50 KMsPHN at CHCPHC level(Salary11000+1000TA/DA)Female MedicalOfficer forPHCs includingRH and SatelliteHospitals @ Rs.30000 PM+Incentive afterminimum 10Physicaltarget/ExpectedoutputObstetrician;40Paediatrician;114AnaesthetistAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)75 PHNs 108.00 108.00120 FemaleMedicalOfficers328.50 328.50RemarksPunjab Administration Approval 2011-12 Page 24

FMRCodeA.8.1.6A.8.1.7A.8.1.8ActivityAdditionalAllowances/Incentives to M.O.s ofPHCs and CHCsOthers - ComputerAssistants / BCC CoordinatoretcIncentive/ Awards etc.to SN, ANMs etc.A.8.1.9 Human ResourcesDevelopment (Otherthan above)A.8.1.10 Other IncentivesSchemes (Pl. Specify)A.8.2 Minor civil worksA.8.2.1 Minor civil works foroperationalisation ofFRUsA.8.2.2 Minor civil works foroperationalisation of24 hour services atPHCsSub-totalInfrastructure & HRUnit Cost(where-everapplicable)deliveries @ Rs300 per delivery+ after 10 MTPs@ Rs 200/ MTPPhysicaltarget/ExpectedoutputHonorarium to 173 ComputerPsychiatrist - Rs. Operator at1000/month; State/District/BCounsellor - Rs. lock level500/month;Computeroperator-Rs.7500/monthRs.600/personnelIncentive toSpecialists/Doctors, StaffNurses andANMs for40,000institutionaldeliveriesAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)185.70 185.70Remarks240.00 240.00 The state shouldnote that incentivesshould beperformance based.4029.25 4029.25Punjab Administration Approval 2011-12 Page 25

FMRCodeActivityA.9 TRAININGA.9.1 Strengthening ofTraining InstitutionsA.9.2A.9.3A.9.3.1A.9.3.2A.9.3.3Development oftraining packagesMaternal HealthTrainingSkilled Attendance atBirthComprehensiveEmOC Training(including c-section)Life savingAnaesthesia skillstrainingUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputProvidecomputers andotherequipments to3 GovernmentMedicalColleges forLSAS trainingCentres.TOT for SBA - 360 SNs, 360Rs.0.59 lakhs; ANMs/LHVsTraining of StaffNurses in SBA -Rs. 69.91 lakhs(Rs.58,860/batch); Trainingof ANMs /LHVs in SBA -Rs.69.91 lakhs(Rs.58,860/batch)AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)4.50 4.504.00 4.00Remarks140.41 140.41 Subject tofollowing of GOInormsRs.477440 32 MO's 30.20 30.20 Subject tofollowing of GOInormsRs.413280 48 MO's 49.59 49.59 Subject tofollowing of GOInormsA.9.3.4 MTP training Rs.29160 60 doctors 5.83 5.83 Subject tofollowing of GOInormsA.9.3.5 RTI / STI Training LTs - Rs.26080,MOs -Rs.36680, SNs -Rs.31680,400 LTs, 800MOs, 1000SNs, 1200ANMs/LHVs47.47 47.47 Subject tofollowing of GOInorms. Training forRTI/STI should bePunjab Administration Approval 2011-12 Page 26

FMRCodeActivityUnit Cost(where-everapplicable)ANMs/LHVs -Rs.37280A.9.3.6 BEmOC trainingA.9.3.7 Other MH Training(Training of TBAs asa community resource,any integratedtraining, etc.)A.9.4 IMEP Training MOs - Rs.47600 / batch;ParamedicalStaff - Rs.33600/ batchPhysicaltarget/Expectedoutput1200 MOs and1200paramedicalstaffA.9.5 Child HealthTrainingA.9.5.1 IMNCI IMNCI trainingof 40 trainers,1200 ANMs/LHVs and 720AWWA.9.5.2 F-IMNCI F-IMNCItraining for 120MO'sA.9.5.3 Home Based NewbornCareA.9.5.4 Care of Sick Childrenand severemalnutritionA.9.5.5 Other CH Training(pl. Specify)IYCF: Trainingof Middle leveltrainers 20batches (2batches*10districts) - Rs.1.85 lakhs/batch; TrainingTraining ofMiddle leveltrainers 20batches (2batches*10districts) - Rs.37 lakhs;Training ofAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)48.72 48.72178.88 178.88Remarksin convergencewith SACS andSACS resourcesshould be usedoptimally.Funds availablefrom previous year.Funds availablefrom previous year.Punjab Administration Approval 2011-12 Page 27

FMRCodeA.9.6A.9.6.1ActivityFamily PlanningTrainingLaparoscopicSterilisation TrainingUnit Cost(where-everapplicable)of front lineworkers in 10districts (276batch) - Rs. 0.42lakhs/batch;NSSK training:MOs - Rs.81250/ batch;for SNs - Rs.48230 / batchPhysicaltarget/Expectedoutputfront lineworkers in 10districts (276batch) -Rs.115.92lakhs; NSSKtraining for 800MOs and 800SNs.Rs. 24890/ team 20 teams (3person perteam)A.9.6.2 Minilap Training Rs. 24890/ batch 20 batches (3person perbatch)A.9.6.3 NSV TrainingA.9.6.4IUD InsertionTrainingA.9.6.5 Contraceptive UpdateA.9.6.6 Other FP Training (pl.Specify)A.9.7 ARSH Training MOs - Rs.60680/ batch;ANMs/ LHVs/AWWs - Rs.38780/ batchA.9.8 ProgrammeManagementTrainingA.9.8.1 SPMU TrainingA.9.8.2 DPMU TrainingA.9.9 Other training (pl.Specify)A.9.10 Training (Nursing)Rs. 41140/ batch 80 batches (10per batch) ofANMs &LHVs150 MOs and1200 ANMs/LHVs/ AWWsPGDPHM for 4candidatesAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)4.98 4.984.98 4.9832.91 32.9127.65 27.6510.00 10.00RemarksPunjab Administration Approval 2011-12 Page 28

