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| PART - B : NRHM
ADDITIONALITIES : PIP Sanction 2008-09 Latur DISTRICT |
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| Sr. No. | Activity proposed | Type of unit | No of units | Budget per unit | Budget provision 2008-09 | Responsible officer | Remarks | |
| Detailed | Total | |||||||
| 1 | IMPROVING AVAILABILITY OF CRITICAL MANPOWER | |||||||
| 1.1 | ASHA | ASHA | Not applicable | |||||
| 1.2 | Additional ANM at SHC - Non tribal | No. of ANMs | 141 | 0.72 | 101.52 | 197.76 | DHO | No. of units indicate nurses appointed last year + to be appointed during year 2008-09. This is approximate figure. You can appoint more nurses if trained candidates are available. Place of appointment should be nearest to her place of residence. |
| Additional ANM at SHC - Tribal | No. of ANMs | 0 | 0.84 | 0 | ||||
| Additional ANM at SHC - Naxalite affected | No. of ANMs | 0 | 0.9 | 0 | ||||
| Fix TA to ANM | No. of ANMs | 141 | 0.048 | 6.768 | ||||
| Monthly remuneration to PTLA | No. of PTLA | 141 | 0.072 | 10.152 | ||||
| 1.3 | Staff Nurse at 24×7 PHCs - Non tribal | Staff nurses | 45 | 0.96 | 43.2 | |||
| Staff Nurse at 24×7 PHCs - Tribal | Staff nurses | 0 | 1.08 | 0 | ||||
| Staff Nurse at 24×7 PHCs - Naxalite | Staff nurses | 0 | 1.14 | 0 | ||||
| 1.4 | Supervisory Nurse (LHV) - Non tribal | No. of LHVs | 35 | 0.96 | 33.6 | |||
| Supervisory Nurse (LHV) - Tribal | No. of LHVs | 0 | 1.08 | 0 | ||||
| Supervisory Nurse (LHV) - Naxalite | No. of LHVs | 0 | 1.14 | 0 | ||||
| Fixed TA to LHV | No. of LHVs | 35 | 0.072 | 2.52 | ||||
| 2 | INSTITUTIONALISING THE COMMUNITY INVOLVEMENT | |||||||
| 2.1 | VHSNWC - up to 1500 population | No. of villages | 554 | 0.1 | 55.4 | 121.4 | DHO | No. of villages may differ, population of 2001 Census should be considered. |
| VHSNWC - 1500 - 3000 population | No. of villages | 240 | 0.15 | 36 | ||||
| VHSNWC - 3000 + population | No. of villages | 150 | 0.2 | 30 | ||||
| 2.2 | Untied Funds - Sub Centre | No. institutions | 253 | 0.1 | 25.3 | 36.8 | DHO | Utilization of Untied fund should be as per guidelines |
| Untied Funds - PHC | No. institutions | 46 | 0.25 | 11.5 | ||||
| Untied Funds - RH/SDH/WH | No. institutions | 11 | 0.5 | 5.5 | 5.5 | CS | ||
| 2.3 | Rogi Kalyan Samitee - PHC | No. institutions | 46 | 1 | 46 | 46 | DHO | Utilization of RKS funds should be as per guidelines. |
| Rogi Kalyan Samitee - RH/SDH/WH | No. institutions | 11 | 1 | 11 | 11 | CS | ||
| Rogi Kalyan Samitee - DH/RRH | No. institutions | 0 | 5 | 0 | ||||
| 3 | STRENGTHNING OF PHYSICAL INFRASTRUCTURE AND FACILITIES | |||||||
| 3.1 | Annual Maintenance Grants - SC | No. institutions | 253 | 0.1 | 25.3 | 48.3 | DHO | Do not use this grant for construction except minor repairs (estimate less than Rs. 10000/-) |
| Annual Maintenance Grants - PHC | No. institutions | 46 | 0.5 | 23 | ||||
| Annual Maintenance Grants - RH/SDH/WH | No. institutions | 11 | 1 | 11 | 11 | CS | ||
