Andaman & Nicobar Islands Administration Approval 2011-12 Page ...

F. No. 10(18)/2011 – NRHM -IGovernment of IndiaMinistry of Health & Family WelfareDepartment of Health & Family WelfareNirman Bhawan, New DelhiDated: 30.05.2011To,The Mission Director, (NRHM)Department of Health & Family WelfareAndaman & Nicobar Administration,Secretariat,Port Blair – 744101,Andaman & Nicobar IslandsSubject: Approval of UT Programme Implementation Plan of NRHM for the year 2011-12Sir,This refers to the draft Programme Implementation Plan (PIP) for the year 2011-12submitted by the UT and the discussions held on the same in the Pre Appraisal meeting heldon 14 th February 2011 at Chennai and NPCC meeting held on 7 th May 2011 at New Delhi.2. The administrative approval of the PIP for your UT is conveyed for an amount ofRs.35.56Cr. (Rupees Thirty Five Crore Fifty Six Lakh only). (Detail at Table C below)against the resource envelope available comprising of the following:-Table A(Rs. in Crore)Uncommitted Unspent Balance Available under6.55NRHM as on 1.4.2011GOI Resource Envelope for 2011-12 under NRHM 22.6415% State share ( 2011-12) 4.00Total 33.19Andaman & Nicobar Islands Administration Approval 2011-12 Page 1

Sl No.Table BThe Resource Pool wise break up of total Resources under NRHM1 RCH FlexiblePool2 NRHM FlexiblePool3 Immunization (from RCHFlexible Pool)UncommittedUnspent balanceavailable as on1.4.2011GoI ResourceEnvelope underNRHMTotal(Rs. in cr.)0.10 1.18 1.286.34 1.46 7.580.04 0.06 0.104 NIDDCP 0.00 0.14 0.145 IDSP 0.07 0.27 0.346 NVBDCP 0.00 4.29 4.297 NLEP 0.00 0.10 0.108 NPCB 0.00 1.08 1.089 RNTCP 0.00 0.32 0.3210 Direction &Admn.(Treasuryroute)11 PPI OperationCost0.00 13.00 13.000.00 0.74 0.7412 15% State share 0.00 0.00 4.00Total ResourceEnvelopeCommittedUnspentBalance up to2010-11 to beRevalidated in2011-126.55 22.64 33.192.43Andaman & Nicobar Islands Administration Approval 2011-12 Page 2

Table CSUMMARY OF APPROVAL(Details provided in respective Annexures)Sl No. Scheme/Programme Approved Amount( In Rs. Crores)1. RCH Flexible Pool(Details at Annexure-I)2. NRHM Mission Flexible Pool(Details at Annexure-II)3. Immunization and PPI Operation Cost(Details at Annexure-III)4. NIDDCP(Details at Annexure-IVA)5. IDSP(Details at Annexure-IV B)6. NVBDCP(Details at Annexure-IV C)7. NLEP(Details at Annexure-IV D)8. NPCB(Details at Annexure-IV E)9 RNTCP(Details at Annexure-IV F)7.69437.624610 Infrastructure Maintenance 13.000.870.140.324.290.070.990.56TOTAL 35.56Andaman & Nicobar Islands Administration Approval 2011-12 Page 3

3. The UTs are expected to keep in mind the management imperatives already outlinedin the PIP guidelines for 2011-12 for their attention & systemic reforms. Progresswould be reviewed in the light thereof. Further, the approval is subject to thefollowing mandatory requirements. Non compliance to any of the followingrequirement may result in withholding of grant to the UT:A. Release of the first tranche of fundsThe first tranche of funds would be released by GOI to UT for PIPs 2011-12 onfulfilment of the following conditions:1. A full- time Director/Joint Director/Deputy Director (Finance) (depending onresource envelope), from the Finance Services not holding any additionalcharge outside the Health Department.B. Release of Second Tranche of FundsAction on the following issues would be looked at while considering the releaseof second tranche of funds:2. The UT shall ensure that 15% of the UT share, based on release of funds byGovernment of India is credited to the account of the UT Health Society.3. Increase in UT Plan Budget for 2011-12 by at least 10% over and above the15% UT share under NRHM.4. UT shall articulate policy on entitlements, and ensure rational prescriptions,timely procurements, smooth distribution to facilities, prescription audits,EDL in public domain, computerized drugs and logistic MIS System with theobjective of minimizing out-of-pocket expenses.5. UT shall submit report sharing progress against all the new construction andupgradation work approved under NRHM. The percentage wise progress beindicated against each facility taken up for new construction andupgradation.Monitoring Requirements6. UT shall ensure submission of quarterly report on the MeasurableTarget/indicators at the end of every quarter as per Attachment A andAndaman & Nicobar Islands Administration Approval 2011-12 Page 4

expected outputs stated in the Record of Proceeding (RoP) of NPCC inAttachment B. All approvals are subject to the observations made in the RoPwhich is inclusive of commodity grants under Disease Control Programme inthe respective Annexures.C. Human Resource7. All Posts under NRHM shall be on contract and for the Plan period. All suchappointments would be for a particular facility and non transferable innature. Priority in contractual recruitments and placements would be forbackward districts, difficult, most difficult and inaccessible health facilities.The contractual appointments would be need based. Performance must bemeasured against pre-determined benchmarks regularly.8. UT shall prepare action plan for recruitment, deployment and training ofhuman resources within six months and send it to the ministry.D. Infrastructure9. All civil works undertaken to achieve IPHS standards, would be based onexpected patient load and priority would be accorded to the backwarddistricts, inaccessible and remote areas as per prescribed criteria.10. In all new constructions, care should be taken to ensure that the locations ofthese facilities are such that beneficiary households can access them easily.They should preferably be located in the midst of habitation and definitelynot in agriculture fields, outskirts of villages, or in unhygienic environmentunder any circumstances. Any deviation from the above would be treated asineligible expenditure under NRHM.11. All new constructions would require prior approval of GoI if names offacilities have not been mentioned in the NRHM-PIP, and also if any shift isproposed. No shift from backward and inaccessible areas would be allowed.12. The UT shall set up implementation arrangement to monitor all civil worksbeing undertaken, on a monthly basis, to ensure quality of works andcompletion as per schedule.Andaman & Nicobar Islands Administration Approval 2011-12 Page 5

E. Communitization13. The UT shall ensure that all operational guidelines relating to VH&NDs arecomplied with.14. The UT shall ensure timely performance based payments toASHAs/Community Link Workers and put in place a supportive supervisionmechanism is put in place within six months.15. The UT shall ensure that RKS meets as frequently as possible andmandatorily at least once in every quarter to review proper utilisation ofallocated funds for achievement of goals. The proceedings of such meetingsshould be maintained for scrutiny.F. Financial16. The UT shall not make any change in allocation among differentcomponents/ activities without approval of GoI. Any proposal for reappropriationbetween activities within activities should be informed to GoIin advance. However, such re-appropriation should reflect realignment ofactivities in accordance with priority to high focus districts/involvement ofNGOs etc.17. The UT shall ensure the completion of delegation of administrative andfinancial powers during the current financial year. Funding of NRHM to theUT in 2011-2012 will be based on clear delegation as per earlier directions.18. The UT shall follow all the financial management systems under operationunder NRHM and shall submit Audit Reports, Quarterly SummaryConcurrent Audit Report, FMRs, Statement of Fund Position, as and whenthey are due. UT shall also undertake Monthly District Audit and periodicassessment of the financial system.19. The accounts of the UT/ grantee institution/ organization shall be open toinspection by the sanctioning authority and audit by the Comptroller andAuditor General of India under the provisions of CAG (DPC) Act 1971 andinternal audit by Principal Accounts Office of the Ministry of Health & FamilyWelfare.Andaman & Nicobar Islands Administration Approval 2011-12 Page 6

20. UT shall ensure submission of details of unspent balance indicating, inter alia,funds released in advance and funds available under UT Health Societies.The UT shall also intimate the interest amount earned on unspent balance.This amount can be spent against activities already approved.G. Outcomes21. The UT shall focus on key NRHM goals of reduction in MMR,IMR & TFR andoverall disease burden. All activities and expenditure must be linked withoutcomes and technical interventions/strategies recommended by MoHFWimplemented in right earnest.22. The UT shall ensure establishment of supportive supervisory structures forRCH programme, particularly in districts having low institutional delivery.23. UT shall ensure taking appropriate action to monitor the performance of thecold chain /ILR Points and implementation of Supply Chain managementSystem and improving coverage and quality of Immunization services.Yours faithfully,Copy to:(Dr. Sajjan Singh Yadav)Director NRHM1. All JSs in the Ministry1. All Programme Division Heads of NRHM/ RCH/ Disease ControlProgrammes2. Director Finance (NRHM)3. All Under Secretaries concerned4. IFD5. PPS to Secretary(H&FW)/PS to SS&MD, NRHM6. Sanction Folder7. File of Concerned UTs.Andaman & Nicobar Islands Administration Approval 2011-12 Page 7