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)A.9.10.1 Strengthening ofExisting TrainingInstitutions/ NursingSchoolA.9.10.2 New TrainingInstitutions/ SchoolA.9.11 Training (OtherHealth Personnel)A.9.11.1 Promotional Trainingof health workersfemales to lady healthvisitor etc.A.9.11.2 Training of ANMs,Staff nurses, AWW,AWSA.9.11.3 Other training andcapacity buildingprogrammesSub-total Training 590.12 590.12A.10 PROGRAMME /NRHMMANAGEMENTCOSTSA.10.1 Strengthening of SHS/234.34 234.34SPMU (Including HR,Management Cost,Mobility Support,field visits )A.10.2 Strengthening of303.20 303.20DHS/ DPMU(Including HR,Management Cost,Mobility Support,field visits )A.10.3 Strengthening ofBlock PMU(Including HR,Management Cost,Mobility Support,311.52 311.52RemarksPunjab Administration Approval 2011-12 Page 29

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)field visits )A.10.4 Strengthening (Others)A.10.5 Audit Fees 20.00 20.00A.10.6 Concurrent AuditA.10.7 Mobility Support toBMO/ MO/ OthersSub-total869.06 869.06ProgrammeManagementA.11 VULNERABLEGROUPS0.00 0.00RemarksTOTAL RCH IIBASE FLEXI POOLTOTAL RCH IIDEMAND SIDEGRAND TOTALRCH II7714.01 7706.391814.17 1653.559528.18 9359.94Punjab Administration Approval 2011-12 Page 30

FMRCodeActivityConsolidated Approval under NRHM Flexi Pool for FY 2011-12Unit Cost(where-everapplicable)PhysicaltargetMission Flexible PoolAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)Annexure-IIRemarksB1 ASHAB.1.1 ASHA CostB1.1.1 Selection &Training of ASHA 3,000 16500 495.00 495.00 ApprovedB1.1.2 Procurement ofASHA Drug KitB1.1.3B1.1.4B1.1.5Other Incentive toASHAsAwards toASHA's/LinkworkersASHA ResourceCentre/AHSAMentoring Group600 17360 104.16 101.05Deathregistration@Rs100 &Birthregistration@Rs20support screeningcamp atschoolhealthprogramme,informPHC/CHConemergencysituationsState level:ProjectManagerASHA @Rs. 20000per month +5%incrementafter oneyear andProjectManagerASHA:1,StatisticalAssistant-1,CommunityMobilizer-1, ASHAAccording toPIP 2011-12,there are16842 ASHAsin the state.78.75 78.75 Approved222.03 65.18ApprovedPunjab Administration Approval 2011-12 Page 31

FMRCodeActivityB2 Untied FundsB2.1 Untied Fund forCHCsB2.2 Untied Fund forPHCsB2.3 Untied Fund forSub CentresB2.4 Untied fund forVHSCUnit Cost(where-everapplicable)StatisticalAssistant @Rs. 10000per month +5%incrementafter oneyearDistrictlevel:Communitymobilize@15000/month+5%increment after 1year.{Total:Rs36lacs}BlockLevel:Honorariumto ASHAFacilitator@Rs2500(898X2500)plus Fixedhonorarium-Rs30000/annum{Total:Rs22.75lacs},Involve BEE@2.83 lacs/annumPhysicaltargetFacilitator-898AmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)Remarks50000 129 64.5 64.5 Approved25000 446 111.5 111.5 Approved10000 2950 295 295 Approved10000 13298 1329.8 1310.8According toMIS datasheet there are13108functionalPunjab Administration Approval 2011-12 Page 32

FMRCodeActivityB.3 AnnualMaintenanceGrantsB.3.1 CHCsB.3.2B.3.3PHCsSub CentersB.4 HospitalStrengtheningB.4.1 Upgradation ofCHCs, PHCs, Dist.Hospitals to IPHS)Unit Cost(where-everapplicable)B4.1.1 District HospitalsB4.1.2 CHCs 11Institutionswith anoutlay of Rs.28.70 Crorewereinitiated. Rs.16 Crore isavailablefrom the PIPof FY 10-11and Rs. 9.93Crore fromState Govt.Theprovision ofRs. 2.77Crore isproposed forFY2011-12PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)100000 129 129.00 116.0050000 446 223.00 201.0010000 2871 287.10 182.8011 277.00 0RemarksVHSCsApproved for116 CHCs inGovt.Building, asper RHS 2010Approved for402 PHCs inGovt.Building, asper RHS 2010Approved for1828 SCs inGovt.Building, asper RHS 2010To beconsidered forapproval onreceipt of listof CHCs to beupgraded.Punjab Administration Approval 2011-12 Page 33

FMRCodeActivityUnit Cost(where-everapplicable)B4.1.3 PHCsB4.1.4 Sub Centers 1.5 lacsB4.1.5 OthersB 4.2 Strengthening ofDistricts, SubdivisionalHospitals, CHCs,PHCsStrengthening ofDistrict HospitalsStrengthening ofSub DivisionalHospitalAugmentation ofMaternityWards in 20Hospitalswith anoutlay of Rs.26.78 Croreis in process.Amount Rs.17.25 croreavaiable inPIP FY 10-11. BalanceRs. 9.53croreproposed forFY2011-12There is aprovision ofRs. 2.50Crore in PIPFY 10-11.BalanceAmount Rs.1.68 crore isrequired.PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)100 150.00 0RemarksTo beconsidered forapproval onreceipt of listof SC to beupgraded.20 953.00 953.00 Approved25 168.00 168.00 ApprovedB.4.3 Sub Centre Rentand ContingenciesPunjab Administration Approval 2011-12 Page 34

FMRCodeB.5.9B.5.10B.5.10.1ActivityCivil Works forOperationalisingInfectionManagement &Environment Planat health facilitiesInfrastructure ofTrainingInstitutionsStrengthening ofExisting TrainingInstitutions/NursingSchool( Other thanHR)a. GNM Schools1. Infrastructure2. EquipmentUnit Cost(where-everapplicable)PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)RemarksB.5.10.2b. ANMTCs1. Infrastructure2. EquipmentNew TrainingInstitutions/School(Other than HR)B.6 Corpus Grants toHMS/RKSB6.1 District Hospitals 500000 21 105.00 105.00 ApprovedB6.2 CHCs 100000 129 129.00 129.00 ApprovedSDHs 100000 35 35.00 35.00 ApprovedB6.3 PHCsB6.4 Other or if notbifurcated as aboveB7 District ActionPlans (IncludingBlock, Village)B8Panchayati RajInitiative100000 446 446.00 446.00Includes Ruralhospitals andSatellitehospitalsPunjab Administration Approval 2011-12 Page 36

