National Rural Health Mission _NRHM_

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					            NRHM
Programme Implementation Plan
           2008-09
         HARYANA


      Mrs Navraj Sandhu
 Commissioner & Secretary Health
           Haryana
            HEALTH INDICATORS
                                      Present
        INDICATORS           2005      status      2010



Infant Mortality Rate        60         42          30

Maternal Mortality Rate     300        162         100

Total Fertility Rate         2.8       2.7         2.1
Institutional Deliveries    23%        39%         80%
                                      (53.4%
                                       CRS)

Sex Ratio                  819 (2001 860 (CRS)   875 (CRS)
                             census
    SECTION 1
PROGRESS ON NRHM
    TIMELINES
       PROGRESS ON NRHM TIMELINES
    Activity     Timeline    Achievement          Target

Fully trained   50% 2007    Identified 11513   14000 (100%)
ASHA            100% 2008   (82%)              ASHA trained
                            Trained 5430       by Dec 2008


Constituting    30% 2007    Bank accounts      6393 (100%)
VHSC            100% 2008   5100 (80%)         VHSC by June
                                               2008


ANM placed at   30% 2007    100%
Sub Centre      60% 2008    Regular- 2544
(2465 sub-      100% 2010   Additional- 1965
Centres)
      PROGRESS ON NRHM TIMELINES
   Activity       Timeline   Achievement        Target
24x7 PHC as      30% 2007          106      160 PHC by Dec
per IPHS         60% 2008     (functioning 2008 (38%)
                 100% 2010   with more than   (@Rs75lakh
                             10 deliveries)      each)
CHC upgraded     30% 2007    In progress   40 CHC by 2010
as per IPHS      60% 2009                  (@Rs1.5Cr each)
                 100% 2012                 40 FRU by
                                           March 2009

Sub-Divisional   30% 2007                  4 Sub-DH by
Hospitals as     60% 2009                  2010
per IPHS         100% 2012                 (@Rs5cr each)
      PROGRESS ON NRHM TIMELINES
    Activity      Timeline   Achievement        Target
District         30% 2007    In progress    3 DH by 2010
Hospitals as per 60% 2009                   (@Rs15Cr each)
IPHS             100% 2012

SKS at CHC,      50% by      100%
Sub DH & DH      2007
                 100% by
                 2009


DHAP for 2005-   50% 2007    45% complete   11 DHAPs (55%)
12               100% 2008   (9 DHAPs)      by June 2008
      PROGRESS ON NRHM TIMELINES
     Activity        Timeline   Achievement      Target
Untied Funds –      50% 2007    S/C- 100%     VHSC 100% by
Sub-centre, PHC,    100% 2008   PHC-100%      June 2008
CHC & VHSC                      CHC-100%
                                VHSC- 80%
Annual              50% 2007    PHC-100%
Maintenance grant   100% 2008   CHC-100%
– S/C, PHC, CHC &
onetime for DH,
Sub-DH & SKS
State/ District     50% 2007    100%
Health Societies    100% 2008
estd & functional
      PROGRESS ON NRHM TIMELINES
   Activity       Timeline     Achievement        Target
Community       50% - 2007     In progress   Framework ready-
Monitoring in   100% - 2008                  implementation
place                                        by June 2008

Procurement 50% - 2007         MSD system    NRHM
& logistics      100% - 2008   in place –    Procurement Cell
streamlines                    state level   by Sept 2008-
for availability                             State & District
of drugs                                     Level


House hold      50% - 2007                   100% by March
survey          100% - 2008                  2009
      PROGRESS ON NRHM TIMELINES
     Activity       Timeline   Achievement       Target

Service             50% - 2007 Draft ready   Essential Drug
Guarantees for      100% -                   List & Treatment
S/C, PHC, CHC,      2008                     Protocols –
Sub-DH, DH                                   drafted- to be
                                             circulated/
                                             printed

Intra-convergence   30%-2007 100%
between health      50%-2008
programmes- FW,     70%-2009
Vector borne, TB,
HIV/AIDS at – all   100%-2012
S/C, PHC, CHC,
DH & Sub-DH
      PROGRESS ON NRHM TIMELINES
   Activity      Timeline     Achievement        Target

