FINAL DRAFT - NRHM Manipur

1 

FINAL DRAFT 

State Program Implementation Plan 2011-12 

Manipur 

State Health Society 

Department of Health & Family Welfare 

Govt. of Manipur

2 

Contents 

Page No. 

EXECUTIVE SUMMARY 04 

CHAPTER-1 Outcome analysis of PIP 2009-10 

11 

and 2010-11 

CHAPTER-2 Policy and Systemic reforms in 

20 

strategic areas 

CHAPTER-3 Conditionalities 23 

CHAPTER-4 Scheme/Program 28 

A RCH Flexi Pool 28 

B NRHM Flexi pool 119 

C Immunization 192 

D Disease Control Program 204 

E Inter-Sectoral Convergence 279 

Chapter-5 Monitoring & Evaluation 283 

CHAPTER 6 Financial Management 288 

Summary Budget 294 

State Program Implementation Plan 2011-12, Manipur

3 

State Program Implementation Plan 2011-12 



4 

EXECUTIVE SUMMARY 

The State Health Society (SHS) has prepared the PIP for the year 2011-12 through 

consultations with various state officials, and also taking into account the proposals made in 

the District Health Action Plans by the nine (9) districts. Over the years the state, through the 

NRHM, has benefitted on various counts such as infrastructure, equipments, manpower and 

training. This, in turn, has enabled the health facilities to deliver better health services to the 

people of the state though the state recognizes its scope for further improvements too. 

Therefore SHS, NRHM has been able to plan its interventions accordingly, so that it is able to 

capitalize upon the existing strengths and address the areas of weaknesses. 

The PIP is comprehensive and is based on exhaustive situational analysis through the 

various levels of planning that took place at village, block and district levels. It gave an insight 

into the ground realities and also, the secondary data obtained from NFHS-III, DLHS-3, SRS 2009 

and HMIS provided objective and factual information about various achievements and health 

indicators. The inputs from the various health experts who have worked in the state for decades 

also helped the team to incorporate the idiosyncratic dimensions of the health issues of the 

state into the SPIP. The various inputs from the above sources have revealed that the state does 

not face much handicap in any of the traditional health indicators and does not have any 

major public health concern of alarming proportions which is in the ambit of this plan. 

Impact of NRHM on health indicators and the current status: The relevance and 

effectiveness of NRHM in the state can be gauged from the improvements in the various health 

indicators since its inception. The full immunization rate has improved from abysmal 30% to 

more than 85% till November’ 2010. 1 The rate of institutional delivery which was a mere 19% has 

risen to more than 55%. 2 The Infant Mortality Rate of the state has been traditionally low; and in 

many surveys, it has been lowest in the country. 3 However, other health indicators like MMR and 

malnutrition among 0-6 year children have been relatively higher when compared to other 

health indicators. The various interventions under NRHM are bound to have a positive impact 

on these indicators as well. 

IMR, MMR and TFR: There is a wide divergence between the maternal and child health 

indicators of the state. The IMR of the state is one of the lowest in the country at 14/1000 live 

births. 4 The current figure for the MMR is not available; however, the last available figure of SRS 

(2001-03) was quite high at 374. 5 The state believes that the figure of MMR could have reduced 

but the efforts to redress the same in the current year through focused initiatives will be ongoing. 

The Total Fertility Rate (TFR) as per NFHS-III stands at 2.83 and the plan in this coming year will be 

to bring down to 2.1. 

Public Private Partnership: This PIP plans to implement the three PHCs through the PPP 

model in the most difficult and inaccessible areas as already approved in the previous year. 

These areas face a multitude of problems such as absenteeism of health personnel, nonavailability 

of local paramedics like ANM and nurses, extremely poor health infrastructure and 

poor road connectivity which leads to low rate of ANC visits and fewer institutional deliveries. 

1 RCH and HMIS figures respectively 

2 Ibid. 

3 SRS-2007, 2008, 2009. 

4 SRS-2009. 

5 SRS-2003; current figures for State not available. 


5 

These factors further lead to higher MMR in these areas. The PPP model enjoins the private 

partner to ensure that there are 100% institutional deliveries among other things. 

This plan also proposes to continue the PPP model for emergency obstetric care with a 

private hospital in Ukhrul district. This district is one of the focus districts and does not have even 

a single specialist in Obstetrics and Gynecology. At present this model provides C/S deliveries 

at the rate of Rs. 1000/- per pregnant woman from below the poverty line. It has helped in 

offering good quality emergency care to expectant mothers of the high focus district. 

Health Management Information System: The HMIS has been implemented in the state 

and the data flow has started from all the health institutions. The HMIS implementation status 

and degree of real time data flow from the health institutions into the HMIS portal for the state is 

among the best in the country. 6 The current plan has proposal to strengthen the HMIS in the 

state further; so as to enable the data flow on all the activities in real time from every health 

institution. The availability of factual and grass-root level real-time data will enable the SHS, 

NRHM to plan and implement various interventions in more focused and targeted manner. The 

proposal of pregnant mother tracking through HMIS will ensure better antenatal care, identify 

high risk deliveries beforehand, increase the rate of institutional deliveries and render improved 

post-natal care; thus leading to reduced maternal morbidity and MMR. It is also proposed to 

track every child for full immunization and childhood care through Child Tracking system. 

High focus districts: In addition to the above, financial as well as non-financial incentives 

have been proposed for the health personnel working in inaccessible, most difficult and difficult 

areas which fall in the four high focus districts viz. Tamenglong, Churachandpur, Chandel and 

Ukhrul. The incentives have been linked to various performance indicators such as rate of 

immunization, percentage of ANC checkups, rate of institutional delivery and number of village 

health and sanitation days conducted. This incentive has an inbuilt element of social audit, as it 

is to be disbursed only after the attendance of the health personnel has been certified by the 

Village Health and Sanitation Committee. These measures will ensure the presence of health 

personnel at their respective stations which is critical to the success of RCH and delivery of 

other healthcare services. 

All the above measures are an effort to ensure that the maternal healthcare and MMR 

for the state are improved and the indicators such as IMR and child healthcare, where the 

state has a good standing, are further consolidated. 

Behavior Change Communication: The IEC/BCC activities in the state have made 

tremendous progress and most activities were able to be completed on time except the gift 

package, which is still ongoing. In the coming year 2011-12 the same set of IEC/BCC activities 

are proposed. 

Human Resource Management, Training and Skill up-gradation: Human resource 

management and training is one of the most important components of any plan. Healthcare 

delivery is a highly technical activity and the ever changing medical literature and dynamics of 

health care delivery make it important for us to ensure that all our health personnel are 

motivated, well trained/skilled and properly placed. In this direction, the skill gaps as well as the 

training institutions have been identified. An integrated training calendar has been created 

which will allow us in imparting composite training to our medical and paramedical staff with 

minimal disruption of their normal duties. We propose to create a data base of all the doctors 

6 HMIS report by the NHSRC 


6 

and paramedical staff that have undergone various trainings/skill up-gradations. This database 

will be used for manpower redeployment based on the need of the health institution, skills 

acquired by the health personnel and co-locating health personnel whose skills are 

complementary to each other. The proposal of ‘difficult area allowance’ will also help the state 

in engaging and retaining medical and para-medical staff including the specialists. This 

proposal will help the state in filling the manpower gap in most critical areas of health care and 

place them where they are needed most. 

Accredited Social Health Activist: ASHAs are the most critical component of the 

healthcare delivery mechanism under NRHM.The state has 3878 ASHAs 7 and the training of 6 th 

and 7 th modules are being taken up; however, the incentive system for them is not streamlined 

because of multiple chains of command and control. For example, the incentive for 

institutional delivery is paid by the MO i/c of the health institution concerned; whereas the 

incentive for immunization is being paid through the District Immunization Officer and the 

incentive for DOTS is being disbursed through District Tuberculosis Officer. These blockages have 

led to fair degree of demoralization and de-motivation for some of the ASHAs and also 

wastage of their precious time. Therefore, it is proposed to have a single window clearance of 

all the incentives for ASHAs through the MO i/c of the institution concerned. The process to 

establish help desk cum stay facilities for the ASHAs in the selected four districts such as Imphal 

east, Imphal west, Bishnupur and Ukhrul at the level of CHCs and DHs is already on-going. These 

would ensure the issues of ASHAs are addressed swiftly. The ASHA Resource Centre (ARC) 

already approved during the year 2010-11 will be operationalized in this coming year as the 

Cabinet has already taken note of the same. As the state faces acute power shortage, it is 

proposed to provide an eco friendly, rechargeable torch to every ASHA which will help them in 

attending to emergencies in the night. 

Physical infrastructure with focus on inaccessible, most difficult and difficult areas : The 

existing physical infrastructure of health institutions in the state, that was to be further 

augmented by NRHM, was actually in an abysmal position to begin with. To that extent, the 

onus on NRHM was huge, as the task of having a standard physical infrastructure of health 

institutions was effectively to begin from the scratch. In this PIP, up-gradradation of the 

infrastructure of the 07 District hospitals and the 04 CHCs as per the IPHS norms will be 

continued. 

AYUSH: Manipur is home to various alternate systems of medicine and traditional 

healers, also known as ‘Maibas’ in some communities. Further, the rich biodiversity ensures that 

there are a variety of medicinal plants easily available, to be used as the raw material for these 

alternate medications. 8 To that extent, the acceptability of the alternate systems of healing is 

quite high in the state. However, AYUSH Directorate was almost non-existent in the state earlier, 

having only 8 doctors on its rolls. NRHM has not only revived this Directorate, but also 

strengthened it to a great extent. To begin with, 88 doctors and 46 pharmacists have been 

recruited and placed at every primary health center. It is proposed under the current PIP to 

place AYUSH doctor at every CHC and District Hospital also. In addition to this, these doctors 

will also be given the basic training in Maternal and Child Health Care. AYUSH doctors will be 

manning a separate AYUSH OPD at every health institution. These measures will integrate the 

various systems of medicine and provide choice and affordable health care facilities to the 

7 DLHS III- Data 

8 Herbal Medicine Of Manipur: A Colour Encyclopaedia by H B Et Al Singh 


7 

people of the state. There is also an increased reliance on the alternate systems of medicine, 

which have lesser side effects, to redress the lifestyle related diseases which are becoming 

increasingly common these days. 

Immunization: The immunization rate for Manipur has touched almost 85% 9 till 

November’ 2010 and the mortality because of vaccine preventable diseases is zero in the 

state. 10 . The focus now is on improving the cold chain management. In this plan, it is proposed 

to procure solar powered cold chain equipment to improve the last mile delivery system of 

these vaccines, so that the farthest locations can be reached and the remaining children can 

also be effectively immunized. 

Vulnerable group: Poverty is quite widespread in the state, yet there is no destitution. 

The ethos and the customs of society ensure that the old, the orphans or any other such 

vulnerable sections are looked after either by the kith and kin or the tribesmen, in general. The 

society is quite egalitarian and there is no feudalism, so there is no particular class or section 

that is specifically vulnerable. There is positive discrimination, if any, in favour of women in many 

spheres of activity. However, with the wave of modernization the families are getting nuclear 

and the geriatric age group is facing problems most of which are healthcare related. The poor 

people in the remote and inaccessible areas also form a part of the vulnerable section from 

the point of health care delivery. In this plan there has been special emphasis to reach the 

poor in the remote locations where the health facilities are negligible and communication is 

non-existent. The PPP model for running health institutions, additional hardship allowance to the 

health personnel working in inaccessible, most difficult and difficult areas and greater emphasis 

on creation of physical infrastructure in these areas are a few of the steps in this direction. This 

plan also has special focus on the health care issues of the geriatric section in the form of 

special OPDs, home care and provision of medical/ surgical aids & appliances. 

Convergence: The efforts are on to achieve convergence within the Department of 

Health and Family Welfare as also across the departments and various disease control 

programmes. Within the department, convergence has been achieved at the strategic, policy 

and management level to a large extent; however it will take some more time to achieve 

convergence at the functional level. Healthcare issues transcend the Departmental 

boundaries and require a cohesive and concerted effort from various Departments/Agencies 

like Public Health Engineering Department, Department of Social Welfare, Department of Rural 

Development, Department of Education, Department of Minorities and Department of Tribal 

Development. The arrival of NRHM on the state health scene has led to an increasing 

appreciation of the need for convergence and the importance of quality and affordable care 

for the society. However, convergence is not a goalpost to be crossed, but a process that is 

ongoing. In the current PIP, various initiatives have been proposed to increase the involvement 

of the other Departments in this process. 

9 HMIS data 2010 

10 DLHS data 2009. 


8 

Budget 

Amount 

(Rs in Lakh) 

Contractual Remuneration for ANMs/SNs 608.40 

Contractual Remuneration for LTs/MPHWs 76.02 

Contractual Remuneration of Specialists (Anesthetists, 

Pediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, 59.40 

Radiologist, Sonologist, Pathologist, Specialist for CHCs.) 

Medical Officers at CHCs / PHCs 194.40 

Contractual Remuneration of PHNs at CHC, PHC level 18.48 

Additional Allowances/ Incentives to M.O.s of PHCs and CHCs 0 

Payment to Others - Computer Assistants/ BCC Co-ordinator 

etc 

0 

Incentive/ Awards etc. to SN, ANMs etc. 0 

Human Resources Development (Other than above) 9.18 

Other Incentives Schemes , Difficult Area Incentives 191.202 

Strengthening of SHS /SPMU (Including HR, Management Cost, 

Mobility Support, Field Visits) 

125.84 

Strengthening of DHS/DPMU (Including HR, Management Cost, 

Mobility Support, Field Visits ) 

143.10 

Strengthening of Block PMU (Including HR, Management Cost, 

Mobility Support, Field Visits ) 

360.44 

Strengthening (Others) 

Other Programme Management Costs (Audit Fees, Concurrent 

Audit etc.) 

21.00 

S. No Main Heads Components 

1 Human 

Resources 

Mobility Support, Field Visits to BMO/MO/Others 5.00 

Payment to AYUSH M.O.s 290.88 

Payment to AYUSH Other Staffs 103.02 

2 Training Training under Maternal Health 16.748 

Training under Child Health 18.675 

Training under Family Planning Services 43.005 

Strengthening Training Institutions 59.00 

Development of training packages 0 

IMEP Trainings 0.59 

ARSH Training 6.88 

Programme Management Training 3.00 

Training (Nursing) 

Training (Other Health Personnel) 

Training for Cold Chain Handlers/refrigerator mechanics 

Training of M.O.s /Other Staffs on R.I. 

3 Infrastructure Upgradation of CHCs, PHCs, Dist. Hospitals to IPHS) 778.00 

Strengthening of District, Sub-divisional Hospitals, CHCs, PHCs 0 

New Constructions/ Renovation and Setting up CHCs, PHCs, 

HSCs, 

874.97 

Construction (Others) 

Minor civil works for operationalisation of FRUs 70.00 

Minor civil works for operationalisation of 24 hour services at 

PHCs 

209.50 

Civil Work under RNTCP 

Other Civil Works 

4 Procurement Procurement of Drugs & Supplies 

Procurement of Equipment 324.66 

Procurement of Others 

5 IEC/BCC Development of State BCC/IEC strategy 19.40 

Implementation of BCC/IEC strategy 87.50 

Health Mela 50.00 

Creating awareness on declining sex ratio issue 

Other activities 

6 Untied funds Untied funds for,VHSC, SC CHC,PHC 458.30 

Annual Maintenance Grants for CHCs, PHCs 99.00 


9 

S. No Main Heads Components 

Budget 

Amount 

(Rs in Lakh) 

Panchayati Raj Initiatives 18.95 

7 ASHA ASHA Payments under NRHM Additionalities 

Selection & Training of ASHA 153.60 

Procurement of ASHA Drug Kit 36.84 

Incentive to ASHAs under JSY 196.68 

Incentive under Family Planning Services 

Incentive under Child Health 

Incentive to ASHA's for motivating families for Sanitary 

Toilets/Other Incentives 

Awards to ASHA's/Link workers 

ASHA Incentive under Immunisation 

ASHA Incentive under NLEP 

ASHA Incentive under NVBDCP 

ASHA Incentive under NBCP 

ASHA Incentive under RNTCP 

8 RKS Corpus grants to RKS 137.00 

9 JSY Home Deliveries 35.50 

Institutional Deliveries 249.49 

10 Sterilization Compensation for Male sterilization 

Compensation for Female sterilization 

NSV Camps 

Female Sterilization Camps 

IUD Camps 14.89 

Social Marketing of contraceptives 

POL for Family Planning 

Repairs of Laparoscopes 

Other Expenses 10.10 

11 Referral Referral Transport 

Transport 

66.00 

12 Other RCH ARSH 3.00 

Activities Urban RCH 88.32 

13 Vulnerable Tribal RCH 11.28 

Group 

Vulnerable Groups 12.52 

14 Other Mission Research Studies, 11.00 

activities New Initiatives 1066.83 

Support to other programmes 471.91 

District Health Action Plan 60.50 

Mainstreaming of AYUSH 14.40 

MMU 195.215 

SHSRC 0 

School Health Programme 0 

Health Insurance 0 

Planning , Implementation, Monitoring 0 

15 PPP/NGO NGO activities/PPP 29.15 

Other NDCPs (RNTCP 

16 Operational 

Cost (NDCPs) 

Mobility, Review Meeting ,field visits, formats & reports, 

Communication etc for NDCPs 

17 Financial 

aid/grant to 

Institutions 

(NDCPs) 

Financial Support to Medical colleges 

Financial Support to Referral Institutes 

Financial Support to Sentinel sites 


10 

SUMMARY BUDGET 

Part 

Amount 

(Rs in Lakh) 

A RCH FLEXI POOL 2724.867 

B NRHM FLEXI POOL 6164.99 

C IMMUNIZATION 155.93 

D DISEASE CONTROL PROGRAM 

1. NVBDCP 1160.582 

2. RNTCP 385.64 

3. IDSP 426.12 

4. NPCB 686.28 

5. NLEP 49.98 

6. NIPPCD 118.82 

7. NIDDCP 50.50 

Part-D Total 2877.922 

E INTER-SECTORAL CONVERGENCE 0.00 

TOTAL 11923.709 

Central Share (Rs in Lakh) 

15% State Share (Rs in Lakh) 

10368.44 1555.27 


11 

CHAPTER-1: 

OUTCOME ANALYSIS OF PIP OF 2009-10 AND 2010-11 


12 

The physical and financial outcomes in respect of various parameters of the PIP of 2009-10 and 2010-11 

(30.09.2010) are indicated based on sequence of RoP in the following format. 

ACTIVITY* 

(Rs. in lakh) 

Financial 

Physical 

2009-10 2010-11 2009-10 2010-11 

Amoun 

t 

Approv 

ed 

Exp 

Maternal Health 21.6 214. 

65 

JSY 117.96 122. 

06 

Amou 

nt 

Approv 

ed 

Exp 

Expected 

Output 

RCH Flexipool 

40.27 17.64 

131.89 104.2 

77 

2000 

Home 

Deliveries, 

8000 

Institution 

al 

Deliveries 

Child Health 40 12.9 31.50 7.79 

6 

Family Planning 12.4 0 9.8 0 3000 

sterilizatio 

n, 15000 

IUD 

ARSH 0 

Urban RCH 72.68 28.2 80.12 26.73 08 Urban 

8 

Health 

centre 

(UHC) 

Tribal RCH 10.04 6.74 12.86 6.08 01 MO, 2 

ANM, 01 

vehicle 

outsource 

Vulnerable 

Groups 

Innovations / 

PPP/ NGO 

5.9 8.29 0 0 Safe 

disposal 

of excreta 

in pit 

construct 

ed on a 

land for 

people 

living in 

Loktak 

lake 

78.38 7.36 152.36 17.86 * PNDT 

meetings, 

awarenes 

s 

program, 

etc 

* weekly 

ASHA 

Radio 

Program 

*MNGO 

Achievem 

ents 

5732 

home 

deliveries, 

11643 Inst. 

Del. 

947 

Sterilization 

, 5183 IUD 

insertion 

08 UHC 

functional 

with full 

staffs 

Staffs in 

placed, 

visits 24 

villages, 

held 

mother ‘s 

meeting 

In placed. 

Ongoing 

in tie up 

with an 

NGO. 

ASHA 

Radio 

program 

telecast 

on every 

Friday. 

02 MNGO 

(LACHUA 

& FPAI) 

working 

on RCH 

activities. 

Expected 

Output 

8089 

Home 

Deliveries, 

Institution 

al 8141 

Deliveries 

3000 

sterilizatio 

n, 15000 

IUD 

08 Urban 

Health 

centre 

(UHC) 

01 MO, 2 

ANM, 01 

vehicle 

outsource 

Achieveme 

nts (till 

Nov’10) 

2953 home 

deliveries, 

7525 Inst. 

Del. 

851 

Sterilization, 

3139 IUD 

insertion 

08 UHC 

functional 

with full 

staffs 

Staffs in 

placed, 203 

tribal health 

clinic 

conducted 

and 10,080 

patients 

examined. 

Same as previous year 

6 

meetings, 

2 field 

visits, 10 

awarenes 

s camps 

and 50 

wall 

paintings. 

Outsourci 

ng of 3 

PHCs and 

• PPP 

for 

Em 

OC 

serv 

ices 

und 

erw 

ay. 

• PPP 

for 

03 


13 

ACTIVITY* 

Infrastructure & 

HR 

Institutional 

Strengthening 

Financial 

Physical 

2009-10 2010-11 2009-10 2010-11 

Amoun 

t 

Approv 

ed 

Exp 

132.0 77.4 

3 

25.43 20.1 

1 

Training 217.01 97.3 

2 

BCC/IEC 63.8 122. 

02 

Amou 

nt 

Approv 

ed 

Exp 

1132.5 372.6 

73 

Expected 

Output 

*Placeme 

nt of all 

required 

staffs 

*renovati 

on of OT 

Labor 

room 

17.82 0 HR 

software, 

HMIS 

263.44 50.76 

8 part 

133.34 60.00 

1 

Achievem 

ents 

Statfs in 

placed 

*civil 

entrusted 

to agency 

(MDS), 

almost 

complete 

d 

HMIS 

consultant 

in placed 

Expected 

Output 

subcentres 

under 

them in 

most 

difficult 

areas; PPP 

for EmOC 

services 

for one 

facility. 

One boat 

clinic. 

Placemen 

t of all 

proposed 

staffs 

And 

constructi 

on of 

incinerato 

r 

Achieveme 

nts (till 

Nov’10) 

PH 

Cs 

on 

pro 

ces 

s 

All staffs in 

placed. 

Constructio 

n work 

entrust to 

agency. 

Work on 

progress. 

Details on training may be referred to RCH Training 

On 

MH,CH,FP, 

BCC/IEC 

activities 

Ads, Tele 

Film, 

Group 

Discussions 

, Radio 

Jingles, 

Health 

Talks, DDK 

Spots, 

Erection & 

maintena 

nce of 

hoardings, 

Quarterly 

newsletter 

s, Annual 

Calendar, 

FGDs 

On 

MH,CH,FP, 

BCC/IEC 

activities 

Ads, Tele 

Film, Group 

Discussions, 

Radio 

Jingles, 

Health 

Talks, DDK 

Spots, 

Erection & 

maintenan 

ce of 

hoardings, 

Quarterly 

newsletters, 

Annual 

Calendar 

Procurement of 

drugs & supplies 

Program 

Management 

ASHA 

Programme 

200.18 92.2 

4 

387.8 198. 

04 

353 

123.45 131.2 

8 

SPMU,DP 

MU 

Mission Flexible Pool 

387.8 85.86 

9 

In placed 

SPMU,DP 

MU 

3878 

ASHAs 

with 

drugs, 

training 

In placed 

3878 ASHAs 

in placed 

with drug 

kits, trainers 

training of 


14 

ACTIVITY* 

Financial 

Physical 

2009-10 2010-11 2009-10 2010-11 

Amoun 

t 

Approv 

ed 

Exp 

Untied Fund 68.5 430. 

25 

AMG 75 102. 

79 

Institutional 

Strengthening 

Construction / 

Up-gradation 

Rogi Kalyan 

Samiti 

325.57 96.7 

4 

1017.6 81.5 

9 

129 171. 

00 

Amou 

nt 

Approv 

ed 

Exp 

388.80 225.9 

5 

Expected 

Output 

Untied 

fund 1 

SDH, 16 

CHCs, 80 

PHCs, 420 

Sub 

Centers, 

3203 

VHSC. 

84.00 59.65 Annual 

maintena 

nce grant 

to 1 SDH 

(at 

Moreh) 

and in 16 

CHCs, 80 

PHCs, 350 

Sub 

Centres 

340.75 502.7 

4 

656.67 54.85 Annual 

maintena 

nce grant 

to 1 SDH 

(at 

Moreh) 

and in 16 

CHCs, 80 

PHCs, 350 

Sub 

Centres 

Achievem 

ents 

Provided 

Provided 

Provided 

Expected 

Output 

upto 6 

module 

Untied 

fund 1 

SDH, 16 

CHCs, 80 

PHCs, 420 

Sub 

Centers, 

3203 

VHSC. 

Annual 

maintena 

nce grant 

to 1 SDH 

(at Moreh) 

and in 16 

CHCs, 80 

PHCs, 350 

Sub 

Centres 

Constructi 

on work in 

10 PHCs, 

Constructi 

on of 11 

relocated 

PHSCs 

collocate 

d with 

PHCs and 

CHCs. 

Mini- 

Training 

Centres 

for 7 

Districts 

129.00 92.82 Corpus 

grants to 7 

DHs and 

J.N 

Hospital, 1 

SDH 

Moreh 

and 16 

CHCs, 80 

PHCs 

Achieveme 

nts (till 

Nov’10) 

module -6 

completed, 

module 

translated 

into local 

language, 

ASHAs trg. 

On process 

Provided 

Provided 

Work 

entrusted to 

MDS 

(agency).O 

n process. 

Provided 


15 

ACTIVITY* 

Financial 

Physical 

2009-10 2010-11 2009-10 2010-11 

Amoun 

t 

Approv 

ed 

Exp 

DHAP 45 34.5 

7 

Amou 

nt 

Approv 

ed 

Exp 

Expected 

Output 

72.00 39.74 Constructi 

on work in 

10 PHCs, 

Constructi 

on of 11 

relocated 

PHSCs 

collocate 

d with 

PHCs and 

CHCs. 

Mini- 

Training 

Centres 

for 7 

Districts 

Achievem 

ents 

Work 

entrusted 

to MDS 

(agency). 

On 

process. 

Expected 

Output 

09 DHAPs 

based on 

the VHAPs 

& BHAPs 

Strengthening of 

Training Centres 

Swablamban 

Yojna 

Health Mela 

09 Health 

Mela 

08 held 09 Health 

Mela 

IEC-NRHM 45 45 45 7.50 MMU 

staffs to 

give 

performan 

ces based 

incentive. 

Procurem 

ent of 4 

Wheel 

Drive 

MMU for 

hilly areas. 

Referral 

0 0 45 0 

Transport 

Addition 

contractual 

staffs 

Planning, 

implementation 

& monitoring 

556.98 47.6 

1 

62.98 51.9 

8 

297.81 212.5 

3 

359.41 42.57 

New initiatives 0 0 335.99 0 

Procurement 484.76 533. 

37 

596.41 170.8 

9 

Indian Public 

Health 

Standards (IPHS) 

MMU/EMRI 101.86 30.0 222.02 56.94 

5 

Support services 0 0 20.00 0.15 

District Specific 

Interventions 

Mainstreaming 

of AYUSH 

187.32 168. 

52 

3.00 54.15 Placemen 

t of AYUSH 

Doctors, 

88 AYUSH 

Doctors In 

placed 

Placemen 

t of AYUSH 

Doctors, 

Achieveme 

nts (till 

Nov’10) 

All 09 

districts 

prepared 

04 held so 

far 

On process 

88 AYUSH 

Doctors In 

placed 


16 

ACTIVITY* 

Management 

Cost 

Deafness 

Programme. 

Immunization 

Mobility support 

for Supervision 

and 

Monitoring at 

districts and 

state level. 

Cold chain 

maintenance 

Alternate 

Vaccine 

Delivery to 

Session sites 

Focus on urban 

slum 

& 

underserved 

areas 

Social 

Mobilization by 

ASHA /Link 

workers 

Computer 

Assistants 

support at 

State/district 

level 

Printing and 

dissemination of 

immunization 

cards, tally 

sheets, charts, 

registers, receipt 

book, monitoring 

formats etc. 

Quarterly review 

meeting at 

state/District/Blo 

ck level 

District level 

Orientation for 2 

days ANMs, 

MPHW, LHV 

Trainings 

To develop 

micro plan at 

sub-centre level 

and block level 

For 

consolidation of 

micro plan at 

PHC/CHC level 

Financial 

Physical 

2009-10 2010-11 2009-10 2010-11 

Amoun 

t 

Approv 

ed 

Exp 

125 199. 

08 

103.74 118. 

77 

Amou 

nt 

Approv 

ed 

Exp 

284.59 206.7 

0 

119.17 116.6 

1 

Expected 

Output 

Honorariu 

m for 

BPMSU 

Achievem 

ents 

Given 

Expected 

Output 

Honorariu 

m for 

BPMSU 

Achieveme 

nts (till 

Nov’10) 

Provided till 

Dec’10 


17 

ACTIVITY* 

Financial 

Physical 

2009-10 2010-11 2009-10 2010-11 

Amoun 

t 

Approv 

ed 

Exp 

Amou 

nt 

Approv 

ed 

POL for vaccine 

delivery from 

state to District 

and PHC/CHCs 

Consumables for 

computer 

including 

provision for 

internet access 

Injection safety 

Red/Black/Zippe 

r bags 

Bleach/Hypochl 

orite solution 

Twin Bucket 0 

PPI operating 

cost 

117.8 106. 

65 

Exp 

1.564 

Expected 

Output 

Disease Control Program 

NVBDCP 

Malaria 257.32 384.00 

Filaria/ JE 8.00 10.00 

Dengue/Chikun 6.80 

gunya 

Cash assistance 365.38 399.26 

for 

decentralized 

commodities 

Commodity 

support by GoI 

154.15 

IDSP 

Staff salary& 33.92 

operational cost 

Training 1.00 

IEC 3.00 

Lab equipment, 7.98 

etc 

Outbreak 

investigation 

Analysis & use of 

data 

NPCB 

Grant in aid (for 

Cataract 

Operations) 

Vision Centre 

(50X50,000) 

Eye wings and 

OT 

Eye Donation 

Centre (Non 

Recurring 3X1) 

Remuneration 

(SBCS) & Staff 

Salary/ Other 

Activities/ Post 

63.70 

2.50 

150.00 

10.80 

56.1 

7 

72.74 

Achievem 

ents 

Expected 

Output 

Achieveme 

nts (till 

Nov’10) 

2000 2386 2000 913 (upto 

Dec’10) 


18 

ACTIVITY* 

Requirement 

IEC Activities 

(50X20 Thousand 

+ SBCS 1Lacs) 

Proposal for 

Sutures /(Per 

Pieces 

10.0)/Ophth. 

Equipments 

Financial 

Physical 

2009-10 2010-11 2009-10 2010-11 

Amoun 

t 

Approv 

ed 

Establishment of 7.00 

IDD Control Cell 

Establishment of 4.00 

IDD Monitoring 

Lab 

a)Health 

24.50 

Education and 

Publicity 

b) Salt Testing 

Kits supplies by 

GOI (3,84,000 

No) 

IDD surveys 0.50 

Contractual 9.78 

Services 

Services through 0.10 

ASHA/USHA 

Office expenses 3.52 

& Consumables 

Capacity 5.00 

building 

Behavioural 12.00 

Change 

Communication 

POL/Vehicle 7.70 

operation & 

hiring 

DPMR 4.00 

Material & 4.16 

Supplies 

Urban Leprosy 0.57 

Control 

Supervision, 1.50 

Monitoring & 

Review 

Cash assistance 3.00 

Training 

Capacity 

building PHCs/ 

CHCs & District 

Hospitals 

Manpower at 

district level 

Exp 

Amou 

nt 

Approv 

ed 

Exp 

NIDDCP 

NLEP 

NIPPCD 

Expected 

Output 

Achievem 

ents 

Expected 

Output 

Achieveme 

nts (till 

Nov’10) 


19 

ACTIVITY* 

Financial 

Physical 

2009-10 2010-11 2009-10 2010-11 

Amoun 

t 

Approv 

ed 

Exp 

Amou 

nt 

Approv 

ed 

Exp 

Expected 

Output 

Achievem 

ents 

Expected 

Output 

Achieveme 

nts (till 

Nov’10) 

Screening 

Camps 

Hearing Aids 200 

HI per district per 

year 

Central Cell at 

state level 

*The list of activity given above may vary from State to State. Therefore States should list the activities as 

per their RoP 


20 

CHAPTER-2: 

POLICY AND SYSTEMIC REFORMS IN STRATEGIC AREAS 


21 

POLICY AND SYSTEMIC REFORMS IN STRATEGIC AREAS 

SN STRATEGIC AREAS ISSUES ADDRESSED 

1. HR policies for Doctors, 

Nurses, Paramedical 

Staff and Programme 

Management Staff 

2. Accountability and 

Performance appraisal 

3. Policies on drugs, 

procurement system 

and Logistic 

management 

The State has identified a Nodal Officer for handling 

manpower for NRHM. Manpower has been recruited under 

NRHM on contractual basis. Vacancies arising from time to 

time are being filled up regularly 

The Contractual and Regular Manpower are given skill upgradation 

trainings like SBA, NSSK, IMNCI, IUCD etc as per 

NRHM guidelines. MOs are trained on Anesthesia (LSAS) and 

Obstretic (EmOC) for operationalizing FRUs 

The State has started training of ANMs for GNM course 

where the nurses are required for a particular village. Efforst 

are on to fill all the programme Management Staff posts 

have been filled up in the State. 

The State is continuing with the fixed pay and performance 

based incentive model for all staffs recruited on contract 

basis under NRHM. At the time of extension of their contract, 

performance review based on fixed criteria prepared by the 

Blocks/Districts are taken into account 

Essential Drug List has been prepared and necessary drugs 

procured. SHS, NRHM has a tender committee chaired by 

Commissioner (Fin), GoM for procurement of tenders for 

NRHM. Further, the State is in the process of setting in place 

a procurement cell for handling procurement and other 

logistics at the state level. 

4. Equipments Essential equipments are procured following NRHM 

Guidelines. To ensure availability of essential functional 

equipments in all facilities, BPMU/DPMU conducts facility 

survey every year for regular maintenance of equipments 

and filling up the gaps. 

5. Ambulance Services 

and Referral Transport 

6. Maintenance of 

buildings, Sanitation, 

Water, Electricity, 

laundry, Kitchen 

Some of the health facilities in the State have ambulance 

services for referral transport for patients. Where ambulance 

are still not available, referral transport money is being paid 

from the RKS for hiring of vehicles in some facilities. In SPIP 

2010-11, purchase of five ambulances for round the clock 

functioning 24x7 PHCs has been approved. These 

ambulances will be used for transporting patients to higher 

centers for better treatment 

It is done though the various funds provided by NRHM such 

as untied funds and corpus grants to RKS etc 

7. Diagnostics Diagnostic facilities like routine blood, stool and urine test 

are available the Hospitals in addition to the investigations 

under the National Disease Programs e.g. PS for Malaria 

(NVBDCP) & Sputum for AFB (RNTCP) 

In higher centers, facilities for advanced investigations 

including X-Ray and Ultrasound are also available 

8. Patient’s feedback and 

grievance redressal 

A desk will be opened in all health centres where deliveries 

are taking place for patients’ feedback and corrective 

action for their grievances 

9. Private Public 3 PHCs in the State will be taken up under the PPP Model for 


22 

SN STRATEGIC AREAS ISSUES ADDRESSED 

Partnership 

10. Intersectoral 

convergence 

11. Community 

Mobilization 

all RCH services in the underserved areas. One PPP model 

for comprehensive health services and research center is 

functioning in one of the remote hilly district of Ukhrul is 

functioning fully. 

Under the School Health Programme, the primary school 

teachers are being trained under NRHM. The current SPIP 

also reflected few activities as a convergence with State 

AIDS Control Society. VHNDs are being held in co-ordination 

with the Anganwadi Workers (ICDS). Convergence with IFCD 

for providing safe drinking water etc are being worked out. 

4081 VHSCs have been constituted with 3591 VHSCs 

operational with Bank Accounts. 3878 ASHAs are in place 

with Drug Kits. They have already been trained upto 5th 

Module and Training on Module 6 & 7 has commenced. PRIs 

training have been done in all districts. VHNDs are being 

held regularly at the villages /AWWs. 

12. IEC Comprehensive communication strategy with a strong BCC 

component in the IEC strategy, dissemination in villages/ 

urban slums/ peri urban areas 

13. Civil Registration System Birth and Death registration are now mandatory at all health 

facilities, municipalities. The current HMIS reporting also 

captures data from the health centres which help in 

monitoring of institutional delivery, sex ratio, etc. 

14. Supportive Supervision Supportive Supervision is an ongoing process being carried 

out at various levels starting from the state level. Visits to 

peripheral centre have been keeping as one of the criteria 

for performance based Incentive for PHN, etc 

15. Monitoring and Review Review of all Program activities and achievements are done 

monthly along with Financial performance. Specific 

monitoring is also being carried out for the 38 identified 24x7 

PHCs. HMIS data is used during these review meetings. 

16. Meeting of State Health 

Mission / Society / 

District Health Society 

17. Medical Colleges (New 

Colleges & 

Upgradation of existing 

ones) 

At the state level, till November’10, Governing Body Meeting 

was held twice. Executive Committee Meetings have also 

been held. Other then these, frequent meeting at the level 

of Commissioner (H & FW) has been called to review the 

implementation of activities under NRHM. At the district 

level, regular meetings are held on fixed days. Monthly 

financial meetings are being held at the SHS with the DMPU 

staffs. 

The State has a functional Medical College in the form of 

Regional Institute of Medical Sciences (RIMS) which caters to 

all the NE States except Assam. In addition, the State 

Hospital (JNIMS) has been now upgraded and approved by 

MCI for medical college. 

18. Nursing Schools The State has adequate Government and Private Nursing 

Schools. 

19. Paramedical Education The State has no Paramedical Training Schools 

20. Capacity building 3 rounds of Capacity Building Workshops have been 

conducted by RRC-NE for District Health Planning at the 

State Level. Similar trainings have been held at District and 

Block Levels. 


23 

CHAPTER-3: 

CONDITIONALITIES 


24 

CONDITIONALITIES 

The National Rural Health Mission Manipur has a full time Mission Director from the Govt. of 

Manipur at the rank of Joint Secretary. The Mission also has a full time Deputy Director (Finance) from the 

Manipur Finance Service, Govt. of Manipur. 

SN CONDITIONALITY COMPLIANCE STATUS 

1. 

2. 

3. 

4. 

5. 

6. 

7. 

All posts under NRHM are on contract and 

based on local criteria. The contract should 

be done by Rogi Kalyan Samiti/District Health 

Society. The stay of a person so contracted at 

place of posting is mandatory. All such 

contracts are for a particular Institution and 

not transferable. The contracted person will 

not be attached for any purpose at any 

place. 

The state agrees to credit 15% of the State 

share to the account of the State Health 

Society in two installments. The State also 

agrees to enhance the overall expenditure on 

health by the State Government by a 

minimum 10% per year 

Blended payments comprising of a base 

salary and a performance based component 

should be encouraged 

State Govt. must fill up its existing vacancies 

against sanctioned posts, preferably by 

contract. Top most priority in contractual 

recruitments should be for backward districts 

and for difficult and inaccessible health 

facilities. 

Delegation of administrative and financial 

powers should be completed during the 

current financial year, if not done. 

State shall set up a transparent and credible 

procurement and supply chain management 

system and Procurement Management 

Information System (PROMIS). State agrees to 

periodic procurement audit by third part to 

ascertain progress in this regard. 

The State shall undertake institution specific 

monitoring of performance of SC, PHCs, CHCs, 

DH. 

All manpower under NRHM are 

recruited on contract basis and are 

accountable to the Rogi Kalyan 

Samiti/District Health Society. These 

posts are not transferrable and not 

attached to other health facilities. 

State has credited Rs 10 crore as state 

share so far. Full efforts are being 

taken in order to ensure that the 15% 

state share is credited to the SHS, 

NRHM. 

The State already has a system of 

fixed pay and performance based 

incentive model for all staffs recruited 

on contract basis under NRHM. 

The State has identified a nodal officer 

for handling manpower for NRHM. 

Manpower has been recruited under 

NRHM on contractual basis with 

priority for backward districts. 

Vacancies arising from time to time 

are being filled up regularly. 

The administrative and financial 

power have been delegated as per 

NRHM guideline. Also based on local 

situation, time to time review is also 

being done regarding delegation of 

powers but well within the NRHM 

guidelines. 

SHS, NRHM has a tender committee 

which is chaired by the Commissioner 

(Fin), GoM for all procurements under 

NRHM. PROMIS Training has been 

done. Further, the State is in the 

process of setting in place a 

procurement cell for handling 

procurement and other logistics at the 

state level. 

Supportive Supervision is an ongoing 

process being carried out at various 

levels starting from the state level. 

Specific monitoring is also being 

carried out for the 38 identified 24x7 

PHCs. 


25 

8. 

9. 

10. 

11. 

12. 

13. 

14. 

15. 

16. 

17. 

18. 

The State shall operationalize as on line HMIS 

in partnership with MoHFW 

The State shall undertake up capacity building 

exercise of Village Health & Sanitation 

Committee, Rogi Kalyan Samiti and other 

community / PRI institutions at all levels. 

The State shall ensure regular meetings of all 

community organizations / District / State 

Health Missions with public display of financial 

resources received by all Health facilities 

The State Govt. shall also make contributions 

to Rogi Kalyan Samitis and transfer 

responsibility for maintenance of Health 

Institutions to them 

The State shall prepare essential drug lists of 

generic drugs and Standard treatment 

protocols and give it wide publicity. 

The State shall focus on the health 

entitlements of vulnerable social groups like 

SCs, STs, OBCs, Minorities, Women, migrants, 

etc. 

The State shall ensure timely performance 

based payments to ASHA / Community Health 

Workers 

The State shall encourage in patient care and 

fixed services for family planning 

The State shall ensure effective and regular 

organization of monthly Health & Nutrition Day 

and set up a mechanism to monitor them 

All performance based payments / incentives 

should be under the supervision of Community 

Organization / RKS 

The State agrees to follow all the financial 

management system under operation under 

NRHM and shall submit Audit reports, FMRs, 

State of Fund position as and when they are 

due. State also agrees to undertake Monthly 

District Audit and periodic assessment of the 

financial system. 

The State has operationalized on line 

HMIS in partnership with MoHFW 

PRI training is undergoing at District/ 

Block level. 

Regular meeting of State Health 

Mission and District Health Society are 

held. Regular meetings with the CMOs 

on financial and programme are also 

conducted during time releases. 

Monthly financial meetings are being 

conducted. 

User Fees being deposited in the RKS 

Account. 

Essential Drug List has been prepared 

for the State and necessary drugs 

procured and will be given publicity 

through uploading in the NRHM 

website. 

The State is focusing on the 

entitlements of vulnerable groups 

including Mobile Clinics for tribal 

pockets located in four valley districts. 

During district allocation also, 

considerations of the health needs 

and entitlements of SCs, STs etc are 

taken into account. 

ASHAs are paid their due incentives 

through cash payments. Setting up of 

ASHA resource centre will ensure that 

the system is further streamlined. 

Fixed services for Family Planning are 

ensured at all health facilities 

Regular Village Health & Nutrition Days 

are being held. The State is putting a 

Monitoring mechanism of VHNDs in 

place 

The performance based incentives for 

trained doctors are being paid on the 

basis of appraisal report 

authenticated by District 

Commissioner of the districts. 

The State is following all financial 

norms under NRHM and submitting 

Audit Reports and FMR and other 

financial reports in time. Half year 

concurrent audit is going in all the 

districts of the State. Monthly financial 

meetings with district finance 

managers as well as during fund 

release to the districts, financial 

orientations of CMOs etc are being 


26 

19. 

20. 

21. 

22. 

23. 

24. 

25. 

26. 

27. 

28. 

29. 

The State agrees to fast track physical 

infrastructure up gradation by crafting State 

specific implementation arrangements. State 

also agrees to external evaluation of civil 

works programmes. 

The State Govt. agrees to co-locate AYUSH in 

PHCs / CHCs wherever feasible. 

The State agrees to focus on quality of 

services and accreditation of Govt. facilities. 

The State agrees to undertake community 

monitoring on pilot basis wherever not tried 

out as yet and scale up with suitable model 

wherever piloted earlier 

The State agrees to undertake Continuing 

Medical Education and Continuing Nursing 

Education 

The State agrees to make health facilities 

handling JSY, women and child friendly to 

ensure that women and new born children 

stay in the facility for 48 hours 

The State Govt. shall within 45 days of the issue 

of the Record of proceedings issue detailed 

District wise approvals and place them on 

their website for public information 

The State agrees to return unspent balance 

against specific releases made in 2005-06, if 

any 

The State is entitled to engage a 2 nd ANM to 

the extent that it provides for MPW (male) or 

the contractual amount of the 2 nd ANM be 

paid out of the State budget and third 

functionary may be engaged from NRHM 

fund 

The State shall put in place a transparent and 

effective human resource policy so that 

difficult, most difficult and inaccessible areas 

attract human resources for health. 

The State agrees to fast track physical 

infrastructure up gradation by crafting State 

specific implementation arrangements. State 

also agrees to external evaluation of civil 

works programmes. The State also provide 

names of all facilities where civil work are 

undertaken and also certify that the location 

of these facilities is such that poor household 

can seek services from them. Prior approval of 

place of construction by GoI will be 

mandatory before taking up new construction 

under NRHM. Thrust must be on meeting 

infrastructure gap in backward districts and 

difficult, most difficult and inaccessible 

facilities. 

taken up to ensure all financial norms 

are being followed. 

Civil Work Committee has been 

formed at Chief Secretary level to 

enhance the physical upgradation 

with regular review meeting. 

AYUSH Doctors are placed in all PHCs 

& CHCs with provision of Drugs 

13 Private Hospitals are being 

accredited for RCH services. 

Community Monitoring is yet to be 

initiated in the State. 

Continuing Medical Education for 

Health Workers is going on 

Efforts are on to ensure stay of mothers 

and children up to 48 hours after 

delivery. Baby Kits having toiletries, 

wrapper, blanket and mosquito net 

will be proposed this year 

It is being done. 

RCH-I Unspent Balance already 

returned to GoI 

The State is in agreement and will 

ensure the same 

The State already has a policy in 

place to ensure the same. 

The State conducts facility surveys to 

indentify gaps including infrastructure 

and propose to meet the gaps. 

Civil Work Committee has been 

formed at Chief Secretary level to 

enhance the physical upgradation 

with regular review meeting. 


27 

30. 

31. 

The State agrees that the provision of EMRI 

operational cost to the States will be on 

declining basis. For the 1 st year operational 

cost will be 60%, 2 nd year 40%, 3 rd year 20% 

and thereafter Nil. 

The State agrees to comply with the 

following over a period of 6 months: 

System for assured and affordable 

referral transport for pregnant women 

and sick children / infants 

 

 

 

Facility up keeping (including 

maintenance of building – sanitation, 

laundry, water, electricity, kitchen) 

and grievance redressal mechanisms. 

Performance benchmarks for staff 

prior to renewal of contracts and 

incentives. 

Availability of functional equipments 

at all health facilities 

EMRI not yet implemented in the 

State. 

 

 

 

 

The Health Facilities in the 

State has ambulance services 

for referral transport for 

patients. Where ambulance 

are still not available, referral 

transport money is being paid 

from the RKS for hiring of 

vehicles. In SPIP 2010-11, 

purchase of five ambulances 

for round the clock functioning 

24x7 PHCs has been 

approved. These ambulances 

will be used for transporting 

patients to higher centers for 

better treatment 

The maintenance and untied 

fund available to the health 

facilities are utilized by the RKS 

for maintaining the health 

centre through hiring cleaning 

staff for the facility as well as 

the surrounding area. 

At the time of extension of their 

contract, performance review 

of health workers based on 

fixed criteria prepared by the 

Blocks/Districts are taken into 

account 

To ensure availability of 

essential functional 

equipments in all facilities, 

BPMU/DPMU conducts facility 

survey every year for regular 

maintenance of equipments 

and filling up the gaps. Efforts 

are on to ensure that all 

equipments purchased are 

under either AMC 


28 

CHAPTER-4: 

SCHEME/PROGRAM UNDER NATIONAL RURAL HEALTH MISSION 

PART-A: 

RCH FLEXI POOL 


29 

OVERVIEW OF RCH-NRHM PERFORMANCE (2005-11): FACILITY OPERATIONALISATION AND TRAINED SERVICE PROVIDERS 

Area Indicator 

Facility 

Operationalisation 

No. of FRUs 

Operationalised 

No. of 24x7 PHCs 


No. of sub-centres 

operationalised as 

Planned 

(2005-11) 

Number of facilities/HR 

Achievement 

(2005-11, till 

28.2.11) 

Percentage 

(%) 

Achievement 

Plan for 

2011- 

2012 

Service utilization* 

(average per month per facility/ trained provider) 

Services 

Based on 

performance 

during Apr- 

Nov 2010 

11 2 18% 10 C-sections 14 

MTPs 22 

Male sterilizations 2 

Female sterilizations 63 

38 22 57% 16 Normal deliveries 4 

0 34 SCs conducting 

delivery 

MTPs 8 

Male sterilizations 0.05 

Female sterilizations 0.009 

IUD insertions 9 

Normal deliveries 0.8 

delivery points 

IUD insertions 1.2 

No. of SNCUs 

0 0 0 


Newborns treated NA 

No. of NBSUs 

0 1(State Hospital) 


Newborns treated NA 

Capacity Building EmOC training 9 5 C-sections 

LSAS training 8 8 2 C-sections 

SBA 282ANM, 68 SN Deliveries conducted 3097 

Projection 

for 

2011-12 

MTP 52 MTPs 

RTI/STI 45 

IMNCI 247MO, 559 ANM 

F-IMNCI Children and infants treated 

NSSK 80 80% Newborns resuscited 

Minilap Sterilizations 

NSV 27 Sterilizations 

Laparoscopic 

sterilization 

IUD 194MO, 355SN 

451 ANM 

Sterilizations 

IUD insertions 


- 30 - 

A1 

MATERNAL HEALTH 

Goal: To improve Maternal Health Status 

Objective: To increase proportion of institutional delivery to 80 % by end of 2012 

Table: District Hospital wise facility and manpower status 

Sl. No. Indicators CCP BPR TBL CDL TML UKL SPT 

1 Sanctioned Bed Strength 100 50 100 30 50 50 50 

2 No. of Functional Bed 100 30 30 30 20 30 30 

Number of Doctors with Specialization in 

Obs & Gynea 2 2 1 1 0 0 1 

3 

Pediatrician 1 1 1 1 2 

NSSK NSSK 

1 1 

trained trained 

MO MO 

Anaesthetist 3 1 1 1 0 1 1 

4 

Doctors 

MBBS 9 2 5 3 6 5 8 

AYUSH 3 1 1 1 1 1 1 

GNM 

5 

Regular 24 15 31 16 12 18 18 

Contract 0 0 0 0 0 0 0 

Total 24 15 31 16 12 18 18 

6 Pharmacist (regular)/AYUSH 7 3 5 2 3 4 4 

7 Radiographer 2 1 2 1 1 1 1 

Functional Laboratory performing assured Yes Yes Yes Yes Yes Yes Yes 

8 laboratory services of the Health Institutions. 

(YES/ NO) 

Lab. Tech. 

9 

Regular 5 2 6 4 2 4 4 

Contract 0 0 0 3 0 1 0 

Total 5 2 6 7 2 5 4 

10 

Lab Technician trained in Blood safety, etc. Yes Yes Yes Yes Yes Yes Yes 

looking after Blood Bank/ storage Centre 

11 MO trained in Blood safety, etc. Yes Yes Yes No Yes Yes Yes 

12 

Blood Bank/ Storage Facility available (YES/ Yes No No No No No No 

NO) 

Facilities for Institutional Delivery 

a) Table for obstetric labour examination with Yes Yes Yes Yes Yes Yes Yes 

13 stirrup 

b) Shadow less lamp Yes Yes Yes No Yes No No 

c) Average Monthly institutional deliveries 170 65 37 29 24 17 25 

14 Functional Operation Theatre (YES/ NO) Yes No No No Yes No No 

Sick Newborn Stabilization Unit 

15 

Radiant warmer available (YES/NO) Yes Yes Yes Yes No No Yes 

New Born Resuscitation Kit available (YES/ NO) Yes Yes No Yes No No Yes 

Oxygen Cylinder available (YES/ NO) Yes Yes Yes Yes Yes Yes Yes 

16 Running Water supply in the Health Institution Yes Yes Yes Yes Yes Yes Yes 

17 Power Supply Yes Yes Yes Yes Yes Yes Yes 

18 

Back up Power provision, Generator (YES/ NO) Yes Yes Yes Yes Yes Yes Yes 

(Provided from NRHM fund) 

19 Referral Services available (YES/NO) Yes Yes Yes Yes Yes Yes Yes 

20 Waste Disposal System Yes Yes Yes No Yes No No 

Functioning Gaps Under process 


- 31 - 

Table: 5 CHCs facility and manpower status 

Sl. 

No. 

Indicators IE IW BPR TBL SPT 

1 Name of CHC Sagolmang Wangoi Moirang Kakching Mao 

2 Strength of Bed 30 30 30 30 30 

3 No. of Bed Functional 18 20 18 25 10 

Number of Obs & Gynea 

1+ 1 

Doctors with 

0 

EMoC 1 1 0 

Specialization in 

Trained 

4 

Pediatrician 

0 2 

2 NSSK 

trained 

MOs 

2 NSSK 

trained MOs 

Anaesthetist 

1+ 1 

0 

LSA 1 0 0 

Trained 

Reg 7 8 4 5 3 

MBBS 

Cont 2 0 1 2 0 

5 Doctors 

AYUSH Reg 0 0 0 0 0 

Cont 1 1 1 1 1 

6 

Regular 9 4 7 8 7 

GNM 

Contract 1 3 4 3 2 

Total 10 7 13 11 9 

7 Pharmacist 

Regular 2 1 2 0 1 


Pharmacist (AYUSH) 1 1 2 0 0 

Radiographer Regular 1 1 1 1 0 


10 

Functional Laboratory performing assured 

laboratory services of the Health Institutions. Yes Yes Yes Yes Yes 

(YES/ NO) 

11 Lab. Tech. Regular 1 1 1 1 0 

on Contract 2 1 3 1 2 

Total 3 2 4 2 2 

12 

Lab Technician trained in Blood safety, etc. 

looking after Blood Bank/ storage Centre 

Yes Yes Yes yes No 

13 MO trained in Blood safety, etc. No Yes No Yes No 

14 

Blood Bank/ Storage Facility available (YES/ 

NO) 

No Yes No No No 

15 

Functional Table for obstetric labour 

Labour Room examination with stirrup 

Yes Yes Yes Yes No 

Shadow less lamp Yes Yes Yes Yes No 

16 Average Monthly institutional deliveries 10 10 10 21 30 

17 Functioning Operation Theatre NO Yes No No No 

18 

Sick Newborn Radiant warmer 

Stabilization Unit available (YES/NO) 


New Born Resuscitation 

Kit available (YES/ NO) 


Oxygen Cylinder 

available (YES/ NO) 


Running Water (Manual collection water 

19 

supply in the 

facility) 

Health 

Yes Yes Yes Yes Yes 

Institution 

20 Power Supply Yes yes Yes Yes Yes 

21 

Backup Power provision, Generator (YES/ 

NO) (Provided from NRHM fund) 

Yes yes Yes Yes Yes 

22 Referral Services available (YES/NO) Yes yes Yes Yes No 

21 Waste Disposal System No Yes Yes No No 


0 


- 32 - 

STATUS OF FACILITY OPERATIONALISATION 

Total No. 

Total No 

S. 

Planned till operationalised 

Facility 

No. 

2012 till 2010 (till Feb. 

