Presentation to National Program
Coordination Committee
On
State PIP of Uttar Pradesh for 2011-12
4th May, 2011
1
Part - A
REPRODUCTIVE AND CHILD HEALTH
(RCH Flexi-pool)
2
BUDGET OVERVIEW
Sl.
BUDGET HEAD
Budget
2010-11
(Rs. in Lacs)
Expenditure % ExpenUp to
diture
March -11 (2010-11)
1
MATERNAL HEALTH
2043.47
1549.92
2
CHILD HEALTH
1157.54
973.25
3
FAMILY PLANNING
ADOLSCENT HEALTH (ARSH)
URBAN RCH
INNOVATIONS/ PPP/ NGO
INFRASTRUCTURE & HR+
INCENTIVES/AWARDS
INSTITUTIONAL STRENGTHENING
TRAINING
IEC/ BCC
PROCUREMENT
PROGRAMME MANAGEMENT
JSY
Other RCH Activities- Guaranteed
Cashless Delivery Services.
TOTAL RCH II
8344.75
311
1674.36
791.97
4427.11
261.25
1071.81
277.08
53%
84%
64%
35%
1113.39
667.47
(- S.H.P.)
8029.3
556.86
2062.68
In MFP
10379.16
6770.21
65%
21239.61
1185.55
5373.54
2263.66
476.44
2210.1
39937.59
546.29
1639.06
1384.83
22.66
1567.57
45018.37
46%
31%
61%
5%
71%
113%
-----8219.68
In MFP
In MFP
4855.16
47533.5
4
5
6
7
8
9
10
11
12
13
14
76%
84%
2011-12
Budget
2840
76149.13
65509.41
86%
97209.48
% Change
Over
2010-11
-46%
-42%
-4%
79%
23%
105%
53%
120%
19%
New Activity
28%
3
SERVICES OVERVIEW
Sl.
Indicator
Expected /
Planned
Reported
March 11
%
Achievement
1
Institutional delivery
21 Lacs
23.39 Lacs
>100%
2
Full immunisation
56 Lacs
45.42 Lacs
81%
3
Sterilisation
7.45 Lacs
3.80 Lacs
51%
4
IUD insertion
22 Lacs
15.43 Lacs
70%
4
MATERNAL HEALTH
First Referral Units (FRUs) (Figures in number)
Facility
FRUs –District
Women
Hospitals
Cum.
Cum.
Incre.
Progress
Cum.
Incre.
target Progress Target
10-11
Progress Target
(2012) till Mar ‘10 (10-11) till Mar’11 till Mar ‘11 (11-12)
53
FRUs – District
Combined & 20+6
other Hospitals
48
5
4
53
1
8
18
13
21
5
FRUs – CHCs
121
72
14
14
86
-
Total
200
128
37
31
160
6
Comments
All FRUs to be
strengthened this
year with
adequate HR &
Blood provision
Existing FRUs to
be strengthened
this year
10 partially
functional, 1-2
CS/month, to be
strengthened this
year
5
MATERNAL HEALTH
Facility
24x7 Facilities
(Figures in number)
Cum.
Progress Cum.
Cum.
Incre.
Incre.
Progress
10-11 Progress
target
Target
Target
till Mar’
till
till Mar
(2012)
(10-11)
(11-12)
10
Mar’11
‘11
1100
712
138
118
830
270
Comments
All 24*7 facilities to
be strengthened
Sub-centres
3000 sub centres
conducting
being strengthened
deliveries with
(2010-11); 1000
4000
1800
700
600
2400
1600
proposed to be
adequate
strengthened
infrastructure incl.
(2011-12)
Labour Room
Sub-district
All district woman
facilities providing 15 SDH + 4 SDH+ 4 SDH + 2SDH + 6 SDH + 9 SDH + hospitals & FRU
safe abortion 107 CHC 80 CHC 20 CHC 20 CHC 100 CHC 7 CHC CHCs providing safe
MTP services
services
Sub-district
All DWH & CHCs
providing RTI/STI
facilities providing
15
5
5
5
10
5
services
RTI/ STI services
6
JANANI SURAKSHA YOJANA
JSY
Target
10-11
(No.)
Home
Deliveries
42000
Achv.
10-11
(No.)
Proposed *
11-12
(No.)
20124
30000
210.00
250.00
34400.00
Budget
10-11
(Rs. Lacs)
Exp.10-11
(Rs. Lacs)
Budget
Proposed
11-12
(Rs. Lacs)
Inst. Deliveries
– Rural
1444800 1996250
2100000
34855.80
Inst. Deliveries
– Urban
252000
323114
370000
2520.00
19.32
lacs
20 lacs
8670.00
10320.00
1901.79
2263.50
ASHA -escorting
pregnant
14.45 lac
woman
Admin. Costs
Total
-
-
-
39937.59
45018.37
45018.37
3000.00
47533.50
*This year, the efforts will be to conduct 30 Lacs deliveries under JSY, though the
budget proposed is for 25 Lacs beneficiaries. An additional budget of Rs. 95.00
Crores will be required for 30 lac beneficiaries under JSY
7
Other information under JSY
Sl Particulars
Status
1
No. of beneficiaries verified by
officers at various levels
• State officers and functionaries verify
beneficiaries during field visits
• CMOs/CMS (F)/ACMOs/DPMs verify on regular
basis in districts
•State quality monitors verify the beneficiaries
during visits in districts allotted to them
2
Mode of payment to beneficiaries
(cash/ cheque)
Bearer cheque
3
What grievance redressal
mechanisms are in place
• Grievance Redressal system at Tehsil level
during Tehsil diwas,
• At Distt. Level with CMO & CMS of the facility
4
No. of private facilities accredited – • 17 accredited under JSY
current and planned
• Planned 140 for year 2011-12
5
No. of deliveries in private
accredited facilities (till March11 )
3417
8
Issues identified & steps proposed by the
State in JSY
1. District Woman Hospitals are overloaded and staff is overworked.
Recruitment of more MBBS/specialist doctors and staff nurses
proposed on contractual basis.
2. To address complaints of delayed payments, maintain transparency
in systems and better monitoring of the programme, JSY is being
computerized with development of website, where data from
districts will be uploaded on daily basis with details of clients and
payments. The development of software and monitoring systems
are being supported by NIC.
3. A call centre (grievance redressal cell ) is being established in the
secretariat with existing computer cell where on a toll free number,
the caller from any where in the state will be able to register
complaints/get information/solution of query will be available on
24*7 basis.
9
MATERNAL DEATH REVIEW
Sl
Particulars
Status
1
Whether training completed up
to block level
State and district level training is
complete.
Block level training is in progress and
will be completed by July 2011.
2
No. of maternal deaths reported 551 (report received from District
in 10-11
Women Hospitals between November,
2010 to March, 2011 )
3
No. of maternal deaths analysed 431
in 10-11
4
Major causes of death
1. Anaemia is the most common
cause (43%)
2. Sepsis (28%)
3. Post Partum Haemorrhage (4%)
4. Obstructed Labor (7%)
5. Ecclempsia (5%)
6. Others (13%) includes abortions &
APH
Key bottlenecks & steps proposed for improvement
Key Bottlenecks• Acute shortage of Specialist Doctors in FRUs- Anaesthetists, Gynaecologists,
Paediatricians & Pathologists, Ultrasonologists etc.
• Shortage of Staff Nurses & other paramedical staff.
• Due to shortage of Doctors adequate numbers are not available for long term
training courses like EmOC & Anaesthesia training.
Steps for Improvement• 191 specialists are working on contract & 470 specialists are working on-call basis.
This year proposal for around 400 MBBS doctors and 330 specialists on contract to
work in district woman/ combined hospitals, CHCs and blood banks has been made.
• 1484 staff nurses & 239 paramedical staff are working on contractual basis and this
year the proposal for 2500 staff nurses and 700 paramedical has been made.
• Incentives for better performing ANMs has been proposed this year.
• To operationalize FRUs, it has been proposed to incentivize the teams performing
well against set norms and standards.
• Proposal to increase in monthly honoraria of the contractual staff working in rural and
backward areas has been included.
11
FREE & ASSURED REFERRAL TRANSPORT
Status
2010-11
Proposed
2011-12
No. Of districts having referral transport / EMRI
Planned for 71
72
No. of high focus districts having referral transport / EMRI
Planned for 45
45
-
1 at State
988 (EMTS)
1012 (EMTS)
Whether ambulances fitted with GPS (Y/N)
N
Y
Total no. of patients using referral transport
Data NA
No. of pregnant women using referral transport
Data NA
No. of sick newborns using referral transport
Data NA
Facility
Call centre at State/ district level (give nos)
No. of ambulances (including for EMRI)
Number of Calls received
Number of calls attended
Not yet
functional
Number of pregnancy related calls attended
Total monthly running cost
Average cost per trip
1.28lacs
(estimated)
1.28 lacs
-
12
FREE & ASSURED REFERRAL
Planned for Year 2011-12
Comments
Whether it is free for PW and
sick newborns -
Yes
Whether second referral and
drop back facility is being
provided
Yes
• Procurement of 1012 new - 10879.00 Lacs
Budgetary provision for the
above, including basics
• Establishment of Call centre -1800.00 Lacs
• Operational cost (8 months) - 20480.00 Lacs
Steps to widely disseminate
above services-
Through Print & Electronic media, IPC,
Messages on Ambulances etc.
Source of funds for the budget 60% from NRHM GoI & 40 % from State
13
PROVISION OF FREE SERVICES FOR DELIVERY &
NEWBORN CARE FOR ALL CASES
Facility
Current Status
2010-11
Plan for 2011-12
Planned @Rs.100 per
beneficiary x 25 lacs PW,
Rs.200 for consumable per
beneficiary of CS x 0.90 lacs
PW
Provision of free drugs
From State Budget
Provision of free blood
during complications
Yes, from RKS or JSY Planned @ Rs 800 per
Admin head
beneficiary for 0.25 lacs PW
Provision of free diet
Yes, up to Distt.
Woman Hospital
Planned @of Rs.100 per
beneficiary x 15 lacs PW
Provision of free
diagnostics
Yes, from State
Budget
From State Budget
14
PROVISION OF FREE SERVICES FOR DELIVERY &
NEWBORN CARE FOR ALL CASES
Unit cost per
delivery, per
c-section, per day
for diet, etc.
 Provision of
Rs.100 for
medicines in
normal delivery,
 Rs.200
additional in
case of Csection &
 Rs.50 for diet
per day has
been made in
PIP .
