Rajasthan Administration Approval 2011-12 Page 1 F. No. 10 (16 ...

F. No. 10 (16)/ 2011-NRHM IGovernment of IndiaMinistry of Health & Family WelfareDepartment of Health & Family WelfareNirman Bhawan, New DelhiDated: 02.06.2011To,The Mission Director, (NRHM)Room No. 301, Directorate of Medical Health ServicesSwasthya Bhawan, Tilak Marg, behind Secretariat,Jaipur- 302001,RajasthanSubject: 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 2011-12submitted by the State and the discussions held on the same in the Pre Appraisal meeting heldon18.02.2011 at Jaipur and NPCC meeting held on 13.4.2011 at New Delhi.2. The administrative approval of the PIP for your State is conveyed for an amount of Rs.1015.70 Cr. (Detail at Table C below) against the resource envelope available comprising of thefollowing:-Table AUncommitted Unspent Balance Available under 52.28NRHM as on 1.4.2011GOI Resource Envelope for 2011-12 under NRHM 824.1715% State share ( 2011-12) 145.44Total 1021.89(Rs. in Crore)Rajasthan Administration Approval 2011-12 Page 1

Table BThe Resource Pool wise break up of total Resources under NRHMSlNo.UncommittedUnspentbalanceavailable ason 1.4.2011GoI ResourceEnvelopeunder NRHM(Rs. in Cr.)Total1 RCH Flexible Pool 41.00 227.07 268.02 NRHM Flexible Pool 3.34 279.57 282.913 Immunization ( from RCHFlexible Pool)11.52 11.524 NIDDCP 0.00 0.24 0.245 IDSP 1.73 2.77 4.506 NVBDCP 2.37 12.39 14.767 NLEP 0.00 1.65 1.658 NPCB 3.84 11.76 15.609 RNTCP 0.00 19.62 19.6210 Direction & Admn. (Treasuryroute)0.00 242.99 242.9911 PPI Operation Cost 0.00 14.58 14.5812 15% State share 0.00 145.44Total Resource EnvelopCommitted Unspent Balance upto 2010-11 to be Revalidated in2011-1252.28 824.17 1021.89Rajasthan Administration Approval 2011-12 Page 2

Table CSUMMARY OF APPROVAL(Details provided in respective Annexures)Sl No. Scheme/Programme Approved Amount( In Rs. Crores)1. RCH Flexible Pool(Details at Annexure-I)2. NRHM Mission Flexible Pool(Details at Annexure-II)3. Immunization and PPI Operation Cost(Details at Annexure-III)4. NIDDCP(Details at Annexure-IVA)5. IDSP(Details at Annexure-IV B)6. NVBDCP(Details at Annexure-IV C)7. NLEP(Details at Annexure-IV D)8. NPCB(Details at Annexure-IV E)413.92295.1826.100.243.153.991.5811.769 RNTCP16.79(Details at Annexure-IV F)10 Direction & Admn. (Treasury route) 242.99TOTAL 1015.70Rajasthan Administration Approval 2011-12 Page 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. Progresswould be reviewed in the light thereof. Further, the approval is subject to the followingmandatory requirements. Non compliance to any of the following requirement mayresult in withholding of 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 onfulfilment of the following conditions:1. A full- time Mission Director for NRHM (for States having resource envelop ofmore than Rs 50 crores), other than the administrative Secretary.2. 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:3. The State shall ensure that 15% of the State share, based on release of funds byGovernment of India is credited to the account of the State Health Society.4. Increase in State Plan Budget for 2011-12 by at least 10% over and above the 15%State share under NRHM.5. 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.6. State shall submit report sharing progress against all the new construction andupgradation work approved under NRHM. The percentage wise progress beindicated against each facility taken up for new construction and upgradation.Rajasthan Administration Approval 2011-12 Page 4

Monitoring Requirements7. State shall ensure submission of quarterly report on the MeasurableTarget/indicators at the end of every quarter as per Attachment A and expectedoutputs 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.C. Human Resource8. All Posts under NRHM shall be on contract and for the Plan period. All suchappointments would be for a particular facility and non transferable in nature.Priority 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.9. State shall prepare action plan for recruitment, deployment and training ofhuman resources within six months and send it to the ministry.D. Infrastructure10. 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.11. 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 underany circumstances. Any deviation from the above would be treated as ineligibleexpenditure under NRHM.12. 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.Rajasthan Administration Approval 2011-12 Page 5

13. 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.E. Communitization14. The State shall ensure that all operational guidelines relating to VH&NDs arecomplied with.15. 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.16. 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.F. Financial17. 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.18. 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.19. 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 shall also undertake Monthly District Audit and periodic assessment of thefinancial system.20. 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 andRajasthan Administration Approval 2011-12 Page 6

internal audit by Principal Accounts Office of the Ministry of Health & FamilyWelfare.21. State shall ensure submission of details of unspent balance indicating, inter alia,funds released in advance and funds available under State Health Societies. TheState shall also intimate the interest amount earned on unspent balance. Thisamount can be spent against activities already approved.G. Outcomes22. 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.23. The State shall ensure establishment of supportive supervisory structures forRCH programme, particularly in districts having low institutional delivery.24. State shall ensure taking appropriate action to monitor the performance of thecold chain /ILR Points and implementation of Supply Chain managementSystem and improving coverage and quality of Immunization services.Yours faithfully,Copy to:(M.K.Sharvar)Under Secretary NRHM I1. 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.Rajasthan Administration Approval 2011-12 Page 7

NATIONAL RURAL HEALTH MISSIONRECORD OF PROCEEDINGS 2011-12Record of Proceedings of the National Programme Coordination Committee (NPCC)for Rajasthan held on 13 th April 2011 under the Chairmanship of Shri P.K. Pradhan,Special Secretary and Mission Director, NRHM for approval of NRHM ProgrammeImplementation Plan (PIP) 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 Rajasthan on 13/4/2011. 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 informed the uncommitted unspent balance available under NRHMas on 1.4.2011, and were apprised of the GOI Resource Envelope for 2011-12 under NRHM. TheMonitorable Indicators is placed at Attachment A. After detailed discussions and subsequentdeliberations, 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 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.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.Rajasthan Administration Approval 2011-12 Page 8

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.16. 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 andSub-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.Rajasthan Administration Approval 2011-12 Page 9

IV. Based on the State’s PIP and deliberations thereon the Plan for the State is finalised asper the detail of Annexure I (RCH Flexible Pool), Annexure II (NRHM Flexible Pool), Annexure-III (Immunization) & Annexure –IV (National Disease Control Programmes) .Rajasthan Administration Approval 2011-12 Page 10

Attachment - AMONITORING TARGETS TO BE ACHIEVED IN 2011-12IActivity / Measurable indicatorMonitoring Progress Against Standards:Achievement / up to2010-11Target(Cumulative) up to2011-2012A Maternal Health1 Institutional Deliveries 1208584 1738319Additionduring theyear2 24x7 Facilities 850 1100 2503 Functional First Referral Units 114 151 37BChild health4 Sick New Born Care Units 36 36 05 New Born Care Corners 412 820 4086 Stabilization Units in CHCs/ BPHCs 72 140 68 (40 new+ 28backlog)7 Full Immunization 1368591 1628524 same aslast yearC Population Stabilization8 Male Sterilization8242300009 Female Sterilization 330532 38000010 No. of IUD Insertions 393536 458260DDisease Control11 Annualized New Smear PositiveDetection Rate of TB12 Success Rate of New Smear PositiveTreatment initiated on DOTS.80% 70%89% 85%13 ABER for malaria 12.63 more than 10%14 API for malaria (per 1000 population) 0.74 more than 1.315 Annual New Case Detection Rate for prevalance rate 0.16 target free aproachLeprosy (per 1,00,000 population) per 10,000 population16 Cataract Surgeries performed 251899 (84 %) 300000II Human Resources including Training17 Appointment of ANMs 4470 500018 Appointment of staff nurses 7211 745919 Doctors trained on EmOC 58 106 4820 Doctors trained on LSAS 138 198 6021 Doctors trained in NSV/ Conventional145 208 63vasectomy22 Doctors trained in Abdominal 65 131 66Rajasthan Administration Approval 2011-12 Page 11

Activity / Measurable indicatorAchievement / up to2010-11Tubectomy (Minilap)23 Doctors trained in laparoscopicTubectomy24 Personnel trained in IMNCI 7158/38799(Cumulative)III Communitization ProcessesTarget(Cumulative) up to2011-2012Additionduring theyear312 378 6646959(Cumulative) 816025 Functional VHSCs 4192 43437 nil26 ASHAs with Drug kits 33302 53302 20000IV Improved Management27 Tracking of pregnant mothers andchildren22.74 up to (10-11)10.3 during12.91 child 10.31 15.5 lacdel28 Evaluation and Assessment of NRHMActivities4 studies29 Cold Chain Management(number of functional ILR points)PHC-1488 fuctionalCHC 376 functionalV Infrastructure30 Construction of sub-centre buildings 280 707 50031 Construction of PHC buildings 363 197 30032 Construction of CHC buildings 152 88 4533 Construction of District Hospitalbuildings30 (FBNC) 10 (resiquarters)34 Construction of Other HospitalbuildingsVI MMU and Referral Transport35 Functional Mobile Medical Units 32 52mmu+200 mmvs 50 medicalmobilevans36 Emergency and Referral Transport 300 464 nilRajasthan Administration Approval 2011-12 Page 12