(cumulative) 2011 cumulative) 

Target 

for 2010-11 

Achievement 

in 2010-11 

(till Feb, 2011) 

Target 

for 2011- 

12 

1. FRUs 12 2 7 2 10 

2. 24x7 PHCs 38 22 38 22 16 

Table: Quarter wise target for High Focus District and State 

2011-12 

Indicator 

FRUs 

24x7 PHCs 

Total 

Q1 Target 

HF Districts 0 0 0 

State Total 0 2 2 

Q2 Target 



Q3 Target 



Q4 Target 



Annual Target 



A1.1 OPERATIONALISATION OF HEALTH FACILITIES 

A1.1.1 Operationalising all 6 District Hospitals and 5 CHCs as FRUs 

So far the State could have only one District Hospital which is functioning as FRUs out of targeted 

of 12 Health Institutions (7 DHs & 5 CHCs). In this year again the State will make the remaining 06 

DHs to target for FRUs Operationalization. The main gaps for non operationalizing as FRUs is 

because of lack of Specialist Doctors and non availability of Blood Storage unit in the identified 

Institution and regarding Blood storage the gaps will be filled up from State AIDS Control Society, 

the training for blood storage will be taken up under NRHM 

Activity-1: 

Activity-2: 

Activity-3: 

Conducting 02 Workshops and Review on Operationalization of FRUs at State for 

key position holders of State and Districts @ Rs. 50,000/- per workshop Rs. 1.00 

Lakh. 

Enhancing for Setting up of 6 Blood storage Units at all the District Hospitals which 

is setting up under Manipur Aids Control Society (MACS). Additional Setting of 

Blood Storage Units at 5 CHCs with collaboration with Manipur Aids Control 

Society (MACS). 

Continuation of Specialist Doctors: The services of 11 Specialists will be continued 

1. OBG : 4 Nos (for Thoubal (2), Tamenglong & Ukhrul) 

2. Pediatrician : 5 Nos (Imphal West, Bishnupur, Thoubal, Tamenglong & Senapati) 

3. Anaesthetist : 2 Nos (for Chandel & Tamenglong) 

In addition to the honorarium, specialist Doctors posted in difficult areas in the 

State will also get incentives under difficult areas allowances. The details budget is 

being reflected in A19. 


- 33 - 

Activity-4: CEmOC Training of 04 MBBS doctors of DH/CHC: No MBBS doctors could be 

trained in 2011-12 on CEmOC . The State went ahead for setting up of RIMS as 

one of the EmOC centre. So far the State has released Rs. 7.00 lakhs to AVNI, 

another Rs. 21 lakhs is also on process for releasing as a part of cost for setting up 

of RIMS. To have at least one CEmOC trained doctor in all DHs/CHCs. Hence, the 

State is targeting for 04 MBBS Doctors for the training. Details reflected in Training. 

Activity-5: 

Activity-6: 

Activity-7: 

Activity-8: 

Life-Saving Anesthesia Skills Training of MBBS Doctors of DH/CHC: Planned to train 

02 MBBS Doctor for the training. Fund is available as out of projected 04 in 2010- 

11, only one is done. Details reflected in Training. 

The identified 07 DHs and 05 CHCs which are identified for up-gradation to FRUs, 

trained person for MO and Lab Technician will be required. Hence, the State is 

planning to trained 08 MOs and 08 Lab. Tech on Blood storage. Details discussed 

in Training. 

Quarterly monitoring visits at all the District Hospitals by Quality Assurance 

Committee on FRU Operationalization. 

Strengthening of Infrastructure reflected in B5.7 Major & A9.2 Minor Civil work 


- 34 - 

A1.1.2 Operationalization of 24X7 PHCs 

Out of 38 PHCs targeted for 24x7 service delivery, 22 PHCs are functioning as 24 X 7 as on 

Dec’10. The remaining 16 PHCs will be made 24x7 service delivery in the coming year. 

The State Govt. also recruited 401 MBBS Doctors the posting will be in the identified 24x7 

PHCs so that the PHCs are fully functional round the clock by end of 2012. 

Table: Status 24x7 PHCs of IMPHAL EAST DISTRICT 

Sl. 

No. 

Indicators 

IMPHAL EAST 

1 2 3 4 5 

1 Name of PHC Heingang Borobekra Akampat Sawombung Lamlai 

2 Number of beds 4 5 4 4 2 

3 Doctors MBBS 

Regular 1 1 1 2 1 


4 Doctors AYUSH 

Regular 0 0 0 0 0 


5 GNM 

Regular 2 1 3 1 2 


6 Pharmacist 3 1 1 1 2 

7 Lab. Tech. 

Regular 0 0 0 0 1 


Functional Laboratory performing assured YES NO YES Yes YES 

8 laboratory services of the Health 

Institutions. (YES/ NO) 

Functional Labour Room YES YES No YES YES 

9 Table for obstetric labour examination with YES 

YES 

YES 

YES 

YES 

stirrup 

10 

No. of institutional deliveries(April to 

Nov 2010) 

1 0 0 3 0 

New Born Care Services YES YES YES 

Radiant warmer available (YES/NO) YES YES YES YES YES 

11 New Born Resuscitation Kit available (YES/ YES YES YES 

YES 

YES 

NO) 

Oxygen Cylinder available (YES/ NO) YES YES YES YES YES 

Running Water supply in the Health 

YES YES YES 

YES 

12 

YES 

Institution (YES/NO) 

13 Power Supply(YES/NO) YES YES YES YES YES 

Back up Power provison, Generator (YES/ YES YES YES 

YES 

14 

YES 

NO) 

15 Referral Services avialable (YES/NO) YES YES YES YES YES 



- 35 - 

Table: Status 24x7 PHCs of IMPHAL WEST DISTRICT 

Sl. 

Indicators 

IMPHAL WEST 

No. 

1 2 3 4 

1 Name of PHC Mekola Khumbong Khurkhul Mayang Imphal 

2 Number of beds 5 10 4 12 


Regular 2 2 1 1 

Contract 0 0 0 0 




5 GNM 



6 Pharmacist 4 1 1 1 

7 Lab. Tech. 



8 


laboratory services of the Health Institutions. YES YES YES YES 

(YES/ NO) 

Functional Labour Room YES YES YES YES 

9 Table for obstetric labour examination with 

stirrup 

YES YES YES YES 

10 No. of institutional deliveries(April to Nov 2010) 22 16 1 0 

New Born Care Services YES YES YES YES 

Radiant warmer available (YES/NO) YES YES YES YES 

11 New Born Resuscitation Kit available (YES/ NO) YES YES YES YES 

Oxygen Cylinder available (YES/ NO) YES YES YES YES 

12 

Running Water supply in the Health Institution 

(YES/NO) 


13 Power Supply(YES/NO) YES YES YES YES 

14 Back up Power provision, Generator (YES/ NO) YES YES YES YES 

15 Referral Services available (YES/NO) YES YES YES YES 



- 36 - 

Table: Status 24x7 PHCs of BISHNUPUR DISTRICT 

Sl. 

Indicators 

BISHNUPUR 

No. 

1 2 3 4 

Ningthoukhon Leimapokpa 

1 Name of PHC Kumbi 

Thanga 

g 

m 




5 GNM 


7 Lab. Tech. 


8 laboratory services of the Health Institutions. YES YES YES NO 

(YES/ NO) 

Functional Labour Room YES YES NO YES 



stirrup 

No. of institutional deliveries(April to Nov 

10 

3 1 0 0 

2010) 

New Born Care Services 


11 New Born Resuscitation Kit available (YES/ 


NO) 



12 


(YES/NO) 


Back up Power provison, Generator (YES/ 

14 


NO) 

15 Referral Services avialable (YES/NO) YES YES YES YES 

Regular 

Regular 

Regular 

Regular 

2 

0 

1 

0 

1 

0 

2 

0 

1 

0 

1 

1 

2 

0 

1 

0 

Contract 

Contract 

Contract 

Contract 

0 

1 

3 

2 

0 

1 

2 

2 

0 

1 

2 

0 

0 

1 

2 

0 



- 37 - 

Table: Status 24x7 PHCs of THOUBAL DISTRICT 

Sl. 

Indicators 

THOUBAL 

No. 

1 2 3 4 5 

1 Name of PHC 

Lilong Leishangthem Hiyanglam Wangoo Kakching 

Laipham Khunou 

2 Number of beds 1 1 1 4 4 


Regular 2 1 1 2 1 



Regular 0 0 0 0 0 


5 GNM 

Regular 1 1 1 1 2 


6 Pharmacist 3 2 1 1 1 

7 Lab. Tech. 

Regular 1 0 0 0 0 


8 

Functional Laboratory performing 

assured laboratory services of the YES YES NO Yes No 

Health Institutions. (YES/ NO) 

Functional Labour Room YES YES YES YES NO 

9 Table for obstetric labour 

examination with stirrup 

YES YES YES YES YES 

10 

No. of institutional deliveries(April to 

Nov 2010) 

0 0 2 19 3 


Radiant warmer available (YES/NO) YES YES YES YES YES 

11 

New Born Resuscitation Kit available 

(YES/ NO) 


Oxygen Cylinder available (YES/ NO) YES YES YES YES YES 

12 




13 Power Supply(YES/NO) YES YES YES YES YES 

14 

Back up Power provison, Generator 

(YES/ NO) 


15 Referral Services avialable (YES/NO) YES YES YES YES YES 



- 38 - 

Table: Status 24x7 PHCs of CHANDEL DISTRICT 

Sl. 

Indicators 

CHANDEL 

No. 

1 2 3 4 

1 Name of PHC Machi Chakpikarong Tengnoupal Moreh 








5 GNM 




7 Lab. Tech. 



8 


laboratory services of the Health Institutions. No YES YES NO 

(YES/ NO) 

Functional Labour Room No YES No YES 


stirrup 


10 


2010) 

1 68 7 0 



11 

New Born Resuscitation Kit available (YES/ 

NO) 



12 





14 


NO) 





- 39 - 

Table: Status 24x7 PHCs of CHURACHANDPUR DISTRICT 

Sl. 

Indicators 

CHURACHANDPUR 

No. 

1 2 3 4 

1 Name of PHC Sagang Saikot Sinzwal Singhat 








5 GNM 




7 Lab. Tech. 



8 


laboratory services of the Health Institutions. YES No YES Yes 

(YES/ NO) 

Functional Labour Room YES YES NO Yes 


stirrup 

YES YES NO NO 

10 No. of institutional deliveries(April to Nov 2010) 1 0 0 8 



11 New Born Resuscitation Kit available (YES/ NO) YES YES YES YES 


12 


(YES/NO) 



14 Back up Power provison, Generator (YES/ NO) YES YES YES YES 




- 40 - 

Table: Status 24x7 PHCs of TAMENGLONG DISTRICT 

Sl. 

Indicators 

TAMENGLONG 

No. 

1 2 3 4 

1 Name of PHC Noney Tamei Khoupum Oinamlong 








5 GNM 




7 Lab. Tech. 



8 


laboratory services of the Health 

YES YES Yes Yes 


Functional Labour Room YES YES Yes Yes 

9 Table for obstetric labour examination 

with stirrup 

YES YES NO NO 

10 


2010) 

3 40 3 5 



11 


NO) 



12 





14 


NO) 





- 41 - 

Table: Status 24x7 PHCs of SENAPATI DISTRICT 

Sl. 

Indicators 

SENAPATI 

No. 

1 2 3 4 

1 Name of PHC Paomata Maram Motbung Saikhul 








5 GNM 




7 Lab. Tech. 



8 





Functional Labour Room YES YES Yes YES 


with stirrup 

YES YES Yes NO 

10 


2010) 

60 22 0 5 



11 


NO) 



12 





14 


NO) 





- 42 - 

Table: Status 24x7 PHCs of UKHRUL DISTRICT 

Sl. 

Indicators 

UKHRUL 

No. 

1 2 3 4 

1 Name of PHC Somdal Lambui Chingai 

Kasom 

Khullen 








5 GNM 




7 Lab. Tech. 



8 





Functional Labour Room YES YES YES YES 


with stirrup 


10 


2010) 

6 3 4 8 



11 


NO) 



12 





14 

Backup Power provison, Generator (YES/ 

NO) 





- 43 - 

Activity-1: 

Activity-2: 

Activity-2: 

Activity-3: 

Activity-3: 

Posting of State recruited MBBS Doctors in the identified 24x7 PHCs. 

Rationalization and continuation of Contractual Staffs: For implementation of all 

the program in the State smoothly, there is need of all contractual staffs available 

under NRHM to continue in 2011-12. Details discussed in Contractual Staffs and 

Services. 

Procurement of Equipment as per facility survey for 24x7 PHCs. reflected in B16 

Procurement 

Referral Transport. As a part of new intervention for allocating referral transport to 

well functioning PHCs. 05 referral transport vehicles was approved in 2010-11, the 

process for procuring the said vehicles is going on. These year again another 05 

referral transport for PHCs doing high number of delivery as per HMIS report is 

proposed. Details are discussed in “B12 Referral Transport” 

Strengthening of Infrastructure reflected in B5.7 Major & A9.2 Minor Civil work 

A1.1.3 MTP Services at Health Facilities 

MTP services are being provided in District Hospitals, CHCs &PHCs. The total cases so far 

till November in Public and Private Facilities are given below: 

Table: MTP Budget 

SL.No. Institution Total Cases 

(till November ’11) 

1 Public Health Facilities like DHs, CHCs, PHCs 2779 

2 Private Clinics/ Hospitals 1171 

Total 3950 

In financial year 2011-12, the State has planned for training Medical Officers on 

MTP/MVA, but during the time of implementation, the ASHAs or the ANMs could not get 

the clients, hence the training could not be done. These years 2011-12, the state is not 

planning for more training. 

Activity-1: 

Activity-3: 

Focusing on BCC/IEC activities, community Mobilization through ASHA system for 

the clients. 

Monitoring by State and District Quality Assurance Committees 

A1.1.4 RTI/STI Services at Health Facilities 

Activity-1: Training of MOs on RTI/STI: The training of 120 MOs and 660 Paramedics are 

undergoing in the districts. As the State is high percentage of HIV/AIDS, the 

percentage for having RTI/STI infection is also very high in the State. Hence, the 

SPIP 2011-12 is proposing the same number of MOs and Paramedics for the 

training. Detailed training plan is reflected under “Trainings”. A budget for printing 

training modules and operational guidelines is budgeted within the training. 

Activity-2: 

RTI/STI Diagnostic kits and drugs: These are already provided to the CHCs and 

PHCs which have got trained manpower and offering RTI/STI services. Higher 

health facilities will be provided the same by SACS/MACS. Regarding colour 

coded RTI/STI drugs will be indented centrally and supplied to states. 


- 44 - 

Activity-3: 

Activity-4: 

Activity-5: 

Activity-6: 

Mobilization through ASHAs will be continued in the State. 

Making health facilities more woman-friendly: RTI/STI services/ clinics will be 

provided keeping clients’ identity confidential in a privacy room and service 

timing extended beyond the usual OPD timing, so that clients can avoid 

exposure. A fixed day as part of ARSH services in health facilities is also proposes 

in SPIP. 

Mentoring & Supportive Supervision: Each of the CHCs and PHCs will be 

mentored once in every six month by the RTI/STI mentors/ RCH/MH officer in 

convergence with SACS/MACS. A budget of Rs. 3.00 lakhs will be kept for 

mentoring and supervision. 

Extension of RTI/STI services through District Mobile Medical Units: Trained MOs, 

wherever available will be deployed during health camp by using DMMUs. 

A1.1.5 Operationalise Sub-Centres 

Activity-1: 

Activity-2: 

The State is proposed one building less Sub centre (PHSC Salungpham) in Thoubal 

District for construction. The detailed budget is reflected under Part “B” 

Additional ANM: The services of 420 Additional ANMs engaged on contractual 

basis during 2008-09, will be re-utilized in the current year by giving a monthly 

Fixed Pay of Rs. 3200/- and a Performance-based Incentive of Rs. 4300/-. Budget 

details are reflected in A.9.1 Contractual Staffs and Services. 

Activity-3: Rent for hiring Sub-Centre building: Rent for 50 Building less Sub-Centres and 20 

relocated Sub-Centres functioning from rented buildings may be supported @ Rs. 

250 per month per Sub-Centre. The budget needed for this will be Rs. 2.10 Lakh. 

Table: SC rent 

District I/E I/W BPR TBL CCP CDL UKL TML SPT Total 

No. of Building less 6 6 6 9 12 5 10 3 13 70 

Rent @ Rs. 250/- per 

month per PHSC 

0.18 0.18 0.18 0.27 0.36 0.15 0.3 0.09 0.39 2.10 

Activity-4: 

Activity-6: 

Skilled Birth Attendants training: 282 ANMs and 68 Staff Nurse have been trained 

so far on SBA. The training of ANM on SBA is undergoing at RIMS and JNIMS. 

Seeing the status of ANM training the current SPIP is planned for only 24 staffs. 

As the state has recruited 88 AYUSH Doctors and posted in all CHCs and 24x7 

PHCs, the state is planning to train 10 each AYUSH Doctors (Homeopathic and 

Ayurvedic only) on SBA. Budget details are being reflected in the head of 

training. 

Hardship Incentives for additional ANMs posted at difficult, most difficult and 

Inaccessible areas. Details reflected in Part “B” 


- 45 - 

A1.2 Referral Transport 

Activity-1: 

Details are being reflected in part ‘B’ 

A1.3 Integrated Outreach RCH Services 

A1.3.1 RCH Outreach Camps 

Activity-1: 

Integrated Outreach camps are one of the successful activities under National 

Rural Health Mission and are being held in all the districts in under-served PHC by 

mobilizing specialist services from the District/ State Hdqts with good results. The 

amount for a camp as done in previous year @ Rs. 20,000/- per camp in normal 

districts (I/E- 10 Camps, I/W, BPR & TBL) and @ Rs. 40,000/- per camp in difficult 

districts (I/E- 5 Camps, CCP, CDL, UKL, TML & SPT) has been proposed. During 

2011-12, 136 camps are proposed and the Budget needed for holding 136 such 

camps will be Rs. 45.20 Lakh. 

Table: RCH Camp Budget 


No. of Camps 15* 

(10 & 5) 

12 12 12 20 15 15 15 20 136 

Amount @ Rs. 20,000/- per 

camp in normal districts 

and @ Rs. 40,000/- per 

4.00 2.40 2.40 2.40 8.00 6.00 6.00 6.00 8.00 45.20 

camp in difficult districts 

* 10 Camps at normal areas and 5 Camps at difficult areas (Jiribam) for Imphal East District. 

Activity-2: 

Monitoring by State and District Quality Assurance Committees 

A1.3.2 Monthly Village Health and Nutrition Days 

A fixed day by the ANM and ASHA of the concerned village has been organizing a fixed 

day every month especially in Anganwadi Centre. So far the state has observed 7602 

village health nutrition day till November’10. So far the state has formed 4081 Village 

Health & Sanitation Committee. If the state target VHNDs based on current 4081 VHSCs, 

the target will be 40972 VHNDs. As the state has only 420 Sub centres, some sub centres 

covered 4-5 villages and in some area it is also more, hence, the state will target only 30 

% out of the target i.e. 12291 VHNDs. 


- 46 - 

A1.4 JANANI SURAKSHA YOJANA (JSY) 

Table: District wise Achievement & Target for Institutional Deliveries (%) 

Status 

HMIS Data Against 

Sl. 

Target by 

District 

(April-Nov. 2009 -10 & 2010-11) 

No. 

DLHS-2 DLHS-3 

2011-12 

Reported 

Estimated 

2009-10 2010-11 2009-10 2010-11 

1 Imphal East 65.6 65.9 85.3 88.17 49.1 17.49 90% 

2 Imphal West 65.1 87.1 96.7 97.87 104.6 130.24 95% 

3 Thoubal 36.0 59.4 57.5 64.92 13.6 17.15 70% 

4 Bishnupur 60.3 57.4 69.8 70.75 27.5 26.28 75% 

5 Chandel 16.9 27.6 33.3 35.71 26.9 49.77 40% 

6 Churachandpur 44.5 30.0 81.7 84.39 69.8 60.20 70% 

7 Senapati 12.0 24.3 31.2 25.54 23.0 55.36 40% 

8 Tamenglong 17.5 14.1 46.56 47.68 25.4 28.40 45% 

9 Ukhrul 13.7 13.5 58.5 53.24 32.1 40.56 60% 

Tabla: Estimated deliveries and JSY target for the year 2011-12 

Sl. 

No. 

District 

Expected up-to 

two live-births 

estimated 

Pregnant 

Women* 

Target % of 

institutional 

delivery for 

2011-12 

Expected 

Institutional 

Delivery 

(2 live birth) 

Expected 

Home 

Delivery 

(2 live birth) 

A B C D E F G 

1 Imphal East 7248 5074 90% 4566 507 

2 Imphal West 8157 5710 95% 5424 285 

3 Thoubal 6683 4678 70% 3275 1403 

4 Bishnupur 3824 2677 75% 2008 669 

5 Chandel 2172 1520 40% 608 912 

6 Churachandpur 4183 2928 70% 2050 878 

7 Senapati 5206 3644 40% 1458 2187 

8 Tamenglong 2046 1432 45% 644 788 

9 Ukhrul 2584 1809 60% 1085 724 

Total 42103 29472 21118 8354 

Poor women certified by Pradhan/Member/Chairman/Headman up-to two live births 

institutional deliveries may be provided the financial assistance under JSY. The criteria of 

BPL is exempted for all the 5 (five) hill districts. The Financial assistance given under this 

initiative may be as follows 

(i) 

Mother’s package: 

a. For Institutional delivery in Rural areas - Rs. 700/- per case 

b. For Institutional delivery in Urban areas - Rs. 600/- per case 

c. For Home delivery (Rural & Urban) - Rs. 500/- per case 

(ii) ASHA Accompaniment Package (Rural) - Rs. 600/- per case 

(iii) ASHA Accompaniment Package (Urban) - Rs. 200/- per case 

(iii) For C/S in Public Health facilities - Rs.1500/- per case 

(iv) Referral transport package - Rs. 200/- per case 

(Referral transport for hard to reach areas is discussed in Part-B) 

JSY Registers for all Public and Accredited Private health facilities, JSY cards and MCH 

cards also need to be printed. Further, regular field supervision may be made by the 

State ASHA Nodal Officer (quarterly), District ASHA Nodal Officers (Monthly) and Block 

Facilitators. 


- 47 - 

During the year 2011-12, the State will target 85 % of estimated two live-births delivery for 

JSY coverage. The budget needed for 2010-11 calculated on the basis of an estimated 

BPL Pregnant Women expecting up-to two live-births coming for institutional delivery and 

BPL Pregnant women expecting up-to two live births having delivery at home (BPL is 

exempted for all the five hill/tribal districts) is shown as below. 

Table: District wise JSY total Budget 


Expected Institutional 

Delivery (2 live birth) 

4566 5424 2008 3275 2050 608 1085 644 1458 21118 

Expected Home 

Delivery (2 live birth) 

507 285 669 1403 878 912 724 788 2187 8354 

JSY 

Target(Institutional) 3881 4610 1707 2784 1743 517 922 547 1239 17950 

85% of Exp. ID 

JSY 

Target 

(Home)85% of Exp. 431 242 569 1193 746 775 615 670 1859 7101 

HD 

BUDGET 

Mother’s package 

for Ins. Del in Rural 

areas @ Rs 700/- per 

ID 


for Ins. Del in Urban 

areas @ Rs. 600/- per 

ID(32% of Delivery) 


for Home Del @ Rs. 

500/- per live birth (U 

& R) 

ASHA package in 

Rural areas 

ASHA package in 

Urban areas 

For C/S in Public 

Facilities (2% of all 

Inst. Del) 

Referral transport 

(Total ID) 

Program 

Management Cost 

5% (M & E, 

Stationeries etc.) 

18.47 21.95 8.12 13.25 12.1975 3.6176 6.45575 3.8318 8.6751 96.57 

7.45 8.85 3.28 5.34 N.A N.A N.A N.A N.A 24.93 

2.15 1.21 2.84 5.96 3.73 3.88 3.08 3.35 9.29 35.50 

15.83 18.81 6.96 11.36 10.46 3.10 5.53 3.28 7.44 82.78 

2.48 2.95 1.09 1.78 N.A N.A N.A N.A N.A 8.31 

1.16 1.38 0.51 0.84 0.52 0.16 0.28 0.16 0.37 5.39 

3.88 4.61 1.71 2.78 1.74 0.52 0.92 0.55 1.24 17.95 

2.57 2.99 1.23 2.07 1.43 0.56 0.81 0.56 1.35 13.57 

54.02 62.75 25.75 43.38 30.08 11.83 17.08 11.74 28.37 284.99 

*Rs. 91.09 Lakhs will be kept deposited in advance in Block PHC from where ASHAs may collect 

their due while attending the Block ASHA Day/Meeting. 


- 48 - 

A1.6 Other Strategies & Activities 

A1.6.1 Interventions in Difficult, Very Difficult and inaccessible Areas 

Activity-1: Hardship Incentives for difficult, most difficult and Inaccessible area: This will be 

provide to staffs posted in 159 SCs, 30 PHCs, 03 CHCs and 5 DHs identified as 

located in difficult/very difficult/inaccessible areas. The figures for each area are 

provided in the table below: the details of the required budget are reflected in 

B19 - Interventions in Difficult, Very Difficult and inaccessible Areas 

Table: No. of health facilities based on accessibility 

Areas Sub Centres PHCs CHCs DHs Total 

Difficult 48 12 1 3 64 

Very Difficult 66 15 0 2 83 

Inaccessible 45 3 2 0 50 

Total 159 30 3 5 197 

A1.6.2 Ensuring early and full ANC Registration 

Activity-1: 

Activity-2: 

Activity-3: 

Activity-4: 

Activity-5: 

Activity-6: 

Activity-7: 

Ensuring of ANMs stay at their place of posting by promoting the environment of 

Sub-centres through provision of untied funds and providing incentives. 

Community Mobilization through ASHAs during VHNDs and VHSC meetings 

Provision of 100 IFA to all the PW 

Including 3 ANC visits as one of the criteria for getting JSY benefit 

DMMUs and RCH- outreach camps to hold ANC sessions in under-served areas 

Payment of transport fare of PW coming for ANC from RKS untied fund. 

BCC activities. Discussed under “BCC” 

A1.6.3 Strengthening PNC 

Activity-1: 

BCC activities. Discussed under “BCC” 

A1.6.4 Ensuring at least 48 hours institutional stay after institutional delivery 

Activity-1: 

Provision of Incentives to mothers. / Mamagi Khudol Scheme 

(Details activity reflected in B19: Innovation) 

A1.7 Maternal Death Auditing 

Maternal Death Reviews (MDR): Facility Based and Community Based. 

The State has identified an additional Director as a Nodal Officer for MDR. He was trained 

at NIHFW, after that the state has printed training modules on MDR. The process of 

formation of state and district level, Maternal Death Review Committee formation is 

completed. The formation of Facility Based MDR for District Hospitals and private hospitals 

is also on process. 

This year the state is proposing for organizing 10 awareness program each for all 09 

districts @ Rs. 7,000/- per program. The budget required for these will be Rs. 6.30 Lakhs. 

A.1.5.7 

Activity-1: 

Activity-2: 

Monitoring & Evaluation 

Monitoring through Routine HMIS 

Field supervisory visits by LHVs, ANMs and Officials from District and State level 


- 49 - 

Table: Maternal Health Budget Summary 

Code 

Particulars 

Amount 

(Rs. in Lakh) 

A.1.1 Operationalise facilities 

A.1.1.1 Operationalise FRUs 1.00 

A.1.1.2 Operationalise 24x7 PHCs 0 

A.1.1.3 MTP services at health facilities 0 

A.1.1.4 RTI/STI services at health facilities 3.00 

A.1.1.5 Operationalise Sub-centres 2.10 

A.1.2 Referral Transport 0 

A.1.3 Integrated outreached RCH services 0 

A.1.3.1 RCH Outreached Camps 45.20 

A.1.3.2 Monthly Village Health & Nutrition Days 0 

A.1.6 Other Strategies/Activities 0 

A.1.6.1 Hardship Incentives for difficult, most difficult and Inaccessible area 0.00 

A.1.6.2 Ensuring early and full ANC Registration 0.00 

A.1.6.3 Strengthening PNC 0 

A.1.6.4 Ensuring at least 24 hours institutional stay after institutional delivery 0 

A.1.7 Maternal Death Auditing 6.30 

Subtotal 57.60 

A.1.4 Janani Suraksha Yojana (JSY) 284.99 

TOTAL 342.590 


- 50 - 

A2: CHILD HEALTH PROGRAMME PIP 2011-12 

Goal: Improving the status of newborn and children 

Objective: To sustain the current State IMR ≤ 14 

STATE STATUS 

1. IMR (SRS 2008) 14 

2. Goal: Overall NRHM 2012 ≤ 14 

3. Goal: Annual 2011-2012 ≤ 14 

SITUATION ANALYSIS 

2.1 Mortality Indicators NFHS 2 NFHS 3 SRS 2007 SRS 2008 Trend Analysis 

Neo Natal Mortality Rate 18.6 18.7 - - 

Infant Mortality Rate 37 30 12 14 

Under Five Mortality 56.1 41.9 - - 

PROCESS INDICATORS 

2.2 ANAEMIA 

% of children (under 5 

years) of age with anemia 

NFHS 

2 

NFHS 

3 

45.2 52.8 

Coverage 

Evaluation Survey 

(CES) 2009 

Trend Analysis 

INFANT & YOUNG CHILD FEEDING 

2.3 INFANT & YOUNG CHILD FEEDING NFHS 2 NFHS 3 DLHS 2 DLHS 3 

Children under 3 years 

breastfed within one hour 

of birth 

Children age 6 months and above 

exclusively breastfed 

Children age 6 – 24 months received 

solid/ semisolid foods and are still 

breast fed 

DIARRHOEA & ARI 

Children with Diarrhoea in the last 2 

weeks who received ORS 

Children with Diarrhoea in the last 2 

weeks who were given treatment at 

facilities. 

Children with ARI or fever in the last 2 

weeks who were 

given treatment at facilities. 

Coverage 

Evaluation 

Survey 

(CES) 2009 

27.0 57.8 - 56.8 - 

30.7 62.1 - - - 

- - - - - 

NFHS 

2 

NFHS 

3 

DLHS 

2 

DLHS 

3 

50.7 36.2 - 51.6 

44.8 37.8 - 52.8 

Coverage 

Evaluation 

Survey 

(CES) 2009 

45 45.1 - 53.1 77.8 

Trend 

Analysis 

Trend 

Analysis 


- 51 - 

TRAINING UNDER CHILD HEALTH 

4.1 Progress till date - no. of trainings 

conducted/ health persons trained / districts 

covered 

IMNCI 

- No. of trainings 

- No. of persons trained 

- No. of Districts implementing 

Pre- Service IMNCI 


Planned 

For 2010-11 

- 30 batches 

- 880 

(Planned during 

2009-10 and 

continued during 

2010-2011) 

- 06 

- 17 batches 

Held/ Trained (til 

Nov / Dec 2010) 

- 20 batches 

- 589 trained 

- 09 

- 17 batches held 

(09-10), 102 for 

(10-11) continuing 


- No. of Districts implementing 

F-IMNCI 



- No. of Districts implemented 

Navjaat Shishu Suraksha Karyakram (NSSK) 



- No. of Districts implemented 

Awareness campaign at State & district 

level and observation of ORS, Breastfeeding , 

newborn care week 

- 102 

- NA 

- 2 batches 

- 0 

- 09 

- 4 batch 

- 100 

- 09 

1 each and 9 each of ORS, 

newborn 

care, 

breastfeeding week, 

Healthy mother & baby 

show competition 

- 129 trained 

- NA 

- 0 

- 0 (Going to start) 

- 09 

- 4 batch 

- 80 

- 09 

Observed all at State & 


KEY CHILD HEALTH PERFORMANCE INDICATORS 

Progress on CH interventions Planned For 2010-11 Held/ Trained 

(till Nov 2010) 

IYCF 

No. of Newborn breastfed within one hour 

No. of children 6 months and above exclusive 

breastfed 

Mgmt of Acute Respiratory Infection 

No. of children below (5 years) with ARI 

screened/detected 

No. of children (below 5 years) with ARI treated at 

facilities. 

Mgmt of Diarrhoea 

No. of children below 5 years with Diarrhoea in 

the last 2 weeks who received ORS and Zinc. 

No. of children with Diarrhoea in the last 2 weeks 

who were given treatment at facilities. 

Iron Folic Acid supplementation 

No. of children below 5 years provided IFA 

Syrup/Tablet Vit A supplementation 

No. of children below 5 years provided Vitamin A 

Syrup 

Mgmt of Malnutrition / Severe Acute Malnutrition 

No. of children with SAM detected 

No. of children referred to NRC/facilities for Mgmt. 

Key Programme indicators 

Home visits for newborn by IMNCI trained person 

-* 

80% 

80% 

- * 

- * 

80% 

- * 

- * 

- * 

-* 

18143 (82%) 

- 

- 

2499 

- 

9854 

- 

36531 (all 3 doses) 

Instructed the Health worker during the training, 

- 

- 


- 52 - 

Progress on CH interventions Planned For 2010-11 Held/ Trained 

(till Nov 2010) 

No. of newborn children visited on 1st Day/ 3rd report are yet to be submitted. 

Day/ 7 th Day. 

Number of Low Birth Weight babies visited on 

14th, 21st & 28th day. 

No. of Sick Children Screened/detected & 

managed at home. 

No. of Sick Newborn & Children treated at 

facilities for Sepsis, Asphyxia, Severe dehydration, 

Pneumonia etc. 

No. of NSSK trained person conducting deliveries 

at facilities. 

-*: - target not set in SPIP 2010-11 

5. Establishment of newborn and child care facilities at Maternal 

and Child Health (MCH) Centres 

Level III- MCH Centre 

Special Newborn Care Units (SNCU) at district 

Level II -MCH Centre 

hospitals 

Level I 

Newborn and child Stabilization Units at FRUs 

MCH Centre 

Newborn Care Corner at 24x7 PHCs 

Nutritional Rehabilitation centres 

Status 

NIL 

NIL 

14 

Not planned 

6. Any other activities under Child Health which have been reflected in PIP 

observation of New born Care week 

observation of week on early initiation of 

Breastfeeding 

Celebration of ORS week with IAP, Manipur 

Healthy Mother & Baby show competition 

Supplies & Stock position 

ORS 

Zinc 

Antibiotics(Cotrimoxazole) 

Vitamin A 

Iron & Folic Acid 

Albendazole Tablet 

A2.1 IMPLEMENTAION OF IMNCI 

Observing in State & 

in all 09 districts 

Observed in all 09 district 

headquarters. Also, 

printed leaflets and 

advertised in local 

newspaper 

Received Quantity Utilization Balance in 

stock 

53000 Pouch 

100000 Tabs 

- 

30000 bottles 

3878000 

100000 Tabs 

39234 

99500 

- 

28800 

3878000 

83418 

13766 

500 

- 

1200 

Nil 

16582 

Activity-1: 

Activity-2: 

Activity-3: 

Activity-4: 

Training of Medical Officer and staff nurse on F –IMNCI 

Pre service training in Medical College (RIMS): Continuing the training of medical 

students in RIMS as part of their course syllabus. 

NSSK training: In 2010-11, 80 MOs have already received training. The current SPIP 

is planning to scale up the NSSK training up to the level of Staff nurse. 

Provision of drugs: To be supported as a part of RCH drugs/medicine kits which 

are procured directly from TNMSC. 


- 53 - 

Documentation and reporting of cases: To document the cases in the registers being 

maintained at the facilities where trained personnel are posted and reflect the same in 

the monthly HMIS format. 

Table: IMNCI Training 

Planning for the year 2011-12 

9. IMNCI 

No. of districts planned for IMNCI 

implementation.(cumulative) 

No. of IMNCI training planned. 

No. of persons planned to be trained 

10. F-IMNCI 

No. of districts facilities planned for 

implementing F- IMNCI (cum.) 

No. of persons (MO/SN) planned to be 

trained 

- MO 

- SN 

11. Navjaat Shishu Suraksha 

Karyakram (NSSK) 

No. of districts facilities planned for 

implementing NSSK (cum.) 

No. of persons Staff Nurse planned to be 

trained in NSSK 

12. Pre- Service IMNCI Training 

Number of medical colleges/ nursing 

colleges planned for implementing Pre- 

Service IMNCI (cum.) 

Number of medical/nursing students 

planned to be trained 

1st Qtr 

Target 

09 

0 

0 

09 

- 

- 

09 

- 

01 

- 

2nd Qtr 

Target 

09 

0 

0 

09 

- 

- 

09 

50 

01 

Detailed budget reflected in Training 

- 

3rd Qtr 

Target 

09 

0 

0 

09 

50 

50 

09 

50 

01 

65 

4th Qtr 

Target 

09 

0 

0 

09 

- 

50 

09 

- 

01 

65 

Total 

Target 

09 

0 

0 

09 

50 

100 

09 

100 

01 

130 

A2.2 Establishment of newborn and child care facilities at Maternal and Child Health 

(MCH) Centres 

A2.2.1 setting up of Newborn and child Stabilization Units (NBSUs) at FRUs 

Services at a stabilization unit 

A Stabilization Unit at an FRU would provide the following services: 

• Care at birth 

• Provision of warmth 

• Resuscitation 

• Monitoring of vital signs 

• Initial care and stabilisation of sick newborns 

• Care of low birth weight newborns not requiring intensive care 

• Breast feeding and feeding support 

• Referral services 

Human resources 

One dedicated nursing staff will be made available round-the-clock for newborn care in 

the stabilization unit. One Medical Officer skilled in newborn care or paediatrician is 

required for clinical care and oversight 

Training 

Doctors and nurses posted in the stabilization unit will undergo skill-based training for 3-4 

days and is addressed under training component. 

Configuration of a stabilization unit 


- 54 - 

• The stabilization unit should be located within or in close proximity of the maternity 

ward 

• Space of approximately 40-50 sq ft per bed is needed, where four radiant warmers can 

be kept. 

• Provision of hand washing and containment of infection control should be there, if it is 

not a part of the delivery room 

Description of equipments. 

1. Open care system: radiant warmer, fixed height, with trolley, drawers, 

2. Resuscitator, hand-operated, neonate, 500ml 

3. Laryngoscope set, neonate 

4. Scale, baby, electronic, 10 kg 

5. Pump suction, foot operated 1 

6. Thermometer, clinical, digital, 32-34C 

7. Light examination, mobile, 220-12 V 

8. Hub Cutter, syringe 

Renewable Resources 

9. I/V Cannula 24 G, 26 G 

10. Extractor, mucus, 20ml, ster,disp Dee Lee 

11. Tube feeding, CH07, L40cm, ster,disp 

12. Oxygen cylinder 8 F 

13. Sterile Gloves 

14. Tube, suction, CH 10, L50 cm, ster, disp 

15. Cotton wool, 500g, roll, non-ster 

16. Disinfectant, chlorhexidine, 20% 

Activity-1: 

The State had targeted 7 DHs & 4 CHCs to be made functional as FRUs since the 

inception of NRHM. So far only DH CCPur is functioning as FRU. However, the 

remaining health institutions are conducting normal deliveries and also treating 

children. Therefore, taking into the consideration the feasibility of implementation 

the State is targeting three health institutions (District Hospital Thoubal, CCpur, 

Bishnupur) to be made operational with NBSUs during the year 2011-12. 

Activity-1: Repair and renovations of 03 rooms / unit @ Rs. 1.00 lakh per DH. Hence, Rs. 3.00 

lakhs will be required .Budget reflected at B5-Renovation 

Activity-2: 

All required equipments are available in all DHs, only one radiant warmer each is 

available at present. As the deliveries rate are limited at present in these hospitals, 

only 02 radiant warmer each in the DHs will be kept. Hence, another 03 radiant 

warmer, one each for the DH may be procured in 2011-12. A budget of Rs. Rs. 

3.30 lakhs will be required for the equipments. Detailed budget is reflected at B-16 

Procurement. 

Activity-3: Maintenance cost @ Rs. 0.50 lakhs per DH will be kept. Total required for the 03 

DHs is Rs. 1.50 Lakhs. 

A2.2.2 Setting up of Newborn Care Corner (NBCC) at 24x7 PHCs 

Activity-1: 

Necessary equipments are already available in all identified 24x7 PHCs for setting 

up of New born care corner. The State will be operationalizing Newborn Care 

Corner (NBCC) in all 24 identified 24x7 PHCs as 14 already have NBCC (State had 

identified 38 PHCs to be made functional as 24 x 7) 


- 55 - 

Table: Establishment of newborn and child care facilities 

13. Establishment of newborn and child care 

1st Qtr 

facilities at Maternal and Child Health (MCH) 

Target 

Centres 

Health (MCH) 

Centres Level 

III MCH Centre 

Level II MCH 

Centre 

Level I MCH 

Centre 

Special Newborn Care 

Units (SNCU) at district 

Hospitals 

Newborn and child 

Stabilization Units at FRUs 

Newborn Care Corner 

at 24x7 PHCs 

Nutritional 

Rehabilitation 

Centres 

2nd Qtr 

Target 

3rd Qtr 

Target 

4th Qtr 

Target 

Total 

Target 

- - - - - 

- 1 1 1 3 

6 6 6 6 24 

- - - - - 

A2.3 Home Based Newborn Care/HBNC 

A2.3.1 Community based initiative 

Activity-1: 

Activity-2: 

Activity-3: 

Inclusion of home based treatment in the training curriculum of ASHAs 

Organizing focus group discussion on early initiation of breast feeding, 

management of diarrhea/ARI/ malnutrition, supplementation of vitamin A, ORS, 

etc and also integrate the same during the health talks in VHNDs. (Budget 

requirement reflected in BCC/IEC) 

IEC- printing of posters on child health issues (Budget requirement reflected in 

BCC/IEC) 

A2.4 School Health Programme 

Activity-1: 

Activity-2: 

Activity-3: 

Activity-4: 

Regular visit by MO PHC/CHC to at least one school per week using the school 

health card for routine checkup of the children. 

Continuing the training of school teacher for early detection and diagnosis of sick 

child so that timely referral is done. 

Printing of school health cards. 

Monitoring & Supervisory visits 

A2.8 Other Strategies/Activities 

A2.8.1 Awareness campaigns and observation of State and district levels 

Activity-1: 

Activity-2: 

Activity-3: 

Activity-4: 

A State and District level Healthy Baby and Best Mother Competition will be held 

in collaboration with IAP, Manipur Branch and Red-Cross Society on Children’s 

Day. 

Observation of State and District level Breast-feeding events with in collaboration 

with BPNI, State Chapter 

Observation of ORS Week in collaboration with IAP, Manipur Branch 

Observation of New Born Care Week in collaboration with IAP, Manipur Branch 


- 56 - 

Activity-5: Contingencies, travelling allowances (Including Outsource Vehicle @ Rs. 20000/- 

per month) for supervisory visits 

A2.8.2 M & E and Review Meetings 

Activity-1: 

Activity-2: 

Active Monitoring and Supervision by State and District level QAC including 

outsourcing of vehicles at State HQ for logistic support 

Co-ordination & Review Meetings, conducting 02 IMNCI coordination review 

meeting, and quarterly State level review meeting 

Detail Budget of Child Health 

DETAILS 

BUDGET (Rs. In lakhs) 

Budget allotted (2010-11) 

• 31.50 

Budget utilized (Dec 2010) 

• 7.80 

Budget proposed for Child Health for the year 2011 – 12 

1. Maintenance cost for NBSU at 03 identified FRUs 1.50 

2. Printing of School Health Cards Fund available 

3. Monitoring & Supervisory visits of School Health Program 3.00 

4. State and District Level Healthy Baby & Best Mother 

Competition 

6.00 (1.50 at State, 0.50 each at 

districts) 

5. State and District Level Breast Feeding Week Celebration 3.70 (1.00 at state, 0.30 each at 

districts) 

6. ORS Week Celebration (State & District) 3.70 (1.00 at state, 0.30 each at 

districts) 

7. New Born Care Week Celebration 3.70 (1.00 at state, 0.30 each at 

districts) 

8. Contingencies, travelling allowances for supervisory visits 2.60 

9. Logistic support for Monitoring & Supervisory visits by QACs 3.00 

10. Review meetings 2.00 

Total 29.20 

Table: Summary Budget of Child Health 

FMR Code 

Activity 

Amount 

(Rs. in Lakh) 

A.2 CHILD HEALTH 0 

A.2.1 IMNCI 1.50 

A.2.2 Facility Based Newborn Care/FBNC 0 

A.2.3 Home Based Newborn Care/HBNC 0 

A.2.4 School Health Programme 3.00 

A.2.5 Infant and Young Child Feeding/IYCF 0 

A.2.6 Care of Sick Children and Severe Malnutrition 0 

A.2.7 Management of Diarrohea, ARI and Micronutrient Malnutrition 0 

A.2.8 Other strategies/activities 24.70 

A.2.9 Infant Death Audit 0 

Total Child Health 29.20 


- 57 - 

A.4: 

FAMILY PLANNING 

The following are the important issues that states can consider while strategizing and 

formulating the PIP (2010-12) for Family Planning: 

Current issues 

• Social factions opposing sterilization operations 

• Shortage of trained manpower 

Objective: To reduce the un-met needs (Terminal- from current 5 to < 2; spacing from current 

7.6 to < 1) by end of 2011-12 

A.4.1 

Activity-1: 

Activity-2: 

TERMINAL/LIMITING METHODS 

Observation of Sterilization Days (Wednesday for Tubectomy and Saturday for 

Vasectomy) 

a. Weekly at State Hospital and District Hospitals having trained manpower 

b. Fortnightly at CHCs wherever trained manpower are available 

c. Monthly at identified PHCs where trained manpower for No Scalpel 

Vasectomies (NSV) are available 

Training of MBBS Doctors in NSVs and Minilap and expanding the panel of eligible 

surgeons and health institutions (both public and private) for performing 

sterilization operations. . This is discussed under “Trainings” 

Activity-3: Provision of compensation money for clients, motivation fee for ASHA @ Rs. 200/- 

for Male Sterilization and Rs. 150/- for female Sterilization and free provision of 

drugs & dressing materials. The ASHA incentives are to be kept deposited at Block 

CHCs/PHCs in advance, so that, payment may be made immediately. 

Activity-4: 

Activity-5: 

Activity-6: 

Activity-7: 

Activity-8: 

A.4.2 

Activity-1: 

Activity-2: 

Activity-3: 

Activity-4: 

Provision for NSV operation in monthly out-reach RCH camps in all Districts at 

PHCs which are under-utilized 

Provision for NSV operation in monthly out-reach RCH camps in all Districts at PHCs 

which are under-utilized 

BCC: Community mobilization through ASHAs and Awareness generation on 

health facilities providing sterilization Services 

Quality assurance and monitoring through State and District Quality Assurance 

Committees: 10% of all sterilizations to be cross-checked by the District Quality 

Assurance Committees 

Insurance Scheme for sterilization complications to be continued. 

SPACING METHODS 

BCC activities to make people aware of the spacing methods available in the 

health facilities 

Provision of Cu-T 380A insertion services at all health facilities (public and 

accredited private) ensuring adequate privacy measures. Untied Fund at health 

facilities is to be used for ensuring privacy. 

Making available ECP, Cu-T 380A in addition to OCP and Condom in all Health 

Institutions up-to the level of Sub-Centres. Items needed may be procured 

centrally and be supplied to the State as before. 

Community Mobilization through ASHAs by paying a Motivation fee of Rs. 20/- per 

case. This is to be kept deposited at Block CHCs/PHCs in advance, so that, 


- 58 - 

payment may be made when ASHAs come to attend the Monthly Block level 

ASHA Meetings/Days 

Activity-5: 

Activity-6: 

Performance-based honorarium for Addl. ANMs for spacing services 

Social marketing of Condoms in collaboration with SACS/MACS (Project: Zaroor) 

Activity-7: Awareness Generation on natural methods through Inter-personal 

Communication by ASHAs 

Activity-8: 

Activity-9: 

Activity-10: 

Training of Doctors (both public and private) on IUD insertion at District level (State 

ToT and District ToT already trained) by using Joe Model available with the State. 

Budget detail is given under “Trainings” 

Half-yearly Contraceptive up-date seminars for MOs 

Quality Assurance and monitoring by State and District QACs 

STRATEGY / ACTIVITY 

1 FAMILY PLANNING MANAGEMENT 

Review meetings on Family Planning 

1.1 performance and initiatives at the 

state and district level (periodic) 

Monitoring and supervisory visits to 

1.2 districts/ facilities 

1.3 

Orientation workshops on technical 

manuals of FP viz. standards, QA, 

FDS approach, SOP for camps, 

Insurance etc. 

Planned 

Achieved 

WORK 

PLAN 

SCHEDUL 

ED/ Trg. 

LOAD 

2010-11 2011-12 

District/ 

State 12 3.60 

4 State 

level 

State 

/District 

2 TERMINAL/LIMITING METHODS (Providing sterilisation services in districts) 

Plan for facilities providing FEMALE 

2.1 sterilisation services on fixed days at 

199 DH/CH 

health facilities in districts 

C/PHC 

2.2 

2.3 

2.4 

Plan for facilities providing NSV 

services on fixed days at health 

facilities in districts 

Number of FEMALE Sterilisation 

camps in districts. 

87 DH/CH 

C/PHC 

18 District 

Number of NSV camps in districts. 18 District 

2.5 

Compensation for sterilisation 

(female) 2000 

2.6 

Compensation for sterilisation NSV 

(male) 1000 

2.7 Mobility support to surgeon’s team 

2.8 

Accreditation of private 

centres/NGOs for sterilization 

15 

services 

2.9 Plan for post partum sterilisation 

3 SPACING METHOD (Providing of IUD services by districts) 

Plan for providing IUD services at DH/CHC/ 

3.1 health facilities in districts 

PHC/UHC 

/SC 

No. of IUD camps in districts 

3.2 

7DH/16 

CHC/7 

2PHC/8 

UHC 

BUDGET 

(In lakhs) 

1.00 

10 2.50 

Fund 

available 

of 2010-11 

Fund 

available 

of 2010-11 

412 12.36 


- 59 - 

STRATEGY / ACTIVITY 

Planned 

Achieved 

WORK 

PLAN 

SCHEDUL 

ED/ Trg. 

LOAD 

2010-11 2011-12 

3.3 Compensation for IUD 15000 3139 12630 

3.4 

Compensation to ASHA for ensuring 

retention of IUD by clients 

3878 12630 

4 SOCIAL MARKETING OF CONTRACEPTIVES 

4.1 Setting up CBD Outlets NA 

5 FAMILY PLANNING TRAINING 

5.1 Laparoscopic Sterilisation Training 

BUDGET 

(In lakhs) 

2.526 

5.1.1 TOT on laparoscopic sterilisation 

Laparoscopic sterilisation training for 

5.1.2 service providers (gynaecologists 

/surgeons) 

5.2 Minilap Training for MOs/ MBBS 

5.2.1 TOT on Minilap 

5.2.2 

Minilap training for service providers 

(medical officers) 

5.3 Non-Scalpel Vasectomy (NSV) Training 

5.3.1 TOT on NSV 

NSV training for medical officers 26 

5.3.2 

5.4 IUD Insertion training 

5.4.1 TOT for IUD insertion 

5.4.2 

Training of Medical officers in IUD 

120 

insertion 

5.4.3 Training of staff nurses in IUD insertion 310 

5.4.4 

Training of ANMs / LHVs in IUD 

350 

insertion 

No. of Contraceptive Update 

5.5 trainings for health providers in the 

districts 

5.7 Other FP trainings (please specify) 

BCC/IEC 

activities/campaigns/melas for 

6 

family planning e.g. Funds 

earmarked for district and block 

level activities during ‘World 

Population Day’ celebration week 

7 PROCUREMENT of DRUGS/MATERIALS 

7.1 NSV Kits 50 

7.2 IUD insertion Kits 700 

7.3 Minilap Set 

7.4 

Procurement/ repair of 

1 

laparoscopes 

Procurement of drugs & supplies for 

7.5 FP 2.00 

Reflected 

in trg 

budget 

Reflected 

in trg 

budget 

Reflected 

in 

IEC/BCC 

Budget 

8 

9 

Innovatory schemes for promoting 

FP at state or district level 

Performance based rewards to 

institutions and providers for FP 

performance at state and district 

level 

State 1.00 

During the financial year 2011-12, additional fund of Rs. 24.99 Lakhs for the above 

activities may be approved. 


- 60 - 

A4 

ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH (ARSH) 

During the previous year 2010-2011, the state took up some activities in all the districts of 

Manipur such as distribution of IFA to Adolescent girls, installation of question boxes, etc. 

However, the implementation of the ARSH activities remains poor in the state. There is a 

need to implement more innovative activities with agencies already engaged in 

furthering the overall development of adolescents in the state. Therefore, the state in the 

coming year 2011-2012 is planning to collaborate with a NGO in line of PPP and 

implement pilot activities on ARSH in three districts of Manipur i.e. Imphal East, Imphal 

West CCpur. The three districts have been identified taking into consideration the 

feasibility of implementing the pilot activities. An approximate budget of Rs. 3.00 Lakhs for 

the following activity may required during 2011-12 

Table: Check-list for ARSH activities 

S. 

No. 

1. 

2. 

3. 

4. 

5. 

6. 

7. 

8. 

Activity 

1-day State 

Orientation 

Workshop for 

ARSH 

State & District 

level Training of 

Trainers (3 days) 

Printing of 

Training Modules 

Status as on 

01.04.2010 

Planned for 

2010-11 

Achievement 

against plan 

till 31.12.2010 

Planning for 2011-12 

0 0 0 0 

0 60 29 61 

IEC for ARSH NIL Not planned NA Printing of flip charts, 

advertisement for the 

services in radio, local TV 

network, etc. 

Helpline for ARSH NIL Not planned NA 1. Phone in helpline at IE, IW 

& CCP 

2. A domain in website to be 

opened by the NGO for 

answering any queries 

from the youth. It will also 

ensure confidentiality their 

identity 

Convergence 

with SACS: 

Fixed day/ hour 

service at 

PHCs/CHCs of 

the two districts 

Fixed day/ hour 

service at 

PHCs/CHCs of 

the two districts 

Visits to local 

youth club 

NIL 

Redesigning of a separate 

room or a unit of the health 

facilities for the service with 

counsellor placed by the 

SACS 

Redesigning of a separate 

room or a unit of the health 

facilities for the service 

Taking services to location 

outside the Health facility 

such as Youth Club etc.(2 

Club per Centres 4 times in a 

year) 


- 61 - 

Table: MENSTRUAL HYGIENE SCHEME (* to be taken up after State officials are trained at National 

level and after obtaining proper guidelines) 

Sl. No. Activity Planning for 2011-12 Remarks 

1. Training of Nodal officer of the 

State on the Scheme 

2. Training of District officials for the 

same after the State 

3. One day orientation of ANM & 

ASHA 

4. Formation/ Empowering of 

existing women self help group by 

training them for the production of 

sanitary napkins 

4 State officials to be 

trained 

4 each from 09 district i.e. 

36 officials 

To be taken up at National 

level 

To be taken up at State 

3878 ASHAs & 420 ANMs To be taken up at district & 

block level 

Training of four member 

outside State 

To be done through PPP for 

empowering and monitoring 

of the production of the 

napkins. 

Table: ARSH Training 

Name of district 

Training Status as on 

01.04.2010 

Training Planned 

for 2010-11 

Achievement 

against plan till 

31.12.2010 

Planning for 

2011-12 

MO ANM/LHV MO ANM/LHV MO ANM/LHV MO ANM/LHV 

Imphal East 0 0 0 0 0 0 7 0 

Imphal West 0 0 0 0 2 0 6 0 

Bishnupur 0 0 0 0 3 0 7 0 

Thoubal 0 0 0 0 2 0 11 0 

Senapati 0 0 0 0 3 0 7 0 

Churachandpur 0 0 0 0 2 0 6 0 

Ukhrul 0 0 0 0 1 0 6 0 

Tamenglong 0 0 0 0 2 0 6 0 

Chandel 0 0 0 0 1 0 5 0 

From State 0 0 0 0 13 0 0 0 

Total 0 0 0 0 29 0 61 0 

AFHS clinics 

Total District Hospital: 7 

District hospital with AFHS clinic: 0 

Planned AFHS clinic in DH in 2011-12: 0 

Name of 

district 

Imphal East 

(except 

Borobekra) 

Imphal 

West 

Total PHC & 

CHC 

11PHC, 2 

CHC 

8PHC, 2 

CHC 

PHC with AFHS clinic 

as on 01.04.10 

AFHS clinics 

planned in 

2010 

Achievements 

till 31.12.2010 

0 0 0 

AFHS clinics 

planned for 

2011-12 

(State total) 

10 PHC , 1 

CHC 

0 0 0 8 PHC 


- 62 - 

A5 

URBAN HEALTH 

To provide equitable health services to the floating migrant population and shanty 

villages lying in and around the cities and towns, so far, 08 Sub-Centres situated at suburban 

areas have been up-graded to the level of Urban Health Centres in terms of 

infrastructure, manpower (1 LMO, 1 PHN, 4-5 ANMs, 1 LT, 2 Peon cum Chowkidar and 1 

Office Asst. per UHC), equipment and drugs. Also a Technical Support Unit is established 

in the State Mission Secretariat. The list of the 08 Centres are: 

1. UHC Kshetigao in Imphal East District 

2. UHC Ningom Thongjao in Imphal East District and 

3. UHC Mantripukhri in Imphal East District 

4. UHC Sangai Yumpham in Thoubal District 

5. UHC Thoubal Haokha in Thoubal District 

6. UHC Thingkhanphai in Churachandpur District 

7. UHC Chakpikarong in Senapati District 

8. UHC Mongsangei in Imphal West District 

Objectives: To provide quality RCH services in the urban areas of the State focusing on the 

Urban slums, and also cover the poor floating populations living in the urban areas. 

