1 F. No. M-11011/01/2011-NRHM-III Government of India Ministry of ...

F. No. M-11011/01/2011-NRHM-IIIGovernment of IndiaMinistry of Health & Family WelfareDepartment of Health & Family WelfareNirman Bhawan, New DelhiTo,The Mission Director, (NRHM)Health Care, human Service FW DepartmentGovernment of Sikkim,Tashilling, Secretariat,Gangtok-737102Sikkim.Dated: 2 nd May, 2011Subject: Approval of State Programme Implementation Plan of NRHM for the year2011-12Madam,This refers to the draft Programme Implementation Plan (PIP) for the year 2011-12submitted by the State and the discussions held on the same in the Pre Appraisal meeting heldon 14 th February 2011 at Nirman Bhawan and NPCC meeting held on 21 st March 2011 at NewDelhi.2. The administrative approval of the PIP for your State is conveyed for an amount of Rs. 40.17Cr. (Detail at Table C below) against the resource envelope available comprising of thefollowing:-Table A(Rs. In Crore)Likely Uncommitted Unspent Balance Available under NRHM as 1.97on 1.4.2011GOI Resource Envelope for 2011-12 under NRHM 34.0015% State share ( 2011-12) 6.00Total 41.971

SlNo.Table BThe Resource Pool wise break up of total under NRHM ResourcesLikelyUncommittedUnspentbalanceavailable as on1.4.2011GoI ResourceEnvelope underNRHM(Rs. In Crores)Total1 RCH Flexible Pool 0.00 6.46 6.462 NRHM Flexible Pool 1.97 7.64 9.613 Immunization ( from RCH Flexible Pool) 0.28 0.284 NIDDCP 0.00 0.38 0.385 IDSP 0.00 0.53 0.536 NVBDCP 0.00 0.18 0.187 NLEP 0.00 0.30 0.308 NPCB 0.00 1.81 1.819 RNTCP 0.00 0.81 0.8110 Direction & Admn.(Treasury route)-- 15.38 15.3811 PPI Oper. Cost -- 0.23 0.2312 15% State share -- 6.00Total 1.97 34.00 41.97Committed UnspentBalance up to 2010-11to be Revalidated in2010-116.92 Crore2

Table CSUMMARY OF APPROVAL(Details provided in respective Annexure)1. RCH Flexible Pool(Details at Annexure-I)Scheme/Programme2. 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-IVB)6. NVBDCP(Details at Annexure-IVC)7. NLEP(Details at Annexure-IVD)8. NPCB(Details at Annexure-IVE)9. RNTCP(Details at Annexure-IVF)Approved Amount( In Rs. Crores)10.409.510.550.380.370.180.451.811.1410. Infrastructure Maintenance 15.38TOTAL 40.17Notes:Rs. 40.17 Cr. Is approved against the Total Resource Envelope of the UT of Rs.41.97 Cr. TheResource Envelope of Rs. 41.97Cr. is inclusive of GOI resource envelope, 15% State shareand Uncommitted Unspent balance for the year 2010-11.Thus, the State/ UT has a cushion of Rs. 1.8 Cr. (Rs. 41.97 Cr. – Rs. 40.17 Cr.). The UT canplan for this amount during the current financial year subject to prior submission of adetailed plan and approval from competent authority in the Ministry of Health,Government of India. The balance available in specific programme like IDSP, NVBDCP,NPCB be kept in view.3

3. The States/UTs are expected to keep in mind the management imperatives alreadyoutlined in the PIP guidelines for 2011-12 for their attention & systemic reforms.Progress would be reviewed 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 grant tothe State:A. Release of the first tranche of fundsThe first tranche of funds would be released by GOI to States for PIPs 2011-12 onfulfilment of the following conditions:1. A full- time Director/Joint Director/Deputy Director (Finance) (depending onresource envelop of State), from the State Finance Services not holding anyadditional charge outside the Health Department.B. Release of Second Tranche of FundsAction on the following issues would be looked at while considering the release ofsecond tranche of funds:2. 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.3. Increase in State Plan Budget for 2011-12 by at least 10% over and above the 15%State share under NRHM.4. State shall articulate policy on entitlements, and ensure rational prescriptions,timely procurements, smooth distribution to facilities, prescription audits, EDLin public domain, computerized drugs and logistic MIS System with theobjective of minimizing out-of-pocket expenses.5. State shall submit report sharing progress against all the new construction andupgradation work approved under NRHM. The percentage wise progressindicated against each facility taken up for new construction and upgradation.C. Monitoring Requirements6. State shall ensure submission of quarterly report on the MeasurableTarget/indicators at the end of every quarter as per Attachment A and expected4

outputs stated in the Record of Proceeding (RoP) of NPCC in Attachment B. Allapprovals are subject to the observations made in the RoP which is inclusive ofcommodity grants under Disease Control Programme in the respectiveAnnexures.D. 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 in nature.Priority in contractual recruitments and placements would be for backwarddistricts, difficult, most difficult and inaccessible health facilities. The contractualappointments would be need based. Performance must be measured against predeterminedbenchmarks regularly.8. State shall prepare action plan for recruitment, deployment and training ofhuman resources within six months and send it to the ministry.E. Infrastructure9. All civil works undertaken to achieve IPHS standards, would be based onexpected patient load and priority would be accorded to the backward districts,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. Theyshould preferably be located in the midst of habitation and definitely not inagriculture fields, outskirts of villages, or in unhygienic environment under anycircumstances. Any deviation from the above would be treated as ineligibleexpenditure under NRHM.11. All new constructions would require prior approval of GoI if names of facilitieshave not been mentioned in the NRHM-PIP, and also if any shift is proposed. Noshift from backward and inaccessible areas would be allowed.12. The State shall set up implementation arrangement to monitor all civil worksbeing undertaken, on a monthly basis, to ensure quality of works and completionas per schedule.5

F. Communitization13. The State shall ensure that all operational guidelines relating to VH&NDs arecomplied with.14. The State 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 State shall ensure that RKS meets as frequently as possible and mandatorilyat least once in every quarter to review proper utilisation of allocated funds forachievement of goals. The proceedings of such meetings should be maintainedfor scrutiny.G. Financial16. The State shall not make any change in allocation among different components/activities without approval of GoI. Any proposal for re-appropriation betweenactivities within activities should be informed to GoI in advance. However, suchre-appropriation should reflect realignment of activities in accordance withpriority to high focus districts/involvement of NGOs etc.17. The State shall ensure the completion of delegation of administrative andfinancial powers during the current financial year. Funding of NRHM to theState in 2011-2012 will be based on clear delegation as per earlier directions.18. The State shall follow all the financial management systems under operationunder NRHM and shall submit Audit Reports, Quarterly Summary ConcurrentAudit Report, FMRs, Statement of Fund Position, as and when they are due.State also undertake Monthly District Audit and periodic assessment of thefinancial system.19. The accounts of the State/ 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.20. State shall ensure submission of details of unspent balance indicating, inter alia,funds released in advance and funds available under State Health Societies. The6

State shall also intimate the interest amount earned on unspent balance. Thisamount can be spent against activities already approved.H. Outcomes21. The state 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 State shall ensure establishment of supportive supervisory structures forRCH programme, particularly in districts having low institutional delivery.23. State shall ensure taking appropriate action to monitor the performance of thecold chain /ILR Points and implementation of supply chain Management systemand improving coverage and quality of Immunization services.Yours faithfully,(Ms. Jaya Bhagat)Director NRHM (Finance/NE)Copy 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.7

Attachment – AIMONITORING TARGETS TO BE ACHIEVED IN 2011-12Activity / Measurable indicatorMonitoring Progress Against Standards:Achievement up to2010-11Targetin(Cumulative)up to 2011-2012A Maternal Health1 Institutional Deliveries 4477 4000 40002 24x7 Facilities 26 26 (2 PHC/ 2 0CHC to beupgraded to 24x7)3 Functional First Referral Units 3 4 1BAdditionduring theyearFunctional Sub Centres 147 147 Continuewith theexistingChild health4 Sick New Born Care Units 2 2 05 New Born Care Corners6 Stabilization Units in CHCs/ 0 0 0BPHCs7 Full Immunization 7367 11000 3633CPopulation Stabilization8 Male Sterilization 39 175 1369 Female Sterilization 75 565 49010 No. of IUD InsertionsDDisease Control11 Annualized New Smear PositiveDetection Rate of TB12 Success Rate of New Smear PositiveTreatment initiated on DOTS.82% (2010) >82% Maintained86% (2010) >90%13 ABER for malaria 3.5% (2010) 5% 1.5%14 API for malaria (per 10000.26% (2010)

Activity / Measurable indicatorAchievement up to2010-11Targetin(Cumulative)up to 2011-201220 Doctors trained on LSAS 3 5 221 Doctors trained in NSV/22/42 - -Conventional vasectomy22 Doctors trained in Abdominal - - -Tubectomy (Minilap)23 Doctors trained in laparoscopic 8(2) -Tubectomy24 Personnel trained in IMNCI 144(80) 112 96III Communitization Processes25 Functional VHSCs 637 641 426 ASHAs with Drug kits 641 641 0IV Improved Management27 Tracking of pregnant mothers andchildren28 Evaluation and Assessment ofNRHM Activities29 Cold Chain Management(number of functional ILR points)Data uploadingstarted from facilitylevel by 20 th Jan’2011To maintain allfacility leveluploading inMCTS software0 4 434 34 0V Infrastructure30 Construction of sub-centre3 4 4buildings31 Construction of PHC buildings 0 0 032 Construction of CHC buildings 0 0 033 Construction of District Hospital 0 0 0buildings34 Construction of Other Hospital 0 0 0buildingsVI MMU and Referral Transport35 Functional Mobile Medical Units 4 4 036 Emergency and Referral Transport 30 Ambulances 30 Ambulances 0Additionduring theyear9