Attachment - AMONITORING TARGETS TO BE ACHIEVED IN 2011-12IActivity / Measurable indicatorMonitoring Progress Against Standards:Achievement / upto 2010-11Target /(Cumulative) upto 2011-2012Additionduringthe yearA Maternal Health1 Institutional Deliveries 86% 95.75% 9.75%2 24x7 Facilities 19 19 03 Functional First Referral Units 1 1 0BChild health4 Sick New Born Care Units 1 1 05 New Born Care Corners 3 6 36 Stabilization Units in CHCs/13 13 0BPHCs7 Full Immunization 95% 100% 5%CPopulation Stabilization8 Male Sterilization15 153139 Female Sterilization 324 32410 No. of IUD InsertionsDDisease Control11 Annualized New Smear PositiveDetection Rate of TB12 Success Rate of New SmearPositiveTreatment initiated on DOTS.13 ABER for malaria58 per lakh peryear62 per lakh peryear4 basispoints88% 90% 2 basispointsAndaman & Nicobar Islands Administration Approval 2011-12 Page 825%14 API for malaria (per 1000population) 5.2To maintainabout 25% as in2010To be reducedto 1.3 from 5.2in 201015 Annual New Case Detection Ratefor Leprosy (per 1,00,00019 19 0population)16 Cataract Surgeries performed 600 600 0II Human Resources including Training17 Appointment of ANMs 81 81 018 Appointment of staff nurses 41 41 019 Doctors trained on EmOC 2 3 100

Activity / Measurable indicatorAchievement / upto 2010-11Target /(Cumulative) upto 2011-2012Additionduringthe year20 Doctors trained on LSAS 0 0 021 Doctors trained in NSV/Conventional vasectomy0 0 022 Doctors trained in AbdominalTubectomy (Minilap)15 16 123 Doctors trained in laparoscopicTubectomy3 3 024 Personnel trained in IMNCI 54 78 24III Communitization Processes25 Functional VHSCs 275 275 026 ASHAs with Drug kits 49 409 360IV Improved Management27 Tracking of pregnant mothersand children28 Evaluation and Assessment ofNRHM Activities29 Cold Chain Management(number of functional ILR points)To be ensuredV Infrastructure30 Construction of sub-centrebuildings0 0 031 Construction of PHC buildings 0 0 032 Construction of CHC buildings 0 0 033 Construction of District Hospitalbuildings0 0 034 Construction of Other Hospitalbuildings0 0 0VI MMU and Referral Transport35 Functional Mobile Medical Units 0 0 036 Emergency and ReferralTransport7 11 4Andaman & Nicobar Islands Administration Approval 2011-12 Page 9

NATIONAL RURAL HEALTH MISSIONRECORD OF PROCEEDINGS 2011-12Attachment BRecord of Proceedings of the National Programme Coordination Committee(NPCC) for Andaman & Nicobar Islands held on 7 th May 2011 under theChairmanship of Shri P.K. Pradhan, Special Secretary and Mission Director,NRHM for approval of NRHM Programme Implementation Plan (PIP) for the year2011-12.I. A meeting of the NPCC of NRHM was held under the Chairmanship of SS & MD,NRHM, to approve the PIP of Andaman & Nicobar Islands on 7th May 2011 The list ofmembers who attended the meeting is placed at Annex. V. The NPCC meeting wasconvened after the pre-appraisal meeting for the UT, with written and oral commentsprovided to the UT to modify the proposal before the NPCC.II. UT Government informed the likely uncommitted unspent balance available underNRHM as on 1.4.2011, and were apprised of the GOI Resource Envelope for 2011-12 underNRHM. The Monitorable Indicators is placed at Attachment A. After detailed discussionsand subsequent deliberations, the PIP was finalised for amounts indicated under differentcomponents as detailed in the Attachment B (Annexure I to IV).III. The attention of the UT was drawn to the following areas for further action :A. Planning1. The UT Government shall, within 45 days of the issue of Record of Proceedings by theMinistry of Health and Family Welfare, issue detailed resource envelope and activitiesapproved for each district.B. Human Resource2. All posts under NRHM on contract and based on local criteria shall be done by the RogiKalyan Samiti /District Health Society. Residence at place of posting must be ensured.3. Blended payments comprising of a base salary and a performance based component,should be encouraged.4. Transparent transfer and career progression systems should be implemented in the UT.Andaman & Nicobar Islands Administration Approval 2011-12 Page 10

5. The UT shall put in place a transparent and effective human resource policy so thatdifficult, most difficult and inaccessible areas attract and retain human resources forhealth.C. Infrastructure6. The UT shall furnish list of facilities to be upgraded within three months if not alreadynot specified in the PIP.7. The UT shall furnish information relating to physical and financial status ofinfrastructure and building works already taken up every quarter to InfrastructureDivision.8. The UT shall under take all construction activities in meeting health infrastructure gapswith particular focus in backward districts and inaccessible facilities.D. Communitisation9. The UT shall take up capacity building exercise of Village Health and SanitationCommittees, Rogi Kalyan Samitis and other community /PRI institutions at all levels,involving Non Governmental organizations where necessary after a selection process.10. The UT shall ensure regular meetings of all community Organizations /District / UTMission with public display of financial resources received by all health facilities.11. The UT shall also make contributions to Rogi Kalyan Samitis besides introducing usercharges wherever feasible protecting the interest of the poor.12. All performance based payments/incentives should be under the supervision ofCommunity Organizations (PRI)/RKS.13. The UT shall focus on the health entitlements of vulnerable social groups like SCs, STs,OBCs, minorities, women, disabled friendly, migrants etc.E. HMIS14. UT shall set up a transparent and credible procurement and logistics system. UT agreesto periodic procurement audit by third party to ascertain progress in this regard.15. The UT shall undertake institution specific monitoring of performance of Sub Centre,PHCs, CHCs, DHs, etc. in the prescribed format which is to be regularly uploaded asMonthly, Quarterly and Annual Data on the HMIS.Andaman & Nicobar Islands Administration Approval 2011-12 Page 11

16. The funds approved under the Monitoring and Evaluation activities in the PIP aresubject to the UT reporting facility-wise performance on the HMIS portal of the Ministry.The UT is to also periodically review the quality of data on the HMIS portal at theDistrict and Sub-district levels. The funds approved for the Mother and Child TrackingSystems (MCTS) are to be utilized such that there is improved coverage of maternal andcare services and immunisation of children and reflected on the MCTS portal of theMinistry.IV. Based on the UT’s PIP and deliberations thereon the Plan for the UT 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) .Andaman & Nicobar Islands Administration Approval 2011-12 Page 12

Consolidated Approval under RCH-II for FY 2011-12Annexure-IA. Summary of approval under RCH – II for FY 2011-12S. No. BUDGET HEADAPPROVEDPROPOSEDAMOUNT(Rs. Lakhs)%(Rs. Lakhs)1 Maternal Health 1.60 1.60 1.32 Child Health 0.00 0.00 0.03 Family Planning 1.50 0.45 0.04 ARSH 55.85 55.85 6.05 Urban RCH 0.00 0.00 0.06 Tribal RCH 0.00 0.00 0.07 PNDT & Sex Ratio 0.20 0.20 0.08 Infrastructure & HR 705.87 558.47 75.49 Training 36.64 30.14 3.910 Programme Management 119.03 112.53 13.311 Vulnerable Groups 0.00 0.00 0.0Total RCH II Base Flexi Pool 920.69 759.4712 JSY 6.52 6.4913 Sterilisation & IUDCompensation, and NSV Camps3.54 3.47Total RCH II Demand Side 10.06 9.96GRAND TOTAL RCH II 930.75 769.43Andaman & Nicobar Islands Administration Approval 2011-12 Page 13

B. Detailed approval under RCH – II for FY 2011-12FMRCodeActivityUnit Cost (whereeverapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)A. RCH TECHNICAL STRATEGIES & ACTIVITIES (RCH FLEXIBLE POOL)AmountApproved(Rs. Lakhs)RemarksA.1A.1.1A.1.1.1A.1.1.2A.1.1.3A.1.1.4A.1.1.5A.1.2A.1.3A.1.3.1A.1.3.2MATERNALHEALTHOperationalisefacilitiesOperationaliseFRUsOperationalise 24x7PHCsMTP services athealth facilitiesRTI/STI services athealth facilitiesOperationalise SubcentresReferral TransportIntegratedoutreach RCHservicesRCH OutreachCamps/ OthersMonthly VillageHealth andNutrition DaysRs. 50000Rs. 50002 (1 each in Q1and Q4)12 (3 VHND ineach quarter)1.00 1.00Approvedsubject tofollowing GOIguidelines0.60 0.60 Approvedsubject tofollowing GOIguidelinesJanani SurakshaA.1.4Yojana / JSYA.1.4.1 Home Deliveries Rs. 500 38 deliveries 0.19 0.19 ApprovedA.1.4.2A.1.4.2.aA.1.4.2.bA.1.4.2.cInstitutionalDeliveriesRural Rs. 700 552 deliveries 3.86 3.86 ApprovedUrban Rs. 600 23 deliveries 0.17 0.14 As per GoInormsC-sectionsAndaman & Nicobar Islands Administration Approval 2011-12 Page 14