A.5.1 

Maintaining the functionality of the existing 08 Urban Health Centres already 

established in the State in sub-urban areas 

Activity-1: Continue support for State and District Technical Support Units: The services of 10 

Office Assistants engaged on contractual basis (02 at State Hdq. And 01 in each 

of the 08 UHCs will be re-utilized in 2011-12. 

Activity-2: 

Activity-3: 

Activity-4: 

Continue Support for MOs and Paramedics: The services of the 08 MOs, 08 PHNs, 

32 ANMs, 08 Lab. Techs and 08 Grade IVs which were utilized in previous year, will 

be re-utilized in 2010-11. 

Continue Support for drugs/medicine: Drugs/medicines based on local needs 

may be procured for the 08 UHCs @ Rs. 1.00 Lakh per UHC during 2008-09. 

Program Administrative Support to State Technical Support Unit: An amount of Rs. 

2.40 Lakh @ Rs. 30,000/- per UHC will be needed for a year 

Table: The total budget for Urban Health 

Sl. 

No. 

Designation 

No. of 

Post 

Basic 

Pay 

(in Rs.) 

PBH 

(in Rs.) 

Honorarium 

per Month 

TOTAL 

AMOUNT 

(Rs. In Lakh) 

1 Honorarium of 08 LMO 08 8000.00 22000.00 30000.00 28.80 

2 Honorarium of 08 PHN 08 5500.00 5500.00 11000.00 10.56 

3 Honorarium of 08 LT 08 3200.00 5300.00 8500.00 8.16 

4 Honorarium of 32 ANM 32 3200.00 4300.00 7500.00 28.80 

5 Honorarium of 10 Off. Asst 10 3050.00 4950.00 8000.00 9.60 

6 Administrative Cost 2.40 

7 

Drugs/medicine @ Rs. 1.00 Lakh per 

Part-B 

UHC 

Total 88.32 


- 63 - 

A6 

TRIBAL HEALTH 

Tribal Health clinic with a van manned by One Medical Officer with two ANMs are 

undergoing in the State for the tribal areas of four valley districts. The program has been 

planned for providing equitable distribution to the vulnerable and marginalized 

community of the valley districts. The performance of the year 2010-11 (till January) is 

given below in the table 

Table: Tribal Health achievement till January 2010 

No. of Villages 

covered 

1. Imphal East 

(9) 

Leikoichig, 

Ngarian, New 

Salem, 

Thayong, 

Yaipharok, 

Nongdam, 

Ngarangphung, 

Lembakhun, 

Happy Valley 

2. Imphal West 

(5) 

Longa Koireng, 

Khoken, 

Hiyangthang, 

Kangchup, 

Twikun, 

Kangchup 

Kharam 

3. Bishnupur (7) 

Naorem, 

Sapanton, 

Toubul, 

Langjan, 

Siangai, 

Chungphun, 

Chinikon 

4. Thoubal (3) 

Waithou Chiru, 

Waithou 

Chaobok, 

Thiyam 

No. of visits 

No. of patients 

examined 

No. of 

pregnant 

women 

(ANC) 

No. of Mother’s meeting 

conducted 

Most common 

illness/diseases 

Total = 24 Total = 203 Total = 10,080 Total = 286 Total = 12 1. Arthritis 

April 19 Male 4200 1ANC 48 1 Ngarian 30/06/10 

May 22 Female 4800 2ANC 108 2 New Salem 01/07/10 

June 23 Children 1080 3ANC 95 3 W.Chaobok 30/07/10 

July 21 Undress1 280 > 3ANC 35 4 W. Chiru 18/08/10 

August 21 Undress12 800 

5 Kangchup 28/08/10 

September 20 

6 Naorem 13/09/10 

October 22 

7 Lambakhun 28/09/10 

November 22 

8 Chinikon 13/10/10 

December 19 

9 Sapanton 28/10/10 

January 15 

10 Yaipharok 14/12/10 

11 Khoken 30/12/10 

12 Kangchup 14/01/11 

2. Gastric ulcer 

3. Respiratory 

tract infection 

(RTI) 

4. Diarrhoea 

5. Lencorrhoea 

6. Hypertension 

7. Skin diseases 

8. Worm infestation 

Objective: 

Activity-1: 

Equitable RCH Services to tribal pockets in four valley District. 

Services to cover 24 villages as listed in the table above. The health team will 

cover these 24 villages annually with minimum 1 visit in a month. 


- 64 - 

Activity-2: 

Human Resource requirement: The program will be continued as a part of 

reaching the marginalized population of tribal population. Hence, Continuation of 

one lady Medical Officer, 2 ANMs and a helper for the program is proposed. 

Budget is reflected below: 

Sl. 

No 

Particular 

Unit Rate(Rs) 

Basic 

Unit Rate (Rs) 

Performance 

Honorarium 

per Month (Rs) 

Amount in 

Lakhs 

1 1 Lady Medical Officer 8000.00 22000.00 30000.00 3.60 

2 2 ANMs 3200.00 4300.00 7500.00 1.80 

3 1 Helper 2000.00 2000.00 4000.00 0.48 

Total 5.88 

Activity-3: 

Activity- 4: 

Activity-5: 

Outsourcing Vehicle for the Field visits and drugs: One van has been outsourced 

@ Rs. 20,000/- per month. Same to be continued in 2011-12 . Regarding drugs and 

medicine, the procurement is done recently, the drugs will be available for SPIP 

2011-12, and the same will be carried forward in SPIP 2011-12. The total budget 

required will be Rs. 2.40 lakhs. 

12 mothers meeting have been conducted so far which give a platform for 

sharing awareness regarding health & nutrition required for mothers. It is proposed 

to continue the meeting in the coming year too. Other activities proposed are 

organizing a nutritional feast for pregnant women of the village 2 times in year. 

The budget required with miscellaneous expenditure is Rs.3.00 lakhs. 

Monitoring and Supervision: The monitoring and supervision will be done by the 

District Program Monitoring Team established under District Health Society. District 

will be provided the program schedule in time to facilitate ME activities. 

Table: Total Budget proposed for Tribal Health during 2011-12 

Sl. No Activity Amount Rs in Lakhs 

1 Continuation of 1 MO, 2 ANM & 1 Helper 5.88 

2 Hiring of One Maruti van for field visits 2.40 

3 Other activities 

• Mother’s Meeting 

3.00 

• Nutritious meal for pregnant 

• Miscellaneous expenditure 

Total 11.28 


- 65 - 

A7 

VULNERABLE GROUPS 

In Moirang Block under Bishnupur District the villages which are identified as Vulnerable Groups 

are Leimaram Khudekpi, Kwakta Muslims and Loktak Floating Huts. For making equitable 

distribution of health care to all marginalized especially for the people living in Loktak Floating 

Hut. The same is proposed to continue in 2011-12 with an addition for the above two mentioned 

villages. 

Strategies-1: 

Activities: 

To provide adequate RCH services in the villages (location listed above) areas in 

Moirang Block. 

a) Encouraged PPP in RCH service especially above identified areas – Focused 

group discussion from time to time with locals. 

b) Regular progress monitoring through the Technical Support Unit established. 

o Awareness/Programmes : 1 Block twice in a year (total = 2) 

o Participants : 

30/awareness 

o Resource Person : 

DPMU, 1 Doctor, 1 Ayush, 1PHN 

o (The awareness programme will be @ Rs. 6,000 per programme) X twice 

in a year = Rs. 12,000/- 

INNOVATION/PPP/NGO (LOKTAK) 

Welfare Intervention for Loktak Habitants 

DEMOGRAPHIC PROFILE: Loktak Lake located in the Southern Part of Manipur State, is the largest 

fresh water lake in the Northern of India, occupying an area of 286 sq. km and bounded by 

Imphal West, Thoubal and Bishnupur District in between 24.10 degree and 24.5 degree in the 

North and East latitude 93.85 degree and 92.82 degree longitude. The average, temperature is 

32 Degree Celsius maximum and 10 Degree Celsius minimum temperature and annual rainfall 

are recorded to 1447 mm. 

Size and Location of Lake: 

* Area of lake (Dry Season) - 286 sq. km 

* Area of Lake (Rainy season) - 318 sq. km 

* Depth of Lake (Dry Season) - 1.0 m to 2.5 m 

Details of the Data: 

1. No. of Floating Huts in Loktak lake : 738 nos. 

2. Total population of Floating Huts : 2048 

3. No. of Male & Female : 1049 (Male), 999 (Female), 2048 (Total) 

4. No. of population of diff. ages: 

• 1. Below 1 yr : 12 

• 2. Between (1 - 5) Yrs : 229 

• 3. Between (6 - 14)Yrs : 104 

5. No. of Sanitary latrine : nil 

6. Source of Drinking Water : Loktak Lake 

Synopsis on problems of Loktak Floating Hut inhabitants: 

The way of life of the inhabitants of the Loktak Floating Huts (LFH) is unique. Their sole occupation 

for livelihood is fishing. These LFHs are situated scattered throughout the lake. The availability of 

safe drinking water and environmental sanitation is far from the reach of inhabitants though 

knowledge is available with them. They have very poor access to health care facilities. 

The District Health Mission Society, Bishnupur has identified these two areas to provide facilities 

for healthy environmental sanitation especially the Loktak water and to extend the primary and 

secondary health care facilities. 


- 66 - 

For Loktak floating huts inhabitants needs access to the proper basic health care. The habitants 

go to the nearby villages at a distance of 4-5 Kms by boat for even a paracetamol tablet. And 

the situation is worse at the time of rainy season. 

Main Issues: 

1. Poverty 

2. Un-employment 

3. Drinking Water 

4. Sanitation 

5. Immunization 

6. Malnutrition of Children 

Objectives: to improve the health status of the people 

Strategies: 

(a) Ensuring better Health Facilities. 

(b) Creating Awareness among masses. 

(c) Training and BCC at fishing community level 

(d) Timely health check-up 

Working strategy: 

a. 5 ASHAs from the inhabitants both from Inner lake and patchao (big outer 

lake) selected and trained, 

b. HH survey specific to 0-5 yrs, 6-14 yrs, eligible couple, pregnant woman is 

under process, targeted to complete before February 2010 

c. They will be the front runners of many activities to follow. 

d. Medicines & non – medicines supplies through ASHA under the supervision 

of MO i/c PHC Thanga. 

e. Visit to the LFH thrice a week 

f. Promoting VHND 

g. Organizing RCH outreach health camps once a quarter 

h. Other disease control programs 

i. Management of snake bite/insects bite/ ngachik (fish) bite 

j. Help in the time of epidemics and rainy season 

k. Continuation of collection of sanitary disposal in dry-land through local 

volunteers. 

Budget Requirement for collection of sanitary disposal: 

Table: Budget for collection and sanitary disposal 

Sl. No. Particulars Unit rate Units 

Total 

(Rs. in Lakh) 

1 

Engaging volunteers for transportation & disposal of 

excreta by using boats 

0.36 12 4.32 

2 

Mobility support (hiring of 12 boats) for Health Staff on 

weekly basis 

0.01 52 0.52 

3 Organizing monthly health awareness programs 0.05 12 0.60 

4 

Filling up of disposal pits with mud @ 6 truck load per 

month. 

0.02 72 1.44 

5 Repairing of pits 1.0 4 4.0 

6 Management cost 0.07 12 0.84 

7. 

Awareness on safe drinking water, nutrition & behavior 

practices 

0.20 4 0.80 

Total 12.52 

A8 

OTHER RCH ACTIVITIES 

(No activity proposed) 


- 67 - 

A9 

A.9.1 

A.9.1.1 

INFRASTRUCTURE & HUMAN RESOURCES 

Contractual Staff & Services 

ANMs & Staff Nurse 

Activity-1: 

Continuation of the Contractual Services of Additional ANMs: The contractual 

services of 16 Addl. ANMs at posted CHCs, 420 Addl. ANMs posted at PHSCs may 

be continued for the year 2011-12. The detail budget is given below. 

Table: Total budget for Contractual Staffs ANM. Amount (Rs. In Lakhs) 


No. of ANM posted at 

CHCs 

2 2 2 5 1 0 1 1 2 16 

No. of ANM posted at 

PHSCs 

52 51 36 58 61 27 40 29 66 420 

Total ANM 54 53 38 63 62 27 41 30 68 436 

Honorarium @ Rs 7500- 

per month (Rs. 3200 as 

Basic Pay and Rs. 4300 as 

PBH). 

48.60 47.70 34.20 56.70 55.80 24.30 36.90 27.00 61.20 392.40 

Activity-2: 

Continuation of the Contractual Services of Staff Nurses: The contractual services 

of 76 Staff Nurses at posted 24x7 targeted PHCs, 64 Staff Nurses posted at CHC 

may be continued for the year 2010-11. The detail budget is given below. 

Table: Total budget for Contractual Staffs Staff Nurse. Amount (Rs. In Lakhs) 


No. of SNs posted at 24x7 

PHCs @ 2 SNs per PHC 

10 8 8 10 8 8 8 8 8 76 

No. of SNs posted at 

CHCs @ 4 SNs per CHC 

8 8 8 20 4 0 4 4 8 64 

Total Staff Nurse 18 16 16 30 12 8 12 12 16 140 

Honorarium @ Rs 9000/- 



PBH). 

19.44 17.28 17.28 32.4 12.96 8.64 12.96 12.96 17.28 151.20 

Contractual Staffs posted at difficult areas will be provided hardship incentives 

according to the degree of difficulty in accessibility. Details reflected in Part-B 

Activity-3: 

Additional Engagement of Staff Nurses: The State Health Services, GOM has selected 

401 MBBS doctors and during January 2011 all the 80 PHCs in the state will be posted 

with 3 MBBS doctors each. Moreover, the State Health Society also supported 2 SNs 

each for all the 38 targeted 24X7 PHCs. To strengthen all the PHCs in the state, 

additional Engagement of one staff nurse each for all 32 PHC (24X7 PHCs) and 

remaining 42 normal PHCs is proposed in the coming financial year 2011-12. The 

required SNs and budget (Honorarium proposed for nine months only) is given below: 

Table: Total Status & budget for Additional Staffs Staff Nurse. Amount (Rs. In Lakhs) 


Addl. No. of SNs for 24x7 

PHCs @ 1 SN per PHC 

5 4 4 5 4 4 4 4 4 38 

No. of SNs for Normal PHC @ 

1 SN per PHC 

6 4 1 7 7 1 4 2 10 42 

Total Staff Nurse 11 8 5 12 11 5 8 6 14 80 

Honorarium @ Rs 9000/- per 

month (Rs. 4500 as Basic Pay 

and Rs. 4500 as PBH) for nine 

months 

8.91 6.48 4.05 9.72 8.91 4.05 6.48 4.86 11.34 64.80 


- 68 - 

A.9.1.2 

Activity-1: 

Laboratory Technician & MPWs 

Continuation of the Contractual Services of Lab. Tech: The contractual services of 

38 Lab. Tech posted in 38 targeted 24x7 PHCs may be continued for the year 

2011-12. The detail budget is given below. 

Table No. A (39): Total budget for Contractual Staffs Lab. Tech. Amount (Rs. In Lakhs) 


No. of Lab. Tech at 

targeted 24x7 PHCs 

5 4 4 5 4 4 4 4 4 38 

Honorarium @ Rs 8500- 



PBH). 

5.10 4.08 4.08 5.10 4.08 4.08 4.08 4.08 4.08 38.76 



Activity-2: 

Engagement of MPWs: To overcome the shortage of Multi Purpose Health Workers 

(MPHW) male at Sub-Centres, the Govt. of India has approved engagement of 

MPHWs (Male) for the sub centres on contract basis in the state. As per the Govt. 

of India norm, the proposed no. of required MPHW (M) for the state is 206, 

moreover the support from Govt. of India under the scheme would be on a 

declining basis of 85%, 75% and 65% respectively for the period of 3 years, 

however the state may not be in the position to support the scheme on declining 

basics and create the post on regular basic within next 3 years. 

Hence, the state has proposed to fill up only 69 MPHW (M) vacant posts out of the 

sanctioned post available for PHSCs of 4 High Focus Districts in the state and GOI 

to support the remuneration on sharing basic of 85% by NRHM and 15% by State 

for three years. The district wise breakup and required budget for the financial 

year 2011-12 will be as given below (Remuneration proposed for nine months 

only): 

Table: Engagement of MPWs 

S/N High Focus District Chandel Churachandpur Tamenglong Ukhrul TOTAL 

Required SCs as per 

1 

Sub 

IPHS for 2010 population 

45 86 42 53 226 

Centres 2 Functioning SCs 27 61 29 40 157 

3 Shortfall SCs 18 25 13 13 69 

4 Post Sanctioned 32 64 32 38 166 

MPHW 

5 In Position 32 60 31 34 157 

(Male) 

6 Shortfall (S/N 1-5) 13 26 11 19 69 

Budget 

(Rs in 

Lakh) 

7 

Remuneration @ Rs. 

6000/- per month per 

MPHW (Male) for nine 

months 

7.02 14.04 5.94 10.26 37.26 

A.9.1.3 

Activity-1: 

Specialists Doctors 

Continuation and Additional Engagement of Specialists Doctors: Service of two 

specialist doctors (1 OBG at I/W and 1 Pediatrician at TBL) may be continued and 

the following additional specialist doctors may be engaged 

1. OBG : 3 Nos (for Thoubal, Tamenglong & Ukhrul) 

2. Pediatrician : 4 Nos (for Bishnupur, Thoubal, Tamenglong & Senapati) 

3. Anaesthetist : 2 Nos (for Chandel & Tamenglong) 


- 69 - 

Table: Total budget for engaging of specialist doctors. Amount (Rs. In Lakhs) 


Continuation of specialist 

doctors 

0 1 1 3 0 1 1 3 1 11 

Honorarium @ Rs 45,000/- per 

month (Rs. 20,000 as Basic 

Pay and Rs. 25,000 as PBH). 

0 5.40 5.40 16.20 0 5.40 5.40 16.20 5.40 59.40 

A.9.1.4 

Activity-1: 

Others Contractual Staff 

Continuation of the Contractual Services: The contractual services of 54 MBBS 

Doctors posted CHC, 14 PHN posted and 9 General Pharmacist at CHC may be 

re-engaged for the year 2010-11. The detail budget is given below. 

Table No. A (41): Total budget for Contractual Staffs Staff Nurse. Amount (Rs. In Lakhs) 


MBBS Doctors 12 8 5 9 5 0 4 5 6 54 



Basic Pay and Rs. 15000 

43.2 28.8 18.00 32.4 18.00 0 14.4 18 21.6 194.4 

as PBH). 

Public Health Nurse 

(PHN) 

1 2 1 5 0 0 1 1 3 14 




1.32 2.64 1.32 6.6 0 0 1.32 1.32 3.96 18.48 

as PBH). 

General Pharmacist 2 2 3 2 0 0 0 0 0 9 




2.04 2.04 3.06 2.04 0 0 0 0 0 9.18 

as PBH). 

TOTAL 46.56 33.48 22.38 41.04 18.00 0 15.72 19.32 25.56 222.06 



A.9.1.11 

Others Contractual Staff (AYUSH) 

Activity-1: Continuation of the Contractual Services (AYUSH): The contractual services of 1 

AYUSH Specialist posted at Moirang CHC, 88 AYUSH Doctors posted 16 CHCs and 

72 PHCs and 23 AYUSH Pharmacist posted at 10 CHCs and 13 PHCs may be reengaged 

for the year 2011-12 with given honorarium. The detail budget is given 

below. 

Table: The budget needed for 2011-12 

Designation Existing staffs 

under NRHM 

Basic pay (Rs) 

Performance 

based 

honorarium (Rs) 

Honorarium 

per month 

(Rs) 

Annual 

Amount 

(Rs. In Lakh) 

Specialist AYUSH Doctor 1 8000 16000 24000 2.88 

AYUSH Doctor 88 8000 16000 24000 253.44 

AYUSH Pharmacist 34 4500 4000 8500 34.68 

TOTAL 291.00 


- 70 - 

Activity-2: 

Continuation of Additional Engagement of the Contractual Staffs (AYUSH) to be 

appointed during 2010-11: Additional Contractual Services of 3 AYUSH Specialist 

for CHCs, State Nodal Officer (AYUSH), 8 AYUSH Doctors PHCs and 73 AYUSH 

Pharmacist for CHCs and PHCs were approved will be engaged during year 

2010-11. The detail budget is given below. 


Designation 

Existing staffs 

(masseurs- 13, yoga atnd-9 under NRHM 

unani-5 

homoe-40) 

Basic pay 

(Rs) 

Performance 

based 

honorarium 

(Rs) 

Total Amount 

(Rs.) 

Annual 

Amount 

(Rs. In 

Lakh) 

Specialist AYUSH Doctor 3 8000 16000 24000 8.64 

State Nodal Officer (AYUSH) 1 8000 16000 24000 2.88 

AYUSH Doctor (Ayur) 3 8000 16000 24000 8.64 

AYUSH Doctor (Yoga) 1 8000 16000 24000 2.88 

AYUSH Doctor (Unani) 1 8000 16000 24000 2.88 

AYUSH Doctor (Homeo) 3 8000 16000 24000 8.64 

AYUSH Pharmacist/Paramedics 

1. Masseurs 13 4500 4000 8500 13.26 

2. Yoga & Nd 9 4500 4000 8500 9.18 

3. Unani 5 4500 4000 8500 5.10 

4. Homeo 40 4500 4000 8500 40.80 

102.90 

A.9.2 

A.9.3.1 

Activty-1: 

Minor Civil Works 

Minor Civil Works for Operationalization of FRUs 

The following activities were approved during 2010-11 to be executed during the 

two financial years (2010-11 & 2011-12). Moreover, a 50% fund (i.e. Rs. 15.00 

Lakhs) has been released during the financial year 2010-11 

Table: Proposed activity and budget for up-gradations to FRU 

Sl. No District Activity 

Amount Rs. in 

Lakhs 

1 Thoubal DH 

Water Supply System 5.00 

Construction of Patient Toilet 5.00 

2 Senapati DH 

Renovation of LR with Toilet 5.00 

Waste Disposal System (Construction of 4 disposal pits ) 2.00 

3 Tamenglong DH Waste Disposal system (Construction of 4 disposal pits ) 2.00 

4 Ukhrul DH Waste Disposal System (Construction of 4 disposal pits ) 2.00 

5 Chandel DH Waste Disposal system (Construction of 4 disposal pits ) 2.00 

6 

Churachandpur DH Renovation of OT 2.00 

for ISO Certification Arrangement of uninterrupted water supply in wards 5.00 

Total 30.00 

To complete the above activity, the remaining 50% fund i.e. Rs. 15.00 Lakhs may 

be further approved for the financial year 2011-12. 

A.9.3.2 

Activty-1: 

Minor Civil Works for Operationalization of 24x7 services at PHCs 

Extension of OPD Room and Lab Facility for PHC Somdal, Ukhrul district. An 

amount Rs. 10.00 Lakhs is required. 

Activity-2: Repairing of PHC Motbung, Senapati Districts. The required budget will be Rs. 3.00 

Lakhs only 


- 71 - 

A10 

TRAINING 

Situation analysis: The State has targeted 11 health Institutions (7 DHs & 4 CHCs) to be 

made functional in FRUs. So far only 01 DH is functioning as FRU. During analysis of these 

health institution the non functionality of FRUs in the State are mainly because on non 

availability of specialists doctors. Hence, the state is planning to still undergo training of 

MBBS Doctors on Skilled based training such as LSAS, EmOC, etc. Around 40 % of the 

deliveries are still taking place at home, the training of ANM and Staff nurse on Skilled 

Based Attendance (SBA) will also required so that every institution to have placed with at 

least one trained SBA. In 2010-11 SPIP the State had planned for MTP/MVA training and 

also on minilap training under Family Planning, but due to non availability of client, the 

training could not be done. Hence, the State is not planning in the current SPIP for these 

training. 

Table: Training achievements and proposal for 2011-12 

Trainings 

SBA 

a) ANM 

b) SN 

c) MO (Ayurveda & 

Homeopathy) 

Total 

Training 

Load 

Achievement for years 

07-08 08-09 09-10 

10-11 

(till Nov ’11) 

60 (SN) 08 SN & 44 

ANM 

775 - 238 

(ANM) 

Proposed 

training Load for 

2011-12 

24 SN, 20MO (10 

for Ayurveda & 

10 

Homeopathy) 

EMOC 43 1 State 03 2 0 4 MBBS Doctor 

trainer 

LSAS 37 2 4 4 MBBS 1 2 (fund 

available) 

BEmOC for MBBS Drs 24x7 

PHC 

135 - - - 0 24 to continue, 

another 16 is 

proposed 

Blood Storage 

- 16 - 0 

a) MBBS Doctors 46 

8 

b) Lab Tech 

67 

- 16 

8 

MTP 268 - 19 13 0 0 

IMNCI (Pre- Service) - - 31 129 130 

NSSK( SNs) - 4 80 100 

F-IMNCI 0 50 MO, 100 SN 

SNCU NA NA NA NA NA NA 

IUD 

MO 

SN 

ANM 

247 

700 

763 

NA 24 

(DTT) 

74 (29 DTT) 

45 (6 DTT) 

101 

19 

Gynecologists 

Ongoing in 

district, report 

yet to be 

submitted 

120 MO 

310 SN 

350 ANM 

Mini Lap 

NA NA 5 0 0 

MOs (CHC and DH and 

PHC) 

89 + 32 + 

147= 268 

Lap ligation NA NA NA 12 NA 0 

NSV 121 - 16 16 yet to be trained 10 valley dists 

RTI/STI 

a) MOs 

366 

NA 

45 

(MOs) 

82 

12 

120 ANM 

b) ANMs/SN 

1565 

NA 

191 

30 

400 ANM/SN 

NA 

ARSH (DTT) NA NA NA Not yet started 29 (ToT) 61 MOs 

Immunization 

MO 

100 

Paramedical Staffs 

400 

RNTCP 

NA 1968 

MOs & Paramedical Staffs 

NLEP NA NA NA NA NA 

NBCP 

NA 

MOs & Paramedical Staffs NA NA NA NA 


- 72 - 

Trainings 

Total 

Training 

Load 

Achievement for years 

07-08 08-09 09-10 

10-11 

(till Nov ’11) 

NRHM trainings 

NA 

PDC trainings NA NA 3 5 1 

Others (Please specify 

training) 

326 

(including 

a) IMEP (MOs) 

AYUSH) NA 15 74 

0 

b) IMEP (Paramedics) 

NA NA NA 

66 (SN, ANM) 

c) School Health for 

Primary School Teachers 

NA 

108 

270 

0 (ongoing) 

Proposed 

training Load for 

2011-12 

0 

Remaining 74 

will continue 

(fund available) 

270 

A10.1 STRENGTHENING OF TRAINING INSTITUTIONS 

A10.1.1 

Activity-1: 

A10.1.2 

Activity-1: 

Strengthening of RIHFW, Porompat & Strengthening of Female Health Worker 

Training School (FHWTS), Lamphel 

Procurement of 02 electronics display cum white board for RIHFW, Porompat, 

FHWTS, and Family Welfare Conference hall, State Health Society, Manipur @ Rs. 

2.70 Lakhs per display. The required budget is reflected at B.19: Procurement. 

Strengthening of MPHW (Male) Training Centre 

The State has one MPW (Male) Training Centre which is in dilapidated condition. 

The following Financial Assistance for strengthening MPHW (Male) Training Centre 

will be required in the coming financial year 2011-12. 

Table: Budget for strengthening MPHW (Male) Training Centre 

Sr. No. Particular Budget (Rs in Lakh) 

1 Civil Work (Construction of Institutional Building) 25.00 

2 Furniture 20.00 

3 Teaching Aids 0.50 

4 Lab. Equipments 0.20 

5 Procurement of one Computer 0.25 

5 Transportation cost for one year 0.75 

6 Library Support 0.50 

7 Rent for Hostel students for 60 @ Rs. 0.60 Lakhs per month 7.20 

8 Stipend for 60 Student @ Rs. 500/- per month 3.60 

9 Contingencies 1.00 

TOTAL BUDGET 

59.00 

(Non-recurring: Rs. 46.45 Lakhs 

Recurring: Rs. 12.55 Lakhs) 

A10.2 Development of Training Material 



- 73 - 

A10.3 MATERNAL HEALTH TRAINING 

A10.3.1 

SBA Training 

Activity-1: SNs training on SBA for identified 24x7 PHCs by the State for 21 days 

Table: SNs training on SBA for identified 24x7 PHCs by the State for 21 days 

No. 

already 

trained 

No. to 

be 

trained 

No. of 

batches 

Place of 

training 

institute 

Budget per batch 

Particulars 

68 24 

6 

batches 

(4 SN per 

batch) 

RIMS and 

JNIMS 

Amount 

(Rs. in 

Lakh) 

Total budget 

for 6 batches 

(Rs. in lakh) 

Honorarium for 4 trainers @ Rs. 

600/- per head per day X 21 days 

0.51 3.06 

Honorarium for 4 trainees @ Rs. 

200 per head per day X21days 

0.17 1.02 

Working Lunch & other 

refreshment @ Rs. 200 per 0.34 2.04 

participant (4+4) for 21 days 

Total 1.02 6.12 

1. Other overhead expenditure @ 6% of total training expenses, and 

2. Monitoring by 2 State Nodal Officers (MH & Trg.) as per checklist @ Rs. 500 per 0.081 0.486 

visit per head per day x 2 visits per batch 

Training material @ Rs. 250/- per trainee 0.01 0.06 

Grand Total 1.111 6.666 

Activity-2: 

Medical Officer (Ayurvedic & Homeopathy) training on SBA for 15 days 

Table: Medical Officer (Ayurvedic & Homeopathy) training on SBA 

No. 

already 

trained 

No. to 

be 

trained 

No. of 

batches 

Place of 

training 

institute 


Particulars 

0 20 

5 

batches 

(4 MO 

per 

batch) 

RIMS and 

JNIMS 

Amount 

(Rs. in 

Lakh) 

Total budget 

for 5 batches 

(Rs. in lakh) 


600/- per head per day X 15 0.36 1.80 

days 


500 per head per day X 15 0.30 1.50 

days 


refreshment @ Rs. 200 per 0.12 0.60 

participant (4) for 15 days 

Total 0.78 3.90 

1. Other overhead expenditure @ 6% of total training expenses, and 

2. Monitoring by 2 State Nodal Officers (MH & trg.) as per checklist @ Rs. 500 0.067 0.335 

per visit per head per day x 2 visits per batch 




- 74 - 

A10.3.2 

Activity-1: 

EmOC Training of MBBS doctors on Caesarean section for 16 weeks 

EmOC Training of MBBS doctors on Caesarean section for 16 weeks: As RIMS has 

been identified by AVNI as EmOC training centre, for setting up RIMS so far the 

State has released an amount of Rs. 28….lakhs to AVNI. The same budget has 

been utilized from the available fund under training head. The amount has been 

adjusted with the budget available for some of the training which is not taken up 

such as Family planning training, EmOC training, etc. 

Table: EmOC Training of MBBS doctors on Caesarean section for 16 weeks 

No. No. to No. of Name of 

Budget per batch 2011-12 

already 

trained 

be 

trained 

batches the training 

institute 

Particulars 

Amount (Rs. 

in lakh) 

04 (01 State 

Trainer) 

04 

02 (2 

MOs per 

batch) 

RIMS and 

DH CCP 

Total 

Honorarium for 2 trainers 

@ Rs. 200/- per day X 112 

days 

Honorarium for 2 trainees 

@ Rs. 700 per head per 

day X 112 days 


refreshment @ Rs. 200 per 

participant (2) per day 

0.448 

1.568 

0.448 

Total budget 

for 2 batches 

(Rs. in lakh)- 

2011-12 

0.896 

3.136 

0.896 

Total 2.464 4.928 

Institutional overhead 

0.30 

expenditure @ 6% of total 

training expenses 

0.15 

Training material @ Rs. 

0.01 

0.005 

250/- per trainee 

Grand 

2.619 

5.238 

A10.3.3 

Activity-1: 

Life-Saving Anesthesia Training 

MBBS Doctors’ training on Life-Saving Anesthesia Skills for 18 weeks. Only one MBBS 

Doctor could be trained out of planned four in 2010-11. Hence the remaining 02 

Doctors will carry over for the training in 2011-12. Funds are available. 

No. 

already 

trained 

No. to be 

trained 

07 02 

No. of 

batches 

01 

(2 MOs 

per 

batch) 

Name of 

Training 

Institute 

RIMS 

Total Budget for a batch 

2011-12 

Particulars 

Amount (Rs. in 

lakh) 


200/- per day X 126 days 

0.504 

Honorarium for 2 trainees @ Rs. 700 

per head per day X 126 days 

1.764 

Working Lunch & other refreshment 

@ Rs. 200 for 2 participants X 126 

0.504 

days 

Sub Total 2.772 

Incidental overhead expenditure 

@ 6% of total training expenses 

0.17 

Training material @ Rs. 250/- per 

trainee 

0.005 

Grand Total 2.95 


- 75 - 

A10.3.4 

A10.3.5 

A10.3.6 

A10.3.7 

Activity-1: 

MTP Training (No activity Proposed) 

RTI/STI Training: Training of RTI/STI is integrated with IUD insertion training. 

Dai Training (No activity Proposed) 

Other MH Training 

24x7 identified PHCs MBBS Doctors training on BEmOC: Training to be carried over 

from previous year i.e. 2010-11. Fund will be made available from last year’s fund. 

Table: training on BEmOC 

No. 

already 

trained 

0 

No. to 

be 

trained 

24 (out 

of 27 

Doctors 

posted) 

No. of 

batches 

4 

batches 

(6 MOs 

per 

batch) 

Name of 

Training 

Institute 

RIMS 

Budget per batch 2011-12 Total budget for 4 

Amount batches 

Particulars 

(Rs. in 

lakh) 


2011-12 

Honorarium for 4 trainers @ 

Rs. 600/- per day X 10 days 

0.24 0.96 

Honorarium for 6 trainees @ 

Rs. 500 per head per day X 0.30 1.20 

10 days 


refreshment @ Rs. 200 for 6 0.12 0.48 

trainees X 10 days 

Sub Total 0.66 2.64 

Other overhead expenditure 

@ 6% of total training 

0.04 0.16 

expenses 

Training material @ Rs. 250/- 

per trainee 

0.015 0.06 


Activity-2: 

Blood Storage training of MBBS Doctors for 3 days for the 7 DHs and 4 CHCs: 

Blood storage training not taken up in 2010-11 as the fund was not approved in 

ROP, hence, the same is planned to be taken up in 2011-12 

Table: Blood Storage training for MBBS Doctors 

No. No. to No. of Place of 

Budget per batch -2010-11 

Total budget 

already 

trained 

be 

trained 

batches training 

Particulars 

Amount 

(Rs. in 

lakh) 

for 4 batches 

(Rs. in lakh) 

Honorarium for 2 trainers @ Rs. 0.036 0.144 


Honorarium for 2 trainees @ 0.03 0.12 

Rs. 500 per head per day X 3 

days 

16 

4 

Working Lunch & other 0.012 0.048 

8 

batches Blood refreshment @ Rs. 200 per 

(from 7 

DH/CHC ) (2 MOs Bank RIMS participant (2) for 3 days 

per batch) 

Total 0.078 0.312 

Other overhead expenditure 0.005 0.02 


expenses 

Training material @ Rs. 250/- 0.005 0.02 

per trainee 



- 76 - 

Activity-3: 

Blood Storage training of Lab. Technicians for 3 days 

Table: Blood Storage training of Lab. Technicians 

No. No. to be No. of Place of 


Total budget 

already 

trained 

trained batches training 

Particulars 

Amount 

(Rs. in 

lakh) 

for 3 batches 

(Rs. in lakh) 

Honorarium for 2 trainer @ Rs. 0.036 0.108 




days 

3 


16 

batches Blood refreshment @ Rs. 200 per 

6 (from 6 

(2 Lab Bank participant (2) for 3 days 

DH/CHC) 

Tech per RIMS 

0.06 0.18 

batch) 

Total 


@ 6 % of total training 

expenses 


per trainee (2) 

Grand 0.069 0.207 

Total 

A10.4 IMEP TRAINING 

Activity-1: 

(one) day Orientation Training on IMEP of Paramedical Staffs at District Level by 

trained MOs of CHCs and PHCs: out of 140 planned in 2010-11, only 66 have been 

trained hence, the remaining 74 carry forward and continue in 2011-12 

Table: (one) day Orientation Training on IMEP 

No. No. to be No. of Venue of Budget per batch 2011-2012 

Total budget 

already 

trained 


Particulars 

Amount 

(Rs. in 

lakh) 

for 4 batches 


2011-12 

Honorarium for 2 trainers @ 0.012 0.048 

600 for 1 day 


Rs. 200 per head for 1 day 


66 

80 

refreshment @ Rs. 200 for 20 

DHs/CHC 

(PHCs,CHC 

trainees 

s/PHCs 

s,DHs) 

Sub Total 0.092 0.368 

4 

batches 

(20 

trainees 

per 

batch) 



expenses 


per trainee 



- 77 - 

A10.5 CHILD HEALTH TRAINING 

A10.5.1 

IMNCI Training 

Activity-1: F-IMNCI training of Medical Officer (MO) 

Table: F-IMNCI training of Medical Officer (MO) 

Budget per batch 2011-12 Total amt. for 2 

Category of 

staff 

Details 

Amt. 

(Rs. in 

Lakh) 

batches 

(Rs. in Lakh) 

2011-12 

50 Honorarium for 04 Guest faculty @ Rs. 1000/- per head per 0.44 0.88 

day X 11 days 

Honorarium for 25 trainees @ Rs. 500/- per day per head X 1.375 2.75 

11 days 

Lunch, snacks @ Rs. 200 per trainee per day (11 days) 0.55 1.1 

Total 2.365 4.73 

Other Overhead expenditure, contingencies @ 6 % 0.142 0.284 

Training material @ Rs. 850/- per trainee (Colored Printing) 0.213 0.425 


Activity-2: 

F-IMNCI training of paramedics 

Table: F-IMNCI training of paramedics 

Budget per batch 2011-12 Total amt. for 4 

Category 

of staff 

Details 

Amt. 

(Rs. in 

Lakh) 

batches 

(Rs. in Lakh) 

2011-12 

100 Honorarium for 04 Guest faculty @ Rs. 1000/- per head per 0.44 1.76 

day X 11 days 

Honorarium for 25 trainees @ Rs. 200/- per day per head X 11 0.55 2.20 

days 

Lunch, snacks @ Rs. 200 per trainee per day (11 days) 0.55 2.20 

Total 1.54 6.16 

Other Overhead expenditure, contingencies @ 6 % 0.0925 0.37 

Training material @ Rs. 850/- per trainee (Colored Printing) 0.2123 0.85 


Activity-3: 

Pre-service IMNCI training for under-graduates students of RIMS 

Table: Pre-service IMNCI training for under-graduates students of RIMS 

No. No. to be No. of Venue of 


already 

trained 


Particulars 

Amount 

(Rs. in 

lakh) 

Honorarium for 2 Facilitator 

@ 300 for 12 session 

129 126 

21 

batches 

(6 

trainees 

per 

batch) 

Community 

Medicine 

Dept. RIMS 

Total budget 

for 21 batches 


2011-12 

0.072 1.512 

Other overhead 

0.005 0.105 

expenditure @ 6% of the 

above 

Monitoring by SNO (CH & 0.02 0.42 

Trg.) at least 2 times per 

batch Rs. 500 per head 


per trainee (Colored 

Printing) 

Total 0.148 3.108 


- 78 - 

A10.5.5 

Activity-1: 

Other Child Health Training 

Navjaat Shishu Suraksha Karyakram (NSSK) training for 2 days for SNs: 80 Medical 

officers have trained as a District trainer so far in the State. The current year will 

focused on training the 100 staff nurses. 

Table: NSSK training for SNs 

No. 

already 

trained 

No. to 

be 

trained 

No. of 

batches 

80 MOs 100 SNs 

4 

batches 

(25 

trainees 

per 

batch) 

Venue of 

training Budget per batch 2011-12 

JNIMS/State 

FW conf. 

Details 

Honorarium for 04 trainers @ Rs. 600/- 



200/- per day per head X 2 days 

Lunch, snacks @ Rs. 200 per trainee 

per day (2 days) 

Amt. 

(Rs. in 

Lakh) 

Total 

amt. for 

4 

batches 

(Rs. in 

Lakh)- 

2011-12 

0.048 0.192 

0.10 0.40 

0.10 0.40 

Total 0.448 1.79 

Other Overhead expenditure, 0.027 0.108 

contingencies @ 6 % 

Training material @ Rs. 850/- per 0.213 0.85 

trainee 



- 79 - 

A10.6 FAMILY PLANNING TRAINING 

MTP/MVA and Minilap training could not be done in the State though it is planned as the 

clients are not available. Hence, the said trainings are not planned in 2011-12. The 

training on family will be focus on IUCD, NSV where the State could get clients and 

available. 

A10.6.3 

Activity-1: 

NSV Training 

Due to lack of clients/case loads and other social factors prevailing specially in 

hilly districts, NSV camp could not be done. Hence, the State planned to train at 

least 12 MBBS Doctor from valley districts (IE,IW,BPR & TBL) 

Table: NSV Training for MBBS Doctor from valley districts 

No. 

already 

trained 

No. to 

be 

trained 

No. of 

batche 

s 

Name of 

the Districts 


Particulars 

Place 

of 

trainin 

g 

Amount 

(Rs. in 

lakh) 

Total budget 

for 3 batches 


2011-12 

16 

(IW/UKL 

/CCPUR 

/TBL) 

12 

3 

batch 

es (4 

MOs 

per 

batch) 

Imphal 

West, 

Thoubal, 

Bishnupur, 

Imphal East, 

( trainees 

from DH, 

CHC and 

24*7 

Identified 

PHC) 

RIMS, 

JNIMS, 

DH 

(TBL), 

and 

DH 

Bishnu 

pur 

Honorarium for 1 trainer 

@ Rs. 600/- per day X 5 0.03 0.09 

days 

Honorarium for 1 guest 

faculty @ Rs. 1000/- per 

0.06 

0.18 

day X 6 days 

Honorarium for 4 

trainees @ Rs. 500 per 0.10 0.30 

head per day X 5 days 


refreshment @ Rs. 200 0.04 0.12 

per participant per day 

Sub Total 0.23 0.69 


expenditure @ 6 % of 

total training expenses 

0.014 0.042 

Total 0.244 0.732 

Printing of NSV Module and Pamphlets @ Rs. 400 per trainee (12 trainees) Printing 0.048 


A10.6.4 

Activity-1: 

IUD Training: 

IUCD 380- A MBBS Doctors training on IUCD 380-A and RTI/STI training at district 

level ((from DHs, CHCs and PHCs) for 8 days 

Table: IUD & RTI/STI Training for MBBS Doctors 

No. 

already 

trained 

No. to be 

trained 

No. of 

batches 

Venue of 

training 

Budget per batch2011-12 

Particulars 

Amount 

(Rs. in lakh) in lakh) 


State 


Hospital, 7 

Honorarium for 6 trainees @ Rs. 500 0.24 4.80 

89 (30 DTT 

District 


for IUCD) 

20 Hospitals 

Working Lunch & other refreshment 0.096 1.92 

and 45 DTT 

Batches (6 ,RIMS or 

120 

@ Rs. 200 per participant for 8 days 

and 12 

MOs Per any service 

Sub Total 0.432 8.64 

MOs, 19 

batch) providing 

Other overhead expenditure @ 6% 0.026 0.52 

StoT) 

centres i.e. 

of total training expenses 

CHC or 

PHC 

Training material @ Rs. 250/- per 0.015 0.3 

trainee 

Total 0.473 9.46 

Printing of IUCD Modules and RTI/STI @ Rs. 400 per trainee (120 trainees) 0.48 

Total budget for 

20 batches (Rs. 



- 80 - 

Activity-2: 

IUCD 380-A:Staff Nurse and ANM training on IUCD 380-A and RTI/STI training at 

district level (from DHs, CHCs, PHCs and PHSC) for 8 days 

Table: IUCD and RTI/STI training for Staff Nurse and ANM 

No. 

already 

trained 

No. to 

be 

trained 

No. of 

batches 

Venue of 

training 


Particulars 

660 (310 

SN and 

350 

ANMs) 

55 

batches 

(12 

trainees 

per 

batch) 

State 

Hospital, 

7 District 

Hospitals 

RIMS or 

any 

service 

providing 

centres 

i.e. CHC 

or PHC 

Amount 

(Rs. in 

lakh) 

Total 

budget for 

55 batches 

(Rs. in lakh) 





days 



participant per day for 8 days 

Sub Total 0.48 26.40 

Other overhead expenditure @ 0.029 1.595 

6% of total training expenses 


per trainee 

Total 0.539 29.645 

Printing of IUCD and RT/STI Modules @ Rs. 400 per trainee 2.64 


A10.7 ARSH TRAINING 

Activity-1: 

Training of 61 Medical officers on ARSH for 3 days. 29 State trainers have been 

trained, further in 2011-12 the remaining of previous year .i.e 31 MO and another 

30 MO from DH, CHCs and 24x7 PHCs will be taken up for the training. 

Table: ARSH Training for MOs 

No. 

already 

trained 

No. to be 

trained 

No. of 

batches 

Venue of 

training 


Particulars 

Amoun 

t (Rs. in 

lakh) 

Total 

budget for 

2 batches 

(Rs. in 

lakh)- 

2011-12 

29 

61 

(DH/CHC 

MO and 

24x7 PHC 

MO ) 

2 

batches 

(30 

trainees 

per 

batch) 

FWCH/Sta 

te Guest 

House 

Honorarium for 2 faculties @ Rs. 1000/- 

per day X 3 days 

Honorarium for 30 trainees @ Rs. 500 per 

head per day X 3 days 

0.06 0.12 

0.45 0.92 

(1 person 

honorariu 

m added) 

0.18 0.366 

Working Lunch & other refreshment @ 

Rs. 200 per participant for 3 days 

Sub Total 0.69 1.406 

Other overhead expenditure @ 6 % of 0.042 0.084 



Venue Hiring Charge@ Rs. 2500 per day 0.075 0.15 

Grand 0.887 1.88 

Total 


- 81 - 

Acticity-2: 

Training on Menstrual hygiene 

A budget of Rs. 5.00 lakhs will be kept for training State Trainer, District Trainer and 

further for orientation ANM and ASHA and also for sending a member 04 

representatives of NGO for undergoing training of making of sanitary napkins 

outside State. The training will be based on guidelines if issued in time from 

MoHFW and training of State Trainer. 

A10.8 PROGRAM MANAGEMENT TRAINING 

Activity-1: 

Exposure cum training visit outside State and District Program Managers for 

experiencing the implementation in other State. These are to be done in 

consultation with RRC-NE, Guwahati. A budget of Rs. 3.00 Lakhs will be kept for 

these training. 

A10.10 TRAINING (NURSING) (No activity proposed) 

A10.11 OTHER TRAININGS 

Activity-1: 

Activity-2: 

Postgraduate Diploma in Public Health Management (PGDPHM) for MBBS Doctors: 

Only one MO has been undergoing training on PGDPHM out of targeted four. 

Hence, for 2011-12, a budget of Rs. 5.00 lakhs will be kept for sponsoring 02 MBBS 

Doctors (@ Rs. 2.50 lakhs) on “Postgraduate Diploma in Public Health 

Management (PFDPHM)”at IIPH, Delhi as per the MoHFW, GoI guidelines. 

Financial Training. 

1 day Orientation workshop for the medical officers at State level on proper 

compiling of financial and accounting reports. 

Table: Financial Training for MOs 

No. already No. to be No. of batches Place of 

trained trained 

training 

Particulars 

Amount (Rs. 

In lakh) 

78 26 

1 (26 

participants 

per batch) 

Family Welfare 

Conference 

Hall 

Honorarium for 2 Guest 0.01 

faculties @ Rs. 500/- per 

day 

Honorarium for 26 trainees .104 

@ Rs. 400 per head per 

day 

Working Lunch & other 0.052 


participant (26) per day 

0.166 

Total 

Other 

overhead 0.010 

expenditure @ 6% of total 


Training material @ Rs. 0.065 

250/- per trainee (26) 



- 82 - 

Acticity-3: 

1 day workshop for the finance personnel (BFMs & PHC Accounts) at State level 

on proper compiling of financial and accounting reports 

Table: Workshop for the finance personnel BFMs & PHC Accounts 

No. 

already 

trained 

No. to 

be 

trained 

No. of 

batches 

Place of 

training 

Particulars 

82 

4 (20-21 

participant 

per batch) 

Family 

Welfare 

Conference 

Hall 

Total 

Budget 

Honorarium for 2 trainers @ 

Rs. 500/- per day 

Honorarium for 82 trainees @ 

Rs. 200 per head 



head 

Total 

Other 

overhead 

expenditure @6% of total 


Training material @ Rs. 250/- 

per trainee 

Grand 

Amount 

(Rs. In lakh) 

Amount for 4 

batches 

(Rs. in lakh) 

0.01 0.04 

0.164 

0.164 

0.368 

0.022 

0.205 

0.595 

Activity-4: Re-Orientation on tally software for the all finance personnel at the State 

level for all the districts for 3 days 

Table: Re-Orientation on tally software 

No. 

already 

trained 

No. to 

be 

trained 

No. of 

batches 

Place of 

training 

91 

5 (20 

participant 

per batch) 

Family 

Welfare 

Conference 

Hall 

Particulars 

Budget 

Amount 

(Rs. In lakh) 

Amount for 5 

batches 

(Rs. in lakh) 

Honorarium for 2 trainers 0.06 0.15 

@ Rs. 500/- per day x3 

days 

Honorarium for 91 

0.546 

trainees @ Rs. 200 per 

head 


0.546 

refreshment @ Rs. 200 

per head 

1.242 

Total 


0.075 

expenditure @6% of 


Training material @ Rs. 

0.2275 

250/- per trainee 



- 83 - 

Activity-5: 

Training of AYUSH and Allopathic Manpower 

Name of 

Training 

1. 

Mainstreami 

ng of 

AYUSH(state 

level) 

2. 

Mainstreami 

ng of AYUSH 

(District 

level) 

3.Training on 

implementat 

ion of AYUSH 

Software 

Category 

AYUSH 

(Doctors) 

MBBS 

AYUSH 

(Paramedic 

) 

ANMs. 

PHN, Staff 

Nurses, 

ASHAs, 

PRIs. 

Homoeopa 

thy 

Trained 

till date 

No of 

batch 

es 

Year 2010-11 Proposal for the Year 2011-12 

Durati 

on 

Trainin 

g 

load 

85 4 3days 88 

Financi 

al 

(in 

Lakh) 

No of 

batch 

es 

Durati 

on 

Training 

load 

2 3days 60 

2.46 

54 4 3days 100 4 3days 120 

225 

9 

(for 9 

District 

s) 

3 days 225 4.74 

9 (for 9 

District 

s) 

3 Days 

360 

(40/batc 

h) 

Financi 

al 

(in 

Lakh) 

3.848 

5.13 

2 2 days 61 1.35 

Total 364 17 9 days 413 7.2 15 12 540 10.328 

Other AYUSH 

trainings Fraternity 

About10 

On SBA, 

&74 

RTI/STI, IUCD 

AYUSH 

insertion, 

Doctors 

IMNCI, and 

are been 

involving in 

No. of batches, duration training load and financial involvement may be 

trained in 

DMMUis a 

worked by the respective head. 

RTI/STI 

mandatory 

and 

hence it 

IMNCI 

may be 

respectiv 

Reflected in 

ely 

concern 

heads. 

Activity-6: 

BASIC EMERGENCY CARE COURSE (BECC) 

The state has trained 112 personnel such as Doctors, Nurses, NCC Cadets and 

police personnel on BECC in 2010-11 in tie up with the AIIMS, New Delhi. In 2011- 

12, the state is planning to train some more personnel such as Doctors, Nurses, 

Police personnel, NCC cadets, Media personnel, NSS Volunteer, NYKS Volunteer 

in collaboration with JPN Trauma Centre, AIIMS, New Delhi. The training is planned 

to cover for about 200 candidates of the said personnel in two phases. The 

budget needed for these training is Rs.10.00 lakhs. 


- 84 - 

Table: Summary budget for Training 

Sl.No. Category of training Budget 

proposed 

(Rs. In lakhs) 

Remarks (if 

any) 

Strengthening of Training Centres 

1 Strengthening of RIHFW, Porompat 0.00 Reflected at B.19 

2 Strengthening of MPHW (Male) Training Centre 59.00 

Maternal Health 

3 SBA for SNs 6.666 

4 SBA for AYUSH (Homeo & Ayurved) 4.285 

5 EmOC 5.238 

6 LSAS 0.00 Fund available 

7 BEmOC 0.00 Fund available 

8 Blood Storage (MO) 0.352 

9 Blood Storage (LT) 0.207 

10 IMEP 0.59 

Child Health 

11 F- IMNCI (MO) 5.439 

12 F-IMNCI (Paramedics) 7.38 

13 Pre service IMNCI 3.108 

14 NSSK 2.748 

Family Planning 

15 NSV 0.78 

16 IUD (MO) 9.94 

17 IUD (SN & ANM) 32.285 

ARSH 

18 ARSH for MO 1.88 

19 Menstrual Hygiene (State, District, ANM & ASHA) 5.00 

Program Management 

20 Program Management 3.00 

Other Training 

21 PGDPHM 5.00 

22 Financial training (3 types of training) 2.381 

23 AYUSH Mainstreaming 10.328 

24 Basic Emergency Care Course (BECC) 10.00 

Total 175.607 


- 85 - 

A.11 Programme/NRHM Management costs 

A.11.1. 

Activity-1: 

Strengthening of SHS/SPMU (Including HR, Management cost, mobility support, 

field visits) 

Salary of Deputy Director (Fin) on deputation and Continuation of the contractual 

services of (i) SPM (ii) SFM (iii) SDM (iv) Engineer Consultant (v) SAO (vi) Stats. Asst 

(Vii) Stenographer cum Office Asst., (viii) Two staffs for Data entry cum analysis (ix) 

Addl. SPM x) Accountants xi) Two helper, etc by giving a monthly honorarium 

consisting of Fixed Pay plus a Performance-based Incentive. 


Sl. 

No. 

Designation 

No. of 

Post 

1 Deputy Dir (Fin) 1 

Basic Pay 

(in Rs.) 

PBH 

(in Rs.) 

As per grade pay of 

6 th pay commission 

Honorarium 

per Month 

30000 

(approx 

including 

increments 

due) 

TOTAL 

AMOUNT 

(Rs. In 

Lakh) 

2 State Program Manager 1 10000 20000 30000 3.60 

3 State Finance Manager 1 10000 19500 29500 3.54 

4 Additional State Program Manager 1 10000 15000 25000 3.00 

5 State Account Officer 1 8000 12000 20000 2.40 

6 State Engineering Consultant 1 10000 19500 29500 3.54 

7 State HR Consultant 1 10000 16000 26000 3.12 

8 State BCC/IEC Consultant 1 10000 16000 26000 3.12 

9 State Data Manager (HMIS) 1 10000 16000 26000 3.12 

10 State Statistical Assistant 1 5500 8500 14000 1.68 

11 Accountant 2 5500 8500 14000 3.36 

12 Assistant Engineer Consultant 1 5500 8500 14000 1.68 

12 Assistant HMIS Officer 1 5500 8500 14000 1.68 

13 Assistant Training Consultant 1 5500 8500 14000 1.68 

14 Data Entry-cum-Analyst 2 4000 4000 8000 1.92 

15 Steno 1 3025 4975 8000 0.96 

16 Office Assistant 3 3050 4950 8000 2.88 

17 Grade-IV 2 2000 2000 4000 0.96 

TOTAL 45.84 

3.60 

Activity-2: 

Admin Cost of Rs. 50.00 Lakhs for printing, telephone expenses and other 

management costs at State Level. 

Activity 3: Mobility support and field visits of Rs. 30.00 Lakhs including continuation of 6 

outsource vehicles 3 @ Rs 20,000 for vans and 3 @Rs 30,000 for boleros. 


- 86 - 

A.11.2 

Activity-1: 

Strengthening DPMUs Staffs 

Continuation of the contractual services of (i) 09 DPMs (ii) 09 DFMs and (iii) DDMs 

by giving a monthly honorarium consisting of Fixed Pay plus a Performance-based 

Incentive. 