NATIONAL RURAL HEALTH MISSIONRECORD OF PROCEEDINGS 2011-12Attachment BRecord of Proceedings of the National Programme Coordination Committee (NPCC)for Sikkim held under the Chairmanship of Shri P.K. Pradhan, Special Secretary andMission Director, NRHM for approval of NRHM Programme Implementation Plan(PIP) of States and UTs for the year 2011-12.I. A meeting of the NPCC of NRHM was held under the Chairmanship of SS & MD,NRHM, to approve the PIP of Sikkim on 21 st March 2011. The list of members who attended themeeting is placed at Annex. V. The NPCC meeting was convened after the pre-appraisalmeeting for the State, with written and oral comments provided to the State to modify theproposal before the NPCC.II. State Government apprised about the likely uncommitted unspent balance availableunder NRHM as on 1.4.2011, and were apprised of the GOI Resource Envelope for 2011-12under NRHM. The Monitorable Indicators is placed at Attachment A for the State were alsoindicated. After detailed discussions and subsequent deliberations, the PIP was finalised foramounts indicated under different components as detailed in the Attachment B (Annexure I toIV).III. The attention of the State was drawn to the following areas for further action :A. Planning1. The State Government shall, within 45 days of the issue of Record of Proceedings by theMinistry of Health and Family Welfare, issue detailed resource envelop 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, shouldbe encouraged.4. Transparent transfer and career progression systems should be implemented in the State.10

5. The State shall put in place a transparent and effective human resource policy so thatdifficult, most difficult and inaccessible areas attract and retain human resources for health.C. Infrastructure6. The State shall furnish list of facilities to be upgraded within three months if not already notspecified in the PIP.7. The State shall furnish information relating to physical and financial status of infrastructureand building works already taken up every quarter to Infrastructure Division.8. The State shall under take all construction activities in meeting health infrastructure gapswith particular focus in backward districts and inaccessible facilities.D. Communitisation9. The State 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 State shall ensure regular meetings of all community Organizations /District / StateMission with public display of financial resources received by all health facilities.11. The State 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 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. State agreesto periodic procurement audit by third party to ascertain progress in this regard.15. The State 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.F. Specific Programme Related16. The funds approved under the Monitoring and Evaluation activities in the PIP are subject tothe State reporting facility-wise performance on the HMIS portal of the Ministry. The Statesare to also periodically review the quality of data on the HMIS portal at the District and11

Sub-district levels. The funds approved for the Mother and Child Tracking Systems (MCTS)are to be utilized such that there is improved coverage of maternal and care services andimmunisation of children and reflected on 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), AnnexureIII (Immunization) & Annexure –IV (National Disease Control Programmes).12

Annexure-IConsolidated Approval under RCH-II for FY 2011-12S. No. BUDGET HEADNOTE:PROPOSED(Rs. Lakhs)APPROVEDAMOUNT(Rs. Lakhs)1 Maternal Health 58.46 30.49 3.12 Child Health 25.43 25.43 2.63 Family Planning 5.48 5.48 0.64 ARSH 9.50 9.50 1.05 Urban RCH 10.21 10.21 1.06 Tribal RCH 27.50 27.50 2.87 PNDT & Sex Ratio 2.00 2.00 0.28 Infrastructure & HR 608.44 608.44 62.39 Training 67.83 67.25 6.910 Programme Management 190.38 190.38 19.511 Vulnerable Groups 0.00 0.00 0.0Total RCH II Base Flexi Pool 1005.23 976.6812 JSY 58.80 58.8013 Sterilisation & IUDCompensation, and NSV4.47 4.47CampsTotal RCH II Demand Side 63.27 63.27GRAND TOTAL RCH II 1068.50 1039.95The following items are shifted to NRHM Part B (and are not factored in the proposed amountabove):%Rs. 10 lakhs for Equipments for Postnatal ward & Antenatal ward to operationalise FRUs– to be shifted to MH procurementRs. 10 lakhs for NBSU equipments – to be shifted to CH procurementRs. 6 lakhs for school health medicines – to be shifted to procurementRs. 32.66 lakhs for HR under AYUSHRs 86.15 lakhs for IEC/BCCRs. 8.50 lakhs for construction of sharp pits under IMEPThe following items are shifted from NRHM Part B (and are factored in the proposed amountabove):Rs. 14.925 lakhs for ASHA incentive for newborn careRs. 2 lakhs PNDT activities13

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs. Lakhs)A. RCH TECHNICAL STRATEGIES & ACTIVITIES (RCH FLEXIBLE POOL)A.1 MATERNAL HEALTHA.1.1Operationalise facilitiesAmountApproved(Rs. Lakhs)RemarksA.1.1.1 Operationalise FRUs 1 Equipments forPostnatal ward& Antenatalward tooperationaliseFRUs - shifted toMHprocurementunder MissionFlexi Pool.A.1.1.2A.1.1.3A.1.1.4A.1.1.5A.1.2A.1.3A.1.3.1A.1.3.2Operationalise 24x7 PHCsMTP services at healthfacilitiesRTI/STI services at healthfacilitiesOperationalise Sub-centresReferral TransportIntegrated outreach RCHservicesRCH Outreach Camps/OthersRs. 20,0000/ClinicMonthly Village Healthand Nutrition Days Rs. 150/sessionA.1.4 Janani Suraksha Yojana /JSYRunning of 6RTI/ STIclinics7992 VHNDsessions12.00 12.0039.96 11.99 Approved @ Rs.150 (against Rs.500 / VHNDproposed).A.1.4.1 Home Deliveries Rs. 500 1000 deliveries 5.00 5.00A.1.4.2Institutional DeliveriesA1.4.2.a Rural Rs. 700 3800 deliveries 26.60 26.60A1.4.2.b Urban Rs. 600 200 deliveries 1.20 1.20A1.4.2.cC-sectionsA.1.4.3 Administrative Expenses AdministrativeexpensesA.1.4.4 Incentive to ASHAs Rs. 600 forrural and Rs.200 for urbanASHAincentive for4000 deliveries2.80 2.8023.20 23.2014

FMRCodeA.1.5ActivityMaternal Death ReviewUnit Cost(where-everapplicable)deliveriesRs. 10,000Physicaltarget/Expectedoutput5 reviewmeetings (4 -district and 1 -state level)A.1.6 Other strategies/activities Rs. 300 Post natal kit(warm clothes)for 2000institutionaldeliveriesAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)0.50 0.506.00 6.00Sub-total Maternal Health58.46 30.49(excluding JSY)Sub-total JSY 58.80 58.80A.2 CHILD HEALTHA.2.1A.2.2A.2.3A.2.4A.2.5A.2.6A.2.7IMNCIFacility Based NewbornCare/ FBNCHome Based NewbornCare/ HBNCInfant and Young ChildFeeding/ IYCFCare of Sick Children andSevere MalnutritionManagement of Diarrhoea,ARI and MicronutrientMalnutritionOther strategies/activitiesRs. 2.50 lakhs 4 NBSUsCivil Works operationalisedand Rs.2.50lakhs forEquipments &FurnitureA.2.8 Infant Death Audit RS 10,000 5 reviewmeetings (4 -district and 1 -state level)A.2.9Incentive to ASHA underChild HealthRs. 50 / visitASHAincentive forANC and PNCvisits for 5970casesRemarks10.00 10.00 NBSUequipments -have beenshifted to CHprocurementunder MissionFlexi pool.0.50 0.5014.93 14.93 ASHA incentivefor newborn caremay not begiven per visit,but based onoutcomes, i.e.15

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Sub-total Child Health 25.43 25.43A.3 FAMILY PLANNINGA.3.1A.3.1.1A.3.1.2Terminal/ LimitingMethodsDissemination of manualson sterilisation standards &QA of sterilisation servicesFemale Sterilisation campsRs.15000/campA.3.1.3 NSV camps Rs. 14000/campA.3.1.4A.3.1.5A.3.1.6A.3.2A.3.2.1A.3.2.2A.3.2.3A.3.2.4A.3.2.5Compensation for femalesterilisationCompensation for malesterilisationAccreditation of privateproviders for sterilisationservicesSpacing MethodsIUD campsIUD services at healthfacilitiesAccreditation of privateproviders for IUD insertionservicesSocial Marketing ofcontraceptivesContraceptive UpdateseminarsRs. 1000/ caseRs.1500/ caseRs 20 toacceptorsRs.20000/seminarA.3.3 POL for Family Planning Rs. 20000/district4 femalesterilizationcamps0.60 0.604 NSV camps 0.56 0.56145 femalesterilizations1.45 1.45135 NSV cases 2.03 2.032160 IUCDinsertionTo organize 5seminars oncontraceptiveupdateMonitoring ofFP activitiesA.3.4 Repairs of Laparoscopes maintenance oflaparoscopesA.3.5 Other strategies/ activities Rs. 50 / casefor ASHAincentiveFollow up of2,160 IUCDclients by0.43 0.431.00 1.000.80 0.802.00 2.001.08 1.08Remarkssurvival of thenewborn.16

