AP PIP final - RRC-NE

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ProjectsFinancial Performances during the financial year 2008-09 (Upto 3 rd Qtr.)OpeningBalance(Rs. in Lakhs)Fund Received Total Fund Expenditureincurred% ofExpenditureto TotalFundRCH FlexiblePool -331.20 1402.00 1070.80 906.55 84.66NRHMAdditionalities 2567.08 714.00 3281.08 1318.15 42.11RoutineImmunisation 2.41 82.05 84.46 54.48 64.50IPPI 4.75 87.50 92.25 5.87 0.06Grand Total 2243.04 2285.55 4528.59 2212.03 48.85An analysis of the above tables reveals that utilization of fund has significantlyimproved from 2007-08 to 2008-09. No state share or funding for NRHM has beenreceived so far.No Issues of fund overlap have been detected.• Fund routing mechanisms in RCH-II: timelinesThe State Health Society transferred the fund to the District Health Societythrough the electronic mode but from there after the funds are transferred tothe PHC/CHC level in the form of demand draft or cheque.14
CH<strong>AP</strong>TERIVSITUATIONAL ANALYSIS4. RCH4.1 Maternal HealthThe mothers who had atleast 3 ANCs for their last birth in the state is 36.4%.Those mothers who consumed 90 days or more when they were pregnant with theirlast child is 11.6%. There is a wide gap between the mothers who had attended theANC and may be provided 100 IFA but very minimal numbers of mother actuallyconsumed the IFA. Similarly, birth assisted by SBA is 33.4%. However, only 30.8 %have actually delivered in the institution. The reason could be due to lack BCC / IPCto be provided by health personnel and also may be due several health facilities notmanned by ANMs.The mothers who received post natal care within 2 days of delivery is 23.3%.There is ample evidence that health personnel are not proactive in providing thePNC. This is compounded by lack of requisite manpower in the facilities especially inSCs and PHCs. Another reason could be that the health personnel pooled in PHCsare not going to the mothers for PNC due to lack of motivation in the healthpersonnel itself. There is an area for BCC to pick up in the state broadly for thewhole community and particularly to the health personnel.4.2 Child healthChildren 12-23 months who are fully immunized is 28.4% and who had BCGis 57.7%. This shows that there is a wide gap between introduction to immunizationand sustenance of the service. The possible reasons could be lack of awareness onthe part of the community and also availability of services. Accessibility is an area ofconcern for the state of Arunachal Pradesh. Likewise, children who had received 3doses of OPV is 55.8% but as compared to vaccines given later are less. Thisclearly indicates vast area of improvement in terms of continuous BCC / orientationabout the importance of full immunization.Children who have received 3 doses of DPT Vaccine is 39.3%. There is avariation between OPV and DPT whereas these 2 vaccines are given together. Thereasons that are prevalent in area are mothers are worried of fever after thevaccination, maternal psyche not tolerating injection / cry of the beloved child etc.Measles coverage is also very low at 38.3%. All this decline may be attributed toineffective BCC, irregular Immunization days etc. Children 12-35 months old whoreceived vitamin A doses in last 6 months stands at 17.4% only. Very often, it is dueto non availability of Vit A supply and also due non promotion regarding the need ofadministering vitamin A by the health personnel.Children who received ORS is 33.5%. Children with diarrhea taken to a healthfacility during the last 2 weeks are 37.9%. The evident reason for very low level ofhospital treatment is due to lack of facility nearby / accessibility is poor and similarlyconsumption of ORS is low due to ignorance / the taste of the preparation. Anotherreason prevalent in some districts could be that if ORS is taken, it aggravates15
Page 1 and 2: CHAPTERISUMMARY1. Executive Summary
Page 3 and 4: Incorporating all the data received
Page 5 and 6: more antenatal checks5. % of pregna
Page 7 and 8: 3.5 Private and NGO health services
Page 9 and 10: Organogram of District Programme Ma
Page 11 and 12: - The relevant documents of already
Page 13: (A) Budget availability during 2008
Page 17 and 18: 4.5.1.1 DISTRICT INDICATORS ON MATE
Page 19 and 20: aboveKnowledge about 84.1 75.3 86.8