Consolidated Approval under RCH-II for FY 2011-12: RajasthanA. Summary of Approval under RCH-IIS. No. BUDGET HEADAPPROVEDPROPOSEDAMOUNT(Rs. Lakhs)%(Rs. Lakhs)1 Maternal Health 108.36 108.36 0.62 Child Health 532.46 270.70 1.43 Family Planning 471.50 461.50 2.54 ARSH 524.25 104.25 0.65 Urban RCH 462.00 462.00 2.56 Tribal RCH 0.00 0.00 0.07 PNDT & Sex Ratio 185.25 185.25 1.08 Infrastructure & HR 16478.84 12117.20 64.89 Training 1424.31 1380.57 7.410 Programme Management 5627.82 3608.50 19.311 Vulnerable Groups 0.00 0.00 0.0Total RCH II Base Flexi Pool 25814.78 18698.33 100.012 JSY 19318.91 18406.4113 Sterilisation & IUD Compensation,and NSV Camps4887.50 4287.50Total RCH II Demand Side 24206.41 22693.91NOTES:GRAND TOTAL RCH II 50021.19 41392.24The following are shifted to Mission flexi pool (and not factored in the proposed amount above):Rs. 5500.00 lakhs for referral transport for PWRs. 1320.00 lakhs for Kalewa YojanaRs. 3270.00 lakhs for medicines for delivery casesRs. 2268.00 lakhs for referral transport for sick newbornsRs. 810.00 lakhs for medicines for newbornsRs. 288.00 lakhs for Jan Mangal couplesRs. 30 lakhs for orientation of new Jan Mangal couplesRs. 153.803 lakhs for medicines for school healthRs. 440.00 lakhs for Gram Swasthya YojanaRs. 962.40 lakhs for AYUSH compoundersRs. 2775.63 for AYUSH MOsRs. 1326.17 lakhs for ASHA supervisory cadreAttachment BAnnexure-IThe following are shifted from Mission flexi pool (and factored in the proposed amount above): Rs. 420 lakhs for ASHA incentive for counselling for adolescent girls Rs. 185.25 lakhs for PNDT (except Rs. 81.00 lakhs for Hamari Beti express and Rs. 34.00 lakhsfor celebration of Hamari Beti Year)Rajasthan Administration Approval 2011-12 Page 13

FMRCodeActivityUnit Cost (whereeverapplicable)Physical target/Expected outputA. RCH TECHNICAL STRATEGIES & ACTIVITIES (RCH FLEXIBLE POOL)A.1 MATERNAL HEALTHA.1.1 Operationalise facilitiesA.1.1.1 Operationalise FRUs Rs. 50000/- perworkshop4 state level workshopto orient about MCHcentresoperationalisation andMDRA.1.1.2Operationalise 24x7 PHCs Rs. 2000 /- permeeting2 Review meetings atthe district level on thefunctioning of the L3and L2 MCH centres(Total 34x2 = 68meetings), & orientationabout Maternal & InfantDeath ReviewAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Remarks2.00 2.00 Approved.1.36 1.36 Approved.A.1.1.3 MTP services at healthfacilitiesA.1.1.4 RTI/STI services at healthfacilitiesA.1.1.5 Operationalise Sub-centresA.1.2 Referral Transport ReferralTransport forPregnant mothersand Sick newbornunder MFP(B.12.1)A.1.3 Integrated outreachRCH servicesA.1.3.1 RCH Outreach Camps/OthersRs. 12000/- percamp400 camps (Eightcamps / year / worstperforming 50 blocks.Nine districts would besupported for 6 monthsby RHSDP - 72 camps).48.00 48.00 Approved.A.1.3.2Monthly Village Healthand Nutrition DaysA.1.4 Janani Suraksha Yojana /JSY12 lakh beneficiariesNo details in thePIP. It is hopedthat VHNDs arebeing conductedout of untied/VHSC funds.Rajasthan Administration Approval 2011-12 Page 14

FMRCodeActivityUnit Cost (whereeverapplicable)Physical target/Expected outputAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)RemarksA.1.4.1 Home Deliveries Rs. 500/- 0.20 lakh deliveries 100.00 100.00 Approved.A.1.4.2 Institutional DeliveriesA1.4.2.a RuralA1.4.2.b UrbanRs. 1400/-perdeliveryRs. 1000/- per9 lakhs deliveries2.80 lakh deliveries13125.003187.5012600.00 Approved basedon last year's2800.00 expendituredeliverypattern.A1.4.2.c C-sectionsA.1.4.3 Administrative Expenses Administrative costs 93.91 93.91 Approved.A.1.4.4 Incentive to ASHAs Rs. 600 / rural For 468750 deliveries in 2812.50 2812.50 Approved.delivery rural areasA.1.5 Maternal Death ReviewA.1.6 Other strategies/activities Printing - Rs. 34 * Printing of 20 lakh 57.00 57.00 Approved.lakhs STP posters; partographs, standardsRs. 10 lakhs for posters, SBA modules.partographs, Rs. 13lakhs for SBAmodules.Sub-total Maternal108.36 108.36 Approved.Health (excluding JSY)Sub-total JSY 19318.91 18406.41 Approved.A.2 CHILD HEALTHA.2.1 IMNCI Pre-service IMNCI Printing of pre-servicemodule Rs. 300; F- IMNCI module (1000),8.25 8.25 Approved.IMNCI trainingmodule Rs. 500;supervisionformats Rs. 20F-IMNCI trainingmodule (250), andIMNCI supervisionformats (20000)A.2.2A.2.3A.2.4A.2.5Facility Based NewbornCare/ FBNCHome Based NewbornCare/ HBNCInfant and Young ChildFeeding/ IYCFCare of Sick Children andSevere MalnutritionRs. 2.40 lakhs /SNCU; Rs. 0.6lakhs / NBSURs. 30 / child / daycompensation tomother; Rs. 1 lakh/ year / MTC atDH and Rs. 10000/ year/ MTC atRunning costs of 33FBNCs/ SNCUs and140 NBSUs (100NBSUs for 10 monthsand 40 NBSUs for 4months)Nearly 10280 childrentreated at 39 MTCs atdistrict level (33 DHand 6 MCs) and 100MTCs at CHCs.137.20 137.20 Approved.95.25 95.25 Approved.Rajasthan Administration Approval 2011-12 Page 15

FMRCodeActivityUnit Cost (whereeverapplicable)Physical target/Expected outputCHC for drugs andsuppliesA.2.6 Management of Diarrhoea,ARI and MicronutrientMalnutritionA.2.7 Other strategies/activities Performance basedincentive: Rs. 2000/-per month for atleast80% bed occupancy inFBNCs/ SNCUs (forincentivization - 70%FBNCs have beenplanned i.e. 25 FBNCsfor 09 months); Rs.2000 per MTC permonth for atleast 80%bed occupancy inMTCs (forincentivization 70%MTCs have beenplanned i.e. 27 MTCsfor 09 months & Rs 3lakhs for NBSU).A.2.8 Infant Death Audit Orientation of providers(merged with MDR);incentive forcommunity basedreporting.AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Remarks241.76 20.00 a) Approved Rs.20 lakhs forperformancebased incentivesfor FBNCs/SNCUs andMTCs. State toshareperformancebenchmarks.b) Rs. 221.76lakhs forremuneration toYashodas at DHsand CHCs - Notapproved.50.00 10.00 Approved forpilot in selecthigh focusdistricts. State tosharemethodology andfindings withGoI. Amount ofincentive forcommunity basedreporting to beshared with GoI.A.2.9 Incentive to ASHASub-total Child Health 532.46 270.70 Approved.A.3 FAMILY PLANNINGA.3.1 Terminal/ LimitingMethodsA.3.1.1 Dissemination of manualson sterilisation standards &QA of sterilisation servicesRajasthan Administration Approval 2011-12 Page 16

FMRCodeActivityUnit Cost (whereeverapplicable)Physical target/Expected outputAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)RemarksA.3.1.2 Female Sterilisation camps Rs. 2000 per camp 12000 camps 240.00 240.00 Approved. IUDcamps will beclubbed, as perneed.A.3.1.3 NSV camps Rs. 15000/- per 200 camps 30.00 30.00 Approved.campA.3.1.4 Compensation for femalesterilisationRs. 1000/- case 3.20 lakh sterilisations 3800.00 3200.00 Approved basedon last year'sA.3.1.5 Compensation for male Rs. 1500/- per case 30000 sterilisations 450.00 450.00 expendituresterilisationpattern.A.3.1.6 Accreditation of private Rs.1500/- per case 40000 sterilisations 600.00 600.00 Approved.providers for sterilisationservicesA.3.2 Spacing MethodsA.3.2.1 IUD campsA.3.2.2 IUD services at healthfacilitiesA.3.2.3 Accreditation of private Rs. 75 /- per case 10000 IUD insertions in 7.50 7.50 Approved.providers for IUD insertionprivate institutions.A.3.2.4 Social Marketing ofcontraceptivesA.3.2.5 Contraceptive UpdateseminarsA.3.3 POL for Family Planning Rs. 50/- per case 3.75 lakh sterilisation 187.50 187.50 Approved.casesA.3.4 Repairs of Laparoscopes Rs.1 Lac per Repairs of laparoscopes 34.00 34.00 Approved.districtin all 34 districtsA.3.5 Other strategies/ activities 10.00 0.00 a) Budget forinsurance/compensation forfailure ofsterilisation casesis not part of theflexi pool and isprovidedseparately on casebasis - Rs. 10lakhs are notapproved.Sub-total FP (excludingcompensation)471.50 461.50Sub-total Sterilisation and 4887.50 4287.50 ApprovedRajasthan Administration Approval 2011-12 Page 17