FMRCodeActivitySub-total Family Planning(excluding compensation)Sub-total Sterilisation andIUD compensation, andNSV campsA.4 ADOLESCENTREPRODUCTIVE ANDSEXUAL HEALTH /ARSHA.4.1Adolescent services athealth facilitiesUnit Cost(where-everapplicable)Rs 10000/DH, Rs25000/ StateA.4.2 School Health Programme First Aid kitRs. 500/School;mobility Rs.300/ School;mobilitysupport Rs.30000/ peryear/ districtA.4.3Other Strategies/ ActivitiesPhysicaltarget/ExpectedoutputASHAsMonitoring &supportivesupervision ofAFHS clinics1176 schools tobe covered, 150new nodalteachers to betrainedAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)5.48 5.484.47 4.470.65 0.65Remarks8.85 8.85 School healthmedicines havebeen shifted toprocurementunder Missionflexi pool.Sub-total ARSH 9.50 9.50A.5 URBAN RCH Upgradation ofone UPHSC(Ranipool);Running costof 6 UHPs,Incentives forlink workers &mobilitysupport foroutreachservices10.21 10.21A.6 TRIBAL RCH PerformanceBasedincentive forhealth Staffunder 30% ofPHCs falling27.50 27.50 This amount isapprovedSubject to stateproviding thedetails on unitcost of incentives17

FMRCodeActivityA.7 PNDT & Sex RatioA.7.1Support to PNDT CellUnit Cost(where-everapplicable)Physicaltarget/Expectedoutputunder TribalAreaA.7.2 Other PNDT Activities Rs. 10000 Quarterlymeeting cumawarenessprogramme atState anddistrict levelsSub-total PNDT & SexRatioA.8 INFRASTRUCTURE(Minor Civil Works) &HUMAN RESOURCES(Except AYUSH)A.8.1 Contractual Staff &ServicesA.8.1.1A.8.1.2A.8.1.3ANMs, Staff Nurses,Supervisory NursesLaboratory Technicians,MPWsSpecialists (Anaesthetists,Paediatricians, Ob/Gyn,Surgeons, Physicians,Dental Surgeons,Radiologist, Sonologist,Pathologist, Specialist forSalary rangefor ANMs @Rs. 11000 –15015;GNMs @ Rs.12000-16380/-,SNs @ Rs.12000-16380/-Salary rangefor LTs @ Rs.9200 –10975/-;MPWs @ Rs.10000/-Salary rangefor Specialists@ Rs. 22000 –40000/-24 GNM, 44SN & 93 ANMappointed atSC, CHC &PHC15 Lab Techs;10 MPHWs atUFWC andUHPsSalary of 8existingspecialists, 1paediatrician, 1ophthalmologist, and 6AmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarksfor differentcategory ofpersons at theidentifiedfacilities.2.00 2.00 Shifted fromMissionflexipool2.00 2.00253.89 253.8929.56 29.56 2 MPHWs forDH underAYUSH shiftedto MissionFlexipool59.52 59.5218

FMRCodeA.8.1.4CHC )ActivityPHNs at CHC, PHC levelA.8.1.5 Medical Officers at CHCs /PHCsA.8.1.6A.8.1.7Additional Allowances/Incentives to M.O.s ofPHCs and CHCsOthers - ComputerAssistants / BCC CoordinatoretcUnit Cost(where-everapplicable)Salary rangefor MO’s @Rs.22000-27720/-;GDMOs @Rs.22000 –30030/-Dental tech. @9000/-;ophthalmicassistants @40000/-;pharmacistsalary range@ 9500-10975/-; X-Ray techssalary range@ 9500-10120;dataoperators @Rs. 8500;paramedicssalary range@ Rs. 9200-10975; ECGTech @ Rs.10975/- OTtech @ 9500/-;store keeperssalary range@ Rs. 8000-8400; coldchain officerPhysicaltarget/ExpectedoutputdentistsSalaries of 15GDMO, 32MO'sIncentives toGNM, ANM,MO's,paramedics etcworking atdifficult areas6 Dental techs,2 ophthalmicassistants, 20pharmacist, 8X-Ray techs, 2data operators,5 paramedics, 1ECG Tech, 1OT tech, 24store keepers, 1cold chainofficer, 1 coldchain tech, 1computerassistant atstate & 4computerassistants atdistricts, 5incineratoroperatorsAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks135.66 135.66 8 MOs forAYUSH shiftedto MissionFlexipool38.37 38.3791.45 91.45 1 Programme/Account/Data/Manager forAYUSH and 5Paramedics forAYUSH to beshifted toMission Flexipool19

FMRCodeA.8.1.8A.8.1.9ActivityIncentive/ Awards etc. toSN, ANMs etc.Human ResourcesDevelopment (Other thanabove)A.8.1.10 Other Incentives Schemes(Pl. Specify)A.8.2A.8.2.1A.8.2.2Minor civil worksMinor civil works foroperationalisation of FRUsMinor civil works foroperationalisation of 24hour services at PHCsSub-total Infrastructure &HRA.9 TRAININGA.9.1A.9.2Strengthening of TrainingInstitutionsDevelopment of trainingpackagesUnit Cost(where-everapplicable)@ Rs. 22000/-;cold chaintech @ Rs.10000/-computerassistant atstate @ Rs16400/-; &computerassistants atdistricts @ Rs.9500-12000;incineratoroperatorssalary range@ Rs.9500-10975/-Physicaltarget/ExpectedoutputTeaching aids@ RS 1 Lakhfor 4 districts &1 lakh formaintenance oftraining centreat state levelAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)0.00 0.000.00 0.000.00 0.000.00 0.000.00 0.00608.44 608.445.00 5.00Remarks20

FMRCodeA.9.3ActivityMaternal Health TrainingUnit Cost(where-everapplicable)A.9.3.1 Skilled Attendance at Birth Rs. 50000/batchA.9.3.2A.9.3.3Comprehensive EmOCTraining (including c-section)Life saving Anaesthesiaskills trainingRs. 70000 /MORs. 1.50 lakh /MOA.9.3.4 MTP training Rs 35000/personPhysicaltarget/Expectedoutput20 batches2 MOs2 MOs3 MOsA.9.3.5 RTI / STI Training 120 MOs andspecialists, 150ANMs andSNs, 48 LTs,and 20counsellorsAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks10.00 10.00 Approved as perGOI norms1.40 1.403.00 3.001.05 1.053.93 3.93A.9.3.6 BEmOC training 0.00 0.00A.9.3.7Other MH Training(Training of TBAs as acommunity resource, anyintegrated training, etc.)0.00 0.00A.9.4 IMEP Training 0.00 0.00A.9.5Child Health TrainingA.9.5.1 IMNCI Rs.50000/batchA.9.5.2 F-IMNCI Rs. 120000/batchA.9.5.3A.9.5.4A.9.5.5A.9.6A.9.6.1Home Based NewbornCareCare of Sick Children andsevere malnutritionOther CH Training (pl.Specify)Family Planning TrainingLaparoscopic SterilisationTrainingRs. 25000 /batchRs.71,240 perteam6 batches/ 90ANMs5 batches/ 80MOs and SNs6 batches/ 180HW for NSSK;5 batches ofnodal teachersfor SchoolHealthLaparoscopictraining of 2teams3.00 3.006.00 6.000.00 0.000.00 0.002.75 2.752.00 1.42 Approved as perGOI norms ofRs. 71,240/- per21

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)A.9.6.2 Minilap Training 0.00 0.00A.9.6.3 NSV Training 0.00 0.00A.9.6.4IUD Insertion TrainingRs 25000/batchIUCD trainingof 20 MOs and30 HWs2.50 2.50A.9.6.5 Contraceptive Update 0.00 0.00A.9.6.6Other FP Training (pl.Specify)A.9.7 ARSH Training Rs. 75000/batchA.9.8A.9.8.1Programme ManagementTrainingSPMU TrainingA.9.8.2 DPMU Training Rs. 2.25 lakhs/ batchA.9.9A.9.10Other training (pl.Specify)Training (Nursing)A.9.10.1 Strengthening of ExistingTraining Institutions/Nursing SchoolA.9.10.2 New Training Institutions/SchoolDPH training- Rs. 2 lakhs /MO; CME forMO's - Rs. 1lakhs /district; CMEforparamedics -Rs. 50000 /district;NRHMseminars - Rs.1 lakh each;USG training- Rs. 2.50lakhs5 batches ofMOs / HWManagementtraining of 50DPM's & MO'sTraining ondiploma in PHfor 3 MO's;Training of 1MO on ultrasonography; 3seminars onNRHM forMission andSocietymembers; CMEfor 4 MO's and4 nurses /paramedicalstaff0.00 0.003.75 3.754.45 4.4519.00 19.000.00 0.000.00 0.00A.9.11 Training (Other HealthPersonnel)A.9.11.1 Promotional Training of 0.00 0.00teamRemarks22

