Uttarakhand Administrative Approval 2011-12 Page 1

F. No. 10(5)/2011-NRHM-IGovernment of IndiaMinistry of Health & Family WelfareDepartment of Health & Family WelfareNirman Bhawan, New DelhiDated: 16.05.11To,The Mission Director, (NRHM)Government of Uttarakhand.Uttarakhand Health & Family Welfare Society,107, Chander Nagar,Dehradun- 248 001Subject: Approval of State Programme Implementation Plan of NRHM for the year 2011-12Sir,This refers to the draft Programme Implementation Plan (PIP) for the year 2011-12 submitted bythe State and the discussions held on the same in the Pre Appraisal meeting held on 2.2.11.at Dehradunand NPCC meeting held on 29.3.11. at New Delhi.2. The administrative approval of the PIP for your State is conveyed for an amount of Rs 206.1 Cr.(Detail at Table C below) against the available resource envelope of Rs 206.989 Crores comprising of thefollowing:-Table A(Rs. in Crore)Uncommitted Unspent Balance Available under NRHM as6.61on 1.4.2011GOI Resource Envelope for 2011-12 under NRHM 170.32215% State share ( 2011-12) 30.057Total 206.989Uttarakhand Administrative Approval 2011-12 Page 1

Table BThe Resource Pool wise break up of total Resources under NRHM(Rs. in Crores)Sl No.UncommittedUnspent balanceavailable as on1.4.2011GoI ResourceEnvelope underNRHMTotal1 RCH Flexible Pool2 NRHM Flexible Pool2.38 39.42 41.801.00 48.54 49.543 Immunization ( from RCHFlexible Pool)4 NIDDCP5 IDSP6 NVBDCP7 NLEP8 NPCB9 RNTCP0 2.00 2.000.00 .24 .241.26 1.63 2.890.09 1.0239 1.1140.16 .75 .911.56 4.078 5.6380.16 3.96 4.1210 Direction & Admn. (Treasuryroute) 0 60.24 60.2411 PPI Operation Cost 8.44 8.4412 15% State share - 30.057Total Resource EnvelopCommitted Unspent Balanceup to 2010-11 to beRevalidated in 2011-12200.379 206.98916.76Uttarakhand Administrative Approval 2011-12 Page 2

Table CSUMMARY OF APPROVAL(Details provided in respective Annexure)Scheme/ProgrammeApproved Amount( In Rs. Crores)1. RCH Flexible Pool57.90(Details at Annexure-I)2. NRHM Mission Flexible Pool64.90(Details at Annexure-II)3. Immunization ( from the RCH Flexible Pool)3.19(Details at Annexure-III)4. NIDDCP (Details at Annexure-IV A) .245. IDSP (Details at Annexure-IV B) 1.516. NVBDCP (Details at Annexure-IV C) .747. NLEP (Details at Annexure-IV D) .538. NPCB (Details at Annexure-IV E) 4.079. RNTCP (Details at Annexure-IV F) 4.3410 PPI Operation Cost 8.4411 Infrastructure Maintenance 60.24TOTAL 206.1Uttarakhand Administrative Approval 2011-12 Page 3

The states are expected to keep in mind the management imperatives already outlined inthe PIP guidelines for 2011-12 for their attention & Systematic reforms. Progress would bereviewed in the light thereof. Further the approval is subject to the following mandatoryrequirements. Non compliance to any of the following requirement may result in withholdingof grant to the State:A. Release of the first tranche of fundsThe first tranche of funds would be released by GOI to States for PIPs 2011-12 on fulfilment of thefollowing conditions:1. A full- time Mission Director for NRHM (for States having resource envelop of more than Rs 50crores), other than the administrative Secretary.2. A full- time Director/Joint Director/Deputy Director (Finance) (depending on resource envelop ofState), from the State Finance Services not holding any additional charge outside the HealthDepartment.B. Release of Second Tranche of FundsAction on the following issues would be looked at while considering the release of second tranche offunds:3. The State shall ensure that 15% of the State share, based on release of funds by Government ofIndia is credited to the account of the State Health Society.4. Increase in State Plan Budget for 2011-12 by at least 10% over and above the 15% State shareunder NRHM.5. State shall articulate policy on entitlements, and ensure rational prescriptions, timelyprocurements, and smooth distribution to facilities, prescription audits, EDL in public domain,computerized drugs and logistic MIS System with the objective of minimizing out-of-pocketexpenses.6. State shall submit report sharing progress against all the new construction and upgradation workapproved under NRHM. The percentage wise progress indicated against each facility taken up fornew construction and upgradation.C. Monitoring Requirements7. State shall ensure submission of quarterly report on the Measurable Target/indicators at the end ofevery quarter as per Attachment A and expected outputs stated in the Record of Proceeding(RoP) of NPCC in Attachment B. All approvals are subject to the observations made in the RoPwhich is inclusive of commodity grants under Disease Control Programme in the respectiveAnnexures.Uttarakhand Administrative Approval 2011-12 Page 4

D. Human Resource8. All Posts under NRHM shall be on contract and for the Plan period. All such appointmentswould be for a particular facility and non transferable in nature. Priority in contractualrecruitments and placements would be for backward districts, difficult, most difficult andinaccessible health facilities. The contractual appointments would be need based. Performancemust be measured against pre-determined benchmarks regularly.9. State shall prepare action plan for recruitment, deployment and training of human resourceswithin six months and send it to the ministry.E. Infrastructure10. All civil works undertaken to achieve IPHS standards, would be based on expected patient loadand priority would be accorded to the backward districts, inaccessible and remote areas as perprescribed criteria.11. In all new constructions, care should be taken to ensure that the locations of these facilities aresuch that beneficiary households can access them easily. They should preferably be located in themidst of habitation and definitely not in agriculture fields, outskirts of villages, or in unhygienicenvironment under any circumstances. Any deviation from the above would be treated asineligible expenditure under NRHM.12. All new constructions would require prior approval of GoI if names of facilities have not beenmentioned in the NRHM-PIP, and also if any shift is proposed. No shift from backward andinaccessible areas would be allowed.13. The State shall set up implementation arrangement to monitor all civil works being undertaken,on a monthly basis, to ensure quality of works and completion as per schedule.F. Communitization14. The State shall ensure that all operational guidelines relating to VH&NDs are complied with.15. The State shall ensure timely performance based payments to ASHAs/Community Link Workersand put in place a supportive supervision mechanism is put in place within six months.16. The State shall ensure that RKS meets as frequently as possible and mandatorily at least once inevery quarter to review proper utilisation of allocated funds for achievement of goals. Theproceedings of such meetings should be maintained for scrutiny.G. Financial17. The State shall not make any change in allocation among different components/ activities withoutapproval of GoI. Any proposal for re-appropriation between activities within activities should beinformed to GoI in advance. However, such re-appropriation should reflect realignment ofactivities in accordance with priority to high focus districts/involvement of NGOs etc.Uttarakhand Administrative Approval 2011-12 Page 5

18. The State shall ensure the completion of delegation of administrative and financial powers duringthe current financial year. Funding of NRHM to the State in 2011-2012 will be based on cleardelegation as per earlier directions.19. The State shall follow all the financial management systems under operation under NRHM andshall submit Audit Reports, Quarterly Summary Concurrent Audit Report, FMRs, Statement ofFund Position, as and when they are due. State shall also undertake Monthly District Audit andperiodic assessment of the financial system.20. The accounts of the State/ grantee institution/ organization shall be open to inspection by thesanctioning authority and audit by the Comptroller and Auditor General of India under theprovisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts Office of theMinistry of Health & Family Welfare.21. State shall ensure submission of details of unspent balance indicating, inter alia, funds released inadvance and funds available under State Health Societies. The State shall also intimate theinterest amount earned on unspent balance. This amount can be spent against activities alreadyapproved.H. Outcomes22. The state shall focus on key NRHM goals of reduction in MMR,IMR & TFR and overall diseaseburden. All activities and expenditure must be linked with outcomes and technicalinterventions/strategies recommended by MoHFW implemented in right earnest.23. The State shall ensure establishment of supportive supervisory structures for RCH programme,particularly in districts having low institutional delivery.24. State shall ensure taking appropriate action to monitor the performance of the cold chain/ILRPoints and implementation of ProMIS and supply chain management system and improvingcoverage and quality of Immunization services.Copy to:Yours faithfully,(M.K.Sharvar)Under Secretary to Government of India1. All JSs in the Ministry1. All Programme Division Heads of NRHM/ RCH/ Disease Control Programmes2. 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.Uttarakhand Administrative Approval 2011-12 Page 6

NATIONAL RURAL HEALTH MISSIONRECORD OF PROCEEDINGS 2011-12Record of Proceedings of the National Programme Coordination Committee (NPCC) under theChairmanship of Shri P.K. Pradhan, Special Secretary and Mission Director, NRHM for approvalof NRHM Programme Implementation Plan (PIP) of Uttarakhand for the year 2011-12.I. A meeting of the NPCC of NRHM was held under the Chairmanship of SS & MD, NRHM, toapprove the PIP of Uttarakhand on 29.3.11. The list of members who attended the meeting is placed atAnnex. V. The NPCC meeting was convened after the pre-appraisal meeting for the State, with writtenand oral comments provided to the State to modify the proposal before the NPCC.II. State Government reported the likely uncommitted unspent balance available under NRHM as on1.4.2011, and were apprised of the GOI Resource Envelope for 2011-12 under NRHM. The MonitorableIndicators placed at Attachment A for the State were also indicated. After detailed discussions andsubsequent deliberations, the PIP was finalised for amounts indicated under different components asdetailed in the Attachment B (Annexure I to IV).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 the Ministry ofHealth and Family Welfare, issue detailed resource envelop and activities approved for each district.B. Human Resource2. All posts under NRHM on contract and based on local criteria shall be done by the Rogi KalyanSamiti /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 beencouraged.4. Transparent transfer and career progression systems should be implemented in the State.5. The State shall put in place a transparent and effective human resource policy so that difficult, mostdifficult 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 not specifiedin the PIP.Uttarakhand Administrative Approval 2011-12 Page 7