Sl. 

No. of Basic Pay PBH Honorarium TOTAL 

Designation 

No. 

Post (in Rs.) (in Rs.) per Month AMOUNT 

1 District Program Manager 9 10000 14000 24000 25.92 

2 District Finance Manager 9 8000 12000 20000 21.6 

3 District Data Manager 9 8000 12000 20000 21.6 

4 Office Assistant 9 3050 4950 8000 8.64 

77.76 

Activity-2: Engagement of 9 (nine) District Accountants in the coming financial year 2011-12 

to support the District Programme Management Unit. The required budget is 

given below: 


Sl. No. Designation No of 

post 

Basic pay PBH Honorarium 

per month 

Total amt 

(Rs in Lakh) 

1 District Accountants 9 5500 8500 14000 15.12 

Total 15.12 

Activity-3: 

Activity-4: 

Continuation of hiring DPM Secretariat office building for TML District and SPT 

District which do not have adequate govt. owned space for accommodation 

DPMUs @ Rs. 3,000/- per month. The budget needed for one year will be Rs. 0.72 

Lakh. 

Admin cost & Mobility Support for field visits including physical and financial 

supervision visit for all the districts of Rs. 49.50 Lakhs 

Table: Admin Cost for Districts 


Administration Cost 

(Rs in Lakhs) 

4.00 3.00 3.00 3.00 5.00 4.00 4.00 5.00 5.00 36.00 

Mobility support and 

field visits (Rs in Lakhs) 

1.50 1.00 1.00 1.00 2.00 1.50 1.50 2.00 2.00 13.50 

TOTAL 5.50 4.00 4.00 4.00 7.00 5.50 5.50 7.00 7.00 49.50 


- 87 - 

A11.3 Strengthening of Block PMU (Including HR, Management cost, Mobility support, 

field visits) 

Activity-1 

Continuation of the contractual services of Block level PMU staffs. Detail budget 

given below 


Sl. No. Designation No of 

post 

Basic 

pay 

PBH Honorarium 

per month 

Total amt 

(Rs in Lakh) 

1 BPM 36 5500 6500 15000 64.80 

2 BFM 36 5500 6500 14500 62.64 

3 BDM 36 5500 6500 14500 62.64 

4 PHC Accountants 46 5500 5500 14000 77.28 

5 HMIS Assistant for MCTS 36 5500 8500 14000 60.48 

TOTAL 327.84 

Activity-2: 

Activity-3: 

Activity-4: 

Mobility support for Physical and Financial supervision visits @ Rs 50,000 per block 

for 36 Block. Total of Rs 18.00 Lakhs will be required. 

Admin cost of each block @ Rs 30,000 per block for 36 Block. Total budget 

required will be Rs. 10.80 Lakhs 

Additional Budget for Renewal of licences for Tally ERP 9 for all the block finance 

managers and PHC accountants and cost of re-installation of faulty software for 

tally-. The required budget will be Rs. 3.00 Lakhs (approx) 

A11.4 Strengthening (others) 

A11.5 Audit fees of Rs. 4.00 lakhs for statutory Audit 

A11.6 Concurrent Audit of Rs. 12.00 lakhs (for both State and 9 District @ Rs. 3.00 Lakhs 

for State and @ Rs. 1.00 Lakh per district respectively). 

A11.7 Mobility Support to BMO/MO/Others. Budget of Rs. 5.00 lakhs for physical and 

financial supervision and monitoring of health facilities 


- 88 - 

Table: Summary Budget of Programme/NRHM Management Cost 

FMR 

Particulars 

Code 

A11.1 Strengthening of SHS/SPMU 

Total (Rs. In Lakhs) 

1 Salary of SPMU 45.84 

2 OE of DPMU 50 

3 Mobility support and field visit 30 

A11.2 Strengthening DPMUs Staffs 

Sub-Total 125.84 

1 Salary of DPMU 92.88 

2 Building rent 0.72 

3 OE of 9 DMPU & Mobility support and field visit 49.5 

A11.3 Strengthening of Block PMU 


1 Salary of BPMU 327.84 

2 OE of BPMU 10.80 

3 Mobility support and field visit 18.00 

4 Strengthening of Tally ERP-9 3.00 


A11.4 Strengthening (others) 

A11.5 Audit fees 4.00 

A11.6 Concurrent Audit 12.00 

A11.7 Mobility Support to BMO/MO/Others 5.00 

TOTAL 649.58 


- 89 - 

Sl.No. 

SUMMARY BUDGET SHEET -RCH FLEXIBLE POOL (Part-A) 

A.1 MATERNAL HEALTH 

Activity 

Unit 

Cost 

1. Janani Suraksha Yojana / JSY 284.99 

2. Other Maternal Health Activity 57.60 

Sub Total 342.59 

A.2 CHILD HEALTH 29.20 

A.3 FAMILY PLANNING 24.99 

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH 3.00 

A.5 URBAN RCH 88.32 

A.6 TRIBAL RCH 11.28 

A.7 VULNERABLE GROUPS 12.52 

A.8 Other RCH Activities 0.00 

A.9 INFRASTRUCTURE & HUMAN RESOURCES 1387.78 

A.10 TRAINING 175.607 

A.11 PROGRAMME / NRHM MANAGEMENT COSTS 649.58 

TOTAL 2724.867 


- 90 - 

CONSOLIDATED BUDGET SHEET -RCH FLEXIBLE POOL (Part-A) 

Sr. No. 

A.1 MATERNAL HEALTH 

Activity 

Amount 

(Rs. In Lakh) 

A.1.1 Operationalise facilities (only dissemination, monitoring, and 

quality) 

A.1.1.1 Operationalise FRUs 1.00 

A.1.1.2 Operationalise 24x7 PHCs 0.00 

A.1.1.3 MTP services at health facilities 0.00 

A.1.1.4 RTI/STI services at health facilities 3.00 

A.1.1.5 Operationalise Sub-centres 2.10 

A.1.2 Referral Transport 0.00 

A.1.3 

Integrated outreach RCH services 

A.1.3.1 RCH Outreach Camps 45.20 

A.1.3.2 Monthly Village Health and Nutrition Days 0.00 

A.1.4 

Janani Suraksha Yojana / JSY 

A.1.4.1 Home Deliveries 35.50 

A.1.4.2 Institutional Deliveries 249.49 

A.1.5 24Hours Deliveries 0.00 

A1.6 Payment to Link Workers/AWW/AWS (other than ASHA) 0.00 

A.1.7 Maternal Death Audit 6.30 

A.2 CHILD HEALTH 

A.2.1 IMNCI 1.50 

A.2.2 Facility Based Newborn Care/FBNC 0.00 

A.2.3 Home Based Newborn Care/HBNC 0.00 

A.2.4 School Health Programme 3.00 

A.2.5 Infant and Young Child Feeding/IYCF 0.00 

A.2.6 Care of Sick Children and Severe Malnutrition 0.00 

A.2.7 Management of Diarrohea, ARI and Micronutrient Malnutrition 0.00 


A.2.9 Infant Death Audit 0.00 

A.3 FAMILY PLANNING 

A.3.1 

A.3.1.1 

Terminal/Limiting Methods 

Dissemination of manuals on sterilisation standards & quality 

assurance of sterilisation services 

A.3.1.2 Female Sterilisation camps 0.00 

A.3.1.3 NSV camps 0.00 

A.3.1.6 Accreditation of private providers for sterilization services 0.00 

A.3.2 

Spacing Methods 

A.3.2.1 IUD camps 14.89 

A.3.2.2 IUD services at health facilities 0.00 

A.3.2.3 Accreditation of private providers for IUD insertion services 0.00 

A.3.2.4 Social Marketing of contraceptives 0.00 

7.10 


- 91 - 

Sr. No. 

Activity 

Amount 

(Rs. In Lakh) 

A.3.2.5 Contraceptive Update seminars 0.00 

A.3.2.6 Other Activity 3.00 

A.3.3 

A.3.4 

POL for Family Planning 

Repairs of Laparoscopes 

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH 

A.4.1 Adolescent services at health facilities. 3.00 


A.5 URBAN RCH 88.32 

A.6 TRIBAL RCH 11.28 

A.7 VULNERABLE GROUPS 12.52 

A.8 Other RCH Activities 0.00 

A.9 INFRASTRUCTURE & HUMAN RESOURCES 

A.9.1 

Contractual Staff & Services 

A.9.1.1 ANMs, Staff Nurses, 608.40 

A.9.1.2 Laboratory Technicians, ,MPWs 76.02 

A.9.1.3 Specialists (Anesthetists, Pediatricians, Ob/Gyn, Surgeons, 

59.40 

Physicians, Dental Surgeons, Radiologist, Sonologist, 

Pathologist,Specialist for CHC ) 

A.9.1.4 PHNs at CHC, PHC level 18.48 

A.9.1.5 Medical Officers at CHCs / PHCs 194.40 

A.9.1.6 Additional Allowances/ Incentives to M.O.s of PHCs and CHCs 0.00 

A.9.1.7 Others - Computer Assistants/ BCC Co-ordinator etc 0.00 

A.9.1.8 Incentive/ Awards etc. to SN, ANMs etc. 0.00 

A.9.1.9 Human Resources Development (Other than above) Pharmacist 9.18 

A.9.1.10 Other Incentives Schemes (Pl.Specify) 0.00 

A.9.1.11 Staff/ Supervisory Nurses for PHCs,CHCs(for AYUSH) 103.02 

A.9.1.12 Medical Officers at CHCs/ PHCs (for AYUSH) 290.88 

A.9.2 

Minor civil works 

A.9.2.1 Minor civil works for operationalisation of FRU 15.00 

A.9.2.2 Minor civil works for operationalisation of 24 hour services at 

PHCs 

A.10 TRAINING 

13.00 

A.10.1 Strengthening of Training Institutions 59.00 

A.10.2 Development of training packages 0.00 

A.10.3 

Maternal Health Training 

A.10.3.1 Skilled Birth Attendance / SBA 10.95 

A.10.3.2 EmOC Training 5.24 

A.10.3.3 Life saving Anesthesia skills training 0.00 

A.10.3.4 MTP training 0.00 

A.10.3.5 RTI / STI Training 0.00 

A.10.3.6 Dai Training 0.00 

A.10.3.7 Other MH Training (ISD Refresher ) Blood Strorage 0.56 

A.10.4 IMEP Training 0.59 

A.10.5 

Child Health Training 


- 92 - 

Amount 

Sr. No. 

Activity 

(Rs. In Lakh) 

A.10.5.1 IMNCI 15.93 

A.10.5.2 Facility Based Newborn Care 0.00 

A.10.5.3 Home Based Newborn Care 0.00 

A.10.5.4 Care of Sick Children and severe malnutrition 0.00 

A.10.5.5 Other CH Training (pl. specify) NSSK 2.75 

A.10.6 

Family Planning Training 

A.10.6.1 Laparoscopic Sterilisation Training 0.00 

A.10.6.2 Minilap Training 0.00 

A.10.6.3 NSV Training 0.78 

A.10.6.4 IUD Insertion Training 42.23 

A.10.6.5 Contraceptive Update/ISD Training 0.00 

A.10.6.6 Other FP Training (pl. specify) 0.00 

A.10.7 ARSH Training 6.88 

A.10.8 

Programme Management Training 

A.10.8.1 SPMU Training 0.00 

A.10.8.2 DPMU Training 0.00 

A.10.9 Other training (pl. specify) 3.00 

A.10.10 

A.10.10.1 

A.10.10.2 

A.10.11 

A.10.11.1 

A.10.11.2 

Training (Nursing) 

Strengthening of Existing Training Institutions/ NursingSchool 

New Training Institutions/School 

Training (Other Health Personnel) 

Promotional Trg of health workers females to lady health visitor 

etc. 

Training of AMNs, Staff nurses, AWW, AWS 

A.10.11.3 Other training and capacity building programmes 27.71 

A.11 PROGRAMME / NRHM MANAGEMENT COSTS 

A.11.1 

A.11.2 

A.11.3 

Strengthening of SHS /SPMU (Including HR,Management Cost, 

Mobility Support, field visits ) 

Strengthening of DHS/DPMU (Including HR,Management Cost, 


Strengthening of Block PMU (Including HR,Management Cost, 


125.84 

143.10 

359.64 

A.11.4 Strengthening (Others) 0.00 

A.11.5 Audit Fees 4.00 

A.11.6 Concurrent Audit 12.00 

A.11.7 Mobility Support to BMO/MO/Others 5.00 

TOTAL 2724.867 


- 93 - 

Sr. 

No. 

RCH II: SUMMARY BUDGET 

Budget Head 

1 MATERNAL HEALTH 

Sub-total Maternal Health 

(excluding JSY) 

High 

focus 

districts 

Q I Q II 

State 

Total 

High 

focus 

districts 

State 

Total 

BUDGET (RS. LAKHS) 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

Total Annual Budget 

(Rs. Lakhs) 

NRHM 

ANNEX 3c 

(Rs. Lakhs) 

Others 

(State 

Share) 

6.73 11.80 6.73 11.83 7.39 17.48 7.39 16.48 28.23 57.60 50.09 7.51 57.60 

Sub-total JSY 17.68 71.25 17.68 71.25 17.68 71.25 17.68 71.25 70.73 284.99 247.82 37.17 284.99 

SUB TOTAL MH 24.41 83.05 24.41 83.08 25.07 88.73 25.07 87.73 98.96 342.59 297.90 44.69 342.59 

2. CHILD HEALTH 0.00 0.00 2.70 9.98 2.20 8.98 3.03 10.23 7.93 29.20 25.39 3.81 29.20 

3 FAMILY PLANNING 1.65 3.72 2.71 6.09 2.71 7.09 2.71 8.09 9.77 24.99 21.73 3.26 24.99 

4 ARSH 0.00 0.00 1.00 1.00 0.00 1.00 0.00 1.00 1.00 3.00 2.61 0.39 3.00 

5 URBAN RCH 5.52 22.08 5.52 22.08 5.52 22.08 5.52 22.08 22.08 88.32 76.80 11.52 88.32 

6. TRIBAL RCH 0.00 2.82 0.00 2.82 0.00 2.82 0.00 2.82 0.00 11.28 9.81 1.47 11.28 

7 VULNERABLE GROUPS 0.00 0.00 0.00 6.26 0.00 0.00 0.00 6.26 0.00 12.52 10.89 1.63 12.52 

8 INNOVATIONS/ PPP/ NGO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 

9 

INFRASTRUCTURE AND HUMAN 

RESOURCES 

134.30 346.95 134.30 346.95 134.30 346.95 134.30 346.95 537.21 1387.78 1206.77 181.01 1387.78 

10 INSTITUTIONAL STRENGTHENING 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 

11. TRAINING 0.00 0.00 0.00 84.43 0.00 37.98 0.00 53.20 0.00 175.61 152.70 22.91 175.61 

12 BCC / IEC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 

13 PROCUREMENT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 

14 PROGRAMME MANAGEMENT 70.93 159.55 71.93 166.01 71.93 162.01 71.93 162.01 286.72 649.58 564.85 84.73 649.58 

GRAND TOTAL 236.81 618.17 242.57 728.70 241.73 677.64 242.56 700.37 963.67 2724.87 2369.45 355.42 2724.87 

State 

Total 

High 

focus 

districts 

State 

Total 

TOTAL 


ANNEX 3 d 

WORK PLAN 

1. MATERNAL HEALTH 

Budget Head Qtr.1 Qtr.2 Qtr.3 Qtr.4 

1.1. Operationalise facilities (details of infrastructure & human resources, training, IEC/BCC, 

equipment, drugs and supplies in sections 9, 11, 12 and 13; only dissemination, meetings and quality 

assurance) 

1.1.1. Operationalise FRUs 

Responsible 

(State /District ) 

1.1.1.1. Organise dissemination workshops for FRU guidelines State 

1.1.1.2. Prepare plan for operationalisation across districts State 

1.1.1.3. Monitor progress and quality of service delivery State & District 

1.1.2. Operationalise 24x7 PHCs 


1.1.2.2. Monitor progress and quality of service delivery State & District 

1.1.3. Operationalise Safe abortion services (including MVA/ EVA and medical abortion)at health 

facilities 

1.1.3.1. Prepare plan for operationalisation across districts 

1.1.3.2. Monitor progress and quality of service delivery 

1.1.4. Operationalise RTI/STI services at health facilities 


1.1.4.2. Monitor progress and quality of service delivery. State & District 

1.1.5. Operationalise sub-centres 

1.1.5.1. Prepare plan for operationalising services at sub-centres State 

1.1.5.2. Monitor quality of service delivery and utilisation including through field visits State & District 

1.2. Referral Transport 

1.3. Integrated outreach RCH services 

1.3.1. RCH Outreach Camps in un-served/ under-served areas District 

1.3.2. Monthly Village Health and Nutrition Days District 

1.3.2.1. Monitor quality of services and utilisation State & District 

State Program Implementation Plan 2011-12, Manipur 

- 94 -

1.4. Janani Suraksha Yojana / JSY (details of IEC/BCC in section 12) 


Responsible 


1.4.1. Dissemination of JSY guidelines to districts and sub-districts. State 

1.4.2. Implementation of JSY by districts. District 

1.4.2.1. Home deliveries District 

1.4.2.2. Institutional deliveries District 

1.4.2.2.1. Rural District 

1.4.2.2.2. Urban District 

1.4.2.2.3. C-sections District 

1.4.3. Other activities (JSY) District 

1.4.3.1 ASHA Incentive District 

1.4.3.2. Admin Cost (5%) District 

1.5. Other strategies/activities (please specify) 

Note: PPP/ Innovations/NGO to be mentioned under section 8) State 

1.5.1. Maternal Death Audit (both in institutions and community) State & District 

2. CHILD HEALTH 

2.1. IMNCI 

2.1.1. Prepare detailed operational plan for IMNCI across districts State 

2.1.2. Implementation of IMNCI activities in districts State & District 

2.1.3. Monitor progress against plan; follow up with training, procurement, etc State & District 

2.1.4. Pre-service IMNCI activities in medical colleges, nursing colleges, and ANMTCs State & District 

2.2. Facility Based Newborn Care/FBNC (SNCU, NBSU, NBCC) 

2.2.1. Prepare detailed operational plan for FBNC across districts 

2.2.2. Monitor progress against plan; follow up with training, procurement, etc. 

2.3. Home Based Newborn Care/HBNC 

2.3.1. Prepare and disseminate guidelines for HBNC. 

2.3.2. Prepare detailed operational plan for HBNC across districts 


2.4. School Health Programme 


- 95 -


Responsible 


2.4.1. Prepare and disseminate guidelines for School Health Programme. State 

2.4.2. Prepare detailed operational plan for School Health Programme across districts (cost of plan 

meeting should be kept) 

2.4.3. Implementation of School Health Programme by districts. State & District 

2.4.4. Monitor progress and quality of services. State & District 

2.5. Infant and Young Child Feeding/IYCF (details of training, drugs & supplies, under sections 11 and 

13) 

2.5.1. Prepare and disseminate guidelines for IYCF. 

2.5.2. Prepare detailed operational plan for IYCF across districts (including training, BCC/IEC, drugs 

and supplies, etc.; cost of plan meeting should be kept). 


2.6. Care of Sick Children and Severe Malnutrition at facilities (e.g. MTCs, CDNCs etc.) 

2.6.1. Prepare and disseminate guidelines. 

2.6.2. Prepare detailed operational plan for care of sick children and severe malnutrition at FRUs, 

across districts (including training, BCC/IEC, drugs and supplies, etc.; cost of plan meeting should be 

kept). 

2.6.3. Implementation of activities in districts. 


2.7. Management of Diarrhoea, ARI and Micronutrient malnutrition 

2.8. Other strategies/activities State & Districts 

3. FAMILY PLANNING 

3.1. Terminal/Limiting Methods 

3.1.1. Dissemination of manuals on sterilisation standards & quality assurance of sterilisation services 

3.1.2. Prepare operational plan for provision of sterilisation services at facilities (fixed day) as well as 

camps 

3.1.3. Implementation of sterilisation services by districts 

3.1.3.1. Organise female sterilisation camps 

3.1.3.2. Organise NSV camps 

3.1.3.3. Compensation for female sterilisation 

3.1.3.4. Compensation for NSV Acceptance 

3.1.4. Accreditation of private providers to provide sterilisation services 

State 


- 96 -

3.2. Spacing Methods 


Responsible 


3.2.1. Implementation of IUD services by districts. District 

3.2.1.1. Provide IUD services at health facilities / compensation District 

3.2.2. Accreditation of private providers to provide IUD insertion services 

3.2.3. Social Marketing of contraceptives 

3.3. POL for Family Planning/ Others 

3.4. Repairs of Laparoscopes 

3.5. Other strategies/activities: Performance Based reward for FP performance State 

3.5.1. Monitor progress, quality and utilisation of services State & District 

4. ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH 

4.1. Adolescent friendly services 

4.1.1. Disseminate ARSH guidelines. State 

4.1.2. Prepare operational plan for ARSH services across districts State 

4.1.3. Implement ARSH services in districts. District 

4.1.3.1. Setting up of Adolescent Clinics at health facilities. 

4.1.4. Monitor progress, quality and utilization of services. State & District 


5. URBAN RCH 

5.1. Urban RCH Services 

5.1.1. Identification of urban areas / mapping of urban slums 

5.1.2. Prepare operational plan for urban RCH 

5.1.3. Implementation of Urban RCH plan/ activities State 

5.1.3.1. Recruitment and training of link workers for urban slums 

5.1.3.2. Strengthening of urban health posts and urban health centres 

5.1.3.3. Provide RCH services (please specify) 

5.1.4. Monitor progress, quality and utilisation of services. 

5.2. Other Urban RCH strategies/activities (please specify) 

Note: PPP/ Innovations/NGO to be mentioned under section 8) 


- 97 -

6. TRIBAL RCH 

6.1. Tribal RCH services 


Responsible 


6.1.2. Prepare operational plan for tribal RCH State 

6.1.3. Implementation of Tribal RCH activities State 

6.1.4. Monitor progress, quality and utilization of services. 

6.2. Other Tribal RCH strategies/activities (please specify) 

7. VULNERABLE GROUPS 

(Other vulnerable communities not covered by Urban and Tribal RCH such as salt pan workers, 

migrants etc.) 

7.1. Services for Vulnerable groups 

7.1.1. Mapping of vulnerable groups 

7.1.2. Prepare operational plan for vulnerable groups 

7.1.3. Implementation of RCH activities District 


8. INNOVATIONS/ PPP/ NGO 

8.1. PNDT and Sex Ratio 

8.1.1. Operationalise PNDT Cell 

8.1.2. Orientation of programme managers and service providers on PC & PNDT Act 

8.1.3. Monitoring of Sex Ratio at Birth 

8.1.4. Other PNDT activities (please specify) 

8.2. Public Private Partnerships 

8.3. NGO Programme 

8.4. Other innovations (if any) 

9. INFRASTRUCTURE AND HUMAN RESOURCES 

9.1. Contractual Staff & Services 

9.1.1. ANMs State & District 

9.1.2. Laboratory Technicians & MPHWs State & District 

9.1.3. Staff Nurses State & District 

9.1.4. Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians) and doctors State & District 


- 98 -


9.1.5. Others (specify): salary of all consultants, computer operators, assistants etc. to be booked 

under programme management 

9.1.6. Incentive/ Awards etc. to ASHA Link worker/ SN/ MOs etc. 

9.2. Major civil works (extensions/additions) 

Responsible 


FRUs State 

24x7 PHCs State 

For SNCU/NBSU (to be mentioned separately from FRU above) 

9.3. Minor civil works (repair and renovation) 

FRUs State 

24x7 PHCs State 

Infrastructure- MH: Maternity wards, labour rooms 

Infrastructure: SNCU/NBSU/NBCC 

Sub-centre delivery points 

9.4. Operationalise Infection Management & Environment Plan at health facilities (details of training, 

equipment, drugs and supplies, under sections 11 and 13) 

9.4.1. Organise dissemination workshops for IMEP guidelines 

9.4.2. Prepare plan for operationalisation across districts (including staffing, infrastructure, training, 

equipment, drugs & supplies, etc.; cost of plan meeting to be kept) 

9.4.3. Monitor progress against plan; follow up with training, procurement, etc 

9.5. Other activities (pl. specify) 

10. INSTITUTIONAL STRENGTHENING 

10.1. Human Resources System Strengthening 

10.1.1. Mapping of human resources done 

10.1.2. Transfer and cadre restructuring policy developed 

10.1.3. Performance appraisal and reward system developed 

10.1.4. Incentive policies developed for posting in under-served areas 

10.1.5. Management Development Programme for Medical Officers 

10.1.6. Other activities (please specify) 

10.2. Logistics management/ improvement 

10.2.1. Review of logistics management system done 


- 99 -

10.2.2. Other logistics activities (please specify) 

10.3. Monitoring & Evaluation / HMIS 


10.3.1. Strengthening of M&E Cell including development of comprehensive M&E system 

10.3.2. Printing of formats 

10.3.3. Other M&E activities (please specify) 

10.4. Sub-centre rent 

10.5. Other strategies / activities (please specify) 

10.5.1. Strengthening Quality assurance systems for RCH 

11. TRAINING 

Responsible 


11.1. Strengthening of Training Institutions (SIHFW, ANMTCs, etc.) State 

11.1.1. Carry out repairs/ renovations of the training institutions State 

11.1.2. Provide equipment and training aids to the training institutions State 

11.1.3. Developing systems for monitoring & evaluations of training programmes. 

11.1.4. Other activities (pl. specify) 

11.2. Development of training packages 

11.2.1. Development/ translation and duplication of training materials 

11.2.3. Other activities (pl. specify) 

11.3. Maternal Health Training 

11.3.1. Skilled Attendance at Birth / SBA State & District 

11.3.1.1. Setting up of SBA Training Centres 

11.3.1.2. TOT for SBA 

11.3.1.3. Training of Medical Officers in Management of Common Obstetric Complications 

11.3.1.4. Training of Staff Nurses in SBA State & District 

11.3.1.5. Training of ANMs / LHVs in SBA State & District 

11.3.2. EmOC Training State 

11.3.2.1. Setting up of EmOC Training Centres 

11.3.2.2. TOT for EmOC 

11.3.2.3. Training of Medical Officers in EmOC State 


- 100 -


Responsible 


11.3.3. Life saving Anaesthesia skills training State 

11.3.3.1. Setting up of Life saving Anaesthesia skills Training Centres 

11.3.3.2. TOT for Anaesthesia skills training 

11.3.3.3. Training of Medical Officers in life saving Anaesthesia skills 

11.3.4. Safe abortion services training (including MVA/ EVA and Medical abortion) 

11.3.4.1. TOT on safe abortion services 

11.3.4.2. Training of Medical Officers in safe abortion 

11.3.5. RTI / STI Training 

11.3.5.1. TOT for RTI/STI training 

11.3.5.2. Training of laboratory technicians in RTI/STI 

11.3.5.3. Training of Medical Officers in RTI/STI 

11.3.5.4. Training of Staff Nurses in RTI/STI 

11.3.5.5. Training of ANMs / LHVs in RTI/STI 

11.3.6. Orientation of Dai / TBAs on safe delivery 

11.3.7. Other maternal health training: BEmOC & Blood Storage Training State 

11.4. IMEP Training 

11.4.1. TOT on IMEP 

11.4.2. IMEP training for state and district programme managers 

11.4.3. IMEP training for medical officers State 

11.5. Child Health Training 

11.5.1. IMNCI & F-IMNCI Training (pre-service and in-service) 

11.5.1.1. TOT on IMNCI (pre-service and in-service) 

11.5.1.2. IMNCI Training for ANMs / LHVs 

11.5.1.3. IMNCI Training for Anganwadi Workers 

11.5.1.4. TOT on F-IMNCI 

11.5.1.5. F-IMNCI training for medical officers State 

11.5.1.6 F-IMNCI training for staff nurses State 

11.5.1.7 F-IMNCI training for undergraduates State 


- 101 -

11.5.2. Facility Based Newborn Care / FBNC (any SNCU training) 

11.5.2.1. TOT on FBNC 

11.5.2.2. Training on FBNC for Medical Officers 

11.5.2.3. Training on FBNC for SNs 

11.5.3. Home Based Newborn Care / HBNC 

11.5.3.1. TOT on HBNC 

11.5.3.2. Training on HBNC for ASHA 

11.5.4. Care of sick children and severe malnutrition at FRUs 

11.5.4.1. TOT on Care of sick children and severe malnutrition 

11.5.4.2. Training on Care of sick children and severe malnutrition for Medical Officers 

11.5.5. Other child health training (please specify) 


Responsible 


11.5.5.1 NSSK Training 

11.5.5.1.1 TOT for NSSK 

11.5.5.1.2 NSSK Training for Medical Officers 

11.5.5.1.3 NSSK Training for SNs State & District 

11.5.5.1.4 NSSK Training for ANMs 

11.5.5.2 Other Child Health training 

11.6. Family Planning Training 

11.6.1. Laparoscopic Sterilisation Training 

11.6.1.1. TOT on laparoscopic sterilisation 

11.6.1.2. Laparoscopic sterilisation training for medical officers 

11.6.2. Minilap Training 

11.6.2.1. TOT on Minilap 

11.6.2.2. Minilap training for medical officers 

11.6.3. Non-Scalpel Vasectomy (NSV) Training 

11.6.3.1. TOT on NSV 

11.6.3.2. NSV Training of medical officers District 

11.6.4. IUD Insertion 


- 102 -

11.6.4.1. TOT for IUD insertion 


Responsible 


11.6.4.2. Training of Medical officers in IUD insertion District 

11.6.4.3. Training of staff nurses in IUD insertion District 

11.6.4.4. Training of ANMs / LHVs in IUD insertion 

11.6.5. Contraceptive update/ISD Training 

11.6.6. Other family planning training (please specify) 

11.7. Adolescent Reproductive and Sexual Health/ARSH Training 

11.7.1. TOT for ARSH training State 

11.7.2. Orientation training of state and district programme managers 

11.7.3. ARSH training for medical officers 

11.7.4. ARSH training for ANMs/LHVs State 

11.7.5. ARSH training for AWWs 

11.8. Programme Management Training (e.g. M&E, logistics management, HRD etc.) 

11.8.1. Training of SPMSU staff 

11.8.2. Training of DPMSU staff 

11.9. Other training 

11.9.1 Exposure cum training visit outside State State 

11.9.2 Postgraduate Diploma in Public Health Management (PGDPHM) for MBBS Doctors: State 

11.9.3Financial Training for Mos State 

11.9.4 Finance training for block and phc accountants State 

11.9.5 Tally Reorientation training State 

11.9. 6 Training of AYUSH and Allopathic Manpower State & District 

11.9. 7 BASIC EMERGENCY CARE COURSE (BECC) State 

12.1 Strengthening of BCC/IEC Bureaus 

13. PROCUREMENT 

14. PROGRAMME MANAGEMENT 

14.1. Strengthening of State society/State Programme Management Support Unit (details of training 

under section 11) 

14.1.1. Contractual Staff for SPMSU recruited and in position State 


- 103 -


Responsible 


14.2. Strengthening of District society/District Programme Management Support Unit (details of training 

under section 11) 

14.2.1. Contractual Staff for DPMSU recruited and in position District 

14.3. Strengthening of Financial Management systems 

14.3.1. Training in accounting procedures 

14.3.2. Audits 

14.3.2.1. Annual audit of the programme State 

14.3.2.2. Concurrent audit State & District 

14.3.3. Operationalise E-banking system upto district levels State 

14.4 Other activities (Programme Management Expenses, Mobility support, etc.) 

14.4.1. Provision of equipment/furniture and mobility support for SPMSU staff State 

14.4.2. Provision of equipment/furniture and mobility support for DMSU staff District 


- 104 -

- 105 - 

DETAIL BUDGET RCH II 

S. No. Budget Head 

1 MATERNAL HEALTH 

1.1 Operationalise 

1.1.1 Operationalise FRUs 

1.1.1.1 Organise dissemination workshops for 

FRU guidelines 

1.1.1.2 Prepare plan for operationalisation 

across districts 

1.1.1.3 

Monitor progress and quality of service 

delivery 

1.1.2 Operationalise 24x7 PHCs 



1.1.2.2 Monitor progress and quality of service 

delivery 

1.1.3 Operationalise Safe abortion services 




delivery 

1.1.4 Operationalise RTI/STI services at health 

facilities 




delivery. 

1.1.5 Operationalise sub-centres 

1.1.5.1 Prepare plan for operationalising 

services at sub-centres 

1.1.5.2 Monitor quality of service delivery and 

utilisation including through field visits 

Rate 

(Rs./Unit) 

High 

focus 

districts 


Q I Q II Q III Q IV 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

ANNEX -3e 

State Total 

0.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 

0.00 0.00 0.00 0.00 0.67 1.50 0.67 1.50 1.33 3.00 

0.23 0.53 0.23 0.53 0.23 0.53 0.23 0.53 0.90 2.10 

1.2 Referral Transport 

1.3 Integrated outreach RCH services 

1.3.1 RCH Outreach Camps in un-served/ 6.50 11.30 6.50 11.30 6.50 11.30 6.50 11.30 26.00 45.20 

Remarks 

/ 

Justificati 

on 

Reflecte 

d at 

M&E 


- 106 - 


under-served areas 

1.3.2. 

Monthly Village Health and Nutrition 

Days 

1.3.2.1 

Monitor quality of services and 

utilisation 

1.4. Janani Suraksha Yojana / JSY 

1.4.1 

Dissemination of JSY guidelines to 

districts and sub-districts 

Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

1.4.2 Implementation of JSY by districts. 

1.4.2.1 Home deliveries 3.51 8.88 3.51 8.88 3.51 8.88 3.51 8.88 14.04 35.50 

1.4.2.2 Institutional deliveries 

1.4.2.2.1 Rural 6.53 24.14 6.53 24.14 6.53 24.14 6.53 24.14 26.10 96.57 

1.4.2.2.2 Urban 0.00 6.23 0.00 6.23 0.00 6.23 0.00 6.23 0.00 24.93 

1.4.2.2.3 C-sections 0.28 1.35 0.28 1.35 0.28 1.35 0.28 1.35 1.12 5.39 

1.4.3 Other activities (JSY) 0.93 4.49 0.93 4.49 0.93 4.49 0.93 4.49 3.73 17.95 

1.4.3.1 ASHA Incentive 5.59 22.77 5.59 22.77 5.59 22.77 5.59 22.77 22.37 91.09 

1.4.3.2 Admin Cost (5%) 0.84 3.39 0.84 3.39 0.84 3.39 0.84 3.39 3.36 13.57 

1.5 Other strategies/activities 

1.5.1 Maternal Death Audit 0.00 0.00 0.00 0.00 0.00 3.15 0.00 3.15 0.00 6.30 

High 

focus 

districts 

State Total 

Remarks 

/ 

Justificati 

on 

Sub-total Maternal Health (excluding 

JSY) 

6.73 11.83 6.73 11.83 7.39 17.48 7.39 16.48 28.23 57.60 

Sub-total JSY 17.68 71.25 17.68 71.25 17.68 71.25 17.68 71.25 70.72 285.00 

2. CHILD HEALTH 

2.1 IMNCI 

2.1.1 

2.1.2 

2.1.3 

2.1.4 

2.2 

Prepare detailed operational plan for 

IMNCI across districts 

Implementation of IMNCI activities in 

districts 

Monitor progress against plan; follow up 

with training, procurement, etc 

Pre-service IMNCI activities in medical 

colleges, nursing colleges, and ANMTCs 

Facility Based Newborn Care/FBNC 

(SNCU, NBSU, NBCC) 

Note: details of training, drugs and 

supplies, under sections 11 & 13 



2.2.1 


FBNC across districts 

2.2.2 


with training, procurement, etc. 

2.3 Home Based Newborn Care/HBNC 

2.3.1 

Prepare and disseminate guidelines for 

HBNC. 

2.3.2 


HBNC across 

2.3.4 



2.4 School Health Programme 

2.4.1 


School Health Programme. 


2.4.2 School Health Programme across 

districts 

2.4.3 

Implementation of School Health 

Programme by districts. 

2.4.4 Monitor progress and quality of services. 

2.5 Infant and Young Child Feeding/IYCF 

2.5.1 


IYCF. 

2.5.2 


IYCF across districts 

2.5.3 



2.6 

Care of Sick Children and Severe 

Malnutrition at facilities 

2.6.1. Prepare and disseminate guidelines. 

2.6.2 


care of sick children and severe 

malnutrition at FRUs, across districts 

2.6.3 Implementation of activities in districts. 

2.6.4 



2.7 

Management of Diarrhoea, ARI and 

Micronutrient malnutrition 

- 107 - 

Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

Remarks 

/ 

Justificati 

on 

0.50 0.00 0.00 0.50 1.00 0.00 0.00 0.50 0.50 1.00 1.50 

0.00 0.00 0.33 0.75 0.33 0.75 0.66 1.50 1.33 3.00 


- 108 - 


Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

2.8 Other strategies/activities 0.00 0.00 1.87 8.23 1.87 8.23 1.87 8.23 5.60 24.70 

Remarks 

/ 

Justificati 

on 

Sub-total Child Health 0.00 0.00 2.70 9.98 2.20 8.98 3.03 10.23 7.93 29.20 

3 FAMILY PLANNING 

3.1 Terminal/Limiting Methods 

3.1.1 

3.1.2 

3.1.3 

Dissemination of manuals on sterilisation 

standards & quality assurance of 

sterilisation services 

Prepare operational plan for provision 

of sterilisation services at facilities 

Implementation of sterilisation services 

by districts 

3.1.3.1 Organise female sterilisation camps 

3.1.3.2 Organise NSV camps 

3.1.3.3 Compensation for female sterilisation 

3.1.3.4 Compensation for NSV Acceptance 

3.1.4 

Accreditation of private providers to 

provide sterilisation services 

3.1.4.1 Compensation for female sterilisation 

3.1.4.2 Compensation for male sterilisation 

3.2 Spacing Methods 

3.2.1 

3.2.1.1 

3.2.2 

Implementation of IUD services by 

districts. 

Provide IUD services at health facilities / 

compensation 

Accreditation of private providers to 

provide IUD insertion services 

3.2.3 Social Marketing of contraceptives 

3.3 POL for Family Planning/ Others 

3.4 Repairs of Laparoscopes 

1.65 3.72 1.65 3.72 1.65 3.72 1.65 3.72 6.62 14.89 


Last year's 

training will 

be carried 

over 

Last year's 

fund will 

also be 

carried over 

Performa 

nce 

based 

reward 


- 109 - 


3.5.1 

4 

Monitor progress, quality and utilisation 

of services (both terminal and spacing 

methods) including complications / 

deaths / failure cases. 

Note: cost of insurance / failure and 

death compensation NOT to be 

booked here 

Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

0.00 0.00 1.05 2.37 1.05 2.37 1.05 2.37 3.16 7.10 

Sub-total Family Planning 1.65 3.72 2.71 6.09 2.71 7.09 2.71 8.09 9.77 24.99 

Sub-total Sterilisation Compensation 

and NSV Camps 

ADOLESCENT REPRODUCTIVE AND 

SEXUAL HEALTH / ARSH 

4.1 Adolescent friendly services 

4.1.1 Disseminate ARSH guidelines. 

4.1.2 

Prepare operational plan for ARSH 

services across districts 

4.1.3 Implement ARSH services in districts. 0.00 0.00 1.00 2.00 0.00 0.00 0.00 0.00 1.00 3.00 

4.1.3.1 

Setting up of Adolescent Clinics at 

health facilities. 

4.1.4. 


of services. 

4.2 Other strategies/activities 

Sub-total ARSH 0.00 0.00 1.00 1.00 0.00 1.00 0.00 1.00 1.00 3.00 

5 URBAN RCH 

5.1 Urban RCH Services 

5.1.1 

Identification of urban areas / mapping 

of urban slums 

5.1.2. Prepare operational plan for urban RCH 

5.1.3 

Implementation of Urban RCH plan/ 

activities 

5.1.3.1 

Recruitment and training of link workers 

for urban slums 

5.52 22.08 5.52 22.08 5.52 22.08 5.52 22.08 22.08 88.32 

Remarks 

/ 

Justificati 

on 

for FP 

perform 

ance & 

procure 

ment of 

drugs 


- 110 - 


5.1.3.2 

Strengthening of urban health posts 

and urban health centres 

5.1.3.3 Provide RCH services (please specify) 

5.1.4 


of services. 

Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

5.2 Other Urban RCH strategies/activities 

Sub-total Urban Health 5.52 22.08 5.52 22.08 5.52 22.08 5.52 22.08 22.08 88.32 

6. TRIBAL RCH 

6.1 Tribal RCH services 

6.1.2 Prepare operational plan for tribal RCH 

6.1.3 Implementation of Tribal RCH activities 0.00 2.82 0.00 2.82 0.00 2.82 0.00 2.82 0.00 11.28 

6.1.4 


of services. 

6.2 Other Tribal RCH strategies/activities 

Sub-total Tribal Health 0.00 2.82 0.00 2.82 0.00 2.82 0.00 2.82 0.00 11.28 

7 VULNERABLE GROUPS 

Other vulnerable communities not 

covered by Urban and Tribal RCH such 

as salt pan workers, migrants etc. 

7.1 Services for Vulnerable groups 

7.1.1 Mapping of vulnerable groups 

7.1.2 

Prepare operational plan for vulnerable 

groups 

7.1.3 Implementation of RCH activities 


Sub-total Vulnerable Groups 0.00 0.00 0.00 6.26 0.00 0.00 0.00 6.26 0.00 12.52 

8 INNOVATIONS/ PPP/ NGO 

8.1 PNDT and Sex Ratio 

8.1.1 Operationalise PNDT Cell 

8.1.2 

Orientation of programme managers 

and service providers on PC & PNDT Act 

8.1.3 Monitoring of Sex Ratio at Birth 

8.1.4 Other PNDT activities (please specify) 

8.2 Public Private Partnerships 

8.3 NGO Programme 

8.4 Other innovations (if any) 

Sub-total Innovations/ PPP/ NGO 0.00 

9 INFRASTRUCTURE AND HUMAN 

Remarks 

/ 

Justificati 

on 


- 111 - 


Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

RESOURCES 

9.1 Contractual Staff & Services 

9.1.1 ANMs 36.00 98.10 36.00 98.10 36.00 98.10 36.00 98.10 144.00 392.40 

9.1.2 Laboratory Technicians 4.08 9.69 4.08 9.69 4.08 9.69 4.08 9.69 16.32 38.76 

9.1.3 Staff Nurses 17.73 54.00 17.73 54.00 17.73 54.00 17.73 54.00 70.92 216.00 

9.1.4 

Specialists (Anaesthetists, 

Paediatricians, Ob/Gyn, Surgeons, 

Physicians) and doctors 

20.01 70.37 20.01 70.37 20.01 70.37 20.01 70.37 80.04 281.46 

9.1.5 Others (specify) 52.98 107.79 52.98 107.79 52.98 107.79 52.98 107.79 211.93 431.16 

9.1.6 

Incentive/ Awards etc. to ASHA Link 

worker/ SN/ MOs etc. 

9.2 Major civil works (extensions/additions) 

9.3 

9.4. 

9.4.1 

9.4.2 

FRUs 

24x7 PHCs 

For SNCU/NBSU (to be mentioned 

separately from FRU above) 

Minor civil works (repair and 

renovation) 

FRUs 0.00 0.00 0.00 0.00 2.00 7.50 2.00 7.50 4.00 15.00 

24x7 PHCs 0.00 0.00 0.00 0.00 5.00 6.50 5.00 6.50 10.00 13.00 

Infrastructure- MH: Maternity wards, 

labour rooms 

Infrastructure: SNCU/NBSU/NBCC 

Sub-centre delivery points 

Operationalise Infection Management 

& Environment Plan at health facilities 

(details of training, equipment, drugs 

and supplies, under sections 11 and 13) 

Organise dissemination workshops for 

IMEP guidelines 

Prepare plan for operationalisation 

across districts (including staffing, 

infrastructure, training, equipment, 

drugs & supplies, etc.; cost of plan 

Remarks 

/ 

Justificati 

on 

69 

MPHW+ay 

ush 

Rs 15 lakhs 

of last year 

approved 

fund 

committed 


- 112 - 


9.4.3 

meeting to be kept) 


with training, procurement, etc 

9.5 Other activities (pl. specify) 

Sub-total Infrastructure and Human 

Resources 

10 INSTITUTIONAL STRENGTHENING 

10.1 Human Resources System Strengthening 

10.1.1 Mapping of human resources done 

10.1.2 

10.1.3 

10.1.4 

10.1.5 

Transfer and cadre restructuring policy 

developed 

Performance appraisal and reward 

system developed 

Incentive policies developed for 

posting in under-served areas 

Management Development 

Programme for Medical Officers 

10.1.6 Other activities (please specify) 

10.2 Logistics management/ improvement 

10.2.1 

10.2.2 

Review of logistics management system 

done 

Other logistics activities (please specify) 

Note: cost of construction / renovation 

of warehouse may be budgeted under 

Mission flexi pool 

10.3 Monitoring & Evaluation / HMIS 

10.3.1 

Strengthening of M&E Cell inclduing 

development of comprehensive M&E 

system 

10.3.2 Printing of formats 

10.3.3 Other M&E activities (please specify) 

10.4 Sub-center rent 

10.5 

10.5.1 

Other strategies / activities (please 

specify) 

Strengthening Quality assurance 

systems for RCH 

Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

346.95 134.30 346.95 134.30 346.95 134.30 346.95 134.30 346.95 537.21 1387.78 

Remarks 

/ 

Justificati 

on 

Sub-total Institutional Strengthening 0.00 


- 113 - 


Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

Remarks 

/ 

Justificati 

on 

11. TRAINING 

11.1 

Strengthening of Training Institutions 

(SIHFW, ANMTCs, etc.) 

11.1.1 

Carry out repairs/ renovations of the 

training institutions 

11.1.2 

Provide equipment and training aids to 

the training institutions 

11.1.3 

Developing systems for monitoring & 

evaluations of training programmes. 

11.1.4 Other activities (pl. specify) 

11.2 Development of training packages 

11.2.1 

Development/ translation and 

duplication of training materials 

11.2.3 Other activities (pl. specify) 

11.3 Maternal Health Training 

11.3.1 Skilled Attendance at Birth / SBA 

11.3.1.1 Setting up of SBA Training Centres 

11.3.1.2 TOT for SBA 

11.3.1.3 

Training of Medical Officers in 

Management of Common Obstetric 

Complications (BEmOC) 

0.00 0.00 0.00 46.45 0.00 0.00 0.00 12.55 0.00 59.00 

0.00 0.00 0.00 0.00 

11.3.1.4 Training of Staff Nurses in SBA 2.22 2.22 2.22 6.67 

11.3.1.5 Training of ANMs / LHVs in SBA 0.00 0.00 0.00 

11.3.1.5.6 Training of Ayush Doctors in SBA 1.43 1.43 1.43 4.29 

11.3.2 EmOC Training 0.00 0.00 0.00 

11.3.2.1 Setting up of EmOC Training Centres 0.00 0.00 0.00 

11.3.2.2 TOT for EmOC 0.00 0.00 0.00 

11.3.2.3 Training of Medical Officers in EmOC 1.75 1.75 1.75 5.24 

11.3.3 Life saving Anaesthesia skills training 0.00 0.00 0.00 

11.3.3.1 

Setting up of Life saving Anaesthesia 

skills Training Centres 

0.00 0.00 0.00 

11.3.3.2 TOT for Anaesthesia skills training 0.00 0.00 0.00 

11.3.3.3 

11.3.4 

Training of Medical Officers in life saving 

Anaesthesia skills 

Safe abortion services training 

(including MVA/ EVA and Medical 

0.00 0.00 0.00 

0.00 0.00 0.00 

Training to 

be done 

from last 

year's fund 


- 114 - 


Rate 

(Rs./Unit) 

High 

focus 

districts 



abortion) 

11.3.4.1 TOT on safe abortion services 0.00 0.00 0.00 

11.3.4.2 

Training of Medical Officers in safe 

abortion 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

0.00 0.00 0.00 

11.3.5 RTI / STI Training 0.00 0.00 0.00 

11.3.5.1 TOT for RTI/STI training 0.00 0.00 0.00 

11.3.5.2 

Training of laboratory technicians in 

RTI/STI 

0.00 0.00 0.00 

11.3.5.3 Training of Medical Officers in RTI/STI 0.00 0.00 0.00 

11.3.5.4 Training of Staff Nurses in RTI/STI 0.00 0.00 0.00 

11.3.5.5 Training of ANMs / LHVs in RTI/STI 0.00 0.00 0.00 

11.3.6 Other maternal health training 0.00 0.00 0.00 

11.3.6.1 

24x7 identified PHCs MBBS Doctors 

training on BEmOC 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

0.00 0.00 0.00 0.00 

11.3.6.2 Blood Storage training of MBBS Doctors 0.12 0.12 0.12 0.35 

11.3.6.3 

Blood Storage training of Lab. 

Technicians 

0.07 0.07 0.07 0.21 

11.4 IMEP Training 0.00 0.00 0.00 

11.4.1 TOT on IMEP 0.00 0.00 0.00 

11.4.2 

IMEP training for state and district 

programme managers 

0.00 0.00 0.00 

11.4.3 IMEP training for medical officers 0.20 0.20 0.20 0.59 

11.5 Child Health Training 0.00 0.00 0.00 

11.5.1 

11.5.1.1 

IMNCI & F-IMNCI Training (pre-service 

and in-service) 

TOT on IMNCI (pre-service and inservice) 

0.00 0.00 0.00 

0.00 0.00 0.00 

11.5.1.2 IMNCI Training for ANMs / LHVs 0.00 0.00 0.00 

11.5.1.3 IMNCI Training for Anganwadi Workers 0.00 0.00 0.00 

11.5.1.4 TOT on F-IMNCI 0.00 0.00 0.00 

11.5.1.5 F-IMNCI Training for Medical Officers 1.81 1.81 1.81 5.44 

11.5.1.6 F-IMNCI Training for Staff Nurses 2.46 2.46 2.46 7.38 

11.5.1.7 Pre-IMNCI traning for undergraduates 1.04 1.04 1.04 3.11 

11.5.2 

Facility Based Newborn Care / FBNC 

(any SNCU training) 

0.00 0.00 0.00 

11.5.2.1 TOT on FBNC 0.00 0.00 0.00 

Remarks 

/ 

Justificati 

on 

Training to 

be carried 

over with 

last year's 

fund 


- 115 - 


Rate 

(Rs./Unit) 

High 

focus 

districts 



11.5.2.2 Training on FBNC for Medical Officers 0.00 0.00 0.00 

11.5.2.3 Training on FBNC for SNs 0.00 0.00 0.00 

11.5.3 Home Based Newborn Care / HBNC 0.00 0.00 0.00 

11.5.3.1 TOT on HBNC 0.00 0.00 0.00 

11.5.3.2 Training on HBNC for ASHA 0.00 0.00 0.00 

11.5.4 

11.5.4.1 

11.5.4.2 

11.5.5 

Care of sick children and severe 

malnutrition at FRUs 

TOT on Care of sick children and severe 

malnutrition 

Training on Care of sick children and 

severe malnutrition for Medical Officers 

Other child health training (please 

specify) 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

0.00 0.00 0.00 

0.00 0.00 0.00 

0.00 0.00 0.00 

0.00 0.00 0.00 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

11.5.5.1 NSSK Training 0.00 0.00 0.00 

11.5.5.1.1 TOT for NSSK 0.00 0.00 0.00 

11.5.5.1.2 NSSK Training for Medical Officers 0.00 0.00 0.00 

11.5.5.1.3 NSSK Training for SNs 0.92 0.92 0.92 2.75 

11.5.5.1.4 NSSK Training for ANMs 0.00 0.00 0.00 

11.5.5.2 Other Child Health training 0.00 0.00 0.00 

11.6 Family Planning Training 0.00 0.00 0.00 

11.6.1 Laparoscopic Sterilisation Training 0.00 0.00 0.00 

11.6.1.1 TOT on laparoscopic sterilisation 0.00 0.00 0.00 

11.6.1.2 

Laparoscopic sterilisation training for 

doctors 

0.00 0.00 0.00 

11.6.2 Minilap Training 0.00 0.00 0.00 

11.6.2.1 TOT on Minilap 0.00 0.00 0.00 

11.6.2.2 Minilap training for medical officers 0.00 0.00 0.00 

11.6.3 Non-Scalpel Vasectomy (NSV) Training 0.00 0.00 0.00 

11.6.3.1 TOT on NSV 0.00 0.00 0.00 

11.6.3.2 NSV Training of medical officers 0.26 0.26 0.26 0.78 

11.6.4 IUD Insertion 0.00 0.00 0.00 

11.6.4.1 TOT for IUD insertion 0.00 0.00 0.00 

11.6.4.2 

Training of Medical officers in IUD 

insertion 

3.31 3.31 3.31 

11.6.4.3 Training of staff nurses in IUD insertion 10.76 10.76 10.76 32.29 

11.6.4.4 Training of ANMs / LHVs in IUD insertion 0.00 0.00 0.00 

11.6.5 Contraceptive update/ISD Training 0.00 0.00 0.00 

11.6.6 Other family planning training (please 0.00 0.00 0.00 

9.94 

Remarks 

/ 

Justificati 

on 


- 116 - 


Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

specify) 

11.7 

Adolescent Reproductive and Sexual 

Health/ARSH Training 

0.00 0.00 0.00 

11.7.1 TOT for ARSH training 0.63 0.63 0.63 1.88 

11.7.2 

Orientation training of state and district 

programme managers 

0.00 0.00 0.00 

11.7.3 ARSH training for medical officers 0.00 0.00 0.00 

11.7.4 ARSH training for ANMs/LHVs 1.67 1.67 1.67 5.00 

11.7.5 ARSH training for AWWs 0.00 0.00 0.00 

11.8 

Programme Management Training (e.g. 

M&E, logistics management, HRD etc.) 

0.00 0.00 0.00 

11.8.1 

Training of SPMSU staff (pls add rows to 

specify type of training) 

0.00 0.00 0.00 

Exposure cum training visit outside State 1.00 1.00 1.00 3.00 

11.8.2 

Training of DPMSU staff (pls add rows to 

specify type of training) 

0.00 0.00 0.00 

11.9 Other training (pl. specify) 0.00 0.00 0.00 

11.9.1 

Postgraduate Diploma in Public Health 

Management (PGDPHM) for MBBS 

Doctors: 

1.67 1.67 1.67 5.00 

11.9.2 Financial Training for Mos 0.08 0.08 0.08 0.241 

Finance training for block and phc 

11.9.3 

0.20 0.20 0.20 

accountants 

0.595 

11.9.4 Tally Reorientation training 0.52 0.52 0.52 1.545 

Training of AYUSH and Allopathic 

11.9.5 

3.44 3.44 3.44 

Manpower 

10.328 

BASIC EMERGENCY CARE COURSE 

11.9.6 

3.33 3.33 3.33 

(BECC) 

10 

11.9.1 

Continuing Medical and Nursing 

Education 

Remarks 

/ 

Justificati 

on 

Sub-total Training 0.00 0.00 0.00 0.00 85.32 0.00 38.87 0.00 51.40 0.00 175.61 

12 BCC / IEC 

12.1 Strengthening of BCC/IEC Bureaus 

12.2 Development of State BCC strategy 

12.3 Implementation of BCC strategy 

12.3.1 BCC/IEC activities/campaigns for 



maternal health 

12.3.1.1 

CC/IEC activities for maternal health 

intervention (except JSY) 

12.3.1.2 BCC/IEC activities for JSY 

12.3.2 

BCC/IEC activities/campaigns for child 

health 

12.3.3 

BCC/IEC activities/campaigns for family 

planning 

12.3.4 BCC/IEC activities/campaigns for ARSH 

12.4 Any other activities (please specify) 

Sub-total BCC/ IEC 

13 PROCUREMENT 

13.1 Procurement of Equipment 

13.1.1 

13.1.2 

13.1.3 

Procurement of equipment for Maternal 

Health 

Procurement of equipment for Child 

Health 

Procurement of equipment for Family 

Planning 

13.1.4 Procurement of equipment for IMEP 

13.2 Procurement of Drugs and supplies 

13.2.1 

Procurement of drugs and supplies for 

maternal health 

13.2.2 


child health 

13.2.3 


family planning 

13.2.4 Procurement of supplies for IMEP 

13.2.5 

Procurement of general drugs and 

supplies for health facilities 

Sub-total Procurement 

14 PROGRAMME MANAGEMENT 

14.1 

Strengthening of State society/ State 

Programme Management Support Unit 

Rate 

(Rs./Unit) 

- 117 - 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

Remarks 

/ 

Justificati 

on 


- 118 - 


14.1.1 

14.2 

14.2.1 

14.3 

Contractual Staff for SPMSU recruited 

and in position 

Strengthening of District society/ District 

Programme Management Support Unit 

Contractual Staff for DPMU & BPMU 

recruited and in position 

Strengthening of Financial Management 

systems 

14.3.1 Training in accounting procedures 

Rate 

(Rs./Unit) 

High 

focus 

districts 



State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 

High 

focus 

districts 

State 

Total 


(Rs. Lakhs) 

High 

focus 

districts 

State Total 

13.98 31.46 13.98 31.46 13.98 31.46 13.98 31.46 55.93 125.84 

55.86 125.69 55.86 125.69 55.86 125.69 55.86 125.69 223.44 502.74 

14.3.2 Audits 

14.3.2.1 Annual audit of the programme 0.00 0.00 0.00 4.00 0.00 0.00 0.00 0.00 0.00 4.00 

14.3.2.2 Concurrent audit 1.00 3.00 1.00 3.00 1.00 3.00 1.00 3.00 4.00 12.00 

14.3.3 

Operationalise E-banking system upto 

district levels 

14.4 Other activities 0.00 0.00 1.00 1.67 1.00 1.67 1.00 1.67 3.00 5.00 

14.4.1 

Provision of equipment/furniture and 

mobility support for SPMSU staff 

14.4.2 

Provision of equipment/furniture and 

mobility support for SPMSU staff 

Remarks 

/ 

Justificati 

on 

Reflected 

in training 

part 

Sub-total Programme Management 70.84 160.15 71.84 165.81 71.84 161.81 71.84 161.81 286.37 649.58 

TOTAL RCH II FLEXIPOOL 236.72 618.79 242.47 729.38 241.64 678.32 242.47 698.38 963.31 2,724.87 

TOTAL RCH II DEMAND SIDE 

GRAND TOTAL 236.72 618.79 242.47 729.38 241.64 678.32 242.47 698.38 963.31 2,724.87 


119 

PART-B 

NRHM FLEXI POOL 


120 

B1 

ASHA INITIATIVE 

B1.1 Selection &training of ASHA 

Regarding new ASHAs selection, eight Districts have proposed additional ASHAs for the 

year 2011 -12. But as per the guideline of GoI, (one ASHA per1000 population) the ASHAs 

in the respective districts has already been in place. There are 2391 villages in the State 

as per 2001 census and small hamlets in the hilly region, therefore the state decided not 

to select any more ASHAs in the state for the present. 