Convergence     30%-2007      45%           55% by June
with            50% - 2008                  2008
determinants of 100% - 2009
Health in
DHAPs


Annual Health   30%-2008                    Annual Report –
Progress        50% - 2009                  State level- June
Report          100% - 2010                 2008
                                            District – March
                                            2009
      PROGRESS ON NRHM TIMELINES
   Activity      Timeline   Achievement        Target

Institution-wise 30%-2008    Progress     50% - March 2009
performance      50% - 2009
assessment       100% - 2010




Medical Mobile 30%-2008    30%-2008
Units at each  50% - 2009
district       100% - 2010
  INCREASE IN CASE LOAD ON HEALTH SYSTEM
                   2005            2006         Increase

OUTDOOR            15003776        16439175     10%

INDOOR             1284344         1387128      8%

Utilization of Health facilities

Pop served/ medical facility                  7164

Doctor Nurse ratio                            4:3

Nurse Bed ratio                               1:7

Doctor Bed ratio                              1:5
  SECTION 2
KEY STRATEGIES
 KEY HEALTH MANAGEMENT STRATEGIES
• HUMAN RESOURCE POLICY
• INFRASTRUCTURE POLICY

• HEALTHCARE SERVICE DELIVERY POLICY

• COMMUNITY PARTICIPATION POLICY

• MONITORING & EVALUATION POLICY

• FINANCIAL MANAGEMENT POLICY

• PROGRAMME STRATEGIES
     HUMAN RESOURCE MANAGEMENT

• Filling existing vacancies
• Increasing no. of posts under state Budget
• Creating posts for specialist – 45% of carder
• Skill up-gradation & training – on key focus areas
• Performance based hike/incentive for contractual
  staff
• Attractive remuneration for doctors/ specialist
  under state budget
• Incentive for rural postings – additional NPA &
  compulsory 2 years
    HUMAN RESOURCE MANAGEMENT

• Placement policy based on skill/ training
• Specialist doctors in PPP mode – call/case
  basis & fixed-day approach- gynae,
  paediatric & anaesthetist
• Extend hiring other specialists by IPHS
  facilities on fixed day approach
• IPHS standards by 2010 – by combination of
  regular + contractual hiring
         INFRASTRUCTURE STATUS
• Present Infrastructure :
  – 50 Hospitals     84 CHC   421 PHC     2465 SC

• State Contribution on capital
  – 2006-07:Rs14cr   2007-08:Rs15.75 2008-09:Rs19

• Infrastructure Policy: Rationalization of infra
  structure on 2001 census
  – Gaps:       41 CHCs, 82 PHCs, 573 Sub-centres
  – Funds required to fill gap 500 Cr
 INFRASTRUCTURE CREATED FROM STATE
              BUDGET
Health       2005-06     2006-07      2007-08      Under
Facility                                           construction
CHC          9           4            4            5

PHC                      3            1            38

Sub-Centre                            32           5

CHC up-      3                        7
graded to
sub-DH (50
bedded)
Trauma                                 4
Centre
    Rs 15 crore released in January 2008 towards completing
        2007-08 target (1 CHC, 12PHC & 2 Sub-centre)
         INFRASTRUCTURE MANAGEMENT
                  IPHS PLAN

• All new construction as per IPHS
• All existing health facilities to up-graded to
  IPHS in phased manner by 2012
• Phase I:
     •   160 PHCs 24x7
     •   40 FRUs
     •   40 CHC IPHS
     •   3 District Hospital IPHS (by 2010)
     •   4 Sub-Divisional Hospital (by 2010)
         INFRASTRUCTURE MANAGEMENT
              PLAN 2008-09 -- Phase I
                   DH   Sub-DH CHC   PHC   Sub-Centre