7. The State shall furnish information relating to physical and financial status of infrastructure andbuilding works already taken up every quarter to Infrastructure Division.8. The State shall under take all construction activities in meeting health infrastructure gaps withparticular focus in backward districts and inaccessible facilities.D. Communitisation9. The State shall take up capacity building exercise of Village Health and Sanitation Committees, RogiKalyan Samitis and other community /PRI institutions at all levels, involving Non Governmentalorganizations where necessary after a selection process.10. The State shall ensure regular meetings of all community Organizations /District / State Mission withpublic display of financial resources received by all health facilities.11. The State shall also make contributions to Rogi Kalyan Samitis besides introducing user chargeswherever feasible protecting the interest of the poor.12. All performance based payments/incentives should be under the supervision of CommunityOrganizations (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 agrees to periodicprocurement 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 as Monthly, Quarterly andAnnual Data on the HMIS.Uttarakhand Administrative Approval 2011-12 Page 8

16. State Specific Conditions/Observations: State should ensure a full-time Health Secretary. State must fill up senior positions on priority including MOs & Vacant posts of CMOs. State should pay utmost attention to rational deployment of specialists & other service providers. State should immediately strengthen RCH management structure at the state/district level. State to carry out regular facility based monitoring for improved performance. SNCU should be established only where Paediatrician have been posted. State must ensure that the sum of Rs 250 per pregnant women for drop back facility may be usedfor safe dropping back of the beneficiary after 48 hours of stay in the institution in case of normaldelivery .In case of Caesarean Section or complication the duration of stay would be as per adviceof the Medical Officer and drop back shall be arranged after the required stay. State to ensure that all PW delivering at Govt. institutions should get free and cashless deliveryservices, including medicines, consumables, diet, shelter, diagnostics, blood, etc. State must do performance appraisal of the AYUSH doctors and paramedical posted ininstitutions based on standard performance appraisal tool. AYUSH doctors and paramedical staff to be given appropriate trainings as per GOI norms. Additional Allowances/ Incentives to M.O.s of PHCs and CHCs is approved subject to thecondition that state will share the list of health facilities classified based on difficult/ mostdifficult, and criteria used to Government of India for approval before the incentives are paid. State will share complete list of specialists and their present place of postings with GOI. State will ensure case load based training prioritization State will ensure that dai is not used as a primary provider for delivery care at sub-centres. Evaluation of existing ARSH project, school health program, and MMU project by externalinstitution/organisation to be ensured in the present financial year. State to ensure that logistics and procurement systems to be adequately be in place to ensure freedrugs availability to pregnant women and sick neonates. State to ensure all supportive services including water and electricity with backup in high caseload facilities and especially in all High focus districts.17. The funds approved under the Monitoring and Evaluation activities in the PIP are subject to the Statereporting facility-wise performance on the HMIS portal of the Ministry. The States are to alsoperiodically review the quality of data on the HMIS portal at the District and Sub-district levels. Thefunds approved for the Mother and Child Tracking Systems (MCTS) are to be utilized such that there isimproved coverage of maternal and care services and immunisation of children and reflected on theMCTS portal of the Ministry.Uttarakhand Administrative Approval 2011-12 Page 9

IV. Based on the State’s PIP and deliberations thereon the Plan for the State is finalised as per thedetail of Annexure I (RCH Flexible Pool), Annexure II (NRHM Flexible Pool), Annexure-III(Immunization) & Annexure –IV (National Disease Control Programmes) with summary of all FunctionalHead at Annexure V.Uttarakhand Administrative Approval 2011-12 Page 10

MONITORING TARGETS TO BE ACHIEVED IN 2011-12*Attachment - AIActivity / Measurable indicatorMonitoring Progress Against Standards:Achievement / up to2010-11Target (Cumulative)up to 2011-2012Additionduring theyearA Maternal Health1 Institutional Deliveries 66956 100000 330442 24x7 Facilities 98 120 223BFunctional First Referral UnitsChild health28 (12 DH + 10 SDH +6 CHC)68 (13 DH + 19 SDH+ 36 CHC)40 (1 DH +9 SDH + 30CHC)4 Sick New Born Care Units 2 SNCU 4 SNCU 2 SNCU5 New Born Care Corners 0 85 856 Stabilization Units in CHCs/ BPHCs 0 10 107 Full Immunization 174442 192000CPopulation Stabilization8 Male Sterilization 3254 4800* (target for2011-12)9 Female Sterilization 21016 43200 * (target for2011-12)10 No. of IUD Insertions 92635 Not proposed by stateDDisease Control11 Annualized New Smear PositiveDetection Rate of TB12 Success Rate of New Smear PositiveTreatment initiated on DOTS.59% 70% 11%85% 85% 013 ABER for malaria 2.24 10 7.7614 API for malaria (per 1000 population) 0.17

Activity / Measurable indicatorAchievement / up to2010-11Target (Cumulative)up to 2011-201217 Appointment of ANMs 404 510 10618 Appointment of staff nurses 137 275 13819 Doctors trained on EmOC 0 20 2020 Doctors trained on LSAS 6 10 421 Doctors trained in NSV/ Conventional 0 12 12vasectomy22 Doctors trained in Abdominal 4 16 12Tubectomy (Minilap)23 Doctors trained in laparoscopic 4 12 8Tubectomy24 Personnel trained in IMNCI 82 0 0III Communitization Processes25 Functional VHSCs 15431 15431 026 ASHAs with Drug kits 11086 11086 0IV Improved ManagementAdditionduring theyear27 Tracking of pregnant mothers and 65070 192000 126930children28 Evaluation and Assessment of NRHMActivities- -29 Cold Chain Management305 305 0(number of functional ILR points)V Infrastructure30 Construction of sub-centre buildings 0 031 Construction of PHC buildings 0 032 Construction of CHC buildings 0 033 Construction of District Hospitalbuildings0 034 Construction of Other Hospitalbuildings0 0VI MMU and Referral Transport35 Functional Mobile Medical Units 17 17 036 Emergency and Referral Transport 139 EMRI ambulances& 2 Boat ambulances0Uttarakhand Administrative Approval 2011-12 Page 12

Consolidated Approval under RCH-II for FY 2011-12Attachment BAnnexure-IFMRCodeActivityUnit Cost(where-everapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)A. RCH TECHNICAL STRATEGIES & ACTIVITIES (RCH FLEXIBLE POOL)A.1 MATERNAL HEALTHA.1.1 Operationalise facilitiesA.1.1.1 Operationalise FRUsA.1.1.2 Operationalise 24x7 PHCsA.1.1.3 MTP services at healthfacilitiesA.1.1.4 RTI/STI services at healthfacilitiesA.1.1.5 Operationalise Sub-centresA.1.2 Referral TransportA.1.3 Integrated outreachRCH servicesA.1.3.1 RCH Outreach Camps/OthersRs 7,500 / camp 6 camps/ block/year in 95 blocks ofthe state = 570campsA.1.3.2Monthly Village Healthand Nutrition DaysRs. 125 / camp @Rs. 100 asconveyance forANM and Rs. 25for arranginglogisticsAmountApproved(Rs. Lakhs)Remarks42.75 42.75 Approved60000 VHNDs 75.00 75.00 ApprovedA.1.4 Janani Suraksha Yojana /JSYA.1.4.1 Home Deliveries Rs. 500 10000 home50.00 50.00 ApproveddeliveriesA.1.4.2 Institutional DeliveriesA1.4.2.a Rural Rs. 1,400 56000 deliveries 784.00 784.00 ApprovedA1.4.2.b Urban Rs. 1,000 24000 deliveries 240.00 240.00 ApprovedA1.4.2.c C-sectionsA.1.4.3 Administrative Expenses JSY administrativecosts53.70 53.70 ApprovedA.1.4.4 Incentive to ASHAs Rs. 600 for ruraland Rs. 200 forurbanASHA incentivefor 0.80 lakhinstitutionaldeliveries384.00 384.00 Approved.Payment toASHA should belinked withensuring 4ANCs as perUttarakhand Administrative Approval 2011-12 Page 13

FMRCodeActivityUnit Cost(where-everapplicable)Physical target/Expected outputA.1.5 Maternal Death Review 2 workshops @ Review of 600Rs 1.5 lacs each; maternal deathsincentive @ Rs.50 for ASHA/(300 communitybased)AWW andinvestigation teamfor CBMDR @Rs 100/- +printing costA.1.6 Other strategies/activities Rs. 200 / PW Diet and medicinesfor 77,000 PWdelivering at PHCand aboveAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarksprotocolsindicated in theMCH Card andsignature ofANM/ Serviceprovider on thecard. Rs 250from ASHApackage will beused for dropback facility.4.45 4.45 GOI Guidelineson MDR(Facility andCommunityBased) may befollowed.154.00 154.00 State mustensure that allPW delivering atGovt. institutionsshould get freeand cashlessdeliveryservices,includingmedicines,consumables,diet, diagnostics,blood, etc.276.20 276.20 ApprovedSub-total MaternalHealth (excluding JSY)Sub-total JSY 1511.70 1511.70 ApprovedA.2 CHILD HEALTHA.2.1 IMNCIA.2.2 Facility Based NewbornCare/ FBNCConsumables &maintenance: Rs.10 lakhs forSNCU Dehradun,Rs. 5 lakhs forSNCU Haldwani,Consumables &maintenance of 2existing SNCUs;setting up of 2 newNBSUs and 85NBCCs276.50 110.75 2 new SNCUsproposed are notapproved. Stateto set up newNBSUs at theselocations. 10Uttarakhand Administrative Approval 2011-12 Page 14