FMRCodeActivityB8.1 Constitution andOrientation ofCommunity leader&ofVHSC,SHC,PHC,CHC etcB8.2 OrientationWorkshops,Trainings andcapacity building ofPRI at State/Dist.Health Societies,CHC,PHCB8.3 Others(Printingguidelines onrole of PRIs/ RKSmembers)B9 Mainstreaming ofAYUSHB9.1 Medical Officers atDH/CHCs/ PHCs(only AYUSH)B9.2 Other Staff Nurse/Supervisory Nurses(for AYUSH)Contractualappointment ofAYUSH DispensorB 9.3 Activities otherthan HRUnit Cost(where-everapplicable)Rs 5 / copyRs23000/month for 12monthsRs10000/monthPhysicaltarget3 lakhcopiesAyurveda-MO inPHC-236,Homeopathy MOin CHC-115,SDH-36,DH-2Ayurveda-Dispensorin PHC-236,HomeopathyDispensorin CHC-115,SDH-36,DH-2AmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)Remarks15.00 15.00 Approved1178.52 1073.64512.40 466.80Approved,Calculationerror in thePIP correctedApproved,Calculationerror in thePIP correctedB10IEC-BCC NRHMPunjab Administration Approval 2011-12 Page 37

FMRCodeActivityB.10 Strengthening ofBCC/IEC Bureaus(state and districtlevels)Unit Cost(where-everapplicable)PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)RemarksB.10.1 Development ofState BCC/IECstrategyB.10.2B.10.2.1B.10.2.2Implementation ofBCC/IEC strategyBCC/IEC activitiesfor MHBCC/IEC activitiesfor CHART &ExhibitionExpert@14000/month,BCCFacilitator@15000/month,Technicalsupport forprinting@12000/month,BCCFacilitaor atdistrictlevel@13000/month1State LevelAdvocacyWorkshop, 4RegionalWorkshops,20 DistrictLevelAdvocacyWorkshopand 118Block levelAdvocacyWorkshopfor Maternal& ChildHealth. 2FGDs at1475 Sub-Centres onMaternal& ChildHealth @300/- perART &ExhibitionExpert-1,BCCFacilitator-1,Technicalsupport forprinting-1,,BCCFacilitaor-2440.80 36.12Approved for20 BCCfacilitators @1 per district.19.39 19.39 ApprovedPunjab Administration Approval 2011-12 Page 38

FMRCodeActivityUnit Cost(where-everapplicable)FGDPhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)RemarksB.10.2.3B.10.2.4B.10.3B.10.4BCC/IEC activitiesfor FPBCC/IEC activitiesfor ARSHHealth MelaCreating awarenesson declining sexratio issue.B.10.5 Other activities(Intra PersonalCommunication)118 3000 3.54 3.54590Workshop/Quizsessions atschools - 5schools perblock@Rs1000and 1180GroupDiscussionswithAdolescentsonAdolescentissues @300/- (10sessionsper Block)2950 Savethe GirlChildunder PNDTAct - GirlChildCompetition@Rs2500,IECCampaignforGirl-Child/PC-PNDT@ Rs. 1.00Lakh perdistrictState LevelAdvocacyWorkshopBlock LevelWorkshop onFPProgrammes9.44 9.44 Approved93.75 93.75 Approved8 8 ApprovedPunjab Administration Approval 2011-12 Page 39

FMRCodeB11ActivityMobile MedicalUnits (Includingrecurringexpenditures)Unit Cost(where-everapplicable)on NRHM,FourRegionalAdvocacyWorkshopson NRHM@ 75000perworkshopand OneDistrictLevelWorkshoponNRHMPhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)Remarks15 24 360.00 360.00 ApprovedB12 ReferralTransportB12.1 Ambulance/EMRI/OthermodelsCapital Cost ofAmbulances underphaseIEstablishment ofEmergencyResponse Centre atAmritsarAmbulances forhospitalsB12.2 Operating Cost(POL)Recurring cost of12.4 lacs 154 1909.60 1909.60Procurement of ITInfrastructure, Tollfreenumberetc.500.00 500.00This is thefirst year andhence budgethas beenapproved atthe ratio of100% CAPEXApproved.State shalltake up thework onlyafterprovidingdetails andprior approvalof GoI20 140.00 0 Not approved1.18 154 1308.38 1308.38Approved @60% OPEXPunjab Administration Approval 2011-12 Page 40

FMRCodeActivity154 AmbulancesB13 PPP/ NGOsB13.1 Nongovernmentalproviders of healthcare RMPs/TBAsB13.2 Public PrivatePartnershipsB13.3 NGO Programme/Grant in Aid toNGOMNGO being reemployedin fivedistrict in unservedunderservedStengthening ofNGO/ PPP Cell.Review meetingwith NGOpartners(Promotional Activity forseminar/workshop/reviewmeeting/study toursas per needassesement)B14. Innovations( ifany)B15Planning,Implementationand MonitoringB15.1 CommunityMonitoring(Visioningworkshops atstate, Dist, Blocklevel)Unit Cost(where-everapplicable)10 lacs@ Rs.15000PhysicaltargetMNGOs-8SNGOs-2TechnicalAssistant-1AmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)Remarks85.00 85.00 Approved75.00 0 Not Approved1.80 1.80 Approved2.00 2.00 Approved300 300State LevelResourceGroup andconsultativeMeetings,Orientationand CapacityBuilding ofmembers ofVHSC,RKS,Development andprinting ofPunjab Administration Approval 2011-12 Page 41

FMRCodeActivityB15.1. State level1B15.1. District level2B15.1. Block level3B15.1. Other4B15.2 Quality AssuranceAccreditation ofDistrict Hospitalsfor ISO/ othercertificationUnit Cost(where-everapplicable)Accreditation of 5DistrictHospitals forNABH –DistrictHospitalAmritsar,Bathinda,Jalandhar,Mohali andPatialaPhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)RemarksIEC material,Jan samvadetc.5 112.50 112.50 ApprovedAccreditation ofSDH/CHC’s /PHC’s / Hospitalsfor ISO/othercertificationOrientation &Training of QAUs, ISOAccreditation of 5DistrictHospital & 5SDH - 5DistrictHospitals –Hoshiarpur,Sangrur,Gurdaspur,Mansa &Ropar and 5SDH –Kharar,Abohar,Malerkotla,Rajpura, &Dasua10 112.50 112.50 ApprovedRs 50000 0.50 0.50 ApprovedPunjab Administration Approval 2011-12 Page 42