FMRCodeActivityA.1.4.3 AdministrativeexpensesUnit Cost (whereeverapplicable)Physical target/Expected outputAdministrativeexpensestowards JSYA.1.4.4 Incentive to ASHAs Rs. 200 per woman Incentive forcounseling thepregnantwomen forinstitutionaldelivery andaccompanyingpregnantwomenA.1.5A.1.6Maternal DeathReviewOther strategies/activitiesAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks0.30 0.30 Approved2.00 2.00 Approved.However, theamount shouldnot exceed Rs.200 perinstitutionaldelivery.Sub-total Maternal1.60 1.60Health (excludingJSY)Sub-total JSY 6.52 6.49A.2 CHILD HEALTHA.2.1A.2.2A.2.3A.2.4A.2.5A.2.6A.2.7A.2.8IMNCIFacility BasedNewbornCare/FBNCHome BasedNewbornCare/HBNCInfant and YoungChildFeeding/IYCFCare of SickChildren and SevereMalnutritionManagement ofDiarrhoea, ARI andMicronutrientMalnutritionOther strategies/activitiesInfant Death AuditAndaman & Nicobar Islands Administration Approval 2011-12 Page 15

FMRCodeA.2.9A.3A.3.1A.3.1.1A.3.1.2ActivityIncentive to ASHAunder Child HealthSub-total ChildHealthFAMILYPLANNINGTerminal/ LimitingMethodsDissemination ofmanuals onsterilisationstandards & QA ofsterilisation servicesFemale SterilisationcampsA.3.1.3 NSV campsA.3.1.4A.3.1.5A.3.1.6A.3.2Compensation forfemale sterilisationCompensation formale sterilisationAccreditation ofprivate providersfor sterilisationservicesSpacing MethodsA.3.2.1 IUD campsA.3.2.2A.3.2.3A.3.2.4IUD services athealth facilities /compensationAccreditation ofprivate providersfor IUD insertionservicesSocial Marketing ofcontraceptivesUnit Cost (whereeverapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)0.00 0.00RemarksRs. 15000 / camp 3 camps 1.50 0.45 Approved as perthe norms (Rs.15,000/- for eachfemalesterilizationcamp)Rs. 1000Rs. 1500No. of femalesterilizations:324No. of malesterilizations: 153.24 3.24 Approved as perthe criteria forBPL/CC/STcategory0.30 0.23 Approved as perthe GoI criteriaAndaman & Nicobar Islands Administration Approval 2011-12 Page 16

FMRCodeActivityUnit Cost (whereeverapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)RemarksA.3.2.5ContraceptiveUpdate seminarsA.3.3POL for FamilyPlanning/ OthersA.3.4Repairs ofLaparoscopesA.3.5.Other strategies/activitiesSub-total FamilyPlanning(excludingcompensation)1.50 0.45Sub-totalSterilisation andIUD compensation& NSV camps3.54 3.47A.4ADOLESCENTREPRODUCTIVEAND SEXUALHEALTH / ARSHA.4.1Adolescent servicesat health facilitiesRs. 200 per copyPrinting ofARSHguidelines -1500copies3.00 3.00 ApprovedA.4.2School HealthProgrammeFor ABO bloodgroup testingantigen kits andprinting ofhealth check upcard; Schoolhealthprogramme in106 Schools tocovered by 3NGOs viz. GoodSamaritan Trust,Prayas, andMataAmritanandamayi Math to coverapproximately52.85 52.85 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 17

FMRCodeA.4.3ActivityOther strategies/activitiesA.5 URBAN RCHA.6 TRIBAL RCHUnit Cost (whereeverapplicable)Physical target/Expected output32715 studentsAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Sub-total ARSH 55.85 55.85A.7 PNDT & Sex RatioA.7.1.A.7.2Support to PNDTCellOther PNDTactivitiesSub-total PNDT &Sex RatioINFRASTRUCTURA.8 E & HUMANRESOURCESContractual Staff &A.8.1ServicesA.8.1.1 ANMs and StaffNursesA.8.1.2 LaboratoryAssistantsA.8.1.3 SpecialistsA.8.1.4 PHNs at CHC/PHC levelAddl. ANMs @ Rs.16000 per month;SNs @ Rs. 17000 permonth; 12 SN forSNCU @ Rs. 18400per month; 4 SN forSNCU (recruited in2010-11) @ Rs 17600per monthMonthlymeeting,reporting etc.Salary of 81AdditionalANMs & 25Staff Nurses; 16Staff Nurses(including 4recruited in2010-11) forSNCURs. 15000 per month Salary of 3 LabAssistants(including 1 forSNCU)Rs. 75000 permonthRs. 18400 per monthfor 1 PHN at SNCURs. 18000 per monthfor the other 21PHN.Remarks0.20 0.20 Approved0.20 0.20242.01 241.47 Approved at theproposedsalaries.5.56 3.60 Approved for 2lab assistantsthat wereapproved in2010-117 specialists 135.00 63.00 Approved for 7specialists inplace.21 PHNs; 1PHN at SNCU57.00 47.57 Approved asper the unit costsAndaman & Nicobar Islands Administration Approval 2011-12 Page 18

FMRCodeActivityA.8.1.5 Medical Officers atPHCs and CHCsA.8.1.6 AdditionalAllowances/Incentives to M.O.sof PHCs and CHCsA.8.1.7 Others - ComputerAssistants/ BCCCoordinator etcA.8.1.8 Incentive/ Awardsetc. to SN, ANMsetc.A.8.1.9 Human ResourcesDevelopment(Other than above)A.8.1.10A.8.2Other IncentivesSchemes (Pl.Specify)Minor civil worksA.8.2.1 Minor civil worksforoperationalisationof FRUsA.8.2.2 Minor civil worksforoperationalisationof 24 hour servicesat PHCsSub-totalInfrastructure &HRA.9 TRAININGUnit Cost (whereeverapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)RemarksRs. 50000 per month 32 GDMOs 245.00 190.10 Approved at thesalary of Rs.49500 per month(inclusive of 10%increment) forthe 32 GDMOsthat are in place.Rs. 18000 permonth; Rs. 9200 permonth for Ayah atSNCUSalary of 6OphthalmicAssistants; 6Ayahs forSNCUMiscellaneousexpenses forSNCU, viz.leave vacancyetc. – lump sum20.10 12.96 Approved onlyfor 6 ophthalmicassistants.1.20 0.00 Not Approved705.87 558.70Andaman & Nicobar Islands Administration Approval 2011-12 Page 19

FMRCodeA.9.1A.9.2A.9.3A.9.3.1A.9.3.2A.9.3.3ActivityStrengthening ofTrainingInstitutionsDevelopment oftraining packagesMaternal HealthTrainingSkilled BirthAttendance / SBAtrainingComprehensiveEmOC training(including c-section)Life savingAnaesthesia skillstrainingA.9.3.4 MTP trainingA.9.3.5Unit Cost (whereeverapplicable)Rs. 400000Rs. 120000 per batchPhysical target/Expected outputPrinting of newtrainingmaterials andguidelines forconductingtrainings3 batches with abatch of 5 StaffNurses in eachRs. 200000 / batch 1 batch for 1 MORTI / STI training Rs. 18000/ batch 1 batch each forLab. Tech., StaffNurses andANMs with 5participants ineach batch oftrainingA.9.3.6 BEmOC trainingA.9.3.7A.9.4A.9.5Other MH training(pls specify)IMEP TrainingChild HealthTrainingA.9.5.1 IMNCI trainingA.9.5.2 F-IMNCI trainingRs. 100000/ batch ofIMNCI training forANMs/LHVs;ToT @ Rs. 100000;MO training on F-IMNCI trainingforANMs/LHVs -2 batches (abatch of 12);ToT for F-IMNCI (5 MO);AmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks8.00 8.00 Approved3.60 3.60 Approved2.00 2.00 Approved0.54 0.54 Approved2.00 2.00 Approved9.20 9.20 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 20