FMRCodeActivityUnit Cost(where-everapplicable)Rs. 1.75 lakhs /NBSU, Rs. 20000/ NBCCRenovation – Rs.3 lakhs / NBSU;Equipment andfurniture – Rs.2.75 lakhs /NBSU, Rs. 75000/ NBCCPhysical target/Expected outputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarksnew NBSUsproposed are notapproved.Capacitybuilding forNBSUs andNBCCs notapproved –included in F-IMNCI andNSSK trainings.HR costs are reclassifiedunderInfrastructure &HR below.A.2.3 Home Based NewbornCare/ HBNCA.2.4 Infant and Young ChildFeeding/ IYCFA.2.5 Care of Sick Children andSevere MalnutritionA.2.6 Management of Diarrhoea,ARI and MicronutrientMalnutritionA.2.7 Other strategies/activitiesA.2.8 Infant Death AuditA.2.9 Incentive to ASHA underChild HealthSub-total Child Health 276.50 110.75 ApprovedA.3 FAMILY PLANNINGA.3.1 Terminal/ LimitingMethodsA.3.1.1 Dissemination of manualson sterilisation standards &QA of sterilisation servicesA.3.1.2 Female Sterilisation campsA.3.1.3 NSV camps 26 camps 0.00 0.00 State hasmentioned that26 NSV campswould beorganised;however, thesehave not beenbudgeted for.Uttarakhand Administrative Approval 2011-12 Page 15

FMRCodeA.3.1.4A.3.1.5A.3.1.6A.3.2A.3.2.1A.3.2.2A.3.2.3ActivityCompensation for femalesterilisationCompensation for malesterilisationAccreditation of privateproviders for sterilisationservicesSpacing MethodsIUD campsIUD services at healthfacilitiesAccreditation of privateproviders for IUD insertionservicesUnit Cost(where-everapplicable)Rs 1000/ caseRs 1500/ casePhysical target/Expected output35000 femalesterilisations2500 malesterilisationsA.3.2.4 Social Marketing ofcontraceptivesA.3.2.5 Contraceptive UpdateseminarsA.3.3 POL for Family PlanningA.3.4 Repairs of Laparoscopes Rs. 1,000 Repair of 100laparoscopesA.3.5 Other strategies/ activities Rs. 1 - 5 lakhs per 3 "Worlddist. depending on Population Weeks"size of district per district (39)Sub-total FamilyPlanning (excludingcompensation)Sub-total Sterilisationand IUD compensation,and NSV campsA.4 ADOLESCENTREPRODUCTIVE ANDSEXUAL HEALTH /ARSHA.4.1 Adolescent services athealth facilitiesARSH programmein 27 blocksAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks350.00 350.00 Approved37.50 37.50 Approved10.00 10.00 Approved57.00 57.00 3 familyplanning weekswill be organizedevery year @ 2lakhs per districtfor 6 districtsand 1 lakh perdistrict for 7districts perfamily planningweek.67.00 67.00 Approved387.50 387.50 Approved402.68 402.68 ApprovedUttarakhand Administrative Approval 2011-12 Page 16

FMRCodeA.4.2ActivityUnit Cost(where-everapplicable)School Health Programme Salary – MO-Rs26250;Pharmacist- Rs15750; RegionalCoordinator- Rs15000/monthMedicines –Rs2000/team;Equipment @ Rs15000/team;TA/DA- Rs500/24days/month fordoctors; Rs300/24 days/month forpharmacistPhysical target/Expected outputthrough FNGOs;training of 810ANMs/ LHVs/MPHS/Pharmacists, 135MOs, 120 DIETtrainers and ICTCcounsellors, 135Field trainers andblock coordinators;strengthening of 27AFHS clinics88 MO (50 new tobe recruited), 25new pharmacist, 2regionalcoordinator,training of 4batches of newschool health teamwith 30 per batch,45 top up cards,AmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks554.61 518.70 • 25 newCommunitymobilizers - notapproved• Referral slipunit cost andtarget number ofstudents to beprovided;• Unit cost forTraining to beprovided;• Equipment unitcost to be shared.A.4.3 Other Strategies/ ActivitiesSub-total ARSH 957.30 921.39 ApprovedA.5 URBAN RCH 801.20 458.87 Activities fornew UHCs in 5cities - notapproved; to beconsidered underNUHM. Theseinclude:i) Rs. 274.43lakhs for runningcosts of 15 newUHCsii) Rs. 19.08lakhs forUttarakhand Administrative Approval 2011-12 Page 17

FMRCodeActivityUnit Cost(where-everapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarksmanagementcosts for NGOsiii) Rs. 4.85lakhs for newCity PMU forRudrapuriv) Rs. 3.97lakhs for newUrban healthconsultant (Rs.2.77 lakhs salaryand Rs. 1.20lakhs for officesupport) for CityPMU Haridwarv) Rs. 10.00lakhs for GISmapping and Rs.25.00 lakhs forbaseline surveyfor 5 new citiesvi) Rs. 5.00lakhs formonitoring andreview for 5 newcitiesA.6 TRIBAL RCH 0.00 0.00A.7 PNDT & Sex RatioA.7.1 Support to PNDT CellA.7.2 Other PNDT ActivitiesSub-total PNDT & Sex0.00 0.00RatioA.8 INFRASTRUCTURE(Minor Civil Works) &HUMAN RESOURCES(Except AYUSH)A.8.1 Contractual Staff &ServicesA.8.1.1ANMs, Staff Nurses,Supervisory NursesRs. 12,000(ANM); Rs.15,000 (SN)323 ANMs; 222SNs; 20 SNs forSNCUs andNBSUs1215.09 899.82 Additional SNsfor new SNCUsand NBSUs notapproved (seeabove); 187 newANMs and 53Uttarakhand Administrative Approval 2011-12 Page 18

FMRCodeA.8.1.2A.8.1.3ActivityLaboratory Technicians,MPWsSpecialists (Anaesthetists,Paediatricians, Ob/Gyn,Surgeons, Physicians,Dental Surgeons,Radiologist, Sonologist,Pathologist, Specialist forCHC )A.8.1.4 PHNs at CHC, PHC levelA.8.1.5 Medical Officers at CHCs /PHCsA.8.1.6Additional Allowances/Incentives to M.O.s ofPHCs and CHCsUnit Cost(where-everapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)RemarksSNs notapproved.Rs, 12,000 4 LTs 5.76 5.76 Approved7 Paediatricians forSNCUs andNBSUs; 2 eachPaediatricians, Ob/Gyn, andAnaesthetists forMMUsDifficult areaallowances fordoctors, specialists,and paramedicalstaff287.20 176.00 Specialists for 2new SNCUs and8 NBSUs notapproved;Lumpsum forneed basedhiring ofspecialists, at ahigher rate, forremote areas -Rs. 50 lakhsapproved (Rs.100 lakhsproposed).12.00 0.00 MOs for IRCSMaternity homesand additionalMO for Doonhospital - notapproved.100.00 50.00 Conditionalapproval, subjectto State sharingits final list withGoI, of healthfacilitiesclassified basedon difficult/ mostdifficult, andcriteria used, forapproval beforethe incentivesare paid.State to build inperformancebased incentive,as part of thedifficult areaallowance.Uttarakhand Administrative Approval 2011-12 Page 19

FMRCodeA.8.1.7A.8.1.8ActivityOthers - ComputerAssistants / BCC CoordinatoretcIncentive/ Awards etc. toSN, ANMs etc.A.8.1.9 Human ResourcesDevelopment (Other thanabove)A.8.1.10 Other Incentives Schemes(Pl. Specify)A.8.2 Minor civil worksA.8.2.1 Minor civil works foroperationalisation of FRUsA.8.2.2 Minor civil works foroperationalising 24/7 PHCsSub-total Infrastructure& HRA.9 TRAININGA.9.1 Strengthening ofTraining InstitutionsA.9.2A.9.3A.9.3.1Unit Cost(where-everapplicable)ANMTC tutorsRs. 18000 p.m.;support staff atSNCUs Rs. 8000p.m.Development of trainingpackagesMaternal HealthTrainingSkilled Attendance at Birth Rs 60,450/ perbatch; Rs. 40,000/ SBA sitePhysical target/Expected output4 support staff forexisting SNCUs; 19tutors for 6ANMTCs;honorarium to parttimedai (workingas helper in subcentre)Performance basedincentives forpromotinginstitutionaldeliveriesStrengthening ofRHFWTC(Dehradun)300 in (150batches) , 35trainees from HFdistricts;AmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks98.11 66.06 i) State to ensurethat dai is notused as aprimary providerfor delivery careat sub-centres.Support staffapproved for 2existing SNCUs.ii) Rs. 31.76lakhs forAdditional HRfor DoonHospital notapproved.20.00 20.00 Approved1738.16 1217.64 Approved197.12 98.56 50% approvedfor 2011-12.92.68 92.68 ApprovedUttarakhand Administrative Approval 2011-12 Page 20