FMRCodeActivityat State Level &field visitHospitalAdministratorTraining for BioMedical Handlersand Hands-on-Training forMaintenance ofEquipmentsStrengthening ofHMIS & ITInfrastructureB15.3 Monitoring andEvaluationB15.3.1Monitoring &Evaluation /HMIS/MCTS.CRS recordsUnit Cost(where-everapplicable)PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)RemarksRs 20000 20 48.00 48 ApprovedSalary ofCRSAssistant@rs 8000upto june, &8500/- from1st July2011,Procurementof OneLaserPrinter, OneScanner andOne ExternalHard Disk(I TB) for 20Distrcits forCRAs . OneColoredPrinter amd5 External40.00 0 Not Approved544.29 147.53 Printing newformats,newregister foreach ANM,trainings todistrictmonitoringand evaluationofficer132.30 132.30ApprovedPunjab Administration Approval 2011-12 Page 43

FMRCodeB15.3.2ActivityComputerizationHMIS and e-governance, e-healthOther M & EB15.3.3B.16 PROCUREMENTB16.1 Procurement ofEquipmentB16.1.1B16.1.2B16.1.3B16.1.4B16.1.5Procurement ofequipment: MHUnit Cost(where-everapplicable)HD (1 TB)for StateHQ, IEC,Review ofCRAEquipment& FurnitureforMaternityWards @Rs. 20 lakhPhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)Remarks100 0 Not Approved20 400.00 400.00 ApprovedProcurement ofequipment: CH 12 250.00 250.00Procurement ofequipment: FPProcurement ofequipment: IMEPProcurement(Others)Digital X-RayMachine@Rs 25lakhs foreach DH,Equipmentsfor13upgradedhospitals viz.3DH(Muktsar, Naushaharand Tarantaran), 7SDH(Derrabassi,DH-20944.00 944.00Procurementof equipmentfor SNCUsApproved. Rs5 Crore forDigital X-raymachine andRs 4.44 CroreforEquipments in13 upgradedHospitals.Punjab Administration Approval 2011-12 Page 44

FMRCodeB.16.2B.16.2.1ActivityProcurement ofDrugs andsuppliesDrugs & suppliesfor MHUnit Cost(where-everapplicable)Budladha,KhadoorSahib,Bholath,Moonak,Tappa andGuddha) and3CHC(Balianwali,NausheraMajjha andDudhanSadan)PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)RemarksB.16.2.2B.16.2.3Drugs & suppliesfor CHDrugs & suppliesfor FPZincsulphate-10lactablets,VitaminSolution-72000bottles, IFAtablets349.80 349.80 ApprovedB.16.2.4B.16.2.5Supplies for IMEPGeneral drugs &supplies for healthfacilitiesB.17 Regional drugswarehousesGeneraldrugs likeAnti biotics,antiinflammatory, antipyreticsetc.2242.50 2242.50 ApprovedPunjab Administration Approval 2011-12 Page 45

FMRCodeActivityB.18 New Initiatives/StrategicInterventions (Asper State healthpolicy)/Innovation/Projects(Telemedicine,Hepatitis, MentalHealth, NutritionProgramme forPregnant Women,Neonatal) NRHMHelpline) as perneed (Block/District ActionPlans)Provision of CellPhoneUnit Cost(where-everapplicable)PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)RemarksReimbursement ofmonthly cell phonebill to ANM/LHV/Block SA andAccountantReimbursement ofmonthly cell phonebill to BSMOsB.19 Health InsuranceScheme@ Rs.222/-PM@ Rs.333/-PMNo. ofANM/LHV/Block SANo. ofBSMO145.37 04.72 0To beconsidered forapproval onreceipt of No.ofANM/LHV/BSMOB.20 Research, Studies,AnalysisB.21 State level healthresourcescenter(SHSRC)B.22 Support ServicesB22.1 SupportStrengtheningNPCBB22.2 SupportStrengtheningMidwifery Servicesunder medicalservicesPunjab Administration Approval 2011-12 Page 46

FMRCodeActivityB22.3 SupportStrengtheningNVBDCPB22.4 SupportStrengtheningUnit Cost(where-everapplicable)PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)Remarks188.00 0.00ApprovedunderNVBDCP31.5 1.5 ApprovedRNTCPB22.5 Contingencysupport to Govt.dispensariesB22.6 Other NDCPSupportProgrammesSupport forstregthening thelaboratory servicesin all the hospitals 300.00 0.00Support toImmunizationprogrammeSupportStrengthening forDental HealthStatisticalassistant tosupport EPIdatamanagement@15000/month for9months,Cold chainstrengthening, MobilitySupport forRefrigeratorMechanics,Desktop andLaptoprequirement.2 Dentalfortnight in21DH@20000, in36SDH@Rs15000 and in129CHC@10000To beconsidered forapproval onreceipt ofdetails oflaboratoryservices67.04 67.04 Approved44.60 44.60 ApprovedPunjab Administration Approval 2011-12 Page 47

FMRCodeActivityB.23 OtherExpenditures(Power Backup,Convergence etc)Unit Cost(where-everapplicable)PhysicaltargetAmountProposed(Rs. Inlakhs)AmountApproved(Rs. Inlakhs)RemarksTotal 18550.17 15919.9Punjab Administration Approval 2011-12 Page 48

FMRCodeConsolidated Approval under Immunization for FY 2011-12Annexure-IIIActivities( As Unit Cost Physical Amount Amount Remarksproposed by the State) (whereever Target Proposed Approvedapplicable)(Rs. In (Rs. InLakhs) Lakhs)C.1 RI Strengthninig Project (Review meeting, Mobility Support, Outreach services etcMobility Support for Rs.50000/10.00 10.00c.1.a supervision for distictlevel officers.Year /districtlevel officers.Mobility support for Rs. 1000001.0 1.0c.1.b supervision at statelevelper year.Printing andRs. 525.00 25.00c.1.c dissemination ofImmunization cards,tally sheets,monitoring forms etc.beneficiariesSupport for3.00 3.00c.1.d Quarterly State levelreview meetings ofdistrict officerQuarterly review1.6 1.6c.1.e meetings exclusive forRI at district levelwith one Block Mos,CDPO, and otherstake holdersc.1.f Quarterly review21.24 21.24meetings exclusive forRI at block levelc.1.gFocus on slum &underserved areas inurbanareas/alternativevaccinatorfor slums22.84 22.84c.1.hc.1.ic.1.jMobilization ofchildren throughASHA or othermobilizersAlternative vaccinedelivery in hard toreach areasAlternative VaccineDeliery in other areasRs. 150 persessionRs. 100 persessionRs. 50 persession255.42 255.4280.60 80.60Punjab Administration Approval 2011-12 Page 49