New                           8      17    100
construction

Up-gradation       3    4
to IPHS


Operationalising              40
FRU

Operationalising                     160
24x7 PHC
    SERVICE GUARANTEES PLAN 2008-09
• Facility survey for 100% health facilities
• Developing Service Guarantee Plan
• Drugs & equipment as per protocols at
      •   100% FRU
      •   100% 24X7 PHC
      •   100% New Construction
      •   100% IPHS up-graded facilities
• Drugs & equipment as per protocols implementation at
  all health facilities
• Introducing Quality Assurance Management in
  Healthcare at DH, Sub-DH & IPHS up-graded CHC
• 100% utilization of Untied Funds – CHC, PHC & S/C
 STRENGTHENING REFERRAL TRANSPORT SYSTEM
               PLAN 2008-09
Current Status     6 MMU, 88 Ambulances, 2 Dental Mobile
                   Units, 9 Ambulances in partnership with MDA
Proposed            Operational            Source of funds
                       Plan       Operational cost   Vehicle cost

6 MMU              Staff Hiring   NRHM               SIP

20 MMU in PPP      Staff Hiring   NRHM               CII
mode

Emergency          Outsource      NRHM               NRHM
Response
System–2 districts
20 Dental Mobile   Staff Hiring   NRHM               NRHM
Units
           MONITORING & EVALUATION
• Strengthening M&E
  – Strengthening HMIS, developing software & reporting
    formats
• Review Meetings
  – Monthly State & District level meeting
  – Monthly respective programme review meetings
• Physical Verification
  –   Baseline Surveys
  –   Deliverable based monitoring
  –   Outcome evaluation surveys & studies
  –   Sample checks by State & District teams
• Community Monitoring
HEALTH MANAGEMENT INFORMATION SYSTEM
• Integrated HMIS Cell at State Level
   – With specialist from Health Economics, Public Health,
     IT, Statistics and Demography
• HMIS Cell at field level
   – District MIS Officer
   – Information Assistant at CHC & PHC
• Developing integrated HMIS formats & software
• Capacity building on integrated HMIS – District
  Programme Officers, SMOs, MOs, ANMs
• External evaluation on HMIS reporting & Programmes
• Checklist-based Field Visits
          RE-STRUCTURING PROGRAMME
                 MANAGEMENT
• Establishing of specialized units
  –   Programme Planning
  –   Programme Implementation
  –   Programme Monitoring
  –   Financial Management
• Revising ToRs based of SMPU & DPMU
• Setting-up State Health Resource Centre
             FINANCIAL MANAGEMENT
• Fund Flow Mechanism
  – E-banking system upto district levels
• Strengthening Reporting System
  – Double entry system operationalised
  – Computerization of accounts in all districts (Tally
    software)
• Training
  – Trainings up CHC level
• Monitoring
  – Concurrent Audit & Statutory Audit
 BUILDING PUBLIC PRIVATE PARTNERSHIP
• Empanelling Doctors
  – Empanelling private doctors under Vikalp, Janani
    Suvidha, FP service, Blindness Control & specialist on
    call/case & fixed day basis
• Telemedicine
  – Extending telemedicine (presently at CHC Gohana with
    Sri GangaRam Hospital, New Delhi)
• Referral Transport
  – Strengthening referral through partnerships        on
    successful Mewat model on call centre approach
• Mainstreaming Voluntary Sector (NGOs)
  – Increasing outreach services through partnership
       SECTION 3
     PROGRAMMATIC
ACHIEVEMENTS & STRATEGY
  MATERNAL HEALTH – SITUATION ANALYSIS
Indicators                  Current Status             Target
                                (NFHS-III)
                                             2008-09      2009-10
% of pregnant women         58.8%            75%          85%
receiving full ANC coverage

% of institutional births   39.4%            65%          80%
                            (53% crs)
% of births assisted by SBA 54.2%            75%          80%

% of pregnant women age     69.7%            55%          45%
15-49 who are anaemic