FMRCodeActivityUnit Cost(where-everapplicable)Physical target/Expected outputstrengthening of 5SBA training sitesA.9.3.2 Comprehensive EmOCTraining (including c-section)Rs 7.50 lakhs/batch20 MOs in 2batches of which 1from each of the 4high focus districtA.9.3.3 Life saving Anaesthesia Rs 1.75 lakhs/ per 10 MOs (1 batch)skills trainingMOincluding 1 fromeach of the 4 highfocus districtA.9.3.4 MTP training Rs 40,000/ batch 30 MOs and 30support staff (15batches) of which8 Mos and 8support staff fromhigh focus districtsA.9.3.5 RTI / STI Training Rs 75,000/ batch 300 MOs/ SNs in20 batchesincluding 25 from 4high focus districtsA.9.3.6 BEmOC training Rs 2.00 lakhs/batch30 MOs in 3batches of which 8are from 4 highfocus districtsA.9.3.7 Other MH Training(Training of TBAs as acommunity resource, anyintegrated training, etc.)A.9.4 IMEP TrainingA.9.5 Child Health TrainingA.9.5.1 IMNCIA.9.5.2 F-IMNCI Rs. 60,000 / batch F-IMNCI: 10batches of 4participants each(20 MOs and 20SNs)A.9.5.3 Home Based NewbornCareA.9.5.4 Care of Sick Children andsevere malnutritionA.9.5.5Other CH Training (pl.Specify)NSSK - Rs.40,000 / batch;Neonatologytraining - Rs. 1.25Short course inNeonatology for 6MOs and 6 SNs, intwo batches;AmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks15.00 15.00 Approved17.50 17.50 Approved6.00 6.00 Approved15.00 15.00 Approved6.00 6.00 Approved6.00 6.00 Approved22.00 14.50 Neonatologycourse budgetapproved as perlast year (Rs.Uttarakhand Administrative Approval 2011-12 Page 21

FMRCodeActivityUnit Cost(where-everapplicable)lakhs per batchPhysical target/Expected outputNSSK: 30 batchesof 15 participantseach (70 MOs and380 ANMs)AmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks2.50 lakhsagainst Rs. 10lakhs proposed).A.9.6 Family Planning TrainingA.9.6.1 Laparoscopic Sterilisation Rs. 50,000 / batch 4 batches (122.00 2.00 ApprovedTrainingdoctors)A.9.6.2 Minilap Training Rs. 35,000 / batch 8 batches (16 MOs) 2.80 2.80 ApprovedA.9.6.3 NSV Training Rs. 1.25 lakhs /doctor12 MOs 15.00 2.53 Proposed budgetis too high (@Rs. 1.25 lakhsper MO); budgethas beenapproved as permax GoI normof Rs. 84200 perbatch (4 personsper batch).A.9.6.4 IUD Insertion Training Rs. 25,000 / batch IUD: 30 batches8.51 8.51 Approved(IUD); Rs. 20,240 (360 ANMs); PP/ batch (PP IUD) IUD: 5 batches (10MOs + 10 SNs)A.9.6.5 Contraceptive UpdateA.9.6.6 Other FP Training (pl.Specify)A.9.7 ARSH TrainingA.9.8 Programme ManagementTrainingA.9.8.1 SPMU Training Programme27.00 27.00 Approvedmanagementtraining for SPMUand DPMU staff;refresher trainingon TALLY forState, District andBlock levelaccounts staffA.9.8.2 DPMU TrainingA.9.9 Other training (pl.Specify)A.9.10 Training (Nursing)A.9.10.1 Strengthening of ExistingTraining Institutions/Nursing SchoolUttarakhand Administrative Approval 2011-12 Page 22

FMRCodeActivityUnit Cost(where-everapplicable)Physical target/Expected outputAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)RemarksA.9.10.2 New Training Institutions/SchoolA.9.11 Training (Other HealthPersonnel)A.9.11.1 Promotional Training ofHW (F) to LHVs etc.A.9.11.2 Training of ANMs, Staffnurses, AWW, AWSA.9.11.3 Other training and capacitybuilding programmesSub-total Training 432.61 314.08 ApprovedA.10 PROGRAMME / NRHMMANAGEMENTCOSTSA.10.1 Strengthening of SHS/SPMU (Including HR,Management Cost,Mobility Support, fieldvisits )69.41 69.41 ApprovedA.10.2Strengthening of DHS/DPMU (Including HR,Management Cost,Mobility Support, fieldvisits )SPM Rs. 45150p.m.; SFM Rs.36750 p.m.; SAMRs. 31500 p.m.;SDO Rs. 22050p.m.; State DataAssistant Rs.21000 p.m.; StateNGO CoordinatorRs. 35000 p.m.;Programmeofficer RCH Rs.30000 p.m.; POSchool health Rs.30000 p.m.;Cons. Publichealth Rs. 38500p.m.; Cons.Planning Rs.38500 p.m.;Contingency &mobility Rs. 2.50lakhs / monthDPM Rs. 26250p.m.; DAM Rs.24150 p.m.; DDARs. 18900 p.m.;Contingency andmobility Rs. 32lakhs (allSPMU in place(SPM; SFM; SAM;SDO; State DataAssistant; StateNGO Coordinator;Programme officerRCH; Programmeofficer Schoolhealth; Consultantsfor Public healthand Planning)DPMU (DPM,DAM, DDA) in 13districts140.11 140.11 ApprovedUttarakhand Administrative Approval 2011-12 Page 23

FMRCodeA.10.3ActivityStrengthening of BlockPMU (Including HR,Management Cost,Mobility Support, fieldvisits )Unit Cost(where-everapplicable)districts)BPM Rs. 12600;Accountant Rs.10500;Contingency andmobility Rs.35000 / block.;review meetingsRs. 8000 p.a.Physical target/Expected outputBPMU(Programmemanagers andaccountants) in 95blocksAmountProposed(Rs. Lakhs)AmountApproved(Rs. Lakhs)Remarks304.19 304.19 ApprovedA.10.4 Strengthening (Others) –17.00 0.00 Not approved.RSBY cellA.10.5 Audit Fees 5.00 5.00 ApprovedA.10.6 Concurrent Audit 6.50 6.50 ApprovedA.10.7 Mobility Support to BMO/MO/ OthersSub-total Programme542.21 525.21 ApprovedManagementA.11 VULNERABLEGROUPS0.00 0.00TOTAL RCH II BASEFLEXI POOLTOTAL RCH IIDEMAND SIDEGRAND TOTAL RCHII5091.18 3891.141899.20 1899.206990.38 5790.34RECLASSIFICATIONActivities from the revised PIP sent by the state have been reclassified as per the ROP heads. State needs to comply with this while booking theexpenses and reporting in FMR:The following HR costs for SNCUs and NBSUs have been re-classified under relevant heads in Infrastructure and HR:o Rs. 56.70 lakhs for 39 SNso Rs. 112.20 lakhs for 20 paediatricianso Rs. 4.13 lakhs for 10 support staffUttarakhand Administrative Approval 2011-12 Page 24

FMRCodeActivityMission Flexible PoolConsolidated Approval under NRHM Flexi Pool for FY 2011-12Unit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Annexure-IIRemarksB1B.1.1B1.1.1ASHAASHA CostSelection & Trainingof ASHAB1.1.2 Procurement ofASHA Drug KitB1.1.3Other Incentive toASHAs (if any)11086 ASHA 638.96 638.96 ApprovedRs 600 11086 66.516 66.516 ApprovedB1.1.4B1.1.5B2ASHA ANC PackageIncentive@Rs 500 perASHA100.00 50.00 Approved@ Rs 250per ASHAASHA Ghar 13.50 0 NotApprovedState maypropose inAdditionalProjectsAwards toASHA's/LinkworkersASHA Resource Centre(SARC & DARC)/AHSAMentoring GroupCommunity Rs.12000 13MobilizerBlock Coordinator Honorarium (@ 47(for 95 blocks) Rs.9000Data Assistant @ Rs. 7000 13ASHA facilitator Rs.5000/month 550Honorarium to AF @ 200 / month 550for assisting BNOContingency @ Rs. 1000 / 95allowance to BNO(Block NodalOfficer)monthStationary for DARC @ Rs. 1000 /month13 DARCUntied FundsB2.1 Untied Fund forCHCsB2.2 Untied Fund forPHCs469.38 469.38 Approved50000 55 27.50 27.50 Approved25000 240 60.00 59.75 Approvedfor 239Uttarakhand Administrative Approval 2011-12 Page 25

FMRCodeActivityB2.3 Untied Fund for SubCentresUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Uttarakhand Administrative Approval 2011-12 Page 26RemarksPHCs asper RHS2010. ForanyadditionalPHCestablishedthereafter,approvalmay beconsideredsubsequently onsubmissionof details10000 1847 184.70 176.50 Approvedfor 1765SCs as perRHS 2010.For anyadditionalSCestablishedthereafter,approvalmay beconsideredsubsequently onsubmissionof details10000 15431 1543.10 1543.10 ApprovedB2.4 Untied fund forVHSCUntied Fund for100000 6 6.00 0 NotANMTCsApprovedB.3 Annual MaintenanceGrantsB.3.1 CHCs 100000 55 55.00 55.00 ApprovedB.3.2 PHCs 50000 179 89.50 67.00 Approvedfor 134PHCs asper RHS2010. ForanyadditionalPHCestablishedthereafter,approvalmay be