FMRCodeActivityIUD compensation, andNSV campsA.4 ARSHA.4.1Adolescent services athealth facilitiesUnit Cost (whereeverapplicable)Rs. 1000 / PHCand CHC and Rs.2000 / DHA.4.2 School Health Programme POL Rs. 15000 /district;contingency Rs.5000 / district; 25paisa/ child/ day(for PPP mode -total Rs. 80 lakhs)A.4.3Physical target/Expected outputStakeholders meetingsat 798 PHCs and CHCs,and 13 DHsSHP in 118310 schoolsacross 34 districts;151000 students in 3districts Udaipur,Bikaner and Jodhpur inpartnership with "NICEFoundation"Other Strategies/ Activities Rs. 4.39 lakhs for Menstrual hygieneprinting; Rs. 50000 scheme: printing offor State level operational guidelines,TOT and Rs. 5000 reports, etc.; 1 batch ofto District level state level TOT and 20TOT; Rs. 1000 / batches of TOT in 7PHC for ASHA districts; ASHAorientation orientation in 332 PHCsAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Remarks8.24 8.24 Approved.86.80 86.80 Approved.Rs. 153.80 lakhsfor medicinesshifted to MFP.State to provideno. of students tobe covered.429.21 9.21 Rs. 420 lakhs forASHA incentivefor counsellingsessions foradolescent girls -Not approved.Sub-total ARSH 524.25 104.25 Approved.A.5 URBAN RCH Rs. 14 lakhs/ UHC 33 UHCs functioning 462.00 462.00 Approved.A.6 TRIBAL RCHA.7 PNDT & Sex RatioA.7.1 Support to PNDT Cell PNDT cell at State anddistrict levels130.75 130.75 Approved.A.7.2 Other PNDT Activities Workshop - Rs. 1lakh for State andRs. 0.85 lakhs /district; Rs. 10lakhs for stingoperations; Rs. 1lakh / district foraudit of form "F"Sub-total PNDT & SexRatioA.8 INFRASTRUCTURE(Minor Civil Works) &HR (Except AYUSH)A.8.1 Contractual Staff &ServicesWorkshops at State anddistrict levels; Decoyoperations; audit ofForm "F"; Save the Girlcampaign brandambassador.54.50 54.50 Approved.185.25 185.25 Approved.A.8.1.1 ANMs, Staff Nurses, ANM - Rs. 6600 Existing 3598 ANMs - 10763.95 9763.95 New 975 SNs/Rajasthan Administration Approval 2011-12 Page 18

FMRCodeActivitySupervisory NursesUnit Cost (whereeverapplicable)p.m.; SNs/ GNMs- Rs. 7500 p.m.(new) and 8250p.m. (existing)Physical target/Expected output1098 second ANMs and2500 ANMs at subcentres.Existing 7567 SNs/GNMs - 336 at FBNCs;252 at MTCs; 237 atSNSUs; 100 at NBSUs;3006 at PHCs; 736 atCHCs; 330 at DHs.AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)RemarksGNMs are notapproved.A.8.1.2 Laboratory Technicians,MPWsRs. 6050 p.m.(existing)158 LTs 158.71 114.71 New 100 LTs arenot approved.A.8.1.3 Specialists (Anaesthetists,Paediatricians, Ob/Gyn,Surgeons, Physicians,Dental Surgeons,Radiologist, Sonologist,Pathologist, Specialist forCHC )Rs. 60,000 p.m. 74 specialists 810.00 532.80 76 new specialistsnot approved.State to put inplace blendedpayments forspecialists (aminimum amountfor service, plusperformancebased payments).A.8.1.4 PHNs at CHC, PHC level Rs. 8250 p.m. 158 PHNs at FRUs 156.42 156.42A.8.1.5 Medical Officers at CHCs / Rs. 16800 p.m. 100 MO's at PHCs 201.60 201.60PHCsA.8.1.6 Additional Allowances/Incentives to M.O.s ofPHCs and CHCsHard dutyallowance Rs.3000 p.m.Hard duty allowance -556 MO's (at 556identified PHCs - linkedto performance)735.64 200.16 a) Rs. 535.48lakhs for ruralallowance - notapproved.b) Hard areaallowance may bea blendedpayment linked toensuring stay(50%) andperformance(50%). Rural areaallowance shouldbe only linked toperformance.c) State to sharethe performance /outputs of theseproviders, withRajasthan Administration Approval 2011-12 Page 19

FMRCodeA.8.1.7A.8.1.8ActivityOthers - ComputerAssistants / BCC CoordinatoretcIncentive/ Awards etc. toSN, ANMs etc.Unit Cost (whereeverapplicable)State IECconsultant - Rs.40000 p.m.;District IECcoordinators - Rs.15000 p.m.Rural allowance -Rs. 1500 p.m.;Hard dutyallowance - Rs.1000 p.mPhysical target/Expected outputState IEC Consultant,34 District IECConsultants.Rural allowance for9934 contractual ANMs/ GNMs; Hard dutyallowance for 8968ANMs/ GNMs at 4484identified sub-centresAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)RemarksGoI.1042.74 72.60 The following arenot approved:a) Rs. 175.12lakhs for 22Physiotherapist,60 X-raytechnicians, 100DentalTechnicians, 10ECGTechnicians, 100OphthalmicAssistants, and100 AnaesthesiaAssistants.b) Rs. 795.02lakhs for HR fordrug warehousesincludingstrengthening ofdrug testinglaboratories anddrug enforcementoffices.2476.16 976.16 a) Rs. 1500 lakhsfor ruralallowance - notapproved.b) Hard areaallowance may bea blendedpayment linked toensuring stay(50%) andperformance(50%). Rural areaallowance shouldbe only linked toperformance.c) State to sharethe performance /outputs of theseRajasthan Administration Approval 2011-12 Page 20

FMRCodeA.8.1.9ActivityHRD (Other than above)A.8.1.10 Other Incentives Schemes(Pl. Specify)Unit Cost (whereeverapplicable)A.8.2 Minor civil worksA.8.2.1 Minor civil works foroperationalisation of FRUsRs. 25000/-A.8.2.2 Minor civil works for 24x7PHC operationalisationSub-total Infrastructure& HRA.9 TRAININGA.9.1 Strengthening of TrainingInstitutionsA.9.2 Development of trainingpackagesA.9.3 Maternal Health TrainingA.9.3.1 Skilled Attendance at Birth TOT - Rs. 2.45lakhs / batch;training Rs. 2.13lakhs / batchPhysical target/Expected outputRs.10000 per month for36 FRUs who will beconducting more than 5C-section, Rs.20000 permonth for 19 FRUs whowill be conducting morethan 10 C-section in amonth for 09 months.Total Fund proposed forFRU is 88.80 lakh.40 Newborn stabilisingunits at level 3Rs. 5 lakhs / centre Strengthening of 6medical colleges forLSAS and 2 medicalcolleges for EmOCtraining.TOT - 10 batches (160);training - 150 batches(2400), includingAYUSH funtionariesfor conducting safedeliveries.AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Remarksproviders, withGoI.123.62 88.80 Approved forFRUs.Performancebased incentivefor PHCs may begiven fromuntied/ RKSfunds.10.00 10.00 Approved.16478.84 12117.20 Approved40.00 40.00 Approved.Quality protocolsare to be strictlyadhered to duringtraining, as wellas in the labourrooms and wards.344.15 344.15 Approved. Stateneeds to ensurethat SBA trainingfor SNs/ ANMs/LHVs is of 21days duration andthe batch size canbe upto 4,depending on thecase load of thetraining site. GOIguidelines in thisRajasthan Administration Approval 2011-12 Page 21

FMRCodeA.9.3.2A.9.3.3ActivityComprehensive EmOCTraining (including c-section)Life saving Anaesthesiaskills trainingUnit Cost (whereeverapplicable)Physical target/Expected output48 (6 batches at 2centres)12 batches at 6 medicalcolleges (one batch of 5MOs)AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Remarksregard need to beadhered to, andtrainingconductedaccordingly.36.00 36.00 Approved.36.00 36.00 Approved.A.9.3.4 MTP trainingA.9.3.5 RTI / STI Training For SNs -integrated withSBA training.A.9.3.6 BEmOC training Integratedtraining withCAC and IUCD.A.9.3.7 Other MH Training(Training of TBAs as acommunity resource, anyintegrated training, etc.)BSU training 12.00 2.00 i) BSU training(Rs. 2 lakhs) -Approved. Stateto providetraining targets.ii) Rs. 10 lakhsfor training inPPH management- not approved.A.9.4 IMEP TrainingA.9.5 Child Health TrainingA.9.5.1 IMNCI Rs. 1.40 lakhs /batch; Rs. 1 lakh /batch supervisorytraining.A.9.5.2 F-IMNCI Rs. 1.50 lakhs/batchA.9.5.3 Home-based newborn careA.9.5.4A.9.5.5Care of Sick Children andsevere malnutritionOther CH Training (pl.Specify)340 batches of 24participants, 10 batches/dist. (8160); 6 batchesof Supervisory training.16 batches of 16participants (256)Rs. 1 Lac Training of MTC staff -14 batches of 30participants (420)NSSK - Rs. 24325/ batch; IYCF -TOT Rs. 1.03lakhs / zone andNSSK Training - 74batches; IYCF training -ToT in 5 zones, and 30batches at district level482.00 482.00 Approved.24.00 24.00 Approved.14.00 14.00 Approved.51.18 51.18 Approved.Rajasthan Administration Approval 2011-12 Page 22

FMRCodeActivityUnit Cost (whereeverapplicable)Rs. 90000 / batch;FBNC - Rs. 1.03lakhs.A.9.6 Family Planning TrainingA.9.6.1 Laparoscopic SterilisationTrainingRs. 44000/- perbatchA.9.6.2 Minilap Training Rs. 44000/- perbatchA.9.6.3 NSV Training RS. 44000/- perbatchA.9.6.4 IUD Insertion Training Rs. 69000/- perbatchA.9.6.5 Contraceptive UpdateA.9.6.6Other FP Training (pl.Specify)Rs. 10000/- perbatchPhysical target/Expected output(MO's, paramedicalstaff and Yashoda ofDH and CHCs; FBNCtraining - 1 batch of 20(for 6 new SNCUs).AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Remarks22 batches (669.68 9.68 Approved.specialists)22 batches (66 doctors) 9.68 9.68 Approved.21 batches (63 MOs) 9.24 5.50 GoI norm forNSV training(batch of 3) is Rs.26175 per batch;budget approvedaccordingly102 batches of ANMs 70.38 70.38 Approved.and SNsPP IUCD training - 240batches24.00 24.00 Approved. Stateto share batchsize.21.00 21.00 Approved.A.9.7 ARSH Training Rs. 75000 / batch 980 ANMs/ counsellors(28 batches of 35 each)A.9.8 Programme ManagementTrainingA.9.8.1 SPMU Training 10.00 0.00 Not approved.A.9.8.2 DPMU Training 20.00 0.00 Details may besubmittedseparately forconsideration.A.9.9Other training (pl.Specify)Rs. 5 lakhs forreorientationtraining; Rs. 3lakhs / MO forPGDPHM; Rs. 2lakhs / batch forintegrated training(CAC + IUCD +BEmOC)Reorientation trainingof EmOC and LSAStrained MOs; PGDPHMtraining for 5 MOs; 240(60 batches of 4) MOsto be trained on 15-dayintegrated training onCAC, IUCD insertion,and BEmOC.140.00 140.00 Approved.A.9.10 Training (Nursing)A.9.10.1 Strengthening of Existing Rs. 60000/ month / Rent for 5 ANMTCs 36.00 36.00 Approved.Rajasthan Administration Approval 2011-12 Page 23