FMRCodeActivities( Asproposed by the State)Unit Cost(whereeverapplicable)PhysicalTargetAmountProposed(Rs. InLakhs)AmountApproved(Rs. InLakhs)Remarksc.1.kTo develop microplanat sub-centre level@ Rs 100/-per subcentre2.95 2.95c.1.lc.1.mc.1.nc.1.oc.1.pFor consolidation ofmicroplans at blocklevelPOL for vaccinedelivery from State todistrict and fromdistrict to PHC/CHCsConsumables forcomputer includingprovision for internetaccess for RIMsRed/Black plasticbags etc.HubCutter/Bleach/Hypochlorite solution/ TwinbucketRs. 1000 perblock/ PHCand Rs. 2000per districtRs100,000/district/year@ 400/ -month/districtRs.2/bags/sessionRs. 900 perPHC/CHCperyear1.58 1.5820.00 20.001.98 1.04.06 4.06Safety Pitsc.1.qc.1.r State specific0requirementC.1-Sub Total 451.27 450.29C.2 Salary of Contractual Staffs -Sub TotalComputer Assistants Rs.12000-1.51 1.51c.2.a support for State level 15000 perperson permonthComputer Assistants 8000-1000026.46 24.00c.2.b support for Districtlevelper person permonthC.2-Sub Total 27.97 25.51C.3 Traininng under Immunizationc.3.aDistrict levelOrientation trainingincluding Hep B,Measles &JE(whereverrequired) for 2 daysANM, Multi Purpose64.79 64.79Punjab Administration Approval 2011-12 Page 50

FMRCodeActivities( Asproposed by the State)Unit Cost(whereeverapplicable)PhysicalTargetAmountProposed(Rs. InLakhs)AmountApproved(Rs. InLakhs)Remarksc.3.bc.3.cc.3.dc.3.eHealth Worker(Male), LHV, HealthAssistant(Male/Female), NurseMid Wives, BEEs &other staff ( as perRCH norms)Three day trainingincluding Hep B,Measles &JE(whereverrequired) of MedicalOfficers of RI usingrevised MO trainingmodule)One day refreshertraning of distictComputer assistantson RIMS/HIMS andimmunization formatsOne day cold chainhandlers traning forblock level cold chainhadlers by State anddistrict cold chainofficersOne day traning ofblock level datahandlers by DIOs andDistrict cold chainofficer36.85 36.850 04.13 4.130 0C.3-Sub Total 105.77 105.77C.4 Cold chainmaintenance4.87 4.61Rs.500/PHC/CHCs peryear DistrictRs.10000/yearC.5 ASHA incentive for0 0full immunizationC.6 Pulse Polio1000.16 750.17Operationalcost(Tentative)TOTAL 1590.04,2 1336.357Punjab Administration Approval 2011-12 Page 51

FMRCodeActivityD.1 Establishmentof IDDControl cellD.1.a. Technical 1OfficerD.1.b. Statistical 1OfficerD.1.c. LDC Typist 1D.2 Establishmentof IDDMonitoringLabD.2.a. Lab1TechnicianD.2.b. Lab Assistant 1D.3 IEC/BCCHealthEducation &PublicityConsolidated Approval under NIDDCP for FY 2011-12Annexure-IV AUnit Cost Physical Amount Amount Remarks(whereevertarget/ Proposed ApprovedExpected (Rs. in (Rs. inapplicable) output Lacs) Lacs)Implementation& monitoringof theprogrammeMonitoringof district leveliodine contentof salt andurinary iodineexcretion as perPolicyGuidelines.Increasedawarenessabout IDD andiodated salt.* 10.0* 5.0* 7.00StateGovt.maycompleteIDDsurvey offivedistrictsand sendthereport.D.4 IDDSurveys/ReSurveysRs. 50,000per district* 2.00D.5.Supply ofSalt TestingKit (form ofkind grant)Creatingiodated saltdemand andmonitoring ofthe same at thecommunitylevel.Total 20.00* 24.00(*) Component-wise fund break-up not given in the PIP.Punjab Administration Approval 2011-12 Page 52

FMRCodeEActivityIDSPConsolidated Approval under IDSP for FY 2011-12Unit Cost(where-everapplicable)E.1 Operational Cost1.1 Mobility Support Rs 15,000/-per districtper month1.2 Lab Consumables Rs. 2 lacs perdistrictpriority lab1.3 Review Meetings1.4 Field Visits1.5 Formats andReportsE.2 Human Resources2.1 Remuneration ofEpidemiologists2.2 Remuneration ofMicrobiologists2.3 Remuneration ofPhysicaltarget/ExpectedoutputAmountProposed(Rs. inLacs)Annexure-IV BAmount RemarksApproved(Rs. inLacs)54.21 37.8 Formats andReports,Other costsbroadband,collectiontransport ofoutbreakspecimens,Field Visitsand ReviewMeetings2.00 2.0033000 21 83.16 63.36 The State hasto recruit the30,00025,000217.203.007.203.00vacantcontractualpositionsunder IDSP;Remuneration has beencalculated1 (State) 37.49 34.08accordingly20as per IDSP(District)approved(District)range.EntomologistsE.3 Consultant-Finance 14000 1 1.85 1.683.1 Consultant-Training 28,000 1 3.70 3.363.2 Data Managers 14,000(State)135003.3 Data Entry 8500 24 26.93 24.48Operators3.4 Others 1.20 0.00E.4 Procurements4.1 Procurement -EquipmentsPunjab Administration Approval 2011-12 Page 53