B1.1.1 ASHA Training Budget 

Table: Budget for DToT on ASHA Module 6 & 7 at State Level. (2 nd Round) 

Sl.No Particulars Budget Details Rs.in lakh 

1 Trg. Materials @Rs.100 X 72 (including SAMG Members) 0.07 

2 Honorarium of SToT @Rs.500 per head per day x 4 x 8 days X 2 

0.32 

batches 

3 TA/DA for DTs @Rs.500 per day x 72 DT & SAMG x 8 days 2.88 

4 Working lunch and Tea & @ Rs.150 x 72 (DT & SAMG) x 8 days 0.86 

Snacks including drinking 

water 


Total 4.43 

Table: Budget for DToT on ASHA Module 6 & 7 at State Level. (3 rd Round) 

Sl.No Particulars Budget Details Rs.in Lakh 

1 Trg. Materials @Rs.100 X72 (including SAMG Members) 0.07 

2 Honorarium of SToT @Rs.500 per head per day x 4 x 8 days X 2 

0.32 

batches 

3 TA/DA for DTs @Rs.500 per day x 72 DT & SAMG x 8 days 2.88 

4 Working lunch and Tea & @ Rs.150 x 72 (DT & SAMG) x 8 days 0.86 

Snacks including drinking 

water 


Total 4.43 


121 

B1.1.2 Budget for ASHA level Training on ASHA Module 6 & 7 at district/Block Level (2 nd , 3 rd and 

4 th Round) 

Table: Budget for ASHA at District/Block level Training on ASHA Module 6 & 7 (2 nd , 3 rd and 4 th 

Round) 

SN Particulars Budget Details Rs.in Lakh 

1 Honorarium of District Trainers 

2 TA of ASHAs (Valley District) 

TA of ASHAs (Hill District) 

3 Contingencies at 6% of(Honorarium and TA) 

4 Lunch & tea including drinking water /DA 

@Rs.300 per head per day 

x 62 x 5 days x 3 round 

@Rs.100 x 1360 x 5days x 3 

round 

@Rs.150 x 2518 x 5days x 3 

round 

@Rs.100 per head per day 

x 3878 x 5 days x 3 round 

5 Training Materials @Rs.50 per head x 3878 

Total 

2.79 

20.40 

56.65 

4.80 

58.17 

1.94 

144.74 

The District Training of Trainers on ASHA Module 6 &7 has already completed for 1 st 

round in two batches. Altogether 62 DTs were selected from 9 districts in the state. Now 

the 1 st Round ASHA training on module 6 & 7 is started to all districts and in coming 2011 

– 12, the remaining 2 nd , 3rd and 4rd round will be conducted. 

B1.2 Procurement of ASHA Drug Kit 

Regarding the ASHA drug kit the state has already under process for procurement for 

the year 2010 – 11, Therefore, the state proposed additional drugs for the year 2011 – 

12.The following List of drug items worth Rs. 950 /- per ASHA for the year 2011 -12, to be 

one time procured at State Level and will be replenished by half yearly through Block 

ASHA Day. 

Table: List of Drug Kits for ASHA for the year 2011 -12: 

Sl. No. 

1 DDK (Disposable Drug Kits) 

2 T.Paracetamol 

3 T.IFA (L) 

4 T.IFA (S) 

5 Povidone ointment (50 gm) 

6 ORS Pkt. (1 lit.) 

7 Spirit (30 ml) 

8 Soap cake 

9 Cotton (500gm) 

10 Bandage (6 cm x 4m) 

11 AYUSH Preparation 

Items/Particulars 

Total budget proposed for ASHA Drug Kits = 950X 3878= 36.84 Lakh. 


122 

B1.3 Incentive to ASHA under JSY 

Single window payment of incentives to ASHAs. It is felt that, the ASHAs should not run to 

different counters for getting their incentive. Hence, it is proposed that a certain 

amount of integrated fund should be collected at State level and kept in advance in 

the CHCs/PHCs from where the ASHAs can collect the incentive from concerned PHC 

(Accountant/Block Finance Manager) while attending the Block/PHC Level ASHA Day/ 

meeting. The advance money is to be replenished by the State once the utilization rate 

is >50%. 

Accompanying pregnant women for Institutional Delivery Rs.200 (Urban Area) 600 (Rural 

Area) JSY. The required budget for the activity is reflected at Part-A: Maternal Health 

B1.4 Incentive under family Planning 

ASHA will be paid Rs.200 and Rs.150 for accompanying male and female sterilization. 

Required budget is reflected at Part-A: Family Planning 

B1.5 Incentive under Child health 

• Social mobilization of pregnant women & children for immunization during VH&ND, 

Rs.150, (routine Immunization strengthen under Part C of NRHM). 

• Giving 5 post natal visit including first within first 2 hours of birth (Rs.200 child health 

under Part A of NRHM). 

B1.6 Other Incentives to ASHA 

• Site arrangement for holding monthly VH&ND, (Rs.100, Village untied fund under part 

B of NRHM). 

• Completing DOTS course as observer/depot holder Rs.250 (RNTCP under part D of 

NRHM). 

• Providing radical treatment for Pf+ cases diagnosed by using RDK Rs.25 maximum of 

100 per month (NVBDCP under part D of NRHM). 

• Mobilization for Cataract Operation Rs.175,(NPCB under part D of NRHM) 

• IPPI operating cost per day,Rs.75 Intensified (pulse Polio Immunization) 

• Timely reporting of births and deaths to ANM/MO Rs.10 (Part B of NRHM) 

• Motivating BPL families for sanitary toilet (Rs.50 Total sanitation campaign) 

B1.7 Other ASHAs 

B1.7.1 & 2: Establishment of ASHA Support System (ASHA Mentoring Group) 

The state ASHA Mentoring Group was formed in 2009- 10 with 10 members. The regular 

quarterly meetings were held. The members have monitoring field visit and interact with 

ASHAs and find out the actual constraints of ASHAs in the field and during the quarterly 

AMG meeting the members put up the challenges/constraints of ASHAs in the field and 

discussed among the members. Now the state has identified the point Person State 

ASHA Nodal officer and State Community mobilization, RRC for further hand holding 

support. For any updating in regard to ASHA module and activities share to all the AMG 

members for feedback. 

Table: Budget for AMG, 2011 – 12: 

Sl.No Details Budget details Rs.in Lakh 

1 AMG Meeting(including TA/DA) @Rs.40000 X 4 1.60 

2 Field Visit of AMG members @Rs.4000 X 10 X 4 1.60 

Total 3.20 


123 

Regarding the field visit TA/DA @ 4000 of AMG members will reimburse as per the actual 

expenses. As of today the State ASHA Mentoring group consultation meeting has been 

conducted up to 6 th round and in next year 2011 – 12, also the state again proposes the 

regular and quarterly SAMG Consultation meeting. 

The Key outcomes of the SAMG Meeting: 

As recommended by the SAMG members, the state has converted into action 

i,e ,Cluster Mapping of ASHA in Block level, O & G departmental staffs orientation 

regarding the ASHA recognition, ASHA Stay facility Cum Help Desk at DHs,CHCs and 

SDH.As of now the state has identified four district (IE,IW,BPR and UKL) for the said 

program and already done the orientation with the concern districts officials. Further the 

SAMG members have recommended regarding ASHA - JSY (Rs.600) break up like Rs.200 

after ANC, Rs.200 during Institutional delivery accompanied and Rs.200 after PNC. 

B1.7.3 – 7 

ASHA Resource Centre (ARC) 

It is felt that, ASHAs need someone to guide them at field so that she can perform better 

and need not come to far off PHC / CHC all the time to get clarification/guidance on 

the field level constraints/problems. So, with an aim to boost the performances of 

ASHAs, it is proposed to establish a State ASHA Resource Centre and ASHA support 

systems at District and Block level. The State ASHA Resource Centre may engage on 

contractual basis the State ASHA Program Manager is not included in the PIP because 

the State Nodal Officer (SNO) will look after the entire ARC with support of Community 

Mobilizer, RRC –NE States and SPMU staffs. 

One Data Assistant at the District level one District Community Mobilizer may be 

engaged on contractual basis in all the Districts. The office maintenance fund and 

TA/DA of the District ASHA Support System are to be borne from the District Program 

Management Cost. At the Block level, Block ASHA Nodal Officer will be identified from 

the existing staff by the MO i/c of the Block level CHC/PHC concerned. Further, ASHA 

facilitator approximately for every 25 ASHAs will be engaged. They will be necessarily 

female These ASHA facilitators would meet the identified ASHAs, 2 – 3 times a month so 

as to give them the expected hand holding support. She again has to participate in the 

Block ASHA Day being observed in the PHCs. In the meeting, the facilitator will record all 

the activities, which are performed by ASHAs and also will ask them to carry out some 

specific tasks of importance. The facilitator’s report will be shared at the monthly block 

level meeting with the Block Medical Officer as well as with the Block Program 

Manager. In the monthly block level sharing, the facilitators will share their findings in 

presence of district officials, responsible for ASHA program implementation. The block 

level findings of the meeting would be shared in the bi-monthly district level meeting of 

all BPMs, MOs for taking up further necessary action. It is proposed to give Rs. 1,000/- to 

the facilitators per month and over and above Rs. 150/- per visit for maximum 20 visits 

per month. Based on the calculation of one facilitator for every 20 ASHAs, it is estimated 

that 194 facilitators are needed to cover 3878 ASHAs. The ASHAs will also be guided by 

facilitator on how to fill up ASHA Diary, which has been already distributed to all ASHAs. 

At the district level, the District Community Mobiliser will guide the block level officials 

(MOs, BPMs) so that they in turn can truly support facilitators. The State ASHA Program 

Manager will also make monthly field visit so as to understand the field situation and also 

to guide facilitators / ASHAs in the field. This year the State ASHA Program Manager is 

not included in the PIP because the State Nodal Officer (SNO) will look after the entire 

ARC with support of Community Mobilizer, RRC –NE States and SPMU staffs. 


124 

Table: Budget for ARC State level: 

Sl.No 

1 

2 

3 

4 

STATE LEVEL 

No of 

Particulars 

post 

Data Assistant (2 years experience with 

BCA/DOEA”A”/PGDCA/Comp Sc.) 

01 

State level Office expenses (telephone, 

fax,photocopy,stationaries,Development of 

IEC and Monitoring materials,priting)M&E, 

Documentation,exposervisits,Worshops, 

Seminars, Meetings etc. 

3 (three) Laptop for state level staffs (SNO – 

Budget 

5,500 fixed pay + 

performance based 

incentive up to 3250 

Rs.in lakh 

ASHA,Community Mobilizer, Data Assistant) 1.50 

1(one) Vehicle (Bolero)will be engaged for ARC 

,regular field visit monitoring by the State 

2.70 

officials 1 270000 

0.79 

1.15 

Table: Budget for ARC District/Block level: 

Total 6.14 

Sl. No 

1 

2. 

3. 

Particulars 

District Community Mobilizer 

(MSW/MA Social Science and 

Rural Development with 

Experience in 2 years in 

community development 

projects) 

Block ASHA facilitators(Local 

residence,XII std.,female having 

good communication skills 

20 ASHAs per facilitator 

District level Office expenses 

photocopy,stationaries,priting, 

Worshops,Seminars,Meetings etc. 

DISTRICT /BLOCK LEVEL 

Nos. of 

Budget 

post 

5500.00 fixed pay + 

performance base 

incentive up to 

9 6500.00 

Total 

194 ASHA 

Facilitator 

s 

BAF@ 1,000 fixed pay 

+ performance base 

incentive up to 3000/- 

(Rs.150 /-per field visit 

day up to a maximum 

of 20 visit –day per 

month) 

Rs.in Lakh 

9.72 

69.84 

1.0 

80.56 

Table: Budget for Newly selected ASHA Resource centre staffs Orientation (District Community 

Moralizer) - 1 Day State ToT: 

Sl. No Particulars Budget Details Rs.in Lakh 

1 Trg. Materials @Rs 100.X 9 0.09 

3 Honorarium of trainers @Rs.500 per head per day x 3 x 1 

0.015 

day 

4 TA @Rs.300 per head per day x 9 x 1 

0.027 

day 

5 Contingencies 

0.30 

(including 

water,lunch,tea and 

snacks) 

Total 0.43 


125 

Table: Budget for Newly selected ASHA Resource centre staffs (ASHAs Facilitators at District level 

- 1 Days orientation) 

Sl.No Particulars Budget Details Rs.in Lakh 

1 Trg. Materials @Rs 50.X194 0.10 

2 TA/DA @Rs.150 x 194 0.29 


Total 0.84 

All the trained District community Mobilizer will be trained to all the ASHAs facilitators in 

the District/ blocks level. 

Monthly Meeting: 

Monthly meeting with ANM, District Community Mobilizer, ASHA facilitator & ASHAs at 

Sub Centers and PHC/CHCs on regular basis will be at districts. The meetings will 

organized by District Community Mobilizer. 

Bi - Monthly Meeting: 

Regular bi - monthly meeting to be conducted with DNO – ASHAs, District Community 

Mobilizer & ASHA facilitator 

Quarterly Meeting: 

Quarterly meeting with SNO – ASHA, Consultant Community Mobilizer - RRC, State 

Community Mobilizer at state headquarter. 

Further the SPMU (SNO – ASHA, Consultant Community Mobilization, RRC –NE states) will 

regularly monitoring /field visit the ongoing program of ASHA. 

B1.7.8 Transport package (Hill Districts) 

a. ASHA Bicycles provided for ASHAs of Valley Districts(four Districts) 

b. TA@ Rs.200 per month for ASHAs of Hilly Districts.(five districts) 

Support Mechanism (transport package) for the 5 Hill Districts will be continued. Total 

amount (TA) requirement per ASHA @ Rs.200 X 2518 X12 is Rs.60.43 Lakh. 

B1.7.9 Performance base prize for ASHA 

As per the performance related incentive the state has plan to select the best ASHA for 

award. The prize will be from the budget allocated Rs. 10,000 for each ASHA for the 

purpose. The main objective of best ASHA selection is 

i. The peoples can understand the real service and enthusiasm of ASHA in the 

field. 

ii. to understand the success of ASHAs and constraints 

iii. to extend their best help for their better performances 

iv. Mutual learning platform for the ASHAs 

The prize as per the selected list: 

• 1 st best ASHA Rs.7,000, 

• 2 nd best ASHA Rs.5,000 

• 3 rd best ASHA Rs. 3,000 

The total amount required for the prize = Rs 0.15 


126 

Criteria for best ASHAs selection in the state 

• Highest number of pregnant women escorted for full ANC ,institutional delivery 

&PNC 

• Highest number of fully immunized children escorted by ASHA. 

• Highest number of organized VH&ND organized. 

B1.7.10 Monitoring field visit for ASHA and stay facility cum help Desk: 

ASHA Stay facility has already been introduced in the 4 districts in the state and in the 

year 2011 -12 the state has decided to establish to all 9 districts of CHC, DHs and SDH, in 

the state. The supervision/monitoring visit from the State will be done for hand holding 

support and streamlining the ASHA initiative. For this monitoring field visit the budget is 

required Rs.0.90 lakh 

B1.7.11 Printing of ASHA Pass Book for the year 2011 – 12: 

The ASHAs Diaries has been printed last year (2009 -10), but for the year 2010 -11 the 

ASHA Diary does not print because as per SPMU monitoring field visit 80% of ASHAs not 

found to fill up the diary properly as well as most of the ASHAs complained that the 

present ASHA diary that state has provided could not fill up due to more complicated 

part on it. The State decided to modify the ASHA diary in easiest way that ASHA can fill 

up properly. The total cost for printing is @ Rs.100 per Pass book X 4000 copies is Rs 4.0 

Lakh 

B1.7.12 Communication Kit for ASHA: 

As ASHAs in the State have been trained on various issues related to NRHM, maternal 

and newborn health, child health and nutrition and on selected infectious diseases. It is 

proposed to provide innovative communication kit containing various materials on 

above mention issues on which they have trained. The kit will consist of flip 

books/pocket books, posters, play card or any other innovative materials etc. that 

ASHA will be able to use effectively in the field in providing messages to the community 

on various health issues. State will engage organizations/agencies having capacity to 

do the work, which includes concept development, layout and designing (with final 

product) and printing. Preference will be given to the organization/organization with 

individuals with relevant expertise. 

Budget: Developing Cost- Concept development, content development, field testing of 

content, Layout, illustration and Designing cost = Rs. 0.5, field testing and development 

of final package/production = 2.0 and printing cost = Rs.200 x 4000 = Rs.8.0.The total 

budget require is 15.0 (5 lakh + 2 lakh + 8 lakh) 

B1.7.13 Rain Coat for ASHA: 

During the field visit by ASHA in the community level especially during the rainy season 

ASHAs are facing lots of problem therefore the state has proposed ASHA rain coat in for 

the year 2011 – 12. The total cost is @ Rs.650 per rain coat X 3878 ASHAs = Rs. 25.21 

Lakh 


127 

Log frame for ASHA Timeline: 

Table: ASHA Log frame 

Sl. Issues in 

No Planning in 

ASHA 

1 Payment of 

performance 

incentives for 

ASHAs 

2 Topping-up of 

drug kits 

Current Status Activities Output to be achieved Time 

Frame for 

2011-12 

ASHAs are running 

from counter to 

counter for their 

incentive. 

Topping-up of drug 

kits done only once. 

3 SAMG Meeting Done regular 

Meeting 

Establishment of Approved during 

4 ASHA support 2010-11, but not yet 

system 

established. 

5 Orientation for 

ARC staffs 

6 Module Training 

ASHA 6 & 7 for 

DToT 

Transport 

support for 

7 ASHAs 

8 

Printing of ASHA 

Pass Book 

Certain amount of 

integrated fund shall be 

collected from State level 

POs and kept in advance in 

the PHC/Block 

Drug procured at State level 

and one time replenished 

on through ASHA Day. 

Monitoring ASHA Initiative. 

To be established with 

additional management 

cost for state and district. 

80% ASHAs collect 

their due from 

concerned PHC 

Accountant during 

monthly Block ASHA 

Day meeting 

100% ASHA will get 

Drug kits. 

Good 

ARC staffs recruitment 

Functioning of State 

ARC 

Not yet establish Streamlining ASHA Program More clear concept 

regarding their role & 

responsibilities. 

1 st round done and To give Knowledge to all 

ASHA level Module ASHAs 

Training going on 

Bi-cycles provided to 

the Valley ASHAs and 

TA of Rs. 200 per 

month to Hill based 

ASHA 

No ASHA diaries 

printed during 2010 - 

11. 

9 Communication 

Kit for ASHA 

Propose for the year 

2011 -12 

10 ASHA Best prize Propose for the year 

2011 -12 

11 Monitoring for On going 

ASHA 

ASHA Rain Coat Propose for the year 

12 

2011 -12 

Continuation of transport 

support for Hilly based ASHA 

@ Rs. 200/- per month for 

attending ASHA 

days/meetings and others 

Printing of ASHA Pass 

Book/diaries 

100% of hilly based 

ASHA will be providing 

TA 

100% ASHA will 

received pass book in 

the year 

2011 -12 

Part of refresher for module. Easily service Q1 

rendering. 

Encouragement to ASHA Pro active Q4 

Streamlining ASHA Program 

More convenience for field 

visit during rainy season 

Good 

Will received the rain 

coat 

Q1 

Q2 

Q1 - Q4 

Q1 

Q2 – Q4 

Q2 

Ongoing 

Q1 – Q4 

Q2 

Q1 –Q4 

Q1. 


128 

ASHA BUDGET FOR YEAR 2011 – 12 (Rs.in Lakh) 

FMR No. Particulars Rs.in Lakh 

B1 

B1.1.1 District Training of Trainers on ASHA Module 6 &7 (2 nd Round) 4.43 

B1.1.2 District Training of Trainers on ASHA Module 6 &7 (3 rd Round) 4.43 

B1.1.3 ASHA level Training on ASHA Module 6 & 7 (2 nd ,3 rd and 4rd Round) 144.74 

B1.1.4 Procurement of ASHA Drug Kit 36.84 

B1.7 Others 

B1.7.1 AMG Consultation Meeting 1.60 

B1.7.2 AMG Members field visit 1.60 

B1.7.3 ARC Staffs (state) 0.79 

B1.7.4 1 Vehicle outsource and State level office expenses 5.35 

B1.7.5 ARC Staffs (District) 9.72 

B1.7.6 District level office expenses 1.0 

B1.7.7 ARC Staffs (Block) 69.84 

B1.7.8 Orientation for ARC staffs (District Community Mobilizer) 0.25 

B1.7.9 Orientation for ARC staffs (Block ASHA Facilitators) 0.84 

B1.7.10 Transport Package (Hill districts ASHAs) 60.43 

B1.7.11 Performance base prize for ASHA 0.15 

B1.7.12 Monitoring field visit for ASHA 0.90 

B1.7.13 Printing of ASHA Pass Book 4.0 

B1.7.14 Communication Kit for ASHA (Illustration & Designing and printing) 15.0 

B1.7.15 Procurement of ASHA Rain Coat 25.21 

Total 387.12 


129 

B2 

UNTIED FUNDS 

In the state there is only one Sub-District Hospital at Moreh under Chandel district and 16 

CHCs. The State has 80 PHCs (7 new PHCs have been upgraded from PHSC by the 

Government of Manipur) and 420 PHSCs. The cumulative achievements so far (as on 

Dec 2010) are indicated in the given format: 

(Rs in lakh) 

Facility level 

Number of Total amount Total amount Unspent 

facilities released so far utilized 

balance 

Untied Fund for SCs 420 42 62.7% 15.65 

Untied Fund for PHCs 72 18 82.4% 14.83 

Untied Fund for CHCs 

& 1 SDHs 

16 8.5 81.4% 1.58 

Activity-1: 

Annual Untied Fund for CHCs, PHCs & Sub-Centres 

In the coming financial year 2011-12, all the 16 CHCs, 1 SDHs, 80 PHCs and 420 

PHSCs will be given annual untied fund as given below: 

1. CHC/SDH: Rs. 50,000/- (Rupees fifty thousand only) 

2. PHC: Rs. 25,000/- (Rupees twenty five thousand only) 

3. PHSC: Rs. 10,000/- (Rupees ten thousand only) 

Table: The districtwise budget for the year 2011-12 (Rs in Lakh) 

S/N 

Levels of 

facility 

IE IW TBL BPR CCP CDL SPT TML UKL Total 

1 Sub-Centre 52 51 58 36 61 27 66 29 40 420 

Budget 5.20 5.10 5.80 3.60 6.10 2.70 6.60 2.90 4.00 42.00 

2 

3 

PHC 11 8 12 5 11 5 14 6 8 80 

Budget 2.75 2.00 3.00 1.25 2.75 1.25 3.50 1.50 2.00 20.00 

CHC 2 2 5 2 1 0 2 1 1 16 

Budget 1.00 1.00 2.50 1.00 0.50 0.00 1.00 0.50 0.50 8.00 

4 SDH 0 0 0 0 0 1 0 0 0 1 

Budget 0.00 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 

TOTAL BUDGET 8.95 8.10 11.30 5.85 9.35 4.45 11.10 4.90 6.50 70.50 

(Rupees seventy lakhs fifty thousand only) 

Activity-2: 

Annual Untied Fund for Village Health & Sanitation Committees (VH&SCs) 

As on Census 2001, the State has 2391 villages of which 229 villages are under 

100 populations, 1653 villages are between 100 to 1000 population and 433 

villages are above 1000 population. 

As on district revenue and hill house counting 2009, the total villages for the state 

is 3066 and the state has 4081 number of village health & sanitation committees 

as on 1.1.2011 out of which 3591 VHSCs have their joint accounts opened. Efforts 

are on to open the remaining VHSC join accounts. 

During the financial year 2010-11 the state released annual untied fund for 3200 

villages across the state. The district wise details are given in the table below: 


130 

Table: The districtwise status of VHSCs 

Activity Cumulative 

Achievements so far 


No. of Revenue Villages 239 114 130 44 650 654 787 218 230 3066 

Number of Village Health 

& Sanitation committees 431 329 525 235 627 550 787 295 302 4081 

constituted 

No of ASHAs 431 329 365 235 627 550 787 252 302 3878 

No. of Joint Account 

opened 

381 329 525 235 627 320 620 252 302 3591 

Total funds released to 

VHSCs (Rs in lakh) 2010-11 

21.00 25.50 52.50 15.90 56.20 35.50 62.00 21.20 30.20 320.0 

Total amount spent by 

VHSCs so far (includes 17.47 16.37 28.85 3.23 0.10 27.64 50.82 1.60 12.71 158.79 

expenditure for last year) 

Total unspent balance 3.53 9.13 23.65 12.67 56.10 7.86 11.18 19.60 1.57 194.1 

No of VHSCs members 

trained 

In 

progress 255 525 235 627 550 620 208 252 3272 

In the coming financial year 2011-12, the state health society proposes to provide the 

3878 numbers of Villages Health and Sanitation Committees an annual untied fund@ Rs. 

10,000/- (Ten thousand only) per Committee with following proposed expenditure 

guidelines: 

1. First Aid Medicine (40%): Rs. 4000/- 

2. Monthly VHND @ Rs 100 per VHND: Rs. 1200/- 

3. Referral Support for PW @ Rs. 300: Rs. 3000/- (Target 10 referral) 

4. Sanitary activities: Rs. 1000/- 

5. Meeting expenditure: Rs. 800/- 

The districtwise proposed breakup budget for the financial year 2011-12 is given below: 

Table: Districtwise budget for VHSCs 

Particulars IE IW TBL BPR CCP CDL SPT TML UKL TOTAL 

No. of Revenue Villages 239 114 130 44 650 654 787 218 230 3066 

Number of Village Health 

& Sanitation committees 

Proposed for UF 

Untied Fund @ Rs.10,000/- 

per VHSC (Rs in Lakh) 

431 329 365 235 627 550 787 252 302 3878 

43.10 32.90 36.50 23.50 62.70 55.00 78.70 25.20 30.20 387.80 

(Rupees three crore eighty seven Lakhs and eighty thousand only) 

B3 

ANNUAL MAINTENANCE GRANTS 

In the state there is only one Sub-District Hospital at Moreh under Chandel district, 16 

CHCs and 80 PHCs (7 new PHCs have been upgraded from PHSC by the Government 

of Manipur). The cumulative achievements on annual maintenance fund for the 

financial year 2010-11 so far (as on Dec 2010) are indicated in the given format: 

(Rs in lakh) 

Facility level 

Number of 

Facilities 

Total amount 

released so 

far 

Total amount 

utilized 

Unspent 

balance 

Maintenance Grant for SCs 420 42.00 20.59 21.41 

Maintenance Grant for PHCs 72 36.00 24.36 11.64 

Maintenance Grant for CHCs & 1 SDH 16+1 16.00 14.70 1.30 


131 

Activity-1: 

Annual Maintenance Grant for CHCs, PHCs & Sub-Centres 

In the coming financial year 2011-12, all the 16 CHCs, 1 SDHs, 80 PHCs and 420 

PHSCs will be given annual Maintenance Grant as given below: 

1. CHC/SDH: Rs. 1,00,000/- (Rupees one lakh only) 

2. PHC: Rs. 50,000/- (Rupees fifty thousand only) 

3. PHSC: Rs. 10,000/- (Rupees ten thousand only) 

Table: The districtwise budget for the year 2011-12 (Rs in Lakh) 

S/N 

1 

Levels of 

facility 


Sub-Centre 52 51 58 36 61 27 66 29 40 420 

Budget 5.20 5.10 5.80 3.60 6.10 2.70 6.60 2.90 4.00 42.00 

2 PHC 11 8 12 5 11 5 14 6 8 80 

Budget 5.50 4.00 6.00 2.50 5.50 2.50 7.00 3.00 4.00 40.00 

3 

CHC 2 2 5 2 1 0 2 1 1 16 

Budget 2.00 2.00 5.00 2.00 1.00 0.00 2.00 1.00 1.00 16.00 

4 SDH 0 0 0 0 0 1 0 0 0 1 

Budget 0.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 

TOTAL BUDGET 12.70 11.10 16.80 8.10 12.60 6.20 15.60 6.90 9.00 99.00 

(Rupees ninety nine lakh only) 

B4 HOSPITAL STRENGTHENING 

B4.1 Upgradation of CHCs/PHCs/DHs to IPHS 

B4.1.1 Upgradation of District Hospitals 

Detail activities for up-gradation of 7 District Hospitals were reflected at “B.5.7 & A.9.2 

Major & Minor Civil Works for Operationalization of FRUs (District Hospitals)” 

B4.1.2 Upgradation of CHCs to IPHS 

Activity-1: 

Out of 16 CHC 4 CHC has been identified for up-gradation for FRU namely: 

(i) up-gradation of OT/LR for CHC, Moirang 

(ii) Up-gradation of OT/LR for CHC, Kakching 

(iii) Up-gradation of LR for CHC, Wangoi 

(iv) Up-gradation of LR at CHC, Sagolmang 

Activities for above CHCs for Operationalization of FRU were reflected at “B.5.7 & 

A.9.2 Major & Minor Civil Works for Operationalization of FRUs (CHCs)” 

Activity-2: 

The following CHCs additional infrastructural developments were approved 

during 2010-11 to fulfill as per IPHS to be executed during the two financial years 

(2010-11 & 2011-12). Moreover, a 50% fund (i.e. Rs. 190.75 Lakhs) has been 

released during the financial year 2010-11 and the particular upgradation works 

has been executing by the Manipur Development Society (MDS), Govt. of 

Manipur. 


132 

Table: Propose activity and budget for CHC up-gradation to IPHS 

Sl. 

No 

District Activity QTY Amount 

100% 

(Rs in lakhs) 

Amount 

50% 

(Rs in lakhs) 

1 Thoubal Construction of BTQ at CHC-Yairipok 1 71.50 35.75 

2 Thoubal Construction of Patient Toilet for CHC-Yairipok 1 10.00 5.00 

3 Imphal West Land Development for Sekmai CHC 1 20.00 10.00 

4 Imphal West Construction of IPD Building for CHC Sekmai 1 250.00 125.00 

5 Imphal West Construction of Fencing at CHC Sekmai 1 30.00 15.00 

Total 381.50 190.75 

To complete the above activity on time, the remaining 50% fund i.e. Rs. 190.75 

Lakhs may be further approved for the financial year 2011-12. 

B4.1.3 Upgradation of PHCs 

During coming financial year 2011-12, infrastructure development on up-gradation of 

PHCs were proposed only for targeted 24x7 PHCs. Therefore, detail infrastructure 

development activities for up-gradation of PHC were discussed at “B.5.8 & A.9.2 Major 

& Minor Civil Works for Operationalization of 24x7 services at PHCs” 

B4.1.4 Upgradation of PHSCs 

Activity-1: 

During the year 2006-07, new construction of 100 nos. of PHSCs was approved 

and constructed. However, due to low budget no adequate facilities for water 

supply, sanitary installations and electrification are not available. Therefore, 

during 2010-11, 50 PHSCs were approved for upgradation in regards to providing 

water supply, sanitary installation, electrification and Barbwire fencing to be 

executed in two financial years 2010-11 & 2011-12. 

Moreover, a 50% fund (i.e. Rs. 195.75 Lakh) has been released during the 

financial year 2010-11 and the particular upgradation works has been executing 

by the concern district administration and expected to be completed on first 

quarter 2011-12. 

Details of the works are given below:- 

A. Hill Districts: 

i. Water supply & Sanitary installation - Rs 2.00 Lakh 

ii. Internal Electrification & installation - Rs 1.00 Lakh 

iii. Barbwire fencing - Rs. 5.00 Lakh 

Total Rs. 8.00 Lakh 

B. Valley Districts: 

i. Water supply & Sanitary installation - Rs 2.00 Lakh 

ii. Internal Electrification & installation - Rs. 1.00 Lakh 

iii. Barbwire fencing - Rs. 4.50 Lakh 

Total Rs. 7.50 Lakh 

The district-wise budget is given in the below table. 


133 

Table: Propose activity for PHSC 

Districts IE IW TBL BPR UKL CDL CCP SPT TML Total 

Proposed No. of 

S/C construction 

Unit Rate 

( Rs in Lakh) 

Budget 100% 

(Rs. in Lakh) 

Budget 50% 

(Rs. in Lakh) 

4 4 5 4 7 5 8 8 5 50 

7.50 7.50 7.50 7.50 8.00 8.00 8.00 8.00 8.00 

30.00 30.00 37.50 30.00 56.00 40.00 64.00 64.00 40.00 391.50 

15.00 15.00 18.75 15.00 28.00 20.00 32.00 32.00 20.00 195.75 

To complete the above activity, the remaining 50% fund i.e. Rs. 195.75 Lakhs 

may be further approved for the financial year 2011-12. 

Activity-2: 

During the financial year 2010-11, only 50 PHSCs out of 100 PHSC constructed 

during the year 2006-07 were approved for upgradation in regards to providing 

water supply, sanitary installation, electrification and Barbwire fencing to be 

executed in two financial years 2010-11 & 2011-12. As the works for the 50 PHSCs 

were expected to be completed very soon, it is propose to initiate the remaining 

50 PHSCs for same upgradation mentioned in the activity-1 in the financial year 

2011-12. The required details budget of Rs. 391.50 Lakhs is indicated in the below 

table. 

Table: Propose activity for additional 50 PHSCs 




Unit Rate 

( Rs in Lakh) 

Budget 

(Rs. in Lakh) 

4 4 5 4 7 5 8 8 5 50 

7.50 7.50 7.50 7.50 8.00 8.00 8.00 8.00 8.00 

30.00 30.00 37.50 30.00 56.00 40.00 64.00 64.00 40.00 391.50 

(Rupees 3 crores ninety one lakhs and fifty thousand only) 


134 

B5 

NEW CONSTRUCTIONS/RENOVATION & SETTING UP 

B5.1 New Constructions of CHCs 


B5.2 New Constructions of PHCs 

Avtivity-1: 

As per facility surveys, 10 PHCs do not have either PHC building or dilapidated 

Institutional Building. During the two financial years 2010-11 & 2011-12, all the 10 

more PHCs will be provided either Institutional Building or Barrack Type Quarters 

or both. The details of the PHCs to be constructed along with budgetary support 

needed are shown below: “Yes” indicated the Institutional Building available 

whereas “No” indicated the Institutional Building not available. 

Table: Proposed activity and budget for 10 PHC 

Sl. 

No. 

District 

Name of PHC 

Proposed construction with unit rate 

(Rs. in Lakh) 

Total 

amt. 

(Rs. in Lakh) 

IB Amount Quarter Amount 

1 IW Phayeng Yes 0 No Quarters 71.50 71.50 

2 IE Andro Yes 0 No Quarters 71.50 71.50 

3 IE Keirou Makting No (Institutional B) 71.10 No Quarters 71.50 142.60 

4 TBL N. Sekmai No (Institutional B) 71.10 No Quarters 71.50 142.60 

5 TBL Lilong Yes 0 No Quarters 71.50 71.50 

6 TBL Hiyanglem Yes 0 No Quarters 71.50 71.50 

7 UKL Lambui No (Institutional B) 74.50 Yes 0 74.50 

8 CCP Thanlon Yes 0 No Quarters 74.88 74.88 

9 STP Maphaou Kuki No (Institutional B) 74.50 Yes 0 74.50 

10 STP Lai No (Institutional B) 74.50 Yes 0 74.50 

TOTAL 869.58 

During the financial year 2010-11 the above activity has been approved and 

50% fund i.e. Rs. 434.79 Lakhs has also been released to the state and is f 

implementing through Manipur Development Society (MDS), Govt. of Manipur. 

To complete the activity, the remaining 50% fund of amount Rs. 434.79 Lakhs 

may be further approved for the financial year 2011-12. 


135 

B5.3 New Constructions of PHSCs 

Activity-1: 

Construction of relocated PHSCs collocated with PHCs and CHCs. The following 

11 relocated PHSCs were approved for constructions of new building in two 

financial years 2010-11 & 2011-12, moreover 50% fund i.e Rs. 116.88 Lakhs has 

also been released to the state and is implementing through Manipur 

Development Society (MDS), Govt. of Manipur. 

The remaining 50% fund (Rs. 116.86 Lakhs) may be further approved during the 

financial year 2011-12 for completion of the activity. 

The detail including Budget is given below. 

Table: Name of the relocated Sub-Centres constructing under NRHM 

District Previous SC Location New SC location Remark 

1 Keirao Makting e Khabeisoi Approved under NRHM 

2 Akampat e Pheijaleitong Approved under NRHM 

Imphal East 

3 Yambem e Litanpokpi (Purum likli) Approved under NRHM 

4 Heingang e Keibi TaretKhul Approved under NRHM 

Thoubal District 5 Pallel Irengban Approved under NRHM 

Churachandpur 

6 Singzol New Lamka Approved under NRHM 

7 Behiang Sainoujang Village Approved under NRHM 

8 Paomata Laii Shrirafii Approved under NRHM 

Senapati 

9 Oinam Hill Mapao Christian Approved under NRHM 

10 Maphou Kuki Tuisomjang Approved under NRHM 

Chandel 11 Maojang Paraolon Approved under NRHM 

Table: District wise Budget for construction of relocated PHSCs 


No. of PHSCs for 

construction 

4 0 1 0 0 1 2 3 0 11 

Unit Rate 

( Rs in Lakh) 

20.02 20.02 20.02 20.02 22.27 22.27 22.27 22.27 22.27 

Budget 100% 

(Rs. in Lakh) 

80.08 0 20.02 0 0 22.27 44.54 66.81 0 233.72 

Budget 50% 

(Rs. in Lakh) 

40.04 0 10.01 0 0 11.14 22.27 33.40 0 116.86 

(Rupees one crore sixteen lakhs and eighty six thousand only) 

Activity-2: 

Construction New Sub-Centre Building: The State has proposed construction of 

46 PHSC for High Focus Districts and hill District under NABAT for the financial year 

2011-12. The 16 building less PHSC are proposed under NRHM for construction 

during financial year 2011-12. 

The district-wise name and location of 16 Sub-centres proposed for new building 

during 2011-12 and the budget needed as per MSR-2008 including construction 

of Barbwire Fencing (@Rs. 20.02 Lakhs per unit in Valley Districts and Rs. 22.27 

Lakh in Hilly Districts) are given below. 


136 

Table: Name of PHSCs 

Sl. No. 

Imphal East District (0) 

Imphal West District (4) 

1 Heigrujam 

2 Komlakhong 

3 Langthabal Phura Makhong 

4 Kokchai 

Thoubal District (7) 

1 Lishamlon (New) 

2 Arong Thokchom 

3 Arong Tera 

4 Waithou 

5 Keirak Kangjeibung 

6 Heibung Makhong 

7 Salungpham 

Bishnupur District (5) 

1 Naranseina 

2 Khoijuman Khullen 

3 Wangoo Sadangkhong 

4 Nganukown 

5 Pombikhok Tangjeng 

Name of Location of PHSC 

Table: The district-wise No. & Budget of PHSCs 




Unit Rate 

( Rs in Lakh) 

Budget 

(Rs. in Lakh) 

0 4 7 5 0 0 0 0 0 16 

20.02 20.02 20.02 20.02 22.27 22.27 22.27 22.27 22.27 

0 80.08 140.14 100.1 0 0 0 0 0 320.32 

B5.4 Setting up of Infrastructure 


B5.5 Govt. Dispensaries/Others Renovations 

Activity-1: 

Renovation of One Room each at District Hospital Thoubal, CCpur & Bishnupur @ 

Rs. 1.00 Lakhs per room for Operationalization of NBSU at the District Hospital. The 

required budget for the activity is Rs. 3.00 Lakhs. Details activity is spelled out at 

Part-A: Child Health. 

B5.6 Construction of BHO 



137 

B5.7 Major Civil Works for Operationalization of FRUs 

Activity-1: 

The following activities regarding upgradation of 6 Districts Hospital to FRU were 

approved in 2010-11 to implemented in two financial years 2010-11 & 2011-12. 

50% fund (Rs. 70.00 Lakhs) for the activities has also been released to the state 

and is under implementation through Manipur Development Society (MDS), 

Govt. of Manipur. 

Table: Proposed activity and budget for 6 DH up-gradations to FRU 

Sl. No District Activity 

Amount Rs. in 

Lakhs 

1 Tamenglong Retaining wall for District Hospital/TML 10.00 

2 Ukhrul 

3 Chandel 

4 

Churachandpur for 

ISO Certification 

Extension of Labour Room with Toilet facility 

Construction of warehouse/store 

Renovation of OT for District Hospital, CDL 

Construction of Pucca Fencing 

Const. of Laundry Room 

Const. of Kitchen Room 

Const. of MR Store Rooms 

10.00 

15.00 

15.00 

15.00 

10.00 

10.00 

10.00 

5 Bishnupur Construction of Fencing 45.00 

TOTAL 140.00 

The remaining 50% fund i.e. Rs. 70.00 Lakhs may be further approved during the 

financial year 2011-12 for completion of the above activities. 

B5.8 Major Civil Works for Operationalization of 24 Hour services at PHCs 

Activity-1: 

During 2006-07 and 2008-09 38 (thirty eight) PHCs has been approved for upgradation 

to 24X7 PHC. Civil works activities for 20 PHCs have been completed 

and 18 PHC are in progress. Out of these thirty eight (38) 24X7 PHC only 11 are 

functional as 24X7 PHC. So during 2011-12, emphasis would be given to 

27(twenty seven) PHCs (identified 24x7 PHC) only. The following infrastructural 

gaps were approved for PHCs during 2010-11 to be completed in two years 

2010-11 & 2011-12. Moreover 50% fund i.e. Rs. 209.50 Lakhs has already been 

released and under implementation. 

Table: Propose activity and budget for PHC up-gradation to 24X7 PHCs 

Sl. No District Name of 24X7 PHC Activity 

Amount 

Rs. in Lakhs 

1 IW Mekola PHC 

One Type IV Staff Qtr 27.00 

One Type II Staff Qtr 15.00 

2 IW Khurkhul Construction of BTQ 71.50 

3 I/E Lamlai Construction of BTQ 71.50 

4 BPR Kumbi Construction of Fencing 20.00 

5 TBL Kakching Khunou Construction of BTQ 71.50 

6 TBL Wangoo Laipham Construction of BTQ 71.50 

7 UKL Chingai Construction of BTQ 71.50 

Total 419.50 

The remaining 50 % fund of amount Rs. 209.50 Lakhs may be further approved 

for the financial year 2011-12. 


138 

B5.9 Civil Works for Operationalise Infection Management & Environment Plan at 

Health Facilities 


B5.10 Others New Constructions 

Activity-1: 

Fencing of Health Institutions. Fencing of following Health institutions were 

needed as encroachment of land frequently seen in the following properly 

functioning health institutions. The total budget needed for this activity is shown 

below: 

Total: Construction of fencing for 3 PHC 

Sr. No. Particular Amount 

(Rs. In Lakhs) 

1 Construction of fencing of PHC Lamlai, Imphal East District 20.00 

2 Construction of fencing of PHC Kakching Khunou, Thoubal District 20.00 

3 Construction of fencing of PHC Andro, Imphal East District 20.00 

4 Construction of fencing of Nongpok Sekmai PHC, Thoubal 20.00 

5 Construction of fencing of Heirok CHC, Thoubal 20.00 

Total 100.00 

Activity-2: 

Setting up of Mini-Training Centres for 7 District (5 Hill and 2 Valley). An amount 

of Rs.20.00 Lakhs per unit is required for setting up of Mini-Training Centres in 7 

Districts were approved and under implementation. The 50% fund of amount Rs. 

70.00 Lakhs for the same has already allocated to the state during the financial 

year 2010-11. 

Table: Budget for Mini-Training Centres 

District I/E I/W BPR TBL UKL CDL CCP SPT TML Total 

Amount (Rs. In Lakh) 0 0 20.00 20.00 20.00 20.00 20.00 20.00 20.00 140 

The remaining amount of Rs. 70.00 Lakhs (50%) may be further approved for the 

financial year 2011-12. 

B6 

CORPUS GRANT TO HMS/RKS 

JN Hospital, existing 07 DH, 01 Sub-District Hospital (Moreh), 16 CHC, 72 PHC (Including 

newly functioned PHC Moreh) have registered autonomous Rogi Kalyan Samitis (RKS) 

and are in operation. All the RKSs have completed capacity building on overview of 

NRHM and functionality of RKS. During the financial year 2011-12, the RKS members will 

be trained in basic financial management and community monitoring. The status of RKS 

fund for the financial year 2010-11 is summarized in the below table. 

Table: RKS fund Status 2010-11 

Facility 

Number of Total amount Total amount Unspent 

RKS released so far utilized balance 

District Hospital 8 40.00 29.07 10.93 

Community Health Centres &SDH 16+1 16.00 13.47 2.530 

Primary Health Centres 72 72.00 50.28 21.720 


139 

Activity-1: 

RKS at District Hospitals/SDH/CHCs/PHCs. 

In continuation with the existing institutions (8 DHS including JN Hospital, 16 CHC 

and 72 PHC), additional 8 PHC namely PHC Bandramei Yangkhullen (SPT), 

Khongdei Khuman (SPT), Rilram Centre (CDL), Moreh (CDL), Sivapurikhal (CCP), 

Zezaw (CCP), Jessami (UKL) and Tolloi (UKL) will be registered autonomous Rogi 

Kalyan Samitis (RKS) and will be given Corpus Grant annually. The required 

budget for the financial year 2011-12 is given below: 

Table: Health Institutions needing RKS Seed Fund for DH/Sub-DH/CHC/PHC 

Health Facility Unit Corpus Fund No. of Units 

Total Amount 

(Rs. in Lakhs) 

JN Hospital 5.00 1 5.00 

Dist. Hospitals 5.00 7 35.00 

Sub-Dist. Hosp. Moreh 1.00 1 1.00 

CHC 1.00 16 16.00 

PHCs 1.00 80 80.00 

Total 137.00 

Table No: District wise Total Budget 

S/ Levels of 

N facility IE IW TBL BPR CCP CDL SPT TML UKL TOTAL 

1 PHC 11 8 12 5 11 5 14 6 8 80 

Budget 11.00 8.00 12.00 5.00 11.00 5.00 14.00 6.00 8.00 80.00 

2 CHC 2 2 5 2 1 0 2 1 1 16 

Budget 2.00 2.00 5.00 2.00 1.00 0.00 2.00 1.00 1.00 16.00 

3 SDH 0 0 0 0 0 1 0 0 0 1 

Budget 0.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 

4 DHs & JN 1 0 1 1 1 1 1 1 1 8 

Budget 5.00 0.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 40.00 

TOTAL 18.00 10.00 22.00 12.00 17.00 11.00 21.00 12.00 14.00 137.00 

(Rupees three crores thirty seven lakhs only) 

B7 

STATE & DISTRICT ACTION PLANS (INCLUDING BLOCK & VILLAGE) 

The formulation of SPIP 2011-12 started with Village Health Plans. State, District, Block 

Health Action Plans based on VHPs, BHAPs, Facility Surveys, Household Surveys, FGDs, 

Field-based studies and desk-review of available study data/documents followed. 

Ultimately, the SPIP emerged. The state has able to formulate 25% of the total villages 

for Village Health Plans, during the next Action Plan the state has target to be covered 

50% of the total villages in the state. 

Activity-1: 

State & District Action Plan (including Block & Village) 

To support the pre-requisite actions taken up in the State & Districts for 

preparation of SPIP 2012-13, a sum of Rs. 2.00 Lakhs for State, Rs. 1.00 Lakhs per 

district, Rs. 1.00 Lakhs & Rs.1.50 Lakhs per block in valley & hill district respectively 

is proposed. The total requirement will be Rs. 60.50 Lakh. 


140 

Table: Budget for action plans 

Districts State IE IW TBL BPR UKL CDL CCP SPT TML 

No of 

Block 

Budget for 

Action 

Plans 

Total 

(in Lakhs) 

0 3 3 3 3 5 5 5 6 4 37 

2.00 4.00 4.00 4.00 4.00 8.5 8.50 8.5 10.00 7.00 60.50 

Total amount (Rs) in Lakh 60.50 

B8 

PANCHAYATI RAJ INITIATIVE 

Activity-1: 

Budget for IE 

No. to be 

trained 

431 

(approx 

30 per 

batchx14 

batches) 

1 day Workshop on RKS, VHSC and other NRHM guidelines at District Level and 

Block Level for the newly selected PRIs members. The resource persons would be 

DIO, DPM and DFM. 

Place of 

training 

District 

Hospital/ 

CHCs/PHCs 

Budget required 

Particulars 

Honorarium for 3 trainers @ Rs.400 for CMO/DIO, @ Rs 200 for 

DPM & DFM for 1 day 

Honorarium for 431 trainees @ Rs. 200/- per head for Valley 

Districts per day 

Amount 

(Rs. in lakhs) 

0.112 

0.862 

Working Lunch & other refreshment @ Rs. 100 per participant .431 

1) Sub Total 1.405 

Other overhead expenditure @ 6 % of total training expenses 0.0843 

Training material @ Rs. 100/- per trainee .431 

2) Total 1.9203 

Budget for IW 

No. to be Place of 

trained training 

329 

(approx 

30 per 

batch X11 

batches) 

District 

Hospital/ 

CHCs/PHCs 


Particulars 





Amount 


0.088 

0.6580 



Other overhead expenditure @ 6 % of total training expenses .0645 


2) Total 1.4685 


141 

Budget for TBL 



525 

(approx 

30 per 

batch X18 

batches) 

District 

Hospital/ 

CHCs/PHCs 


Particulars 





Amount 


0.12 

1.05 





2) Total 2.3217 

Budget for BPR 



235 

(approx 

30 per 

batch X8 

batches) 

District 

Hospital/ 

CHCs/PHCs 


Particulars 





Amount 


.064 

.470 


1) Sub Total .769 



2) Total 1.05014 

Budget for CCPR 



627 

(approx 

30 per 

batch X21 

batches) 

District 

Hospital/ 

CHCs/PHCs 


Particulars 





Amount 


.168 

1.254 


1. Sub Total 2.049 



2) Total 2.79894 


142 

Budget for CDL 



550 

(approx 

30 per 

batch X18 

batches) 

District 

Hospital/ 

CHCs/PHCs 


Particulars 






Amount 


.144 

1.10 




2) Total 2.45164 

Budget for SPT 



787 

(approx 

30 per 

batch X26 

batches) 

District 

Hospital/ 

CHCs/PHCs 


Particulars 



Amount 


.208 


Districts per day 1.574 





2) Total 3.51014 

Budget for TML 



295 

(approx 

30 per 

batch X10 

batches) 

District 

Hospital/ 

CHCs/PHCs 


Particulars 





Amount 


.08 

0.59 


1) Sub Total .965 



2) Total 1.3179 


143 

Budget for UKL 



302 

(approx 

30 per 

batch X10 

batches) 

District 

Hospital/ 

CHCs/PHCs 


Particulars 





Amount 


0.8 

0.604 


Total for 

all districts 




2) Total 2.11036 

18.94962 

B9 

MAINSTREAMING OF AYUSH 

Activity-1: 

IEC/BBC under NRHM for Mainstreaming of AYUSH 

Table: IEC/BBC under NRHM for Mainstreaming of AYUSH 

Sl.no Name of activity Cost per unit Number of units Financial (in Lakh) 

1. Health Camps with AYUSH show case 0.50lakhs 9 Districts 4.50 

2. Hoardings(AYUSH) 0.50 lakhs 18 (2x9Districts) 9.00 

3. Print Medias(Pamphlets) 0.10 lakhs 9 districts 0.90 

Total 14.40 


144 

B10 

IEC/BCC NRHM 

IEC/BCC activities during the year 2010-11 

At the State level: 

• Road Signs (2000 nos.) on health messages 

• 365 days’ telecast on ASHAs and RCH in ISTV and DDK 

• Broadcast of jingles on RCH in AIR for 356 days 

• Quarterly Newsletters on NRHM activities 

• Newspaper Ads 

• ASHA Radio Program 

• Distribution of packaged gifts (Baby Carrier & Coffee Mug with health messages) 

to mothers who delivered in Hospitals 

At the District level: 

• Folk Arts on RCH 

• Posters and Bus Boards on RCH 

At the Block level: 

• Workshops and Group Discussions on RCH 

B.10 STRENGTHENING OF BCC/IEC BUREAUS (STATE & DISTRICT LEVELS) 

Currently one BCC/IEC Nodal Officer (FW), one BCC/IEC Consultant (NRHM), 

one Media Officer (FW) and one Assistant Editor (FW) constitute the State 

Bureau. At the district level the Media Officer (FW) and DPMU constitutes the 

Bureau and Block Extension Educator and BPMU at the block level. 

Objective: 

Activity 1: 

Activity 2: 

Activity 3: 

B.10.1 

Objective: 

Activity 1: 

Activity 2: 

Activity 3: 

Activity 4: 

To strengthen the Bureaus for more effective functioning. 

Procurement of IEC equipments like still camera for strengthening the AV unit of 

the bureau. 

Capacity building of State IEC/BCC Bureau on effective IEC/BCC strategies at 

National level (subject to provision of such capacity development program from 

MoHFW, GoI) 

State level consultative review of the Bureaus on quarterly basis. 

DEVELOPMENT OF BCC/IEC STRATEGY 

To disseminate right health messages for improving the health seeking behaviour 

of people. 

Consultative workshop at the State Level for District BCC/IEC Bureau and Block 

BCC/IEC Bureau on developing content messages for MH, CH, FP and ARSH. 

Sensitization workshops for stakeholders such as media personnel, AMG and 

others for disseminating right health messages. 

2 Focus group discussions per Block with direct beneficiaries such as pregnant 

mothers, adolescents and other reproductive age groups 

2 Focus group discussions per Block with other stakeholders such as PRIs, VHSCs, 

health care providers, etc 

B.10.2 

IMPLEMENTATION OF BCC/IEC STRATEGY 

(RESPONSIBILITY: DISTRICT BCC/IEC UNIT AND BLOCK BCC/IEC UNIT) 

After strengthening of the bureaus and developing of effective IEC/BCC 

strategies through the various activities chalked out above, the following 

IEC/BCC activities will be implemented in districts and blocks for improving the 

health seeking behaviour for better health performance during the year 2011-12. 