Page 21 and 22: predominantly tribal populated Stat
Page 23 and 24: 4.12 Convergence/ CoordinationA con
Page 25 and 26: appropriate feeding practices andat
Page 27 and 28: They are regularly in touch with th
Page 29 and 30: 5 Selection ,remunerationtraining o
Page 31 and 32: 13Support for MobileMedical Units14
Page 33 and 34: 17 Telephone forSHCs/PHCs/CHCs/DHs1
Page 35 and 36: 2021222324of Facility likeSubcentre
Page 37 and 38: 3.2.3 Functionalities & critical st
Page 39 and 40: media or folk media???Private Healt
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Page 43 and 44: 15.2. Revised National Tuberculosis
Page 45 and 46: For implementation of RCH-II, the a
Page 47 and 48: FamilyPlanningChildHealthOtherhealt
Page 49 and 50: Facility Survey/ House Hold SurveyA
Page 51 and 52: (Yes)No1.13 What type of fuel is0us
Page 53 and 54: year2.8.eWhether any trained0medica
Page 55 and 56: Year, procurement process completed
Page 57 and 58: Following are the list of PHCs who
Page 59 and 60: Name ofworkConstructionof Sub-Centr
Page 61 and 62: 900,000.00 900,000.00DibangValley1
Page 63 and 64: Public Private Partnership (PPP) fo
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4 RNTCP 211.27 180.945 NLEP 230.87
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RCH/FW messages have been published
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CHAPTERVIRCH II PROGRAMME OBJECTIVE
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It is proposed to functionalise 10
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Further, ASHAs / AWW will identify
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Health & Sanitation Committee compr
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6.2.2 CHILD HEALTHObjective: To bri
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diarrhoeal episode at the household
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6.2.2.6 Care of Sick Children at FR
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convenience of the facility. Necess
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The RKM Hospital, Itanagar will be
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6.2.5 URBAN RCHThe proposal envisag
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organization run Ramakrishna Missio
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6.2.6 TRIBAL RCHThe state of Arunac
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Type of services:The Program envisa
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a. The ProjectThe PPP Project was a
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• Participation in and implementa
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months. It will review the work don
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Arunachal Pradesh and NANI SALA Fou
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6.4 INSTITUTIONAL STRENGTHENING6.4.
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The drug scruples are drawn from th
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District HMIS/M&E Cell1. Computers
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is in place now. Online reporting f
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programme will mainly focus on the
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Budget Estimate for Review meetingS
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This will include monitoring of act
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Role of State in Capacity building:
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6.4.3.1. STRENGTHENING OF IEC/BCC B
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PERIODIC INPUTSStateBlockCHC/PHCSub
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level Root fund utilizationJSY/Immu
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e produce and broadcast at 5 AIR st
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presently satisfying the clinical a
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Details of Training Expenditure 200
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6.5.2.1 Development/translation and
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training is 15 days. The Fund requi
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6.5.6. Family Planning Training6.5.