% of mothers who received 40.6%              75%          80%
post partum care
          MATERNAL HEALTH – STRATEGY
                                                 Achievement/
 Goals      Objective         Strategy                                  Proposed
                                                   Outcome
Reducin   •Increasing    •FRUs                •39 FRUs; 106 24x7      •160 of PHCs
g MMR                                         PHCs; 73 MOs, SN,       made 24x7
          Institutional  •24x7 PHCs
                         •Capacity Building   ANM, LHVs & LTs         •Social
          Deliveries                                                  marketing of
                         •Hiring Specialist   trained on SBA,
                                                                      sanitary napkins
          •Increase in   •JSY                 EmOC, Anesthesia,
                                              MTP, blood              •ASHA,ANM &
          Registration •BCC &                                         AWW at depot
          of Pregnancy      Community         transfusion
                                                                      holder
          & ANC             mobilization      •30 Specialist Hired;   •840 RCH camps
                         •VHND                •; 36572 VHND held      •Maternal Death
                         •RCH Outreach
          •Increasing                         Institutional           Audit
                            Camps             deliveries to 39%       •External
          utilization of •Establishing
                                              from 23%                evaluation
          RCH/ health Delivery Huts
                                              ANC to 89% from         •1788 persons to
          services       •Janani Suvidha
                         Yojna                                        be trained on MH
                                              58%
                                                                      •HH Survey
ANC REGISTRATION & INSTITUTIONAL DELIVERY TREND


100
                                                                                                         91.06
 90                              87.79
                                          85.14    85.33
                                                                                          88.86
                        83.39                                        84.16     81.74
 80            78.87                                        80.65

 70
 60
                                                                                                         53.44
 50                                                                                       47.87
 40                                                                            38.47

 30                                                         26.18    28
                                          23.08    22.44
 20                     16.47    18.49
                                                                              Inst. Del
 10            10.03
                                                                              ANC Reg.
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   CHILD HEALTH – SITUATION ANALYSIS
Indicators                             Current Status             Target
                                          (NFHS-III)
                                                        2008-09      2009-10
% of neonates who were breastfed       22.3%            35%          75%
within one hour of life
% of infants who were breastfed        16.9%            35%          80%
exclusively till 6 months of age
% of children 12-23 months of age      65.3%            90%          80%
fully immunized