Total budgetary
provision made
 Rs. 2500 lacs for
medicines,
 Rs. 180 lacs for
consumables,
 Rs. 160 lacs for
blood
transfusion
arrangement &
 Rs. 1500 lacs for
diet
Sources of funds
(e.g. NRHM, State
budget)
Plan (IEC etc.) for
putting the above
entitlements in
the public domain
 Consumables &  IEC through
routine
print &
medicines are
electronic media
solely from State
is being
budget.
planned.
 For C-section
cases, 50% of
budget is from
NRHM & 50%
from State
budget.
15
CHILD HEALTH
Facility
Cum.
Cum.
Increment
target progress
al Target
(2012) till Mar’ 10
(10-11)
Progress
10-11 till
Mar’11
Cum.
progress
till Mar’11
Increment
al Target
(11-12)
*Sick New
Born Units –
DH
30
7
5
( Under
Establishment)
12
10 DWH+
8 Med
Colleges
New Born
Stabilization
Unit – SDH,
CHC, etc.
180
25
155
85
110
70
New Born care
corner – DH,
SDH, CHC, PHC,
etc.
1100
240
610
525
765
335
26
13
8
5
18
8
Nutritional
Rehabilitation
Centre
5
During 2010-11, total admissions in SNCUs were 9762, out of which 7828 were
cured, 992 new born expired and 679 either referred to higher centre or left.
16
CHILD HEALTH
Key bottlenecks • Non availability of paediatricians
& staff nurses to operationalize
SNCUs.
• In community a few behaviours
are not suitable for new born
care (delaying colostrums, giving
honey/ghutti after birth, bathing
new born just after delivery and
putting local medicines/mud on
umbilical cord ) and they need to
be addressed urgently
Steps proposed•
•
•
This year it has been proposed to
establish/strengthen SNCUs in govt.
Medical colleges, where adequate
faculty/resident paediatricians are
available.
Training of MBBS doctors in facility
based new born care, so that they
may work as paediatrician.
Comprehensive Child Survival
Programme (CCSP) which includes
behaviour change communication
strategies for community and ASHA is
being trained as key person in this
programme, is to be implemented
with full efforts in whole of the state.
17
CHILD HEALTH
•
•
•
•
No. of districts implementing IMNCI (CCSP in UP)– current and planned
– 36 Districts are implementing Comprehensive Child Survival Programme
(CCSP)
– In remaining 35 districts, TOT being conducted, ASHA/ANM will be trained
from April onwards .
No. of districts where training is saturated- 10 districts (Aligarh, Banda Bulandshahar, Gorakhpur, Jhansi, Lakhimpur
Kheri, Mirzapur, Pratapgarh, Saharanpur & Varanasi)
Plan for Home based newborn care ( HBNC), including incentives to ASHAs– Home based newborn care is an essential part of CCSP training. Trained
ASHAs are making 3 to 6 Home visits and getting incentives of Rs. 50 for 3
visits and Rs. 100 for 6 visits.
Status of implementation of Joint MCH cards
– Being implemented with ICDS jointly in all Districts.
18
FAMILY PLANNING
Fixed Day Static FP
Services
Cum. target
(2012)
Cum. progress
till Mar ’11
Increment.
Target (1011)
Progress 1011 till Mar’11
Increment.
Target
(11-12)
DH & SDH providing
Laparoscopic
/Minilap sterilization
services
53 DWH/ 20
DCH +
15 SDH
53 DWH/11
DCH +12 SDH
5DCH +
7 SDH
5DCH +7SDH
9DCH +
3 SDH
DH & SDH providing
Non scalpel
vasectomy services
61 DH + 20
DCH
50 DH+12 DCH
6DH +
5DCH
6DH + 5DCH
11DH+
8DCH
CHC & PHC
providing
Minilap/Laproscopic
services
At all 820 block
CHC/PHC in
camp mode
At all 820 block
CHC/PHC in
camp mode
-
-
-
NSV camps
organized at
CHCs
-
-
-
-
CHC & PHC
providing NSV
services
19
Steps proposed for improving female
sterilization services





53 District Women Hospitals are providing FP services on daily basis
(6 days/week)
20 District combined hospitals/ 120 CHCs will provide fix day
services twice/ week.
Facility based monitoring of sterilization cases performed at these
facilities will be done.
Details of clients will include - type of family planning services
opted, parity and method of sterilization. Districts are instructed to
maintain detailed records as per guidelines.
Wide IEC activities in the form of wall writings, leaflets, brochure
etc. will be carried out to create awareness in the community about
fixed days.
20
Steps to promote post partum FP services
o
o
At present, small number of PP ligation is being done.
This year, it has been planned to increase the number of post
partum ligations by –
–
–
–
–
Provision of Family Welfare Counsellors at every FRU to counsel the
client to adopt post partum family planning services.
Abdominal tubectomy (Minilap) induction training for 12 days is
planned for 810 medical officers (MBBS). These trained service
providers will be able to provide post partum abdominal ligation on day
to day basis.
In identified divisional district hospitals, 9 batches of 5 trainees each
will be trained for the purpose during the year 2011-12 .
In addition, abdominal tubectomy refresher training will be given to
288 medical officers, who need to refresh their skills.
21
Steps to promote family planning services
Steps for scaling-up IUD services
 IUD trainings is planned for 688 doctors, 1376 staff nurses and
3870 ANMs through SIFPSA in the year 2011-12. Training will
be conducted in 43 identified districts at DWHs and 2 CHCs,
having good client load.
 In addition, 3 districts (Lucknow, Jhansi and Allahabad) are also
providing post partum IUCD services on pilot basis. This year it
is planned to expand these services to 20 more districts.
22
Steps to promote family planning services
Family Planning services through private providers At present, the number of accredited private and NGO facilities providing
FP services is very low. FPAI, some other institutions are providing quality
family planning services consistently.
 This year special initiative of providing compensation package of Rs. 1.5
Lacs as an advance for 100 cases to 50 identified private providers, who
will perform 5000 cases of sterilization in the year.
 These private provider will also be given an additional incentive of Rs. 500
per case, if the centre conducts more than 30 operations at a time on a
pre-fix day.
 This year, provision of accreditation of private providers for quality IUD
services is also proposed and expected that 1 lac IUDs would be inserted
for which Rs. 75.00 Lacs have been proposed (@Rs. 75/- per client)
 Apart from this, through FOGSI initiative some more NGOs (PSI/Jhiepgo)
are linked in for IUD services and training of private providers is being
planned.
23
Steps proposed for NSV services




District Male/Combined hospitals /FRUs are providing fixed
day NSV services.
There is provision to train young male doctors (MBBS) on NSV
skills during existing NSV camps, wherever there is sufficient
client load. The extra technical support for training will be
provided through NGOs (Engender health).
Provision for sufficient NSV kits/sets is being made accordingly.
Wide publicity for NSV on fixed days is being planned by wall
writing, leaflets, brochure, etc.
24
ADOLESCENT HEALTH PROGRAMME
Facility
Target
2010-11
Progress
2010-11
Target
2011-12
Adolescent Friendly health
services (AFHS) clinic – DH
-
-
AFHS clinic – SDH, etc.
-
-
AFHS clinic – CHC
-
-
AFHS clinic – PHC
-
-
1 AFHS clinic
in Divisional
level male &
female district
hospitals (36)
71
71
71
Schools covered
8200
5733
8200
Students covered
12 lacs
11.92 lacs
12 lacs
Students given IFA/ deworming tablets
12 lacs
10.75 lacs
12 lacs
Districts covered under
Adolescent Health
Programme
25
SCHOOL HEALTH PROGRAMME (SHP)
Target
2010-11 (No.)
Progress
2010-11 (No.)
Target
2011-12
(No.)
Districts covered
under SHP
71
71
72
Schools covered
49200
(32800 in 1st year
+ 15200 in 2nd
Year + 1200 new)
38618
57400
Students covered
73 Lacs
43.09 Lacs
84 Lacs
73 Lacs
42.52 lac (IFA)
41.87 lac (Deworming)
84 Lacs
Facility
Students given IFA/
de-worming tablets
26
SCHOOL HEALTH PROGRAMME (SHP)
Issues/steps proposed in the programme
• No. of enrolled children in primary schools is much more than the
actual presence in the schools.
• Acceptance for de-worming tablets is less than that for IFA.
Counseling to students and parents for the same is being
incorporated in teachers training.
• Elaborated teachers training programme is underway for which
training modules have been developed in Hindi.
• Trained teachers will be able to screen the students on 6 monthly
interval and refer as per need to relevant health facility.
27
URBAN RCH
• Due to increase in urbanization existing health facilities can not
provide quality RCH services in the slums and Peri-urban areas.
• To fulfill the gaps New Urban Health Posts were established under
European Commission, are now being funded with NRHM. These
are in rented building, located near slum areas and having
contractual staff.
• These Health Posts are providing Primary Medical care, MCH,
Family Planning and referral services.
• 128 Urban Health Posts are functional in 67 Districts and additional
Human resource, ambulances, drugs support to Bal Mahila
Chikitsalaya in district Lucknow has been proposed for 2011-12
• Other than above activities, 150 New Urban Health Posts are
proposed in newly established colonies to provide health services
to poorest of poor .
28
URBAN RCH
Sl.
Budget Head
2010-11
Budget
Rs. in lacs
2010-11
Expenditure
2011-12
Budget
1
Sustaining of Urban Cell at
Directorate
2
Lucknow Urban RCH Programme
432.75
281.26
3
Urban RCH activities in 13 big
cities
611.82
531.68
4
Urban RCH activities in 53 big
cities
547.79
452.10
5
Baseline survey, Health facility
survey and sensitization workshop
for 14 cities under NUHM
81.90
6
Urban Health Posts in residential
areas –Poorest of poor
Total Budget
Proposed under Programme
Management head
-
-
1674.36
1071.81
789.00
2054.04
29
GENDER & SEX RATIO
Year
Sex ratio
Child sex ratio
2001
898
916
2011
908
899
10 Districts with poor sex ratio
Agra
835
Baghpat
837
Bulandshaher
844
G.B.Nagar
845
Ghaziabad
850
Meerut
850
Muzaffar Nagar
858
Jhansi
859
Hathras
862
Hardoi
863
30
Steps taken to monitor sex ratio
• District appropriate authorities are instructed to increase
the frequency of surprise inspections of ultrasound
units/places
• They are also advised to discuss the issue of PC&PNDT Act
during monthly monitoring meeting held under the
chairmanship District Magistrate.