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarksconsideredsubsequently onsubmissionof detailsB.3.3 Sub Centers 10000 1002 100.20 87.4 Approvedfor 874SCs as perRHS 2010.For anyadditionalSCestablishedthereafter,approvalmay beconsideredsubsequently onsubmissionof detailsB.4 HospitalStrengtheningB.4.1 Upgradation ofCHCs, PHCs, Dist.Hospitals to IPHS)B4.1.1 District Hospitals 3DH @ Rs10lakhs andother 9 @ Rs 5lakhsB4.1.2 CHCs 4 CHCs @Rs10 lakhs each ,Total 12 DH(Dehradun-1.SPSRishikesh2. Premnagar3. Coronation4.Chamoli-DH5.Pauri-Maleand 6. FemaleHospital7.Pitthoragarh-DH8.Rudraprayag-DH ,9.Uttarkashi-DH10. UddhamSingh Nagar-DH, 11.Haridwar-Female andHMGHospitals)21CHC75.00 25.00 ApprovedFor 3 DHin HighFocusdistrictsDHChamoli@5 Lakhs,DHPithoragarh@ 10Lakhs, DHUttarkashi@ 10Lakhs115.00 70.00 Approvedfor 10Uttarakhand Administrative Approval 2011-12 Page 27

FMRCodeActivityUnit Cost(where-everapplicable)2 CHCs @Rs2.5 lakhseach.12@ Rs5lacsPhysicaltarget/DeliverablesKaranprayag,Joshimath,Pokhri,Tharali(Chamoli),Dwarahaat,Chaukhutia,Bhikiyasen(Almora),Didihaat,Dharchula,Munsyari,Gangolihaat(Pitthoragarh),Agastyamuni,JakholiUS Nagar,Agastyamuni,Jakholi(Rudraprayag),Narsen,Laksar,Bhagwanpur(Haridwar),CHC Baijnathand CHCKapkot inBageshwar.AmountProposed(Rs.inLakhs)B4.1.3 PHCs 0 0B4.1.4 Sub Centers 0 0B4.1.5 Others @ Rs 5 lakhseach6 Institutions( Pauri - BaseHospital,SrinagarSDH KotdwarAlmora- BaseHospital,AlmoraSDH,RanikhetHaridwar-CombinedHospitalRoorkeeMela Hospital,Haridwar)AmountApproved(Rs.inLakhs)RemarksCHCs inHigh Focusdistricts (4CHCs @10 lakhseach inChamoli, 4CHCs @ 5Lakhs eachinPiththoragarhand 2CHCs @ 5Lakhs eachinBagheswar.30.00 0 NotApprovedState maypropose inAdditionalProjectsUttarakhand Administrative Approval 2011-12 Page 28

FMRCodeActivityB 4.2 Strengthening ofDistricts, SubdivisionalHospitals,CHCs, PHCsB.4.3Sub Centre Rent andContingenciesB.4.4 Logisticsmanagement/improvementB5 New Constructions/Renovation andSetting upB5.1 CHCsB5.2 PHCsB5.3 SHCs/Sub CentersB5.4 Setting upInfrastructure wingfor Civil worksB5.5 Govt. Dispensaries/others renovationsB5.6 Construction ofBHO, Facilityimprovement, civilwork, BemOC andCemOC centersB.5.7 Major civil works foroperationalisation ofFRUSB.5.8 Major civil works foroperationalisation of24 hour services atPHCsUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks500 845 50.70 50.70 Approvedfor845 centreswhich arein rentedbuilding.The sum ofRs 500includescontingency15.00 15.00 Monitoring formatsto bedevelopedto assessoutcomesUttarakhand Administrative Approval 2011-12 Page 29

FMRCodeB.5.9B.5.10B.5.10.1B.5.10.2ActivityCivil Works forOperationalisingInfectionManagement &Environment Plan athealth facilitiesConstruction ofSpecialized MaternityHospital at DehradunRenovations of SubCentres in Uttarkashiand Almora (Genasub center)Infrastructure ofTraining InstitutionsStrengthening ofExisting TrainingInstitutions/NursingSchool( Other thanHR)a. GNM Schools1. Infrastructure2. Equipmentb. ANMTCs1. Infrastructure2. EquipmentNew TrainingInstitutions/School(Other than HR)Unit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks1000.00 0 NotApproved12.00 12.00 ApprovedB.6 Corpus Grants toHMS/RKSB6.1 District Hospitals 500000 19 95.00 95.00 Approvedas per RHS2010B6.2 CHCs 100000 55 55.00 55.00 Approvedas per RHS2010B6.3 PHCs 100000 240 240.00 239.00 Approvedas per RHS2010B6.4 Others ( SDH) 100000 20 20.00 20.00 ApprovedB7B8District Action Plans(Including Block,Village)Panchayati RajInitiative40000 13 52.00 5.200 ApprovedUttarakhand Administrative Approval 2011-12 Page 30

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksB8.1 Constitution andOrientation ofCommunity leader &ofVHSC,SHC,PHC,CHC etcB8.2 OrientationWorkshops,Trainings andcapacity building ofPRI at State/Dist.Health Societies,CHC,PHCB8.3 OthersB9 Mainstreaming ofAYUSHB9.1 Medical Officers atDH/CHCs/ PHCs(only AYUSH)B9.2 Other Staff Nurse/Supervisory Nurses(for AYUSH)B 9.3 Activities other thanHR (Trainings)333.62 0 Notapproved1004.16 1004.16 Approvedfor AyushMOs onlyand not forspecialistsState mustdoperformance appraisalof allAyushdoctors andrationallydeploythem844.20 0 Notapproved33.56 0 NotapprovedB10IEC-BCC NRHMB.10 Strengthening ofBCC/IEC Bureaus(state and districtlevels)B.10.1 Development of StateBCC/IEC strategyB.10.2 Implementation ofBCC/IEC strategy39.00 0 NotapprovedB.10.2.1BCC/IEC activitiesfor MH50.00 50.00 ApprovedUttarakhand Administrative Approval 2011-12 Page 31

FMRCodeB.10.2.2B.10.2.3B.10.2.4B.10.3ActivityBCC/IEC activitiesfor CHBCC/IEC activitiesfor FPBCC/IEC activitiesfor ARSHHealth MelaB.10.4 Creating awarenesson declining sex ratioissue.B.10.5 Other activitiesB11B12Unit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks50.00 50.00 Approved50.00 50.00 Approved50.00 50.00 Approved35.00 35.00 ApprovedMaternal Death Audit 5.00 5.00 ApprovedIEC for Mobile39.00 0 NotHealth VansApprovedIEC for Urban RCH 20.00 20.00 ApprovedMonitoring &Approvedevaluation ofBCC/IEC activities20.00 20.00Mobile MedicalUnits (Includingrecurringexpenditures)Referral TransportB12.1 Ambulance/EMRI/Other modelsEMRI CAPEXEMRI OPEX0% of 1.24lakhs/ambulances/month 9 ambulances 020% of 1.24 lakhs 40 ambulances 119.0440% of 1.24 lakhs 14 ambulances 83.3360% of 1.24 lakhs 31 ambulances 276.771233.50 0471.4060% of 1.24 lakhs 45 ambulances 401.76Drop Back Facility 0NotApprovedMay beproposedinAdditionalProjectsApprovedNotapprovedfor 45 newambulances proposedto procurethis year.Uttarakhand Administrative Approval 2011-12 Page 32

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksDoli/Palki’s forRemote Villages inHFD’s@Rs 3000 foreach palkiIn 500extremelyremotevillages spreadacross our 4High Focuseddistricts.15.00 15.00 Approved13 NRHM MMU 2300000 13 299.00 299.00 ApprovedMobile Medical2 in DistrictsApproved@Units(Tehri and 46.00 46.002300000/MMUChamoli)@4600000/MMU2 MMU inDistrictNainital92.00 46.00Approval@Rs23lacs perMMUB12.2 Operating Cost(POL)B13 PPP/ NGOs- -B13.1 Nongovernmental- -providers of healthcare RMPs/TBAsB13.2 PNDT and Sex Ratio - -B13.3 Public PrivatePartnerships(EarlyIntervention CentreDOON Hospital )23.90 23.90B13.4 NGO Programme/Grant in Aid to NGO 0 0MNGO schemeB14. Innovations( if any){NGO projects inRemote Blocks(Deval, Tharali, Moriand Chakrata)}4000000/districtIn 3 theremotest partsof the State(Chakratablock inDistrictDehradun,126.49 0120.00 120.00Approved,Runningexpensesof Secondyear of theprojectapprovedlast year.Evaluationof theprojectmust beconductedNotApprovedApproved(OngoingProject @Rs4000000/District withthe sameUttarakhand Administrative Approval 2011-12 Page 33

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)Mori block inDistrictUttarkashi,Dewal andTharali blocksin DistrictChamoli)B15 Planning,- -Implementation andMonitoringB15.1 CommunityMonitoring(Visioningworkshops at state,Dist, Block level)B15.1.1 State level - -B15.1.2 District level - -B15.1.3 Block level - -B15.1.4 Other - -B15.2 Quality AssuranceQuality ManagementUnit (QMU)Continuous QualityAssuranceProgrammeB15.3 Monitoring andEvaluation1 Lakh/district 13 Districts100.3413.00AmountApproved(Rs.inLakhs)B15.3.1 Monitoring &Evaluation /HMIS/MCTS.156.10 156.10B15.3.2 Computerization- -HMIS and e-governance, e-healthB15.3.3 Other M & E - -B.16 PROCUREMENT - -B16.1 Procurement ofEquipmentB16.1.1B16.1.2B16.1.3Procurement ofequipment: MHProcurement ofequipment: CHProcurement ofequipment: FP0RemarksNGO’sprovidingrange ofRCHservicesNotApprovedState maypropose itinAdditionalprojectsApprovedUttarakhand Administrative Approval 2011-12 Page 34