B.10.2.1 

BCC/IEC Activities for Maternal Health 


145 

Activity-1: 

Activity 2: 

B.10.2.2 

Activity 1: 

Activity 2: 

B.10.2.3 

Activity 1: 

Activity 2: 

B.10.2.4 

2 Workshops per Block on issues related to MH like Breast-feeding, ante-natal 

care, institutional delivery, immunization and HIV/AIDS in all 09 districts (Target 

groups- Pregnant women and other women of reproductive age group) 

Responsibility: BPMUs 

Erection of 5 Hoardings per district 

Responsibility: DPMUs 

BCC/IEC Activities for Child Health 

2 Workshops per Block on issues related to CH like diarrhoea etc. In all 09 districts 

(Target group – Parents with 0-5 yrs) 


Printing of posters on CH issues (4500 copies) 

Responsibility: State 

BCC/IEC Activities for Family Planning 

2 Awareness Workshops per Block on issues related to FP like Temporary 

Methods, Permanent Methods, NSV, Tubectomy etc. In all 09 districts (Target 

group – both males and females of Reproductive age group) 


1 Folk Art per District 


BCC/IEC Activities for ARSH 

Activity 1: 2 Awareness Workshops per Block on issues related to ARSH (Target group – 

Adolescent) 


Activity 2: 

B.10.2.5 

Activity 1: 

Activity 2: 

Activity 3: 

Activity 4: 

Activity-5: 

Quiz Programs in 2 Schools per District 


Other Activities (Responsibility: State BCC/IEC Consultant) 

Publication of attractive Annual Calendar showing health messages (in 4 th 

quarter) 

Participation in State level events e.g. display of gate & tableaux during 

Republic Day celebration, Celebration of health-related Days and sponsoring of 

State events attracting large no. of audiences. 

Publication of newsletters (quarterly) 

Broadcasts/telecasts in DDK, Local TV Channel (ISTV) and AIR 

• Jingles (30 sec duration) to be broadcast in AIR, Imphal (target – 200 days) 

• Ads (30 sec duration) to be telecast in ISTV and DDK (target - 200 days 

each) 

Publications and press releases in local newspapers and other leading magazine 

(target is 30 ads) 


146 

B.10.4 

Activity-1: 

B.10.5 

Activity-1: 

B.10.6 

B.10.6.1 

Activity-1: 

B.10.6.2 

Activity-1: 

Activity-2: 

Health Mela 

1 Health Melas per district except Senapati who has proposed for 2 health melas 

due to the geographical division of Sardar Hills and the remaining areas of the 

district. 

Responsibility: District 

Creating Awareness on declining sex ratio issue 

2 Workshops per District 

Responsibility: District 

OTHER STRATEGIES/ACTIVITIES 

Weekly Health ASHA Program on Radio 

Continuation of Weekly Health Educational Radio Program: A dramatized 

Educational Program at 7.00 P.M. of all Fridays was started in 2008-09 (All ASHAs 

in the State are provided with Radios Transistor) and continued in 2009-10 and 

2010-11. On alternate weeks, Health talks were delivered by hiring Resource 

persons. Each episode was followed by invitation of reply for a question and 

awarding a cash-prize of Rs. 500/- to a lucky winner. This activity will be 

continued in 2011-12. 

Promotion of Health seeking behaviors in Manipuri Digital Movies 

Manipur is one of the highest production digital movies in the country attracting 

a majority of rural audiences of the state. The State produces at around 100 

digital movies annually. 

Half yearly Workshop with Manipur Digital Film Forum on NRHM overview and 

current health issues in the state @ Rs. 0.25 Lakhs per workshop. A total of Rs. 0.50 

Lakhs may be needed for the workshop. 

For promotion of health seeking behaviors in scenes in digital movies of Manipur, 

50 movies are targeted @ Rs. 25000/- per movie. The producers and script-writers 

will be incorporating scenes of health seeking behaviors like the main female 

character of the movie going for ANC Check-up, delivering in CHC and getting 

JSY etc. The Budget will be Rs. 12.50 Lakhs for the financial year 2011-12. 

Table: Detail Budget for BCC/IEC 

Sl. No. Detailed Activities Quarterly budget 

allocations 

(Rs. In Lakh) 

Q1 Q2 Q3 Q4 

B 10 Strengthening of IEC/BCC unit at the state level/ district 

level 

B 10.1 

B 10.2 

B 10.2.1 

Total 

Amount 

(Rs. in 

Lakhs) 

Activity 1: Procurement of IEC equipments 01.00 

Activity 2: Capacity building of State IEC/BCC Bureau on 

01.00 

effective IEC/BCC strategies 

Activity 3: State level review of the Bureaus on quarterly 

01.00 

basis @ Rs. 25,000/- per quarter 

Development of State BCC/IEC strategy 

Activity 1: Consultative workshop at the State Level 01.00 

Activity 2: Sensitization workshops for stakeholders 01.00 

Activity 3: 2 Focus group discussions per Block with direct 

07.2 

beneficiaries @ Rs. 10,000/- each 

Activity 4: 2 Focus group discussions per Block with other 

07.2 

stakeholders @ Rs. 10,000/- each 

Implementation of BCC/IEC strategy 

BCC/IEC activities for MH 

Activity 1 2 Workshops @ Rs. 10,000/- per Block 7.2 


147 

Sl. No. Detailed Activities Quarterly budget 

allocations 

(Rs. In Lakh) 

Q1 Q2 Q3 Q4 

Total 

Amount 

(Rs. in 

Lakhs) 

Activity 2 5 Hoardings @Rs. 10,000/- per District 4.5 

B 10.2.2 

BCC/IEC activities for CH 

Activity 1 2 Workshops @ Rs. Rs. 10,000/- per Block 7.2 

Activity 2 Printing of posters of Rs. 50/- per copy (4500 

2.25 

copies) 

B 10.2.3 

BCC/IEC activities for FP 

Activity 1 2 Awareness Workshops @ Rs. 10,000/- per Block 7.2 

Activity 2 1 Folk Arts per District @ Rs. 30,000/- 2.7 

B 10.2.4 

BCC/IEC activities for ARSH 

Activity 1 2 Awareness Workshops @ Rs. 10,000/- per Block 7.2 

Activity 2 2 Quiz Programs (schools) per district @ Rs. 

0.9 

5000/- each 

B 10.2.5 

Other Activities (please specify) 

Activity 1 Broadcast/telecast in ISTV, DDK & AIR 15.00 

Activity 2 Publication of Quarterly Newsletter for 4000 

06.65 

copies @ Rs. 41.55 each 

Activity 3 Participation in State events 3.00 

Activity 4 Publication of Annual Calendar(3000 copies) @ 

2.4 

Rs. 80 each 

Activity 5 Publication in newspapers 3.00 

B 10.4 One Health Melas @ 5 lacs per district except Senapati (2 

50.00 

Health Melas) 

B 10.5 Creating awareness on declining sex ratio, 2 workshops per 

1.8 

destrict @Rs. 10,000/- each 

B 10.6 Other activities 

B 10.6.1 Weekly Health ASHA Program on Radio 3.50 

B 10.6.2 Promotion of Health seeking behaviors in Manipuri Digital 

Movies 

13.00 

Total quarterly Budget 

Total BCC/IEC Budget 156.90 


148 

Table: District- wise allocation (IEC/BCC) 

Sl. No. Detailed Activities District budget allocations 

(Rs. In Lakh) 

IE IW BPR TBL CCP CDL TML UKL SPT STATE 

B 10 

B 10.1 

B 

10.2.1 

B 

10.2.2 

B 

10.2.3 

B 

10.2.4 

B 

10.2.5 

B 10.4 

Total 

Amount 

(Rs. in 

Lakhs) 

Strengthening of IEC/BCC unit at 

the state level/ district level @ 1.0 

0 0 0 0 0 0 0 0 0 3 3 

Development of State BCC/IEC 1.2 1.2 1.2 1.2 2 1.6 1.6 2 2.4 2 16.40 

strategy 



Activity 2 Workshops @ Rs. 

1 10,000/- per Block 

Activity 5 Hoardings @Rs. 

2 10,000/- per District 


Activity 2 FGDs @ Rs. Rs. 10,000/- 

1 per Block 

Activity Printing of 4500 posters 

2 at Rs. 50 each 


Activity 2 Awareness Workshops 

1 @ Rs. 10,000/- per Block 

Activity 1 Folk Arts per District @ 

2 Rs. 30,000/- 


Activity 

1 

Activity 

2 

Activity 

1 

Activity 

2 

Activity 

3 

Activity 

4 

2 Awareness Workshops 

@ Rs. 10,000/- per District 

2 Quiz Programs 

(schools) per district @ 

Rs. 5,000/- each 

Broadcast/telecast in 

ISTV, DDK & AIR for 300 

days each 

Publication of Quarterly 

Newsletter for 4000 

copies @ Rs. 41.55 each 

Participation in State 

events 

Publication of Annual 

Calendar(3000 copies)@ 

Rs. 80 each 

Publication in 

newspapers 

Activity 

5 

One Health Melas @ 5 lacs per 

district except Senapati (2 health 

melas) 

0.6 0.6 0.6 0.6 1 0.8 0.8 1 1.2 0 

7.2 

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0 4.5 

0.6 0.6 0.6 0.6 1 0.8 0.8 1 1.2 0 7.2 

0 0 0 0 0 0 0 0 0 2.25 

2.25 

0.6 0.6 0.6 0.6 1 0.8 0.8 1 1.2 0 7.2 

0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0 2.7 

0.6 0.6 0.6 0.6 1 0.8 0.8 1 1.2 0 7.2 

0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0 0.90 

Other Activities (please specify) 

0 0 0 0 0 0 0 0 0 15.00 15.00 

0 0 0 0 0 0 0 0 0 06.65 06.65 

0 0 0 0 0 0 0 0 0 3.00 3.00 

0 0 0 0 0 0 0 0 0 2.40 2.40 

0 0 0 0 0 0 0 0 0 3.00 3.00 

5 5 5 5 5 5 5 5 10 0 50.00 

B 10.5 Creating awareness on declining 

sex ratio, 2 workshops per district 

0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0 1.8 

B 10.6 Other Innovation Activities 

B10.6.1 Other activities, Weekly Health 

ASHA Program on Radio 

0 0 0 0 0 0 0 0 0 5.50 3.50 

B10.6.1 Promotion of Health seeking 

behaviors in Manipuri Digital 

0 0 0 0 0 0 0 0 0 13.00 13.00 

Movies 

Total BCC/IEC Budget 156.90 


149 

B11 

MOBILE MEDICAL UNITS (MMUs) 

The Mobile Medical Units (MMUs) camps has been one of the successfully activity under 

National Rural Health Mission in the state. With these kind units’ camps, we are able to 

actually reach the unreached areas, tribal areas, law and order prevalent areas and 

difficult areas where there is no regular and proper health services delivery. 

Moreover, the Mobile Medical Units (MMUs) camp not only provide health service to the 

tribal population, but also gives confidence to the health personnel to reach the 

unreached areas, caring the rural population and made friendship among the rural 

population which is also very important concern in state like Manipur. 

The Mobile Medical Units (MMUs) has been able to reach out to 1080 (one thousand 

one hundred) villages in the state till November 2010 and benefited more than 3,00,000 

(three Lakhs) rural population. 

Mobile Medical Units comprising of 02 vehicles equipped with basic gadgets and 

equipments are provided in all the existing 09 districts and are functional. The state has 

also in the pipeline for procuring one each 4X4 vehicle for 5 hill districts and Jiribam, 

Imphal East district. 

Table: Performance parameters of MMU 

Sr. No. Indicators During 2010-11 Remark 

1 Frequency of Visit Twice/thrice per month Planned Quarterly 

2 

News papers, Radio, ANM, 

Advance Intimation of Schedule ASHA & Physical Visit to the 

location. 

3 Duration of Stay and Timing of MMU 2 days & 1 night 

4 

Doctors accompanying 

Always 

5 

Availability of Medicine 

Procured by district 

6 

unreached, tribal, law and 

Location of MMU 

order prevalent and difficult 

areas 

7 Average distance travelled 100 Km 

8 Average Patients Treated 500 

Publicity before one 

month to 3 months 

Doctors are utilized 

from DH/CHC/PHC 

State allocated 

separate fund for 

MMU medicine 

In the coming financial year 2011-12, the state has proposed following activities for 

strengthening the Mobile Medical Units (MMUs) in the State. 

Activity-1: 

Continuation of contractual services of MMU staffs: 

The contractual services of 18 drivers, 9 lab techs and 9 X-ray Techs for 9 districts 

may be continued for the financial year 2011-12 with the following monthly 

honorarium: 

1. Driver : Rs. 5500/- 

2. Lab. Techs : Rs. 8500/- 

3. X-ray Techs : Rs. 8500/- 

The districtwise detail budget for the financial year 2011-12 is given below: 


150 

Table: Districtwise MMU Staff monthly honorarium 

Districts IE IW TBL BPR UKL CDL CCP SPT TML 

Total 

(Rs. in Lakh) 

Driver 2 2 2 2 2 2 2 2 2 18 

Monthly honorarium @ 

Rs. 5500/- 

1.32 1.32 1.32 1.32 1.32 1.32 1.32 1.32 1.32 11.88 

Lab. Techs 1 1 1 1 1 1 1 1 1 9 


Rs. 8500/- 

1.02 1.02 1.02 1.02 1.02 1.02 1.02 1.02 1.02 9.18 

X-ray Techs 1 1 1 1 1 1 1 1 1 9 


Rs. 8500/- 

1.02 1.02 1.02 1.02 1.02 1.02 1.02 1.02 1.02 9.18 

TOTAL 3.36 3.36 3.36 3.36 3.36 3.36 3.36 3.36 3.36 30.24 

(Rupees thirty Lakhs twenty only) 

Activty-2: 

Additional Engagement of Contractual MMU staffs. 

The MMUs in the entire 9 district is functioning with only one Lab. Tech and one X- 

Ray Tech as proper MMU technical staffs. The additional health personnel like 

MBBS doctors, Ultrasound Tech, Staff Nurses and ANMs are pulled out from 

district hospitals and CHC/PHC from time to time which makes it difficult for the 

functioning of these health facilities during the MMU camps. 

During the coming financial year 2011-12, the following additional contractual 

staffs for MMU are proposed to engage. The proposed monthly honorarium is 

also indicated as below: 

1. 9 MBBS Doctors (2 each per district) : Rs. 30,000/- 

2. 9 Ultrasonography technicians (1 each per district) : Rs. 8500/- 

3. 9 Staff Nurses (1 each per district) : Rs. 9000/- 

The proposed above staffs will be utilized at the respective district hospitals 

during the remaining working day. The districtwise budget is given below: 

Table: Districtwise additional MMU Staff monthly honorarium 


Total 

(Rs. in Lakh) 

MBBS Doctors 1 1 1 1 1 1 1 1 1 9 


Rs. 30,000/- 

2.7 2.7 2.7 2.7 2.7 2.7 2.7 2.7 2.7 24.3 

Ultrasound Techs 1 1 1 1 1 1 1 1 1 9 


Rs. 8500/- 

0.765 0.765 0.765 0.765 0.765 0.765 0.765 0.765 0.765 6.885 

Staff Nurses 1 1 1 1 1 1 1 1 1 9 


Rs. 9000/- 

0.81 0.81 0.81 0.81 0.81 0.81 0.81 0.81 0.81 7.29 

TOTAL 4.275 4.275 4.275 4.275 4.275 4.275 4.275 4.275 4.275 38.475 

The Monthly Honorariums for the about staffs is proposed only for nine months for 

the financial year 2011-12. The total amount is Rs. 38.475 Lakhs only 


151 

Activity-3: 

POL, Maintenance & Drugs. 

The following financial heads may be provided in each district for POL, 

Maintenance and Drugs for Mobile Medical Units (MMUs): 

Sr. 

Particulars 

Amount in Lakh 

No. 

For Valley District For Hilly Districts 

1 Drugs 5.00 7.00 

2 POL & Maintenance of MMU 3.00 5.00 

3 Repairing & Maintenance of gadget 2.00 3.00 

4 Misc Expenditure/Management Cost 1.00 1.50 

TOTAL 11.00 

Per Valley District 

16.50 

Per hilly district 

The districtwise budget for the activity is given below: 

Table: Districtwise budget for POL, Maintenance & Drugs 


Total Budget for POL, 

Maintenance & Drugs 

Total 

(Rs. in Lakh) 

11.00 11.00 11.00 11.00 16.50 16.50 16.50 16.50 16.50 126.50 

(Rupees one crore twenty one lakhs and fifty thousand only) 

B12 

REFERRAL TRANSPORT 

B12.1 Ambulance 

During the financial year 2010-11, it is approved to procure 5 ambulances for the 

following properly functioning 24x7 PHCs and the state has in the pipeline to procure the 

ambulance: 

District Sr. No. Name of the PHC Deliveries conducted 

(April-Nov. 2010) 

Chandel 1 PHC Chakpikarong 68 

Senapati 2 PHC Paomata 60 

Tamenglong 3 PHC Tamei 40 

Imphal West 4 PHC Mekola 22 

Thoubal 5 PHC Wangoo Laipham 19 

Remark 

Activity-1: 

Continuation support for POL & maintenance and 5 Driver for the financial year 

2011-12. The required budget is given below: 

Table: Total Budget 

Sr. No. Particulars Amount Rs in Lakhs Remark 

1 POL & Maintenance @ Rs. 1.00 Lakh 5.00 NRHM 

2 Driver monthly honorarium @ Rs. 5000/- per 

month 

3.00 To borne by 

state/state share 

Total 8.00 


152 

Activity-2: In coming financial year 2011-12, 5 (five) ambulances for another following 5 

(Five) 24x7 PHCs were highest delivery is taken in the district place is propose: 

Table: PHC Status 

District Sr. No. Name of the PHC Deliveries conducted 

(April-Nov. 2010) 

Senapati PHC Maram 22 

Ukhrul PHC Somdal 06 

Churachandpur PHC Singngat 08 

Bishnupur PHC Khumbi 03 

Imphal East PHC Sawombung 03 

Remark 

1. Referral vehicle for 24X7 identified PHCs and CHCs have been withdrawn 

from April 2009. 

2. Institutional deliveries are taking place in these PHCs as per recorded from 

HMIS April to Nov 2010. 

3. Difficulty to find a Vehicle for referral from PHC to higher centres. 

4. These PHCs fall in the category of Difficult area 

5. They have been identified as 24X7 PHC Status 

6. Patients of these places are mostly marginalized and vulnerable. 

7. The Driver will be indentified by concerned RKS and cost will be borne by the 

State Health Society. 

Table: Total Budget 

Sr. No. Particulars Amount Rs in Lakhs Remark 

1 Cost of Ambulance @ Rs. 10.00 Lakhs 50.00 NRHM 

2 POL & Maintenance @ Rs. 1.00 Lakh 5.00 NRHM 

3 Driver monthly honorarium @ Rs. 5000/- per 

month 

3.00 To borne by 

state/state share 

Total 58.00 

B13 

SCHOOL HEALTH PROGRAMME 

(Details activity reflected at Part-A) 


153 

B14 

PPP/NGOs 

B14.1 Continuation of PPP with CHSRC for Emergency Obstetric Care, Ukhrul District 

To provide 24 x7 emergency services by addressing pre hospitalization care with 

emergency care in Obstetric Care, the State Health Society, Manipur has successfully 

initiated the PPP for Emergency Obstetric Care with Comprehensive Health Services & 

Research Centre (CHSRC), Hamleikhong East, Ukhrul District during the year 2010-11. The 

PPP Model was inaugurated by Smt. Jayati Chandra, IAS, Secretary, Ministry of DoNER, 

Govt. of India at CHSRC Hospital, Ukhrul on 19 th October 2010. Recognizing the past 

achievement of CHSRC, the PPP initiative aims to promote and provide institutional 

delivery in the district. 

During the course of time, the State Health Society is able to take up following activity 

for the PPP Model: 

1. Setting up of Call centre 

2. Supporting honorarium for 1 MBBS doctor, 2 Labs Tech, 1ANM, 1MHW & 1 Driver 

3. Procurement of following medical equipment: 

Table: Medical equipment procured for PPP 

Sr. No. Particular No. Of item Amount in Rs. 

1 Foetal Monitor 1 1,80,000.00 

2 Infant Radiant Warmer 1 50,000.00 

3 OT Table 1 1,92,500.00 

4 Oxygen Concentrator 1 55,000.00 

5 Generator 10 KVA 1 2,92,661.00 

TOTAL 5 7,70,161.00 

At present, the presence of CHSRC in Ukhrul District and its services more on the 

comprehensive care has felt a presence in catering most of the complicated hospital 

care mainly for maternal health. In the last one year period, the achievement of CHSRC 

can be treated as an important attainment to provide services to the needed patients 

in a timely and affordable way. The achievements can be indicated as follows: 

Table: Performance of CHSRC 

Sl. No Indicators April – November 2009 April-November 2010 

1 ANC Severe anemic treated 2 3 

2 ANC TT2/TT Booster Coverage 189 138 

3 ANC haemoglobin testing 2362 2915 

4 ANC 1 st trimester coverage 200 317 

5 ANC up to third trimester coverage 196 351 

6 CS section coverage 58 36 

7 Total institutional delivery 348 469 

8 NSV Conducted 0 3 

9 IUD inserted 24 20 

10 Mini-lab sterilization 2 3 

11 Post partum sterilization 9 17 

In the coming finance year 2011-12, the State Health Society will continue the PPP 

initiative with the CHSRC, Ukhrul and also propose the following activities for the year 

2011-12: 


154 

Activity-1: 

Continue support of honorarium: 

The State Health Society has been supporting the honorarium for the following 

staffs of CHSRC and proposed to support in the coming financial year 2011-12. 

The required budget is reflected as below: 

Sr. No. Particulars Number of staff Unit amount per month 

(Rs) 

Total amount 

(Rs in Lakh) 

1 MBBS 1 Rs. 30,000/- 3.60 

2 Lab. Tech 2 Rs. 6250/- 1.50 

3 ANM 1 Rs. 6250/- 0.75 

4 MHW 1 Rs. 6250/- 0.75 

5 Driver 1 Rs. 5000/- 0.60 

Total 6 7.20 

Activity-2: 

Procurement of 4X4 Ambulance Vehicle: 

In the MOU with Comprehensive Health Services & Research Centre (CHSRC), 

Ukhrul, the State Health Society agreed to procure on 4X4 Ambulance for the 

Hospital. The required including Maintenance budget for the same given below: 

Sr. No. Particulars Unit Amount 

(Rs in Lakhs) 

Total amount 

(Rs in Lakh) 

1 Cost of Ambulance with basic medical equipment 12.00 12.00 

2 Insurance approximate cost 0.25 0.25 

3 POL & Maintenance 2.00 2.00 

Total 14.25 14.25 

Activity-3: 

Procurement Medical Equipment: 

The following medical equipment may be approved to procure during the 

coming financial year 2011-12. The required including Maintenance budget for 

the same given below: 

Sr. No. Particular No. Of item Amount 

(Rs in Lakh) 

1 Boyle’s Apparatus 1 

2 OT Lamp 1 

3 Pulse Oxymeter 1 

4 Auto Analyzer 1 

5 ECG Machine 1 

Approx 

7.00 

Sub Total 5 7.00 

Over head expenditure 10% 0.70 

TOTAL 5 7.70 


155 

B15 PLANNING IMPLEMENTATION AND MONITORING 

B15.1 Community Monitoring 

Community Monitoring by Community for various program implementations has 

become so essential that rural people should know and understand what the 

government has been providing for their benefits in term of healthy living and their right 

to health and their increasing accountability. It is envisaged that the following activities 

are deemed fundamental to achieve the NRHM goals in the long run. 

Aim: To implement Community monitoring in the state by beginning of 2nd quarter of 

2011 -12. 

Visioning: 

1. To provide regular and systematic information about community health needs, 

which will be used to guide the planning appropriately starting from village to state 

level. 

2. To provide feedback according to locally developed yardsticks, as well as on 

some key health indicators 

3. To provide feedback on status of fulfilment of entitlements, function of various 

levels of the public health system and providers, identifying gaps, deficiencies in 

services, which can facilitate corrective action in a framework of accountability 

4. To enable the community and NGOs/CBOs to become equal partners in the 

planning process 

5. To validate the data collected by ANMs,AWWs,ASHAs and other functionaries of 

the public health system 

Table: Matrix for Community Monitoring 

Sl.No Activities Output to be achieved Time Frame for 2010- 

11 

1 Formation of State Monitoring Committee 

involving 5 Identified NGOs/Civil Society 

Organization 

2 Identification of NGOs/CBOs at District 

Level for Community Monitoring in 9 

District 

3 Formation of District and Block Monitoring 

Committee 

4 Quarterly field visits and report to 

Commissioner Health 

Table: Budget 

1 Monitoring 

Committee 

Will be achieved 

NGOs/CBOs will be 

identified 

Monitoring Committees will 

be formed 

Filed visits by State, District, 

Blocks Committees 

bimonthly 

Sl. No. Activity Unit Cost Physical Targets Required fund 

under NRHM in 

Rs. in Lakh 


1 Meeting at State level for the constitution 

of Community Monitoring 

2Q 

2Q 

2Q 

2-4Q 

20000 2 0.40 

2 Workshop at State level 50000 1 0.50 

3 Workshops/Seminars at District 50000 9 4.50 

4 Workshop at Block Level 30000 36 10.80 

5 Support for Monitoring and supervision visits 5000 368 18.40 

for state, Districts and Blocks 

Total 34.60 


156 

B15.2 Quality Assurance 

B15.3 Monitoring & Evaluation 

B 15.3.1 

A.15.3.1.1 

COMPUTERIZATION HMIS AND E-GOVERNANCE, E-HEALTH 

Strengthening of M&E Cell 

In order to strengthen routine Health Management Information System (HMIS), various 

strategies may be required at different levels of the existing health set-up. This may 

include strengthening/augmenting IT infrastructure, rationalized recruitment of 

manpower and imparting proper training of these manpower/staff at various levels. 

Current scenario: The state of Manipur has already started capturing health facility data 

(CHC/PHC/SC) starting from April 2009, through the integrated DHIS 2 application 

software, which is compatible with the National HMIS portal, in co-ordination with the 

National Health System Resource Centre (NHSRC). The data captured through this 

software is then aggregated to give district consolidated report which is then directly 

uploaded to the national HMIS portal. Now, the state and district level teams are 

focusing on diagnosing data quality issues, affecting improvements, and also 

strengthening the analysis, use and dissemination of information. 

B.18.3.1.1.1 

M&E consultant(s) recruited and in position 

The process of recruitment of data managers at all levels – state, districts and blocks 

have been completed and they have been re-designated as nodal officers (M&E) at 

their respective level. All nodal officers have been trained with the new HMIS system. All 

reporting units at the facility level have also been oriented with the new HMIS reporting 

formats and reports have started to flow from these facilities only in this format. The flow 

of information from the districts through the web-based data capturing application has 

been operational from October 2008. 

Table No. B (50): Notification of Nodal M&E Officers 

Level Nos. required Nos. present Remarks 

State 1 1 Completed 

District 9 9 Completed 

Blocks 36 36 Completed 

Activity-1: 

Activity-2: 

Activity-3: 

Integration of Monitoring & Evaluation activities across programme: Integrating 

the M&E activities across various health programmes like TB, Malaria, 

Leprosy etc. is yet to be operationalised in the state except for RCH. 

Notification of Nodal Officers (M&E) at State, District and block levels: The 

identification and re-designation of Nodal Officers (M&E) at the state, districts, 

blocks, CHCs and PHCs are completed. They are to act as the Nodal contact 

points for all health related information in the respective formations and for 

sending feedback to the lower units. Adequate mobility support may be 

provided for regular facility monitoring visits for these officials. Three monitoring 

visits each is being planned monthly for each of these officials. 

Additional manpower for Mother & Child Tracking System(MCTS): The tracking of 

pregnant women and children is an important strategy augmenting the 

maternal and child case services. It will enable us to spot the drop-outs and 

assess the ANC visits, neo-natal cases, institutional deliveries, post-natal cases, 

and routine immunization of children and help plan for reaching the RCH 

services to every pregnant woman and infant born at the health facilities and 

even at their doorsteps. In addition to improving service delivery, the name 

based data will also be used to aggregate and import into the facility HMIS. This 

will go a long way in making improvement in the quality and fidelity of data. 


157 

In Manipur, Mother & Child Tracking is being piloted in 1 district - 

Bishnupur in the first phase. Once the system is stabilized in this district, it may 

further be extended to the remaining 3 valley districts and gradually the rest of 

the districts. 

For the state, the MCTS application has been hosted centrally at the Delhi server. 

Pre-requisites for full functionality of the MCTS application like Common Master 

health facility data-entry, mapping of villages with health facilities and creation 

of district & block users are being completed. 

The state have already started capturing and recording the pregnant women 

and child information through the MCTS application through the existing 

manpower at the block level in Bishnupur district. In order to expedite the 

process, an incentive policy for ASHAs is being formulated under MCTS in the 

state. Under this policy, ASHAs will get incentives (shown below) for 

accompanying & registering beneficiaries (pregnant woman & children) 

through MCTS. 

Incentive under MCTS: 

Sl. 

No. 

Category of 

beneficiary 

1 ASHA/AWW 

2 ANM at SC 

3 

Performance/Activity Unit Incentive Fund source 

Pregnant Woman : 

1. For accompanying and registering a 

pregnant woman through MCTS within 

the first trimester of pregnancy (after 

confirmation of pregnancy by the 

MOi/c) 

2. For completing full ANC (one ANC in 

each trimester) through MCTS 

Children : 

1. For accompanying and registering a 

child through MCTS within 45 days after 

birth. 

2. For fully immunizing a child under 1 year 

through MCTS. 

Mobility support of Rs. 100/- monthly for 

submitting & collecting facility work-plans to 

& from PHC/CHC/Block. 

Rs. 100/- 

(every woman) 

Rs. 100/- 

(every woman) 

Rs. 100/- 

(every woman) 

Rs. 100/- 

(every woman) 

Rs. 100/- 

(monthly) 

Separate 

MCTS fund 

Untied fund of 

SC/PHC/CHC 

On average, there are about 5-6 SCs under each CHC/PHC, with each SC 

covering about 5-10 villages. As the MCTS application requires to capture & 

generate about 10 work-plans for each of these villages, a Block Data Manager 

requires to generate about (3x5x5x10)750 work-plans (assuming that there are 

about 3 PHC/CHC under 1 block) in addition to their normal HMIS work. In view 

of the workload at the block level, one Data–Entry Assistant may be recruited for 

each of the 36 blocks with a monthly remuneration reflected in Part-B. 

There is a need to conduct District Health Information Survey in Manipur. This will 

be the basis for generating realistic health indicators & for preparation of health 

plans especially at the village levels. The MCTS application will have it’s 

foundation on the FHS report’. 

Activity-4: 

Formation of HMIS Task Force at all levels: Formation of State and District HMIS 

Task Force are being completed in 2009. Formation of block HMIS Task Force is is 

in progress and it may be completed in early 2011. The primary objective of this 

team is to provide technical support regarding HMIS matters in their jurisdiction, 


158 

as and when, required. They are to strengthen and streamline the data reporting 

system and to leverage the advances in IT to ensure timely flow of information at 

all levels. For this, a strong HMIS Capacity Building Team at the state level is 

required and it is proposed that 1(one) State HMIS Consultant be recruited to 

work with the State Data Manager (currently the only HMIS staff at the state level) 

with a monthly remuneration reflected in Part-B. 

B.18.3.1.1.2 

Activity-1: 

Provision of equipment at state and district levels 

Augmenting IT infrastructure at various levels: As data capturing at the district & 

block level has already been operationalised in the state, it is important that their 

IT infrastructure be strengthened by providing internet connectivity, printing/ 

computer stationery and other requirements. As of now, there is no integration 

with other health programs except RCH and necessary steps to be taken for 

integrating the existing resources across programmes like NRHM, RCH, NDCPs, 

IDSP etc. 

The following activities are being proposed for 2011-12 

1. Installation of V-sat at district HQ - @Rs. 2.5 Lakh per unit, for 9 districts. This 

includes complete installation and 1 year maintenance and rental charge. 

2. Procurement of multi-purpose printer at state and 9 district HQ @ Rs.50,000/- 

per unit 

3. Procurement of 2 lap tops, one each for Bishnupur & Churachandpur 

district as their current laptops are not in a workable condition @ Rs. 

45,000/- per unit. 

4. Purchase of licensed Anti-virus for state, 9 districts and 36 blocks @ Rs. 

3,000/- per unit. 

B.18.3.1.2 

B.18.3.1.2.1 

B.18.3.1.2.2 

Activity-1: 

B.18.3.1.2.3 

Activty-1: 

Operationalising the new MIES format 

Review of existing registers 

Printing of new forms 

Printing of HMIS forms: Printing of HMIS reporting forms for districts, blocks and 

facilities (including monthly/quarterly FMRs) may be carried out at the state level 

to maintain uniformity. Translation of Name Based Tracking cards to local dialect 

for distribution to beneficiaries is completed. These cards along with facility 

health registers may also be printed at the state. 

Training of staff 

Meetings, Reorientation & Trainings on HMIS: For ensuring a strong and effective 

M&E system, there is need for regular meeting of the M&E Team at the State, 

District and Block level to analyze and evaluate the quality of reports. In addition 

to state review meetings where district wise achievements are presented, 

monthly review meeting at the district may be organized in which block wise 

achievements may be presented by the blocks. Similarly, at the block level, 

facility reports may be analyzed to improve the quality of data. A regular 

feedback mechanism may also be chalked out. Regular orientation & training of 

personals at facility level may be organized by the district/block HMIS team from 

time to time and feedback may be given to them. In this regard, the state HMIS 

team may be approached for any technical support. The following training 

schedules are proposed for 2010-11: 

a. At the state level: 2(two) times/annum @ Rs.1,50,000/- per training. 

b. At the district level: 4(four) times/annum @ Rs.10,000/- per block per training 

(no. of blocks are different for different districts). Trainings at this level will 


159 

focus mainly on district and block health functionaries and the MO i/c’s of 

PHCs/CHCs. 

c. At the Block level: 4(four) times /annum @ Rs. 30,000/- per training. Trainings 

at this level will focus mainly on the staffs/ANMs at the health facilities and 

ASHAs at the community level. 

B.18.3.1.3 

Strategy-1: 

Activity-2: 

Other M&E activities 

Mobile Health Geographical Information System: There is an urgent need of 

developing a health facility GIS for the state. This can be integrated with the 

existing HMIS application to enhance analysis, improve feedback mechanism 

and for better use of information for decision making in the Health Sector. A GIS 

module is already operational in the DHIS2, and can be very rapidly made 

functional once the GIS shape files are provided. The cost indentified under GIS 

is for the procurement of maps. 

Quality Assurance: As a part of quality assurance, monitoring visits may be 

planned at the state, district and block level. The budget details for this are 

shown below: 

1. At the state level: 3(three) times/month @ Rs.15, 000/- per visit. 

2. At the district level: 3(three) times /month @ Rs.5,000/- per visit for 5 hill districts 

and @ Rs. 3,000/- per visit for 4 Valley Districts 

3. At the Block level: 3(three) times /month @ Rs. 3,000/- per visit for 25 hill blocks 

and @ Rs. 2,000/- per visit for 12 valley blocks. 


Table: Detail activity & Budget 

Major Head Minor Head Sl. No. 

Salaries of 

M&E, MIS & 

HMIS 

Consultant 

1.1 

Mobility for M 

& E Officers 

1.2 53.28 

Strengthening 

of 

M&E/HMIS 

Workshops/ 

Training on M 

& E 

1.3 60.60 

M&E quality 

review 

meeting 

1.4 26.28 

Budget 

( in Lakhs) 

Remuneration for proposed 53 Data 

Assistant at PHCs/CHCs and 

1(one) HMIS Consultant at State 

reflected in Program Management Cost. 

5.40 

13.32 

34.56 

3.00 

14.40 

43.20 

0.36 

4.32 

21.60 

9.00 

4.32 

25.92 

8.64 

Remarks IW IE TBL BPR CCP CDL UKL TML SPT State TOTAL 

3 times/month 

@Rs.15,000/- /visit at 

state 

3 times/month @Rs. 

5,000/- /visit at 5 hill 

district 

3 times/month 

@Rs.3,000/- /visit at 4 

valley district 

3 times/month 

@Rs.3,000/- /visit at 

24 hill blocks 

3 times/month 

@Rs.2,000/- /visit at 

12 valley blocks 

2 times/annum 

@Rs.1,50,000/- 

/training at state 

4 times/annum @ 

Rs.10,000/- 

/block/training at 

district level 

4 times/annum @Rs. 

30,000/-/training at 

block level 

Rs.3,000/-/month at 

state 

Rs.1,000/month/block 

at district 

Rs.5000/month at 

block 

5.40 5.40 

0.00 0.00 0.00 0.00 1.80 1.80 1.80 1.80 1.80 9.00 

1.08 1.08 1.08 1.08 0.00 0.00 0.00 0.00 0.00 4.32 

0.00 0.00 0.00 0.00 5.40 4.32 5.40 4.32 6.48 25.92 

2.16 2.16 2.16 2.16 0.00 0.00 0.00 0.00 0.00 8.64 

3.00 3.00 

1.20 1.20 1.20 1.20 2.00 1.60 2.00 1.60 2.40 14.40 

3.60 3.60 3.60 3.60 6.00 4.80 6.00 4.80 7.20 43.20 

0.36 0.36 

0.36 0.36 0.36 0.36 0.60 0.48 0.60 0.48 0.72 4.32 

1.80 1.80 1.80 1.80 3.00 2.40 3.00 2.40 3.60 21.60 


160

Major Head Minor Head 

Hardware/Soft 

ware 

Procurement 

Procureme 

nt of 

HW/SW and 

other 

equipments 

Internet 

connectivity 

Development 

of Health GIS 

for the State 

Annual 

Maintenance 

for Internet 

161 

Sl. 

No. 

2.1 2.28 

Budget 

( in Lakhs) 

0.90 

1.38 

2.2 22.50 22.50 


2 (two) lap top 

@Rs. 45,000/- per 

unit, 1 each for 

Bishnupur & 

Churachandpur 

district as their 

current laptops are 

not in a working 

condition 

Antivirus @Rs. 

3,000/- State, 

District & Block 

9 V-Set for district 

H/Q @ Rs. 2.50 

lakhs 

0.90 0.90 

0.12 0.12 0.12 0.12 0.18 0.15 0.18 0.15 0.21 0.03 1.38 

22.50 22.50 

2.5 5.00 5.00 5.00 

2.6 13.80 13.80 

Rental charge @ 

Rs.30,000/annum 

per State, Districts 

& blocks for 

Internet 

1.20 1.20 1.20 1.20 1.80 1.50 1.80 1.50 2.10 0.30 13.80 


Major Head Minor Head 

Multi-purpose 

printers 

Printing & 

Computer 

Stationery, 

printing of 

monthly MCTS 

Work-plans 

Operational 

ising HMIS 

at Sub 


Review of 

Existing registers 

– to make them 

compatible 

with National 

HMIS & MCTS 

Printing of 

routine HMIS 

reporting forms 

162 

Sl. 

No. 

Budget 

( in Lakhs) 


2.9 4.50 4.50 Rs. 50,000/-district 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 4.50 

2.1 18.97 

0.20 

1.80 

7.20 

5.30 

0.10 

0.45 

1.80 

2.12 

Rs. 20,000 for 

printer cartridge at 

State 

Rs. 20,000/district 

for printer 

cartridge 

Rs. 20,000/block for 

printer cartridge 

Rs. 

10,000/PHC&CHC 

for printer 

cartridge 

Rs. 10,000 for 

paper at State 

Rs. 5,000/district for 

Paper 

Rs. 5,000/block for 

Paper 

Rs. 

4,000/PHC&CHC 

for Paper 

0.20 0.20 

0.20 0.20 0.20 0.20 0.20 0.20 0.20 0.20 0.20 1.80 

0.60 0.60 0.60 0.60 1.00 0.80 1.00 0.80 1.20 7.20 

0.70 1.00 1.40 0.40 0.50 0.00 0.20 0.30 0.80 5.30 

0.10 0.10 

0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.45 

0.15 0.15 0.15 0.15 0.25 0.20 0.25 0.20 0.30 1.80 

0.28 0.40 0.56 0.16 0.20 0.00 0.08 0.12 0.32 2.12 

3.1 26.40 

600 copies X 11 

types of registers 

@200/register X 

2times 

26.40 26.40 

3.2 5.00 5.00 5.00 


Major 

Head 

Name 

Based 

Individual 

Case 

Tracking 

Syatem 

Minor Head 

Procurement of 

Desktop computers, 

printers and 

Generator set for 

newly proposed 36 

Block Data Assistants 

Printing of MCTS 

cards for PW & child 

(English and Local 

dialect) 

Incentive for ASHAs 

under MCTS 

Mobile Handsets for 

3878 ASHA @ Rs. 

1800/- per unit 

Annual mobile 

recharging cost 

for3878 ASHAs @ Rs. 

1200/- per ASHA 

District Family Health 

Survey for 9 districts 

in Manipur @ Rs.3 

lakhs per district 

Sl. 

No. 

4.1 36.00 

Budget 

( in Lakhs) 

TOTAL 487.949 


36 Desktop 

computers 

with printers 

and 

Generator sets 

@ Rs. 1.0 lakhs 

per unit 

36.00 36.00 

4.2 10.00 10.00 10.00 

4.3 62.00 60.00 60.00 

4.4 69.804 69.804 69.804 

4.5 46.535 46.535 46.535 

4.6 27.00 27.00 27.00 

Total (District Wise 

Budget)→ 

14 14.42 14.98 13.58 23.48 18.8 23.06 19.22 27.88 318.529 487.949 

(Rupees four crore eighty seven Lakhs ninety four thousand and nine hundred) 


163

164 

B 15.3.3 

B 15.3.3.1 

Activity-1: 

OTHER M&E 

CENTRAL PLAN SCHEME MONITORING SYSTEM (CPSMS) 

Implementation of CPSMS in the state 

For Training, Workshops and Travel cost for Health Personnel in Implementation of 

Central Plan Scheme Monitoring System (CPSMS) an amount of Rs. 10.00 Lakhs 

may be approved for the financial year 2011-12. 

B 15.3.3.2 

Regular Review Meeting 

The National Rural Health Mission (NRHM) has entered the 6th year of 

implementation. With the concerted efforts of the District Health & Family 

Welfare Department and Govt. of Manipur a lot has been achieved in improving 

the health care delivery system in the state. However, the state is behind the 

national target in various section of the programme. 

In this regard, the state health society has initiated to strengthen the regular 

District Level Review Meeting twice in a month and ensure all the District 

Program Officers, Block Program Management Units (BPMUs) and line 

departments in the review meeting also monthly review meeting at the State 

Level were all the DPMUs will be present chair by SMD and quarterly review 

meeting to be chair by chairman, EC, State Health Society/Commissioner (HFW). 

The following agenda shall be discussed in the review meeting regularly. 

1. Operationalization of District Hospital as FRU 

2. Operationalization 24X7 PHCs 

3. RCH Outreach Camps 

4. DMMU Camps 

5. Monthly Village Health & Nutrition Days 

6. Operationalization of New Born Care Conner in all delivery centres 

7. IUD (Cu-T) services at health facilities 

8. Intervention on Difficult/Very Difficult/Inaccessible Areas 

9. Routine Immunization 

10. Financial Performance 

An amount of Rs. 8.00 Lakhs for regular review meeting and travelling cost at the 

State Level for the financial year 2011-12 may be approved. 


165 

B 15.3.3.3 

Implementation of ProMIS 

Major Head Minor Head Rates Amount 

(Rs in Lakh) 

1.1 No proposal during 2011-12 

Monitoring & 

Evaluation 

Procurement 

of HW/SW and 

other 

equipments 

Operationalisi 

ng ProMIS till 

the district 

level 

Salaries of Nodal officers 

/ Logistics Managers / 

Data Entry Operators 

MIS Reports / 

Publications or research / 

Statistical data etc 

based on ProMIS 

Workshops / Training on 

ProMIS Warehouse 

Information System 

Workshops / Training on 

ProMIS Management 

Information Systems 

1.2 Rs.85 per book for 3 book per warehouse 

for 10 warehouse 

0.00 

0.03 

1.3 Quarterly Training @ Rs.0.50 Lakhs per 

training 2.00 

1.4 Half yearly workshop @ Rs.1.00 Lakhs 

Others 1.5 No proposal during 2011-12 0.00 

Hardware / Software 2.1 Purchase of computer including Monitor, 

Procurement 

CPU, Printer and UPS @ Rs.60,000 per 

6.00 

warehouse for 10 warehouse 

Internet Connectivity 2.2 Consumable for computer including 

provision for internet access @ Rs.400 / 0.48 

month for 10 warehouse 

Annual Maintenance 2.3 Included in 2.2 0.00 

Printing & Computer 2.4 Included in 2.2 

Stationary 

0.00 


Training of Staff 3.1 Training of State & District level Warehouse 

Managers and storekeepers/pharmacists 

for three days training of 30 persons for 

1.20 

one batch @ Rs.60,000 per batch x 2time 

Rearrange/reorganize 3.2 No proposal during 2011-12 

warehouses to facilitate 

dispatch & receipts 

0.00 

strictly as per FEFO for 

data entry in ProMIS 

Modernization of 

3.3 No proposal during 2011-12 

warehouses/Building 

0.00 

new warehouses 

Printing of revised 

formats of Expiry & Stock 

Registers 

2.00 

3.4 Rs.150 per register for 2 Register for 10 

warehouse 0.03 


TOTAL 11.74 

An amount of Rs. 11.74 Lakhs may be approved for the initial implementation of ProMIS in the 

State. 


166 

B16 

PROCUREMENT 

Activity-1: 

Activity-2: 

Procurement of 04 radiant warmer: 

The State has proposed 3 district hospital for setting up of NBSU namely District 

Hospital Thoubal, CCpur & Bishnupur and 1 radiant warmer for CHC Mao, 

Senapati for operationalization of FRU. The above mentioned hospital are 

functioning with only one each radiant warmer, another 3 radiant warmer, one 

each per hospital is proposed to be procured during the financial year 2011-12. 

The required budget for the activity is Rs. 4.40 Lakhs only. The activity detail is 

spelled at Part-A: Child Health. 

Procurement of Dental Equipment: 

The State has recruited 39 Dental Surgeon during the financial year 2010-11 and 

the service of Dental Surgeon will be made available up to the level of CHCs. In 

the coming financial year, the state health society proposed to support the 

equipment cost for the dental at the CHCs. The required equipments and 

budget is given below: 

Table: Dental Equipments 

Sr. No. Particular No. of item Unit Cost Amount 

(Rs in Lakh) 

1 Dental Chair & Light 

2 Basic Dental Equipments 

16 Rs. 2.00 Lakhs 32.00 

3 Consumable Cost 

TOTAL 

Rs. 32.00 Lakhs 

Activity-3: 

Activity-4: 

Procurement of 02 electronics display cum white board for RIHFW, Porompat, 

FHWTS, and Family Welfare Conference hall, State Health Society, Manipur @ Rs. 

2.70 Lakhs per display. A total budget of Rs. 5.4 Lakhs will be required. 

Logistic Support for collection and distribution of equipment, furniture and drugs: 

A sum of Rs. 5.00 Lakhs will be needed for hiring a DI TATA at State level for timely 

collection and distribution of the items to the various destinations in the districts. 

Activity-5: Procurement Equipment gaps in DH Thoubal which is to be up-graded from 50- 

bedded capacity To 100 bedded capacities: During the financial year 2010-11, 

the MoHFW, GOI has approved an amount of Rs. 179.72 Lakhs as 50% for 

procuring the Equipment gaps in DH, Thoubal. The main gaps identified are as 

given below imaging equipment 

• Electro-Medical equipment 

• Pneumatic, Hydraulic and Sterilization equipment 

• Laboratory equipment 

• Hospital plant 

• Administrative equipment 

• Transport items 

• Surgical instruments (both major & minor) 

• Hospital furniture and Misc. items 

In the coming financial year 2011-12, the remaining 50% amount of Rs. 179.72 

Lakhs may be further approved for procuring the remaining gaps in the District 

Hospital, Thoubal. 

Activity:-6: 

Procurement of one Colour Doppler Ultrasound machine with uterine probe for 

District Hospital, Tamenglong. The required amount is Rs. 25.00 Lakhs. 


167 

Activity-7: 

Procurement of Shadow less Mobile Lamp: Procurement of 6 Shadow Mobile less 

Lamps to be used in Labour Room for following FRU Targeted 3 District Hospitals 

and 3 CHCs: 

1. DH, Chandel 

2. DH, Ukhrul 

3. DH, Senapati 

4. CHC Sagolmang, IE and 

5. CHC Wankgoi, IW 

6. CHC Mao, Senapati 

The required budget will be Rs. 7.2 Lakhs @ Rs 1.20 Lakhs per Lamp 

Activty-8: 

Procurement of Labour Examination Table with Stirrup: Procurement of 6 Labour 

Examination Tables with Stirrup for the 5 following 24X7 Target PHCs and one 

CHC: 

1. PHC Sinzwal, CCP 

2. PHC Singhat, CCP 

3. PHC Khoupum, TML 

4. PHC Oinamlong, TML and 

5. PHC Saikhul, SPT 

6. CHC Mao, Senapati 

The cost of the table is @ Rs. 0.20 Lakh per table. The total budget required is Rs. 

1.20 Lakh only. 

Activity-9: 

Procurement of one New Born Resuscitation Kit for Mao CHC, Senapati. The 

required budget for the same is Rs. 2.74 Lakhs may be needed in the financial 

year 2011-12 

Activity-10: 

Procurement of Solar Freeze for 20 CHs/PHCs @ Rs. 2.60 Lakhs plus installation 

charge of Rs. 0.50 Lakhs. An amount of Rs. 62.00 Lakhs may be approved. Detail 

activity reflected at Part-C: Immunization. 

Table: Total Budget for Procurement 

Activity Particulars Amount (Rs in Lakh) 

1 Procurement of 03 radiant warmer 4.40 

2 Procurement of Dental Equipment 32.00 

3 Procurement of 02 electronics display 5.40 

4 Logistic Support for collection and distribution of equipment, 

furniture and drugs 

5.00 

5 Procurement Equipment gaps in DH Thoubal 179.72 

6 Procurement of one Colour Doppler Ultrasound machine 25.00 

7 Procurement of Shadow less Mobile Lamp 7.20 

8 Procurement of Labour Examination Table with Stirrup 1.20 

9 Procurement of one New Born Resuscitation Kit 2.74 

10 Procurement of 20 Solar Freeze 62.00 

TOTAL 324.66 


168 

B17 

PNDT ACTIVITIES 

Pre-Conception & Prenatal Diagnostic Techniques Act 

Budget proposal for the year 2011-2012 under Pre-conception & Pre-natal Diagnostic 

Techniques Act in respect of Manipur State. 

Sl.no Item Particular Amount 

(rupees in lacs) 

1. State supervisor Board 

Meeting: 

@ Rs.26,000/-per meeting for 3(three) meeting 

in a year 

1. The board shall meet of 

least once in 4 (four) 

i. Sitting allowance for 10-eminent 

members @Rs.600/ per sitting 

months (Exp. TA/DA. ii. Refreshment @Rs.200/- X 30 participants 

Stationary, PA system, 

(Ex-officio members & Officers) 

0.78 

refreshment etc. 

iii. Stationary @Rs.250/- X 30 participants 

iv. Hiring charge of Generator @Rs.1000/- 

v. PA system & Backdrop @Rs.3500/- 

vi. Misc – Rs.2000/- 

2. Stat Advisory Committee: 

2. Meeting at least once 

every sixty days 

vii. @ Rs. 13,200/- per meeting x6 times in a 

year I Sitting allowance for 7 –SAC 

members @ Rs. 600/- per-sitting 

viii. Refreshment @Rs.200 X 20 participants 

ix. Stationary @ Rs.200 X 20 members 

x. Misc. 1000/- 

0.792 

3. State Appropriate Authority 

3. To grant, suspend or 

cancel the registration 

Meeting 14 (fourteen) times @ Rs.7200/-per 

meeting 

i. Sitting allowance for 2(two) SAA 

member @ Rs.600/- 

ii. Stationary @ Rs. 250/- X 10 members 

(SAA & Officials 

iii. Refreshment @ 200/- X 10 

iv. Misc. Rs.1500/- 

1.008 

4. Field Visits by SAC & SAA 

1. To enforce the standards 

of ultra sound clinic, to 

obey the PNDT Act. 

Field Visits to all District including Jiribam & 

Moreh (SAA+ SAC) – 10 times @ Rs 6600/- perfield 

visit 

i. Hiring charge of vehicle @ Rs. 3000/- 

ii. DA for SAC & SAA members @ Rs.600/- 

X 5 = Rs3000/- 

iii. Misc. Rs.600/- 

0.66 

2. Supportive supervision to 

PPP Centres, Hospital, 

CHC and PHC etc. to 

regulate MTP Act and 

obey PNDT Act 

Field visit to all district 20 (twenty ) times @ Rs 

4200/- per field visit 

i. Hiring of vehicle @ Rs.2000/- 

ii. DA for 4(Four) SAA/SAC@Rs.500/- 

iii. Misc. Rs.200/- 

0.84 

5. Legal activities: 

1. to make appropriate 

legal action against the 

use of any sex selection 

technique by any person 

at any place, suo moto 

or brought to its notice 

and also to initiate 

independent 

Legal Fee and Expenditure 

0.25 


169 

Sl.no Item Particular Amount 

(rupees in lacs) 

investigations, to order so 

cause notice to the Ultra 

sound Clinic who does 

not obey PNDT, act 

6. 1. Awareness Programme 

2. To create public 

awareness against the 

practice of sex selection 

or pre- Natal 

Determination of sex 

3. to organise workshop – 

interaction cum 

sensitization with 

Gynaecologist, 

Radiologist, proprietor of 

Ultra sound Clinic, Public 

prosecutor, Advocate 

etc. 

1. Awareness Programme @ Rs.10,000 X 

40 programme 

i. backdrop & Welcome – Rs 2000/- 

Prog. 

ii. Stationary - Rs.1000/- Prog. 

iii. PA system - Rs 1300/- Prog. 

iv. 4 (four ) resource person- Rs 2000/- 

prog. @ Rs. 500/- 

v. 50-Participant @ Rs.50/- = 

Rs.2500/prog. 

vi. Refreshment - Rs. 1200/-Prog. 

2. Workshop Rs. 14500 X 6 

i. backdrop & Welcome – Rs 2000/ Prog 

ii. PA System including LCD Operation 

Rs. 3000/- 

iii. Stationary @ Rs.250/- x30=7500/- 

iv. Refreshment @ Rs. 300x30=Rs.9000/- 

v. Hiring of hall and misc Rs 5000 

4.00 

0.87 

3. Wall Painting 6’x 10’ 

@ Rs. 35/Sq.fit. 

1.89 

90.x2,100 

7. Mobility support @ Rs. 10000 per - month 1.2 

8. Misc & Office contingency (including provision of 1.(one laptop.) 1.0 

Grant total 13.29 


170 

B18 

REGIONAL DRUGS WAREHOUSE 

B19 NEW INITIATIVES/STRATEGIC INTERVENTION/INNOVATION 

B19.1 EMERGENCY PATIENT TRANSPORT SERVICES 

Emergency Patient Transport Services: 

The State Capital of Imphal has 2 Medical College Hospitals at RIMS and JNIMS which 

are providing tertiary care. At present there is neither Emergency Response Service nor 

Private Service Providers for transport / referral facilities. This is a major hindrance in 

patients getting access to tertiary care in times of emergency even in the urban areas. 

The State proposes to set up helplines with 4 ambulances for both these tertiary care 

hospitals to cater to the need of patients in terms of transporting them from their 

residence in case of emergencies, free of cost. 

Apart from other medical & surgical emergencies, priority will also be given to 

complicated pregnancies, and severely ill children especially belonging to BPL. 

All the ambulances will be provided with facility for catering to cardiac and 

neurological emergencies since number of such patients are increasing every day. The 

Critical Care Ambulance will have the following equipments: 

Table: Required Equipments 

Items 

PATIENTS HANDLING SYTEMS 

Automatic Loading Stretcher 

Head Immobilization System 

Folding Stretcher 

Scoop Stretcher 

Vacuum Splint Kit 

Anti shock trousers (Imported) 

KED Extrication device 

Vacuum Mattress 

EMERGENCY EQIPMENTS 

Automatic Suction Pump 

Mouth to Mouth Respirator 

Resuscitation Bag for Adults & Children 

Resuscitation Kit (Imported) 

Syringe Infusion Pump 

Defibrillator/ Monitor/Pacer. 

Qty. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 

1 No. 


171 

The total estimated cost of critical care ambulances @ Rs 20 Lakhs per unit. The 

ambulances will be placed under JNIMS, Manipur with supervision from State Health 

Society. However, due to scarcity of drivers in the state, it is proposed to provide 3 

contractual drivers per ambulance (8 hr shift) @ Rs 5000/- per month. An operational 

cost of Rs. 10,000 per ambulance (including POL) is also being proposed. 