• Information about Male/ Female child is also to be
collected
through
other
programmes
routine
immunization/ Jachcha Bachcha Surakhsha Abhiyan. This
will help in knowing the trends of sex ratio in particular
area and taking steps accordingly.
Steps taken to Improve sex ratio
• Steps are taken to monitor and prevent
second trimester abortions (unauthorized)
• Districts are instructed to monitor MTP Act
closely. Updated report of all the MTP cases
done by registered providers at registered
places is to be made available at Districts and
sent to State along with quarterly report.
Steps taken to enforce PC&PNDT Act
• Ensure building up strong court cases for those violating the
PC&PNDT Act and seek the required legal assistance for the
same.
• Legal action is to be taken (as per act) for not keeping the
proper records and unregistered
ultrasound machine
/centres /mobile centres (units).
• A total of 39 cases have been filled under PC&PNDT Act till
date. Out of which 8 cases have been dropped, rest are under
trial.
33
TRAININGS
Sl.
Training
Unit in No.
Target
2010-11
Achievement
2010-11
Target
2011-12
MATERNAL HEALTH TRAINING
1
21 days Skill Birth Attendant (SBA) for Staff Nurses
/ ANM/ LHV
3000
1867
3000
2
12 days Basic Emergency Obstetric Care (BEmOC )
training - (SBA for Medical Officers)
336
327
288
3
16 weeks Comprehensive Emergency Obstetric
Care (CEmOC) incl. c-section – MO
64
48
48
4
18 weeks Life Saving Anaesthesia Skills (LSAS) –
MO
72
62
84
5
Medical Termination of Pregnancy (MTP) – MO
120
0
150
6
Reproductive Tract Infections/ Sexually Transmitted
Infections (RTI/STI) – MO (District Trainers)
200
162
7
Reproductive Tract Infections/ Sexually Transmitted
Infections (RTI/STI) - MO
75
46
8
Reproductive Tract Infections/ Sexually Transmitted
Infections (RTI/STI) – LT
50
45
1650
34
TRAINING
Sl.
Training
Unit in No.
Target
2010-11
Achievement
2010-11
Target
2011-12
CHILD HEALTH TRAININGS
10
Comprehensive Child Survival Programme
(CCSP) – ANM/LHV
6320
1861
5305
11
Comprehensive Child Survival Programme
(CCSP) - ASHA
32180
11759
32585
142
89
1495
0
0
2745
14 Navjat Sishu Suraksha Karyakram (NSSK) – M O
1382
587
1622
15
Navjat Sishu Suraksha Karyakram (NSSK)– Staff
Nurse
1033
586
1199
16
Navjat Sishu Suraksha Karyakram (NSSK) –
ANM/ LHV
1040
735
1234
Facility based Integrated Management of
12 Childhood Illnesses (F-IMNCI) – Medical
Officers
13
Facility based Integrated Management of
Childhood Illnesses (F-IMNCI) – Staff Nurses
35
TRAINING
Sl.
Training
Unit in No.
Target
2010-11
Achievement
2010-11
Target
2011-12
FAMILY PLANNING
17
Laparoscopic Sterilisation
240
54MO, 31 SN
240
18
Minilap Sterilisation
144
45MO, 22SN
135
19
Non- scalpel Vasectomy(NSV)
282
105
294
20
IUD (Copper –T) – MO
688
0
688
21
IUD (Copper –T)– SN
1376
0
1376
22
IUD(Copper –T) – ANM/ LHV
3870
0
3870
23
Post Partum IUCD-MO
27
27MO,17SN
100
ADOLSCENT REPRODUCTIVE & SEXUAL HEALTH (ARSH) TRAINING
24
ARSH –State Trainer
25
25
-
25
ARSH –Regional Trainer
55
55
-
26
ARSH – MO/PHN
1816
1360
2640
27
ARSH – HV/ANM
4263
1711
12000
36
OTHER TRAININGS
Sl.
Training
Unit in No.
Target
2010-11
Achievement
2010-11
Target
2011-12
1
NRHM Programme Management trainingACMOs/Dy.CMOs
200
143
50
2
NRHM Programme Management training- Sr.
MOs
200
131
50
3
BCC training for DPMU (TOT)
30
22
100
4
Disaster management Training
200
105
150
5
Hospital waste management
210
169
75 MOs+ 3600
Workers
6
Administrative management training for CMS
100
59
100
7
Rogi Kalyan Samiti (RKS) – ToT (CMS & MS)
300
256
-
8
Rogi Kalyan Samiti (RKS) – ToT (CMO/Div.
PM/DPM)
160
133
-
9
Family life education
100
91
150
10
Hospital Administration Course for CMS–
NIHFW
40
39
-
11
Logistic Management & HMIS (trainers of
RFWTCs)
200
47
-
37
TRAINING (Contd...)
• Availability of State and District training sites
 State Institute of Health and Family Welfare – 1
 Regional Health and Family Welfare Training Centres -11
 PHN Training Centre - 1
 LHV Training Centres - 4
 ANM Training Centres - 40
 District Training Centres – 30
• Availability of Trainers for various trainings
 State/Regional and District trainers are available for various trainings.
Trainers at pre service training sites are not available in adequate
numbers. Therefore, proposed in PIP 2011-12.
38
TRAINING (Contd...)
• Key Issues in Training  Due to non availability of adequate number of medical and paramedical
staff in the districts, usually attendance in training sessions is poor. The
CMS/MS do not allow the doctors and nurses to go for long term
trainings.
• Steps proposed to address the above, and to enhance training capacity
to meet targets for year 2011-12:
 Proposal for establishment of district training labs for refresher trainings.
 Proposal for establishment of mobile training labs for onsite trainings and
quality issues has been included in PIP.
 Efforts are being made to provide doctors on make shift arrangement
basis for the facility, from where doctor is being sent for training.
39
TRAINING (Contd...)
• Steps taken to monitor quality of training and post-training
skills utilisation
 Qualified and dedicated personnel are being identified as trainers along
with additional responsibility of monitoring the quality of trainings and
ensuring post training skill utilization.
 Training modules material and availability of teaching aids is being
ensured.
 Regular monitoring during training sessions and in the field by identified
monitors and state officers as per the training calendar.
 Data base for all the trainees is being maintained to rationalize the
postings for proper utilization of the skills obtained in the training.
 Independent evaluation of the training programme is being proposed.
40
TRAINING (Contd...)
Strengthening of Training Institute
Sl.
Training Institutes Proposed to be Strengthened
1
State Institute of Health and Family Welfare
Amount requested
Nos. for Strengthening
Training Institutes
1
Rs. 380.00 lacs
(SIHFW)
2
State Nursing Colleges -4
4
Rs. 261.00 lacs
3
ANM Training centres -36
36
Rs. 360.00 Lacs
4
District Training Centres - 30
30
Rs. 225.00 lacs
Total
1226.00 Lacs
41
Part - B
MISSION FLEXIPOOL
42
Infrastructure Progress (2009-10)
Amount
Sanctioned
(in lacs)
Expenditure
2010-11
(in lacs)
Physical Progress
(till March-11)
Sl.
Name of work
Physical
Target
1
Construction District drug
ware house
30
1402.20
1367.65
All completed
2
Strengthening of hospital
facilities
134
1340.00
1340.00
All completed
3
Facility surveys for
strengthening district
hospitals and CHCs to
IPHS
134+
100
300.00
300.00
All completed
4
Construction of Sub
centre
22896.72
2808 completed, 77
under progress, 23
land not available
5
6
2908
24000.00
Construction of CHCs
33
11000.00
5750.64
1 complete, 30 in
progress, 2 land not
available
Up-gradation of CHCs to
IPHS
50
8795.57
7394.14
9 completed , 41 in
progress
43
Infrastructure Progress (2009-10) Continued...
Sl.
Name of work
7
Up-gradation of
district hospitals
to IPHS
8
Strengthening of
RFWPTCs
9
Strengthening of
ANMTCs
Construction of
10
JSY wards at PHCs
Physical
Target
40
11
4
942
Amount
Sanctioned
(in lacs)
14553.36
1581.69
495.64
7253.40
Expenditure
2010-11
(in lacs)
Physical Progress
(till March-11)
8306.48
>75%-4
50-75%-7
25-50%-21
<25%-8
916.50
>75%-2
50-75%-6
25-50%-1
<25%-2
333.50
>75%-2
50-75%-1
25-50%-1
6513.10
858 completed, 74 in
progress, land
required for 10
44
Infrastructure Progress (2010-11)
Sl.
Name of work
1
Up-gradation of
district hospitals
to IPHS
2
Construction of
regional drug
ware houses
3
Construction of
Sub centres
Physical
Target
89
7
1756
Amount
Sanctioned
(in lacs)
8900.00
1148.77
14400.00
Expenditure
2010-11
(in lacs)
Physical
Progress (till
March-11)
3500.98
71 in
progress
(25%), rest to
be started
soon
74.68
3 in progress,
rest to be
started soon
886.54
472 in
progress,
rest to be
started soon.
45
Infrastructure Proposed 2011-12
Sub Centers
Activity
No
Amount
District Hospital
No
Amount
Others
Unit in No.
Amount
in lacs
•61 (18 District Drug ware
New
Construction
710
6390.00
-
-
Up-gradation
1000
300.00
89
22625.65
Strengthening/
Renovation
houses & 32 Waiting homes
for pregnant ladies )
2031.16
• 11 Regional drug ware
houses
• Strengthening Gyn/obs.
Department -CSMMU,
Lucknow
• 8 SNCUs in Paediatric
Departments of govt.
Medical colleges
110.00
•
Infrastructure budget as % of total budget- 9%
•
Amt. for block and below level facilities (as % of Infra Budget)- 22%
105.40
537.38
46
Infrastructure Proposed 2011-12
Sub-Centre rent
No. of SC
Amt @ Rs 250/SC
Amt proposed in PIP @
8106
243.18
243.18
Amount proposed for other activities
Hospital Strengthening
Mobility Support for
transportation of
supplies
Others (pl specify)
-
Rs.162.60
Rs. 280.90 (operationalization
of 53 District drug ware houses)
47
HUMAN RESOURCE (Medical)
Rs. in Lacs
Human Resources
Specialists
Doctors
Contract for whole month
On call
MBBS/BDS
ISM Male
ISM Female
Nurses
ANMs
Para medicals - Lab tech/ ECG Tech/X-ray
Tech/ Physio, Opto/etc
Data Entry Operators
ISM Pharmacists
PHNs/ Tutors /Others as teaching faculty at
RHFWTs/ANMTCs/DPTCs, etc.