FMRCodeActivityTraining Institutions/ ANMTCNursing SchoolA.9.10.2 New Training Institutions/SchoolA.9.11 Training (Other HealthPersonnel)A.9.11.1 Promotional Training ofHW (F) to LHV, etc.A.9.11.2 Training of ANMs, Staffnurses, AWW, AWSA.9.11.3 Other training and capacitybuilding programmesUnit Cost (whereeverapplicable)Physical target/Expected outputMonitoring of skillbased trainings by Dte.Officials and Medicalcollege facultyAmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)Remarks35.00 35.00 Approved subjectto a detailed planbeing submittedby the State.Sub-total Training 1424.31 1380.57 Approved. GOIguidelines forRCH trainings tobe adhered to.A.10 PROGRAMME / NRHMMANAGEMENTCOSTSA.10.1Strengthening of SHS/SPMU (Including HR,Mgmt. Cost, MobilitySupport, field visits)Honorarium of 18Consultants, FinancialAdvisor - 01, CAO - 01,Sr. Accounts Officer -02, AAO - 04, Jr.Accountant - 04, 05Programme Officer, 01Accounts Manager, 05Data Officer / DA, 02Accountant (Clerk), 04Accountant cum TallyOperator, 58 Exec.Assts. / Office Assts.,50 Support Staff & 04Driver; Office expenses;Mobility Support etcHonorarium of 34DPM, 34 DAM, 34DM&EO, 68 DEO; OE,Mobility Support &TA/DA316.79 301.79 The following arenot approved:a) Rs. 12.60 lakhsfor 7 newexecutiveassistants.b) Rs. 2.40 lakhsfor PA cumstenographer.A.10.2 Strengthening of DHS/DPMU (Including HR,Mgmt. Cost, MobilitySupport, field visits)670.05 608.85 Office expensesand TA/ DAapproved @ Rs.1.20 lakhs each /district per year.A.10.3 Strengthening of Block Honorarium of 237 3033.86 2584.33 a) Increment forRajasthan Administration Approval 2011-12 Page 24

FMRCodeActivityPMU (Including HR,Mgmt. Cost, MobilitySupport, field visits)Unit Cost (whereeverapplicable)Physical target/Expected outputBPM, 605 Accountantat block & CHCs, 237DEO; OE, MobilitySupport & TA/DAA.10.4 Strengthening (Others) 1 Bio Medical Engineer,HMIS Staff (2 ITconsultants, 1 M&Econsultant, 1 dataofficer, 1 softwareprogrammer)AmountProposed(Rs.Lakhs)AmountApproved(Rs.Lakhs)RemarksBPMU approved@ 10% (vs. 20%proposed).b) Office exp. andTA/DA approved@ Rs. 0.60 lakhseach/ block/ year.533.70 59.54 The following arenot approved:a) Rs. 6.60 lakhsfor staff for drugcontroller's officeb) Rs. 205.66lakhs for staff fornursing institutesc) Rs. 109.16lakhs for staff forpublic healthlaboratoriesd) Rs. 114.20lakhs for HealthManagers at DHlevel.e) Rs. 38.54 lakhsfor patientcounsellors at DH& CHC level.A.10.5 Audit Fees 25.00 25.00 Approved.A.10.6 Concurrent Audit 29.00 29.00 Approved.A.10.7 Mobility Support to BMO/1019.42 0.00 Not approved.MO/ OthersSub-total Programme5627.82 3608.50 ApprovedManagementA.11 VULNERABLEGROUPS0.00 0.00TOTAL RCH II BASEFLEXI POOLTOTAL RCH IIDEMAND SIDEGRAND TOTALRCH II25814.78 18698.33 Approved24206.41 22693.91 Approved50021.19 41392.24 ApprovedRajasthan Administration Approval 2011-12 Page 25

Consolidated Approval under NRHM Flexi Pool for FY 2011-12Annexure-IIFMRCodeActivityMission Flexible PoolUnit Cost(whereeverapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksB1B.1.1B1.1.1ASHAASHA CostSelection & Training ofASHAInductionTraining to7000 newlyrecruitedASHA281669 ApprovedB1.1.2B1.1.3TOT for 6 and 7 thmodule for High FocusDistrictsASHA training on 6th7th moduleProcurement of ASHADrug KitOther Incentive toASHAsMonthly meeting at PHCRs 3.148lakhs /batch1.108Lakhs/batchRs. 600/-per drug kitTraining onmodule 5 - 38820000 ASHA20 batches 62.96 62.96 Approved(30 -40participantsper batch)20000 ASHA 554.25 500.00 Approved(30-40ASHA perbatch, 500batches of 5days each)22000 kits 132 44.23 Total ASHAs= 42373 + 7000(new) = 49373.Approved for7373 ASHAs(includes 7000new ASHAs &373 existingASHAs) @ Rs600/drug kit as42000 drug kitsalreadyapproved lastRs. 100/- 42000ASHAs for12 Monthsyear.420 420 ApprovedB1.1.4Awards to ASHA's/LinkworkersRajasthan Administration Approval 2011-12 Page 26

FMRCodeB1.1.5B2ActivityASHA ResourceCentre/AHSA MentoringGroupDistrict ASHACoordinatorUnit Cost(whereeverapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks0.15 34 64.80 1081.59 Currentapproval isBlock ASHA Facilitator 0.08 237 222.05based on lastPHC ASHA Supervisor 0.05 1517 1039.32year approvalwith 15 %increase.Untied FundsB2.1 Untied Fund for CHCs Rs. 50000/- 376 188.00 184.00 Approved for368 CHCs asper RHS 2010B2.2 Untied Fund for PHCs Rs. 25,000/- 1517 379.25 376.00 Approvedfor 1504 PHCsas per RHS2010B2.3 Untied Fund for SubCentresRs. 10000/- 11487 1148.7 1148.7 Approved for11487 SCs asper RHS 2010B2.4 Untied fund for VHSC Rs. 10000/- 40695 4069.5 4069.5 Approved(Total 43437VHSCs as perMIS31.12.2010,2742 villagesare havingpopulation lessthan 3500therefore theuntied fund ofnearby biggervillage to beused for thehealth need ofsmallervillages)B.3 Annual MaintenanceGrantsB.3.1 CHCs Rs.1,00,000376 376.00 362 Approved for362 CHCs ingovt buildingas per RHS2010B.3.2 PHCs Rs. 50,000/- 1517 758.5 712.5 Approved for1425 PHCs ingovt buildingas per RHS2010Rajasthan Administration Approval 2011-12 Page 27

FMRCodeActivityUnit Cost(whereeverapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksB.3.3 Sub Centers Rs. 10000/- 10237 1023.7 931.00 Approved for9310 SCs ingovt buildingas per RHS2010B.4 Hospital StrengtheningB.4.1B4.1.1B4.1.2B4.1.3B4.1.4B4.1.5Upgradation of CHCs,PHCs, Dist. Hospitals toIPHS)District HospitalsCHCsPHCsSub CentersOthersB 4.2 Strengthening ofDistricts, Sub-divisionalHospitals, CHCs, PHCsB.4.3Sub Centre Rent andContingenciesB.4.4B5Logistics management/improvementNew Constructions/Renovation and SettingupRs.1 Lakhper DPMURs.6 lakhfor State34 DPMU1 SPMU40 40 Approved(For supply ofdrugs,medicine,equipment andIEC etc fromstate to districtto subcenterlevel)B5.1 CHCs Renovation -104 CHCsJSY ward -213 CHCs,Renovation -99 upgradedfacilitiesresidentialQuarters-41CHCsB5.2 PHCs Renovation -494 PHCs2125 0 Not approved2995 0 Not approvedRajasthan Administration Approval 2011-12 Page 28

FMRCodeActivityUnit Cost(whereeverapplicable)Physicaltarget/DeliverablesLabour room- 204 PHCsresidence -236 PHCs373 PHCs -upgradedfacilitiesB5.3 SHCs/Sub Centers 1011 SCrenovationB5.4 Setting up Infrastructurewing for Civil worksB5.5 Govt. Dispensaries/others renovationsB5.6 Construction of BHO,Facility improvement,civil work, BemOC andCemOC centersB.5.7 Major civil works foroperationalisation ofFRUSB.5.8B.5.9B.5.10Major civil works foroperationalisation of 24hour services at PHCsCivil Works forOperationalisingInfection Management &Environment Plan athealth facilitiesInfrastructure ofTraining InstitutionsUnit costnotprovidedC.E.-1SeniorArchitect-1Superintending -2Engineersand otherEngineersandArchitects.Fieldsupervisors /JuniorArchitectsAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks2950 0 Not approved900 450 Approved for50%. Balanceto beconsidered onsubmission ofdetails.5 ANMTC 565 0 Not approvedRain waterharvesting -50DH/SDH,366CHCs andconstructionof cold chainrooms atthree districts625 0 Not approved40 0 Not approvedas details notmade available,to beconsideredsubsequently ifdetails areprovidedRajasthan Administration Approval 2011-12 Page 29