% of children 6-35 months of age       82.5%            60%          50%
who are anaemic
% of children under 5 years age who    13.0%            40%          50%
have received all nine doses of
Vitamin A
% of children under 3 years age with   24.8%            60%          75%
diarrhoea in the last 2 weeks who
received ORS
             CHILD HEALTH – STRATEGY
                                              Achievement/
Goals      Objective         Strategy                                     Proposed
                                                Outcome
Reduci   •Increase       •Strengthening      •5 districts            •Revised micro-plans
ng IMR   immunization Routine                implementing            of immunization
         coverage        Immunisation        IMNCI                   based on mapping
                         •Strengthening      •NBCC at all district   •15 IMNCI districts
         •Reducing       alternate vaccine   hospitals               •NCU, incubators,
         neonatal        system              •Immunization           CBOW- at FRU/ 24x7
         infections/ ARI •Implementing       coverage     to 63      PHC
                         IMNCI                % (NFHS-II) from       •School Health prog-
         •Reducing       •VHND               65% (NFHS-III) &        20 lakh children to be
         malnutrition    •Strengthening                              dewormed & given
                         health facilities                           iron supplementation
                         for newborn care                            •Breastfeeding
                         •Hiring                                     campaign
                         Paediatrician                               •adolescent to be
                         •Focused BCC                                given weekly iron
                         to promote infant                           supplementation
                         feeding
     FAMILY PLANNING – SITUATION ANALYSIS
Indicators                             Current Status             Target
                                        (NFHS-III)
                                                        2008-09      2009-10
Contraceptive prevalence rate (any   63.4%
modern method)
Contraceptive prevalence rate (limiting methods)
Male Sterilization                   0.7% (11% state    13%          16%
                                     data)
Female Sterilization                 38.2%              50%          60%
Contraceptive prevalence rate (spacing methods)
Oral Pills                           2.8%               4.5%         6%
IUDs                                 4.7%               7.5%         9%
Condoms                              11.8%              30%          50%
Unmet need for spacing methods 8.3%                     6.5%         5.5%
among eligible couples
Unmet need for terminal methods 5.2%                    4%           3.5%
among eligible couples
          FAMILY PLANNING – STRATEGY
                                                      Achievement/
Goals     Objective          Strategy                                   Proposed
                                                      Outcome
Reducin   •Increase          •Adopting camp           •8344 NSV         •Fixed day
                             approach - NSV           acceptors
g TFR     contraceptive      camps,                                     approach for NSV/
          prevalence rate    •Fixed day               •147350 IUD       IUD
                                                      acceptors (upto
                             approach                                   •80 NSV camps-
          •Reduce unmet      •Cash                    Feb)
                                                                        16000 cases
          need among         compensation
          eligible couples   Strengthening            •Contraceptive
                                                                        •3528 IUD camps :
                             health facilities with                     1008 at CHC &
                             equipment                prevalence to
          •increase in                                63.4 % from 62.4% 2520 at PHC
                             •Special drives to
          permanent          promote NSV
                                                                        •360 private doctors
          methods of         •Accreditation/                            to be accredited
          sterilization      Partnership with                           •Installing CVMs at
                             private doctors                            districts (pilot)
          •Increasing        Capacity building in
          male               FP Ensuring quality                        •special IEC drive/
                             assurance                                  campaign during
          participation in
                             •Monitoring &                              NSV mega camps
          family planning    Evaluation
        ADOLESCENT HEALTH – STRATEGY
                                                         Achievement/
Goals           Objective             Strategy
                                                         Outcome
Improved        •Improved        •Providing adolescent
reproductive                     friendly services at
                reproductive health
                                 health facilities
health status   services Reduce
among           teenage pregnancy•Providing adolescent
                                 friendly counseling
adolescent
                                 services Fixed day
girls & boys    •Reduce          approach
                prevalence of    •Awareness
                RTI/STI & HIV    generation on
                Reduce anemia    adolescent issues
                among adolescent through BCC &
                girls            community
                                 mobilization
                                 •Capacity building
                                 Monitoring &
                                 Evaluation
        IMPROVING SEX RATIO– STRATEGY
                                                    Achievement/
Goals       Objective          Strategy                                 Proposed
                                                    Outcome
Raising     •Preventing sex-   •Implementation of   •36 prosecution     •, Strengthening of
                               PNDT Act             complaints          State Supervisory
sex-        selective                                                   Boards
            abortions          •Building multi-     •11 convictions
ratio for                                                               • Strict implementation
                               stakeholder          have been made
age         •Improving         partnerships
                                                                        of PNDT Act
                                                    against PNDT Act    •Building multi-
group       status of girls/   •Community           violations          stakeholder
0-6 to      women              mobilization &                           partnerships through
                                                    •950 Ultrasound
870                            awareness            Clinics/ Genetic    TRI
(2010)      •Empowering        generation           Clinics             •Community
            women by                                                    mobilization through
                               •Monitoring &        •100 ultrasound     workshops/ seminars/
            improving by       Evaluation           machines sealed     PRI / NGOs
            improvement in                          •Registration of    •Building multi
            status                                  165-ultrasound      stakeholder
                                                                        partnerships and
                                                    •Sex ratio to 860   implementing trend
                                                    (CRS data)          reversal initiative
                                                                        •Village wise