Total
Proposed
Total
Existing
Unit cost
(in 2011Amount in
(in 2010-11)
proposed
12)
lacs
191
800
14782 calls 30000
523
1250
1126
802
1100
1484
2500
807
2500
4,764.00
510.00
5,179.80
30000 3,960.00
4,980.00
3,252.00
239
700
972.00
129
813
138
-
10000
165.60
-
-
100
20000
200.00
3,983.40
48
Human Resource (Programme Management Staff - SPMU)
Category
GMs
DGMs
FC
Senior Finance and Accounts Manager
Senior Accounts Manager
Managers-Finance
Consultants (Nonmedical)
Consultants (medical)
Regional Managers-/Accountants /Data Analysts/Sect.Steno/Office
Coordinator
Total
Amount in
lacs
Sanctioned
(in 2010-11)
Working
(in 2010-11)
Proposed
(in 2011-12)
Unit Cost
Proposed
8
2
1
6
2
1
3
2
2
8
5
1
1
1
4
7
3
100,000.00
75,000.00
100,000.00
60,000.00
50,000.00
45,000.00
33,000.00
35,000.00
96.00
45.00
12.00
7.20
6.00
21.60
27.72
12.60
15
21,000.00
37.80
4
6
3
Reg.Mana4/Account3/Data Ana-5
/Sect.-4
Accountants/Office
1, Data
Coordinator-1 Analyst-5,
Data Assistant/Programme AssistantInternal Auditors
17
2
DA -4, PA-7
-
20
4
17,000.00
14,000.00
40.80
6.72
Typists/Computer Operators-/Guards
Electrician
Office Attendants
Sweeper
Sub Total
Increment (10%)
Guards-3
1
13
3
Guard-3
1
8
-
8
1
13
3
10,000.00
7,000.00
6,500.00
4,500.00
9.60
0.84
10.14
1.62
335.64
33.5649
Human Resource (Programme Management Staff - DPMU)
Existing (in
2010-11)
Proposed (in
2011-12)
Unit Cost
Proposed
Total
Amount in
lacs
DPMs
DCMs (budgeted in Asha Support
System in Mission Flexi pool)
60
72
27,000.00
233.28
64
72
22,000.00
DAMs
49
72
22,000.00
190.08
Data Cum Account Assistants
71
72
17,000.00
146.88
Class-IV
71
72
6,500.00
56.16
Category
Sub Total
Increment (10%)
Total
-
626.40
62.64
689.04
50
ASHAs
•
•
•
Total Number of ASHAs in the State – 136183
Population Per ASHA – Approx. 1000 population
Drug Kits (Norm: Rs 600/Kit) –
• Amount proposed per kit = Rs. 500/• Total Number of Kits to be procured = 225130 (112565 *2 times)
• Total Amount proposed = 1225.65 Lacs
• Expenditure on Selection, Training (Norm: Rs 10,000 per ASHA)
• Total amount proposed = 1927.01 Lacs
• Amount proposed per ASHA = Rs. 1415 (Approx.)
• Total amount proposed for paying incentives – Rs.10,283.26 Lacs
• Incentive to ASHAs under Child Health - Home Visits New Borns (56580)= Rs.
1,131.60 Lacs
• Other Incentives to ASHAs (122565) = Rs. 8,089.29 Lacs
• ASHA Award Scheme (820) = Rs. 41.00 Lacs
• Incentive to ASHA for complete ANC (136183) = Rs. 1,021.37 Lacs
Non monetary incentives (like uniforms, Umbrella etc) proposed for ASHA - None
51
Untied Funds/ AMG/ RKS/ VHSC
No. of facilities
Facility Type /
District Hospitals (DHM,
DWH, DHC, T.B. and
Mental Hospital)
CHCs (block + Non block)
Sub District Woman
Hospitals
Block PHCs
Norm/Total Amount Proposed (in Lacs)
Corpus Grant
(As per RHS/No.
Untied funds
AMG
HMS/RKS
VHSC
Proposed in PIP)
152
Sub Centre (12413
Government building)
Rs. 5,00,000
-
-
760.00
-
760.00
Rs. 1,00,000
466.00
Rs. 1,00,000
15.00
Rs. 1,00,000
460.00
Rs. 50,000
Rs. 1,00,000
466.00
Rs. 1,00,000
15.00
Rs. 1,00,000
460.00
Rs. 1,00,000
- 1,165.00
37.50
- 1,150.00
-
665.25
1,147.00
2,661.00
4,473.25
Rs.10,000
Rs.10,000
-
20,521
2,052.10
1,241.30
-
51,914
Rs.10,000
5,191.40
8,379.25
466
15
2,661
VHSCs - 51914
Total
-
Rs.50,000
233.00
Rs.50,000
7.50
Rs.50,000
230.00
Rs.25,000
460
PHCs (30,000 Population
or 2294 APHCsGovernment building)
-
Total
3,329.30
-
- Rs.10,000
4,362.00
3,293.40
5,191.40
- 16,070.55
52
MOBILE MEDICAL UNIT
Rs. In Lacs
Category
No. of Districts
0
1
>1
MMU MMU MMU
MMU
57
-
15
Capital
Existing New
Cost
number Proposed (per
unit)
133
615
28.00
Operational Cost
Total
Units
Total
133
2,779.70
2,779.70
615
10282.80
27502.80
Tender/Prebid/Hiring Consultant and other related expenditure
Sub Total
Deduction - Committed liabilities ( only for operational cost)
Total
90.00
30,372.50
850.64
29521.86
•Cost of MMU (per unit per month) = Approx. Rs.1.98 Lac
•Cases per MMU per month = 80-110 cases are being attended in every
session by these MMUs.
53
STUDY TOURS & RESEARCH
Name of Study tours &
research
Estimated Cost
(in Lacs)
Study tours of state, district,
facility doctors and
programme managers
120.00
• Nutrition and Rehabilitation Centres –
Madhya Pradesh
• SNCU- West Bengal (Purulia) and
Gujarat
• Family Planning Services – Tamilnadu
• Procurement Systems and mechanism Tamilnadu
• Adolescent (ARSH) – Karnataka and
Maharashtra
• MCTS – Gujarat
• Communitization Processes –
Chhattisgarh, Maharashtra and Rajasthan
Concurrent evaluation of
various programmes like
CCSP, SHP, etc.
25.00
PRC Lucknow/reputed Medical Colleges
Proposed Institute
54
IEC/BCC
Main Activities
Strengthening of BCC/IEC Cell (state)
Development of State BCC/IEC
strategy
Amount
Expected output
Proposed
5.00
Better performance
1.00
BCC/IEC activities for MH
440.42
BCC/IEC activities for CH
BCC/IEC activities for FP
BCC/IEC activities for ARSH
Other activities
Urban RCH
Radio Drama Series for general Public
VHSC Advocacy Booklet
Republic day Celebration
Routine Immunization
164.46
676.81
42.26
BCC/IEC activities for School Health
80.93
Total
Rs. In Lacs
82.80
120.00
22.50
1.50
353.75
1,991.43
Better implementation
Reduction in maternal mortality and
morbidity
Reduction in IMR
Better acceptance of FP services
Better acceptance of youth friendly services
Improvement in urban slums health indicators
Increasing awareness
Better utilization of VHSC funds
Reduction in Vaccine preventable diseases
Improvement in health status of school going
children.
55
Saubhagyawati Scheme – A PPP initiative by
GO-UP
• The scheme was initiated in year 2008-09 with a package of 1.85
Lacs to private provider for 100 deliveries (including caesarean
section).
• In the first year, overwhelming response was received when 158
nursing homes got accredited and in 8 months time, reported
12291 normal deliveries, 597 complicated deliveries and performed
1252 caesareans.
• From the year 2009-10, due to withdrawal of benefits to the
beneficiary and ASHA, the number reaching in these centres
reduced to 5754 normal delivery, 166 complicated and 693
caesarean sections, which further reduced to 493 normal deliveries,
27 complicated cases and 70 caesarean in 2010-11.
• At present only 111 nursing homes are accredited and that too are
not enthusiastic or very responsive.
56
Alternative proposal under Saubhagyawati
Scheme
• GOI is requested to either reinstate the same benefits
as earlier to beneficiaries and ASHAs or an alternative
proposal given in PIP, as per below:
– Alternately it is proposed to pay Rs. 2000/- in case of
normal delivery and Rs. 7000/- in case of caesarean
section to the private hospital, accredited under the
scheme in line with RSBY.
– As per initial discussion with private hospitals, they are
agreeable to this preposition.
– For 10000 normal deliveries, an amount of Rs. 200 Lacs
and for approx. 1000 caesarean sections, an amount of Rs.
70.00 Lacs is being proposed under the scheme (Totalling
Rs. 270.00 Lacs)
57
NGO/PPP/Innovations
Name of Initiative
Accreditation of private providers for
sterilization Services (@ 1500/case)
Promoting FP through private providers @
500/ case if more than 30 cases in one
setting
Family Friendly Hospitals (FFHs)
Performance based rewards- Institutions &
Providers for FP performance @ Rs. 1 Lac/
district
Accreditation of private providers for IUD
insertion services @ Rs. 75/- per case
Amount Proposed
No of
Beneficiary
Targeted
75.00
5000
12.50
2500
59.50
50 districts
72.00
72
75.00
100000
58
DECENTRALIZED HEALTH PLANNING
Issues
• No. of districts in the State
• No. of DHAP prepared and sent to
Ministry
Comments
72
72 prepared.
•No. of high focus districts
45
•Has resource envelop indicated to all
districts
Yes
•Is higher weightage of 1:1.3 given to high
focus districts
Yes
•No. of blocks where Block Plan made
410
•No of Villages
•No of villages with VHSCs
•No. of villages where Village Plan made
104022
51943 (at Gram Panchayat level)
1400
59
PROCUREMENT OF EQUIPMENTS & DRUGS
Drugs
Units
Equipment
Amount
(in Lacs)
Units
Amount
(in Lacs)
Others
Amount
Units
(in Lacs)
Maternal Health
•2000
Medical
Abortion drug
kits @ 100
•Consumable
for RTI/STI
Child Health
• 20585 new
kits @ Rs.
1000/kit
• 35287 kit
replenishmen
t @Rs. 535/
kit
•100 Colour Doppler @Rs. 16 Lacs
•100 Foetal Monitors @ Rs. 1.10 Lacs
2.00 • 433 MVA kits @ Rs. 2000/• 820 Glucometers @ Rs. 4500/•20 Blood storage refrigerators @ Rs.