FM ActivityRCode4.2 Procurement -Drugs & SuppliesE.5 Innovations/PPP/NGOsE.6 IEC-BCCActivitiesE.7 Financial Aids toMedicalInstitutionsE.8 TrainingUnit Cost(where-everapplicable)Rs 5 lacs perReferral labPhysicaltarget/ExpectedoutputAmountProposed(Rs. inLacs)AmountApproved(Rs. inLacs)20.60 8.0025.01 2.5TOTAL 266.34 187.46RemarksOne daytraining forMedicalcollege/hospital doctorsshould beconductedand restrictedfor facultiesof medicinepediatricsand microbiology.Inductiontraining ofnewlycreatedmicrobiologists,epidemiologists andentomologistwill becarried outby CSU.Based on past trend, Rs. 182.66 lakhs has been approved for Punjab under IDSP for 2011-12.However, if there is increase in expenditure by State as per IDSP approved norm, the budget forState could be increased at RE stagePunjab Administration Approval 2011-12 Page 54

FMRCodeConsolidated Approval under National Vector Borne Disease Control ProgramActivityUnitCostwhereeverapplicablePhysicaltarget/DeliverablesAmountProposedAnnexure-IV CAmountApprovedF.1DBS (DomesticBudgetary Support)F.1.1 MalariaF.1.1.a MPW 0 0F.1.1.b ASHA Honorarium 24.2 0F.1.1.cOperational Costi) Spray Wages 25 0F.1.1.dMonitoring , Evaluation& Supervision &Epidemic Preparedness40 40including mobilityF.1.1.e IEC/BCC 20 20F.1.1.f PPP / NGO activities 0 0F.1.1.gTraining / CapacityBuilding10 10F.1.2F.1.2.aF.1.2.bF.1.2.cF.1.2.dF.1.2.eTotal malariaDengue & ChikungunyaStrengtheningsurveillance (As perGOI approval)Apex Referral LabsrecurrentSentinel surveillanceHospital recurrentTest kits (Nos.) to besupplied by GoI (kindlyindicate numbers ofELISA based NS1 kitand Mac ELISA Kitsrequired separately)Monitoring/Supervisionand Rapid Response119.2070.000 265 310 12F.1.2.f Epidemic Preparedness 20 18F.1.2.gIEC/BCC/SocialMobilization13 0F.1.2.h Training/Workshop 16 5Remarks*UnderNRHMFlexi fund*To bemet fromVHSCPunjab Administration Approval 2011-12 Page 55

FMRCodeActivityUnitCostwhereeverapplicablePhysicaltarget/DeliverablesAmountProposedAmountApprovedRemarksF.1.2.i Fogging Machine 6 0 *NRHMF.1.3F.1.4F.2TotalDengue/ChikungunyaAcute EncephalitisSyndrome (AES)/Japanese Encephalitis(JE)Lymphatic FilariasisExternally aidedcomponent (EAC)F2.1 World Bank ProjectF.3 GFATM ProjectF.4Any Other item (PleaseSpecify)Operational CostsF.5(Mobility,ReviewMeeting,communication,formats & reports)Cash grant forF.6 decentralizedcommoditiesF.6.aChloroquine phosphatetabletsF.6.bPrimaquine tablets 2.5mgF.6.cPrimaquine tablets 7.5mgF.6.dQuinine sulphatetabletsF.6.e Quinine InjectionsF.6.f DEC 100 mg tabletsF.6.gAlbendazole 400 mgtabletsF.6.h Dengue NS1 antigen kitTemephos, Bti (forF.6.i polluted & non polluted11.9water)F.6.j Pyrethrum extract 2% 21F.6.k. Any Other (Pl. specify)F.6.l ACT 1.170 64.00Not ApplicableNot ApplicableNot ApplicableNot ApplicableNot Applicable34.00Punjab Administration Approval 2011-12 Page 56

FMRCodeActivityTotal grant fordecentralizedcommoditiesGrant total for grantin-aidunder NVBDCPCommoditiessupplied by NVBDCPGrand Total (Cash +Commodity)UnitCostwhereeverapplicablePhysicaltarget/DeliverablesAmountProposedAmountApproved34.00 34 .00223.20 168.0016.90 16.90184.9 184.89RemarksPunjab Administration Approval 2011-12 Page 57

S.No.ActivityConsolidated Approval under NLEP for FY 2011-12Unit Cost/WhereeverapplicablePhysicalTargets/DeliverablesAmountproposed(Rs. inLacs)Amountapproved(Rs. inLacs)Annexure-IV DRemarksG.1.G.2.G.3.Contractual ServicesState - SMO, BFO cum AO,DEO,AdministrativeAssistant, DriverDistrict - DriversServices throughASHA/USHASensitization of ASHAHonararium to ASHAOffice expenses &ConsumablesCapacity building(Training)Improvement ofskills ofmedicalandparamedica staff54.73 46.892.202.207.36 7.3617.50 17.50Punjab Statehas got 16Leprosy vehiclein conditiontherefore 17post of driversmay besanctioned (1 atHQ + 16 forDistt.). Theadditional fundrequired undercontractualservices may bere-allocatedfrom POL. Noprovision forhelper &contribution forCPF,honararium forpart timeaccountant overbudgetedG.4.4 days training of newlyappointed MO (rural &urban)3 days training of newlyappointed health worker &health supervisor2 days refresher training ofMO5 days training of newlyappointed Lab. TechnicianG.5Behavioral ChangeCommunication (IEC) 20.00 16.40School debates,community &mahila mandalPunjab Administration Approval 2011-12 Page 58

S.No.ActivityQuiz,folk show,IPCworkshop,Meeting ofopinion leaders,Health melasWallpainting,Rallies,HoardingsetcPOL/Vehicle operation &hiringUnit Cost/WhereeverapplicablePhysicalTargets/DeliverablesAmountproposed(Rs. inLacs)Amountapproved(Rs. inLacs)Remarksmeetings maybe organizedfrom commonIEC fund fromNRHMG.6G.7.2 vehicles at state level & 1vehicleat district levelDPMRMCR footwear, Aids andappliances, Welfareallowance to BPL patientsfor RCS, Support to govt.institutions for RCS14.208.509.168.50G.8.G.9.G.10.G.11.G.12.G.13Material & SuppliesSupportive drugs, lab.reagents &equipments and printingforms10.40 10.40Urban Leprosy Control 8.008.00NGO - SET SchemeSupervision, Monitoring &Review 1.50Review meetings and travelexpensesSpecific-plan for HighEndemicDistricts1.50Others (maintenance ofVertical Unit, Training &5.00 5.00TA/DA)Total 149.39 132.91Punjab Administration Approval 2011-12 Page 59