                                                                        monitoring of sex-ratio
                                                                        through CRS
                            RNTCP– STRATEGY
                                                        Achievement/
Goals          Objective           Strategy                                     Proposed
                                                        Outcome
•Achieve &     Cure rate of        •Implementation      •5000 DOTS providers    •Building
maintain       more than 85%       of DOTS
                                                        •Trained –- 200         partnerships-
cure rate of   NSP case            •Capacity            doctors, 60 LTs, 97     Private provider,
at least       detection rate of   building of LTs,     STS, 45 STLS & 1000
                                   TBHVs, STS,                                  NGOs, Military
85%            70%                                      DOT providers
among                              STLS & DOT                                   Hospitals, Railway
                                   providers            •Partnership with 353   Hospitals, Medical
new                                                     private doctors, 28
detection                          •Strict monitoring                           College
                                                        NGOs and 250
•Achieve &                         & supervision                                •Enhancing
                                                        Community volunteers
maintain                           •Mainstreaming                               incentive to ASHA
                                   of NGOs &            •Setting IRL lab at
New                                                     Karnal & DOTS+ site     & DOT provider in
Smear                              private health
                                   providers            at PGIMS                urban slums,
Positive
                                   •Intensive IEC       •Cure rate of 83.4%     training of LTs &
case
detection                          activities           achieved (2006-07)      MOs, filling vacant
of at least                                             •56.8per lakh NSP       posts
70%                                                     case detection          •Special drive in
                                                        •90% cases put on       Mewat
                                                        DOTS
                                                                                •Convergence with
                                                                                HIV/AIDS
          BLINDNES CONTROL– STRATEGY
                                                      Achievement/
  Goals        Objective            Strategy                                    Proposed
                                                        Outcome
Reducing     •Early detection   •Early blindness   •654000 children           •Strengthenin
blindness    of cataract        registration       screened on eye-
                                                                              g Dark Rooms
                                •IOL surgery –     check-up
prevalen     •Increase                                                        & Vision
                                in PPP mode        •9149 spectacles
ce rate to   cataract                                                         Centres
                                                   distributed to children
.5% from     surgical rate      •Registration of   •92000 cataract
1.5%         •Expand            eye banks          surgeries done- public
             coverage to        •Establishing      + private
             under-served &     vision centres     •365 eye balls collected
             un-served          •Screening of      •8 eye banks registered
             areas              schoolchildren     (1 govt+7 pvt)
             •Prevention of     & distributing     •30 vision centres
             corneal            free spectacles    established (at CHC)
             blindness                             •1 eye donation centre
                                                   (pvt)
             •Early detection
             of refractive                         •Eye ball collection
                                                   increased from 270 to
             errors in
                                                   380
             children
                     NVBDCP– STRATEGY
                                             Achievement/
   Goals              Strategy                                           Proposed
                                               Outcome
Reduction     •Mapping of high risk       •8 lakh children in 0-   DDC to be converted
              areas                       15 yrs) immunized        into FTD
in
              •Active & passive           for JE in Karnal &
incidence                                                          Setting-up Breeding
              surveillance                Kurukshetra
of Malaria,                                                        Checker
              •Control of out break
JE &                                      •30895 positive          Capacity Building –
              •Community participation    cases detected &
Dengue to     in surveillance & control                            DMO/DTO/ health
                                          30540 RT given           workers, LT,
50%           •Intensification of
              biological vector control   •10 lakh covered         supervisors, DDC
                                          through spray            holder
              • Promoting impregnated
              curtains                    •5 fish hatcheries       Setting-up 6 Fish
              •Inter-sectoral             established              Hatcheries
              convergence                 •Training                Community
              •Monitoring                   51 MOs,102 health      mobilization for fever
              •Training                   workers & 27 LTs         slide & RT through
                                                                   ASHA
                                                                   Monitoring
                             IDSP– STRATEGY
                                                         Achievement/
  Goals          Objective             Strategy                                   Proposed
                                                           Outcome
•Detection     •Coordinate         • Improvement in     •87 TOT, 665          •100% training of
of     early   and                 surveillance         MO, 159 LT and        all categories.
warning        Decentralize        system               4600                  •Able to detect and
sign      of   surveillance        •Improving     the   Paramedical are       control the
impending      activities          quality of lab       given training        outbreaks of
outbreak       •Improve            •Timely response     •Data collection is   Jaundice,
•Initiate      laboratories        •All surveillance    IT enable             Diarrhea,
timely and     •Strengthen         activities     are   • EDUSATS have        Chickenpox and
effective      data                coordinated and      been installed in     JE in Ambala,
response       quality/analysis    streamlined          6 districts linked    Kurukshetra&
•Collection    and        timely                        with HQ               Kaithal
                                   •Making data MIS
of             action              IT enable            •Data Reporting
essential                                               is updated upto
data      to                                            Subcentre level
monitor
and
control
 SECTION 1
 BUDGET &
EXPENDITURE
                                  BUDGET
       •PROGRAMME                                    • Fund proposed    •%
                                                     in PIP 2008-09 (in
S.No                                                 Lakh)
A      TOTAL FUND REQUIRED FOR RCH-II                7878              33.96