14.40 90000/•316 Blood transportation boxes @
15000/-
1600.00
110.00
866.00
36.90
-
-
18.00
47.40
205.85
•Equipment for 6 SNCUs at District Women
188.79 Hospitals
40.00
60
PROCUREMENT OF EQUIPMENTS & DRUGS
Drugs
Units
Equipment
Amount
(in Lacs)
Units
Amount
(in Lacs)
Others
Amount
Units
(in Lacs)
Family Planning
School Health
• 8610.00Lac IFA
paediatric tablets @
Rs. 14/- for 100 tablets
•172.20 Lacs
deworming tablets @
Rs. 2/- for 86.10 Lac
children *2 tablets
1205.40
344.40
•1000 NSV kits @ Rs.
700/- , 5000 IUD kits
@ Rs. 3000/- & 160
Minilap set @ Rs.
3000/-
AMRC for
400
161.80
laparoscope
s
•75000 Spectacles @
Rs. 200/-
150.00
-
24.00
-
61
PROCUREMENT OF EQUIPMENTS & DRUGS
Drugs
Units
Equipment
Amount
(in Lacs)
ARSH
•IFA tablets for 12.30 Lacs
girls @ Rs. 6.72 per girl
82.66
•Deworming tablets for
12.30 girls @ Rs. 4/- per
girl
49.20
•Deworming tablets for
15.25 lac non school
going girls under in
61.01
districts of menstrual
hygiene.
Urban RCH (Drugs & consumables
•8 BMCs in Lucknow +
128 UHPs+ 150 New
243.60
UHPs proposed
•Dental Equipments
@50000/Total (Rs. 4793.06 Lacs)
2,569.30
Units
350 Facilities
-
Amount
(in Lacs)
Others
Amount
Units
(in Lacs)
175.00
2,199.76
-
24.00
62
Monitoring & Evaluation (M&E)
1. HMIS
• Computer systems and related hardware have been supplied
and installed up to the block level facilities.
• Financial provision for internet connectivity has been made.
• Block data assistants have been posted and training has
been planned.
• It is expected to start the facility based reporting on HMIS
portal from September 2011 onwards.
63
2. Mother & Child Tracking System (MCTS)
• Presently data from community is being collected by ANMs
on prescribed format.
• Offline data entry is being done at the block level.
• Import of offline data on web portal of MCTS is not smooth.
• Retrieval of data and generation of work plans from the
MCTS portal is difficult.
• To avoid the above problems, it has been plan to upload
MCTS data directly from block level on the web portal from
September 2011.
64
3. Capacity Building
• Training has been planned for HMIS and MCTS and analytical skills.
• District level trainers will be trained at the state level, as master
trainers.
• District level master trainers will conduct the block level training at
the district head quarter or at a place, where well equipped
computer lab is available.
• All the trainings will be explanatory as well as hands-on skills on
web portal.
• It is expected that the whole training programme will be completed
by month of July-August 2011.
• Skills and Knowledge of faculties from NIC, PRC, SIHFW, SPMU
other eminent institutions will be utilized for training of Master
Trainers.
65
Major Head
Minor Head
Details
Budget (including
(in Lacs) cost per
unit)
Salaries of M&E,
MIS & Data Entry 235.00
Consultants
Mobility for M & E
1.Strengthening
150.00
Officers
of M&E/ HMIS/
Workshops/Training
5.00
MCH Tracking
on M & E
M&E Studies
2.50
Others (specify)
Operational Costs
60.00
(consumables etc)
Others (Specify)
25.00
Rs. 10000/month /operator
State, district and block level
officials
State level training
For research agency for HMIS
Hiring of IT related services from
external agency
15.00
Hardware/Software
195.00
Procurement
Internet
60.00
connectivity
2. Procurement of Annual
25.00
HW/SW and
Maintenance
other equipments
195
Remarks
90
90 computers with all accessories
Rs. 400/month per unit
AMC for already procured H/W and
equipments during 2008- 10
Rs. 400/ month per unit for
computers, printers, stationery at
state, district & block level
Wireless internet access – data cards
for remote health facilities
66
Major Head
Budget
(in Lacs)
Minor Head
Review of existing
registers – to make
them
compatible
3.Operationalising with National HMIS
HMIS at Sub
District level
Printing
of
new
registers/Forms
Training of staff
4. Computerization of CMSD in
directorate of
Medical and
Health- U.P,
Lucknow
Total
Details
(including
cost per
unit)
Remarks
10.00
Review of existing registers/formats
and redesign in order to make
compatible with national HMIS
15.00
Printing of registers/input formats for
health facilities
75.00
Training on M&E at division, district and
block level
25.00
Procurement of server unit, 10
computer sets, internet connection,
outsourcing of data entry work and
web based software, etc.
897.50
67
Major Head
Minor Head
Budget
(in Lacs)
Printing
and
reproducing
72.00
Registers/ Forms
Details
(including
cost per
unit)
Rs. 4.00
per unit
Remarks
1800000 tracking formats
Capacity building of
teams
5.Operationalising
MCH tracking
State level
10.00
District level
72.00
Block level
41.00
Ongoing review of
MCH
tracking 17.28
activities
Monitoring
data
collection and data 123.00
quality
Others (Specify)
82.00
Total
417.28
Rs. 2.50
Lacs
Rs. 0.25
Lacs
Rs. 0.05
Lacs
Rs. 0.02
Lacs
Rs. 0.05
Lacs /
month
Rs. 0.10
Lacs
For state level (4 times)
For 72 districts (4 times)
For 820 Blocks (1 time)
4 review meetings at state, 3
participants per district (total 216)
25% of blocks, MCTS data will
outsourced
Contingency for 820 Blocks
68
OTHERS ACTIVITIES
SL.
Activity
Amount Proposed
( In Lacs)
B7
District Action Plans (Including
Block, Village)
200.00
B 8.3a
Tehsil Level Pradhan Sammelan
124.80
B9
Mainstreaming of AYUSH
SBA Training of ISM Lady Doctors
(4 doctors per batch)
Grameen Swasthya Melas
(Health Melas)
Creating awareness on declining
sex ratio issues
Other activities
Saas Bahu Sammelans
B.10.4
B.10.5
B.10.6
135.00
2,087.28
158.20
108.00
Expected Output
1 State PIP, 72 DAPs, 820
Block PIPs and 10%
Village plans to be
developed
312 sammelans will be
organized
125 Batches (500 ISM
doctors will be trained)
820 Melas per month
will be organized
Activities in 72 Districts
and state level
In 72 Districts
69
B12
Referral Transport (EMTS)
B12.1
Ambulance - New (1012) with Equipments
and accessories
4
5
Equipment and accessories for 590
ambulances purchased in 2010-11
Cost of 398 ambulances of 2010-11 along
with equipments and accessories
Operational Cost of1012 Ambulances( from
Oct. 11- March 12)
Operational Cost of 988 Ambulances( from
Sept.11 to March 2012)
Establishment of Call Centre and
Procurement of Toll free number
Hiring consultant for selection of service
provider, expenses of tender and related
activities
Sub Total
Deduction of - a. 40% (Rs. 6625.86 lacs) of
operational cost of Rs. 16564.64 Lacs to be
borne by State Govt.-UP (item no. 4 & 5)
and b. Committed liability of Rs. 11628.46
Lacs from last year
Sub Total
10,879.00
2,065.00
4,278.50
7,772.16
8,852.48
1,800.00
50.00
1012 new ambulances with
equipments and accessories will be
procured
Equipments and accessories for 590
(already procured)
Cost of 398 ambulances alongwith
equipments and accessories
Operationalization of 1012
ambulances for 6 months
Operationalization of 988 ambulances
for 7 months
1 call centre will be established to
manage issues related referral and
transport with toll free number
1 agency will be hired for selection of
service provider and processing of
tender, etc.
35,697.14
18,254.32
17,442.82
70
SL.
Activity
B13
School Health Programme
B15
Planning, Implementation and Monitoring
Community Monitoring
B15.1
B15.1.1
State level
a
State Q.A.Cell
b
State Quality Monitors
B15.3
B15.3.3
a
c
d
e
f
Monitoring and Evaluation
Other M & E Activities
Village Health Index Register
ANM Supervision and Monitoring Systems
Mobility support to ANM to conduct VHND
sessions
Mobility Support to DWH & DCH Staff for
supervision and monitoring activity
Mobility Support for Monitoring &
Supervision – DCM and DAM
Amount
Proposed
( In Lacs)
729.36
20.00
14.93
89.64
112.00
820.00
794.64
187.50
120.96
Expected Output
Health status of 86.10 Lacs school
going children to be improved.
1 state level Visioning workshop will
be organized
1 cell will be established to ensure
quality assurance
Better monitoring of activities in
districts
140000 VHI registers will be printed
Monitoring through Block CHCs
1589271 session will be monitored by
ANMs during VHNDs
Verification and follow-up of JSY and
FP beneficiaries through hospital staff
For supervision and monitoring of
71
various activities and accounts
SL.
Activity
g
CCSP Programme Monitoring
h
Hospital Information System (HIS) in
hospitals
i
State level Call centre/Grievance
redressal cell
B.17
B.18
B.19
a
Amount
Proposed
( In Lacs)
368.14
2,665.00
30.00
PNDT Activities
41.23
Regional drugs warehouses
120.33
New Initiatives/ Strategic Interventions
MCH Centres Operationalization (other than HR)
Partial Construction (MCH Centre
3,840.50
Level – I,II & III)
Equipments(MCH Centre Level – I
900.00
&II)
One room set for 2nd ANM(MCH
250.00
Centre Level – I)
Expected Output
Handholding of ASHAs and better
implementation of the programme
Establishment of Hospital
Information Systems in Hospitals,
Medical colleges (total 127units)
1 State level Call centre/ Grievance
redressal cell will be established to
address field level problems,
complaints, grievances and queries
related health services
At state and district level
1state +11 regional
Repair of residences of 3625 level
–I, 1100 (24*7) +126 FRUs
72 districts
100 one room set
72
SL.
b
Activity
Backward Districts Interventions
State level health resources centre
(SHSRC)
B23 Support Services
Hospital Waste Management System
B.22
Support to ANMs at Accredited Sub
Centres
Outsourcing of cleaning, upkeep &
laundry services in DH and CHCs
B23.3 Support Strengthening NVBDCP
BRD Medical College, Gorkhapur
(Paediatrics Department)
Amount
Proposed
( In Lacs)
247.60
Expected Output
20 district mobile team & 10 district
static labs
115.00 Development of 200 model villages
1,300.00 For all districts upto block level
2000 sub centres performing good
120.00 number of delivers @ Rs. 100 per
delivery
@ Rs. 1000 per bed for 134 DH and
3,744.00
200 CHCs
359.15 Critical care unit for JE/AES cases
73
SL.