The Helpline will be located at the JN Hospital (JNIMS) and manned by a Call Operator 

(Graduates and who will be provided training). 6 Operators (8 hr shift) will be engaged 

on contractual basis at a salary of Rs. 8,000 per month. 

Twelve (12) Staff Nurses (Female) and twelve (12) Male Nurses will be engaged (2 each 

per Ambulance – 8 Hour Shift) as technical @ Rs. 9000/- per month per nurse. 

The required Budget for the activity is given below: 

Table: Required Budget 

Ambulance 

Requirement Unit Unit Cost Total Cost 

(Rs in Lakh) 

Critical care Ambulance 04 Rs. 20 Lakh 80.00 

Manpower 

Contractual Drivers 12 Rs. 5,000 per month 7.20 

Call Operator 06 Rs. 8,000 per month 5.76 

Female Nurse 12 Rs. 9,000 per month 12.96 

Male Nurse 12 Rs. 9,000 per month 12.96 

Infrastructure/Operational Cost 

Operational Cost including POL 04 Rs. 60,000 per month 28.80 

Infrastructure set up /Computer 

/Telephone /Electricity etc. 

1 Approximately 10.00 

Miscellaneous Expenditures (4%) 6.00 

TOTAL 163.68 


172 

B19.2 INTERVENTIONS IN DIFFICULT, VERY DIFFICULT AND INACCESSIBLE AREAS 

The State Health Society, Manipur has 420 SCs, 73 PHCs and 16 CHCs. Based on accessibility, 

the health centres are identified as Difficult, Very Difficult and Inaccessible areas. In the State 

162 SCs, 30 PHCs and 3 CHCs are found to be in difficult/very difficult/inaccessible areas. The 

health centres are identified as Difficult, Very Difficult and Inaccessible areas base on the 

degree of accessibility. As categorized below: 

Description of areas 

Sr. No. Category Description 

1 Difficult Areas Health Institution situated nearby State and Internal Boarder and 

un-served areas 

2 Very Difficult Health Institution Having poor Connectivity (accessible by vehicle 

Areas 

during dry season only) 

3 Inaccessible 

Areas 

Health Institution having very poor connectivity (accessible only by 

foot) 

The figures for each category are provided in the table below: 

No. of health facilities based on accessibility 

Areas Sub Centres PHC CHC DH 

Difficult 48 18 2 3 

Very Difficult 66 10 1 2 

Inaccessible 45 2 0 0 

Total 159 30 3 5 

In this regards, the list of health facilities which were identified by the state under the different 

categories was verified and re-categorised by the NHSRC based on the following 

measurement: 

Accessible: Any health facility less than 60 km from any district hospital/district headquarter or 

less than 60 km from any urban areas is accessible. It would not be considered difficult even if 

there were other adverse environments or housing situations. Exceptions only in extreme 

situations like Upper Himalaya districts or in some NE district. 

Inaccessible: Any health facility which is not on a motorable road or where the road gets cut 

off for more than 6 months and one has to walk to reach the facility – is Inaccessible – 

irrespective of other factors. Not to count as inaccessible, if the walking part is only within the 

village/town. Usually above a one hour walking time and 5 km distance, it is safe to declare it 

as “Inaccessible”. A walking time of over half hour or 2 km distance is taken as cut-off. 

Difficult and Very/Most difficult: If the facility is more than 60 km from urban area/district 

headquarters it would be considered difficult if in addition if 

a. The facility is more than 30 km from block headquarter and over 10 km away from 

national highway or other main busy highway – irrespective of other adverse 

environment or housing criteria. 

Contd/- 

OR 

b. The Facility is less in one of the above two distance (from block and from highway) but 

there are adverse environment factors or housing factors to compensate for it. 

OR 

c. If the road gets cut off for more than a month every year. 


173 

Based on the above measurement, the following health facilities were upgraded after NHRSC 

verification. 

Sr. 

No. 

Name of the district Name of Facility Category Category 

proposed by 

State 

Category 

upgraded by 

NHSRC 

1 Tamenglong Khoupum PHC Difficult Very Difficult 

Tamei PHC Difficult Very Difficult 

Haochong PHC Difficult Very Difficult 

Oinamlong PHC Difficult Very Difficult 

2 Churachandpur Sinzawl PHC Difficult Inaccessible 

Parbung CHC Very Difficult Inaccessible 

3 Senapati Laii PHC Difficult Very Difficult 

4 Ukhrul Khangkhui Khullen PHC Difficult Very Difficult 

Kamjong CHC Difficult Inaccessible 

Chingai PHC Difficult Very Difficult 

Therefore, based on NHSRC accessibility, the district wise health centres in the state are remapped 

as below: 

1. PHSC 

Sl. No. District Inaccessible Very Difficult Difficult Total 

1 Imphal East - 3 3 6 

2 Chandel 4 10 4 18 

3 Churachandpur 19 14 13 46 

4 Ukhrul 2 15 18 35 

5 Senapati 9 17 9 35 

6 Tamenglong 11 7 1 19 

45 66 48 159 

2. PHC 


1 Imphal East - 1 - 1 

2 Chandel - - 4 4 

3 Churachandpur 2 3 3 8 

4 Ukhrul - 3 2 5 

5 Senapati - 4 2 6 

6 Tamenglong 1 4 1 6 

3 15 12 30 

3. CHC 


1 Imphal East - - 1 1 

2 Chandel - - - 0 

3 Churachandpur 1 - 1 

4 Ukhrul 1 - 1 

5 Senapati - - - 0 

6 Tamenglong - - - 0 

2 0 1 3 

4. District Hospital (DH) 


1 Chandel - 1 - 1 

2 Churachandpur - - 1 1 

3 Ukhrul - - 1 1 

4 Senapati - - 1 1 

5 Tamenglong - 1 - 1 

- 2 3 5 


174 

5. State Total 

Areas Sub Centres PHCs CHCs DHs 

Difficult 48 12 1 3 



Total 159 30 3 5 

The proposed and approved Incentives Structure during the financial years 2010-11 for the staffs 

who are posted in the difficult to be accessed areas will be given incentives in the form of 

increased monthly honorarium according to the degree of difficulty as given below. 

• Inaccessible areas - 150 % of Basic Pay 

• Very difficult areas - 100% of Basic Pay 

• Difficult areas - 75 % of Basic Pay 

Hence, the state is proposed to continue the intervention in the coming financial year 2011-12. 

The District wise breakup Budget for the same is calculated as given below: 


1. Difficult Areas 

No of Health Facilities, Staffs and Incentivisation under Difficult Area (Amount in Rs.) 

Sr. 

No. 

Contract Technical 

Staffs 

Basic Pay 

(Amount 

in Rs.) 

Incentive 

Amount - 

75% of 

Basic Pay 

(Amount 

in Rs.) per 

person per 

month 

Imphal East Chandel Churachandpur Ukhrul Senapati Tamenglong TOTAL 


175 

No. of Facilities 

No. of Staff 

Incentive per 

month 


No. of Staff 

Incentive per 

month 


No. of Staff 

Incentive per 

month 


No. of Staff 

Incentive per 

month 


No. of Staff 

Incentive per 

month 


No. of Staff 

Incentive per 

month 


No. of Staff 

Incentive per 

month 

A PHSC 

1 ANM 3200 2400 3 3 7200 4 4 9600 13 13 31200 18 18 43200 9 9 21600 1 1 2400 48 48 115200 

B PHC 

1 Lab 3200 2400 0 0 0 4 4 9600 3 3 7200 2 2 4800 2 2 4800 1 1 2400 12 12 28800 

2 2 Staff Nurse 4500 3375 0 0 0 4 8 27000 3 6 20250 2 4 13500 2 4 13500 1 2 6750 12 24 81000 

3 AYUSH Pharmacist 4500 3375 0 0 0 4 4 13500 3 3 10125 2 2 6750 2 2 6750 1 1 3375 12 12 40500 

4 AYUSH Doctor 8000 6000 0 0 0 4 4 24000 3 3 18000 2 2 12000 2 2 12000 1 1 6000 12 12 72000 

C CHC 

1 ANM 3200 2400 1 1 2400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2400 

2 4 Staff Nurse 4500 3375 1 4 13500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 13500 

3 Public Health Nurse 5500 4125 1 1 4125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 4125 

4 General Pharmacist 4500 3375 1 1 3375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 3375 

5 4 MBBS Doctors 8000 6000 1 4 24000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 24000 

D 

District Hospital 

1 Specialist Doctor 20000 15000 0 0 0 0 0 0 1 0 0 1 1 15000 1 1 15000 0 0 0 3 2 30000 

Total Budget 

TOTAL (For one month) 54600 83700 86775 95250 73650 20925 414900 

TOTAL (For three months) 163800 251100 260325 285750 220950 62775 1244700 

TOTAL (For six months) 327600 502200 520650 571500 441900 125550 2489400 

TOTAL (For one year) 655200 1004400 1041300 1143000 883800 251100 4978800

2. Very Difficult Areas 

No of Health Facilities, Staffs and Incentivisation under Very Difficult Area (Amount in Rs.) 

Sr. 

No. 


Staffs 

Basic Pay 

(Amount 

in Rs.) 

Incentive 

Amount - 

100 % of 

Basic Pay 

(Amount 

in Rs.) per 

person 

per month 



176 

No. of 

Facilities 

No. of Staff 

Incentive 

per month 

No. of 

Facilities 

No. of Staff 

Incentive 

per month 

No. of 

Facilities 

No. of Staff 

Incentive 

per month 

No. of 

Facilities 

No. of Staff 

Incentive 

per month 

No. of 

Facilities 

No. of Staff 

Incentive 

per month 

No. of 

Facilities 

No. of Staff 

Incentive 

per month 

No. of 

Facilities 

No. of Staff 

Incentive 

per month 

A PHSC 

1 ANM 3200 3200 3 3 9600 10 10 32000 14 14 44800 15 15 48000 17 17 54400 7 7 22400 66 66 211200 

B PHC 

1 Lab 3200 3200 1 1 3200 0 0 0 3 3 9600 3 3 9600 4 4 12800 4 4 12800 15 15 48000 

2 2 Staff Nurse 4500 4500 1 2 9000 0 0 0 3 6 27000 3 6 27000 4 8 36000 4 8 36000 15 30 135000 


4 AYUSH Doctor 8000 8000 1 1 8000 0 0 0 3 3 24000 3 3 24000 4 4 32000 4 4 32000 15 15 120000 

C CHC 

1 ANM 3200 3200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 

2 4 Staff Nurse 4500 4500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 



5 4 MBBS Doctors 8000 8000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 

D 

District Hospital 


TOTAL BUDGET 





3. Inaccessible Areas 

No of Health Facilities, Staffs and Incentivisation under Inaccessible Area (Amount in Rs.) 

Sr. 

No. 


Staffs 

Basic Pay 

(Amount 

in Rs.) 

Incentive 

Amount - 

150 % of 

Basic Pay 

(Amount 

in Rs.) per 

person 

per month 



177 

No. of 

Facilities 

No. of Staff 

Incentive per 

month 

No. of 

Facilities 

No. of Staff 

Incentive per 

month 

No. of 

Facilities 

No. of Staff 

Incentive per 

month 

No. of 

Facilities 

No. of Staff 

Incentive per 

month 

No. of 

Facilities 

No. of Staff 

Incentive per 

month 

No. of 

Facilities 

No. of Staff 

Incentive per 

month 

No. of 

Facilities 

No. of Staff 

Incentive per 

month 

A PHSC 

1 ANM 3200 4800 0 0 0 4 4 19200 19 19 91200 2 2 9600 9 9 43200 11 11 52800 45 45 216000 

B PHC 

1 Lab 3200 4800 0 0 0 0 0 0 2 2 9600 0 0 0 0 0 0 1 1 4800 3 3 14400 

2 2 Staff Nurse 4500 6750 0 0 0 0 0 0 2 4 27000 0 0 0 0 0 0 1 2 13500 3 6 40500 


4 AYUSH Doctor 8000 12000 0 0 0 0 0 0 2 2 24000 0 0 0 0 0 0 1 1 12000 3 3 36000 

C CHC 

1 ANM 3200 4800 0 0 0 0 0 0 1 1 4800 1 1 4800 0 0 0 0 0 0 2 2 9600 

2 4 Staff Nurse 4500 6750 0 0 0 0 0 0 1 4 27000 1 4 27000 0 0 0 0 0 0 2 8 54000 



5 4 MBBS Doctors 8000 12000 0 0 0 0 0 0 1 4 48000 1 4 48000 0 0 0 0 0 0 2 8 96000 

D District Hospital 


TOTAL BUDGET 





4. TOTAL BUDGET (District wise) 

Imphal East 

Chandel 

District 

Churachandpur 

Ukhrul 

Senapati 

Tamenglong 

Districts Total Budget for Difficult, Very Difficult & Inaccessible Areas 

TOTAL 

(For one month) 

TOTAL 

(For three months) 

TOTAL 

(For six months) 

TOTAL 

(For one year) 

Difficult 54600 163800 327600 655200 



TOTAL 88900 266700 533400 1066800 

Difficult 83700 251100 502200 1004400 


Inaccessible 19200 57600 115200 230400 

TOTAL 154900 464700 929400 1858800 

Difficult 86775 260325 520650 1041300 


Inaccessible 260100 780300 1560600 3121200 

TOTAL 465775 1397325 2794650 5589300 

Difficult 95250 285750 571500 1143000 


Inaccessible 104400 313200 626400 1252800 

TOTAL 321750 965250 1930500 3861000 

Difficult 73650 220950 441900 883800 


Inaccessible 43200 129600 259200 518400 

TOTAL 270050 810150 1620300 3240600 

Difficult 20925 62775 125550 251100 


Inaccessible 89850 269550 539100 1078200 

TOTAL 291975 875925 1751850 3503700 

TOTAL 

Difficult 414900 1244700 2489400 4978800 


Inaccessible 516750 1550250 3100500 6201000 

GRAND TOTAL 1593350 4780050 9560100 19120200 

(191.202 Lakhs) 


178

- 179 - 

B19.3 Pilot Project on Community HIV Counseling and Testing 

The State NRHM on pilot basis will like to adopt the model of Community HIV counseling 

and testing being carried out in districts of Imphal west and Ukhrul to train 30 ANMs in 

Thoubal district on areas of ‘Prevention of Parent to Child Transmission’ (PPTCT) to see the 

feasibility of integrating HIV counseling and referral for testing in ANC services during 

regular duty hours of ANMs. On this account the state NRHM will collaborate with 

implementing partner, NGO such as Solidarity and Action Against the HIV Infection 

(SAATHII), Manipur branch. Thoubal district which has a coverage gap of 40.9% in 

counseling and testing services of population prone to risky behavior and 58 % for 

antenatal women and the district having home deliveries of 40 % draws attention to 

address counseling and testing coverage gap through innovative strategies in addition to 

routine government programs. 

PROPOSED BUDGET FOR SAATHII PPTTCT EXAPANSION IN THOUBAL DISTRICT 

Sl. 

No. 

LINE ITEMS DESCRIPTION Purposed Budget 

2 Days Training Program for 30 ANMs in Thoubal District 

1 Honorarium for 30 ANMs Honorarium @Rs. 100/- per person x 30 Rs 6,000.00 

ANMx x 2 days 

2 Travel allowance for 30 ANMs Travel allowance @Rs. 100/- per person Rs 6,000.00 

x 30 ANMx x 2 days 

3 Training materials for 30 frontline Training materials @Rs. 100/- per person Rs 3,000.00 

workers 

x 30 ANMs 

4 Honrarium for 10 Resource person Resource person fee @Rs. 500/- per 

person x 10 persons 

Rs 5,000.00 

5 Travel allowance for 6 resource 

persons from outside Thoubal district 

6 Travel allowance for 4 resource 

persons from witin the district 

Travel allowance @Rs. 300/- per person 

x 6 resouece persons (outside the 

district) 

Travel allowance @Rs. 100/- per person 

x 6 resoource persons (within the 

district) 

Rs 1,800.00 

Rs 600.00 

7 Venue charge (hall+PA+Generator) Venue charge @Rs. 1000/- per day x 2 Rs 2,000.00 

days 

8 Refreshment and lunch for 40 ANMs Refreshment and lunch @Rs. 200/- per Rs 14,000.00 

person x 35 (30 ANMs and staff) x 2 

days 

9 LCD and Generator LCD @Rs. 1500 per day x 2 days Rs 3,000.00 

10 Hiring Vehicle during training for 2 days Rs 3,000.00 

11 Contingency Rs 3,000.00 

Rs 47,400.00 

Rupees forty seven thousand and four hundred only 


- 180 - 

PROPOSED BUDGET FOR SAATHII PPTCT EXPANSION IN THOUBAL DISTRICT – REVIEW AND REFRESHER OF TRAINED 

ANMs 

Sl. No. LINE ITEMS DESCRIPTION Purposed Budget 

1 Honorarium for 30 ANMs Honorarium @Rs. 100/- per person x 30 Rs 6,000.00 

ANMx x 2 days 

2 Travel allowance for 30 ANMs Travel allowance @Rs. 100/- per person Rs 3,000.00 

x 30 ANMS 

3 Training materials for 30 frontline Training materials @Rs. 50/- per person Rs 1,500.00 

workers 

x 30 ANMs 

4 Honorarium for Resource person Honorarium for four Resource person Rs 2,000.00 

Travel cost for resource persons Travel cost for four resource persons Rs 400.00 

Venue charge (hall+ Generator) Venue charge @Rs. 1000/- per day Rs 1,000.00 

Refreshment and lunch for 35 Refreshment and lunch @Rs. 150/- per Rs 5,250.00 

ANMs 

person x 

Hiring Vehicle during training for 1 

Rs 2,000.00 

days 

Contingency Rs 850.00 

Total Rs 19,000.00 

Table: Consolidated Budget – SAATHII PPTCT Expansion in Thoubal District 

Sl. No. Item Amount 

1 Training of 30 ANMs in Thoubal Rs 47,400.00 

2 Review and Refresher of trained ANMs Rs 19,000.00 

TOTAL Rs 66,400.00 

Rupees sixty six thousand four hundred only (Rs. 0.67 Lakh) 


- 181 - 

B19.4 Provision of Incentives to mothers/ Mamagi Khudol Scheme 

Stay of mother and newborn at the health facilities for 48 hrs after delivery ensures 

quality Post Natal and Newborn Care, thereby reducing both Maternal and 

Neonatal Mortality. Efforts will be made to ensure 48 hrs stay of mothers in the 

health facilities all across the State after Institutional Delivery. To promote this 

initiative, a “Mother and Baby Kit” will be provided to the mothers who fulfill this 

criterion. These kits will consist of the following: 

Fresh Towels for mother and baby: 1 each 

Baby Shampoo, Soap and Oil: 1 each 

Diaper: 1 packet of 10 

Mackintosh Sheet: 1 

Baby Mosquito Net: 1 

Table: Budget for Mamagi Khudol Scheme 


Estimated Delivery 

2011-12 

Delivery at Public 

Institutions during 

April – Nov 2010 

% of Deilvery at 

Public/Govt. 

Institution April -Nov 

2010 

Target % of Delivety 

at Public/Govt. 

Institution during 

2011-12 

Target of Delivety at 

Public/Govt. 

Institution during 

2011-12 

Budget @ Rs 500/- 

per delivery 

7248 8157 6683 3824 2584 2172 4183 5206 2046 42103 

984 7106 744 711 173 386 1389 726 277 12496 

13.6% 87.1% 11.1% 18.6% 6.7% 17.8% 33.2% 13.9% 13.5% 29.7% 

25% 90% 20% 30% 15% 30% 45% 25% 25% 

1812 7341 1337 1147 388 652 1882 1302 512 16372 

9.06 36.71 6.68 5.74 1.94 3.26 9.41 6.51 2.56 81.86 

Rs. 500 has been budgeted for 16372deliveries. The budget required for the finanivail year 

2011-12 will be Rs.81.86 Lakhs. 


- 182 - 

B19.5 SOLAR POWER PLANTS FOR 6 DISTRICT HOSPITALS 

The State has able to establish 3 Solar Power Plant in two institutions namely District 

Hospital, Churachandpur & Thoubal and Sub-District Hospital, Moreh through 

MANIREDA. During the coming financial year 2011-12 additional establishment of 6 

solar plants for the following District Hospitals and 1 CHC for 25 KWP capacity each 

through Manipur Renewable Energy Development Agency (MANIREDA): 

1. District Hospital, Chandel 

2. District Hospital, Tamenglong 

3. District Hospital, Ukhrul 

4. District Hospital, Senapati 

5. District Hospital, Bishnupur 

The unit cost of plant is @ Rs. 100.00 Lakh of which Rs. 63.50 Lakh shall be funded 

through Ministry of Renewable Energy, GOI and Rs. 34.50 Lakh is proposed to be 

provided by the State Health Society, Manipur under NRHM. 

The Cost is inclusion of power distribution lines, Taxes, duties agency & contingency 

charge etc. 

Provision of Rs. 172.50 Lakh (Rs. 34.50 Lakh x 5 Units) is proposed for the above 

activity during the financial year 2011-12. 


- 183 - 

B19.6 MANIPUR HEALTH HELP LINE (MHHL) 

Introduction 

Health being a fundamental right, it is imperative that along with provision of health care services, 

people remain well informed about all parameters regarding their health. Regular IEC/BCC 

activities are being undertaken to address this need but it is time to further widen the net. One of 

the interventions can be in the form of setting up a centralized help line to cater to the queries of 

people from all walks of life. 

Through this initiative, health information can be made available and accessible 24x7 to all 

callers. Apart from providing information, this service can also be utilized to gather data regarding 

felt need, status of service provision, disease incidence etc. This can be useful in the policy 

changes and planning process of the State as well, wherein need-based interventions can be 

proposed. 

Focus Areas: 

Apart from responding to the queries, this helpline van act as a two-way communication process 

and thereby utilized to disseminate information regarding 

Maternal Health including need and importance of Ante Natal Care, Institutional 

Deliveries, Post Natal Care etc 

Child Health including Immunization, Exclusive Breast feeding, treatment of diarrhea, 

Respiratory Tract Infections etc 

Family Planning including use of condoms, OCP, sterilizations etc 

HIV/ AIDS including RTI/STI 

Adolescent Health 

Non-Communicable Diseases like Diabetes, Cardiac Diseases and other lifestyle related 

diseases 

Impact & Outcomes: 

Better health seeking behavior and increased levels of understanding of health in a 

community 

Planning of interventions and reduction of maternal, infant and child mortality 

Reduce risk behaviors and thus incidence of STI, & HIV positivity 

Better adolescent health and reduction of child marriages. 

Lifestyle changes with early diagnosis and better management of non-communicable 

diseases 

Early response to personal and community needs in case of epidemics. 

Assess and Monitor ground reality regarding availability of assured health care services 

including infrastructure and staff 

The Process 

Establish a call center. 

The State Government shall communicate with the Ministry of Tele-Communications, Govt. 

of India to obtain a “3 digit”, easy to remember global telephone number accessible from 

all parts of the state and make it Toll Free for the State of Manipur. 

Advertise and advocate use of the “3 digit number” once it is allocated 

Advocate with all telecom providers for access to such a telephone number from their 

lines 

Establish protocols for answering enquiries, and giving relevant information and validate 

the same from Government and other professional bodies. 

Establish networking facilities with voluntary experts for transfer of call to answer in more 

detail 

Recruit necessary staff of call receivers, counselors, information providers, backup 

physicians and other experts 

Establish protocols and administrative mechanisms and train them accordingly. Establish 

mechanisms for monitoring and evaluation and validation 

Establishing the Health Helpline 


- 184 - 

Once these provisions are made Call Centers will be established with the following specifications: 

Call Center Features 

A 1000 square feet, fully air conditioned facility 

Provision of 24x7 uninterrupted power-supply with Generator 

Seating for 06 call takers/doctors/counselors per shift 

Recruitment of 18 call takers/doctors/information providers for 8 hour shift 

Training for 18 people 

Call center equipment with latest servers 

Call Process Features 

Voice-logging (voice-recording) with a facility to review the calls at a later point of time both 

for training and quality control 

Multi-party conferencing facility up to 4 parties to bring in specialists on line 

Automatic registration of Caller ID for both landlines and mobile numbers 

Computerized Directories 

SMS – for sending registration information and prescription or advice as necessary 

Budget Summary (A) 

Costing for 50-Seater (keeping in mind further expansion in the future) 

Item of Description Justification Quantity 

HARDWARE 

Office equipment – Heavy duty 

printer, communication equipment, 

fax machines, Filing Cabinets & 

Almirahs 

Nortel equipment (Quote from Nortel) 

For printers, fax machines, 

mobile phones and other office 

equipment 

Cost 

Lakh Rs 

The Contact Center Equipment 

150 

Nortel Voice 

is required to connect to the 

Cabling 

telecom network, accept the 

Voice Recording 

calls and route the same to the 

Work Force Management 

agents through EPABX and 

Headset control call traffic. 

50 

Antivirus 

Monitoring Applications 

Remote Access Routers 

Core Switch Modules *2 

Router*2 

PoE Switches 

10 Gig Switches 

Threat Protection Systems 

Voice Logger (Verint) 

Firewall & VPN 

Servers 

These servers are required to 

45 

CCT provide security and 

1 

CCMS centralization of network 

1 

CCMA resources, call routing with 

1 

Rep & Standby reporting, hosting the voice 

2 

Voice Loggers recording, CC application 

4 

Work Force Management 1 

Mail Server 1 

DB & Application 2 

Domain Controller & Security 2 

KVM console 

This is a central console 

1 5 

accesses all the servers 

Tape Drive with tapes (For 1 year back To keep the backup of all the 

5 

up) 

contact center call and advice 

history 

Desktops 

Desktop for every employee on 

6 1 

the day shift and for training 


5

- 185 - 

Costing for 50-Seater (keeping in mind further expansion in the future) 

Item of Description Justification Quantity 

room 

Cost 

Lakh Rs 

Laptops For leadership team 5 2 

Server Room A/Cs (2 Ton each – 1 ACs are required to keep the 

10 

Units) and UPS – (40 KVA each – 1 

Units) 

servers cool and UPS is required 

for Uninterrupted Power Supply 

Diesel Generator 200 KVA 

To provide standby power 

13 

supply 

LAN & Networking 

LAN cabling is required to 

10 

connect all the systems and 

servers 

Nortel - Installation and maintenance 15 

SUB-TOTAL 261.00 

SOFTWARE 

OS, Server and other Application 

Development Software including 

Antivirus 

Windows Server 2008 with one 

step downgrade for each of the 

servers and SQL Server 

8 25 

MS office Standard 14000/licence Tools for managers 20 3 

SUB- TOTAL 28.00 

OTHER COSTS 

Customization and enhancement of 

Contact Center Application 

Translation and customization of 

Algorithms, Disease Summaries 

Modification of premises - includes 

server room set up 

Pre Operational Expenditure - Travel 

Pre Operational Expenditure - 

Information Directory 

Miscellaneous and contingencies 

To customize contact centre 

application and translate 

screens etc., 

Refurbishment for a call center 

premises 

The server room to be made 

ready with false flooring and 

installation of Precision A/C 

along with UPS backup 

Travel of Key Associates and 

Senior Managers 

To provide data base for Health 

related Information. 

To meet unforeseen 

expenditure and price 

escalation etc 

20 

15 

25 

10 

SUB-TOTAL 75.00 

30 

TOTAL 394.00 

5 


- 186 - 

Budget Summary (B) 

Sl. No Operational Cost Justification 

No 

Required 

Rate Per 

Person / 

Unit per 

Month 

Rate Per 

Month 

Rate Per 

Annum in 

Lakhs 

1 CALL CENTRE STAFF 

Registration Officers Receives calls and Registers 

06 9000 54000 6.48 

the beneficiary data 

Medical Officers Provides Health Advice in 

06 25000 150000 18.00 

serious cases 

Counselors 

Provides Counseling Services 

06 15000 90000 10.80 

to Beneficiaries 

2 SUPPORT STAFF 

Finance Manager To supervise Finance Function 1 25000 25000 3.00 

Quality & MIS Manager To supervise quality and MIS 

1 25000 25000 3.00 

function 

TRAINING OF STAFF To train staff on Service 

20 3.00 

providing 

3 INFRASTRUCTURE 

Rent 

To Accommodate Contact 

10000 1.20 

Centre 

Electricity Power and Light 5000 0.60 

Generator @ Rs.2/- per 

sq.ft 

To provide standby power 

supply 

Communication,Station To meet day to day running 

ery &meeting expenses expenses of office 

and other office 

expenses. 

4 TECHNICAL COST 

PRI Lines (GSM & To access calls from 

CDMA)– Annual Cost exchange to server 

Internet Bandwidth – 5 For Communication 

MBPS (Annual) 

5 CONTINGENCIES To meet the cost of Staff 

Welfare & other unforeseen 

expenditure. 

1 1.20 

5000 0.60 

6 7000 42000 5.04 

5.00 

5.00 

TOTAL 62.92 

TOTAL BUDGET (A+B): Rs. 394.00 Lakhs + Rs. 62.92 Lakhs = Rs. 456.92 Lakhs 


- 187 - 

B20 

B21 

HEALTH INSURANCE SCHEME 

RESEARCH, STUDIES, ANALYSIS 

B21.1 Assessment of ASHA drug kit and its refilling 

During the AMG meeting it has been discussed several times about the quality of drug 

provided to ASHAs as well as its refilling mechanism as a major concern as there is no 

proper or regular and uniform system of refillining mechanism of ASHA drug kit which has 

been experienced during various field visits by AMG members as well as State (SPMU) 

staff. Therefore, an assessment/study to understand the existing systems of drug 

distribution and refilling mechanism is proposed. This will help in taking corrective measures 

and streamlining the drug kit refilling mechanism. For the study 2-3 districts will be 

selected. Budget: Rs. 500,000/- (Rs. 5.00 Lakhs) 

B21.1 JSY Evaluation 

With the introduction of NRHM, there have been improvements in various health indicators 

including institutional delivery across the country as well the state of Manipur. JSY was 

introduced as one of the approach/strategy to bring about the improvement in 

institutional delivery by providing incentives to the pregnant woman as well as ASHAs to 

motivate the institutional delivery. As the NRHM has entered its 6 years of implementation, 

the State proposed to conduct an evaluation of JSY so as understand the contribution of 

the scheme in increasing the institutional delivery, as well as various constraints and 

challenges that will held in taking any corrective measures in future for the further 

improvement of institutional delivery in the States. For the study 2-3 districts will be 

selected. Budget- 600,000//- (Rs. 6.00 Lakhs) 

For both the study, state will be proposed which has been already engaged 

organizations/agencies having involvement in similar study like ASHA and JSY in past. 

B22 

STATE HEALTH SERVICE RESOURCE CENTRE (SHSRC) 

B23 SUPPORT SERVICES 

B23.3 Support Strengthening NVBDCP (Rs. 411.80 Lakhs) 

Details activities discussed at Part-D: NVBDCP 

B23.4 Support Strengthening RNTCP (Rs. 60.11 Lakhs) 

Details activities discussed at Part-D: RNTCP 

B24 

OTHER EXPENDITURE 


- 188 - 

SUMMARY BUDGET SHEET FOR MISSION FLEXIBLE POOL 

Sl. No. Activity Unit 

Cost 

Physical 

Targets 

(Rs in Lakhs) 

Required fund 



B1 ASHA 387.12 

B2 Untied Funds 458.30 

B.3 Annual Maintenance Grants 99.00 

B.4 Hospital Strengthening 778.00 

B5 

New Constructions/ Renovation and 

Setting up 

1324.47 

B.6 Corpus Grants to HMS/RKS 137.00 

B7 

District Action Plans (Including Block, 

Village) B8 Panchayati Raj Initiative 

60.50 

B8 Panchayati Raj Initiative 18.95 

B9 Mainstreaming of AYUSH 14.40 

B9.1 Activities other than HR 

B10 IEC-BCC NRHM 156.90 

B11 

Mobile Medical Units (Including recurring 

expenditures) 

195.215 

B12 Referral Transport 66.00 

B14 PPP/ NGOs 29.15 

B15 

Planning, Implementation and Monitoring 

B15.1 Community Monitoring (Visioning 

workshops at state, Dist, Block level) 


34.60 

B15.3 Monitoring and Evaluation/HMIS 517.69 

B.16 PROCUREMENT 324.66 

B.17 PNDT Activities 13.29 

B.18 Regional drugs warehouses 

B.19 New Initiatives/ Strategic Interventions (As 

1066.83 

per State health policy)/ Innovation/ 

Projects (Telemedicine, Hepatitis, Mental 

Health, Nutition Programme for Pregnant 

Women, Neonatal) NRHM Helpline) as per 

need (Block/ District Action Plans) 

B21 Research, Studies, Analysis 11.00 

B23 Support Services 471.91 

TOTAL 6164.99 


- 189 - 

CONSOLIDATED BUDGET SHEET FOR MISSION FLEXIBLE POOL 

Sl. No. Activity Amount 

(Rs in Lakh) 


B1 

ASHA 

B1.1 Selection & Training of ASHA 153.60 

B1.2 Procurement of ASHA Drug Kit 36.84 

B1.3 Incentive to ASHAs under JSY 

B1.4 Incentive under Family Planning Services 

B1.5 Incentive under Child Health 

B1.6 Other Incentives to ASHAs 

B1.7 Awards to ASHA's/Link workers 

B1.8 Other 196.68 

B2 

Untied Funds 

B2.1 Untied Fund for CHCs 8.50 

B2.2 Untied Fund for PHCs 20.00 

B2.3 Untied Fund for Sub Centers 42.00 

B2.4 Untied fund for VHSC 387.80 

B.3 Annual Maintenance Grants 

B4.1 CHCs 17.00 

B4.2 PHCs 40.00 

B4.3 Sub Centers 42.00 

B.4 Hospital Strengthening 

B.4.1 

Upgradation of CHCs, PHCs, Dist. Hospitals to IPHS) 

B4.1.1 District Hospitals 0.00 

B4.1.2 CHCs 190.75 

B4.1.3 PHCs 0.00 

B4.1.4 Sub Centers 587.25 

B4.1.5 Others 0.00 

B 4.2 

B.4.3 

B.4.4 

B5 

Strengthening of District, Su-divisional Hospitals, CHCs, PHCs 

Sub Centre Rent and Contingencies 

Logistics management/ improvement 

New Constructions/ Renovation and Setting up 

B5.1 CHCs 0.00 

B5.2 PHCs 434.79 

B5.3 SHCs/Sub Centers 437.18 

B5.4 Setting up Infrastructure wing for Civil works 0.00 

B5.5 Govt. Dispensaries/ others renovations 3.00 

B5.6 Construction of BHO, Facility improvement, civil work, BemOC and 

0.00 

CemOC centers 

B.5.7 Major civil works for operationalisation of FRUS 70.00 

B.5.8 Major civil works for operationalisation of 24 hour services at PHCs 209.50 

B.5.9 Civil Works for Operationalise Infection Management & Environment Plan 0.00 

at health facilities 

B5.10 Other 170.00 


- 190 - 


(Rs in Lakh) 

B.6 Corpus Grants to HMS/RKS 

B6.1 District Hospitals 40.00 

B6.2 CHCs 17.00 

B6.3 PHCs 80.00 

B6.4 Other or if not bifurcated as above 0.00 

B7 District Action Plans (Including Block, Village) 60.50 

B8 

Panchayati Raj Initiative 

B8.1 Constitution and Orientation of Community leader & of 

VHSC,SHC,PHC,CHC etc 

B8.2 Orientation Workshops, Trainings and capacity building of PRI at 

State/Dist. Health Societies, CHC,PHC 

B8.3 Others 

0.00 

18.95 

B9 

Mainstreaming of AYUSH 

B9.1 Activities other than HR 14.40 

B10 

IEC-BCC NRHM 

B.10 Strengthening of BCC/IEC Bureaus (state and district levels) 3.00 

B.10.1 Development of State BCC/IEC strategy 16.40 

B.10.2 

B.10.2.1 

B.10.2.2 

B.10.2.3 

B.10.2.4 

B.10.2.5 






Other activities (please specify) 

B.10.4 Health Mela 50.00 

B.10.5 

Creating awareness on declining sex ratio issue 

B.10.6 Other activities 87.50 

B11 Mobile Medical Units (Including recurring expenditures) 195.215 

B12 

Referral Transport 

B12.1 Ambulance/ EMRI 50.00 

B12.2 Operating Cost (POL) 16.00 

B13 

B14 

School Health Programme 

PPP/ NGOs 

B14.1 Non governmental providers of health care RMPs/TBAs 

B14.2 PNDT and Sex Ratio 

B14.3 Public Private Partnerships 29.15 

B14.4 NGO Programme/ Grant in Aid to NGO 

B14.5 Other innovations( if any) 

B15 

Planning, Implementation and Monitoring 

B15.1 Community Monitoring (Visioning workshops at state, Dist, Block level) 

B15.1.1 State level 0.90 

B15.1.2 District level 4.50 

B15.1.3 Block level 10.80 

B15.1.4 Other 18.40 


- 191 - 


(Rs in Lakh) 


B15.3 Monitoring and Evaluation 

B15.3.1 Monitoring & Evaluation / HMIS 487.95 

B15.3.2 Computerization HMIS and e-governance, e-health 0.00 

B15.3.3 Other M & E 29.74 

B.16 PROCUREMENT 

B16.1 Procurement of Equipment 

B16.1.1 Procurement of equipment: MH 220.26 

B16.1.2 Procurement of equipment: CH 62.00 

B16.1.3 

B16.1.4 

Procurement of equipment: FP 

Procurement of equipment: IMEP 

B16.1.5 Procurement of Others 42.40 

B.16.2 

B.16.2.1 

B.16.2.2 

B.16.2.3 

B.16.2.4 

B.16.2.5 

Procurement of Drugs and supplies 

Drugs & supplies for MH 

Drugs & supplies for CH 

Drugs & supplies for FP 

Supplies for IMEP 

General drugs & supplies for health facilities 

B.17 PNDT Activities 13.29 

B.18 Regional drugs warehouses 

B.19 New Initiatives/ Strategic Interventions (As per State health policy)/ 

Innovation/ Projects (Telemedicine, Hepatitis, Mental Health, Nutition 

Programme for Pregnant Women, Neonatal) NRHM Helpline) as per 

need (Block/ District Action Plans) 

B.20 Health Insurance Scheme 

1066.832 

B.21 Research, Studies, Analysis 11.00 

B.22 State level health resources center(SHSRC) 

B23 

Support Services 

B23.1 Support Strengthening NPCB 

B23.2 Support Strengthening Midwifery Services under medical services 

B23.3 Support Strengthening NVBDCP 411.80 

B23.4 Support Strengthening RNTCP 60.11 

B23.5 Contingency support to Govt. dispensaries 

B23.6 Other NDCP Support Programmes 

B.24 Other Expenditures (Power Backup, Convergence etc) 

TOTAL 6164.99 


- 192 - 

PART-C 

IMMUNIZATION 


- 193 - 

IMMUNISATION 

A. Basic information of the State/UT related to Immunization Programme 

Position Name & Designation Contact No./Email 

State Immunization Officer 

State Cold Chain Officer 

Dr. Y. Ibechaobi Devi, 

Joint Director 

Dr. Th.Arunkumar Singh 

Deputy Director 

(Immunisation) 

Mr. H. Hardayal Sharma, 

Cold Chain Officer 

Mobile: 09436027609 

e-mail: sepioman@gmail.com 

Mobile: 97747231032 

e-mail:arunthiyam@gmail.com 

Mobile: 

e-mail: 

State Level Data Assistant 

Ms. S. Bijoylakshmi Devi, 

Computer Operator 

Mobile: 09862577505 

e-mail: 

District Immunization Officers (DIO) No. of Districts: 9 No. of DIOs in position: 11 

Table: Direction from the Government 

S.No 

Beneficiaries 

Target 

2009-10 2010-11 2011-12 

1. Pregnant women 56958 56411 45785 

2. 0 to 1 yr infants 51132 51283 41623 

3. 1-2 yr 48490 48915 41894 

4. 2-5 yr 193200 194150 197305 

5. 5 yr 49521 50462 41623 

6. 10 yr 47607 48746 40542 

7. 16 yr 45265 46503 38380 

The following information is to be filled based on the RI micro-plans. Please provide the details of held 

sessions for 2009-10 & 10-11, while for 2011-12 the number of planned sessions is to be provided: 

S.No Routine Immunization Sessions 2009-10 2010-11 2011-12 

1. Total Sessions planned 20777 21095 21516 

2. Total Sessions Held 

3. No. of Outreach Sessions 12036 13890 5040 

4. No. of Fixed site sessions 3724 6125 16476 

5. No. of Sessions in Urban Areas 2077 2095 364 

6. No. of Sessions in Rural Areas 18700 19000 21152 

7. No. of sessions in hard to reach areas 20777 21095 700 

8. No. of session with hired vaccinators* 1810 1950 90 

9. No. of hired vaccinators* 1810 1950 90 

10. No. of villages where sessions are held monthly 420 

No. of villages (smaller) where sessions are held 

1271 

11. on alternate months 

12. No. of villages where sessions are held quarterly 700 


- 194 - 

Sl 

No 

B. Existing Support to the States 

Item 

1 Cold Chain Equipments - 

Stock 

(functional) 

as on 31st 

Dec'10 

Requirement 

2009-10 2010-11 2011-12 

a) WIC 2 1 0 0 

b) WIF 0 1 1 1 

c) ILR 95 48 15 15 

d) DF 115 55 35 35 

e) Cold Boxes 175 50 30 30 

f) Vaccine Carrier 7000 2000 2000 2000 

g) Ice Pack 10000 3000 5000 5000 

h) Vaccine Van 5 0 12 12 

2 

Vaccine stock and requirement (including 25% wastage and 25% 

buffer) 

a) TT 9690 328757 318050 359235 

b) BCG 6467 258160 243000 243000 

c) OPV 1126 321844 307700 356966 

d) DPT* 1475 401097 383390 443208 

e) Measles 3679 80541 76925 89895 

f) Hep B 0 0 0 356966 

g) JE (Routine) 0 0 0 65629 

3 Syringes including wastage of 10% and 25 % buffer 

a) 0.1 ml NIL 58351 105778 334129 

b) 0.5 ml 80400 606113 1070251 1808032 

c) 

Reconstitution 

Syringes 

NIL 38701 31732 70650 

4 Hub Cutters NIL 500 500 2500 

*Note: DPT is to be given instead of DT at 5 yrs once the current stock of DT 

Vaccine is exhausted 

Remarks 

Received 1 (one) WIC 

in the year 2010-11, 

Installed but not 

commissioning due to 

unavailability of 3 

phase power supply 


C. Additional Support required by the State 

Service Delivery: - Norms* 

Expenditure & Achievement Remarks 

2009-10 2010-11(till Dec) 2011-12 

Funds 

requirement 

Target 


- 195 - 

Expenditure 

Achievement 

Expenditure 

Achievement 

Mobility support for 

supervision 

Supervisory visits by state 

and district level officers 

for monitoring and 

supervision of RI 

@Rs.50,000 per District for district 

level officers (this includes POL 

and maintenance) per year 

By state level officers @ Rs.100,000 

/year 

Cold Chain maintenance 

@ Rs 500 per PHC/CHC per year 

District Rs 10,000 per year 

Sessions held in 

inaccessible/very difficult/ 

difficult/ hard to reach 

areas 

(4 session per year) 

159 SCs @Rs.1000/- for 48 

difficult/ @Rs.1500/-for 66 very 

difficult/ @Rs.2000/- for 45 

inaccessible per Qtr. 

30 PHC @Rs.3000/- for 12 difficult/ 

@Rs.4000/-for 15 very difficult/ 

@Rs.5000/- for 3 inaccessible per 

annum. 

3 CHC @Rs.5000/- for 2 difficult/ 

@Rs.5000/- for 1 inaccessible per 

annum. 

Focus on slum & 

underserved areas in 

urban areas: 

6 DH/SDH @Rs.3000/- for 3 

difficult/ @Rs.4000/-for 3 very 

difficult. 

Hiring an ANM @Rs.300/session for 

four sessions/month/slum of 10000 

population and Rs.200/- per 

month as contingency per slum 

of i.e. total expense of Rs. 1400/- 

4.50 

1.00 

1.76 

No of sessions 

Supervised 3.00 

100% 50% 

No of districts 

visited for RI 

review 

0.50 


Supervised 4.50 



review 

1.00 


Supervised 



review 

9 – district 

2 – sub-district 

9 – district 


100% 50% 9+2=11 

% Funds used 

% Funds used 

% Funds used 80 – PHC 

16 – CHC 

0.735 

1.58 

100% 50% 

9 – District 

2 – Sub-district 

- - - - 9.48 159 SC 

- - - - 1.11 30 PHC 

0.13 

3 CHC 

0.21 

5 DH 

1 SDH 

6.34 


with hired 

vaccinators 3.42 


with hired 

vaccinators 0.32 


with hired 

vaccinators 

100% 50% 90 

Special focus for 

Imphal East and 

West


2009-10 2010-11(till Dec) 2011-12 


Funds 

requirement 

Target 


- 196 - 

Expenditure 

Achievement 

Expenditure 

Achievement 

per month per slum of 10000 

population. 

Mobilization of children 

through ASHA/ mobilizers 

Alternative Vaccine 

Delivery: 

Support for Computer 

Assistant for RI reporting 

(with annual increment of 

10% w.e.f. from 2010-11) 

Printing and dissemination 

of immunization cards, 

tally sheets, monitoring 

forms, etc. 

Review Meetings 

@ Rs 150/session (for all 

states/UT.s) 

Geographically hard to reach 

areas (eg. Session site>30 kms 

from vaccine delivery point, river 

crossing etc.) @ Rs 100 per RI 

session 

NE States and Hilly terrains @100 

per RI session 

For RI session in other areas @ 

Rs.50 per session. 

21.83 

No. of sessions 

with ASHA 

100% 


with AVD 

10.9125 


with ASHA 

50% 

21.83 


with ASHA 


with AVD No of sessions 

with AVD 

14.56 100% 7.275 50% 14.56 

0 0 0 0 0 0 

State @Rs 12,000- 15,000 p.m. 1.44 1 0.72 50% 1.80 1 

Districts @ Rs 8000- 10,000 p.m 8.64 

No of C.A. in 

position 

No of C.A. in 

position 

No of C.A. in 

position 

4.32 

13.20 

9 9 9 + 2 = 11 

@ Rs 5 per beneficiary 5.10 100% 2.69 50% 5.00 100000 

Support for Quarterly State level 

Review Meetings of district 

officers @ Rs 

1250/participant/day for 3 

persons (CMO/DIO/Dist Cold 

1.95 

No of meetings 

held 


held 


held 

1.46 

2.92 

100% 50% 4 

1 – State 

(@Rs.15,000/- per 

month per 

person) 


2 – Sub –district 

(@Rs.10,000/- per 

month per 

person)



2009-10 2010-11(till Dec) 2011-12 

Funds 

requirement 

Target 


- 197 - 

Expenditure 

Achievement 

Expenditure 

Achievement 

Chain Officer) 

Quarterly Review & feedback 

meeting for exclusive for RI at 

district level with one Block MO.s, 

ICDS CDPO and other 

stakeholders@ Rs 100/- per 

participant for meeting expenses 

(lunch, organizational expenses) 

Quarterly review meeting 

exclusive for RI at Block level @Rs 

50/-pp as honorarium for ASHAs 

(travel) and Rs 25 per person at 

the disposal of MO-I/C for 

meeting expenses(refreshments, 

stationery and misc. expenses) 

Trainings 

District level orientation 

training for 2 days ANM, 

Multi Purpose Health 

Worker (Male), LHV, Health 

Assistant (Male / Female), 

Nurse Mid Wives, BEEs & 

other specialist (as per 

RCH norms) 

Three day training of 

Medical Officers on RI 

using revised MO training 

module 

One day refresher training 

of District RI Computer 

As per revised norms for trainings 

under RCH 


under RCH 


under RCH 

- - 7.00 50% 14.00 4 X 11 = 44 

4 nos. of meeting 

at 9 – districts & 


13.92 100% 4.555 50% 9.11 33 X 4 = 132 33 – blocks 

No of persons 

trained 

No of persons 

trained 

No of persons 

trained 

4.80 

2.90 

5.00 

400 

(100%) 

200 

(50%) 

400 

4.01 

No of persons 

trained 

100 

(100%) 

0.19 100% 

5.20 

under 

process 

No of persons 

trained 

100 

(100%) 

6.50 

No of persons 

trained 

250 

under process 0.20 11 

Target – 250


2009-10 2010-11(till Dec) 2011-12 


Funds 

requirement 

Target 


- 198 - 

Expenditure 

Achievement 

Expenditure 

Achievement 

Assistants on RIMS/HMIS 

and Immunization formats 


One day Cold Chain 

handlers training for block 

level cold chain handlers 

by State and District Cold 

Chain Officers and DIO for 

a batch of 15-20 trainees 

and three trainers 

One day Training of block 

level data handlers by DIO 

and District Cold chain 

Officer to train about the 

reporting formats of 

Immunization and NRHM 

Microplanning 

To develop sub-center 

and PHC microplans using 

bottom up planning with 

participation of ANM, 

ASHA, AWW 


under RCH 


under RCH 

@ Rs 100/- per subcentre 

(meeting at block level, logistic) 

For consolidation of microplan at 

PHC/CHC level @ Rs 1000/- block 

& at district level @ Rs 2000/- per 

district 

0.81 

0.80 

No of persons 

trained 

50 

(100%) 

No of persons 

trained 

50 

(100%) 

under 

process 

under 

process 

0.42 100% 0.21 

No of persons 

trained 

under process 

No of persons 

trained 

(under process) 

4.50 

0.80 

0.42 

No.of Districts 

have updated 

0.90 100% 0.585 microplans this 

year 

1.17 

No of persons 

trained 

250 

No of persons 

trained 

No. of Districts 

have updated 

microplans this 

year 

80 – PHC 

16 – CHC 


2 – Sub-district 

POL for vaccine delivery 

from State to District and 

% Funds used 

100% 

% Funds used 

50% 

9.00 

0.50 

11.00 

Rs100,000/ district/year 

100% 50% 

from district to PHC/CHCs 

Consumables for 

computer including 

provision for internet 

@ 400/ - month/ district 0.48 100% 0.48 100% 1.00 

access for RIMS 

Injection Safety 

1.77 

% funds used 

1.32 

% Funds used 

1.50 

Red/Black Plastic bags etc @ Rs 2/bags/session 100% 100% 

% Funds used 

% Funds used 


2 – Sub-district


2009-10 2010-11(till Dec) 2011-12 


Funds 

requirement 

Target 


- 199 - 

Expenditure 

Achievement 

Expenditure 

Achievement 

Bleach/Hypochlorite 

solution 

@ Rs 500 per PHC/CHC per year 100% 100% 

Twin bucket @ Rs 400 per PHC/CHC per year 100% 100% 

Any State Specific Need 

with justification (Please 

provide a separate writeup 

on objective, strategy, 

expected output and 

outcomes, basis for cost 

estimates etc.) 

10 % of total amount of approved 

PIP 

% funds used % Funds used % Funds used 

C.2.3. 

1. Rs. 52,00,000/- @Rs.2,60,000/- per Solar Freeze for vaccine storage at 20 CHC/PHC where there is no power supply for minimum6 

(six) hours. 

2. Rs. 4,00,000/- (rupees for lacs) installation of 20 (twenty) nos. of Solar Refrigerator @ Rs.50,000/- per equipment. 

C.8 

1. It is requesting to purchase Laptop with accessories. So, a sum of Rs.1,00,000/- (rupees one lacs) only may kindly sanction for the 

Immunization Cell of Manipur State.

S. No Name of District 

District –wise Coverage reports (in numbers) 

Yearly Target 

(2010-11) 

Infants 

Pregnant 

Women 

BCG Coverage 

(in Numbers) 

OPV - 1st Dose 

Coverage 

(in Numbers) 

OPV - 3rd Dose 

Coverage 

(in Numbers) 

DPT - 1st Dose 

Coverage 

(in Numbers) 

DPT - 3rd Dose 

Coverage (in 

Numbers) 

2009-10 2010-11* 2009-10 2010-11* 2009-10 2010-11* 2009-10 2010-11* 2009-10 2010-11* 

1 Bishnupur 4364 4819 4298 3313 4268 3245 3715 2744 4268 3245 3715 2743 

2 Chandel 3695 4064 2620 1742 2547 1851 2620 1746 2547 1876 2620 1765 

3 Churachandpur 5075 6015 4749 2995 5526 3357 4336 2805 5512 3357 4339 2805 

4 Imphal East 6766 7443 8453 7548 8479 7548 8201 7083 8479 7548 8201 7083 

5 Imphal West 8030 8830 11147 8228 10375 7654 9601 6783 10361 7666 9621 6768 

6 Senapati 7592 8413 7081 5295 7666 5294 7116 5084 7670 5264 7125 5070 

7 Tamenglong 2547 2805 2629 1424 2644 1487 1938 1193 2642 1454 1930 1183 

8 Thoubal 8010 8250 6839 6093 7006 5901 5825 4846 7010 6202 5828 5158 

9 Ukhrul 2568 2824 2644 1577 2621 1497 2247 1248 2673 1544 2334 1274 

TOTAL 47786 52799 50460 38215 51132 37834 45599 33532 51162 38156 45713 33849 


- 200 -

S. No Name of District Measles Coverage 

TT2+Booster Coverage 

Hep B - Birth Dose 

Coverage (Wherever 

applicable) 

Hep B - 1st Dose 


applicable) 

Hep B - 3rd Dose 


applicable) 

JE-routine 

(Wherever 

applicable) 

2009-10 2010-11* 2009-10 2010-11* 2009-10 2010-11* 2009-10 2010-11* 2009-10 2010-11* 2009-10 2010-11* 

1 Bishnupur 3267 2612 3000 2418 - - - - - - - - 

2 Chandel 2387 1517 1803 1512 - - - - - - - - 

3 Churachandpur 3957 2782 2790 2143 - - - - - - - - 

4 Imphal East 7534 6306 6626 5359 - - - - - - - - 

5 Imphal West 8623 6673 8294 5728 - - - - - - - - 

6 Senapati 6591 4954 5977 4979 - - - - - - - - 

7 Tamenglong 1868 1126 1376 865 - - - - - - - - 

8 Thoubal 5307 4393 3874 2765 - - - - - - - - 

9 Ukhrul 1785 1188 1407 802 - - - - - - - - 

TOTAL 41319 31551 35147 26571 - - - - - - - - 

# Coverage for 2010-11 till Dec’10 

District –wise VPD reports in 2010-11 (in numbers) 

S. No Name of the Districts 

Diphtheria Whooping Cough Neonatal Tetanus Tetanus(Other) Measles Polio AES 

Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths 

1 Bishnupur 0 0 0 0 0 0 0 0 7 0 0 0 0 0 

2 Chandel 0 0 0 0 0 0 0 0 3 0 0 0 0 0 

3 Churachandpur 0 0 0 0 0 0 0 0 6 0 0 0 0 0 

4 Imphal East 0 0 0 0 0 0 0 0 6 0 0 0 0 0 

5 Imphal West 0 0 0 0 0 0 0 0 42 0 0 0 0 0 

6 Senapati 0 0 0 0 0 0 1 0 125 0 0 0 0 0 

7 Tamenglong 0 0 0 0 0 0 0 0 4 0 0 0 0 0 

8 Thoubal 0 0 0 0 0 0 0 0 18 0 0 0 0 0 

9 Ukhrul 0 0 0 0 0 0 6 0 40 0 0 0 0 0 

TOTAL 0 0 0 0 0 0 0 0 251 0 0 0 0 0 


- 201 -

202 

IMMUNISATION BUDGET FORMAT 

ANNEX 9 

Budget 

Head 

C.1 Vaccine Delivery 

C.1.1 

Activity 

POL for vaccine delivery from state to 

District and PHC/CHCs 

Budget 2011-12 (Rs. Lakhs) 

Q1 Q2 Q3 Q4 Annual 

total 

2.75 2.75 2.75 2.75 11.00 

C.1.2 Alternate Vaccine Delivery to Session sites 5.0 5.0 5.0 5.0 20.00 

C.1.3 Other activities 0 0 0 0 0 

Sub-total Vaccine Delivery 7.75 7.75 7.75 7.75 31 

C.2 Cold chain maintenance 

C.2.1 POL of Generators for cold chain 

for State @Rs.1000/- per month and 

1.47 1.47 1.47 1.47 5.88 

@Rs.500/- per month for PHC/CHC 

C.2.2 Maintenance of WIC and WIF 0.30 0.30 0.30 0.30 1.20 

C.2.3 Other activities 

1. Installation of Solar Freeze at District. 4.00 0.00 0.00 0.00 4.00 

2. Cold Chain Maintenance for District 

@Rs.1000/- per District and @Rs.500/- 0.395 0.395 0.395 0.395 1.58 

for PHC/CHC per year 

Sub-total cold chain maintenance 6.165 2.165 2.165 2.165 12.66 

C.3 Outreach activities 

C.3.1 Sessions held inaccessible/Very 

3.82 2.37 2.37 2.37 10.93 

Difficult/Difficult/Hard to reach areas 

C.3.2 Focus on urban slum & underserved areas 0.32 0 0 0 0.32 

C.3.3 Social Mobilization by ASHA /Link workers 5.46 5.46 5.46 5.46 21.83 

C.3.4 Alternative vaccinator hiring for urban RI 0.25 0.25 0.25 0.25 1.0 

Other activities 0.00 0.00 0.00 0.00 0.00 

Sub-total Outreach activities 9.85 8.08 8.08 8.08 34.08 

C.4 Other Programmatic interventions/special 

campaigns 

C.4.1 Catch up Campaigns 0 0 0 0 0 

C.4.2 Other activities 0 0 0 0 0 

Sub-total Other Programmatic 

Interventions 

0 0 0 0 0 

C.5 Human Resources 

C.5.1 Computer Assistants support at State 0.45 0.45 0.45 0.45 1.80 

C.5.2 Computer Assistants support at district 

3.30 3.30 3.30 3.30 13.20 

level 

C.5.3 

Other activities (incentive etc.) 

i.) As the Immunization is ongoing 

programme so, the Immunization Cell 

required 1 (one) Gr.IV @Rs.5000/- per 

month for one year. 

ii.) For timely preparation of various 

activities specially for Immunization 

Cell so, 1 (one) Office Assistant having 

Graduate @Rs.7500/- per month 

0.15 

0.225 

0.15 

0.225 

0.15 

0.225 

0.15 

0.225 

0.60 

0.90 

Sub-total Human Resources 4.125 4.125 4.125 4.125 16.5 


203 

Budget 

Head 

Activity 

C.6 Supervision and Monitoring 

C.6.1 

C.6.2 

Mobility support for Supervision and 

Monitoring at districts and state level. 