FMRCodeB.5.10.1ActivityStrengthening of ExistingTrainingInstitutions/NursingSchool( Other than HR)a. GNM Schools1. Infrastructure2. EquipmentUnit Cost(whereeverapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksB.5.10.2b. ANMTCs1. Infrastructure2. EquipmentNew TrainingInstitutions/School(Otherthan HR)B.6 Corpus Grants toHMS/RKSB6.1 District Hospitals Rs. 5 Lac 34 170 170 ApprovedB6.2 CHCs RS. 1 Lac 376 CHCs,13 SDH & 05SH394 386 Approved for368 CHCs asper RHS 2010.13 SDH & 05SHB6.3 PHCs Rs. 1 Lac 1517 1517.00 1504.00 Approved for1504 PHCs asper RHS 2010B6.4 Other or if not bifurcatedas aboveB7 District Action Plans(Including Block,Village)B8 Panchayati RajInitiativeB8.1 Constitution andOrientation ofCommunity leader & ofVHSC,SHC,PHC,CHCetcB8.2 Orientation Workshops,Trainings and capacitybuilding of PRI atB8.3 OthersState/Dist. HealthSocieties, CHC,PHCB9 Mainstreaming ofAYUSHB9.1 Medical Officers atDH/CHCs/ PHCsRs. 25000/-34 dist+state(1 lac)0.168 lakhs 1028 (existing)9.5 9.5 Approved2279.69 2000.0 ApprovedRajasthan Administration Approval 2011-12 Page 30

FMRCodeActivityUnit Cost(whereeverapplicable)Physicaltarget/Deliverables0.168 369 (newproposed)Ayush Compounders 0.075 Lakhs 1005(existing)B9.2 Other Staff Nurse/Supervisory Nurses (forAYUSH)B 9.3 Activities other than HRB10IEC-BCC NRHMB.10 Strengthening ofBCC/IEC Bureaus(state and districtlevels)B.10.1Development of StateBCC/IEC strategyB.10.2 Implementation ofBCC/IEC strategyB.10.2.1B.10.2.2B.10.2.3B.10.2.4BCC/IEC activities forMHBCC/IEC activities forCHBCC/IEC activities forFPBCC/IEC activities forARSHOther Activities(MMU,NRHM booklet,calendar, monitoring andevaluation of IEC BCCactivities)Jan Mangal CouplesBaithak and Orientationof New JMC392 (newproposed)AmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks433.944 0 Not ApprovedState maypropose it inAdditionalprojects815.40 430.65 Approved (Forexisting 435AC only)147.00 0 Not ApprovedState maypropose it inadditionalprojects2.00 2.00 Approved15.00 15.00 ApprovedRS. 1 Lac 34 34 34 ApprovedRs.1200/- peryear per JMC(Rs. 200 /meeting heldevery fourmonths atJan MangalCouples(JMCs) - MilanBaithak - 32000couple to meetevery four37.76 37.76 Approved33.44 33.44 Approved30.00 30.00 Approved20.00 20.00 Approved318.00 159.00 JMC - MilanBaithak - 50%(Rs. 144 lakhs)of proposedamount isapproved.c) Training ofRajasthan Administration Approval 2011-12 Page 31

FMRCodeActivityHamari Beti Express(IECMobile VanCelebration of HamariBeti YearUnit Cost(whereeverapplicable)PHC);Physicaltarget/Deliverablesmonths atPHCs(including forperformancebasedevaluation);Training of4150 newlyselected JMCs(25 JMC / batchx 166 batches)Hamari BetiExpress - IECmobile van;Save the GirlcampaignbrandambassadorCelebration ofHamari BetiYearAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarksnew JMC - 50%(Rs. 15 lakhs) ofproposedamountapproved.81.00 81.00 Approved34.00 34.00 ApprovedB.10.3 Health Mela 200.00 200.00 ApprovedB.10.4Creating awareness ondeclining sex ratio issue.B.10.5 Other activities 25.00 25.00 Approved(AYUSH, 108,URCH,UniversalAssurance offree Medicinefor vulnerables,Thallesimia &Cancerawareness etc)Swasthya Mitra Yojna 2.00 2.00 ApprovedB11Gram Swasthya Yojna Lumpsum Awards forbestperformingfacilitiesMobile Medical Units(Including recurringexpenditures)440.00 0 Not ApprovedState maypropose it inadditionalprojectsA. Procurement 2011- Rs 14.4 lacs 50 MMVs 720 0 Not Approved12B. Operational cost for 8 months@ Running cost 1000 1000 ApprovedRajasthan Administration Approval 2011-12 Page 32

FMRCodeB12Activity150 MMVs and 52MMUsC. VTS in all 304vehicles @ Rs. 10,000/-Referral TransportB12.1 Ambulance/ EMRI/OthermodelsReferral transport forPregnant WomenReferral Transport forSick newbornUnit Cost(whereeverapplicable)10 lac peryear@21lac/yr@21lac/yrVTS @10000Rs 1.00lacs/month(Rs.95000/- permonth5000/- permonth ismedical &nonmedicalconsumablesRs. 250 / casefor referralfrom home toinstitution anddrop back; Rs.500 / case for2nd referraland drop backReferral -for mildly illnewbornsRs. 300 x 2trips and forseverely illnewbornsPhysicaltarget/Deliverablesof 150MMVs32 MMUs for12 months20 MMUs for8months464ambulance(364Ambulancefor 12months) (100ambulancebudgetcalculated for10 months)Only 50%budgetcalculatedunder NRHM5.25 lakhbeneficiariestransportedfrom home toinstitution;1.875 lakhbeneficiaries for2nd referral (toand fro); 6.50lakhbeneficiaries fordrop back. Restthrough "108"emergencyambulanceservices.Referraltransport for2.25 lakh sickneonates(1.35 lakhmildly ill and0.90 lakhAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks672 672 Approved280 280 Approved0.00 0.00 Not approved5368.0 1473.6 ApprovedRs 873.6 Lakhs(20 % for 364ambulances)and 600 Lakhs(60%) for 100ambulances.5500.00 2906.25 Unit cost revised -total budgetcomes to Rs.3875.00 lakhs.75% approved.Remainingbudget will beconsideredsubject toutilisation andavailability offunds.2268 1046 Referraltransport unitcost revised -total budgetcomes to Rs.1710 lakhs (vs.Rs. 2268 lakhsRajasthan Administration Approval 2011-12 Page 33

FMRCodeActivityB12.2 Operating Cost (POL)Unit Cost(whereeverapplicable)Rs. 500 x 2tripsPhysicaltarget/Deliverablesseverely ill),of which 40%are expectedto use "108"services.AmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarksproposed).Approved 60%- Rs. 1046 lakhsfor referraltransport forsick newborns.B13 PPP/ NGOs 10.00 10.00 Pendingliabilities toMother NGOscheme that hasbeen winded upafter March 31 stB13.1 Nongovernmentalproviders of health careRMPs/TBAsB13.2 Public PrivatePartnershipsB13.3 NGO Programme/ Grantin Aid to NGOB14. Innovations( if any)2011Kalewa Yojna Rs. 81.30perbeneficiaryfor 2 days &Rs.10 perbeneficiaryas servicecharge forSHGB15 Planning,Implementation andMonitoringB15.1 Community Monitoring(Visioning workshopsat state, Dist, Blocklevel)B15.1.1 State levelB15.1.2B15.1.3B15.1.4District levelBlock levelOther* Kalewayojana:Providing dietthrough SHGsfor sustaining48 hrs stay for660010womendelivering at376 CHCsand 1100PHCs.1320.00 660.00 Kalewa Yojana50% approved(Rs. 660 lakhsvs. Rs. 1320lakhs proposed.Remainingbudget will beconsideredsubject toutilisation andavailability offunds.405 villages 12.5 12.5 ApprovedRajasthan Administration Approval 2011-12 Page 34

FMRCodeActivityUnit Cost(whereeverapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksB15.2 Quality Assurance 50 blocks 20 20 ApprovedB15.3 Monitoring andEvaluationB15.3.1 Monitoring & Evaluation/ HMIS/MCTS.B15.3.2 Computerization HMISand e-governance, e-healthB15.3.3 Other M & EMobility for DEO Rs. 18000/- 12 2.16 2.16 ApprovedmonthWorkshop / training on Rs. 50000/- 3 1 1.00 ApprovedM& EHardware at PHCs 231 0 Not approved.Net connectivity at PHC RS. 1000/- 1517 15.17 15.17 Approvedoperationalisation of80.00 80.00 ApprovedHMISPrinting of various35.00 35.00 ApprovedformatsTraining on CNA 10.00 10 ApprovedData validation and Rs. 1.25/-15.00 15.00 ApprovedverificationLacB.16 PROCUREMENTB16.1 Procurement ofEquipmentB16.1.1 Procurement ofequipment: MHRs. 5000/-per syringeMVAsyringes at139 CHCsand408PHCsetc.Rs.953.27 lakh ispending oflastfinancialyear2200centersJSY wardstrengthening ,procurement ofmattresses,IV stand547 980.62 0 Not Approved374 0 Not ApprovedRajasthan Administration Approval 2011-12 Page 35

FMRCodeB16.1.2B16.1.3B16.1.4B16.1.5B.16.2B.16.2.1ActivityProcurement ofequipment: CHUnit Cost(whereeverapplicable),bedsheetandblankets,attendentbed, bedsteadBaby Weighing Scale for Rs. 1850/-ASHA(IMNCI) per No.DigitalRs. 141/-Thermometer(IMNCI) per No.NBSU Equipments Rs. 4.83Lac perNBSUNewborn corner Rs. 35000/-equipmentsper No.Procurement ofequipment: FPProcurement ofequipment: IMEPProcurement of OthersProcurement of IFA forAdolescent girlsProcurement ofMedicines for SchoolHealthProcurement of Drugsand suppliesDrugs & supplies for MHMedicines for DeliverycasesRs. 7 Lac300 lac forbuyinglaparoscopes, 100 lacfor NSV setand Minilapset/ TT set14 paise pertabletsFreemedicinesPW - Rs.125 / normaldelivery, Rs.Physicaltarget/DeliverablesEquipmentfor 33 SNCUAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks555.72 PendingLiability of lastyearDetails to beprovided bystate4500 83.25 Details to beprovided by10000 14.1state40 newNBSU193.2408 facility 142.840laparoscopeNeedlecutter, bins,boots andgloves forcleaners,aprin300 280 Approved100 100 Approved20 100 100 Approved* Freemedicines forPW, deliverycases, andpost delivery153.803 153.803 Approved3270.00 1635.00Free medicinesfor deliverycases - 50%approvedRemainingRajasthan Administration Approval 2011-12 Page 36