FMRCodeActivityhealth workers females tolady health visitor etc.A.9.11.2 Training of ANMs, Staffnurses, AWW, AWSA.9.11.3 Other training and capacitybuilding programmesUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)0.00 0.000.00 0.00Sub-total Training 67.83 67.25A.10 PROGRAMME / NRHMMANAGEMENT COSTSA.10.1A.10.2Strengthening of SHS/SPMU (Including HR,Management Cost,Mobility Support, fieldvisits )Strengthening of DHS/DPMU (Including HR,Management Cost,Mobility Support, fieldvisits )State datamanager @Rs. 23625/-;AssistantAccountant @19950/-;StatisticalAssistant @Rs. 19950/-;AssistantState AccountManager @15750/-;OfficeAssistant @Rs. 10500/-;State logisticsmanager @Rs. 15000/-;districtlogisticsmanager @Rs. 10000/-1 State datamanager; 1AssistantAccountant; 1StatisticalAssistant; 1Assistant StateAccountManager; 3OfficeAssistant; 1State and 4districtlogisticsmanager;Salary rangeof DAM @ Rs.15750-30030/- 8 DAM; 3 data; data assistant; 3assistant @ Rs. district data21450/-; assistant; 4district data Assistantassistant @ Accountant;9820/-;Assistant47.64 47.6451.89 51.89Remarks23

FMRCodeA.10.3ActivityStrengthening of BlockPMU (Including HR,Management Cost,Mobility Support, fieldvisits )Unit Cost(where-everapplicable)Accountant @Rs 8000/-Physicaltarget/ExpectedoutputSalary rangeof BPM cumAccountant @ 26 BPM cumRs. 13000- Accountant; 2615015/-; data data entryentry operator operator;@ Rs. 8500-9820/-AmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)77.25 77.25A.10.4 Strengthening (Others) Tally training 2.50 2.50A.10.5 Audit Fees 7.50 7.50A.10.6 Concurrent Audit Rs 30000/ pm 3.60 3.60A.10.7Mobility Support to BMO/MO/ OthersSub-total Programme190.38 190.38ManagementA.11 VULNERABLE GROUPS 0.00 0.00RemarksTOTAL RCH II BASEFLEXI POOLTOTAL RCH IIDEMAND SIDE1005.23 976.6863.27 63.27GRAND TOTAL RCH II 1068.50 1039.9524

FMRCodeB1B.1.1B1.1.1B1.1.2B1.1.3B1.1.4B1.1.5ASHAActivityASHA CostSelection &Training of ASHAProcurement ofASHA Drug KitOther Incentive toASHAs (if any)Awards toASHA's/ LinkworkersASHA ResourceCentre/ASHAMentoring GroupConsolidated Approval under NRHM Flexi Pool for FY 2011-12Unit Cost (whereeverapplicable)6th & 7th Moduletraining for ASHA290100 / Batch(Total 360 ASHAs @Rs.805 / ASHA)Incentive for ANC &PNC Visit by ASHA @Rs 50 x 5 visit x 10cases x No of ASHAsStrengtheningcommunicationpackage Incentive @Rs 100 x 12 mts x Noof ASHAsPhysicalTargetMission Flexible Pool12Batches597ASHAsAmountProposed(In Lakhs)AmountApproved(In Lakhs)Annexure-IIRemarks34.81 34.81 TA/DAFooding/Accommodation etc. forbatch of 25ASHA's andThreeResourcePerson0.00 0.00 Since Statehas notproposed forreplenishmentof ASHADrug kit, maybereplenishedfrom SC/PHCDrugs14.92 0.00 Approvedunder RCHFlexipool651 7.81 0.00 NotApprovedRs.5000/ ASHA 5 0.35 0.25 Approved@5000 x 5=25000Performanceto be monitoragainst setBenchmarksState ASHAMentoring GroupQuarterly meeting ofState AMG @ Rs10000 x 4 Meeting.4 0.40 0.40 Approved25

FMRCodeActivityUnit Cost (whereeverapplicable)Field Visit for SAMG(Dist Hospital, 2 PHC,2 PHSC & 2 ASHAvillage) @ Rs 20000 /District visitsPhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)Remarks4 0.80 0.80 ApprovedB2Untied FundsRegional AMGmeeting for 2 AMGmember @ Rs 25000/AMG memberDistrict ASHAMentoring GroupQuarterly meeting ofDistrict AMG@Rs.5000 x 4 meetingsField visit for DAMG(2 member x 2 visits/district) @ Rs.3000 x 2member x 2 visitsASHA Monthlymeeting at PHC @ Rs125 x12 mts x No ofASHAsMobility support forHealth Educators,District HealthEducation Officers &NGO representativesfor supportivesupervision in thefield @ @ 5000 x 6monthsSupportiveSupervision by ASHAFacilitators @ Rs 200x10 visits x 6mts x Noof FacilitatorsPrinting of reportingformats ( pregnancyformat, deliveryformat, new-bornformat & PNC format@ Rs 1000x no ofASHAReporting formats &record keeping @ Rs500 x No of ASHAs2 0.50 0.50 ApprovedApproved16 0.80 0.80 Approved8 0.48 0.48 Approved651 9.76 9.76 Approved13 3.90 3.90 Approved68ASHAfacilitators597ASHAs8.16 8.16 Approved5.97 3.74 Approved651 3.25 3.25 ApprovedB2.1 Untied Fund for Rs. 50000/ CHC 2 1.00 0.00 Not26

FMRCodeCHCsActivityUnit Cost (whereeverapplicable)PhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)RemarksApprovedAs per RHS2010 there areNo CHCsB2.2 Untied Fund for Rs. 25,000/ PHC 24 6.00 6.00 ApprovedPHCsB2.3 Untied Fund for Rs.10000/ PHSC 147 14.70 14.70 ApprovedSub CentresB2.4 Untied fund for Rs.10000/ VHSC 641 64.10 64.10 ApprovedVHSCB.3 AnnualMaintenanceGrantsB3.1 CHCs Rs.100000/CHC/ PerAnnum2 2.00 0.00 NotApprovedAs per RHS2010 there areNo CHCsB3.2 PHCs 50000/ PHC 24 12.50 12.00 Approved24 x 50000 =1200000B3.3 Sub Centres 10000/SC 139 13.90 13.90 ApprovedB.4 HospitalStrengtheningB.4.1 Upgradation ofCHCs, PHCs, Dist.Hospitals to IPHS)B4.1.1 District Hospital Extension/augmentation of BlStorage unit at DHGyalshing @ Rs200000/-Equipment for Bl.Storage east and westSikkim DHs @ Rs.170000 for EastSikkim DH and Rs.350000 for WestSikkim DHSetting up of Bl.storage at ManganDH @ 450294OT Equipment for DHMangan @50 lakhsSurgical Equipmentfor Singtam &Mangan DH @ 401 2.00 2.00 Approved5.20 1.70 ApprovedEquipmentsin east SikkimDH.Blood Storageequipmentcan bebudgetedunder NACO4.50 0.00 NotApprovedThe proposed50.00 0.00 amount isalready40.00 0.00 Approved In2010-11 ROP27

FMRCodeActivityUnit Cost (whereeverapplicable)lakhsPhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)B4.1.2 CHCs 0.00 0.00B4.1.3 PHCs 0.00 0.00B4.1.4 Sub Centers 0.00 0.00B4.1.5 Others Resuscitation andother equipment @14.02 LakhsB 4.2Strengthening ofDistrict, SubdivisionalHospitals, CHCs,PHCsRenovation ofapproach road of 11PHCRenovation andaddition of 3 phase4wire feeder andextension of 3 phase6wire L.T. distributionline from 500KVAdistributiontransformer toSingtam DistrictHospital @ Rs 4450000Extension of the IRL(Intermediatereference laboratory)at STNM Hospital,with provision ofthree phased powersupply. A lumsum ofRs 10,00,000 is beingproposedEquipment &Furniture for Rhenock& Jorethang CHC11 PHCapproach roadsRemarks14.02 0.00 NotApprovedThe proposedamount isApproved In2010-11 ROP146.45 0.00 NotApprovedMay beproposedunder StateBudget1 44.50 44.50 Approved10.00 10.00 Approved40.00 4.00 Continuationof the activityapproved inROP 2010-11,Balanceamount of Rs4 lakhsapproved28

FMRCodeActivityB4.3 Sub Centre Rentand ContingenciesASHA GharB4.4 Logisticsmanagement/improvementB5 NewConstructions/Renovation andSetting upB5.1 CHCsUnit Cost (whereeverapplicable)Equip. and Furniturefor Bermoik & Hee-Gyathang PHCPhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)Remarks73.21 33.21 Continuationof the activityapproved inROP 2010-11,Balanceamount of Rs33.21 lakhsapprovedRs 24000/ SC 8 1.92 1.92 ApprovedDISTRICT HOSPITALASHA Ghar @ Rs3000/pmPHC/CHC levelASHA Ghar @ Rs1500/ PHC/ monthTraining on Pro MISwarehouse @ Rs.46517 for one batch of25 personProcurement ofComputers andperipherals at centralMedical Store & at4DH@ Rs 100000/facilityPrinting andcomputer stationeries@ Rs 1500/pmB5.2 PHCs Augmentation/Renovation of 16 PrimaryHealth Centres.4 1.80 1.44 ApprovedFor 4 DHsASHA Gharin the State.3000 x 12 x 426 4.68 4.68 Approved1 batch 0.46 0.46 Approved5 5.00 3.00 Approved5 Computersx 60,000= 3lakhs5 0.90 0.24 Approved5 Computersx 400 x 12Months=24,00016 123.96 73.96 Continuationof the activityapproved inROP 2010-11,Balanceamount of Rs73.96 lakhsapproved29