Activity
Amount
Proposed
( In Lacs)
Expected Output
B.24 Other Expenditures (Power Backup, Convergence etc)
I
Diesel for generators
912.00
Uninterrupted power supply for 152
hospital @ Rs. 50000/month
For fully Functional CHCs
1,957.20
Uninterrupted power supply for 466
CHCs @ Rs. 35000/- month
For CHCs which are functional in
Block PHC building
1,932.00
Uninterrupted power supply for 460
BPHCs @ 35000/- month
For District Hospitals
Ii
Iii
iv
POL for generator at District H.Q.Cold
chain
Provision of Food for JSY
beneficiaries
Refrigerators (CHCs & BPHCs)
Total Mission Flexi pool
216.00
Uninterrupted power supply for
cold chain maintenance in 72
districts H.Q.
1,500.00
Availability of fresh food for 15 Lacs
beneficiaries
73.80
Provision of proper emergency drug
storage in 820 Blocks facilities.
149566.00
74
Part - C
IMMUNISATION
75
BUDGET OVERVIEW
(Rs. Lacs)
Budget head
Budget
2010-11
Expenditure
2010-11
Budget
2011-12
% Change
Over 201011
RI strengthening project
(Review meeting, Mobility
support, Outreach services etc)
5069.50
4860.89
5544.50
+9.36%
2
Salary of Contractual Staff
269.90
101.60
295.24
+9.38%
3
Training under Immunisation
543.77
124.47
267.37
-50.8%
4
Cold chain maintenance
220.15
114.84
393.40
+78.6%
Sl.
1
Sub Total
5
+6.5%
6103.32
5201.80
6500.51
In 2010-11, Rs. 5002.81 Lacs in Part C and Rs. 1100.51 Lacs in Mission Flexi pool.
In 2011-12, Rs 6077.47 Lacs in Part C and Rs. 216.00 Lacs in Mission Flexi pool and
Rs. 207.72 Lacs in RCH Flexi pool. In 2010-11, Expenditure of Rs. 4650.92 Lacs in PartC and Rs. 550.88 Lacs in Mission Flexipool.
Pulse Polio operating costs
-16%
17858.00
12866.34
15000.00
76
IMMUNISATION
Target
2010-11
Progress
2010-11
Target
2011-12
1980386
1760062 (88 %)
2090588
Training of MOs
3223
1362
3223
Training of HW
7680
2490
3547
Training of cold chain
handlers
900
111
1000
4
3
4
Indicators
No. of immunisation
sessions
Review meetings
77
Strengthening Routine immunization
1. Alternate Vaccine Delivery :
•
Alternate vaccine delivery is as per GOI norm Rs.50/- per session in rural and
urban slum areas. Rs. 1000/- for 4 sessions to cover vacant sub-centre and
hard to reach areas.
2. Status of alternate vaccinators in urban slums:
•
In Urban slum areas of 11 big cities ,along with regular vaccinator , provision
of hired vaccinator has been made. 42384 session were planned in 2010-11
out of that 33600 sessions were held with hired vaccinators.
3. Status of cold chain maintenance:
•
Human resource: Contractual manpower hired at State, Divisional and District
level
•
Equipments: 4 WIF and 18 WIC are functional. New WIC/WIF are being
installed . 20 Solar refrigerators have been supplied from GOI and are in
process of installation . Old/CFC equipments (ILRs/DFs) need to be replaced .
78
Strengthening Routine immunization…
4. Systems for supervision and monitoring :
• AD UIP is Nodal Officer for implementing and monitoring of immunization
activities.
• District Immunization Officer is nodal officer at District level
• Monitoring of RI sessions are taking place by Govt. Officers and partners
NPSP/WHO and UNICEF
• RI revised Monitoring formats are being used and are compiling at District
NPSP office and after analysis compilation at State level for feedback.
• No. of supervisory visit by State: 108 by the State Officers and State Quality
Monitor on a regular basis (average 8-10/ per month/SQM)
• No of report submitted : 12875 Sessions were monitored in year 10-11 as
per their monitoring formats.
79
Part - D
National Disease Control
Programmes
80
Revised National Tuberculosis Control
Programme (RNTCP)
Major Interventions & plan for 2011-12:
• Diagnosis and treatment for MDR cases: two Dots plus sites
developed at Agra & Lucknow. Agra has started implementation &
Lucknow is almost ready to deliver services. Plan for expansion of
DOTS plus services in phased manner in 7 more DOTS Plus sites in
2011-12
• Intensified TB HIV package under TB HIV coordination program:
Initiated in 5 high prevalence districts- Deoria, Mau, Allahabad,
Banda and Etawah; to be extended to entire state by 2011-12
• “Universal access to TB care”- intensified case finding by contact
tracing of Sm positive patients and for vulnerable groups
• Strengthening of Basic DOTS by intensive supervision & monitoring
• Strengthening collaboration between partners from Global funds
through– UNION (International Union Against TB & Lung Diseases- IUTALD) by MAMTA,
Mahila Samajik Sansthan, CHAI. etc
81
Districts with poor to moderate performance
State - Uttar Pradesh
Name of the
district
RNTCP Performance Indicators- NSP CDR /TSR
NSP CDR
/Treatment
Success Rate
NSP
CDR
Cure rate
Deoria
38%
81%
Low CDR & cure
rate
Mau
42%
89%
Low CDR (< 50%)
Azamgarh
43%
82%
Low CDR & cure
rate
Mainpuri
46%
88%
Low CDR (< 50%)
Banda
47%
87%
Low CDR (< 50%)
Kushinagar
48%
90%
Low CDR (< 50%)
Siddharthnag
48%
ar
90%
Low CDR (< 50%)
50%
79%
Low CDR & cure
rate
Maharajganj 50%
89%
Low CDR (< 50%)
Ghazipur
Proposed solutions /Activities in PIP
Reasons for poor
performance
Constraints
1 a) Further improvement in referral
of TB suspects from PHIs to
Low
DMCs by strengthening of health
awareness
system, Encourage referral of TB
level for
suspects through ASHA
free TB
1 b) Awareness about free diagnostic
diagnostic
& treatment services by effective
&
*ACSM activities. Thrust on
treatment
involving more NGO & PPs in
services in
revised schemes under the
community
programme
Low
1 c)Further improving quality of
referral by
microscopy services by
PHIs
monitoring under EQA by both
(including
IRLs ( Lucknow & Agra )
Distt.
1 d) Further strengthening &
Hospitals)
monitoring of other sectors: , ESI,
Railway, Corporate, CGHS
*Advocacy, Communication and Social Mobilization
82
Districts with poor to moderate performance – contd..
Name of the
district
NSP CDR
/Treatment
Success Rate
Reasons for
poor
performance
NSP CDR Cure rate
Sitapur
Chandauli
Ballia
Sant Kabir
Nagar
Kanpur Nagar
Firozabad
Kheri
Allahabad
Fatehpur
52%
53%
55%
56%
83%
83%
83%
83%
56%
58%
59%
59%
59%
80%
84%
82%
82%
70%
Moderate
CDR (50-59%)
& low cure
rates < 85%
Proposed solutions /Activities in PIP
Constraints
1 e) Support to IMA-GFATM-RNTCP-PPM
Low
partnership project under IMA
awareness
1 f) Support to Global Round partners “G R- 9”
level for
Akshya Project, financially supported by
free TB
Global funds
diagnostic
1 g) Implementation of TB-HIV collaborative
&
activities in all districts & monitoring referral treatment
of chest symptomatic from ICTC & vice
services in
versa.
community,
1 h) Strengthening inter district/inter state
Low
referral feedback mechanism
referral by
1 g) Opening new TU s/DMCs to meet
PHIs
population norms
(including
2 a) Further strengthening of DOT network by
Distt.
involvement of ASHA, AWW and general
Hospitals)
health staff.
2 b) Retrieval of defaulting patients by general
health staff & ASHA ; Monitoring by MOPHIs.
2 c)Thrust on involvement of NGOs in DOTS
adherence schemes under the programme.
2 d) Emphasis on patient provider & community
meetings
83
Status of IRL and DOTS Plus
Districts
Implementing DOTS
Plus/Proposed
Districts
already
impleme
nting
Districts
proposed
23
1
in phased
manner
Status of IRL and
services offered
DOTS
Plus Site
1
*LPA
implem
enting,
1 near
Planne complet
Yes, Planne
d in
ion, 7
by IRL d in
FY 11- planned
Luckn FY 1112
in 2011ow
12
12
Solid
Culture
No of
Patients
proposed to
Put on DOTS
Plus ( 201112)
Human Resource
status for DOTS Plus
300
Contractual staff for
DOTS Plus was
appointed on 1st March
2011 till 31st March
2011 for Two DP sites,
Renewal of contract
pending awaiting
approval of PIP 201112
Liquid
culture
*Line, Probe, Assay
84
Budget heads and Amount proposed
Sl.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Budget heads
Civil works
Laboratory materials
Honorarium
IEC/ Publicity
Equipment maintenance
Training
Vehicle maintenance
Vehicle hiring
NGO/PP support
Miscellaneous
Contractual services
Printing
Research and studies
Medical Colleges
Procurement –vehicles
Procurement – equipment
Tribal Action Plan
Total(A)
Additionality funds from NRHM (B)
Total (A+B)
Amount proposed Amount approved
Remarks
(in lacs)
(in lacs)
182.94
182.94
341.87
331.30
585.67
292.84
257.16
102.87
93.90
54.35
291.22
116.49
107.20
99.70
As communicated by
398.00
220.09
Central TB Division by
741.87
259.65
E mail dated 6th
324.29
224.29
March 2011
2799.85
2799.85
335.44
117.40
0.00
0.00
114.47
112.91
68.50
68.50
22.00
21.60
0.00
0.00
6664.37
5004.78
116.60
101.60
5106.38
85
Additionality Funds from NRHM
Details of the activities for which Additionality Funds are proposed to
be sought.
Remarks (As
Sl.
1
2
3
4
5.