FMRCodeConsolidated Approval under NPCB for FY 2011-12ACTIVITYUnit cost(whereverapplicable)Physicaltarget/expected outputAmountProposed(Rs. inLacs)AmountApproved(Rs. inLacs)Annexure-IV ERemarksH1. RecurringGrant-in aidH.1.1. For FreeCataractOperation andother Approvedschemes as perfinancial norms@H.1.2. Other EyeDiseases@h.1.3. School EyeScreeningProgramme@H.1.4 PrivatePractitioners @asper NGO normsH.1.5. Remuneration/salaryManagement ofState HealthSociety and Distt.Health Society-Remuneration/salary )H.1.5.a. OphthalmicSurgeon@H.1.5.b. OphthalmicAssistant @H.1.5.c. Eye DonationCounsellors @H.1.6 Operational CostManagement ofState HealthSociety and Distt.Health Society(review meeting,hiring of vehicleand OtherActivities &Contingency)Rs.750/- percase180000 300.00 300.00Rs.1000/- 2000 5.00 5.00Rs.200/- percaseRs.25000/-p.mRs.8000/-p.mRs.10000/-p.m.Rs.14 lakh/Rs7 lakh5.00 5.000.00 0.0010 9.60 9.605 6.00 6.0014.25 14.00Total 29.85 29.6Punjab Administration Approval 2011-12 Page 60

FMRCodeACTIVITY[Honorarium(1.5) +Operational Cost(1.6)] for ROPUnit cost(whereverapplicable)Physicaltarget/expected outputAmountProposed(Rs. inLacs)AmountApproved(Rs. inLacs)RemarksH.1.7. Third partyassessment (newinitiative)H.1.8. Recurring GIA to Rs.1000/-5.00 5.00Eye DonationCentres@per pairH.1.9. Eye BallRs.1500/-7.50 7.50Collection andEye Bank @per pairH.1.10. Eye BallRs.1500/-CollectionH.1.11. IEC(Eye16.00 16.00DonationFortnight, WorldSight Day &awarenessprogramme instate & districts)H.1.12 Procurement of258.70 258.70OphthalmicEquipmentH.1.13. POL and20.00 20.00Maintenance ofOphthalmicEquipments andVehiclesH.1.14 Grant-in-aid forstrengthening of 1Distt. Hospitals.H.1.15 Grant-in-aid forstrengthening of 2Sub Divisional.HospitalsH.2 Non RecurringGrant -in-AidH.2.1. For RIO (new) Rs.60 lakhH.2.2. For Medical Rs.40 lakh 10.00 10.00CollegeH.2.4 For vision Centre Rs.50000/- 10 5.00 5.00H.2.1. For Eye Bank Rs.15 lakh 2 30.00 30.00Punjab Administration Approval 2011-12 Page 61

FMRCodeACTIVITYUnit cost(whereverapplicable)Physicaltarget/expected outputAmountProposed(Rs. inLacs)AmountApproved(Rs. inLacs)H.2.2. For Eye Donation Rs.1 lakh 5 5.00 5.00CentreH.2.4 For NGOs Rs.30 lakh 1 30.00 30.00H.2.5Rs.75 lakh There is a 14.00 0.00proposalfrom distts.For Eye Ward &Barnala,Eye OTSFaridkot,Kapurthala& MohaliH.2.6 For Mobile Rs.60 lakhOphthalmic UnitsWith TeleNetworkH.3 Training 3.00 3.00H.4. ASHA Incentive(if any)H.5. OthersTotal 784.45 729.80RemarksPunjab Administration Approval 2011-12 Page 62

FMRCode.ActivityConsolidated Approval under RNTCP for FY 2011-12Annexure-IV Funit cost Physical Amount Amount Remarks(wherever target/expected Proposed Approvedapplicable) output (Rs. in (Rs. inlacs) lacs)I.1 Civil works As perRevisedNorms andBasis ofCosting forRNTCPI.2 Laboratory materials As perRevisedNorms andBasis ofCosting forRNTCPI.3.aHonorarium/CounsellingChargesAs perRevisedNorms andBasis ofCosting forRNTCPI.3.b Incentive to DotProvidersI.4 IEC/ Publicity As perRevisedNorms andBasis ofCosting forRNTCP1) Civil workUp gradationandmaintenancecompleted1) Sputum ofTB SuspectsExamined perlac populationper quarter;2) All districtssubjected toIRL OSE andPanel Testing inthe year;3) IRLsaccredited andfunctioningoptimally1) All eligibleCommunityDOT Providersare paidhonorarium inall districts.1) AllIEC/ACSMactivitiesproposed in PIPcompleted;2) Increase incase detectionand improvedcase holding;3) Funds in the31.421 31.421 One time cost for 2DP site, upgrdation ofSDS, 10 DDS forSLD, 1 New TU, 5New DMCs andmaintenance cost forSDS/STC/STDC/IRL,20 DTCs, 57 TUs and268 DMCs approved42.5 42 Amount approved isas per expendituretrends andpermissible norms.25.25 10 Amount approved isas per expendituretrends andpermissible norms.28.362 20 Amount approved isas per expendituretrends andpermissible norms.Punjab Administration Approval 2011-12 Page 63

FMRCode.Activityunit cost(whereverapplicable)Physicaltarget/expectedoutputAmountProposed(Rs. inlacs)AmountApproved(Rs. inlacs)RemarksI.5 Equipment maintenance As perRevisedNorms andBasis ofCosting forRNTCPI.6 Training As perRevisedNorms andBasis ofCosting forRNTCPI.7 Vehicle maintenance As perRevisedNorms andBasis ofCosting forRNTCPI.8 Vehicle hiring As perRevisedNorms andBasis ofCosting forRNTCPI.9 NGO/PPP support As perRevisedNorms andBasis ofCosting forRNTCPhead utilizedagainstapprovedamount1) Maintenanceof OfficeEquipments atState/Districtsand IRLequipmentscompleted asplanned;2) All BMs arein functionalcondition1) Inductiontraining, Updateand Re-trainingof all cadre ofstaff completed1) All 4wheelers and 2wheelers in thestate are inrunningcondition1) Increase insupervisoryvisit of DTOsand MOTCs;2) Increase incase detectionand improvedcase holding1) Increase innumber ofNGOs/PPsinvolved insigned schemesof RNTCP;2) Contributionof NGOs/PPS16.79 12 Amount approved isas per expendituretrends andpermissible norms.21.6 17.28 Amount approved isas per expendituretrends andpermissible norms.41.25 35 ApprovedRs.3500000 as pernorms for 2 fourwheelersand 57 twowheelers.The statehas spent more thanthe norms in the lastfour quarters.5 3.5 Amount approved isas per expendituretrends andpermissible norms.19.18 5 Amount approved isas per expendituretrends andpermissible norms.Punjab Administration Approval 2011-12 Page 64