| Annual Maintenance Grants - DH/RRC | No. institutions | 0 | 5 | 0 | ||||
| 3.2 | Repairs and New Construction | |||||||
| Repairs of PHC | PHC | 12 | 13.20 | 100.90 | DHO | Jalkot and other Health institutions informed from SHS | ||
| New work of PHC | PHC | 2 | 38.00 | |||||
| Repairs of SC | SC | 115 | 34.50 | |||||
| New works of SC | SC | 2 | 15.20 | |||||
| Repairs of SDH/RH | SDH/RH | 5 | 10.50 | 105.50 | CS | |||
| New work of SDH/RH | SDH/RH | 1 | 95.00 | |||||
| 3.3a | Facilities required for PHC - Telephone | No. institutions | 35 | 0.01 | 0.35 | 0.525 | DHO | Computers to be provided by SHS |
| Facilities required for PHC - Computer | ||||||||
| Facilities required for PHC - Internet | No. institutions | 35 | 0.005 | 0.175 | ||||
| Facilities required for RH/SDH/WH - Telephone | No. institutions | 0 | 0.001 | 0 | 0.015 | CS | Computers to be provided by SHS | |
| Facilities required for RH/SDH/WH - Computer | ||||||||
| Facilities required for RH/SDH/WH - Internet | No. institutions | 3 | 0.005 | 0.015 | ||||
| 3.3b | Solar backup | Pooled at SHS | ||||||
| 3.4 | Ambulance services for PHC - Repairs | No. Institutions | 25 | 0.1 | 2.5 | 6.1 | DHO | New Ambulances to be purchased from state level. Hiring of ambulance should be on as and when required basis. |
| Ambulance services for PHC - Hire | No. Institutions | 3 | 1.2 | 3.6 | ||||
| Ambulance services for RH/SDH - Repairs | No. Institutions | 11 | 0.1 | 1.1 | 1.1 | CS | ||
| Ambulance services for RH/SDH - Hire | No. Institutions | 0 | 1.8 | 0 | ||||
| 4 | UPGRADING THE HEALTH INSTITUTIONS FOR QUALITY SERVICES | |||||||
| 4.1 | IPHS up-gradation - SC | No. Institutions | 16 | 1 | 16 | 71 | DHO | Grant to be utilized only after facility survey report is available |
| IPHS up-gradation - PHC | No. Institutions | 11 | 5 | 55 | ||||
| IPHS up-gradation - RH | No. Institutions | 4 | 12 | 48 | 84 | CS | ||
| IPHS up-gradation - SDH | No. Institutions | 2 | 18 | 36 | ||||
| IPHS Up-gradation - WH | No. Institutions | 0 | 20 | 0 | ||||
| IPHS up-gradation - DH/RRH | No. Institutions | 0 | 50 | 0 | ||||
| 4.2 | AYUSH | |||||||
| Salary of Medical Officers (Ayurved) | Medical Officer | 0 | 1.44 | 0.00 | 0.00 | CS | Balance to be kept at SHS. Balance Amount to be used based on requirement at district level | |
| Salary of Pharmacist | Pharmacist | 0 | 0.72 | 0.00 | ||||
| Salary of Therapist | Therapist | 0 | 0.72 | 0.00 | ||||
| Salary of Attendant | Attendant | 0 | 0.6 | 0.00 | ||||
| Salary of MO (Unani) | MO (Unani) | 0 | 0.96 | 0.00 | ||||
| Salary of MO (Homeopathy) | MO (Homeo.) | 0 | 0.96 | 0.00 | ||||
| 4.3 | Telemedicine - Installation and commissioning | No. institutions | 0 | 1 | 0 | 4.1 | CS | Pay and travel grant of Facility manager for year 2007-08 and 2008-09. |
| Telemedicine - Salary of Facility Manager | No. persons | 1 | 2.4 | 2.4 | ||||
| Telemedicine - Travel of Facility Manager | No. persons | 1 | 0.4 | 0.4 | ||||