FMRCodeB.16.2.2B.16.2.3B.16.2.4B.16.2.5ActivityDrugs & supplies for CHMedicines for sickneonatesDrugs & supplies for FPSupplies for IMEPGeneral drugs & suppliesfor health facilitiesProcurement of IFA forAdolescent girlsB.17 Regional drugswarehousesRegional drugswarehousesUnit Cost(whereeverapplicable)600 /assisteddelivery, Rs.1500 / C-sectiondelivery14 paise pertabletsRs.12 lakhRs.3.00lakhRs.1.50lakhPhysicaltarget/Deliverablescases - For12.56 lakhdeliveries(8.05 lakhnormaldeliveries,15% assisteddeliveries, 5%C-sectionsSodiumhypocloritesoln, garbagecollectionbags, cap andmasksInclusive ofSCY drugs ,number ofOPD, IPDand lab invst20 HighfocusdistrictsInstruments&Equipmentsfor DrugTesting lab.JaipurColumns forHPLCMuffleFurnaceAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarksbudget will beconsideredsubject toutilisation andavailability offunds.810 0 Not approvedRs. 810Lakhs for freemedicines forsick neonates,GOI supplies,including forsick newborncare, areexpected toreach in June2011.100 0 Not approved7500.00 1800.00 Approved100 100 Approved88.91 40.00 Approved Rs40 Lakhsduring thecurrent yearRajasthan Administration Approval 2011-12 Page 37

FMRCodeActivityDrugs warehousesStrengthening of Publichealth laboratoriesUnit Cost(whereeverapplicable)Rs.25 lakhRs.100002 lakhRs.2.40lakhRs.56000Rs. 90000Rs.2 lakhRs.5.5 lakhRs.18.11lakhRs.1.77lakhRs.11.35lakhRs.0.72lakhRs.2.00lakhPhysicaltarget/DeliverablesHPLCgradiantWater bathserologicalAutoclaveverticalSterility testunitFixed volimemicro literauto pipetteVariablevolumepippetteBacterialEndotoxinTest setGlasswarewashingmachineDigitalpolorimeterOfficemaintenance& cleaningInrastructuredevelopmentCommunication facilitiesLatesteditions ofpharmacopiers & otherbooksRecurringcost for 3months &equipmentsof DistrictDrugControllerOfficeGlasswares,chemical,consumablesand AMC,computerstationary,telephone,AmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks11 0 Not Approved31.5 31.5 Approved(Jaipur-I,Ajmer,Udaipur,Jodhpur, Kota,Alwar)Rajasthan Administration Approval 2011-12 Page 38

FMRCodeActivityUnit Cost(whereeverapplicable)Physicaltarget/Deliverablesinternet andfaxAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksB.18 New Initiatives/Strategic Interventions(As per State healthpolicy)/ Innovation/Projects (Telemedicine,Hepatitis,Mental Health,Nutrition Programme forPregnant Women,Neonatal) NRHMHelpline) as per need(Block/ District ActionPlans)Strengthening oftelemedicine projectClosed User Group fromDirectorate HQ tosubcenter UGRs. 25000/siteRs. 1100perconnection38(32 DH+6Med College)orientation oftraining andpersonnel ,maintainanceof equipment9660(15882 totalusers. 6222are alreadyusing thisfacility)9.5 9.5 Approved106.26 0 Not ApprovedImplementation of IT42 42 Approvedand MIS activitiescomputerisation of Blood0 0bankE- procurement 5 0 Not Approvedcomputerisation of 15DHMedical Help LineB.19 Health InsuranceSchemeEstablishment ofCentralized104 callcentre atStateHeadquartersfor medicaladviceservice875 0 Not Approved70 70 ApprovedRajasthan Administration Approval 2011-12 Page 39

FMRCodeActivityB.20 Research, Studies,AnalysisUnit Cost(whereeverapplicable)Physicaltarget/DeliverablesAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)RemarksB.21 State level healthresourcescenter(SHSRC)State ASHA ResourceCentreB.22 Support Services70437043ApprovedApprovedB22.1 Support StrengtheningNPCBB22.2 Support StrengtheningMidwifery Servicesunder medical servicesB22.3 Support StrengtheningNVBDCP90 0 Not approvedB22.4 Support StrengtheningRNTCP37.38 0 Not approvedB22.5 Contingency support toGovt. dispensariesB22.6 Other NDCP SupportProgrammesB.23 Other Expenditures(Power Backup,Convergence etc)Establishment ofregistration counter staffPurchase of genericmedicineTraining and IEC forUniversal Assurance ofHealth to VulnerablepopulationRs.50 lakhrevolvingfund & 2lakh formaintenance of liftUnder thishead totalRs 3850Lac (70%)is plannedfromAdditionalproject andRs 1650Lac (30%)will beprovided bythe StateGovt. underMMJRKSchemeEstablishment ofregistrationcounter staffPurchase ofgenericmedicineTrainingand IEC forUniversalAssurance ofHealth toVulnerablepopulation52 0 Not Approved900 0 .2900 580.00 Approved(20% isapproved of theproposedamount)500Rajasthan Administration Approval 2011-12 Page 40

FMRCodeActivityBasic diagnostic facilitiesUnit Cost(whereeverapplicable)Rs 500 lacsPhysicaltarget/DeliverablesMin 50 testsat DHsAmountProposed(Rs.inLakhs)AmountApproved(Rs.inLakhs)Remarks1050 0 Not approvedRs 300 lac,Min 30 testsat CHCsRs 150 lacMin 20 test atPHCs50 lacMin 4 test atall SCsCommunicationResearch Centre atSIFHWTotalRs 50 lacEPMC29.5 0 Not approved67185.13 29518.313Rajasthan Administration Approval 2011-12 Page 41

Consolidated Approval under Immunization for FY 2011-12Annexure-IIIFMRCodeC.1c.1.ac.1.bc.1.cc.1.dc.1.ec.1.fc.1.gActivitiesRI Strengthening Project (Reviewmeeting, Mobility Support,Outreach services 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 meetingsexclusive for RI at district level withone Block Mos, CDPO, and otherstake holdersQuarterly review meetings exclusivefor RI at block levelFocus on slum & underserved areasin urban areas/alternative vaccinatorfor slumsUnit Cost(where everapplicable)PhysicalTargetAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)Rs.50000/Year /districtlevel officers. 18.00 18.00Rs. 100000 peryear.Rs. 5beneficiariesRemarksApproved103.21 103.21 Approved2.55 2.55 Approved76.70 23.50 Approvedc.1.hc.1.ic.1.jc.1.kMobilization of children throughASHA or other mobilizersAlternative vaccine delivery in hardto reach areasAlternative Vaccine Deliery inother areasTo develop microplan at sub-centrelevelRs. 150 persessionRs. 100 persessionRs. 50 persession@ Rs 100/- persubcentre1149.94 620.00ApprovedApproved378.13 150.007.00 7.00 Approvedc.1.lc.1.mc.1.nc.1.oFor consolidation of microplans atblock levelPOL for vaccine delivery from Stateto district and from district toPHC/CHCsConsumables for computerincluding provision for internetaccess for RIMsRed/Black plastic bags etc.Rs. 1000 perblock/ PHCand Rs. 2000per districtRs100,000/district/year@ 400/ -month/ districtRs.2/bags/session33.00 33.00 Approved1.63 1.63 Approved21.76 21.76ApprovedRajasthan Administration Approval 2011-12 Page 42

c.1.pHub Cutter/Bleach/Hypochloritesolution/ Twin bucketRs. 900 perPHC/CHCperyearc.1.qSafety Pitsc.1.r State specific requirement 10.00 10.00 ApprovedC.1-Sub TotalC.2c.2.ac.2.bSalary of Contractual Staffs -SubTotalComputer Assistants support forState levelComputer 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 Healthc.3.aWorker (Male), LHV, HealthAssistant (Male/Female), NurseMid Wives, BEEs & other staff (as per RCH norms)Three day training including HepB, Measles & JE(whereverc.3.b required) of Medical Officers ofRI using revised MO trainingmodule)One day refresher traning ofdistict Computer assistants onc.3.cRIMS/HIMS and immunizationformatsOne day cold chain handlerstraning for block level cold chainc.3.dhadlers by State and district coldchain officersOne day traning of block levelc.3.e data handlers by DIOs andDistrict cold chain officerC.3-Sub TotalCold chain maintenanceC.4Rs.12000-15000 perperson permonth 40.95 40.958000-10000per person permonthRs.500/PHC/CHCs per yearDistrictRs.10000/year40.00 40.0060.00 60.000.48 0.487.09 7.0912.84 12.84ApprovedApprovedApprovedApprovedApprovedApprovedC5 ASHA IncentivesC6 PPI Operation Cost 1458.46 ApprovedTOTAL 1963.28 2610.47Rajasthan Administration Approval 2011-12 Page 43

Consolidated Approval under NIDDCP for FY 2011-12Annexure-IVAFMRCodeActivityUnit Cost(whereeverapplicable)Physical target/Expected outputAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)RemarksD.1 Establishmentof IDD ControlcellThe sanctioned post ofStatistical Asstt. may befilled up.Implementation &monitoring of theprogramme1D.1.a. TechnicalOfficerD.1.b. Statistical1OfficerD.1.c. LDC Typist 1D.2 Establishmentof IDDMonitoring LabMonitoring of districtlevel iodine content ofsalt and urinary iodineexcretion as per PolicyGuidelines. Thesanctioned post of LabTech. & Lab Asstt. maybe filled upD.2.a. Lab Technician 1D.2.b. Lab Assistant 1D.3 IEC/BCCHealthEducation &PublicityIncreased awarenessabout IDD and iodatedsalt.12.00+1.02(DEO)3.0010.0010.05.07.0D.4 IDDSurveys/ReSurveysRs. 50,000per district 5.002.0D.5.Supply of SaltTesting Kit(form of kindgrant)Creating iodated saltdemand and monitoringof the same at thecommunity level.Total31.02 24.00Rajasthan Administration Approval 2011-12 Page 44