FMRCodeActivityUnit Cost (whereeverapplicable)B5.3 SHCs/Sub Centres For Construction of 4Sub-centre (2 in east, 2in west) @ Rs. 2000000B5.10 Training(Nursing)B.5.10.1 ANM/GNMTraining School(Suchagang)B.6 Corpus Grants toHMS/RKSConstruction ofadditional 3 NewPHSC(Kamling,Phanthang, Legship)building andreconstruction ofKarjee PHSC @ Rs.2000000Re-wiring of Sub-Centre in the (State 14nos) sanction in ROP2010-11 @ Rs 346000/SCB6.1 District Hospitals Rs 500000/ DH / perannumB6.2 CHCs Rs. 100000/CHC/AnnumB6.3 PHCs Rs. 100000/CHC/AnnumB7District ActionPlans (IncludingBlock, Village)Rs.2,00,000/District& StatePhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)Remarks4 80.00 40.00 Continuationof the activityapproved inROP 2010-11,Balanceamount of Rs40 lakhsapproved4 80.00 80.00 Approved14 48.44 24.22 Continuationof the activityapproved inROP 2010-11,Balanceamount of Rs24.22 lakhsapproved325.00 0.00 NotApprovedApproved inROP 2010-11underNursingInitiative4 20.00 20.00 Approved2 2.00 0.00 NotApprovedAs per RHS2010 there areno CHCs24 24.00 24.00 Approved4Districts+ State=510.00 10.00 Approved30

FMRCodeActivityB8 Panchayati RajInitiativeB8.1 Constitution andOrientation ofCommunity leader& of VHSC, SHC,PHC, CHC etcB8.2 OrientationWorkshops,Trainings andcapacity buildingof PRI atState/Dist. HealthSocieties,CHC,PHCUnit Cost (whereeverapplicable)Training of VHSCMembers(30/batch) @ Rs15000/ BatchPhysicalTarget83BatchesAmountProposed(In Lakhs)AmountApproved(In Lakhs)Remarks12.45 12.45 Approved0.00 0.00B8.3 Others 0.00 0.00B9Mainstreaming OfAYUSHB9.1 Medical Officers atDH/CHCs/ PHCs(only AYUSH)B9.2 Other Staff Nurse/SupervisoryNurses (forAYUSH)B 9.3 Activities otherthan HRB.10 IEC-BCC NRHMB.10 Strengthening ofBCC/IEC Bureaus(state and districtlevels)Salary of MO existingAYUSH @ Rs22000/pmSalary of MO existing(2-3 yrs) @Rs27720/pmSalary of Paramedics(1-2 yrs) @Rs10975/pmSalary of 2Paramedics AYUSHfor CHC @Rs.9200/pmOtherProgramme/Account/ Data Manager @15000/pmAppointment ofMPHW for DH @ Rs8000 per monthCapacity Building(30/batch) @ Rs 75000Strengthening ofBCC/IEC Bureau ofdistrict and State @ Rs6 15.84 15.84 Approved2 6.65 6.65 Approved3 5.26 5.26 Approved2 1.65 1.65 Approved1 1.80 1.80 Approved2 1.44 0.00 NotApproved0.00 0.001 0.75 51.00 Approved1 6.00All activitiesproposedmust be31

FMRCodeB.10.1B.10.2B.10.2.1B.10.2.2B.10.2.3ActivityDevelopment ofState BCC/IECstrategyImplementation ofBCC/IEC strategyBCC/IEC activitiesfor MHBCC/IEC activitiesfor CHBCC/IEC activitiesfor FPUnit Cost (whereeverapplicable)PhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)Remarks600000 incurred1 3.00withinapprovedamountProduction of Newsletter quarterly &annually of NRHMfrom IEC @ Rs 300000Development of rangeof materials tosupport BCC/IECprog. @ Rs1500000Maintenance of AudioVisual Equipment @Rs200000/r State&50000/DistrictProduction ofCalendar of NRHM @Rs150000Safe Mother HoodDay @ Rs 5000/progBCC/IECACTIVITIES FORbreast feed @Rs.5000/ProgCelebration of NewBorn Week @Rs.3500/progCounselling withEligible couple @ Rs4650001 15.005 4.001 1.5031 1.5531 1.5531 1.081 4.65B.10.2.4 BCC/IEC activitiesfor ARSHB.10.3 Health Mela Rs.500000 4 20.00B.10.4Creatingawareness ondeclining sex ratioissue.BCC/IECACTIVITIES FORworld population day@ Rs.5000/progB.10.5 Other activities Various ECC/IECactivity(workshop,Counselling, trainingto PRI/NGO etc.) @Rs 725000Mobility support forIEC activities @ Rs20000031 1.551 7.251 2.0032

FMRCodeB11ActivityMobile MedicalUnits (Includingrecurringexpenditures)Unit Cost (whereeverapplicable)Awareness onTuberculosisinvolving NGOs &PRI members etc. @Rs. 500000Increase awarenessDrug /AlcoholAbuse at Districts,PHCs, State @ Rs5000/prExhibition at District@ Rs 50,000/DistrictSOCIALMOBILISATION @ Rs255000Exhibition at Statelevel @ Rs200000Contingenciesexpenditure forDistrict & UFWC @ Rs10000/facilityDisseminatingmessages throughFM, Local papers &Cable @ Rs150000Printing &Stationeries @Rs.4000/pmMedicines,Consumables & LabKits @ Rs.4000/ campPhysicalTargetAmountProposed(In Lakhs)1 5.0014 0.754 4.001 2.551 2.005 0.501 1.50AmountApproved(In Lakhs)Remarks4 1.92 94.84 Approved672 26.88DA for MMU staffs @ 32 8.06Rs.150 x 8Head/campPOL @ Rs. 55000 / pm 4 24.00Vehicle Maintenance,servicing & lubricant@ 108000/ DHMaintenance ofEquipmentAMC for Equipmentfor 1 year @ Rs 50000/District @ 125000/year/ vehicleMMU ManpowerSalary of MO (Newlyrecruited) @Rs.22000/pm4 4.324 2.008 10.005 13.20As per theGOI NormsRs 23.71 lakhsper districtper annum/MMU isallowed.Balance to bemet underState Budget33

FMRCodeActivityUnit Cost (whereeverapplicable)Salary of MO (1-2yrs) @ Rs 25410/pmSalary of MO (2-3 yrs)@ Rs 27720/pmSalary of Staff Nurse(to be recruited) @ Rs12000/pmSalary of LabTechnicians (2-3yrs) @Rs 10975/pmSalary of X-RayTechnicians @ Rs.9200Salary of X-RayTechnicians (1-2 yrs)@ Rs. 10975/pmSalary of X-RayTechnicians ( 2-3yrs)@ Rs11970/pmSalary of Pharmacist(NEW) @ Rs9500/pmSalary of Pharmacist(1-2 yrs) @ Rs10975/pmSalary of Driver(NEW) @ Rs 5000/pmPhysicalTargetAmountProposed(In Lakhs)2 6.091 3.334 5.764 5.261 1.102 2.631 1.432 2.282 2.632 1.20AmountApproved(In Lakhs)Salary of Driver (2-3 10 6.93yrs) @ Rs5775/pmB12 Referral Transport 0.00 0.00B13 PPP/ NGOsB13.1 Nongovernmentalproviders of healthcare RMPs/TBAsB13.2 Public PrivatePartnershipsB13.3 NGO Programme/Grant in Aid toNGOB14B15Innovations (IfAny)Planning,Implementationand MonitoringB15.1 CommunityMonitoring(Visioningworkshops atstate, Dist, Block0.00 0.000.00 0.00RemarksRs 1000000/ Dist 4 40.00 40.00 ApprovedList of NGOsto beProvided0.00 0.0034

FMRCodelevel)ActivityUnit Cost (whereeverapplicable)PhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)RemarksB15.1.1 State level Capacity building on2.89 2.89 ApprovedCommunityMonitoring(As per GOIGuidelines)B15.1.2 District Level Quarterly review at13.23 13.23 ApprovedState, DH, PHC &PHSC withinvolvement of ASHAB15.1.3 Block Level 0.00 0.00B15.1.4 Other Publication 0.30 0.30 ApprovedB15.2 Quality Assurance 0.00 0.00B15.3 Monitoring andEvaluationB15.3.1Monitoring &Evaluation /HMIS/MCTS.Monitoring datacollection and dataquality & Mobility @20000/pm for State,5000/ pm for DistrictSensitization of 666ASHAs on MCTS @Rs. 30000/ batchWorkshop andtraining on M & E(DPMU Staff) @30000/batchReview meeting ofMCTS activities @ 1lakh at state, 50000 /DistrictB15.3.2 ComputerizationHMIS and e-governance, e-healthB15.3.3 Other M & E Internet connectivity(New USB Modemfor14 PHC) @ Rs159600Annual Maintenance@ Rs 700/pm5 4.80 4.80 Approvedsubject tofacility basedreporting onthe HMIS andMCTS portalof theMinistry22 6.60 6.60 Approved4 1.20 1.20 Approved5 3.00 3.00 Approved0.00 0.0014 1.59 1.59 Permissiblesubject tofacility basedreporting on30 2.52 2.52 the HMIS andMCTS portalof theMinistry35