| Telemedicine - Honorarium to doctors | No. cases | 300 | 0.001 | 0.3 | ||||
| Telemedicine - Contingency | No. institutions | 1 | 1 | 1 | ||||
| 5 | TRAINING AND CAPACITY BUILDING | |||||||
| 5.1 | Training | To Principal HFWTC | ||||||
| 5.2 | Training of nursing cadre | To Principal HFWTC | ||||||
| 5.3 | Establishment of block level training institutes | To Principal HFWTC | ||||||
| 5.4 | Nursing school - hiring of support staff | No. institutions | 1 | 2.48 | 2.48 | 18.92 | CS | Do not use this budget for repairs and construction of Nursing School building |
| Nursing schools - repairs of annex | No. institutions | 1 | 10 | 10 | ||||
| Meeting MNC requirements | No. institutions | 1 | 5 | 5 | ||||
| Stipend to nurses - ANM | No. of Nurses | 0 | 0.06 | 0 | ||||
| Stipend to nurses - GNM | No. of Nurses | 40 | 0.036 | 1.44 | ||||
| Stipend to students from pvt. Nursing schools | To be communicated later | |||||||
| Fees on loan to students from pvt. Nursing schools | ||||||||
| Florence Nightingale Award | Kept at SHS | |||||||
| 6 | SERVICES TO VULNURABLE POPULATION AND UNSERVED AREAS | |||||||
| A | GENERAL SCHEMES | |||||||
| 6.1 | Geriatric care Program | Not applicable | ||||||
| 6.2 | Health Insurance | Not applicable | ||||||
| 6.3 | Mobile Medical Unit | Latur not included in first phase | ||||||
| 6.4 | School Health Program | |||||||
| Implementation Cost | District | 1 | 0.150 | 0.150 | 78.620 | CS | Medicine budget for three months only. Medicines for remaining period will be provided by SHS. | |
| Salary of District Coordinator (MSW) | District | 1 | 1.00 | 1.00 | ||||
| TA/DA (District Coordinator(MSW)) | District | 1 | 0.50 | 0.50 | ||||
| Referral Services | District | 30 | 0.50 | 15.00 | ||||
| Appointment Process | District | 1 | 0.25 | 0.25 | ||||
| Stationery | District | 1 | 0.08 | 0.08 | ||||
| Communication | District | 1 | 0.08 | 0.08 | ||||
| MIS | District | 1 | 0.08 | 0.08 | ||||
| Overheads | District | 1 | 0.08 | 0.08 | ||||
| Mobility Support | Team | 10 | 1.50 | 15.00 | ||||
| Stationery | Team | 10 | 0.08 | 0.80 | ||||
| Overheads | Team | 10 | 0.08 | 0.80 | ||||
| MIS | Team | 10 | 0.08 | 0.80 | ||||
| Salary of Medical Officers (Tribal) | Team | 0 | 3.00 | 0.00 | ||||
| Salary of Medical Officers (Non Tribal) | Team | 10 | 2.40 | 24.00 | ||||
| Salary of Nurse | Team | 10 | 0.60 | 6.00 | ||||
| Salary of Pharmacist | Team | 10 | 0.60 | 6.00 | ||||
| Equipment Purchase | Team | 10 | 0.30 | 3.00 | ||||
| Medicine Purchase | Team | 10 | 0.50 | 5.00 | ||||
| Printing of Health Cards | Kept at SHS | |||||||
| B | SCHEMES FOR TRIBAL & NAXLITE AREAS | |||||||
| 6.5 | Higher salary in tribal and nuxalite areas | Not applicable | ||||||
| 6.6 | Sickle Cell Disesae Control Program | NGO | 0 | 0 | 0 | 0 | DHO | Not applicable |
| 6.7 | Maher scheme | PHC | 0 | 4.5 | 0 | 0 | DHO | Not applicable |
| 6.8 | Volunteer to tribal PHCs | No. PHCs | 0 | 0.05 | 0 | |||