FMRCodeA.9.5.3A.9.5.4A.9.5.5A.9.6A.9.6.1ActivityHome BasedNewborn CaretrainingCare of SickChildren and severemalnutritiontrainingOther CH training(pls specify)Family PlanningTrainingLaparoscopicSterilisation trainingA.9.6.2 Minilap trainingA.9.6.3 NSV trainingA.9.6.4A.9.6.5IUD InsertiontrainingContraceptiveUpdate trainingUnit Cost (whereeverapplicable)IMNCI @ Rs.300000; and F-IMNCI training forANMs @ Rs. 220000Rs. 50000/ batchRs. 50000/ batchRs. 40000/ batchPhysical target/Expected output1 batch oftraining on F-IMNCI for MOs(16participants);and 1 batch oftraining on F-IMNCI forANMs (16participants)NSSK trainingfor SNs - 1 batchof 16participants and1 batch forANMs/LHVs -1 batch of 16participants;Training /workshop forSNCU1 batch of MO (1participant)2 batches forANMs/LHVs (6participants/batch)AmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks3.00 3.00 Approved0.50 0.50 Approved0.80 0.80 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 21

FMRCodeA.9.6.6A.9.7ActivityOther FP training(pls specify)Unit Cost (whereeverapplicable)Physical target/Expected outputARSH Training Rs. 25000/ batch 2 batches forANMs/LHVs(15 participants/batch)ProgrammeA.9.8 ManagementTrainingA.9.8.1 SPMU TrainingA.9.8.2 DPMU TrainingA.9.9A.9.10A.9.10.1A.9.10.2A.9.11A.9.11.1A.9.11.2A.9.11.3Other training (plsspecify)Training (Nursing)Strengthening ofExisting TrainingInstitutions/Nursing SchoolNew TrainingInstitutions/ SchoolTraining (OtherHealth Personnel)Promotional Trg ofhealth workersfemales to ladyhealth visitor etc.Training of AMNs,Staff nurses, AWW,AWSOther training andcapacity buildingprogrammesOrientation andrefreshertrainings ofSPMU & DPMUStaffs includingTA/DAAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks0.50 0.50 Approved6.50 0.00 Not Approved.Approval forsame alreadygiven in 2010-11Sub-total Training 36.64 30.14A.10PROGRAMMEMANAGEMENTA.10.1 Strengthening of Salary of 18 staff 51.05 51.05 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 22

FMRCodeA.10.2A.10.3A.10.4ActivitySHS/ SPMU(Including HR,Management Cost,Mobility Support,field visits)Strengthening ofDHS/ DPMU(Including HR,Management Cost,Mobility Support,field visits)Strengthening ofBlock PMU(Including HR,Management Cost,Mobility Support,field visits)Strengthening(others)Unit Cost (whereeverapplicable)Physical target/Expected outputat SPMU andOffice Expenses(Stationery,Telephone Bill,AMC etc.);ImprovingOffice Setup ofthe SPMUSalary of 12 staffat each DPMUand OfficeExpenses(Stationery,Telephone Bill,AMC etc.);ImprovingOffice Setup ofthe DPMUAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks54.48 54.48 ApprovedA.10.5 Audit Fees 4.50 4.50 ApprovedA.10.6 Concurrent Audit 2.50 2.50 ApprovedA.10.7A.11Mobility Support toBMO/ MO/ OthersSub-totalProgrammeManagementVULNERABLEGROUPSHiring ofvehicle forSPMU & DPMUstaff6.50 0.00 Not Approved119.03 112.53Total RCH II Base920.69 759.47Flexi PoolTotal RCH II 10.06 9.96Andaman & Nicobar Islands Administration Approval 2011-12 Page 23

FMRCodeActivityDemand SideGRAND TOTALRCH IIUnit Cost (whereeverapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)930.75 769.43RemarksAndaman & Nicobar Islands Administration Approval 2011-12 Page 24

Annexure-IIConsolidated Approval under NRHM Flexible Pool for FY 2011-12FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB1B.1.1B1.1.1ASHAASHA CostSelection & Trainingof ASHAMission Flexible Pool1400 407 6.00 6.00 ApprovedB1.1.2 Procurement ofASHA Drug Kit1200 407 4.90 2.44 Approved asper norms of Rs600 per drug kitB1.1.3B.1.3.aOther Incentive toASHAs (if any)Equipping ASHAswith supportmaterials (umbrella,torch, and cycle)407 0.90 0.90 ApprovedB1.1.3.bB1.1.4B1.1.5Observance ofASHA dayAwards toASHA's/LinkworkersASHA ResourceCentre/AHSAMentoring Group0.60 0.60 ApprovedB2Untied FundsB2.1 Untied Fund forCHCsB2.2 Untied Fund forPHCs50000 4 2.00 2.00 Approved25000 19 4.75 4.75 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 25

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB2.3 Untied Fund for SubCentres10000 114 11.50 11.40 ApprovedB2.4 Untied fund for10000 275 27.50 27.50 ApprovedVHSCB.3 AnnualMaintenanceGrantsB.3.1 CHCs 100000 4 4.00 4.00 ApprovedB.3.2 PHCs 50000 19 9.50 9.50 ApprovedB.3.3 Sub Centers 10000 114 11.50 11.40 ApprovedB.4 HospitalStrengtheningB.4.1 Upgradation ofCHCs, PHCs, Dist.Hospitals to IPHS)B4.1.1 District Hospitals BJRHospital,Car Nicobar@ 34.04 lakh,Dr. R.P.Hospital,Mayabunder@ 42.05 lakh,G.B. PantHospital @48.00 lakh3 districthospitals124.09 93.07 Approved @75% ofproposedamount. Furtherapprovalssubject toprogress reportand availabilityof funds.Andaman & Nicobar Islands Administration Approval 2011-12 Page 26

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB4.1.2 CHCs Nancowry @38.70 lakh,Bambooflat@ 7.00,Rangat @31.45 lakh,Diglipur @12.00 lakhB4.1.3 PHCs Ferraganj @40.75 lakh,Tushnabad@20.00 lakh,Garacharma@ 3.57 lakh,Havelock @1.00 lakh,WimberlyGunj @ 6.95lakh,Manglutan@ 8.20 lakh,Neil Island@ 7.51 lakh,RK Pur @5.00 lakh,Hutbay @7.88 lakh,Kalighat @5.00 lakh,Long Island,Radhanagar,Billiground,Tugapur @10.00 lakheach, Katchal@ 4.55 lakh,Campbellbay @ 23.70lakh,Terrassa @4.55 lakh4 CHCs 89.15 66.86 Approved @75% ofproposedamount. Furtherapprovalssubject toprogress reportand availabilityof funds.17 PHCs 178.66 134.00 Approved @75% ofproposedamount. Furtherapprovalssubject toprogress reportand availabilityof funds.Andaman & Nicobar Islands Administration Approval 2011-12 Page 27

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB4.1.4 Sub Centers 110.30 82.72 Approved @75% ofproposedamount. Furtherapprovalssubject toprogress reportand availabilityof funds.B4.1.5OthersB 4.2 Strengthening ofDistricts, SubdivisionalHospitals,CHCs, PHCsB.4.3B.4.4B5Sub Centre Rent andContingenciesLogisticsmanagement/improvementNew Constructions/Renovation andSetting upB5.1 CHCsB5.2 PHCsB5.3 SHCs/Sub CentersB5.4 Setting upInfrastructure wingfor Civil worksB5.5 Govt. Dispensaries/others renovationsAndaman & Nicobar Islands Administration Approval 2011-12 Page 28

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB5.6 Construction ofBHO, Facilityimprovement, civilwork, BemOC andCemOC centersB.5.7B.5.8B.5.9B.5.10B.5.10.1B.5.10.2Major civil worksfor29perationalizationof FRUSMajor civil worksfor29perationalizationof 24 hour servicesat PHCsCivil Works forOperationalisingInfectionManagement &Environment Plan athealth facilitiesInfrastructure ofTrainingInstitutionsStrengthening ofExisting TrainingInstitutions/Nursing School( Other thanHR)New TrainingInstitutions/School(Other than HR)B.6 Corpus Grants toHMS/RKSB6.1 District Hospitals 5.00 lakh 3 15.00 15.00 ApprovedB6.2 CHCs 1.00 lakh 4 4.00 4.00 ApprovedB6.3 PHCs 1.00 lakh 19 19.00 19.99 ApprovedB6.4 Other or if notbifurcated as aboveAndaman & Nicobar Islands Administration Approval 2011-12 Page 29