FMRCode.Activityunit cost(whereverapplicable)Physicaltarget/expectedoutputAmountProposed(Rs. inlacs)AmountApproved(Rs. inlacs)RemarksI.10 Miscellaneous As perRevisedNorms andBasis ofCosting forRNTCPI.11 Contractual services As perRevisedNorms andBasis ofCosting forRNTCPI.12 Printing As perRevisedNorms andBasis ofCosting forRNTCPI.13 Research and studiesI.14 Medical Colleges As perRevisedNorms andBasis ofCosting forRNTCPI.15 Procurement –vehicles As perRevisedNorms andBasis ofCosting forRNTCPI.16 Procurement –equipmentAs perRevisedNorms andBasis ofCosting forin casedetection andprovision ofDOT1) All activitiesproposed undermiscellaneoushead in PIP1) Allcontractual staffappointed andpaid regularlyas planned1) All printingactivities atstate and districtlevel completed1) All activitiesproposed underMedicalColleges headin PIPcompleted1) Procurementof vehiclescompleted1) Procurementof equipmentscompleted as45.5 30 Amount approved isas per expendituretrends andpermissible norms.562.594 562.594 Amount approved isas per expendituretrends andpermissible norms.35 11 Amount approved isas per expendituretrends andpermissible norms.61.712 50 Amount approved isas per expendituretrends andpermissible norms.8.3 8.3 Approved One (01)four wheeler andEight (08) 2 wheelersin accordance toguidelines laid downRevised FinancialNorms. Sanction forfour wheeler to beobtained separatelyfrom CTD as perguidelines.7.29 1.2 Approved 2 officeequipment, laptop notin guidelines,photocopy machinesnot in guidelines,Punjab Administration Approval 2011-12 Page 65

FMRCode.Activityunit cost(whereverapplicable)Physicaltarget/expectedoutputAmountProposed(Rs. inlacs)AmountApproved(Rs. inlacs)RemarksRNTCPI.17 Tribal Action Plan As perNorms andCosting forRNTCP.Total 951.749 839.295Total Funds under31.5 1.5Additionality HeadGrand Total 983.249 840.795Water bath andElectronic balancecan be quoted in thehead laboratoryconsumables.In addition to this, a commodity grant of Rs. 249.7 lakhs has been approved for central levelprocurement of Anti TB Drugs and other commodity.Punjab Administration Approval 2011-12 Page 66

ANNEX -VList of participants of National Programme Coordination Committee of NRHM to considerthe state PIP of Punjab held on 6th April,2011Sl.No Name and Designation E-mail address1. Sh. P. K. Pradhan, SS & MD md-nrhm@nic.in2. Dr R S Shukla, JS (PH) shukla.rs@gmail.com3. Ms Anuradha Gupta, JS (RCH)4. Dr. Ravindra Pattar, Director (CC&D) dirccd-mohfw@nic.in5. Dr. M. Malhotra drmanisha32@gmail.com6. Dr. Kiran Ambawani DC (FP) ambwanidr.rediff7. Dr. Suresh Mohammed Director, RCH sureshmohammed@nic.in8. Dr. P.K Prabhakar AC-CH pkprabhakar2009@gmail.com9. Dr. N. K. Dhamiza, AC-Imm. MoH&FW immunizationac@gmail.com10. Dr.Pradeep Kushwaha, CMO(IDSP) 986828992111. Ms Natasha Godinho, consultant TMSA natashagodinho@msg.net.in12. Mr. Rahul Pandey, Consultant FP fp.cons.rt@gmail.comDivision13. Dr. Hema Gogia, Technical Officer Imm. 886025892814. Ms Ritu Arora, Consultant M&E ritu.arora@nic.in15. Dr. Sultan Rahi16. Kauslendra Kushal, FMG kaushalk.fmgmohfw@gmail.com17. Sanjeev Rathor, FMG sanjurath@hotmail.com18. Dr. K. S. Gill, JD drkuldipsinghgill@gmail.com19. Dr. Nitasha M. Kaur, Consultant dr.nitasha1986@gmail.com(NRHM)20. Dr. Shilpy Malra, Consultant-NRHM shilpy.mohfw@gmail.com21. Sharad Kumar Singh sharadiips@gmail.com22. Dr. Ravinder Kaur, Consultant-MH drravinderk.mph@gmail.com23. Jhimly Baruah, Consultant, PublicHealth jhimly.nhsrc@gmail.complan(NHSRC)24. J.B. Tanwar, Consultant(BC)25. Dr. Suman, T. Professional NPCB26. Narinder S. Rawat, Programme ManagerDeptt. Of AYUSH, New Delhi27. Dr. Monica Pathak, Consultant CP drmonicapathak@gmail.comREPRESENTATIVES FROM STATE GOVERNMENTSl.No Name and DesignationE-mail address1. Dr. Meenu Lakhanpal, State NGO, mins_e@yahoo.comCoordinator2. Vasundhra Khurana, Manager (M&E) vasundhra.1305@gmail.com3. Neeraj Singla, Manager F & A neeraj.singhla2@gmail.com4. Navdeep Gautam gautamnrhmpunjab@gmail.com5. Sh. Balvinder, State EN Officer (Punjab) eipunjab@gmail.com6. Dr. Rakesh K. Gupta, S.P.O NPCB npcbpunjab@gmail.comPunjab Administration Approval 2011-12 Page 67

Punjab7. Dr. Gagandeep Singh Grover, StateEpidecuiolrgist, NVBDCPpunjabnvbdcp@gmail.com,08872090028Punjab Administration Approval 2011-12 Page 68