FMRCodeB16.1.4B16.1.5B.16.2B.16.2.1B.16.2.2B.16.2.3B.16.2.4B.16.2.5ActivityProcurement ofequipment: IMEPProcurement ofOthersProcurement ofDrugs and suppliesDrugs & supplies forMHDrugs & supplies forCHDrugs & supplies forFPSupplies for IMEPGeneral drugs &supplies for healthfacilitiesUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Uttarakhand Administrative Approval 2011-12 Page 35RemarksB.17 Regional drugswarehouses 79.60 0 NotApprovedB.18 New Initiatives/StrategicInterventions (As perState health policy)/Innovation/ Projects(Telemedicine,Hepatitis, MentalHealth, NutritionProgramme forPregnant Women,Neonatal) NRHMHelpline) as per need(Block/ DistrictAction Plans)B.19 Health Insurance0 0SchemeB.20 Research, Studies,AnalysisB.21 State level healthresourcescenter(SHSRC)B.22 Support ServicesB22.1 SupportStrengthening NPCB205.00 050.00 50.000 0May beproposedunderAdditionalProjectsApproved

FMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksB22.2 SupportStrengtheningMidwifery Servicesunder medicalservicesB22.3 SupportStrengtheningNVBDCPB22.4 SupportStrengtheningRNTCPB22.5 Contingency supportto Govt. dispensaries100.00 00 03.20 3.200 0NotapprovedApprovedDetailsunderRNTCP atAnnexureRNTCPB22.6 Other NDCP SupportProgrammes0 0B.23 Other Expenditures(Power Backup,Convergence etc)Powerback upfor 120 ILRunits120.00 60.00ApprovedTotal11351.6 6490.11Uttarakhand Administrative Approval 2011-12 Page 36

FMRCodeC.1c.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.mc.1.nc.1.oc.1.pConsolidated Approval under Immunization for FY 2011-12ActivitiesUnit Cost(where everapplicable)RI Strengthening Project (Reviewmeeting, Mobility Support, Outreachservices etcMobility Support for supervision fordistrict level officers.Mobility support for supervision atstate levelPrinting and dissemination ofImmunization cards, tally sheets,monitoring forms etc.Support for Quarterly State levelreview meetings of district officerQuarterly review meetings exclusivefor RI at district level with one BlockMos, CDPO, and other stake holdersQuarterly review meetings exclusivefor RI at block levelFocus on slum & underserved areas inurban areas/alternative vaccinatorfor slumsMobilization of children throughASHA or other mobilizersAlternative vaccine delivery in hard toreach areasAlternative Vaccine Deliery in otherareasTo develop microplan at sub-centrelevelFor consolidation of microplans atblock levelPOL for vaccine delivery from State todistrict and from district to PHC/CHCsConsumables for computer includingprovision for internet access for RIMsRed/Black plastic bags etc.Hub Cutter/Bleach/Hypochloritesolution/ Twin bucketPhysicalTargetAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)Annexure-IIIRemarksRs.50000/Year /districtlevel officers. 7.50 7.50 ApprovedRs. 100000per year.Rs. 5beneficiariesRs. 150 persessionRs. 100 persessionRs. 50 persession@ Rs 100/-per subcentre9.60 4.801.95 0.971.90 0.9535.60 17.805.04 5.04ApprovedApprovedApprovedApprovedApproved232.84 116.42Approved67.20 67.20 Approved15.50 15.50 Approved1.84 1.84ApprovedRs. 1000 per1.21 1.21block/ PHCand Rs. 2000per districtApprovedRs100,000/13.00 13.00district/yearApproved@ 400/ -.67month/ district . 67ApprovedRs.5.44 5.44 Approved2/bags/sessionRs. 900 perPHC/CHCperyearc.1.qSafety Pitsc.1.r State specific requirement 5.40 1.50Uttarakhand Administrative Approval 2011-12 Page 37

C.1-Sub TotalC.2 Salary of Contractual Staffs -Sub TotalComputer Assistants support for Statelevelc.2.ac.2.bComputer Assistants support forDistrict levelC.2-Sub TotalC.3 Training under ImmunizationDistrict level Orientation trainingincluding Hep B, Measles &JE(wherever required) for 2 daysANM, Multi Purpose Health Workerc.3.a(Male), LHV, Health Assistant(Male/Female), Nurse Mid Wives,BEEs & other staff ( as per RCHnorms)Three day training including Hep B,Measles & JE(wherever required) ofc.3.bMedical Officers of RI using revisedMO training module)One day refresher traning of distictc.3.c Computer assistants on RIMS/HIMSand immunization formatsOne day cold chain handlers traningc.3.d for block level cold chain hadlers byState and district cold chain officersOne day traning of block level datac.3.e handlers by DIOs and District coldchain officerC.3-Sub TotalCold chain maintenanceC.46.90Rs.12000-15000 perperson permonth 1.56 1.56 Approved8000-10000per person permonth 15.60 15.60 ApprovedRs.500/PHC/CHCs per yearDistrictRs.10000/year45.73 22.8718.75 9.37.28 .144.00 2.001.90 0.952.84 2.84C5 ASHA IncentivesC6 PPI Operation Cost(Tentative) 0 844.52TOTAL496.88319.09This amountdoes notinclude PPIOperationalCostUttarakhand Administrative Approval 2011-12 Page 38

Consolidated Approval under NIDDCP for FY 2011-12Annexure-IV AFMRCodeActivityUnit Cost(where-everapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs. inLakhs)AmountApproved(Rs. in Lakhs)RemarksD.1 Establishment of IDD10.00 ApprovedControl cellD.1.a. Technical OfficerD.1.b. Statistical OfficerD.1.c. LDC TypistD.2 Establishment of IDD5.00 ApprovedMonitoring LabD.2.a. Lab TechnicianD.2.b. Lab AssistantD.3 IEC/BCC Health7.00 ApprovedEducation & PublicityD.4 IDD Surveys/Re Surveys 2.00 ApprovedD.5. Supply of Salt Testing Kit(form of kind grant)Total 24.00Uttarakhand Administrative Approval 2011-12 Page 39

Annexure-IV BConsolidated Approval under IDSP for FY 2011-12FMRCodeEActivityIDSPE.1 Operational CostUnit Cost(where-everapplicable)1.1 Mobility Support Rs 15,000/- perdistrict permonth1.2 Lab Consumables Rs. 2 lacs perdistrict prioritylabPhysical target/ExpectedoutputAmountProposed(Rs.inLakhs)AmountApproved(Rs. inLakhs)Remarks27.1 27.1 This includes costfor formats andReports ,Feild VisitReview meetingsunder 1.3,1.4.1.517.07 4.00 Approved1.3 Review Meetings1.4 Field Visits1.5 Formats and ReportsE.2 Human Resources2.1 Remuneration ofEpidemiologistsRs. 5 lacs perState referrallab15.002.2 Remuneration ofMicrobiologists2.3 Remuneration ofEntomologistsE.3 Consultant-Finance 16.96 1.683.1 Consultant-Training 3.36 3.363.2 Data Managers 25.01 22.743.3 Data Entry Operators 16.83 15.303.4 OthersE.4 Procurements4.1 Procurement -Equipments4.2 Procurement -Drugs &SuppliesE.5 Innovations /PPP/NGOsE.6 IEC-BCC Activities58.80 42.00 The State has torecruit the vacantcontractual positions9.00 7.50 under IDSP;Remuneration has3.00 3.00 been calculatedaccordingly and asper IDSP norms.Uttarakhand Administrative Approval 2011-12 Page 40

FMRCodeActivityE.7 Financial Aids to MedicalInstitutionsUnit Cost(where-everapplicable)Physical target/ExpectedoutputAmountProposed(Rs.inLakhs)AmountApproved(Rs. inLakhs)RemarksE.8 Training 16.73 10.00 Training of MO islonger carried outunder IDSP.One day training forMedicalcollege/hospitaldoctors should beconducted andrestricted forfaculties of medicinepediatrics and microbiologyTOTAL 193.86 151.72Uttarakhand Administrative Approval 2011-12 Page 41

Annexure-IV CConsolidated Approval under National Vector Borne Disease Control ProgramFMRCodeActivityUnitCostwhereeverapplicablePhysicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksF.1F.1.1F.1.1.aF.1.1.bF.1.1.cF.1.1.dF.1.1.eF.1.1.fF.1.1.gF.1.2F.1.2.aF.1.2.bF.1.2.cF.1.2.dDBS (Domestic BudgetarySupport)MalariaMPWASHA HonorariumOperational CostMonitoring , Evaluation &Supervision & EpidemicPreparedness includingmobilityIEC/BCCPPP / NGO activitiesTraining / Capacity BuildingVBD Consultant(Entomologist)Dengue & ChikungunyaStrengthening surveillance(As per GOI approval)Apex Referral LabsrecurrentSentinel surveillanceHospital recurrentTest kits (Nos.) to besupplied by GoI (kindlyindicate numbers of ELISAbased NS1 kit and MacELISA Kits requiredseparately)34 13Operational Cost30 30 As discussed and agreed insubgroup appraisal meeting of PIP,training will be done throughNRHM additionalities and fund forIEC support from GoI has beenenhanced to 30 Lac.21.7 0 As discussed and agreed insubgroup appraisal meeting of PIP,training will be done throughNRHM additionalities.12.6 0 This component is important. Maybe supported through state budget orNRHM additionalities fund0 10 0 1. For suspected dengue casesreporting with in 5 days of onset offever should be tested by NS-IELISA based kit, which is to beprocured by the state through GOIbudget provided as cash assistanceUttarakhand Administrative Approval 2011-12 Page 42