B      NRHM ADDITIONALTIES                           14081             60.71
C      IMMUNIZATION                                  366               1.58
       NATIONAL DISEASE CONTROL                      774               3.34
D      PROGRAMMES
       RNTCP                                         135
       National Leprosy Eradication Programme        17.7
       Integrated Disease Surveillance Project       318
       National Programme for Control of Blindness   116
       National Vector Borne Disease Control         161
       Programme
       National Iodine Deficiency Disorder Control   24
       Programme
E      INTERSECTORAL CONVERGENCE                     95                0.41
       TOTAL                                         23196             100%
          RCH BUDGET SUMMARY 2008-09
                    Budget summary with percentage
                              2008-09

Particulars   Name of Component            Amount (Rs)            % age of
                                                                total Budget


Component 1   Maternal Health                        53702000           6.82


Component 2   Child Health                           5991500            0.76


Component 3   Family Planning                        14676000           1.86


Component 4   Adolescent Reproductive &               9115003           1.16
              sexual Health/ARSH



Component 5   Urban RCH                              26134480           3.32
         RCH BUDGET SUMMARY 2008-09
                   Budget summary with percentage
                             2008-09

Particulars    Name of Component             Amount (Rs)       % age of
                                                                total
                                                               Budget
Component 6    Tribal RCH                                  0
Component 7    Vulnerable Groups                  5600000           0.71

Component 8    Innovations/PPP/NGOs              48337100           6.14

Component 9    Infrastructures & Human          164174800          20.84
               Resource

Component 10   Institutional Strengthening       29020400           3.68
Component 11   Training                          46783118           5.94
          RCH BUDGET SUMMARY 2008-09
                      Budget summary with percentage
                                2008-09
Particulars     Name of Component            Amount (Rs)           % age of
                                                                 total Budget
Component 12    BCC                                    9804000           1.24

Component 13    Procurement                       147078000             18.67

Component 14    Programme Management               51141400              6.49

TOTAL                                             613057801




TOTAL JSY, Sterilization Compensation and         174778800             22.18
NSV Camps

Grand Total                                       787836601             100%
                 ADDITIONALITIES UNDER NRHM
                           PART B
              BUDGETARY ESTIMATES FOR ADDITIONALITIES UNDER NRHM
   1 Additional ANM                             200284560   14.22 %
   2 Strengthening Referral Transport            41777440   2.97 %
   3 Untied Funds For Sub-Centre                 24330000   1.73 %
   4 Untied Funds For PHC                        31500000   2.24 %
   5 Untied Funds For VHWSC                      67125000   4.77 %
   6 ASHA                                        65501288   4.65 %
   7 AYUSH                                       16864000   1.20 %
   8 ORAL HEALTH PROGRAMME                       55964000   3.97 %
      MIS training                                5145000   0.37 %
   9 Household Survey                            14009800   0.99 %
  10 Strengthening Health Institutions As Per   860000000   61.07 %
     IPHS
  11 Purchase Of Genset for PHCS & CHCS          26850000   1.91 %
Total for NRHM Initiatives                                            1408151088
        STRENGTHENING ROUTINE IMMUNISATION
                     PART C
              Part C: Strengthening routine immunization
  1 Strengthening Service Delivery- mobility support for   2468000
        monitoring & mobile teams
  2 Alternate Vaccine delivery                             5839200
  3 Strengthening Cold Chain                               11061500
  4 Human resource                                         7452000
  5 Bi-annual Programme Review                             140000
        Mobilization & IEC                                 8124000

        Strengthening Monitoring-                          9369276

        Capacity Building                                  236100

        Strengthening District Officer                      45000


TOTAL                                                      36611076
             DISEASE CONTROL PROGRAMME
                       PART D
                   National Disease Control Programs

  1 Integrated Disease Surveillance           31821500   41.09 %
    Programme
  2 Revised National Tuberculosis Control 13563500       17.51 %
    Program
  3 National Vector Borne Disease Control 16169000       20.88 %
    Program
  4 National Leprosy Eradication Program       1770000    2.29 %

  5 National Iodine Disorders Control          2430000    3.14 %
    Program
  6 National Programme for Control of         11686000   15.09 %
    Blindness
Total for Part D                                             77440000
   INTER-SECTORAL CONVERGENCE
              PART E



Total                       9563000

				
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