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB7 District ActionPlans (IncludingBlock, Village)B8 Panchayati RajInitiativeB8.1 Constitution andOrientation ofCommunity leader&ofVHSC,SHC,PHC,CHC etcB8.2 OrientationWorkshops,Trainings andcapacity building ofPRI at State/Dist.Health Societies,CHC,PHC –Training of VHSCmembersB8.3 OthersB9 Mainstreaming ofAYUSH8000 30 2.40 2.40 Approved3.00 3.00 ApprovedB9.1 Medical Officers atDH/CHCs/ PHCs(only AYUSH)B9.1.aSalary of 9 GDMO(Ayurveda)51000 pm 9 55.35 55.35 ApprovedB9.1.bSalary of 10 GDMO(Homeopathy)55000 pm 10 59.67 59.67 ApprovedB9.2 Other Staff Nurse/Supervisory Nurses(for AYUSH)B9.2.a Salary of 9pharmacists(homeopathy)18000 pm 9 19.39 19.39 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 30

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB9.2.bSalary of 3 yogainstructorsRs. 14916pm3 5.37 5.37 ApprovedB9.2.c Salary of onepanchkarmaattendant (female)Rs. 8750 pm 1 1.05 1.05 ApprovedB 9.3B9.3.aActivities other thanHRTraining of AYUSHpersonnel1.50 1.50 ApprovedB10IEC-BCC NRHMB.10 Strengthening ofBCC/IEC Bureaus(state and districtlevels)B.10.1 Development ofState BCC/IECstrategyB.10.2 Implementation ofBCC/IEC strategy –outreach activity,print publicity,printing of IECmaterial, advocacymeetings, culturalactivities, masscommunicationB.10.2.1 BCC/IEC activitiesfor MH11.00 11.00 Approved asper details onpage 206-7 ofPIP4.00 4.00 ApprovedB.10.2.2BCC/IEC activitiesfor CH2.50 2.50 ApprovedB.10.2.3BCC/IEC activitiesfor FP1.50 1.50 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 31

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB.10.2.4BCC/IEC activitiesfor ARSH1.00 1.00 ApprovedB.10.3 Health Mela 10.00 10.00 ApprovedB.10.4Creating awarenesson declining sexratio issue.B.10.5 Other activities 8.50 0.00 Not approvedas no detailsmentioned inthe PIPB.10.5.a Printing of multicolor flex boards forBiomedical wastemanagement1.50 0.00 Not ApprovedB.10.5.b Printing of multicolor flex posters forBiomedical wastemanagement1.00 0.00 Not ApprovedB11Mobile MedicalUnits (Includingrecurringexpenditures)B12Referral TransportB12.1 Ambulance/EMRI/OthermodelsAndaman & Nicobar Islands Administration Approval 2011-12 Page 32

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB12.2 Operating Cost(POL)B13PPP/ NGOsB13.1 Nongovernmentalproviders of healthcare RMPs/TBAsReferral byhiring Pvt.Vehicles: Rs.50000 forNicobarIslands andRs. 25000 eachfor the otherdistrictsPOL/VehicleMaintenanceof 7 functionalambulancesand 4 more tobe procuredunder NRHMby hiring Pvt.vehicles forreferring thepregnantwomen andsick newborns11.00 11.00 ApprovedB13.2 Public PrivatePartnershipsB13.3 NGO Programme/Grant in Aid toNGOB14. Innovations( if any)B15Planning,Implementationand MonitoringB15.1 CommunityMonitoring(Visioningworkshops at state,Dist, Block level)B15.1.1B15.1.2B15.1.3B15.1.4State levelDistrict levelBlock levelOtherAndaman & Nicobar Islands Administration Approval 2011-12 Page 33

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB15.2 Quality AssuranceB15.3 Monitoring &EvaluationB15.3.1B15.3.2B15.3.3B.15.3.3.aB.15.3.3.bMonitoring &Evaluation /HMIS/MCTS.ComputerizationHMIS and e-governance, e-healthOther M & ESalary of Data BaseAdministrator forHIS of G.B. PantHospital.Salary of 12 DataEntry Operators forHIS of G.B. PantHospital5.50 5.50 Approved2.64 0.00 Not Approved25.34 25.34 Approvedsubject to thecondition that 3operators areused for MCTSand 3 operatorsfor IDSPB.16 PROCUREMENTB16.1 Procurement ofEquipmentB16.1.1Procurement ofequipment: MHB16.1.2Procurement ofequipment: CHequipmentsrequired forSNCU35.76 35.76 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 34

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB16.1.3Procurement ofequipment: FPB16.1.4Procurement ofequipment: IMEPB16.1.5Procurement ofOthersB.16.2Procurement ofDrugs and suppliesB.16.2.1Drugs & suppliesfor MHB.16.2.2B.16.2.3Drugs & suppliesfor CHDrugs & suppliesfor FPB.16.2.4Supplies for IMEPB.16.2.5General drugs &supplies for healthfacilitiesB.17 Regional drugswarehousesB.18 New Initiatives/StrategicInterventions (Asper State healthpolicy)/ Innovation/Projects(Telemedicine,Hepatitis, MentalHealth, NutritionProgramme forPregnant Women,Neonatal) NRHMHelpline) as perneed (Block/District ActionPlans)Andaman & Nicobar Islands Administration Approval 2011-12 Page 35

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB.19 Health InsuranceSchemeB.20 Research, Studies,AnalysisB.21 State level healthresourcescenter(SHSRC)B.22 Support ServicesB22.1 SupportStrengtheningNPCBB22.2 SupportStrengtheningMidwifery Servicesunder medicalservicesB22.3 SupportStrengtheningNVBDCPB22.4 SupportStrengtheningRNTCPB22.5 Contingencysupport to Govt.dispensariesB22.6 Other NDCPSupportProgrammesB.23 Other Expenditures(Power Backup,Convergence etc)B23.a Hiring of 3TelemedicineTechniciansB23.b Salary of 1BiomedicalEngineer16000 pm 3 6.04 0.00 Not Approved25000 pm 1 3.00 3.00 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 36

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksB23.cB23.dHiring of 2 Driversfor the DedicatedVehicleTraining of MedicalOfficers on BMWM8000 pm 2 2.04 0.00 Not Approved1.00 1.00 ApprovedB23.e Training ofParamedical Staff onBMWM1.00 1.00 ApprovedB23.fPower support for20 sub-centersthrough SolarPower supply30000 20 6.00 6.00 ApprovedTotal 911.40 762.46Andaman & Nicobar Islands Administration Approval 2011-12 Page 37

FMRCodeC.1C.2C.3C.4C.5C.6Consolidated Approval under Immunization for FY 2011-12Activities( Asproposed by theState)RI StrengthninigProject (Reviewmeeting, MobilitySupport, OutreachUnit Cost(whereeverapplicable)PhysicalTargetAmountProposedAnnexure-IIIAmountApproved Remarksservices etc 2212700 813900 1398800Salary of ContractualStaffs 0 0 0Traininng underImmunization 601450 494500 106950Cold chainmaintenanceRs.500/PHC/CHCsper year DistrictRs.10000/year 292000 41500 250500ASHA incentive forfull immunization 0 0 0Pulse PolioOperationalcost(Tentative) 7370000Total layout 3106150 8719900 1756250Andaman & Nicobar Islands Administration Approval 2011-12 Page 38

FMRCodeDetailed Approval under Immunisation for FY 2011-12Activities( Asproposed by theState)Unit Cost(whereverapplicable)PhysicalTargetAmountProposedAmountApproved RemarksC.1 RI Strengthening Project (Review meeting, Mobility Support, Outreach services etcMobility Supportfor supervision for200,000 200,000c.1.a district levelofficers.c.1.bc.1.cc.1.dc.1.ec.1.fc.1.gMobility supportfor supervision atstate levelPrinting anddissemination ofImmunizationcards, tally sheets,monitoring formsetc.Support forQuarterly Statelevel reviewmeetings of districtofficerQuarterly reviewmeetings exclusivefor RI at districtlevel with oneBlock Mos, CDPO,and other stakeholdersQuarterly reviewmeetings exclusivefor RI at block levelFocus on slum &underserved areasin urbanareas/alternativevaccinatorfor slumsRs.50000/Year/districtlevelofficers.Rs. 100000per year.Rs. 5beneficiaries120,000 120,00015,000 15,000 028,000 28,00020,000 20,0000 0c.1.hc.1.ic.1.jMobilization ofchildren throughASHA or othermobilizersAlternative vaccinedelivery in hard toreach areasAlternativeVaccine Deliery inother areasRs. 150 persessionRs. 100 persessionRs. 50 persession40,300 40,300100,000 100,000Andaman & Nicobar Islands Administration Approval 2011-12 Page 39