FMRCodeActivityUnitCostwhereeverapplicablePhysicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksF.1.2.eF.1.2.fMonitoring/Supervision andRapid ResponseEpidemic Preparedness17 4 for decentralized procurement.25 92. MAC ELISA test kit are to beused for the cases reporting after 5thday of onset of fever and these kitswill be supplied by NVBDCP.State may indicate No. and cost ofNS-I ELISA based kits and MACELISA 3.Presently a total of Rs. 18 Lakhshave been allocated for Denguecontrol. Based on priority activitiesfunds can be utilized under subheads.If more fund is required itwill be enhanced during RE stageF.1.2.gF.1.2.hF.1.3F.1.3.aF.1.3.bF.1.3.cF.1.3.dF.1.3.eF.1.4IEC/BCC/SocialMobilizationTraining/Workshop 5 4Diagnostic facilities andManagement16.5Acute EncephalitisSyndrome (AES)/ JapaneseEncephalitis (JE)Strengthening of SentinelSites which will includediagnostics andmanagement. Supply of kitsby GoIIEC/BCC specific to J.E. inendemic areasEpidemic Preparedness 1.5Training specific for J.E.prevention and managementMonitoring and supervisionProcurement of insecticides(Technical Malathion)Lymphatic Filariasis25 0 30 lakhs has been reflected inMalaria sub-head for both diseases.Further requirement may be metform NRHM additionalities funds6 25 24 23 10 1Presently a total of Rs. 8 Lakhs havebeen allocated for JE/AE control.Based on priority activities, fundscan be utilized under sub-heads. Ifmore fund is required it will beenhanced during RE stageUttarakhand Administrative Approval 2011-12 Page 43

FMRCodeActivityUnitCostwhereeverapplicablePhysicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksF.1.4.aF.1.4.bF.1.4.cF.1.4.d.F.1.4.e.F.1.4.fF.2State Task Force, StateTechnical AdvisoryCommittee meeting, printingof forms/registers, mobilitysupport, district coordinationmeeting, sensitization ofmedia etc., morbiditymanagement, monitoring &supervision and mobilitysupport for Rapid ResponseTeamMicrofilaria surveyPost MDA assessment bymedical colleges (Govt. &private)/ ICMR institutions.Training/sensitization ofdistrict level officers on ELFand drug distributorsincluding peripheral healthworkersSpecific IEC/BCC at state,district, PHC, sub-centre andvillage level includingVHSC/GKS for communitymobilization efforts torealize the desired drugcompliance of 85% duringMDAHonorarium to drugdistributors including ASHAand supervisors involved inMDAExternally aidedcomponent (EAC)F2.1 World Bank Project NAF.3 GFATM Project NAF.4Any Other item (PleaseSpecify)F.5Operational Costs(Mobility,ReviewMeeting,communication,formats & reports)F.6Cash grant fordecentralized commoditiesUttarakhand Administrative Approval 2011-12 Page 44

FMRCodeActivityUnitCostwhereeverapplicablePhysicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksF.6.aF.6.bF.6.cF.6.dF.6.eChloroquine phosphatetabletsPrimaquine tablets 2.5 mgPrimaquine tablets 7.5 mgQuinine sulphate tabletsQuinine Injections10.00 5.5The state has asked Rs 10 lakh forChloroquine and Primaquine .State has to procure these applicableitems as per technical requirement& guidelines provided byNVBDCP, through cash assistancefor decentralized procurement. Incase more funds are required then itwill be considered at RE stageF.6.fDEC 100 mg tabletsF.6.gF.6.hF.6.iAlbendazole 400 mg tabletsDengue NS1 antigen kitTemephos, Bti (for polluted& non polluted water)F.6.j Pyrethrum extract 2%F.6.kTotal 216.3 74.5Uttarakhand Administrative Approval 2011-12 Page 45

Annexure-IV DConsolidated Approval under NLEP for FY 2011-12FMRCodeActivityUnit Cost/Where everapplicablePhysicalTargets/DeliverablesAmountproposed(Rs. inLakhs)Amountapproved (Rs. inLakhs)RemarksG.1.Contractual ServicesState - SMO, BFO cum AO,DEO,Administrative Assistant,DriverDistrict - DriversCompilationdatasupervisiontheand9.62 9.62It is as perthe NRHMnormsG.2.G.3.Services throughASHA/USHASensitization of ASHAHonararium to ASHAOffice expenses &ConsumablesImprovementofcase detectionandtreatmentcomplition0.591.255.10 5.10Provision ofadditionalfund is madeforSensitizationtraining ofASHAs.G.4.Capacity building (Training)4 days training of newlyappointed MO (rural & urban)3 days training of newlyappointed health worker &health supervisor2 days refresher training ofMO5 days training of newlyappointed Lab. TechnicianImprovement ofskills of medicaland paramedicalstaff4.904.90G.5Behavioral ChangeCommunication (IEC)Quiz,folk show,IPCworkshop,Meeting of opinionleaders,Health melasImprovement inself reporting ofcases & reductionof social stigmaagainst LAP10.0010.00IECactivitiesshould be anintegral partof NRHMUttarakhand Administrative Approval 2011-12 Page 46

FMRCodeActivityUnit Cost/Where everapplicablePhysicalTargets/DeliverablesAmountproposed(Rs. inLakhs)Amountapproved (Rs. inLakhs)RemarksWallpainting,Rallies,Hoardings etcactivity.G.6G.7.POL/Vehicle operation &hiring2 vehicles at state level & 1vehicleat district levelDPMRMCR footwear, Aids andappliances, Welfare allowanceto BPL patients for RCS,Support to govt. institutionsfor RCSImprovedSupervisionMonitoring 7.00 7.00Less no. ofdisabilities due toLeprosy4.16 4.16Last yearonly twocases ofGrade-IIdisabilitywerereported &no RCS wasperformedMaterial & SuppliesG.8.G.9.G.10.G.11.G.12.G.13Supportive drugs, lab. reagents&equipments and printing formsLess no. Ofdisability & betterrecord4.68 4.68Urban Leprosy Control 0.72 0.72NGO - SET SchemeSupervision, Monitoring &ReviewReview meetings and travelexpensesSpecific-plan for HighEndemicDistricts.76 .76Others (maintenance ofVertical Unit, Training &5.00 5.00TA/DA)Total 52.53 53.19Uttarakhand Administrative Approval 2011-12 Page 47

Annexure-IV EFMRCODEActivityH.1 Recurring Grant-inaidH.1.1 For Free CataractOperation and otherApproved schemes asper financial norms@Consolidated Approval under NPCB for FY 2011-12UNITCOSTPHYSICALTARGETPROPOSEDAMOUNT(RS.INLAKHS)AMOUNTAPPROVED(RS. INLAKHS)REMARKSRs.750/-per case35000 262.50 262.50 (*) Approvedunderscheme GIAfor Catopsand otherapprovedactivitiesH.1.2 Other Eye Diseases@ Rs.1000/- 150 1.50 1.50 ApprovedH.1.3H.1.4H.1.5H.1.6School Eye ScreeningProgramme@Private Practitioners@as per NGO normsManagement of StateHealth Society andDistt. Health SocietyRemuneration (salary ,review meeting, hiringof vehicle and OtherActivities &Contingency)Management ofDistrict of HealthSocietyRecurring Assistancefor District. HealthSocieties (13 District) Honorarium tomemberSecretary @2000/- monthx 12 =24,000.00 AccountsAssistant parttime @ 1500/-month x 12 =18,000.00TA/DA to staff/Stationary &Consumable/,Contingency, hiring ofvehicle etc.Rs.200/-per caseRs.14lakh/ Rs7lakh3000 6.00 6.00 Approved0 07.00 7.00 Approved13.00 3.00 ApprovedUttarakhand Administrative Approval 2011-12 Page 48

FMRCODEH.1.7ActivityRecurring GIA to EyeDonationCenters@Rs.1000/-and EyeBank@Rs.1500/- perpair of Eye BallCollectionUNITCOSTRs.1000/-per pairandRs.1500/-per pairPHYSICALTARGETPROPOSEDAMOUNT(RS.INLAKHS)0 0AMOUNTAPPROVED(RS. INLAKHS)REMARKSH.1.8 Training 9.75 9.75 ApprovedTeacher training 416(32 perdistt.)1.04 1.04 ApprovedH.1.9 IEC 17.00 17.00 ApprovedH.2 Non- RecurringGrant-in-aidH.2.1H.2.2Procurement ofOphthalmicEquipmentMaintenance ofOphthalmicEquipments(PHACOMachine )for District Haridwar,Dehradun &Udhamsingh Nagar,Haldwani (Nanital)Procurement ofOperatingMicroscopes forproposed DedicatedEye OT in DistrictsChampawat,Rudraprayag &Kashipur(Udhamsingh Nagar)Yag Laser for DistrictDehradun, U.S.NagarAuto Refracto meterfor Bageshwar,Champawat,Rudrraprayag4 48.00 48.00 Approved3 18.00 18.00 Approved2 20.00 20.00 Approved3 9.00 9.00 ApprovedH.2.3 For RIO (new) @ 0 0H.2.4 For Medical College@ 0 0For vision Centre @ Rs.50000/ 10 5.00 5.00 approved-H.2.5 For Eye Bank @ Rs.15 lakh 0 0H.2.6For Eye DonationCentre @Rs.1 lakh 0 0Uttarakhand Administrative Approval 2011-12 Page 49