FMRCodeActivityUnit Cost (whereeverapplicable)Development ofwebsitePrinting of register tomake compatible withnew HMIS Registers@ Rs 50000/ districtPrinting of new forms@ Rs. 50000/ DistrictReorientation ofManagement &Healthstaff @ 50000/batchPhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)Remarks4.50 4.50 Approved4 2.00 2.00 Approved4 2.00 2.00 Approved6 3.00 3.00 ApprovedB.16 PROCUREMENTB16.1 Procurement ofEquipmentB.16.1.1B.16.1.2B.16.1.4B.16.1.5B.16.2B.16.2.1B.16.2.2Procurement ofequipment: MHProcurement ofequipment: CHProcurement ofequipment: IMEPProcurement ofothersProcurement ofDrugs andsuppliesDrugs & suppliesfor MHDrugs & suppliesfor CHProcurement ofAmbu-Bag (Adult &Child) for 2 CHC & 24PHCEquipments forPostnatal ward &Antenatal ward (CTGMonitor, VacuumExtractorNatal/Sclastic,foreceps Delivery Kit,Epxscoloney Kit &Cranibtony Set)- tooperationalise FRUsEquipment &Furniture for NBSU atDH @ Rs 250000/DHProcurement ofSchool HealthMedicine (Dental &General) @ Rs 600000Construction of Sharppit at STNM &printing of biomedicalcolour codecharts @ 8500003.36 0.00 NotApprovedApproved inROP 2010-111 10.00 10.00 Approved4 10.00 10.00 Approved6.00 6.00 Approved1 8.50 8.50 Approved0.00 0.000.00 0.000.00 0.0036

FMRCodeActivityUnit Cost (whereeverapplicable)PhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)B.16.2.3 Drugs & supplies0.00 0.00for FPB.16.2.4 Supplies for IMEP 0.00 0.00B.16.2.5General drugs &supplies for healthfacilitiesB.17 Regional drugswarehousesProcurement ofessential drugs forDH & PHC @ Rs500000/ DistrictProcurement ofHaemoglobin colourscale for 147 Sub-Centres @ Rs 2040/Haemoglobin colourscaleRemarks4 20.00 20.00 Approved147 3.00 3.00 Approved0.00 0.00B.18 New Initiatives/StrategicInterventions (Asper State healthpolicy)/Innovation/Projects(Telemedicine,Hepatitis, MentalHealth, NutritionProgramme forPregnant Women,Neonatal) NRHMHelpline) as perneed (Block/District ActionPlans)B.19 Health InsuranceSchemeB.20 Research, Studies,AnalysisRural Dental ServicesEquipments dentalchair & extractioninstrument for 2PHCs@ 720000/ PHCImpact assessment ofNRHM and VariousComponent @ Rs5,00,000/ DistrictImpact Study of NGOProgramme @ Rs300000Impact assessmentStudy on anaemia inPreg. Women @Rs500000Impact assessmentstudy on anaemia in10-19 year old2 14.40 14.40 Approved0.00 0.004 20.00 20.00 Approved1 3.00 3.00 Approved1 5.00 5.00 Approved1 5.00 5.00 Approved37

FMRCodeActivityUnit Cost (whereeverapplicable)Children @ Rs 500000PhysicalTargetAmountProposed(In Lakhs)AmountApproved(In Lakhs)RemarksB.21 State level health0.00 0.00resourcescentre(SHSRC)B.22 Support Services 0.00 0.00B23OtherExpendituresGPS Vehicle tracker @Rs 2000 / set/ monthMaintenance ofgenerators @ Rs 1000039 9.36 9.36 Approved24 2.40 2.40 ApprovedTotal 1832.09 950.6638

FMRCodeConsolidated Approval under Immunization for FY 2011-12Activities( As proposedby the State)Unit Cost(where everapplicable)PhysicalTargetAmountProposedIn LakhsAnnexure-IIIAmountApprovedIn LakhsC.1 RI Strengthening Project (Review meeting, Mobility Support, Outreach services etcc.1.ac.1.bc.1.cc.1.dc.1.ec.1.fc.1.gc.1.hc.1.ic.1.jc.1.kc.1.lc.1.mMobility Support forsupervision for districtlevel officers.Mobility support forsupervision at state levelPrinting anddissemination ofImmunization cards,tally sheets, monitoringforms etc.Support for QuarterlyState level reviewmeetings of districtofficerQuarterly reviewmeetings exclusive forRI at district level withone Block MOs, CDPO,and other stake holdersQuarterly reviewmeetings exclusive forRI at block levelFocus on slum &underserved areas inurban areas/alternativevaccinatorfor slumsMobilization ofchildren through ASHAor other mobilizersAlternative vaccinedelivery in hard to reachareasAlternative VaccineDelivery in other areasTo develop micro planat sub-centre levelFor consolidation ofmicro plans at blocklevelPOL for vaccinedelivery from State toRemarksRs.50000/ Year/district levelofficers. 3 3 -Rs. 100000 peryear.Rs. 5beneficiariesRs. 150 persessionRs. 100 persession0.75 0.75 -0.60 0.60 -0.48 0.48 -1.94 1.94 -0.67 0.67 -10.49 10.49 -1.58 1.58 -Rs. 50 per session 2.71 2.71 -@ Rs 100/- persub centreRs. 1000 perblock/ PHC andRs. 2000 perdistrictRs100,000/district/year0.15 0.15 -0.32 0.32 -2 2 -39

FMRCodeActivities( As proposedby the State)Unit Cost(where everapplicable)PhysicalTargetAmountProposedIn LakhsAmountApprovedIn LakhsRemarksdistrict and from districtto PHC/CHCsc.1.nConsumables forcomputer including @ 400/ - month/provision for internet district0.02 0.02 -access for RIMsc.1.oRed/Black plastic bags Rs. 2/ bags/etc.session0.14 0.14 -c.1.pHubRs. 900 perCutter/Bleach/HypochloPHC/CHC perrite solution/ Twinyearbucket0.15 0.15 -c.1.q Safety Pitsc.1.rState specificrequirementC.1-Sub Total 25 25 -C.2 Salary of Contractual Staffs -Sub Totalc.2.aComputer Assistantssupport for State levelRs.12000-15000per person permonthc.2.bComputer Assistantssupport for District level8000-10000 perperson per monthC.2-Sub Total - - -C.3 Training under Immunizationc.3.aDistrict levelOrientation trainingincluding Hep B,Measles & JE(whereverrequired) for 2 daysANM, Multi PurposeHealth Worker (Male),4 4 -LHV, Health Assistant(Male/Female), NurseMid Wives, BEEs &other staff ( as per RCHnorms)c.3.bThree day trainingincluding Hep B,Measles & JE(whereverrequired) of Medical0.7 0.7 -Officers of RI usingrevised MO trainingmodule)c.3.cOne day refreshertraining of districtComputer assistants onRIMS/HIMS andimmunization formats- - -40

FMRCodeActivities( As proposedby the State)Unit Cost(where everapplicable)PhysicalTargetAmountProposedIn LakhsAmountApprovedIn LakhsRemarksc.3.dOne day cold chainhandlers training forblock level cold chainhandlers by State and1.2 1.2 -district cold chainofficersc.3.eOne day training ofblock level datahandlers by DIOs and0.3 0.3 -District cold chainofficerC.3-Sub Total 6.2 6.2 -C.4 Cold chain maintenanceRs.500/PHC/CHCs per year0.63 0.63 -DistrictRs.10000/yearTOTAL 31.83 31.83 -Pulse Polio Operationalcost (Tentative)23 23Total Including PPIOperational Cost54.83 54.8341

FMRCodeConsolidated Approval under NIDDCP for FY 2011-12ActivityUnit cost(whereverapplicable)PhysicaltargetAmountProposedIn LakhsAmountApprovedIn LakhsAnnexure-IVRemarksD.1 Operational Cost N.A. State Govt.D.1.1 Mobility SupportmayD.1.2 Lab ConsumablescompleteIDDD.1.3 Review MeetingsSurvey ofD.1.4 Field Visitsone districtD.1.5 Formats andand reportReportsmay beD.2 Human ResourcessentD.2.1 IDD Control Cell- Implementati 15.20 10.0 accordinglon &monitoring oftheprogrammeyD.2.2 Technical Officer 1D.2.3 Statistical Assistant 1D.3 LDC Typist 1D.3.1IDD MonitoringLab-D.3.2 Lab Technician 1D.3.3 Lab. Assistant 1D.4 ProcurementsD.4.1 Salt Testing Kitssupplies by GOIinform of kindD.5 ASHA IncentiveMonitoringof districtlevel iodinecontent of saltand urinaryiodineexcretion asper PolicyGuidelines.Creatingiodated saltdemand andmonitoring ofthe same atthecommunitylevel.9.40 5.042

D.6 IEC-BCCActivitiesIncreasedawarenessabout IDDand iodatedsalt.16.10 22.0D.7 IDD Survey Rs. 50,0000.50 1.0per districtTOTAL 41.20 38.0043