| 7 | IMPROVING QUALITY OF SERVICE DELIVERY | |||||||
| 7.1 | Expansion of Quality Assurance Project | Separate instructions will be issued | ||||||
| 7.2 | Establishment and functioning of SHSRC | State level scheme | ||||||
| 7.3 | Monitoring and Evaluation - MIS forms revision | Kept at MIS cell | ||||||
| Internet charges to THO | Taluka | 13 | 0.06 | 0.78 | 4.5 | DHO | M & E staff should only be used for MIS of physical and financial indicators | |
| Salary of M & E Cell - M & E Officer | Person | 1 | 1.8 | 1.8 | ||||
| Salary of M & E Cell - DEO to DHO | Person | 1 | 0.96 | 0.96 | ||||
| Salary of M & E Cell - Accountant to DHO | Person | 1 | 0.96 | 0.96 | ||||
| Salary of M & E Cell - DEO to CS | Person | 1 | 0.96 | 0.96 | 1.92 | CS | ||
| Salary of M & E Cell - Accountant to CS | Person | 1 | 0.96 | 0.96 | ||||
| Training of PHC/Block and district staff | To HFWTCs | |||||||
| 7.5 | Strengthening of monitoring system at state level | Kept at SHS | ||||||
| 7.6 | Preparation of district health plans | PHCs/RH | 4 | 4 | DHO | Separate guidelines will be issued | ||
| 7.7 | Preparation of district and state public reports (50000/dist, 2 lakh for state public report) | District | 1 | 0.5 | 0.5 | 0.5 | DHO | |
| 8 | UNTIED FUND | Kept at SHS | ||||||
| 9 | STREAMLINING THE PROCUREMENT | |||||||
| Repairs/new construction of District Warehouse | District | 1 | 3 | 3 | 5.56 | DHO | Submit proposal to SHS if new construction is required | |
| Salary of two Pharmacists (Rs. 8000/PM) | Pharmacist | 2 | 0.96 | 1.92 | ||||
| Computers/internet/telephone connection | District | 1 | 0.52 | 0.52 | ||||
| Contingency to warehouse | District | 1 | 0.12 | 0.12 | ||||
| 10 | IEC | District | 1 | 3 | 3 | 3 | DHO | IEC in local events, printing of posters and banners not allowed |
| 10.1 | Mahasanjeevani monthly magazine on health issues | Kept at SHS | ||||||
| 11 | INNOVATIVE SCHEMES | |||||||
| 11.1 | Comprehensive health care scheme | Kept at HQ for medicine | ||||||
| 12 | PUBLIC PRIVATE PARTNERSHIP | Not applicable | ||||||
| 13 | MANAGEMENT STRUCTURE | |||||||
| 13.1 | IDW - Salary/TA/DA of Deputy Engineer | DE | 1 | 3.84 | 3.84 | 13.264 | DHO | |
| IDW - Salary/TA/DA of Junior Engineer | JE | 3 | 2.76 | 8.28 | ||||
| IDW - Salary/TA/DA of Data Entry Operator | DEO | 1 | 1.044 | 1.044 | ||||
| IDW - Contingency | District | 1 | 0.1 | 0.1 | ||||
| 13.2 | IPHS Wing - Salary of IPHS Coordinator | Coordinator | 1 | 2.8 | 2.8 | 5.2 | CS | |
| IPHS Wing - Salary of DEO | DEO | 1 | 1.2 | 1.2 | ||||
| IPHS - Contingency | District | 1 | 1.2 | 1.2 | ||||
| 13.3 | BPMU - Travel allowances to THO | Block | 10 | 0.72 | 7.2 | 37.44 | DHO | |
| BPMU - Salary/DA/TA to Accountant | Block | 10 | 1.128 | 11.28 | ||||
| BPMU - Salary/TA/DA to DEO | Block | 10 | 0.696 | 6.96 | ||||
| BPMU - Contingency | Block | 10 | 1.2 | 12 | ||||
| 13.4 | SPMU activities | |||||||
| Total | 1023.924 | 1023.924 | ||||||