FMRCodec.1.kc.1.lc.1.mc.1.nc.1.oc.1.pActivities( Asproposed by theState)To developmicroplan at subcentrelevelFor consolidationof microplans atblock levelPOL for vaccinedelivery from Stateto district and fromdistrict toPHC/CHCsConsumables forcomputer includingprovision forinternet access forRIMsRed/Black plasticbags etc.HubCutter/Bleach/Hypochlorite solution/Twin bucketUnit Cost(whereverapplicable)@ Rs 100/-persubcentreRs. 1000 perblock/ PHCand Rs. 2000per districtRs100,000/district/year@ 400/ -month/districtRs.2/bags/sessionRs. 900 perPHC/CHCper yearPhysicalTargetAmountProposedAmountApproved11,400 11,40030,000 30,000100,000 100,00060,000 19,200130,000 130,000Remarksc.1.q Safety Pitsc.1.rState specificrequirement 1,358,000 -C.1-Sub Total2,212,700 813,900C.2 Salary of Contractual Staffs -Sub Totalc.2.ac.2.bComputerAssistants supportfor State levelComputerAssistants supportfor District levelC.2-Sub TotalRs.12000-15000 perperson permonth8000-10000per personper monthC.3 Training under Immunizationc.3.aDistrict levelOrientationtraining includingHep B, Measles &JE(wherever0 0- - -162,150 162,150Andaman & Nicobar Islands Administration Approval 2011-12 Page 40

FMRCodec.3.bc.3.cc.3.dc.3.eC.4C.5Activities( Asproposed by theState)required) for 2 daysANM, MultiPurpose HealthWorker (Male),LHV, HealthAssistant(Male/Female),Nurse Mid Wives,BEEs & other staff (as per RCH norms)Three day trainingincluding Hep B,Measles &JE(whereverrequired) ofMedical Officers ofRI using revisedMO trainingmodule)One day refreshertraining of districtComputerassistants onRIMS/HIMS andimmunizationformatsOne day cold chainhandlers trainingfor block level coldchain handlers byState and districtcold chain officersOne day trainingof block level datahandlers by DIOsand District coldchain officerC.3-Sub TotalCold chainmaintenanceASHA incentivefor fullimmunizationUnit Cost(whereverapplicable)Rs.500/PHC/CHCs peryear DistrictRs.10000/yearPhysicalTargetAmountProposedAmountApproved225,400 225,400106,950 053,475 53,47553,475 53,475601,450 494,500292,000 41,5000 0RemarksAndaman & Nicobar Islands Administration Approval 2011-12 Page 41

FMRCodeC.6Activities( Asproposed by theState)Pulse PolioOperationalcost(Tentative)TOTALUnit Cost(whereverapplicable)PhysicalTargetAmountProposedAmountApproved7,370,0003,106,150 8,719,900Total in Lakhs 31.06 87.19RemarksAndaman & Nicobar Islands Administration Approval 2011-12 Page 42

Consolidated Approval under NIDDCP for FY 2011-12Annexure-IV AFMRCodeActivityUnit Cost(where-everapplicable)Physical target/Expected outputAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksD.1 Establishmentof IDD ControlcellD.1.a. Technical1OfficerD.1.b. Statistical1OfficerD.1.c. LDC Typist 1D.2 Establishmentof IDDMonitoringLabD.2.a. Lab Technician 1D.2.b. Lab Assistant 1Filling up ofsanctioned posts forimplementation &monitoring of theprogrammeMonitoringof district leveliodine content ofsalt and urinaryiodine excretion asper PolicyGuidelines.4.00 7.00 State Govt.2.00 3.00may sendSOE/UC oftherevalidatedamount ofRs.9.37 lacfor the year2010-11.IDD Surveyof onedistrict is notyetcompletedfor whichmoney wasalreadyreleased &revalidated.D.3 IEC/BCCHealthEducation &PublicityIncreasedawareness aboutIDD and iodatedsalt.8.00 3.50D.4 IDDSurveys/ReSurveysRs. 50,000per district2.00 0.50D.5.Supply of SaltTesting Kit(form of kindgrant)Creating iodatedsalt demand andmonitoring of thesame at thecommunity level.Total 16.00 14.00Andaman & Nicobar Islands Administration Approval 2011-12 Page 43

FMRCodeActivityAnnexure IV BConsolidated Approval under IDSP for FY 2011-12Unit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs. inlakhs)AmountApproved(Rs inlakhs)E.1 Operational Cost 7.40 7.401.1 Mobility Support Rs 15,000/-1.5 Formats and Reports per districtper monthOther costs-broadband, collectiontransport of outbreakspecimens.1.4 Field Visits1.3 Review Meetings5.40 5.401.2 Lab Consumables Rs. 2 lacs2.00 2.00per districtpriority labE.2 Human Resources 53.52 23.64Remarks2.1 Remuneration of 40,000 3 21.60 7.20 The State isEpidemiologistsrequested to2.2 Remuneration of 40,000 2 14.40 4.80 recruit theMicrobiologistsContractual2.3 Remuneration of 25,000 1 5.40 1.50 positions underEntomologistsIDSP. TheE.3 Consultant-Finance 14,000 1 0.00 0.00 salary has been3.1 Consultant-Training 28,000 1 2.16 2.16calculated forsix months for3.2 Data Managers 14,000 3 2.16 4.92the vacant(State)positions.13500(District)3.3 Data Entry Operators 8500 3 5.76 3.063.4 Others (office 10,000 1 1.20 0.00 NAAssistant)3.5 Helper 7,000 1 0.84 0.00E.4 Procurements NAE.5 Innovations/PPP/NGOsE.6 IEC-BCC Activities 1.35 0.00 NANAE.7 Financial Aids toMedical InstitutionsNAAndaman & Nicobar Islands Administration Approval 2011-12 Page 44

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs. inlakhs)AmountApproved(Rs inlakhs)RemarksE.8 Training 2.44 1.00 The number oftrainees in eachtraining is atthe higher side.TOTAL 58.10 32.04Note: Based on past trend, Rs. 27.03 lakhs has been approved for Andaman &Nicober Islands under IDSP for 2011-12. However, if there is increase in expenditureby State/UT as per IDSP approved norm, the budget for State/UT could beincreased at RE stageAndaman & Nicobar Islands Administration Approval 2011-12 Page 45

Annexure IV CConsolidated Approval under National Vector Borne Disease ControlProgramFMRCodeActivityUnit Cost(whereverapplicable)Physicaltarget/DeliverablesAmountproposed(Rs inLakhs)AmountApproved(Rs inLakhs)RemarksF.1F.1.1F.1.1.aF.1.1.bDomestic BudgetSupport (DBS)MalariaMPWASHA Honorarium 0.50 0.50F.1.1.cF.1.1.dF.1.1.eOperational CostSpray Wages - for NEstates and UTswithout legislationMonitoring ,Evaluation &Supervision,EpidemicPreparednessincluding mobility600.00 388.0010.50 5.50TreasuryRouteF.1.1.f IEC/BCC 4.00 2.00F.1.1.g PPP/NGO activitiesF.1.1.hTraining / CapacityBuilding2.00 2.00Total Malaria (DBS) 617.00 398.00F.1.2DengueChikungunya&F.1.2.aF.1.2.bF.1.2.cStrengtheningsurveillance (As perGOI approval)Apex Referral Labsrecurrent @ Rs.1.00lakh per lab.Sentinel surveillanceHospital recurrent @Rs. 0.50 lakhs per lab.0.50Andaman & Nicobar Islands Administration Approval 2011-12 Page 46

FMRCodeF.1.2.dF.1.2.eActivityTest kits (Nos.) to besupplied by GoI(kindly indicatenumbers of ELISAbased NS1 kit andMac ELISA Kitsrequired separately)Monitoring/Supervision, Rapid Responseincluding mobilityUnit Cost(whereverapplicable)Physicaltarget/DeliverablesAmountproposedAmountApproved4.00 2.00RemarksGoI SupplyF.1.2.fEpidemicPreparedness &logistics includingrepair of equipments13.60 10.00F.1.2.gF.1.2.hIEC/BCC/Social4.50 0.00MobilizationTraining/Workshop 2.00 2.00Total Dengue/Chikungunya24.10 14.50F.1.3F.1.3.aAcute EncephalitisSyndrome (AES)/JapaneseEncephalitis (JE)Strengthening ofSentinel Sites whichwill includediagnostics andmanagement.Supply of kits by GoIF.1.3.bIEC/BCC specific toJ.E. in endemic areasNotendemicF.1.3.cTraining specific forJ.E. prevention andmanagement1.00F.1.3.dMonitoringsupervisionandAndaman & Nicobar Islands Administration Approval 2011-12 Page 47