Consolidated Approval under IDSP for FY 2011-12IDSPFMRCodeActivity Unit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposedIn LakhsE.1 Operational Cost 9.68 9.681.1 Mobility Support Rs 15,000/-7.68 7.681.5 Formats andReportsOther costs-broadband, collectiontransport ofoutbreak specimens.1.3 Review Meetings1.4 Field Visitsper districtper monthAmountApprovedIn Lakhs1.2 Lab Consumables Rs. 2 lacs per2.40 2.00districtpriority labE.2 Human Resources 32.05 25.742.1 Remuneration of 30,000 1 3.60 3.60Epidemiologists2.2 Remuneration of 20,000 1 4.80 4.80Microbiologists2.3 Remuneration of 20,000 1 2.40 2.40EntomologistsE.3 Consultant-Finance 14,000 1 2.18 1.683.1 Consultant-Training 28,000 1 0.00 0.003.2 Data Managers 14,000 5 10.62 8.16(State)13500(District)3.3 Data Entry8500 5 7.97 5.1Operators3.4 Others (office0.84 0.00 NAAssistant)3.5 honorarium for0.48 0.00accounts workE.4 Procurements 3.50 0.00 NAE.5 Innovations/PPP/NGOsNAE.6 IEC-BCC Activities 6.40 0.00 NARemarksE.7 Financial Aids toMedicalNA44

InstitutionsE.8 Training 5.86 1.88 1daytraining forASHA is notallowed.TOTAL 58.73 37.3045

Consolidated Approval under National Vector Borne Disease Control ProgramFMRCodeActivityF.1 DBS (DomesticBudgetary Support)Unit CostwhereeverapplicablePhysicaltarget/DeliverablesAmountProposedIn LakhsAmountApprovedIn LakhsF.1.1 MalariaF.1.1.a MPWF.1.1.b ASHA HonorariumF.1.1.c Operational Cost 9.16 5F.1.1.d Monitoring ,6.5 5.5Evaluation &Supervision &EpidemicPreparednessincluding mobilityF.1.1.e IEC/BCCF.1.1.f PPP / NGO activitiesF.1.1.g Training / Capacity5.1 1BuildingTotal Malaria(DBS) 20.76 11.50F.1.2 Dengue &ChikungunyaF.1.2.a Strengtheningsurveillance (As perGOI approval)F.1.2.bF.1.2.cApex Referral LabsrecurrentSentinel surveillanceHospital recurrentF.1.2.d Test kits (Nos.) to besupplied by GoI(kindly indicatenumbers of ELISAbased NS1 kit and Mac0.5ELISA Kits requiredseparately)F.1.2.e Monitoring/Supervision and RapidResponseF.1.2.f EpidemicPreparednessRemarksThe statehas notproposedanyactivityunder thedisease.The caseshave beenreported.State isrequestedto planfor theactivityunder the46

F.1.2.gF.1.2.hF.1.3F.1.3.aF.1.3.bF.1.3.cF.1.3.dF.1.3.eF.1.4F.1.4.aF.1.4.bIEC/BCC/SocialMobilizationTraining/WorkshopTotal Dengue /chikungunyaAcute EncephalitisSyndrome (AES)/Japanese Encephalitis(JE)Strengthening ofSentinel Sites whichwill includediagnostics andmanagement. Supplyof kits by GoIIEC/BCC specific toJ.E. in endemic areasTraining specific forJ.E. prevention andmanagementMonitoring andsupervisionProcurement ofinsecticides (TechnicalMalathion)- 0.50Total AES/JE - -Lymphatic FilariasisState Task Force, StateTechnical AdvisoryCommittee meeting,printing offorms/registers,mobility support,district coordinationmeeting, sensitizationof media etc.,NA NAmorbiditymanagement,monitoring &supervision andmobility support forRapid Response TeamMicrofilaria surveyNANAdisease asper theapprovedguidelines47

F.1.4.cPost MDA assessmentby medical colleges(Govt. & private)/ICMR institutions.F.1.4.d. Training/sensitizationof district level officerson ELF and drugdistributors includingperipheral healthworkersF.1.4.e. Specific IEC/BCC atstate, district, PHC,sub-centre and villagelevel includingVHSC/GKS forcommunitymobilization efforts torealize the desireddrug compliance of85% during MDAF.1.4.f Honorarium to drugdistributors includingASHA and supervisorsinvolved in MDATotal Lymphatic- -FilariasisF.1.5 Kala-azarF.1.5.1 Case searchF.1.5.2 Spray PumpsF.1.5.3 Operational cost forNA NAspray including spraywagesF.1.5.4 Mobility/POLF.1.5.5 Monitoring &EvaluationF.1.5.6 Training for sprayingF.1.5.7 BCC/IECTotal Kala-azar - -F.2 Externally aidedcomponent (EAC)F2.1 World Bank Project48

F.2.1.a World Bank supportfor Malaria (AndhraPradesh, Chhattisgarh,Jharkhand, MadhyaPradesh, Orissa,Gujarat, Karnataka &Maharashtra)F.2.1.b. Human ResourceF.2.1.c Training /CapacitybuildingF.2.2.dF.2.2Mobility support forMonitoringSupervision &Evaluation & reviewmeetings, Reportingformat (for printingformats)Malaria Subtotal(World Bank AssistedProject Assistance)Kala-azar World BankAssisted ProjectNANA- -F.2.2.a Human Resource NA NAF.2.2.b Capacity BuildingF.2.2.c MobilityKala-azar Sub total(World Bank AssistedProject Assistance)- -Total : EACComponentF.3 GFATM ProjectF.3.a Human ResourceF.3.bF.3.cF.3.dF.3.eF.3.fTraining CostPlanning &AdministrationMonitoring &AdministrationI.E.C / B.C.COperational expensesfor treatment of bednetsF.4 Any Other item(Please Specify)F.5 Operational Costs(Mobility, ReviewMeeting,communication,- -NANA49

formats & reports)F.6 Cash grant fordecentralizedcommoditiesF.6.a Chloroquinephosphate tabletsF.6.b Primaquine tablets 2.5mgF.6.c Primaquine tablets 7.5mgF.6.d Quinine sulphatetabletsF.6.e Quinine InjectionsF.6.f DEC 100 mg tabletsF.6.g Albendazole 400 mgtabletsF.6.hF.6.iDengue NS1 antigenkitTemephos, Bti (forpolluted & nonpolluted water)F.6.j Pyrethrum extract 2%F.6.k. Pracetamol 500Total grant fordecentralizedcommoditiesGrand Total for grant- in- aid underNVBDCPCommodities to besupplied by NVBDCPTotal NVBDCP (Cash+ Commodities)0.50 0.520.76 12.500 5.7620.76 18.26State hasnotrequestedfor thedecentralizedcommodities50

Consolidated Approval under NLEP for FY 2011-12S.No.Activity proposedUnitCostPhysicalTargetsAmountproposedIn LakhsAmountapprovedIn LakhsRemarksG.1 Contractual ServicesState - SMO, BFO cum AO, DEO,Administrative Assistant, DriverDistrict - Drivers (6)G.2 Services through ASHA/USHACompilationthe data andsupervision9.62 9.62 It is as perthe NRHMnormsSensitization of ASHA1.6 ImprovementHonorarium to ASHA 0.8of casedetection andtreatmentcompletionG.3 Office expenses & Consumables 3.4 3.40G.4 Capacity building (Training) Improvementof skills of4 days training of newlymedical andappointed MO (rural & urban)paramedical3 days training of newlystaffappointed health worker & healthsupervisor2 days refresher training of MO5 days training of newlyappointed Lab. TechnicianG.5 Behavioural ChangeCommunication (IEC)Quiz, folk show, IPC workshop,Meeting of opinion leaders,Health melasWall painting, Rallies, HoardingsetcImprovementin selfreporting ofcases &reduction ofsocial stigmaagainst LAP3.08 1.68 Honorariumto ASHAs isnecessary forimprovementof casedetection11.811.43 6.006.00 Very littleexpenditurewas reportedby state lastyear.IEC activitiesshould be anintegral partof NRHMactivity. Verylowexpenditurelast year.G.6 POL/Vehicle operation & hiring2 vehicles at state level & 1 vehicleat district levelG.7 DPMRImprovedsupervision& monitoring6.55 6.5551

MCR footwear, Aids andappliances, Welfare allowance toBPL patients for RCS, Support togovt. institutions for RCSLess no. ofdisabilitiesdue toLeprosyG.8 Material & Supplies 2.7 2.70Supportive drugs, lab. reagents &Less no. ofequipments and printing formsdisability &better recordG.9 Urban Leprosy Control 2.81 2.81G.10 NGO - SET Scheme 0 0.00G.11 Supervision, Monitoring &ReviewReview meetings and travelexpensesG.12 Specific-plan for High EndemicDistrictsG.13 Others (maintenance of VerticalUnit, Training & TA/DA)3.12 0.80 Last yearonly twocases ofGrade-IIdisabilitywerereported &no RCS wasperformed.2.8 2.800 0.003 3.00TOTAL 60.31 45.36State has requested for the funds for procurement of Laptop and LCD Projector, there is noprovision under PIP for the same.52