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The state is planning to establish
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Decentralized HMIS/M&E Training Pla
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Training on DHIS 2, web based onlin
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Comparative Rankings of HDI and GDI
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Infant and Child MortalityInfant an
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the condition and position of women
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incumbent District Accountants as D
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(iii)(iv)(v)(vi)(vii)collection, co
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Books of Accounts.The following boo
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ASHA supervisor/facilitator under t
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5.2 Sensitization of AWWs, ASHAs, f
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level, through Drug Distribution Ce
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PPTCT-Overall supervision byhead of
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RTI/STI,VCTC, andPPTC is alsoinclud
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CHAPTERVIIProgramme Management Arra
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Stationery 6,00,000/-Telephone expe
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CHAPTERIXMONITORING AND EVALUATIONM
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5. Maternal Health1. Proportion of
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From SC/PHC/CHC/DH/FRU to the Distr
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CHAPTERXSustainabilitySustainabilit
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Sl.NoName oftheDistrictTotal No. of
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Activity Unit cost Budget requireme
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ASHA need to stay in touch, to shar
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No. of ASHAsforReorientationTrainin
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The existing monthly remuneration i
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e minimized. The equipment specific
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RKS fund @ Rs. 1 lakh/ PHCs will al
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Weinmann, GermanyMouth to Mouth Res
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effect and the broad detail of prop
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2. Appointment of staff: On contrac
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2. Community based intervention for
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Health Promotion Activity(School, W
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Monitoring and Evaluation:The state
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Strategy / ActivityTimeline2008-09
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Budget headUnit ofmeasurePhysical T
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Part C: UIPROUTINE IMMUNIZATION1. S
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Sl.No.1.a.1. Manpower Status dedica
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of cold chain equipments throughout
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1. a.3. Vaccines and Logistics:The
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8 Children 10 at yrs 32239 331039 C
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Table 1.b. continues....JE-routineH
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Total reported VPD outbreaks in Sta
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are looked after by the Mechanic ad
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5.2. Cold Chain Maintenance:The ina
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5.6. Support for Computer Assistant
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5.9.2. Orientation Training of Medi
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the trainees in a batch, the total
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5.12. Consumables for Computers inc
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non-reliability of the power supply
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it is highly felt that all the vacc
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Cold Boxes7 Large)134 392 392Cold B
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SN126.6. Vaccine VansNon-functional
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It has been found that the 11 units
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State HQMobility support for1 super
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8. Budget.The budget portion is the
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S.No.PART D: STRENGTHENING NATIONAL
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DTC633 472/Lakh 142 106/Lakh 87% 75
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(Rs.)(a) (b) (c) (d) (e)Purchaseof
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Opinionleaders/NGOsforadvocacyHealt
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6. Training:ActivityNo.inthestateNo
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Provision forUpdateTraining atVario
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NGOsinvolvementunsignedPrivatepract
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TuberculosisUnit ModelTB-HIVScheme:
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thenorms inthestateyearis beingsubm
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15. Procurement of Vehicles:Equipme
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Print publicity- Posters- Pamphlets
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RNTCP ADDITIONAL SECTION UNDER NRHM
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5. TrainingIn-service refresher tra
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HEAD PHYSICAL FINANCIAL10. School E
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GFATM States (Arunachal Pradesh):-S
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East Siang 87430 2005 60538 8213 61
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Sl.NoC2. High Risk Areas:NameDistri
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Subansiri10 Kurung4 13 146 30406 Ni
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14 UpperSiang13 98 3067015 Anjaw 12
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1516S.NogAnjawNaharlagun1 13 371 5
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N.B. Details of Micro planning for
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S.NoJ. Training: mention number of
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K. PPP involvementS.No.Schemes1 Sch
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for each PHCs is required.Threats :
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Expenditure (Financial Performance)
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MTS LT Accountants11.707.921.8016.3
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NATIONAL LEPROSY ELIMINATION PROGRA
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(Rupees Two lakhs fourteen thousand
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= Press (Local News Paper) @ 5000 X
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@ 500 P.M. X 17 nos X 12 mnths = 1,
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INTEGRATED DISEASE SURVEILLANCE PRO
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ANNEXURE-1PROPOSED COST ESTIMATE FO
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Annexure-4TOTAL BUDGET REQUIRED FOR
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Table-1NUMBER OF TRAINEES IN THE ST
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4.9 LABORATORY SUPPORT FOR IDSPComp
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4 Link up with state and district s
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Annexure- ASUMMARY OF TOTAL COST ES
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At the World Health Assembly in Gen
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SL.NO.DISTRICTHEADQUARTERPOPULATION
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1. Technical Officer : One Post.2.
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among these children are almost non
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6.2.2 IEC6.2.3 LABORATORY ACTIVITY6
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While the availability of iodised s
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The budget requirement for salary o
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coalition1.3. Conduct a high-level
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4.2. Establish a system foreffectiv
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5c.3. Develop information onIDD and
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7. BUDGETINGThe Annual budget for t
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SlANNEXURE-IBUDGET REQUIREMENT FOR
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11Block levelSensitizationmeeting10
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6. To determine to percentage of po
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Develop effective coordination betw
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4.3 Provision of Immunization durin
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through Drug Distribution Centers a
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practices-Ensure universalprecautio
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- - In some state, PRI representati
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Strategy / Activity2008-09(in lakhs
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AP PIP final - RRC-NE

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