FMRCodeF.1.3.eF.1.4ActivityUnit Cost(whereverapplicable)Physicaltarget/DeliverablesAmountproposedAmountApprovedProcurement of1.50insecticides(TechnicalMalathion)Total AES/JE 2.50 0.00Lymphatic FilariasisRemarksNotendemicF.1.4.aState Task Force,State TechnicalAdvisory Committeemeeting, printing offorms/registers,mobility support,district coordinationmeeting,sensitization ofmedia etc., morbiditymanagement,monitoring &supervision andmobility support forRapid ResponseTeam0.00 3.80 UT shouldplan andcarry outtheactivities asperguidelinesF.1.4.bF.1.4.cMicrofilaria survey 0.00 0.50 Mf survey& MDAPostMDAassessment bymedical colleges(Govt. & private)/ICMR institutions.0.00 0.30assessmentare crucialand shouldbe done asperguidelinesF.1.4.dTraining/sensitization of district levelofficers on ELF anddrug distributorsincluding peripheralhealth workers1.50 1.70Andaman & Nicobar Islands Administration Approval 2011-12 Page 48

FMRCodeF.1.4.eF.1.4.fActivitySpecific IEC/BCC atstate, district, PHC,sub-centre andvillage levelincludingVHSC/GKS forcommunitymobilization effortsto realize the desireddrug compliance of85% during MDAHonorarium to drugdistributorsincluding ASHA andsupervisors involvedin MDAUnit Cost(whereverapplicable)Physicaltarget/DeliverablesAmountproposedAmountApproved1.00 2.70Remarks0.00 2.00 UT need toproject thehonorariumfor drugdistributorsTotalFilariasisLymphatic2.50 11.00F.1.5Kala-azarNot applicableF.2Total Kala-azarExternally aidedcomponent (EAC)F.2.1F.2.2F.3World Bank ProjectKala-azar WorldBank assistedProjectGFATM ProjectNot ApplicableNot ApplicableNot ApplicableF.4FMRCodeF.5Any other item(Please specify)ActivityOperational Costs(Mobility, ReviewMeeting,communication,formats & reports)Grand total for cashassistance underNVBDCP (DBS +EAC)Unit Cost(whereverapplicable)Physicaltarget/DeliverablesAmountproposedAmountApproved646.10 423.50RemarksAndaman & Nicobar Islands Administration Approval 2011-12 Page 49

F.6F.6.aF.6.bF.6.cF.6.dF.6.eF.6.fF.6.gCash grant fordecentralizedcommoditiesChloroquinephospate tabletsPrimaquine tablets2.5 mgPrimaquine tablets7.5 mgQuinine sulphatetabletsQuinine Injections 3.00DEC 100 mg tabletsAlbendazole 400 mgtablets0.05 5.00 UT need toutilize the0.12fundsallocatedRDT for0.38malaria isonlyapprovedfor Pf andnot forpv+pfF.6.hF.6.iF.6.jF.6.kDengue NS1 antigenkitTemephos, Bti (forpolluted & nonpolluted water)Pyrethrum extract2%RDT Malaria (ForNon Project states)Total grant fordecentralizedcommodities3.6015.7522.90 5.00Grand Total forgrant-in-aid underNVBDCP669.00 428.50FMRCodeActivityCommodities to besupplied byNVBDCPProcurement ofBednet / LLINUnit Cost(whereverapplicable)Physicaltarget/DeliverablesAmountproposedAmountApproved0.00 0.0022.50Commodity grant22.50 0.00total -Total NVBDCP(Cash + Commodity) 691.50 428.50RemarksSupplied byGOI but notfor UTAndaman & Nicobar Islands Administration Approval 2011-12 Page 50

Total Functional Head -wise breakup (NVBDCP)S.NoMain Heads1 Training 6.50 5.702 Procurement 24.40 5.003 IEC 9.50 4.704 Hononarium and Incentive 0.50 2.505 Operating Cost 28.10 22.106 Financial aid/grant toInstruction0.00 0.50Total 69.00 40.50Cash assistance for salary for regularstaff under treasury route600.00 388.00Grand Total 669.00 428.50Andaman & Nicobar Islands (Physical Targets)Activity Target for 2011 RemarksABERAPIHuman resourceTo maintain about25% as in 2010To be reduced to1.3 from 5.2 in 2010All DMOs posts tobe filledFilling up of vacantmale MPWsPrompt and completetreatmentAndaman & Nicobar Islands Administration Approval 2011-12 Page 51

Consolidated Approval under NLEP for FY 2011-12Annexure IV DFMRCodeActivity proposedUnitCostPhysicalTargetsAmountproposed(Rs. InAmountapproved(Rs. InRemarkslakh) lakh))G.1 ContractualServicesState - SMO, BFOcum AO, DEO,AdministrativeAssistant, DriverDistrict - DriversCompilationthe data andsupervision3.60 3.60 Provision ofonly one NMSG.2 Services throughASHA/USHASensitization ofASHAHonararium toASHAG.3 Office expenses &ConsumablesImprovement 0.00of casedetectionand treatmentcomplition0.000.00 0.00 As perapproved normsG.4 Capacity building(Training)4 days training ofnewly appointedMO (rural & urban)3 days training ofnewly appointedhealth worker &health supervisor2 days refreshertraining of MO5 days training ofnewly appointedLab. TechnicianG.5 Behavioral ChangeCommunication(IEC)Improvementof skills ofmedical andparamedicalstaffImprovementin self0.000.003.50Andaman & Nicobar Islands Administration Approval 2011-12 Page 52

FMRCodeActivity proposedUnitCostPhysicalTargetsAmountproposed(Rs. InAmountapproved(Rs. InRemarkslakh) lakh))Quiz, folk show,IPC workshop,Meeting of opinionleaders, HealthmelasWall painting,Rallies, Hoardingsetcreporting ofcases &reduction ofsocial stigmaagainst LAP3.50G.6 POL/Vehicleoperation & hiring2 vehicles at statelevel & 1 vehicleat district levelImprovedsupervision 0.00& monitoring0.00 As perapproved normsG.7 DPMR 0.00 As perMCR footwear,Aids andappliances, Welfareallowance to BPLpatients for RCS,Support to govt.institutions for RCSLess no. ofdisabilities dueto Leprosy0.00approved normsG.8 Material &SuppliesSupportive drugs,lab. reagents &equipments andprinting formsG.9 Urban LeprosyControlG.10 NGO - SETSchemeG.11 Supervision,Monitoring &ReviewReview meetingsand travel expensesLess no. of 0.00 0.00disability &better record0.000.000.00 0.000.000.00 As perapproved normsAndaman & Nicobar Islands Administration Approval 2011-12 Page 53

FMRCodeActivity proposedUnitCostPhysicalTargetsAmountproposed(Rs. InAmountapproved(Rs. InRemarkslakh) lakh))G.12 Specific-plan forHigh EndemicDistricts0.00 0.00G.13 Others(maintenance ofVertical Unit,Training &TA/DA)0.00 0.00Total 7.10 7.10Andaman & Nicobar Islands Administration Approval 2011-12 Page 54

Consolidated Approval under NPCB for FY 2011-12Annexure IV EFMRCodeActivityH.1 Recurring Grant-inaid (*)UnitCostPhysicalTargetProposedAmount (Rs.In Lakhs)AmountApproved(Rs. InLakhs)RemarksH.1.1For Free CataractOperation and otherApproved schemesas per financialnorms@Rs.750/-per caseH.1.2 Other Eye Diseases Rs.1000/-(*) Approvedunder schemeGIA for Catopsand otherapprovedactivitiesH.1.3School EyeScreeningProgrammeRs.200/-per case1000 2.00 2.00 ApprovedH.1.4Private Practitionersas per NGO normsH.1.5Management ofState Health Societyand Distt. HealthSocietyRemuneration(salary , reviewmeeting, hiring ofvehicle and OtherActivities &Contingency)Incentive to ASHAworkersRs.14lakh/Rs7 lakhRs.125/case6.32 7.00 Approved0.45 0.45 ApprovedProcurement ofMedicines/ Drugs &Instrument19.13 19.13 ApprovedMaintenance ofOphthalmicEquipment1 3.00 3.00 ApprovedGrant-in-aid forstrengthening of 1Distt. Hospitals1 20.00 20.00 ApprovedAndaman & Nicobar Islands Administration Approval 2011-12 Page 55