Consolidated Approval under NPCB for FY 2011-12H1ActivityRecurring Grant-in aidH1.1 For Free CataractOperation and otherApproved schemes asper financial norms@Unit Cost(where-everapplicable)Rs.750/- percasePhysicaltarget/ExpectedoutputAmountProposedIn LakhsAmountApprovedIn LakhsREMARKS800 25 6 (*)ApprovedunderH1.2 Mega screening Camps 3 CAMP 24 24H1.3 Other Eye Diseases@ Rs.1000/-H1.4 School Eye ScreeningProgramme@Rs.200/- percase3500 7 7H1.5 Private Practitioners1.1 1.1@as per NGO normsH1.6 Management of State Rs.14 lakh/ State & District 18.04 8.14Health Society andDistt. Health SocietyRemuneration (salary ,review meeting, hiringof vehicle and OtherActivities &Contingency)Rs7 lakhH1.7 Recurring GIA to EyeDonationCenters@Rs.1000/- andEye Bank@Rs.1500/-per pair of Eye BallRs.1000/-per pairandRs.1500/-per pairCollectionH1.8 Training Ophth. 2.59 2.59Manpower inState & Dist.H1.9 IEC 7 7H1.10 Procurement of4 Dist. 60 20Ophthalmic EquipmentH1.11 Maintenance of5 5OphthalmicEquipmentsH1.12 Grant-in-aid forstrengthening of 1 Dist.Hospitalsscheme GIAfor Catopsand otherapprovedactivities53

H1.13 Grant-in-aid forstrengthening of 2 SubDivisional. HospitalsH2 Non- Recurring Grantin-aidH2.1 For RIO (new) @ Rs.60 lakhH2.2 For Medical College@ Rs.40 lakhH2.3 For vision Centre @ Rs.50000/-H2.4 For Eye Bank @ Rs.15 lakhH2.5 For Eye DonationCentre @Rs.1 lakhH2.6 For NGOs @ Rs.30 lakhH2.7 For Eye Wards and Eye Rs.75 lakh 1 75 75 ApprovedOTS @H2.8 For Mobile Ophthalmic Rs.60 lakhUnits with tele-network@H3 Contractual ManPowerH3.1 Ophthalmic Surgeon@ Rs.25000/- 4 18 12 ApprovedpmH3.2 Ophthalmic Assistant @ Rs.8000/- 14 13.44 13.44 ApprovedpmH3.3 Eye DonationCounselors @Rs.10000/p.m.Total 256.17 181.27(*) = Recurring Grant-in-Aid for Free Cataract Operations and various other schemeswhich include: Other Eye Diseases @ Rs 1000/-, School Eye Screening Programme @ Rs200/- per pair of spectacles, Private Practitioners @ as per NGO norms , Management ofState Health Society and District Health Society @ Rs 14 lakhs/ 7 lakhs, Recurring GIA toEye Donation Centres @ Rs 1000/- pair of Eye Ball collection and Eye Banks @ Rs 1500/-per pair of Eye Ball collection Rs 1500 Training, IEC, Procurement of OphthalmicEquipment, Maintenance of Ophthalmic Equipments, Remuneration, Other Activities &Contingency.54

Consolidated Approval under RNTCP for FY 2011-12Sr.No.Activityunit cost(whereverapplicable)I.1 Civil works As perNorms andCosting forRNTCP.I.2 LaboratorymaterialsI.3.a HonorariumAs perNorms andCosting forRNTCP.As perNorms andCosting forRNTCP.Physicaltarget/expectedoutput1) Civil workUp gradationandmaintenancecompleted asplanned1) Sputum ofTB SuspectsExamined perlac populationper quarter;2) All districtssubjected toIRL OSE andPanel Testingin the year;3) IRLsaccredited andfunctioningoptimally1) All eligibleCommunityDOT Providersare paidhonorarium inall districts inthe FYAmountProposedIn lakhsAmountApprovedIn lakhsRemarks14.5 14.54 One time costfor DP siteandmaintenancecost forIRL/STC, 4DTCs, 5 TUsand 19 DMCsapproved.4.5 1.34Approvedbudget ismaximumadmissible asper norms.2.1 1.89 Amountapproved is asperexpendituretrends andpermissiblenorms.I.4 IEC/PublicityI.5 EquipmentmaintenanceAs perNorms andCosting forRNTCP.As perNorms and1) AllIEC/ACSMactivitiesproposed inPIP2) Increase incase detectionand improvedcase holdingMaintenance ofOffice13 6 Amountapproved is asperexpendituretrends andpermissiblenorms.2.9 2.5 Amountapproved is as55

Costing forRNTCP.I.6 Training As perNorms andCosting forRNTCP.I.7 VehiclemaintenanceAs perNorms andCosting forRNTCP.I.8 Vehicle hiring As perNorms andCosting forRNTCP.I.9 NGO/PPsupportAs perNorms andCosting forRNTCP.Equipments atState/Districtsand IRLequipments tobe completedas plannedInductiontraining,Update andRe-training ofall cadre ofstaff completedas plannedAll 4 wheelersand 2 wheelersin the state arein runningcondition andmaintained1) Increase insupervisoryvisit of DTOsand MOTCs;2) Increase incase detectionand improvedcase holding1) Increase innumber ofNGOs/PPsinvolved insigned schemesof RNTCP;2) Contributionof NGOs/PPSin casedetection andprovision ofDOT1) All activitiesproposedundermiscellaneoushead in PIPcompletedperexpendituretrends andpermissiblenorms.7.2 4 Amountapproved is asperexpendituretrends andpermissiblenorms.10.7 7 Amountapproved is asperexpendituretrends andpermissiblenorms.2.5 0.8 Amountapproved is asperexpendituretrends andpermissiblenorms.0.69 0.4 Amountapproved is asperexpendituretrends andpermissiblenorms.I.10 Miscellaneous As perNorms andCosting forRNTCP.7.5 5.5 Amountapproved is asperexpendituretrends andpermissiblenorms.I.11 Contractual As per 1) All 62.6 48 Amount56

servicesNorms andCosting forRNTCP.I.12 Printing As perNorms andCosting forRNTCP.I.13 Research andstudiesI.14 MedicalCollegesI.15 Procurement–vehiclesI.16 Procurement– equipmentAs perNorms andCosting forRNTCP.As perNorms andCosting forRNTCP.As perNorms andCosting forRNTCP.contractualstaffappointed andpaid regularlyas planned1) All printingactivities atstate anddistrict levelcompleted asplanned1) All activitiesproposedunder MedicalColleges headin PIPcompleted1) Procurementof vehiclescompleted asplanned1) Procurementof equipmentscompleted asplannedI.17 Tribal ActionPlanGrand Total 155.21 114.09approved is asperexpendituretrends andpermissiblenorms.2.5 1.75 Amountapproved is asperexpendituretrends andpermissiblenorms.0 06.9 3 Amountapproved is asperexpendituretrends andpermissiblenorms.16.8 16.77 Budgetapproved butpermission tobe soughtfrom CTD asperguidelines.0.55 0.6 Approved Rs60000 for oneofficeequipment setat State TBcell0 0In addition to this, a commodity grant of Rs. 4.04 lacs has been approved for central levelprocurement of Anti TB Drugs and other commodity. The state could be approved more fundsbased on expenditure pattern in the first six months.57

ANNEX –VList of participants of National Programme Coordination Committee of NRHM toconsider the state PIP of Sikkim held on 21 st March 2011Sl.No Name Designation12345Shri. P. K. PradhanSS & MD (NRHM), MOHFW 23061451Shri Amit MohanPrasad JS (AMP) 23061195Ms. Anuradha GuptaShri. R.S.ShuklaDr. Suresh K.MohammedJS (RCH) 23062157JS (PH) 23061447Director (RCH) MOHFW 230613336 Dr. Sajjan Yadav Director (NRHM)-MOHFW 230616567 Ms. Jaya Bhagat Director-MOHFW 2306-1360Mobile No./ Tele.No/Fax8 Dr. Anjana Saxena DC MH, MOHFW 98104106259 Dr. P. K. Prabhakar AC-CH, Nirman Bhavan981078050023062555 (Tel Fax)10 Dr. P.K. Srivastava Joint Director (NVBDCP) 989149456811 Mr. Ajith Kumar. N DD (NRHM) 2306299812 Dr Niraj Kulshresth CMO, TB 2306110713 Narinder Singh RawatProgramme Manager(Dept. Of AYUSH)14 R. K. Thapliyal SSO, NRHM-III15 Suresh Kumar Singh Investigator, NRHM-III16 S. K. Bose Investigator, NRHM-III17 Sanjeev Rathod FMG 989990076718 Dr. Dilip Singh Consultant, NE- RRC19 Ms. Divya Shree Consultant, NRHM-II 991155597220 Dr. Jayant Pratap Singh Consultant, NRHM-III21 Mr. B.B. BardewaAccounts Officer-cumFinancial Consultant22 Jayanta Kr. Mandal F.A. (FMG)943418426423 Dr. Sugata M Consultant- TB 989964488524 Dr. Amrita Kansal Consultant -FP 802714088858

25 Rakesh Kumar Consultant RCH 991106322526 Mridula Pandey Consultant TMSA 8527140888REPRESENTATIVES FROM STATE GOVERNMENTSl.No Name Designation1 Dr. L.D. Lepcha M.D (NRHM) 094340-238422 Dr. N. Shanga D/D, RCH Cell, Health Dept.094343-3871703592-20658159