FMRCodeActivityConsolidated Approval under IDSP for FY 2011-12Unit Cost (whereeverapplicable)Physicaltarget/ExpectedoutputAmountProposed(Rs. inLakhs)AmountApproved(Rs.inLakhs)E IDSPE.1 Operational Cost 62.84 62.841.1 Mobility Support Rs 15,000/- per58.84 58.841.3 Review Meetingsdistrict per month1.4 Field Visits1.5 Formats and Reports1.2 Lab Consumables Rs. 2 lacs per districtpriority lab4.00 4.00E.2 Human Resources 226.68 208.622.1 Remuneration of 30,000 33 118.80 100.8Epidemiologists2.2 Remuneration of 20,000 3 7.2 7.2Microbiologists2.3 Remuneration of 20,000 1 2.4 2.4EntomologistsE.3 Consultant-Finance 14,000 1 1.68 1.683.1 Consultant-Training 28,000 1 3.3 3.33.2 Data Managers 14,000 (State)13500(District)33 53.52 53.463.3 Data Entry Operators 8500 39 39.78 39.783.4 Others NAE.4 Procurements NA4.1 Procurement -Equipments4.2 Procurement -Drugs& SuppliesE.5 Innovations/PPP/NGOsE.6 IEC-BCC Activities NAE.7 Financial Aids toMedical InstitutionsRs 5 Lacs perdistrict Referral lab40.00 40.00RemarksAnnexure-IVBE.8 Training 18.03 4.00 The number of trainees ineach of the training is atthe higher side.Several training suggestedhas been curtailed out.TOTAL 347.55 315.46Rajasthan Administration Approval 2011-12 Page 45NA

FMRCodeConsolidated Approval under National Vector Borne Disease Control ProgramActivityUnit Costwhere everapplicableF.1 DBS (DomesticBudgetary Support)F.1.1MalariaF.1.1.a MPW Rs 6000per monthfor 100MPW for12 monthF.1.1.b ASHA Honorarium Averageincentive isaround 200per monthper ASHAPhysicaltarget/DeliverablesAmountProposed(Rs. inLakhs)AmountApproved(Rs. inLakhs)Annexure-IVCRemarks122.40 72.00 The contractual MaleMPW support is onlyfor XI Plan. By thenstate has to fill upvacant Male MPWposts. NRHM has alsosanction Male MPWposts which may beexpeditiously filled up.Please see NRHM website for details30.00 20.00 The GOI will supportfor ASHA incentive in5 district namelyJaisalmer, Sirohi,Udaypur, Bundi, andBarmer. For otherdistrict fund will beutilized from NRHMadditionalitiesF.1.1.c Operational Cost 168.48 0.00 State component. Ifneed the funds ofVHSC can be usedF.1.1.dMonitoring , Evaluation& Supervision &Epidemic Preparednessincluding mobility66.62 66.00 This component alsoincludes printing ofreporting format,reporting and otherexpenditure related topreparation of reportand communiton ofreport.F.1.1.e IEC/BCC 25.00 This fund is forintegrated IECactivities for VBDincluding MalariaDengue etc.F.1.1.fF.1.1.gPPP / NGO activitiesTraining / CapacityBuilding66.20 41.00 The funds availableunder integratedTraining ofstate/NRHM, may alsobe utilized for some ofthe activities.Rajasthan Administration Approval 2011-12 Page 46

F.1.2F.1.2.aF.1.2.bF.1.2.cF.1.2.dDengue & ChikungunyaStrengtheningsurveillance (As per GOIapproval)Apex Referral LabsrecurrentSentinel surveillanceHospital recurrentTest kits (Nos.) to besupplied by GoI (kindlyindicate numbers ofELISA based NS1 kit andMac ELISA Kits requiredseparately)0.00 0.0017.50 4.50 Budget would beenhance based onexpenditure at the REstage0.00 0.00 1. For suspecteddengue cases reportingwith in 5 days of onsetof fever should betested by NS-IELISA based kit,which is to beprocured by the statethrough GOI budgetprovided as cashassistance fordecentralizedprocurement.F.1.2.eMonitoring/Supervisionand Rapid Response2. MAC ELISA test kitare to be used for thecases reporting after5th day of onset offever and these kitswill be supplied byNVBDCP.35.00 15.00 Budget would beenhance based onexpenditure at the REstageF.1.2.f Epidemic Preparedness 28.00 20.00 Budget would beenhance based onexpenditure at the REstageF.1.2.gIEC/BCC/SocialMobilization20.00 0.00 The funds allocatedunder integrated IECfor VBDs as indictorabove may be utilizedF.1.2.h Training/Workshop 28.00 6.00 The funds availableunder integratedTraining ofstate/NRHM, may alsobe utilized for some ofthe activities.F.1.3Acute EncephalitisSyndrome (AES)/Japanese Encephalitis(JE)F.1.4 Lymphatic Filariasis NARajasthan Administration Approval 2011-12 Page 47NA

F.2 Externally aidedcomponent (EAC)F2.1 World Bank Project NAF.3 GFATM Project NAF.4 Any Other item (PleaseSpecify)F.5 Operational Costs(Mobility,ReviewMeeting,communication,formats & reports)F.6 Cash grant fordecentralizedcommoditiesF.6.aF.6.bF.6.cF.6.dF.6.eF.6.fF.6.gF.6.hChloroquine phosphatetabletsPrimaquine tablets 2.5 mgPrimaquine tablets 7.5 mgQuinine sulphate tabletsQuinine InjectionsDEC 100 mg tabletsAlbendazole 400 mgtabletsDengue NS1 antigen kitF.6.i Temephos, Bti (forpolluted & non pollutedwater)F.6.j Pyrethrum extract 2%63.12 130.00 State has to procurethese applicable itemsas per technicalrequirement &guidelines provided byNVBDCP, throughcash assistance fordecentralizedprocurement.Provision for ACT,DEC, RDT forMalaria, NS1 Elisabased kit for denguehave also beenincluded.Sulphadoxine +Pyremethamine tabletsshould not bepurchased as ACTblister for all agegroup is availableF.6.k.Any Other (Pl. specify)50000 LLIN bednets for16 high risk district @ Rs.200 per bed netNew Construction ofHatcheries100.00 0.00 At present NVBDCPis supplying LLIN tothe project districtsonly . If communityused rate of bednet isgood, it can beprocured form NRHMadditionalilties fund25.50 0.00 It is advised that thenatural/permanentwater bodies may beRajasthan Administration Approval 2011-12 Page 48

used as hatcheriesbased on feasibilityinstead of constructionof hatcheries whichwill require continuouswater supply. The costof larvivors fishintroduction can bemet from NRHMadditionalities fundsDignostic (RDK) 20.00 0.00 The quantum andproportion of the Pf %in the state is very low.The existing RDTwhich is Pf specificmay not be used full asafter testing 1000 RDTonly 5 to 6 cases willbe detected. It may beused in the district ofPratabgarh and otherareas only duringoutbreak situation.This may be procuredunder the cashassistance given fordecentralizedprocurement.Urban Malaria Scheme 25.00 0.00 Only commoditiessupport, which hasbeen included underthe cash assistancegiven fordecentralizedprocurement.Total 825.82 399.50Rajasthan Administration Approval 2011-12 Page 49

Consolidated Approval under NLEP for FY 2011-12Annexure-IVDFMRCodeActivityUnit Cost/Where everapplicablePhysicalTargets/DeliverablesAmountproposed(Rs. inLakhs)Amountapproved(Rs. inLakhs)RemarksG.1.G.2.Contractual ServicesState - SMO, BFO cum AO,DEO,AdministrativeAssistant, Driver54500 1 each 7.92 7.92 Higherrates onsalaryproposedmaybeagreed.District - Drivers 4500 16 8.64 8.64Services throughASHA/USHASensitization of ASHAG.3.Honararium to ASHA 300500Office expenses &ConsumablesG.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. TechnicianOther training and capacitybuidling programmeG.5 Behavioral ChangeCommunication (IEC)Quiz,folk show,IPCworkshop,Meeting of opinionleaders,Health melasWallpainting,Rallies,HoardingsetcG.6 POL/Vehicle operation &9600032000PB - 700 casesMB- 500 cases133Rajasthan Administration Approval 2011-12 Page 502.102.500.302.50Rajasthanis a lowendemicState.Mostly MBcasesdetected5.69 5.69 AtapprovedRates29200 6 Batches 6.00-6.00-Atapprovedrates ofStateNRHM.16700 5 Batches 4.00 4.0024100 4 Batches 4.00 4.001 Batch 1.00 1.00State levelDistt. Level40.39 20.00 IECactivitiesshould bean integralpart ofNRHM.

hiring2 vehicles at state level & 1 85000 2 1.60vehicleat district level 75000 33 16.50G.7. DPMR 9.904.121.50MCR footwear, Aids andappliances, Welfareallowance to BPL patients forRCS, Support to govt.institutions for RCSMCR - 250/-Aids/Appliance - 12500Welfare/RCS- 10,000175/Dist. -MCR33 Distt.15 cases14.446.601.50Atapprovedrates.G.8. Material & Supplies 19.14 17.16 As perSupportive drugs, lab.norms.reagents & 52000 33 Distt.equipments and printingformsG.9. Urban Leprosy Control AtG.10.G.11.Mega city - 2, Medium city- 10, Township -29,Medium city II -1Meg -280000Med II -236000Med I -120000Town -5700017 9.00 9.00NGO - SET SchemeSupervision, Monitoring &ReviewReview meetings 25000 4 1.00Travel expenses - Regular - 30.00 20.00Staff for special programme /training need (cash Astt.)G.12.Specific-plan for High- -EndemicDistrictsG.13 Others (maintenance ofVertical Unit, Training &TA/DA)Total 182.02 157.99approvednorms.1.00 Atapprovedrates.Rajasthan Administration Approval 2011-12 Page 51