6
Budget heads
Additional Instruments for
Intermediate Reference Lab (IRL)
Lucknow for LPA of MDR suspects
under DOTS Plus-for additional 100 KVA
generator for LPA
Rooms for Hostel facility at Thakurganj
TB hospital, Lucknow, being developed
as State training centre for TB
Repair of Drain, furnishing of hostel
rooms, minor repair in IRL at STDC Agra
CUG mobile connection for Programme
officers & supervisory staff
Intensified monitoring activities and
MIS to be developed for 13 identified
low performing district in the state
Silico- tuberculosis project
Total
Amount
proposed
Amount
approved
communicated by
CTD, GoI)
2000000
2000000
May be approved
3500000
3500000
May be approved
660000
660000
May be approved
1500000
0
2000000
2000000
2000000
2000000
11660000
Detailed proposal
required.
Details to be shared
with CTD may be
approved
Detail project to be
shared with CTD, may
be approved
10160000
86
National Vector Borne Disease Control Programme
(NVBDC)
MALARIA
Key Interventions & Strategy2011-12
Key achievements- 2010-11
•
•
•
•
By Active & Passive surveillance
67468 Malaria positive including
1389 Pf cases were diagnosed and
treated.
Involved 13800 ASHAs of 10 districts
in surveillance work after providing
training skill.
IRS with DDT50% conducted in high
risk areas of 39 districts covering
70.85 lakhs population.
Special provision of antilarval
activities in 40 flood affected districts
and 42 urban areas covered under
U.M.U.& F.C.U.
•
•
•
•
•
Special surveys involving ASHAs,
science teachers, science students &
private doctors with incentives.
Reorientation of LTs for parasite
identification.
IRS in high risk areas of 41 districts.
Involvement of village health &
sanitation committees.
To abide civic bye-laws for not
creating mosquito-genic conditions
and prevention for mosquito-bite.
87
Lymphatic Filariasis
Key achievements- 2010-11
Key Interventions & Strategy2011-12
• MDA observed on 27th
Dec.2010 with mop-up rounds
on 28th and 29th Dec.2010 in
50 Filaria endemic districts
covering 974.02 lakhs
population.
• MDA observing with high
coverage in 50 endemic
districts.
• Updated 85014 Lymphoedema
and 34831 Hydrocel cases.
• 34 clinics to be activated for
diagnosis of Mf as per norms
& night blood surveys to be
done as per norms.
• 3559 Hydrocelectomy
operations under taken.
• Hydrocelectomy operation of
at least 50% of existing line
listed Hydrocel cases.
88
Dengue/ Chikungunya
Key achievements –
2010-11
• 702 cases of Dengue were
confirmed by Eliza IgM technique.
Key Interventions & Strategy2011-12
• Activation of sentinel surveillance
units where blood banks exists
and have Eliza readers in addition
to existing sentinel labs.
• Source reduction & vector
surveillance in 54 districts
together with fogging, space
spray anti larval operations was
done.
• Space spray/ fogging in case of
exigency.
• 22 Sentinel & 1 Apex lab
strengthened.
• Source
reduction, Antilarval
measures/ IEC/ BCC to be done as
per norms.
• Identified 8-10 beds as isolation
ward in all districts hospitals
89
Kala-azar
Key achievements2010-11
• Fortnight
observed
in
Feb./March, in Deoria, Ballia,
Kushi Nagar and Varanasi.
• Surveillance activities could trace
only 14 cases which were 100%
treated.
• 1.70 lakhs population covered
under IRS with DDT 50%
Key Interventions & Strategy2011-12
• Special surveys to be carried out
in addition to fortnight, preferring
village hot days (market days) and
ensuring complete treatment.
• 10 affected villages of 4 endemic
districts together with adjoining
60 villages to be surveyed and all
Kala-azar
to
be
treated
completely to rule out their
presence in future.
• IRS to be conducted to protect
8.66 lakh population.
90
JAPANESE ENCEPHALITIS /AES
Key achievements –
2010-11
• In the year 2005, the
disease was prevalent in
34 district of UP, whereas
in the beginning of 2010,
20 districts were affected
and at the end of 2010
only 13 districts are found
to be affected.
Key Interventions & Strategy2011-12
Year
No. of
District
Affected
A.E.S.
JE Confirmation
Cases
Deaths
Confirme
d cases
Death
% of JE
+vity
2005
34
5581
1593
1042
18.67
2006
22
2075
476
170
8.19
2007
24
2675
577
235
29
8.78
2008
23
2730
486
168
36
6.15
2009
26
3073
556
328
50
10.67
2010
20
3548
498
344
59
9.69
91
AES/JE Status in UP at a Glance
In year 2006, 22 districts
(Cases- 2075, Deaths-476, CFR- 23)
Districts of U.P. Highly affected by J.E.
Dec. 2010
SHP
MZN
BJN
BGT MRT
JPN
GZA
MRD RMP
PIL
BRL
BLS
GBN
KRI
BAD
ALG
MTR HTR
SHA
FKB
AGR
SRW
BRC
ETA
FER
MAI
STP
HDO
ETW
AUR
KPD
BRP
LNO BBK
GRP
FAI
DOR
ABN
RBL
SUL
JAL
FTP
PTG
HMP
MHB
MHG
KSN
BSTSKN
UNN
KPN
JNS
SDN
GND
KNA
KSM
BNA
AHB
CKT
AZG MAU
JNP
BAL
GZP
BDH VRN CND
MZP
LLP
SBD
Azamgarh
Behraich
Balia
Balrampur
Basti
Deoria
Gazipur
Gonda
Gorakhpur
Kausambi
Khiri
Kushi Nagar
Lucknow
Maharajganj
Mau
Muzaffar Nagar
Raibareli
Sant Kabir Nagar
Saharanpur
Siddarth Nagar
Sitapur
Sarawasti
Gorakhpur (56)
Maharajganj (52)
Kushinagar (58)
Deoria (57)
Basti (44)
Sant Kabir Nagar (51)
Siddarth Nagar (45)
Balrampur (70)
Behraich (25)
92
Key achievements2010-11
Special campaign of JE vaccination
conducted at 7 Districts of Gorakhpur
and Basti division with good results,
as shown bellow :Target
Vaccinated
Children (1- Children
15 Yrs)
(1-15Yrs)
Vacci
nated %
AES detected Cases
2009
2010
3073
3548
2802
2965
Year
Districts
2006
7
6838380
6836506
99.97
2007
11
9818873
9499157
96.7
JE Outbreaks
328
344
2008
9
10800000 10940009
100.95
Other Outbreaks
(Non JE)
2745
3204
2009
7
9253748
7837563
84.7
2010
7
6790820
6623012
97.5
Note: J.E. Vaccination programme was
extended for another 26 days in Jan.
2011 and 99% vaccination was
achieved.
No. Detected
(AES)
No. Investigated
(AES)
Out of the total cases of AES
detected only aprox. 10% is of
JE
93
Key Interventions & Strategy2011-12
Targets for –
2011 -12
•
•
•
•
•
To improve the Vector and
Disease Surveillance of
Epidemic Prone Diseases.
Strengthening of Regional Lab
Swasthya Bhawan, Lucknow
and other 15 identified
sentinel Labs.
JE vaccination already included
in the routine immunization of
the age group 1 – 2 years, to
be continued in the sensitive
Districts.
Private sector Hospitals and
Nursing Homes are to be
involved in disease
surveillance.
Appointment of vacant posts
of Data Entry Operators.
•
•
•
•
•
•
•
•
Upgrading of PHCs and CHCs for admitting mild
and moderately sick patients
Strengthening of district hospitals – with
ventilators and fully trained medical staff.
Strengthening and upgradation of JE Epidemic
ward of BRD Medical college Gorakhpur.
Strengthening of diagnostic facilities at District
lab of sensitive Districts.
Vector surveillance of the sensitive districts to
be improved by training of malaria and filaria
workers.
Sampling and examination of water sources in
AES/JE sensitive areas.
Training of HEO/ANMs/AWW/WARD boys and
ASHAs – for dissemination of information to the
community for AES/JE prevention and control
Training of traditional healers - guiding sick
patients for early treatment at PHC / CHS.
/Distt. Hospital.
94
Budget Heads & Amount Proposed
Sl.
Activity
Amount
(in Lacs)
1
MALARIA
178.00
2
FILARIA
911.94
3
DENGUE
87.30
4
KALA AZAR
37.00
5
JE/AES
757.75
TOTAL
1,971.99
95
National Blindness Control Programme (NBCP)
Key Achievements (2005-2011)
1. Total Cataract Operations during 2005-2011 NRHM period
are 40,40,338 against target of 42 lacs.
2. School Eye Screening Programme 2005-2011 NRHM
Period are 164.10 lacs against target of 259.33 lacs. Out
of Which 4.32 lacs Free Spectacles were distributed
against the target of 5.48 lacs
3. In Cornea Collection 2005-2011 NRHM Period are 1988
against target of 8100 cornea.
4. Management of other Eye diseases( New Activity from
2009-10) - achievements 54323 against target of 23570
5. 230 Vision Centers have been developed so far.
96
Proposed Interventions(2011-2012)
1. Phaco Surgeries will be added.
2. Training of Eye Surgeons and
Staff Nurses and Ophthalmic
Assistants.
3. Strengthening of IOL Centres at
CHCs
4. New Eye Banks will be stabilized.
5. Encouragement to New NGO
Hospitals.
Sl.
Intervention
Targets
1
Cataract Operation
7,70,000
2
School eye
Screening
33,00,000
3
Free Spectacles for
Poor Children
70000
4
Corneal Collection
500
5
Vision Centre
50
6
Other Eye Desases
15000
97
Budgetary Provisions (2011-12)
Activities
Rs. In Lacs
Physical Targets
Budget Proposed
1
Cataract Operation
770000
2887.50
2
Other Eye Diseases
15000
150.00
3
Purchase of Equipments
10 Pheco, 10 Microscope, 50 Appl.
Tonometer, 50 Flash Autoclave
365.00
4
School Eye Screening
70000
140.00
5
Corneal Transplantation
500
7.50
6
Vision Centre
50
25.00
7
Repair and Maintenance of Ophthalmic
Equipments
1 lacs for 88 district Hospitals
88.00
8
Training of Surgeons/PMOA and Staff Nurse
50 eye Surgeons and other
78.00
9
IEC(World Sight Day)
72 dist and 10 lacs for State level
82.00
10 Office Expenses and Contract Staff Salary
State level
14.00
Office Expenses at District level and
Honorarium
District level 2 lacs each district.