FMRCodeH.1.6H.1.7ActivityManagement ofDistrict of HealthSocietyRecurring GIA toEye DonationCenters@Rs.1000/-and EyeBank@Rs.1500/- perpair of Eye BallCollectionUnitCostRs.1000/-per pairandRs.1500/-per pairPhysicalTargetProposedAmount (Rs.In Lakhs)AmountApproved(Rs. InLakhs)Remarks18.99 18.99 ApprovedH.1.8 Training 4.00 4.00 ApprovedH.1.9 IEC 18.00 18.00 ApprovedH.2 Non- RecurringGrant-in-aidProcurement ofOphthalmicH.2.1 EquipmentH.2.2 Maintenance ofOphthalmicEquipmentsH.2.3 For RIO (new) @H.2.4 For MedicalCollege@For vision Centre @ Rs.50000/-H.2.5 For Eye Bank @ Rs.15lakhH.2.6 For Eye Donation Rs.1 lakhCentre @H.2.7 For NGOs @ Rs.30lakhH.2.8For Eye Wards andEye OTS @Rs.75lakhH.2.9For MobileOphthalmic Unitswith tele-networkRs.60lakhH.3 Contractual ManPowerOphthalmicH.3.1Surgeon@H.3.2 OphthalmicAssistant @Rs.25000/- p.mRs.8000/-p.mAndaman & Nicobar Islands Administration Approval 2011-12 Page 56

FMRCodeH.3.3ActivityEye DonationCounselors @UnitCostPhysicalTargetProposedAmount (Rs.In Lakhs)AmountApproved(Rs. InLakhs)RemarksRs.10000 6 7.92 7.20 Approved/ p.m.Total 99.81 99.87(*) = Recurring Grant-in-Aid for Free Cataract Operations and various otherschemes which include: Other Eye Diseases @ Rs 1000/-, School Eye ScreeningProgramme @ Rs 200/- per pair of spectacles, Private Practitioners @ as per NGOnorms , Management of State Health Society and District Health Society @ Rs 14lakhs for Major State and 7 lakhs for Minor State, Recurring GIA to Eye DonationCentres @ Rs 1000/- pair of Eye Ball collection and Eye Banks @ Rs 1500/- per pair ofEye Ball collection Rs 1500, Training, IEC, Procurement of Ophthalmic Equipment,Maintenance of Ophthalmic Equipments, Remuneration, Other Activities &Contingency.Andaman & Nicobar Islands Administration Approval 2011-12 Page 57

Consolidated Approval under RNTCP for FY 2011-12FMRcodeActivityUnit cost(whereverapplicable)Physical target/expected outputAmountProposed(Rs. Inlakh)AmountApproved(Rs. Inlakh)RemarksI.1 Civil works As perNorms andCosting forRNTCP.1) Civil workUp gradationandmaintenancecompleted asplanned10.75 10.75 One time cost ofDP site, 01 DTC,01 TU andmaintenance costof 01 DTC, 03 TUsand 13 DMCsapprovedI.2 LaboratorymaterialsAs perNorms andCosting forRNTCP.1) Sputum of TBSuspectsExamined perlac populationper quarter;2) All districtssubjected to IRLOSE and PanelTesting in theyear;3) IRLsaccredited andfunctioningoptimally1.50 1.35 Amountapproved is asper expendituretrends andpermissiblenorms.I.3 Honorarium As perNorms andCosting forRNTCP.1) All eligibleCommunityDOT Providersare paidhonorarium inall districts inthe FY0.20 0.10 Amountapproved is asper expendituretrends andpermissiblenormsI.4 IEC/PublicityAs perNorms andCosting forRNTCP.1) AllIEC/ACSMactivitiesproposed in PIPcompleted;2) Increase incase detectionand improvedcase holding7.42 6.68 Amountapproved is asper expendituretrends andpermissiblenormsAndaman & Nicobar Islands Administration Approval 2011-12 Page 58

FMRcodeActivityUnit cost(whereverapplicable)Physical target/expected outputAmountProposedAmountApprovedRemarksI.5 EquipmentmaintenanceAs perNorms andCosting forRNTCP.I.6 Training As perNorms andCosting forRNTCP.1) Maintenanceof OfficeEquipments atState/Districtsand IRLequipmentscompleted asplanned;2) All BMs arein functionalcondition1) Inductiontraining,Update and Retrainingof allcadre of staffcompleted asplanned0.63 0.61 Amountapproved is asper expendituretrends andpermissiblenorms4.97 1.74 Amountapproved is asper expendituretrends andpermissiblenormsI.7 VehiclemaintenanceAs perNorms andCosting forRNTCP.1) All 4wheelers and 2wheelers in thestate are inrunningcondition andmaintained2.25 1.35 Amountapproved is asper expendituretrends andpermissiblenormsI.8 Vehicle hiring As perNorms andCosting forRNTCP.1) Increase insupervisoryvisit of DTOsand MOTCs;2) Increase incase detectionand improvedcase holding1.80 1.80 Subject toguidelines as perRNTCP RevisedNorms and Basisof CostingAndaman & Nicobar Islands Administration Approval 2011-12 Page 59

FMRcodeActivityUnit cost(whereverapplicable)Physical target/expected outputAmountProposed(Rs. Inlakh)AmountApproved(Rs. Inlakh)RemarksI.9 NGO/PPsupportAs perNorms andCosting forRNTCP.1) Increase innumber ofNGOs/PPsinvolved insigned schemesof RNTCP;2) Contributionof NGOs/PPSin case detectionand provision ofDOT0.30 0.30 Amountapproved is asper expendituretrends andpermissiblenormsI.10 Miscellaneous As perNorms andCosting forRNTCP.I.11 ContractualservicesAs perNorms andCosting forRNTCP.I.12 Printing As perNorms andCosting forRNTCP.1) All activitiesproposed undermiscellaneoushead in PIPcompletedamount1) Allcontractual staffappointed andpaid regularlyas planned1) All printingactivities atstate anddistrict levelcompleted asplanned1.44 1.44 Amountapproved is asper expendituretrends andpermissiblenorms24.59 24.59 Amountapproved is asper expendituretrends andpermissiblenorms1.50 0.84 Amountapproved is asper expendituretrends andpermissiblenormsI.13 Research andstudiesI.14 MedicalCollegesI.15 Procurement–vehicles(twowheelers)As perNorms andCosting forRNTCP1) Procurementof vehiclescompleted0 0 00 0 06.50 4.30 The maximumpermissible limitfor one vehicle isRs 4.3 lakhs. Thestate may exploreoption of vehiclehiring.Andaman & Nicobar Islands Administration Approval 2011-12 Page 60

FMRcodeActivityUnit cost(whereverapplicable)Physical target/expected outputAmountProposed(Rs. Inlakh)AmountApproved(Rs. Inlakh)RemarksI.16 Procurement– equipmentAs perNorms andCosting forRNTCP.1) Procurementof equipmentscompletedI.17 Tribal ActionPlanGrand Total 64.60 56.450.75 0.60 Amountapproved is asper expendituretrends andpermissiblenorms0 0Comments –1. The resource envelope for the state for RNTCP is Rs 28.05 lakhs as cash and Rs 4.36. ascommodity. The approved amount for cash disbursement has been kept at Rs 56.44 lakhswhich is as per expenditure trends and permissible norms.2. The commodity grant of Rs. 4.36 lakhs has been approved for central level procurement ofAnti TB Drugs and other commodity.3. The state could be approved more funds based on expenditure pattern in the first six months.Andaman & Nicobar Islands Administration Approval 2011-12 Page 61

ANNEX –VATTENDANCE SHEET FOR THE NPCC MEETING OF THE ANDAMAN &NICOBAR ISLANDS STATE FOR THE YEAR 2011-12 TO BE HELD ON 7 th May2011 UNDER THE CHAIRMANSHIP OF SH. P.K. PRADHAN, SPECIALSECRETARY & M.D. (NRHM)Sr.No Name & DesignationEmail-ID & Mobile No..1 Karunakar Singh, consultant(DC) kavunakar.singh@yahoo.comMob- 98916360512 Dipankar Bhattacharya, Manager,Deloitte-TMSAdipankarb@deloitte.comMob- 995897911173 Dr. Sonali Rawal consultant NRHM sonali.rawal@gmail.comMob- 97112369124 Dr. Rachana Parikh, consultantNRHMdrrachanaparikh@gmail.comMob- 78277531965 Anil Garg consultant NRHM Mob- 9810069780, 230621216 Dr. B.N.Sharath, consultant RNTCP Mob- 98711052647 Dr. Pradeep Khasnobs, CMO IDSP idsp-cmo@nic.inMob- 98682899218 Dr. Pradeep Haldar Mob- 88004957719 Dr. P.K. Prabhakar, AC(CH) pkprabhakar2009@gmail.com10 Manoj Pant, Director MOHFW pant.moanoj@nic.in11 Dr. Sajjan Yadav, Director NRHM Sajjan95@gmail.com12 Dr. S.K.Paul MD NRHM Andaman drskpaul@yahoo.co.in& Nicobar Islands13 Dr. PrasadB.M. NHSRC Mob- 965469876914 M.K. Sharvar, US15 S.D. Dubey, S.S.O Mob- 931249544216 Dr. Pradeep Tandan pradeep.tandan@gmail.comAndaman & Nicobar Islands Administration Approval 2011-12 Page 62