Consolidated Approval under NPCB for FY 2011-12Annexure-IV EFMRCODEActivityH.1 Recurring Grant-inaidH.1.1 For Free CataractOperation and otherApproved schemes asper financial norms@UNITCOSTRs.750/-per casePHYSICALTARGETCat. Op.-3lacs EyeCollection -2000Specs.Dist.33000PROPOSEDAMOUNT(RS.INLAKHS)H.1.2 Other Eye Diseases@ Rs.1000/- - -H.1.3 School Eye Screening Rs.200/-- -Programme@ per caseH.1.4 Private Practitioners- -@as per NGO normsH.1.5 Management of StateHealth Society andDistt. Health SocietyRemuneration (salary ,review meeting, hiringof vehicle and OtherActivities &Contingency)Rs.14lakh/ Rs7lakh- -H.1.6H.1.7Management ofDistrict of HealthSocietyRecurring GIA to EyeDonationCenters@Rs.1000/-and EyeBank@Rs.1500/- perpair of Eye BallCollectionRs.1000/-per pairandRs.1500/-per pairAMOUNTAPPROVED(RS. INLAKHS)REMARKS962.80 962.80 (*) Approvedunder schemeGIA for Catopsand otherapprovedactivities- -- -H.1.8 Training - -H.1.9 IEC - -H.2 Non- RecurringGrant-in-aidH.2.1H.2.2Procurement ofOphthalmicEquipmentMaintenance ofOphthalmicEquipments- -- -H.2.3 For RIO (new) @ Rs.60 lakh 0.00 0.00 0.00H.2.4 For Medical College@ Rs.40 lakh 2 80.00 80.00 ApprovedRajasthan Administration Approval 2011-12 Page 52

For vision Centre @ Rs.50000/ 20 10.00 10.00 Approved-H.2.5 For Eye Bank @ Rs.15 lakh 2 30.00 30.00 ApprovedH.2.6 For Eye Donation Rs.1 lakh 2 2.00 2.00 ApprovedCentre @H.2.7 For NGOs @ Rs.30 lakh 1 30.00 30.00 ApprovedH.2.8 For Eye Wards and Rs.75 lakh 0 0.00 0.00Eye OTS @H.2.9 For MobileRs.60 lakh 0 0.00 0.00Ophthalmic Units withtele-network @H.3 Contractual ManPowerH.3.1 Ophthalmic Surgeon@ Rs.25000/ 10 30.00 30.00 Approved- p.mH.3.2 Ophthalmic Assistant Rs.8000/- 25 24.00 24.00 Approved@p.mH.3.3 Eye Donation Rs.10000/ 6 7.20 7.20 ApprovedCounselors @ p.m.Total 1176.00 1176.00Rajasthan Administration Approval 2011-12 Page 53

Consolidated Approval under RNTCP for FY 2011-12Annexure-IV FFMRCode.Activityunit cost(whereverapplicable)Physicaltarget/expectedoutputAmountProposed(Rs. inlakhs)AmountApproved(Rs. inlakhs)RemarksI.1 Civil works As perRevisedNorms andBasis ofCosting forRNTCPI.2 Laboratory materials As perRevisedNorms andBasis ofCosting forRNTCPI.3.aHonorarium/CounsellingChargesAs perRevisedNorms andBasis ofCosting forRNTCPI.3.b Incentives to DOT ProvidersI.4 IEC/ Publicity As perRevisedNorms andBasis ofCosting forRNTCPI.5 Equipment maintenance As perRevisedNorms andBasis ofCosting forCivil work Upgradation andmaintenancecompleted asplanned1) Sputum ofTB SuspectsExamined perlac populationper quarter;2) All districtssubjected toIRL OSE andPanel Testing inthe year;3) IRLsaccredited andfunctioningoptimallyAll eligibleCommunityDOT Providersare paidhonorarium inall districts inthe FY1) AllIEC/ACSMactivitiesproposed in PIPcompleted;2) Increase incase detectionand improvedcase holding1) Maintenanceof OfficeEquipments atState/Districtsand IRL41.37 41.37122.04 122.0463.59 63.5971.08 56.8620.21 18.29One time cost for , 1SDS, 2 DOTS-PLUS, 5TU 15 DMCs andmaintenance ofSTC/STDC/SDS/IRL, 1SDS, 2 DOTS PLUSsite,34 DTC, 150 TUs814 DMCs approvedApprovedApprovedApprovedApprovedRajasthan Administration Approval 2011-12 Page 54

RNTCPI.6 Training As perRevisedNorms andBasis ofCosting forRNTCPI.7 Vehicle maintenance As perRevisedNorms andBasis ofCosting forRNTCPI.8 Vehicle hiring As perRevisedNorms andBasis ofCosting forRNTCPI.9 NGO/PPP support As perRevisedNorms andBasis ofCosting forRNTCPI.10 Miscellaneous As perRevisedNorms andBasis ofCosting forRNTCPI.11 Contractual services As perRevisedNorms andBasis ofCosting forRNTCPI.12 Printing As perRevisedNorms andBasis ofCosting forequipmentscompleted asplanned;2) All BMs arein functionalconditionInductiontraining, Updateand Re-trainingof all 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 ofDOTAll activitiesproposed undermiscellaneoushead in PIPcompletedAll contractualstaff appointedand paidregularly asplannedAll printingactivities atstate and districtlevel completedas planned83.23 83.2368.75 68.75112.35 78.6437.10 25.97115.14 115.14799.66 799.6669.08 48.36ApprovedApprovedApprovedApprovedApprovedApprovedApprovedRajasthan Administration Approval 2011-12 Page 55

RNTCPI.13 Research and studies As perRevisedNorms andBasis ofCosting forRNTCPProposedResearch hasbeen initiated orcompleted inthe FY asplanned20.00 20.00ApprovedI.14 Medical Colleges As perRevisedNorms andBasis ofCosting forRNTCPI.15 Procurement –vehicles As perRevisedNorms andBasis ofCosting forRNTCPI.16 Procurement – equipment As perRevisedNorms andBasis ofCosting forRNTCPI.17 Tribal Action PlanAll activitiesproposed underMedicalColleges headin PIPcompletedProcurement ofvehiclescompleted asplannedProcurement ofequipmentscompleted asplanned43.83 43.83 Approved8.6034.00034.00Approved 68 Twowheelers againstcondemned vehicles.Hiring of four wheelersmay be considered.29.30 29.3030.36 30.36Total 1769.71 1679.48Total Funds underAdditionality Head3738000 0Grand Total180709505Approved 22 computersystems for replacementwhich are more than 8year old and are notfunctional.Condemnation rules ofthe state will befollowed as per RevisedFinancial norms. and16.1 lacs for theprocurement ofequipment required forIRL,STDC Ajmer whichcould not be procuredduring 2010-11Amount approved as perthe revised normsNot ApprovedIn addition to this, a commodity grant of Rs. 515.20 lacs has been approved for central level procurementof Anti TB Drugs and Laboratory Equipments for sputum culture & drug sensitivity.Rajasthan Administration Approval 2011-12 Page 56

List of participants of National Programme Coordination Committee of NRHMTo consider the State PIP of Rajasthan held on 13.4.2011ANNEX -VSl.No Name and Designation E-mail address1. Shri. P.K. Pradhan SS & MD, NRHM GoI peekaypradhan@gmail.com2. Ms. Anuradha Gupta JS (RCH) anuradha-gupta@hotmail.com3. Dr. Suresh K. Mohammad, Director RCH suresh.mohammad@nic.in4. Jaya Bhagat director.nrhm@gamil.com, 230613605. Dr. S.K. Sikdar sikdarsk@gmail.com, Ph-230624276. Dr. Ajay Khera, DC ajaykheramch@gmail.com7. Dr. N K. Dhamija, AC lmm MOHFW lmmunizationAC@gnmail.com 999112200668. Dr. Sila Deb, AC(CH) sila.deb@nic.in,Mob- 98688434309. Dr. T. Sundararaman ED NHSRC sunderaramen.t@gmail.com,99714-1555810. Ajith Kumar N, DD(NRHM) dd-nrhm@nic.in11. Dr. Anuradha Jain, sce.cons anunhsrc@gmail.com, 989915944512. Dr. Ravish Behal, SR consultant MSG ravish@msg.net.in , ph- 41327343Strategic consultant RIT, LTD13. M K Sharvar, US NRHM I14. Asmita Jyoti singh, consultant, NRHM asmita.mohfw@gmail.com, 965476509615. Dr. B.N. Barkakaty, NCTIP consultant barkakaty2000@yahoo.com, 981180802516. Dr. Hemant K. Sharma consultant, NRHM drhemantks@yahoo.com17. Shurad Kumar Singh, consultant-CH shuraddiips@gmail.com18. Vipin Garg. Cons JSY vipingarg78@rediffmail.com19. Rajeev Aggrawal, consultant Manager rajeevmo@rediffmail.com20. Dr. Pushkar Kumar, consultant-MH drpushkarkumar@gamil.com21. Kauslendra Kausal, FMG/NPHM kauslendra@yahoo.co.in, 991040061122. Dr. Suresh Kumar, R.O.(AY) Deptt ofAYUSHsuresh.kumar75@nic.inMob- 801028819923. Dr. Biczwan Adv Nutrition M/H & FW advmt@nb.nic.in24. Rakesh Kumar, RCH consultant rakeshshokeen-2007@yahoo.co.in, 991106322125. Dr. B.N. sharath, MHO-RNTCP consultant sharathb@rntcp.org, 987110526426. Dr. Pradeep Khenobis, CMOI(IDSP) idsp_cmo@nic.in, 9868299911REPRESENTATIVES FROM STATE GOVERNMENTSl.No Name and DesignationE-mail address1. Dr. Sumit Sharma, MD, NRHM2. DR. M. L. Jain, Director (Ren) Rajasthan3. Dr. N.K. Gupta, S.T.O. Rajasthan4. Hanuman Prasad, F.A. NRHM, Rajasthan5. Ghanshyam Lal Rao, CE(M & E) Raj7. J.P. Jat, State Dy Manager Rajasthan8. Dr. Anuradha, SPM Raj spm_raj.nrhm@yahoo.com, 94604359759. Syed Zulfigar, State consultant plan zulfimsw@gmail.com10. Sujan Kumar Saha, DPM-Kota sujansaha2001@yahoo.com11. Rakesh Kumar, State consultant-HRDNRHM, Rajasthancohrd.nrhm@yahoo.comMob-954981446212. Kiran Agawal, SFM-Rajasthan sam_raj.nrhm@yahoo.co.in. 9460576075Rajasthan Administration Approval 2011-12 Page 57

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