144.00
100 EDC 1000 each
1.00
15 lacs each eye bank
30.00
30 lacs each NGO Hospital
60.00
1.00 lacs each for 5 EDC
5.00
11
12 Recurring GIA to EDC
13 Non Recurring Grant to 2 eye bank
14 Non Recurring Grant NGO Hospital 2
15 Non Recurring Grant 5 EDC
Total PIP for 2011-12
4057.00
98
National Iodine Deficiency Disorder Control
Programme (NIDDCP)
Key achievements2010-11
Key Interventions & Strategy2011-12
• Goiter rate came down below
10% in children aged 6-12
years.
• Availability & consumption of
Iodized salt by the community
is on increase.
• U.S.I. Cell has been
constructed by UNICEF in 4
Medical Colleges namely
Gorakhpur, Meerut, Agra &
Allahabad
• Regular mass awareness
activities through radio and
doordarshan.
• Establishment of IDD Control
Cell
• Establishment of IDD
Monitoring Lab
• Conduction of surveys in 5
districts by medical colleges.
• Community level IEC activities
• Testing of iodine in salt at the
consumer level through FTK.
• Skill development of PRI and
Grassroot level workers
99
Budget Heads & Amount Proposed
Sl.
Activity
1
IDD Cell
Establishment & Maintenance of IDD Lab
Survey
Health Education & Publicity
Total
2
3
4
Amount
(in Lacs)
6.50
4.00
2.50
13.00
26.00
100
INTEGRATED DISEASE SURVEILLANCE PROJECT
(IDSP)
Achievements (2010-11) –
• Epidemiologists are posted in 46 districts and are trained.
• Microbiologist posted at regional lab, at Lucknow .
• IDSP played an important role in monitoring, testing and evaluating in case
of an outbreak.
• IDSP collects information from all the districts on S, P and L formats which
is then complied and sent weekly to NCDC, New Delhi.
• Data Manager posted State Surveillance Unit has undergone TOT Training,
at NCDC New Delhi for online portal Entry.
• Online data reporting is being done from all districts.
• Swine flu vaccination completed in all the districts in two phases.
• IDSP has played a remarkable role in prevention and treatment of Swine
Flu.
101
Targets For 2011 -12
• Covering communicable and other vaccine preventable diseases
like Measles, Pertussis, Diphtheria, Influenza A, H1N1 and Malaria
under IDSP Surveillance.
• One model lab per district for diagnosis of epidemic prone to be
established.
• Involvement of all Medical Colleges of the state for data collection
and disease surveillance.
• Involvement of private sector hospitals and nursing homes.
• Strengthening of State Priority Labs of IDSP (Regional Lab Lucknow and district Lab Ghazi bad).
• The call centre 1075 will be activated in all the districts for the
outbreak information.
• Ensuring collaboration between epidemiologists, microbiologists /
state lab coordinators at all levels.
102
Proposed Interventions
• District outbreak investigation team in each district Epidemiologist as the nodal officer
• Rapid response team in each district under the district
surveillance officer / ACMO.
• Strengthening of data quality analysis and linkages to action –
online entry and analysis, reporting, e-mail services, health
alerts to public health staff and lab information.
• Training of District Surveillance Officers.
103
Budget Heads & Amount Proposed
Activity
Sl.
Amount (in Lacs)
1
Operational Cost
163.42
2
Human Resources
585.96
3
Training
4
Procurements
5
ASHA Incentives
8.64
6
Referral Services
-
7
Innovations/PPP
-
8
IEC-BCC Activities
38.60
9
Financial aid to medical institution
3.14
Grand Total
-
799.76
104
National Leprosy Eradication Programme (NLEP)
Key achievements-NLEP
Year
2007
2011(Jan)
Annual New
Case Detection
Rate
17
12.7
Districts that
have achieved
elimination
36
51
Blocks that
have achieved
elimination
427
555
105
Key Interventions & Strategy2011-12
• Prevention of Deformity
(POD) initiatives for early
detection and
management of nerve
damage & self care training
• Medical Rehabilitation by
screening of disabled cases
for Reconstructive surgery
• Implementation of
awareness programmes at
Block level & ASHA
sensitization workshops
• Intensive Awareness
Campaign in 453 high
endemic blocks
Key Interventions & Strategy2011-12
• Active Search in 50 highest
endemic blocks
• ASHA and Health Staff
sensitization and active search
in high endemic villages
• Screening of disabled leprosy
affected persons fit for
Reconstructive surgery
• Self Care training and
supportive medicines for
affected persons of 72 Leprosy
Colonies
• Urban Leprosy Control (PPP)
activities in 52 urban areas
106
Budget Heads & Amount Proposed
Sl
Activity
Amount (in Lacs)
1
Mobility Support
105.7
2
Office expenses
54.73
3
Urban Leprosy Control
18.84
4
Human Resource
56.04
5
Training
45.08
6
Procurement of Drugs
32.0
7
ASHA Incentive
16.12
8
Disability Prevention & Rehab
60.0
9
NGO Support
51.0
10
IEC BCC
258.12
11
Monitoring Supervision
10.44
12
Additionalities
19.52
Total
727.59
107
National Mental Health Programme (NMHP)
Status & Key achievements2010-11
• Currently being implemented in 4
districts
• Construction of Centre of
excellence in Psychiatry Deptt. Of
CSSMU, Lucknow is being done.
• Financial Support to all medical
colleges for upgradation of
building and equipments.
• Initiation of Diploma courses in
clinical psychology, psychiatric
social work and psychiatric
nursing through state medical
faculty involving public and
private sector hospitals.
Key Interventions & Strategy2011-12
• Training of physicians working in
district hospitals in psychiatry to
ensure detection and treatment
in early state.
• Initiatives for execute Life skill
education and counselling in
schools, counselling services in
colleges, work place stress
management and district
counselling centres in 4 districts.
• Convergence with NGOs (MSJE
supported) and department of
health.
• Development of Independent
psychiatry department as per MCI
norms.
108
Budget Heads & Amount Proposed
Sl
Budget Heads
Amount (in Lacs)
1 Operational Cost
3.64
2 Human Resource
37.46
3 Training
21.92
4 Procurement
27.90
5 ASHA Incentive
-
6 Referral Services
-
7 Innovation PPP
-
8 IEC
Grand Total
8.00
98.92
109
National Programme for Prevention and Control of
Deafness (NPPCD)
Key achievements till 2010-11
•
•
•
•
Key Interventions & Strategy-2011-12
• Construction of sound proof rooms in 3
Sound proof rooms constructed in 4
districts of 3rd phase.
districts and construction is in progress • Capacity building and Training of doctors
and para-medicals upto CHCs and school
in one more district.
teachers.
Training of personnel up to PHC/CHCs • Recruitment of human resources (Audio
level is completed in 2 districts (Ist
logical assistant, speech trainers, etc.)
phase).
• Procurement of equipments & hearing aids.
18 medical doctors trained in 3 districts • Strengthening of state & district nodal
offices.
(2nd phase).
• IEC/BCC activities in all the 8 districts
st
nd
5 districts selected in 1 & 2 phase
• Identification and capacity building of
district hospitals and facilities to provide
are delivering patient care services.
preventive/screening/curative services on
daily basis.
• Strengthening of district hospitals with
equipments, infrastructure and manpower
1st phase - Gorkhapur & Barabanki; 2nd phase- Banda, Varanasi, Lucknow; 3rd phase- Agra, Moradaba, Saharanpur
110
Budget Heads & Amount Proposed
Sl
Budget Heads
Amount
(in Lacs)
17.69
A
Establishment of State Nodal Officers Officer
B
District Hospital Capacity Building
59.44
C
Three New District Hospital Staff
Establishment of District Nodal Officer at three new
districts
Training of three new districts
Capacity Building of continuous phase of old 5
districts
Continuous phase of 5 districts hospital staff
expenses
Continuous phase of 5 districts nodal officer
expenses
Grand Total
5.40
D
E
F
G
H
7.50
48.73
89.10
9.00
12.50
249.36
111
National Tobacco Control Programme (NTCP)
Key Interventions & Strategy-2011-12
• Setting up of TCC’s in Districts.
• Training of School teachers, health workers, health
professionals, law enforcers, NGO’s, women SHG’s.
• IEC activities at the regional languages at grass root level.
Awareness programs by the trained Women SHG/ NGO’s.
• School Programme for Govt. Schools (50 per district) with
the help of NGOs.
• Regular meetings with religious leaders to drum up support
for Tobacco Control Program.
• Monitoring enforcement of tobacco control laws
112
Budget Heads & Amount Proposed
Sl.
1
2
3
4
5
6
7
8
9
10
Activity
Operational cost
Manpower for 12 months
Training
Procurement
ASHA Incentive
Referral Services
Innovations/PPP/NGO
IEC/BCC
Financial aid to institutions
Monitoring for Tobacco Control Laws &
reporting (lumpsum)
Grand Total
Amount
(in Lacs)
36.50
209.28
72.50
43.20
217.50
36.00
614.98
113
Budget Summary – National Disease Control
Programmes
(Rs. in Crores)
Scheme/
Programme
Sl.
Approved
amount
(2010-11)
Amount
Proposed
(2010-12)
1.
NVBDCP
10.22
19.72
2.
RNTCP
45.96
67.81
3.
NPCB
35.00
40.57
4.
NIDDCP
0.24
0.26
5.
IDSP
5.1
8.00
6.
NLEP
5.72
7.28
7.
NTCP
-
6.15
8.
MHP
-
0.99
9.
NPPCD
-
2.50
102.24
153.28
Total
114
BUDGET SUMMARY – PIP 2011-12
(Rs. In Crores)
Sl.
Scheme/
Programme
Approved Amount
(2010-11)
Amount Proposed
(2011-12)
1
RCH Flexi-Pool
NRHM Flexi-Pool
Immunization
NVBDCP
RNTCP
NPCB
NIDDCP
IDSP
NLEP
NTCP
MHP
NPPCD
PPI Operation Cost
Infrastructure Maintenance**
Total
761.49
1230.99
50.03
10.22
45.96
35.00
0.24
5.10
5.72
-
972.09
1,495.66
60.77
19.72
67.81
40.57
0.26
8.00
7.28
6.15
0.99
2.49
100.00
529.07
3,309.87
2
3
4
5
6
7
8
9
10
11
12
13
14
178.58
465.60
2788.93
** The amount of Rs. 529.07 Crores has been included as per GOI allocation sheet for the year 2011-12. If the
state requires additional amount, separate requisition letter will be submitted accordingly.
115
Thanking You...
116