Govt. of Maharashtra

No. PHD/RCH/DHAP 08-09 Approval/CR/H-7(A)

Public Health Department

Mantralaya, Mumbai

Date : 30/05/2008

To,

District Health Officer,

 Zilla Parishad, Latur.

                   Subject : Approval to DHAP under RCH - II PIP activities and approved

                                     Budget Allocation for the Year 2008-09.

                  Reference :- Govt. of India letter No 7 (16) / 2008 NRHM dated 1st May 2008

            With reference to the subject and GOI reference cited above, approval for specified activities which are approved by GOI  along with budget limit for the district is attached herewith. The conditions are as follows: 

• Part A of DHAP - RCH II for 2008-09 is approved for District of Latur with the following conditions and guidelines :

• District should continue implementing all basic, routine and important activities as per previous RCH II PIP 2007-08 within their financial limit as indicated  below.
• Priority should be given to appointment of contractual specialists, esp. gynecs and anesthetists. Payment upto Rs. 26,000 p.m. is allowed. Give priority to training of our MBBS doctors in the 4  month anesthesia skills course.
• Procurement of equipments and drugs for routine RCH kits to sub centers, PHCs and RH will be done at State level. Emergency procurement of drugs and equipments can be done from RKS funds, untied grants at level of sub center, PHC and RH, Untied district funds available from NRHM Part B budget.
• Major and Minor  Repairs to Delivery room , Operation  Theater , Maternity Ward to sub center, PHC and RH can be done from the RCH Flexipool as proposed in the District PIP.
• Guidelines for IYCF, FBNC and HBNC are being developed at State level and will be circulated with indicative budget to districts in due course of time.
• District is  requested to communicate details of innovative / need based activities proposed by them with justification and expected outcome to Additional Director Health Services (SFWB) Pune for scrutiny and approval of the same.
• Emergency procurement in case there are gaps/delays in state level procurement  in  such cases procurement can  be made out of RKS / untied funds.  Eg. Misoprostol, etc
• The district should  focus on health entitlements of RCH services to  Vulnerable Social groups like SCs, STs, OBCs , Minorities, Women Migrants etc,
• The district should  encourage in patient care and fixed days services for Family Planning.
• The district should ensure effective and regular organization of Monthly Health and Nutrition Days, including record keeping ( to monitor utilization of services) and linking them to regular services for antenatal care , postnatal care.
• The district should improve implementation of JSY by ensuring that : 

1. Payment is made to the beneficiary at the time of delivery through bearer cheque.
2. Referral package is as per guidance.
3. Monitoring of JSY is as per directive of GOI.
4. Grievance redressal mechanism of JSY is set up at the local level.
5. Quality of services for deliveries at public health facilities is monitored ; private sector facilities are accredited and monitored.
6. Two days stay after delivery is adhered to and newborn care essentials ( counseling and basis equipment) are focused upon in the facilities.
• District needs to prioritize the activities as per the given allocation.
• District has proposed several incentives / award schemes.  These may be rationalized and should be linked with performance.
• IEC activities should be consolidated covering a mix of topic themes instead of individual activities for every topic / theme.
• The classification of budget head under RCHII should be in line with the budget heads specified in the operation manual ( Anenx 3e of the operating manual) and the FMR format.
• District to provide a list of FRUs and 24 hour  PHCs operationalzed as on April 1 2008.
• Non Permissible Items:

a.      Purchase of vehicle

b.      Construction of new facilities & Payment of salaries to Govt. employees.

c.      Expenditure on weekly 40 plus clinic as this activity is not directly contributing to RCH goal  

d.     Expenditure on monthly infertility   clinic as this activity is not directly contributing to RCH goal

e.      Provision of diet to inpatient (guidelines will be issued in due course)

f.       Development of recipes by nutritional bureaus

g.      Creches for children.

h.     Lottery draw system for fully immunized child.

i.        Treatment of severe / chronic ill children  ( for major surgeries like heart, congenital anomalies etc)

j.        TA /DA contingent expenses for contractual service delivery staff

                                                                                            Vandana Krishna

                                                                              Commissioner, F. W., Mantralaya, Mumbai.

Copy to -

Dy. Director, Health Services, i/c . Latur

Civil Surgeon, Civil Hospital,  Latur

The budget allocation for the district Latur for the year 2008-09 is as follows

          This Budget allocation is for Rural area excluding Urban & Corporation area.  However, JSY, FW Sterilization and NSV allocation is for Rural + Urban area excluding corporation area. Budget allocation for Urban RCH for other activities will be communicated soon. Under Training Head 75% of the training budget allocation has been kept at districts and 25% budget allocation is being kept at HFWTC level. So that there will no need for the districts to give funds to HFWTC for training.