FMRCODEActivityUNITCOSTPHYSICALTARGETPROPOSEDAMOUNT(RS.INLAKHS)H.2.7 For NGOs @ Rs.30 lakh 0 0AMOUNTAPPROVED(RS. INLAKHS)REMARKSH.2.8 For Eye Wards and Rs.75 lakh 0 0Eye OTS @H.2.9 For MobileRs.60 lakh 0 0Ophthalmic Units withtele-network @H.3 Contractual ManPowerOphthalmic Surgeon@ Rs.25000/0 0H.3.1- p.mH.3.2 Ophthalmic Assistant Rs.8000/-0 0@p.mH.3.3 Eye Donation Rs.10000/0 0Counselors @ p.m.Total 421.73 407.79Uttarakhand Administrative Approval 2011-12 Page 50

Annexure-IV FConsolidated Approval under RNTCP for FY 2011-12FMRCode.Activityunit cost(whereverapplicable)Physicaltarget/expectedoutputAmountProposed(Rs. inlakhs)AmountApproved(Rs. inlakhs)RemarksI.1 Civil works 1) Civil work Upgradation andmaintenancecompleted asplannedI.2 Laboratory materials 1) Sputum of TBSuspectsExamined perlac populationper quarter;2) All districtssubjected to IRLOSE and PanelTesting in theyear;3) IRLsaccredited andfunctioningoptimallyI.3.aHonorarium/Counselling Charges1) All eligibleCommunityDOT Providersare paidhonorarium inall districts inthe FYI.3.b Incentives to DOTProvidersI.4 IEC/ Publicity 1) AllIEC/ACSMactivitiesproposed in PIPcompleted;2) Increase incase detectionand improvedcase holding22.125 22.125161.224 161.22411.625 11.62513.420 5.368One time cost for 1DP site, 7 DMC,Upgradation of 2SDS, 13 DDS forSLD andmaintenance cost forSTC/SDS/STDC/IRL, 13 DTCs, 30TUs,140 DMCsapproved.Approved 100% ofthe estimated budgetin accordance toexpenditure pattern,although it’s abovethe revised financialnormsUtilized 17.08 lakhsin previous fourquarters. Amountapproved is as perexpenditure trendsand permissiblenorms.Utilized only 12% ofthe planned budget,approved 40% of theestimated budget.More may besanctioned inaccordance toexpenditure patternof initial 2 quartersof FY 11-12.Uttarakhand Administrative Approval 2011-12 Page 51

I.5 Equipmentmaintenance1) Maintenanceof OfficeEquipments atState/Districtsand IRLequipmentscompleted asplanned;2) All BMs arein functionalconditionI.6 Training Inductiontraining, Updateand Re-trainingof all cadre ofstaff completedas plannedI.7 Vehicle maintenance All 4 wheelersand 2 wheelersin the state are inrunningcondition andmaintained7.35 6.7213.16 6.5823.75 19.00Approved 100% ofthe estimated budgetfor computers andSTDC/IRLequipment and 70%of the estimated forBMs in accordanceto expenditurepattern of last 4quarters.As utilization notmentioned by thestate, approved 50%of the estimatedbudget. More maybe sanctioned inaccordance toexpenditure patternof initial 2 quartersof FY 11-12.Approved 80% ofthe estimated budgetin accordance toexpenditure patternof last 4 quarters.I.8 Vehicle hiring 1) Increase insupervisory visitof DTOs andMOTCs;2) Increase incase detectionand improvedcase holdingI.9 NGO/PPP support Increase innumber ofNGOs/PPsinvolved insigned schemesof RNTCP;Contribution ofNGOs/PPS incase detectionand provisionof DOTI.10 Miscellaneous All activitiesproposed undermiscellaneoushead in PIPcompleted5.00 2.509.00 9.00Utilized 1.19 lakhsin previous fourquarters. Amountapproved is as perexpenditure trendsand permissiblenorms.Approved 100% ofthe estimated budgetin accordance toexpenditure patternof last 4 quarters20.159 17.69Utilized 11.73 lakhsin previous fourquarters. Amountapproved is as perexpenditure trendsand permissiblenorms.I.11 Contractual services All contractual 279.86 279.86 Approved 100% ofUttarakhand Administrative Approval 2011-12 Page 52

staff appointedand paidregularly asplannedI.12 Printing All printingactivities at stateand district level 6.00 3.00completed asplannedI.13 Research and studies ProposedResearch hasbeen initiated or 0 0completed in theFY as plannedI.14 Medical Colleges All activitiesproposed underMedical22.32 22.32Colleges head inPIP completedI.15 Procurement –vehicles Procurement ofvehiclescompleted asplanned amount 12.00 12.00I.16 Procurement –Procurement ofequipmentequipmentscompleted asplanned1.80 .60I.17 Tribal Action Plan 0 0Total 463.697 434.526Total Funds underAdditionality HeadGrand Total 463.697 434.526the estimated budgetin accordance toexpenditure patternof last 4 quarters.Approved 50% ofthe estimated budgetin accordance toexpenditure patternof last 4 quarters.0Approved 100% ofthe estimated budgetin accordance toexpenditure patternof last 4 quarters.Approved Twentyfour (24) 2 wheelers.Condemnation ofvehicles to be inaccordance toSHS/DHSguidelines.Approved 1 officeequipment set.In addition to this, a commodity grant of Rs 3.2 lacs has been approved for central level procurement ofAnti TB Drugs and Laboratory Equipments for sputum culture & drug sensitivity.A. Additional Approval under Mission Flexible Pool ( if anySr.No.Activity1 Towards recurrent expenditureincurred at the DOTS Plus sitewhich will be operating in thePPP model and will admit MDRTB patients as required2 Procurement of photocopier notapproved by the program, maybe approvedunit cost(whereverapplicable)Physicaltarget/expectedoutputAmountProposedAmountApproved200000 200000120000 120000Total 320000 0RemarksUttarakhand Administrative Approval 2011-12 Page 53

ANNEX -VList of participants of National Programme Coordination Committee of NRHM to considerthe state PIP of Uttarakhand held on 29/3/2011Sl.No Name and Designation E-mail address1. Shri P K Pradhan, SS&MD, NRHM md-nrhm@nic.in2. Ms Anuradha Gupta JS, RCH, GOI anuradha-gupta@hotmail.com3. Mr Amit Mohan Prasad, JS(P) am.prasad@nic.in4. Dr. Ajay Khera, DC-CH & I ajaykheramch@gmail.com5. Dr. Sajjan Singh Yadav, Dir. NRHM directornrhmI@gmail.com6. Dr. Anuradha Jain, NHSRC anunhsrc@gmail.com7. Dr. Ravish Behal,Sr. Cons., MSG Strategic ravish@msg.net.inconsultanting Pvt. Ltd.8. Dr. Devesh Gupta, CMO (SAG) guptadev@rntcp.org ,98110330319. Dr. B. K. Tiwari, Adviser Nutrition advnut@nb.nic.in ,2306211310. Dr. P.K. Srivastava Jt Director pkmalaria@yahoo.co.in,989149456811. Dr.Megha Khobragode, Assistant Director mkhobragode@rediffmail.comIDSP(NVBDCP)12. Rajesh Kumar Singh Itc.epw@gmail.com ,999950716413. Himanshu Verma himanshuverma@nic.in14. Kaushelndra Kaushal, FMG Kaushalk.fmg.mohfw@gmail.com ,991040061115. Rakesh Rajpurohit, NRHM-I Dr.rajpurohit@gmail.com ,981054695516. Dr. Pushkar Kumar, consultant (MH) drpushkarkumar@gmail.com17. Dr. Rajeev Agrawal, Consultant (MH) rajeevmo@rediffmail.com18. Sharad Kumar Singh, Consultant-CH sharadiips@gmail.com19. Asmita Jyoti Singh, Consultant, NRHM asmita.mohfw@gmail.com20. Pradeep Tandan, Consultant (NRHM) Pradeepj.tandan@gmail.com21. Dr. Sheetal Rahi, Mo-AH sheetalmohfw@gmail.com22. Dr. Amar Nawkar, Consultant (NRHM) Dr.amarnawkar@gmail.com23. Sukhvinder Kaur-HIA-Stats Sukhvinder.kaur@nic.inREPRESENTATIVES FROM STATE GOVERNMENTSl.No Name and DesignationE-mail address1. Dr. Amit Gairala, STO Uttarakhand amitgairala@gmail.com ,97194100662. Dr. Abhai Kumar, SPM doctorabhy@gmail.com3. Mr. Piyush Singh M.D (NRHM) Piyushsingh1976@gmail.com4. Dr. Sushma Dalta, JD RCH drsushmadalta@gmail.com ,94120555645. Dr. Anil Sah, AD-NP adnrhmuk@gmail.com ,09412951518Uttarakhand Administrative Approval 2011-12 Page 54