Supportive supervision for top priority 

districts 

Budget 2011-12 (Rs. Lakhs) 

Q1 Q2 Q3 Q4 Annual 

total 

1.375 1.375 1.375 1.375 5.50 

0.15 0.15 0.15 0.15 0.60 

C.6.3 Quarterly review meeting at state level 0.73 0.73 0.73 0.73 2.92 

C.6.4 Quarterly review meeting at District level 3.50 3.50 3.50 3.50 14.00 

C.6.5 Quarterly review meeting at block level 2.28 2.28 2.28 2.28 9.12 

C.6.6 

Printing and dissemination of immunization 

cards, tally sheets, charts, registers, receipt 

book, monitoring formats etc. 

5.00 0.00 0.00 0.00 5.00 

C.6.7 AEFI investigation of district AEFI 

committee 

0.4125 0.4125 0.4125 0.4125 1.65 

C.6.8 Other activities 0.00 0.00 0.00 0.00 0.00 

Sub-total Supervision and Monitoring 13.45 8.45 8.45 8.45 38.80 

C.7 Training 

C.7.1 

District level Orientation for 2 days ANMs, 

MPHW,LHV 

1.45 1.45 1.45 1.45 5.80 

C.7.2 Three days training of Mos on RI 1.625 1.625 1.625 1.625 6.50 

C.7.3 One day refresher training of district 

0 0.20 0 0 0.20 

computer Assistant on RIMS/HIMS 

C.7.4 One day cold chain handlers trainings 1.125 1.125 1.125 1.125 4.50 

C.7.5 One day training of block level date 

0.20 0.20 0.20 0.20 0.80 

handlers 

C.7.6 To develop micro plan at sub-centre level 0.42 0.00 0.00 0.00 0.42 

C.7.7 For consolidation of micro plan at block 

1.17 0.00 0.00 0.00 1.17 

level 


Sub-total Training 5.99 4.6 4.4 4.4 19.39 

C.8 Procurement 

C.8.1 Consumables for computer including 

provision for internet access 

1.00 0.00 0.00 0.00 1.00 

C.8.2 Red/Black bags, twin bucket, 

bleach/hypochlorite solution 

1.50 0.00 0.00 0.00 1.50 


C.8.3.1 Procurement of 20 Solar Freeze (Reflected 

at Part-B: Procurement) 

0 

Sub-total Procurement 3.50 0.00 0.00 0.00 3.50 

Grand Total Immunization 50.83 35.17 34.97 34.97 155.93 


204 

PART-D 

DISEASE CONTROL PROGRAMS 

D1 

National Vector Borne Disease Control Program (NVBDCP) 



205

206 

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME 

State Profile 

Name of State : Manipur 

Area : 22,327 Sq. Km. 

Area in Length 

(International Border) : 352 Km. 

No. of Revenue District : 9 (Nine). Imphal East, Imphal West, Thoubal, 

Bishnupur, Chandel, Churachandpur, Ukhrul, 

Senapati and Tamenglong 

No. of NVBDCP District : 10 (ten). Imphal East, Imphal West, Thoubal, 

Bishnupur, Chandel, Churachandpur, Ukhrul, 

Senapati, Tamenglong and Kangpokpi S.D. 

Population (2001 Census) : 23, 88,634 

Population (Projected 2010) : 26, 92,000 

No. of Sub-Division : 38 

No. of Block : 39 

No. of Hilly Terrain District : 5 (Five) 

No. of Valley District : 4 (Four) 

Highly Populated District : Imphal West 

Less Populated District : Tamenglong 

No. of Govt./Pvt Hospital : 27 

No. of UHC/CHC : 16 

No. of PHC : 80 

No. of PHSC : 420 

Table: Human Resource 

Sl. 

No. 

Health facility Sanctioned (a) In Place (b) 

1. DMO (Full Time) 10 10 

2. AMO 1 0 

3. MO 769 647 

4. Lab Technician + HSM 204 202 

5. 

Lab Technician 

(contractual NVBDCP+NRHM) 

60 60 

6. Health Supervisors (M) 124 124 

7. Health Supervisors (F) 106 106 

8. MPW (M) 391 284 

9. MPW (M) (contractual) 165 100 

10. MPW (F) 784 782 

11. 

Malaria Technical 

Supervisor (contractual) 

14 14 

12. ASHA 3878 3878 

Remarks 

Appointment of 

65 MPWs in 

progress 

Table: GFATM State - Manipur 

State PMU 

In Place 

Consultant M & E 

Appointment under process 

Project Coordinator 1 

Finance Assistant 1 

IEC Consultant 1 

Stastatical Assistant /DEO 1 

Secretarial Assistant 1 


207 

Table: Additional staff proposed in 2011-12 under GFATM 

PSCM Manager 

1 (one) No. for State Head Office 

Secretarial Asstt. 

1 (one) No. for State Head Office 

Secretarial Asstt. Cum District Data Entry Operator 10 (ten) Nos. for 10 (ten) districts 

District Accountant 

10 (ten) Nos. for 10 (ten) districts 

District Vector Borne Consultant 

10 (ten) Nos. for 10 (ten) districts 

MTS 

13 (thirteen) Nos, for 10 (ten) districts 

Table: Additional staff proposed in 2011-12 under NRHM 

Data Entry Operator 

1 Pro-MIS under NRHM at the State HQ 

Table: Additional staff proposed in 2011-12 under DBS 

Data Entry Operator 

5 (five) Nos. 

- SSSL Dengue, SSSL RIMS, Sentinel Surveillance Site Malaria 

(Imphal East, Imphal West, Churachandpur) 

STATE OBJECTIVES 

(i) 

The National Health Policy-2002 has set the goals of achieving reduction of mortality on 

account of malaria and other vector borne diseases by 50% by the 2010. 

For malaria, the programme aims to maintain Annual Blood Smear Examination Rate 

(ABER) of over 10% by active and passive surveillance and bring down the Annual 

Parasite Incidence (API) to 1.3 or less by 2012. 

(ii) To maintain the achievement so far reached in the state by keeping the SPR below 1%. 

(iii) 

(iv) 

To enhance and expand the community involvement in IEC/BCC activities of the 

programme. 

To strengthen the Public Private Partnership in the implementation of the programme. 

DISEASE SITUATION IN MANIPUR 

Other Vector Borne 

Malaria Dengue AES/JE 

Year 

Disease 

Cases Death Cases Death Cases Death Cases Death 

2009 1069 1 Nil Nil 64 Nil Nil Nil 

2010 947 4 7 Nil 118 15 Nil Nil 

VECTOR BORNE DISEASES OF MAJOR PUBLIC HEALTH PROBLEM 

Sl. No. Name of disease 

Endemic District 

Number 

Name 

1 Malaria 6 

Chandel, Churachandpur, Ukhrul, Tamenglong, 

Senapati (Kangpokpi SD), Imphal East (Jiribam SD) 

2 Dengue 1 Chandel (Tengnoupal SD) 

3 AES/JE 5 

Imphal East, Imphal West, Thoubal, Bishnupur and 

Chandel 


208 

MALARIA SCENARIO DISTRICTWISE, STATE FOR THE YEAR 2009 & 2010. 

Name of District 

Year 

Persons 

Examined 

BSE/RDT 

Positive 

Pf 

No. of 

Deaths 

ABER API Pf % SPR SfR 

Bishnupur 

Chandel 

Churachandpur 

Imphal East 

Imphal West 

Imphal Urban 

Kangpokpi 

Senapati 

Tamenglong 

Thoubal 

Ukhrul 

State Total 

2009 4477 31 24 nil 2 0.1 77.4 0.7 0.5 

2010 5439 8 6 nil 2.3 0.03 75.0 0.1 0.1 

2009 11388 94 69 nil 7 0.6 73.4 0.8 0.6 

2010 13197 37 35 nil 9.6 0.3 95 0.3 0.3 

2009 21478 205 177 nil 7.6 0.7 86.3 1.0 0.8 

2010 22795 205 168 nil 9.0 0.8 8.2 0.9 0.7 

2009 15432 148 89 nil 4.1 0.4 60.1 1.0 0.6 

2010 11744 153 61 nil 3.2 0.41 40.0 1.3 0.5 

2009 8424 87 19 nil 3 0.3 21.8 1.0 0.2 

2010 11753 39 13 nil 4.0 0.13 33.0 0.3 0.1 

2009 1072 33 14 nil 0.3 0.1 42.4 3.1 1.3 

2010 1014 27 4 nil 0.4 0.10 14.8 3.0 0.4 

2009 9325 19 12 nil 4 0.1 63.2 0.2 0.1 

2010 15687 57 11 nil 9.0 0.3 19.3 0.4 0.1 

2009 5463 36 6 nil 3 0.2 16.7 0.7 0.1 

2010 3733 12 3 nil 1.5 0.04 25.0 0.3 0.1 

2009 9400 260 112 1 7.2 2 43.1 2.8 1.2 

2010 8769 306 146 2 7.0 2.34 47.7 3.5 1.7 

2009 13849 60 22 nil 3.2 0.1 36.7 0.4 0.2 

2010 10168 74 18 nil 3.0 0.17 24.3 0.8 0.2 

2009 14392 96 76 nil 8 0.5 79.2 0.7 0.5 

2010 13687 29 22 2 9.0 0.2 76 0.2 0.2 

2009 114720 1069 620 1 4 0.4 58.0 0.9 0.5 

2010 117986 947 487 4 4.4 0.4 51.0 0.8 0.4 

STATE MONTHWISE MALARIA INCIDENCE FOR THE LAST 3 YEARS 

Year Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 

2008 26 14 20 33 37 98 147 92 86 66 52 37 

2009 23 33 33 66 84 127 203 139 119 102 81 59 

2010 51 24 33 18 18 111 223 215 77 61 59 57 


209 

Graph showing Malaria Incidence Trend in the last 3 years 

250 

200 

150 

100 

2008 

2009 

2010 

50 

0 

Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 

MALARIA CASES (SPR) VIS-A-VIS SURVEILLANCE (ABER) FOR THE YEAR 2006 TO 2010 

Year SPR ABER 

2006 2.8 3.5 

2007 0.9 4.5 

2008 0.5 4.8 

2009 0.9 4.0 

2010 0.8 4.4 

Graph showing Malaria Cases SPR and ABER for the year 2006 to 2010 

DISTRICT PROFILE (P.C. CONTRIBUTION OF MALARIA CASES TO THE STATE TOTAL) 

Sl. 

No. 

Name of District 2006 2007 2008 2009 2010 

1 Tamenglong 42 26 18 24 32 

2 Churachandpur 11 8 16 19 22 

3 Imphal East 7 17 28 14 16 

4 Ukhrul 14 10 8 9 3 

5 Chandel 10 13 12 9 4 

6 Kangpokpi 9 3 2 2 6 

7 

Other districts 

(Bishnupur, Thoubal, 

Imphal West & 

7 23 16 23 17 

Senapati) 

State total positive cases 2709 1194 708 1069 947 


210 

SITUATION ANALYSIS: 

1. The malaria case in the year 2010 showing a decline of 11% as compared to the 

preceding year. 

The P.falciparum cases detected in the year 2010 is in the ratio of 4:6 to the year 2009. 

The slide positivity rate showing a down ward swings by 11% from the year 2009. 

Pf% is declined by 12% during the current year indicating effective chemotherapaeutic 

with the introduction of new drug policyunder the programme 

Disease profile of malaria in the year, 2010 reveal Tamenglong district contributing 

32% of 947 total malaria cases in the state, followed by Churachandpur district (22%), 

Imphal East including Jiribam SD (16%) and other remaining districts contributing in the 

range of 1% to 8% respectively. 

2. The overall surveillance activities in the state have a set back and not achieving the 

national objectives of 10% ABERdue to shortage of MPWs. Out of a total requirement 

of 474 MPWs, there are 384 in position including 100 contractual MPWs. The Micro level 

analysis of the district surveillance system indicated improvement during the current 

year over the preceding year in Chandel (+16%), Churachandpur (+16%), Kangpokpi 

(+68%), Imphal West (+39%) and Bishnupur (+21%) respectively. 

There is true rise in malaria cases for Tamenglong district as the ABER record 7% with 

high SPR of 3.5 and API 2.4 respectively this is mainly contributed due to poor facility, 

roads connectivity etc. 

3. 4 (four) deaths due to malaria recorded in the year from Tamenglong and Ukhrul 

district. Lack of communication and transport system from the far flung villages to the 

nearest health centre is one of the main reasons for death due to malaria. 

PROBLEMS AND CONSTRAINTS 

1. The poor surveillance is mainly contributed to the shortage of MPWS at the PHSC and 

PHC level. The number of sanction post for regular MPWs do not commensurate with the 

number of existing institutions.There are 107 vacant post of regular MPWs out of 

sanctioned post of 391. Further 36 post of MPWs are yet to be created in the state. 122 

sub centers have been identified as having no surveillance workers while 40 sub-centre 

with duel posting of MPWs in the strategic PHSCs. 

2. The surveillance profile is to be improved with proper rationalization and filling up of the 

vacant post of MPWs and active involvement of ASHAs and community volunteers by 

opening FTDs. 


211 

3. Non commitment to the programme and poor performance of regular MPWs in 

surveillance activities. 

4. Poor communication system resulting in to poor surveillance coverage of villages under 

sub centre areas of hill districts. 90% of the total sub centres in the hill districts are covered 

on foot in surveillance activity through difficult hill terrains taking around 4 – 10 hrs. from 

the nearest spots having road connectivity. 

5. Non-available of the supervisory vehicle at the district hampered the regular supervision 

of the NVBDCP activities in the district. Fund available for hiring vehicle under IMCP 

(GFATM) is inadequate for the hilly terrain districts. The present rate of hiring vehicle Rs. 

1000/- per day is quite less as compared to the existing rate of vehicle hiring in the state 

and need to be enhanced to Rs. 3000/-.for effective supervisory visits. 

6. The prevailing conflict situation in the state is another impediment to the smooth 

implementation of the programme. 

VECTOR CONTROL MEASURES (IRS, LLIN, ITBN) 

1. Planning for Indoor Residual Spray (IRS) in 2011-12 

IRS operation for the state has been planned on the basis of the areas reporting more 

than 5% SPR (based on passive collection of blood slides) with deficient ABER (below 10%). IRS 

operation is extended to the Inter State Border District (ISBD) in the state namely Senapati, 

Tamenglong, Churachandpur and Imphal East (Jiribam SD) respectively. 

A. IRS Planning of Inter State Border District (ISBD) 

Sl. 

No 

ISBD 

Bordering 

State 

(name) 

ISBD 

PHC/ 

CHC 

ISBD 

PHSC 

ISBD 

Popln. 

(spray) 

No. of 

ISBD 

Village 

No. of 

HD 

No. 

of 

spray 

squad 

No. of 

spraymen 

1 

Imphal East 

+Jirbam SD 

Assam 2 6 53845 82 9869 4 20 

2 Churachandpur Mizoram 2 3 10842 35 2480 1 5 

3 Senapati Nagaland 3 6 39128 20 7862 3 15 

4 Tamenglong 

Nagaland 

Asssam 

2 10 30999 135 6648 3 15 

Inter State Border District IRS 9 25 134814 272 26859 11 55 

B. IRS planning of high risk /API areas 

Sl. 

No. 

Name of HR/API 

district 

No. of 

CHC/PHC 

PHSC 

Vill. 

Total 

Popln. 

(IRS) 

No. of 

HD 

Spray 

Squad 

No. of 

spraymen 

1 Chandel 2 3 35 10415 1800 1 5 

2 Churachandpur 5 16 136 30538 6611 3 15 

3 Kangpokpi SD 5 11 135 38962 6145 3 15 

4 Tamenglong 5 6 24 11948 3139 1 5 

5 Ukhrul 2 6 29 10654 2363 1 5 

Total 19 42 359 102517 20058 9 45 

C. Estimated Budget for IRS Operation 

Sl. No. Particulars Unit Amount in Rs. 

1 Spraymen wages 100 1465200 

2 Training of spray squad 7 70000 

3 Transportation/Dumping charge 7 265000 

4 

Advance notification and other 

contingencies 

8 255000 

5 Supervision & monitoring 8 255000 

Total - 2310200 


212 

D. IRS Logistics 

Sl. No. Particulars Quantity 

1 DDT 50% WDP for 2 rounds 32.1 MT 

2 No. of Pump 40 

3 No. of Squad 20 

AREAS SELECTED FOR IRS 2011-12 

Inter State Border District 

District High Risk/API 

Sl. 

No. 

Name of 

District 

1 Imphal East 

2 Ukhrul 

3 Churachandpur 

4 Senapati 

5 Tamenglong 

Name of 

PHC/CHC 

Jiribam 

Borobekra 

Kamjong 

: Starting from 1/3/2011 for 60 days 

: Starting from 15/3/2011 for 60 days 

Name of PHSC and number of 

village in parenthesis 

Remarks 

1. Kashimpur 

(21) 

2. Gularthal 

(35) 

3. Chandranathpur 

(14) Inter State Border 

1. Durgapur 

2. Jakuradhor 

3. Bhutankhal 

1. Chahong 

2. Mawailup 

3. Nambisha 

(7) 

(11) 

(6) 

(6) 

(6) 

(9) 

Kasom 1. Kasom PHSC/Kangkum (8) 

1. Leisen 

(3) 

Senvon 

2. Sipuikon 

(4) 

Parbung 1. Lungthulien (3) 

Henglep 

Patpuihmun 

Thanlon 

Singat 

1. Tuilaphai 

2. Chothe Munpi 

1. Bongmun 

2. Chingmun 

3. Ngampabung 

4. Kangreng 

5. Kharkhuplien 

6. Phailenthang Punji 

7. Sibapurikhal 

1. Bukpi 

2. Milongmun 

3. Bungpilon 

4. Sainoujang 

5. Dailon 

1. Longthul E 

2. Suangdoh 

(14) 

(9) 

Behiang Hiangtam K (31) 

Tadubi 

1. Pudunamei 

(4) 

2. PHC area 

(2) 

Paomata 

1. Tungjoy 

(4) 

2. PHC area 

(2) 

Laii 1. Vaisichii (8) 

1. Aben 

(8) 

2. Taningjam 

(8) 

Tousem 

3. Atengba 

(11) 

4. Namtiram 

(7) 

5. Tousem 

(6) 

Tamei 

1. Chaton 

2. Lenglong 

3. Taloulong 

4. Tamei 

District (ISBD) 

IRS of HR/API 

ISBD 

ISBD 

(4) 

(4) 

(6) 

(4) 

ISBD 

(4) 

(8) 

(4) 

(5) 

(7) 

(1) 

HR/API 

(13) 

(12) 

(5) 

(8) HR/API 

(12) 

(1) 

(6) 

(3) 

ISBD 

ISBD 

ISBD 

Haochong 1. Thingra (3) HR/API 

Khoupum 1. Nungleiband (5) HR/API 

Noney 1. Thangal (3) HR/API 


213 

Sl. 

No. 

6 Chandel 

7 

Name of 

District 

Kangpokpi SD 

(Senapati) 

Name of Name of PHSC and number of 

PHC/CHC 

village in parenthesis 

Remarks 

2. PHC area (1) 

Nungba 1. Nungba CHC area (6) 

Oinamlong 1. Oinamlong PHC area (6) 

HR/API 

Tengnoupal 

1. Leibi 

(4) 

2. RR Centre 

(13) HR/API 

Chakpikarong 1 Sajik Tampak (18) 

Kalapahar 1. Keithelmanbi (12) 

Gamphazol 1. Gamphazol (43) 

1. PHC area 

(18) 

Motbung 2. Charoipandongba (5) 

3. Leimakhong 

(9) 

HR/API 

Saikul 

Maphou 

1. Utonglok 

2. Thangalsurung 

3. Molkon 

1. Tuisomjang 

2. Salampatong 

3. Island 

(12) 

(7) 

(11) 

(5) 

(10) 

(4) 

2. Planning for LLIN distribution and impregnaton of community owned bed-net. 

ITBN is one of the most effective components of integrated vector management and to 

achieve the desired impact on its use and interrupt the transmission 80% coverage of the 

population at risk is essential. The 6 (six) districts of the State are hilly districts with difficult 

terrains where effective IRS operation cannot be taken up at the desired level. The 

acceptance of the people on the use of ITBN in the State is very high and the general 

criteria like areas with difficult terrains and scattered houses, villages at hilly/foothills and 

forest/forest fringe areas, population whose traditional clothing maximizes vector biting, 

non-immune and floating population moving into endemic areas, and 

populations/workforce engaged in development projects like construction irrigation, 

industries and activities like agriculture etc, epidemiological, entomological, operational 

and demographic criteria are all applicable to the State of Manipur. The LLINs must be 

provided to the tiny State of Manipur considering its difficult topography. 

Sl. No. Particulars Number 

1 Number of district including State Head Office 11 

2 Eligible sub-centre 420 

3 Eligible villages 3083 

4 Eligible population 1536298 

5 Tribal population 1194290 

6 Total bed net required 614520 

7(a) Community owned bednets available based on household survey 512885 

7(b) Community owned LLIN available NIL 

8 LLIN available for distribution 55,000 

9 Total planned to be treated community owned bed nets 512885 

10 Additional requirement 46635 


214 

SUPPORTIVE INTERVENTIONS : 

Training and Capacity Building: The capacity buiding at State, District and PHC level has 

been planned and continued to keep the well trained human resource available with 

the programme for programme implementation. 

During the year 2011-12, capacity building and training of Medical Officers, lab. 

Technician, Health Supervisor, Health Workers, ASHAs, community volunteer, MTS and 

Rapid Response Team (RRT), etc. in 225 batches will be conducted. 

Behaviour Change Communication: The activity of IEC and BCC is planned for the 

community leaders, meira-paibis, NGOs, students, FBO, church leaders, PRIs, etc. and 680 

sessions spreading over 10 districts and State Head Office are earmarked for the year 

2011-12. 

Intersectoral collaboration and advocacy meeting at the state level and district level – 

23 sessions are planned. 

Public Private Partnership (PPP) : Caritas consortium of India and Voluntary Health 

Associations of India (VHAI) have identified 1421 villages under Churachandpur, 

Chandel, Ukhrul, Imphal East (Jirbam SD), Tamenglong and Senapati (Kangpokpi SD) 

districts for collaborate ve approach in the control of malaria uner IMCP (GFATM) 

Quality Assurance Scheme on Lab. Diagnosis of Malaria 

1. All positive slides from (76 PHCs + 16 CHCs + 7 DHs + 5 P. Labs.) =104 Centres and 

5% Negative slides will be collected on monthly basis by the 

concerned/microscopist and submitted to the respective DHQ Lab. for 

ascertaining the quality of the slide & smear preparation and confirmation of the 

Lab. diagnosis. Similarly, the blood slides from the DHQ will be sent to the State HQ 

lab. and then to the Lab. of Regional Director (ROH & FW), Government of India, 

Imphal for the purposes. 

2. Reports of the examination and finding at each level will be sent to the Lab. 

of Regional Director (ROH & FW), Government of India, Imphal separately for 

further cross checking & giving feedback by the Lab. of the Regional Director 

(ROH & FW), Imphal. 

3. Blood slides from the peripheral private labs. shall be collected by identified 

Health Workers or Supervisors of the area or a staff assigned by the DMO 

concerned for onward submission to the District HQ and State HQ. The blood 

slides from the State HQ shall be submitted on monthly basis to the Lab. of the RD 

(ROH & FW), Government of India, Imphal under the arrangement of SPO, 

NVBDCP. The routine coding of the slides for cross checking will be done by the 

Office of the RD (ROH & FW), Imphal in the 2 nd forthnight of every month for the 

next month and code number is to be disseminated in time through State 

Programme Officer and Distict Malaria Officers. 

Quality Assurance Scheme of RDT will be done as per the protocol issued by the 

Directorate, NVBDCP, Government of India. The District Malaria Officer will be 

responsible for transportation of sample and dissemination of feedback reports. 

4. Training of the staff (Health Supervisor Microscopist, Lab. Technician & Medical 

Officers). 


215 

DENGUE & CHIKUNGUNYA 

1. Disease situation for the year 2010. 

Sl. 

No. 

1 

2 

Name of 

District 

Imphal 

West 

Other 

District 

Susp. 

Case 

Dengue 

Blood 

sample 

tested 

Pos 

case 

Death 

Susp. 

Case 

Chikungunya 

Blood 

sample 

tested 

Pos 

case 

Death 

9 9 7 Nil Nil Nil Nil Nil 

Nil Nil Nil Nil Nil Nil Nil Nil 

Total 9 9 7 Nil Nil Nil Nil Nil 

Remarks 

The patients 

have the 

history of 

travel outside 

the state of 


2. Diagnostic facilities : One Sentinel Surveillance Hospital and laboratory is functioning 

under the Department of Microbiology, Regional Institute of Medical Sciences, 

Lamphelpat, Imphal, Manipur. No district SSHL is yet to be identified in the State. 

Name of functioning State 

Sentinel Surveillance Hospital 

(SSH) 

Deptt. Of Microbiology the 

Regional Institute of Medical 

Sciences, Lamphelpat – 795004, 

Imphal West, Manipur 

Dengue Kits 

received from 

NIV, Pune 

Recvd./utilized 

Sample received and 

tested 

Received 

Tested 

Positive 

5 2 10 10 7 

Remarks 

3 kits expiry 

month 

June/July 

3. Specific constraints, strategy and innovations : 

(i) 

(ii) 

(iii) 

Since the disease burden in the state is showing a low profile, most of the test kits 

received from NIV, Pune with short-live, could not be utilized fully. It is desirable that test 

kits with long-shelf live, if available, it will ensure no stock-out at any stage of 

eventualities. 

Establishment of Sentinel Surveillance Hospital at Moreh Hospital, Chandel District could 

not be materialized as the government is not in position for posting of specialist and 

providing of other infrastructure. 

Disease surveillance, IEC activities, vector control measures etc. under Imphal 

West/Imphal East District urban agglomeration is entrusted to the staff of the Urban 

Malaria Scheme, Imphal. 

Special Malaria Unit, Moreh Hospital, Chandel District is taking up surveillance, IEC 

activities, vector control measures at Moreh town areas. 

(iv) 

Innovative strategy for detection of sporadic cases is the procurement of the Rapid 

diagnostic test kit and the government approval is waiting. 

4. Requirement of commodity 

(i) 

(ii) 

Submitted under Urban Malaria Scheme of DBS. 

Dengue diagnostic test kits : One kit each of ELISA based NS I antigen detection and IgM 

capture ELISA with longer shelf-life. 

5. Financial Requirement of Dengue : Details are given under DBS head. 


216 

ACUTE ENCEPHALITIS SYNDROME INCLUDING JAPANESE ENCEPHALITIS 

1. Disease situation in the year 2009 and 2010 

Sl. No. Name of District Year 

1 Bishnupur 

2 Chandel 

3 Churachandpur 

4 Imphal East 

5 Imphal West 

6 Kangpokpi SD 

7 Senapati 

8 Tamenglong 

9 Thoubal 

10 Ukhrul 

State Total 

No. of AES 

case 

No. of 

Death 

No. of Sera 

sample 

tested 

No. 

confirmed 

for JE 

2009 7 Nil Nil Nil 

2010 13 2 6 6 

2009 3 Nil 3 Nil 

2010 1 Nil 1 Nil 

2009 1 Nil 1 Nil 

2010 5 2 4 2 

2009 48 Nil 31 1 

2010 27 1 23 5 

2009 Nil Nil Nil Nil 

2010 28 3 25 19 


2010 7 2 1 1 


2010 4 Nil 3 1 


2010 1 1 Nil Nil 

2009 5 Nil 5 Nil 

2010 29 4 17 9 


2010 3 Nil 2 2 

2009 64 Nil 40 1 

2010 118 15 82 45 

2. Specific constraints, strategy and innovations : 

Lack of sensitization and training of health staff for detecting cases (resulting low 

sampling even in presence of high incidence) 

Non availability of test kit for AES cases other than JE 

The test kits available with the sentinel site laboratory are having short shelf life, hence if 

available test kit with longer-shelf life is preferred. 

Lack of infrastructure for collection of CSF at PHC/CHC. 

Shortage of manpower (data entry operator, lab. Technician) 

Provision for IEC materials from NVBDCP. 

Training of Medical Officer and health staff three batches for six districts. 

To allow engagement of manpower on contract basis. 

JE mass vaccination campaign. 

3. Functioning of Sentinel Site 

Name of sentinel 

site lab. 

JN Institute of 

Medical Sciences, 

Porompat, Imphal 

East 

Test done eg. PBS 

for MP JE, CKG etc. 

Trained 

microbiologist in 

position 

No. of CSF tested 

for JE 2010 

No. of serum tested 

for JE in 2010 

PBS for MP, JE 2 37 82 


217 

4. Financial requirement: The assistance requirement is shown in the proposed budget 

under DBS. 

STRATIFICATION OF MALARIA HIGH RISK AREAS 

Sl. 

No. 

District 

High risk 

PHCs (No.) 

High risk Sub 

centre (No.) 

High risk 

Village (No.) 

High risk 

Population 

(No.) 

Tribal 

Population 

(No.) 

1 Imphal East 4 7 48 42593 5596 

2 Imphal West 8 20 35 91310 4566 

3 Thoubal 4 4 11 31249 1562 

4 Bishnupur 3 4 18 29715 1486 

5 Churachandpur 8 58 681 201977 201977 

6 Tamenglong 7 18 122 71214 71214 

7 Chandel 3 13 83 86086 79801 

8 Ukhrul 5 10 55 23316 4671 

9 Senapati 4 7 54 76180 76180 

10 Kangpokpi SD 4 15 173 59998 59998 

Total 50 156 1280 713638 507051 

CLASSIFICATION OF AREAS AS PER API RANGES (MALARIA) 

Sl. 

Sub Centre 

Population @ 

API District (No.) PHC (No.) 

Village (No.) 

No. 

(No.) 

village (No.) 

1 < 1 65 286 2589 1784013 

2 1 – 2 24 65 494 325117 

3 2 – 5 10 39 328 136460 

4 5 – 10 1 4 21 5265 

5 > 10 - - - - 

Total 10 95 * 394 3432 2250855 

* State total PHC & CHC = 95, few of the PHC is repeated as it show different API range. 

OUTBREAKS : 

The state did not witnessed major outbreak of any vector borne diseases during the year 2008- 

09. During the year 2010, the 4 (four) valley districts reeled under AES/JE outbreak. 

Year 

No. of 

outbreak 

Disease 

2005 2 Malaria 


2007 1 Dengue 

2008 No outbreak 

Period of 

outbreak 

June-July 

KPI-Saikul, Yangoi, 

TML Khunphung , 

Tamei PHC 

June 

PHC Saikul 

and Sanakeithel, 

UKL District 

October – 

November 

Moreh, 

Chandel District 

No. of 

death 

during 

outbreak 

5 Clin. 

suspected 

Reasons for 

outbreak 

-do - 

Containment 

measures 

-do- 

Nil -do- -do- 

NA 

Dengue Fever 

outbreak 275 sample 

collected 51+ve for 

DF at Moreh 

Fogging 

Operation 

(Malathion), 

IEC 

Campaign, 

Larvicidal 

treatment 


218 

Year 

No. of 

outbreak 

Disease 


Year 

No. of 

outbreak 

Disease 

2010 1 AES/JE 

Period of 

outbreak 

June 

Taothong Village 

PHC Phayeng, 

Imphal West 

(10 Km. from State 

Head Office, 

Imphal) 

Period of 

outbreak 

June-July-August 

4 (four) valley 

districts viz; Imphal 

East, Imphal West, 

Thoubal & 

Bishnupur 

No. of 

death 

during 

outbreak 

NIL 

No. of 

death 

during 

outbreak 

Reasons for 

outbreak 

Nil surveillance in 2007 

& 2008. 

Outbreak detected by 

contract MPWs during 

routine surveillance. 

Source of outbreak 

being imported cases. 

B/S collected 671 

Positive – 18, Pf – 2 

Reasons for 

outbreak 

15 Early monsoon 

Containment 

measures 

Fogging 

Operation 

(Malathion), 

IEC 

Campaign, 

Larvicidal 

treatment, 

Vector 

mapping 

Containment 

measures 

Fogging 

operation, 

IEC 

campaign, 

vector 

mapping, 

suspected 

vector 

identified as 

C.vishnoi 

No. of Rapid Diagnostic Kits for the plan year based on epidemiological and operational data 

Total 

annual 

RDT 

supply 

Sl. 

N 

o 

Name of 

District 

No. of 

PHCs 

where 

RDTs are 

to be 

used in 

emergen 

cy hours 

No. of 

subcentre 

areas with 

Pf>30% & 

SFR>1% 

and no 

microsco 

py result 

within 24 h 

No. blood 

examinatio 

ns in those 

subcentre/PHC 

areas last 

year 

(A) 

Expected 

RDT 

requireme 

nt in 

remote 

high Pf 

areas and 

PCs 

[Ax1.25] 

(B) 

RDTs for 

buffer 

stock 

and 

distributio 

n to other 

areas: 

[Bx0.20] 

(C) 

[B+C] 

(rounde 

d 

figure) 

Nos to 

be 

distribute 

d in 

prioritize 

d areas 

1 Bishnupur 8 9 3143 3929 943 5000 3000 

2 Chandel 5 27 14235 17795 4271 23000 16000 

3 

Churachandp 

ur 

10 43 26848 33560 8054 42000 32000 

4 

Imphal E 

+JBM 

13 10 9579 11974 2874 15000 12000 

5 Imphal West 10 11 3546 4433 1064 6000 4000 

6 Kangpokpi 8 31 17183 21479 5155 28000 20000 

7 Senapati 7 9 10139 12675 3042 16000 12000 

8 Tamenglong 8 31 12250 14700 3528 19000 14000 

9 Thoubal 17 10 3971 4965 1193 7000 4000 

10 Ukhrul 7 40 19240 24050 5772 30000 24000 

11 NVBDCP HO * 115000 

State Total 93 221 120134 146560 35896 306000 141500 

Out of the 10 (ten) reporting unit of Vector Borne Disease Control Programme, Manipur 3 (three) units viz 

Thoubal District, Imphal West District and Senapati District are non Pf endemic districts. The surveillance activity, 

however is continuing in these 3 (three) districts. RDT is provided for emergency purpose at the District Hospital, 

CHC, PHC, PHSC etc. at reduced quantity for the laid down in Drug Policy 2010. 


Allocation of ACT and quinine for a plan year based on epidemiological and operational data 

Data latest complete year Allocation for plan year 2011-12 

Sl. 

No. 

Name of 

District 

Popln. 

In lakhs 

Pf cases 

reported 

in prev. 

yr 

(A) 

1 Bishnupur 2.33 24 

2 Chandel 1.66 69 

3 CCPur 2.89 177 

4 Imphal E+JBM 3.73 89 

5 Imphal W 2.89 19 

6 Kangpokpi 2.45 12 

7 Senapati 2.30 6 

8 Tamenglong 1.33 112 

9 Thoubal 4.35 22 

10 Ukhrul 1.82 76 

Status 

Epid. 

& 

Oper. 

Adult 60% Pf Children 40% of Pf cases 

ACT blister 

AX1.5X0.60 

9-14 yr 5-8 yr 1-4 yr 

Under 

1 yr 

AX1.5X.38 AX1.5X.30 AX1.5X.22 AX1.5X0.1 

Total 

Requirement 

(ACT) 

Pregnant 

women 

Quinine 

tablets 

AX1.5 

X0.2X21 

Epid. 22 14 11 8 4 

15 

1200 

Oper. 450 285 225 165 75 1000 

Epid. 62 39 31 23 10 

43 

7000 

Oper. 2000 1900 1500 1100 500 1500 

Epid. 159 101 80 58 27 

112 

75400 

Oper. 15500 22762 17970 13178 5990 3000 

Epid. 80 51 40 29 13 

56 

3000 

Oper. 980 768 606 444 202 1500 

Epid. 17 11 9 5 3 

12 

1100 

Oper. 400 266 210 154 70 1000 

Epid. 11 7 5 4 2 

8 

9000 

Oper. 2255 2563 2024 1484 674 1000 

Epid. 5 4 3 2 1 

4 

2200 

Oper. 700 570 450 330 150 1000 

Epid. 101 64 50 37 17 

78 

12000 

Oper. 3000 3420 2700 1980 900 2000 

Epid. 20 13 10 7 3 

14 

1300 

Oper. 400 342 270 198 90 1000 

Epid. 68 43 34 25 11 

48 

6000 

Oper. 1722 1625 1283 942 428 1500 

11 State Oper. 17593 14900 11762 8625 3920 56800 15000 

State Total (excluding 

Epid.+ 

25.75 546 

45000 49401 39000 28600 12999 175000 29890 

Urban) 

Oper. 


219

220 

URBAN MALARIA SCHEME 

Background Information 

Urban Malaria Scheme, Imphal sanctioned in May 1979 has been operating in the Imphal 

Municipality area having 26 Municipality wards with an area of 29.57 Sq. km. It covers a part of 

both Imphal West and Imphal East Districts. 

Name of the UMS town : Urban Malaria Scheme Imphal 

Area 

: 29.57 Sq.km 

Population : 3.37 Lacs (2006) 

Altitude 

: 790 mtre 

Temperature 

: Ranges from 2˚C to 39˚C 

Implementation 

For operational convenience the town under Urban Malaria Scheme is divided into 2 (Two) 

zones namely East and West zone. Each zone is again divided into 6 (Six) sectors and each 

sector covers 2 or 3 Municipality wards depending upon the size of the ward. 

Manpower of UMS Imphal : 

Officer 

Inspector 

Insect collector 

MPHW 

Field Workers 

: 1(One) 

: Vaccant 

: Vaccant 

: 6 (Six) 

: 20 (Twenty) 

MONTH-WISE EPIDEMIOLOGICAL DATA FOR THE YEAR 2010 

Name of the Town : IMPHAL Area : 29.57 Sq.Km 

Population : 2.73 Lacs (Year 2010) 

Sl. No Month BSC/E Pv Pf Total Pos. SPR Pf% 

API 

% 

Deaths 

1. January 61 1 0 1 3.27 0 nil 

2. February 56 0 0 0 0 0 nil 

3. March 58 2 0 2 3.57 0 nil 

4. April 106 2 0 2 1.88 0 nil 

5. May 72 2 0 2 2.77 0 nil 

6. June 63 0 2 2 3.07 100 nil 

7. July 123 4 1 5 4.06 20 nil 

8. August 89 3 0 3 3.37 0 nil 

9. September 118 3 1 4 3.41 25 nil 

10. October 127 5 0 5 3.90 0 nil 

11. November 36 1 0 1 2.7 0 Nil 

12. December 105 0 0 0 0.0 0 nil 

Total 1016 23 4 27 2.65 15 0.10 Nil 


221 

AEDES SURVEY IN IMPHAL MUNICIPALITY AREA UNDER UMS 

During the Aedes Survey conducted in the Imphal Municipality area under Urban Malaria 

Scheme during the year 2010 no aedes breeding found in the Imphal town. 

ACTIVITIES OF UMS 

Anti - larval Operation 

1 Spraying of larvicides on weekly basis throughout the year from January-December 

2 Breeding source elimination of Ades mosquito at regular interval. 

3 IEC campaign 

Malathion Fogging 

Malathion fogging operation has benn carried out during the month of June to October for 

containment of AES/JE outbreak. 

Logistics 

Shown in Commodity requirement column 

Budget 

Operational expenses for anti larval and fogging operation 

a. Petrol Rs. 2,00,000 

b. Diesel Rs. 3,00,000 

c. Equipments & field contingency, 

supervision of activity etc. Rs. 2,00,000 

d. IEC camps & materials Rs. 5,00,000 

Total Rs. 12,00,000 


Commodity Requirement of the State for the year 2011-12 

(Based on Technical norms, balance store and consumption capacity) 

Items to be supplied by Directorate NVBDCP, Government of India 

Item 

Previous year’s utilization 

(no) 

Requirement for current 

year (no) 

Balance available (no) Net requirement (2-3) 

Insecticide for IRS (Kg) 37750 38000 1900 36100 

Insecticide for ITMN (Ltrs) 2480 8000 33 7967 

ITNs 79934 200000 Nil 200000 

LLINs Nil 1434000 55000 1379000 

Chloroquine (no.) 1064700 400000 2851475 Adequate 

Primaquine 2.5 (no.) 160600 200000 79600 120400 

Primaquine 7.5 (no.) 168300 300000 65816 234184 

ACT Blister (Adult) (no.) 23725 45000 8655 36345 

ACT Blister (Pd.) (no.) Nil 130000 Nil 130000 

Quinine Injection (no.) 70 8000 8121 Adequate 

Quinine Sulphate (No.) 5000 2000 12370 Adequate 

Arteether Inj. (no.) 9994 15000 39 14961 

RDK (no.) 170875 305600 129575 176025 

Micro slides (no.) 315050 400000 500400 Adequate 

Pumps (no.) 20 50 35 15 

Pyrethrum Extract 2% (Ltrs) 130 100 28 100 

Technical Malathion (Kg) 250 500 Nil 500 

Temephose 50% EC (Ltrs) 180 500 506 Adequate 

Decentralized procurement 

Sl. 

Names of the Items 

No. 

Balance in 

Stock 

Technical 

requirement 

Net 

requirement 

Justification 

1 Tab. Chloroquine 2851475 400000 NIL Adequate 

2 Primaquine 7.5 mg 65816 tabs. 300000 234184 Inadequate 

3 Primaquine 2.5 mg 79600 200000 120400 Distribution to all surveillance workers/hospitals/PHCs/CHCs 

4 Quinine Injection 8121 amps. 8000 amp. 121 amp. Distribution to hospitals/CHCs/PHCs 

5 Quinine Sulphate Tablets 12370 tabs. 10000 2300 - do - 

6 Temephos Ltrs. 506 Ltrs. 500 Ltrs. NIL UMS 

7 Pyrethrum Extract Ltrs. 28 Ltrs. 100 Ltrs. 100 Ltrs. UMS 

8 Malathion Technical NIL 0.25 MT 0.25 MT JE & Dengue Prevention 


222

CALENDER OF ACTIVITY 

Activity 

IRS (ISBD + High Risk Areas) 

Training 

Vector Mapping & susceptibility test 

Anti Malaria Month 

Dengue Surveillance 

JE Surveillance 

UMS Activity 

JE Vaccination Campaign 

Community Bed net treatment 

Review Meeting of Districts 

Inter Border State Meeting of DMOs/RD/SPO 

Meeting of the DMOs with SPO/RD 

Seeding of Larvivorous Fish in seasonal 

water bodies 

Quarterly interactive monitoring meeting of 

ASHA at district level 

January to March 2012 April to December 2011 

Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 


223

224 

INNOVATIVE STRATEGIES 

1. Re-identification of community volunteers to work as Fever Treatment Depots and train 

the FTD holders for effective delivery of services and improve the surveillance activity of 

the state. The planning of opening of new districts wise FTDs which have been selected 

based on non-availabilty of Multipurpose Workers / ASHAs and non-performing ASHA. 

The FTD holders will be paid performance based incentive as entitled to ASHA for 

detection of cases by RDT, blood slide collection and treatment of cases. 

The table showing the planning of opening of new district wise FTDs. 

Name of District No. of villages No. of FTDs to be opened 

Imphal East 9 9 

Imphal West 50 50 

Thoubal 25 25 

Bishnupur 5 5 

Churachandpur 59 59 

Ukhrul 3 3 

Tamenglong 16 16 

Senapati 14 14 

Kangpokpi 36 36 

2. To strengthen the surveillance activities in the State, monitoring and supervision at 

different tiers is planned in the following manner. 

(a) At the district level, the District Malaria Officer has to select PHC in the high risk 

area with PHSC for monitoring and supervision in the first fortnight. In the second 

fortnight, PHC, PHSC in the silent, low endemic areas. 

MTS to cover PHC, PHSC left out by the DMO within the fortnight and assess the 

performance of ASHAs and to give hands on training for the poor performer ASHA. 

(b) All the MPWs are to be provided fortnightly surveillance calendar of the area by 

the DMOs in consultation with MO i/c of the PHC. The proper adherence to the 

surveillance calendar of MPW will be able to discriminate the magnitude of 

problem of surveillance activities in the areas. 

(c) Revival of the work culture of Health Supervisors, through motivation and reorientation 

training on vector borne diseases. 

(d) At the state level, the State Programme Officer assigns the Project Co-ordinator, 

IEC Consultant, the Entomologist and the Biologist as the District Supervisors over 

and above their normal duties. The district supervisor has to visit their respective 

district in regular intervals and submit the action taken report to the State. 

(e) Interaction and monitoring meeting of ASHA of selected PHC in the district for 

evaluation of the performance by ASHAs on VBDCP. 

(f) Assessment of capacity and performance of all contractual staff (both GFATM & 

DBS) for subsequent re-engagement and improvement of performance etc. 

3. ASHAs need to be paid TA/DA at a flat rate of minimum Rs. 200/- (Rupees two hundred) 

for attending the district level meeting of ASHAs on NVBDCP. Specially for the 6 (six) hill 

districts considering the cost and meager travel facility. The total number of ASHAs of the 

6 (six) districts and Jiribam SD is 2774. 

4. Provision of transportation charge of blood slides collected from inaccessible villages by 

ASHA to testing laboratory. 

5. Utilisation of free ambulance service available at 24X7 PHC under NRHM for referring of 

critically ill patients with organ failure. Utilisation of UNTIED FUND provided to village Health 

& Sanitation Committee or Sub centres for transportation of severe Pf malaria cases for 

referral to CHC or District Hospital. The minimum transportation fare for referring the 

patient to the nearest health facility shall be met from the untied funds. 


225 

6. For programme review, meeting of MO PHCs, DMO, CMO and District Programme 

Manager (NRHM) exclusive on implementation of NVBDCP under the chairmanship of 

District Collector concerned twice in a year. 

7. Annual programme review meeting of DMO, District Programme Manager (NRHM), CMO, 

State Programme Officer exclusive on NVBDCP under the chairmanship of Commissioner 

(Health), Govt. of Manipur. 

8. Sensitization of Religious leader, Church leaders, Women organization for effective 

community mobilization and enhancement of community acceptance of IRS. 

9. Opening of 4 (four) Sentinel Surveillance Site (Malaria) at District Hospital Churchandpur, 

RIMS, JNIMS, Porompat and District Hospital, Tamenglong for proper surveillance and 

management of severe and complicated malaria. 

10. For smooth procurement and distribution of anti-malarials and other logistics, the training 

of the store keeper, programme officer on ProMIS has been completed Ministry of Health 

and Family Welfare is to be approached for appointment of Data Entry Operator at the 

State Head Office. 

The requirement for programme implementation indicated in detail 

(page no. 28 to 33) and Summary is indicated in table below 

Disease 

Balance 

from 

previous 

years (In 

lakhs) 

Committed 

expenditure (In 

lakhs) 

Cash 

assistance 

from NVBDCP 

(In lakhs) 

Cash 

assistance 

from NRHM 

flexi fund (In 

lakhs) 

Malaria 

(a) Domestic Budget 

62.40 62.40 569.892 

Support 

411.80 

(B) GFATM fund for IMCP 92.0 92.0 580.69 

Dengue 5.0 5.0 5.0 

AES including JE Nil 1.20 5.0 

Total 159.4 160.6 1160.582 411.80 

State resources 

Salary 

Component in 

Lakhs 

627.47 


226 

PROPOSED BUDGET UNDER IMCP (GFATM) 

FOR THE YEAR 2011-2012 

Sl. 

No. 

Component 

ROUND IX PROJECT 

Unit 

Unit Cost 

GFATM Round 

IX 

(Rs) 

GFATM Fund 

requirement wef April 

2011 to March 2012 

1. Human Resource 

Salary PMU 

1.1 VBD Project Manager 

1 

@ Rs. 50000/- per month 

50000 600000 

1.2 M&E/MIS Project Manager 

1 


50000 600000 

1.3 BCC/PPP Manager 

1 


50000 600000 

1.4 PSCM Manager 

1 


25000 300000 

1.5 Finance & Accounts Officer @ Rs. 25000/- per 1 

month 

25000 300000 

1.6 Data Entry Operator or Statistical Asst. @ Rs. 

1 

15000/- per month 

15000 180000 

1.7 Secretarial Asstt. 

2 


10000 240000 

District 

1.8 District VBD(Mal) Project Officer 10 30000 3600000 

1.9 MTS 27 15000 4860000 

1.10 Lab. Technician 12 10000 1440000 

1.11 Secreterial Assistant cum Data Entry Operator 10 10000 1200000 

Sub Total 13920000 

2. Monitoring & Evaluation 

2.1 Travel (State ) 65000 7800000 

2.2 Review Meeting (State with District) 400000 4000000 

2.3 Quarterly Meeting (At Distt. Level) 10 50000 6000000 

2.4 Travel (Dist) 10 20000 2400000 

2.5 LQAS – Printing of froms, documentation, 

1 

monitoring, etc. 

100000 100000 


3. Training 

3.1 Re-Orientation of 3 Day training of MTS at State 1 

HO 

100000 100000 


4. Planning & Administration 

4.1 Office infrastructure and equipment – Office 10 

automation (1) Printer(1), Copier (1), Fax (1), 

50000 500000 

Scanner (1), telephone with Intercom facility (5) 

4.2 Office expenses – Documentation and Printing 1 10000 120000 

4.3 Office Infrastructure and equipment (furniture 1 

etc.) 

500000 500000 

4.4 Office expenses – Space, Water, Electricity, 

1 

Consumables and Rent etc. 

40000 480000 

4.5 Rent (Storage State) 1 12000 144000 

4.6 Logistic arrangement state to distt (two round trips 9 

in a year) 

15000 135000 

4.7 Assessment of capacity and performance of 27 1 

MTS and 12 LTs for subsequent re-engagement. 

20000 20000 

District 

4.8 Office infrastructure – Laptop with all necessary 10 

software & Data card 

50000 600000 

4.9 Office Infrastructure and equipment – Desktop 10 30000 3600000 


227 

Sl. 

No. 

Component 

Unit 

Unit Cost 

GFATM Round 

IX 

(Rs) 

GFATM Fund 

requirement wef April 

2011 to March 2012 

with all with all necessary software & broad bank 

connection 

4.10 Office infrastructure and equipment – Office 10 

automation (1) Printer(1), Copier (1), Fax (1), 

50000 6000000 

Scanner (1), telephone with Intercom facility (1) 

4.11 Office expenses – Documentation and Printing 10 5000 50000 

4.12 Office Infrastructure and equipment (furniture 10 

etc.) 

120000 1200000 

4.13 Office expenses – Space, Water, Electricity, 

10 

Consumables and Rent etc. 

15000 1800000 

4.14 Rent (Storage District) 10 5000 600000 


5 BCC/IEC Activities (Miking Infortainment, Printing, 

Wall Writing, Dubing IPC Session, Group Meeting 

10 

800000 8000000 

etc. 


Grand Total 58069000 

(Rs. 580.69 Lakhs) 

Total proposed budget under IMCP: 5,80,69,000.00 

(Rupees five crore eighty lakh sixty nine thousand) only 


228 

Proposed budget of Domestic Budget Support 2011-12 

1. IRS 

(a) Spray wages for 100 spray men of selected IRS districts @ Rs. 122.10 per day Rs. 1465200.00 

(b) Training spray squad supervisors, MO at District lelvel Rs. 70000.00 

(c) DDT transportation & dumping to spray sites etc Rs. 265000.00 

(d) Advance notification & other contingency Rs. 255000.00 

(e) Supervision & monitoring Rs. 255000.00 

Sub Total IRS Rs. 2310200.00 

2. Capacity Building (Training) 

Sl. No. 

Training Category 

Cost per 

Batch 

No. of batch 

requirement 

Costing 

(Rs.) 

1 Medical Specialists at Dist. Hospital GOI 

2 Induction of 329 Medical Officers 100000 10 1000000 

3 Reorientation of Medical Officers 100000 4 400000 

4 Lab. Technicians (reorientation) 100000 7 700000 

5 Health Supervisors (M&F) 20000 2 40000 

6 Health Workers (M) 20000 10 200000 

7 ASHA (reorientation & induction) 10000 104 1040000 

8 Community Volunteers other than ASHA 10000 80 800000 

9 

65 new MPWs (contract) induction training for 7 

days 

100000 2 200000 

10 MPWs (c) reorientation training 100000 4 400000 

Others specify 

11 2 Day composite Training : RR Team of District 100000 1 100000 

Total 4880000 

3. IEC/BCC under DBS 

Sl. 

No. 

Activities Unit Cost (Rs) Number Costing (Rs.) 

1 

IEC Awareness Campaign 50% through State 

Health and 50% through NGO/CBO/Panchayat etc. 

5000 400 2000000 

2 IEC Anti Malaria Campaign 

Meeting expenses of Task Force for Observation of Anti 

Malaria Month 

5000 2 10000 

Observation State Level Anti Malaria Month 70000 1 70000 

Observation of District Level Anti Malaria Month 20000 10 200000 

Panel discussion of Prevention & Control of Vector Borne 

Diseases 

20000 1 20000 

State Level student Quiz Competition 50000 1 50000 

Health camps/Mela 4000 5 20000 

3 Advocacy Meeting 

State Head Office 30000 1 30000 

District 10000 10 100000 

Sensitization meeting of Media Person 50000 1 50000 

4 Inter Sectoral Sensitization 

State Head Office 30000 1 30000 

District 10000 10 100000 

School awareness session Student 5000 40 200000 

Awareness Session of members of Indian Red 

Cross Society/NCC/NSS/PRI/Religious /Church Leaders 

10000 30 300000 


229 

Sl. 

No. 

Activities Unit Cost (Rs) Number Costing (Rs.) 

etc. 

Awareness Session of leaders of SHG 10000 200 2000000 

Printing of IEC materials in different local dialect 600000 1 600000 

Printing of IEC for JE & Dengnue in different dialect 300000 1 300000 

Impact Study on IEC campaign in 2 (two) districts 200000 2 400000 

Advertisement in Newspaper 300000 1 300000 

Insertion of advertisement on Vector Borne 

Diseases Control Programme in Souvenir and 

5000 30 150000 

other publications 

Total 6930000 

4. PPP Involvement 

Sl. No. 

Schemes 

Previous year 

(No.) 

Planned in Current year (No.) 

Cost 

(Rs.) 

1 Scheme I Nil 

2 

(CCpur & Tamenglong) 

676000 

2 Scheme II Nil 

2 

(CCpur & Tamenglong) 

676000 

Total 1352000 

5. Larvivorous Fish 

District 

Hatcheries 

Seasonal 

water 

bodies 

Perennial 

water 

bodies 

Water 

bodies 

Planned 

released 

Cost 

in current 

with fish 

(Rs.) 

year (no.) 

previous 

year (no.) 

Imphal East 3 (three) 255 36 30 6 10000 

Imphal West 2 (two) 312 56 45 11 10000 

Thoubal 2 (two) 560 68 52 16 10000 

Bishnupur 2 (two) 762 86 43 43 10000 

Total 1889 246 170 76 40000 

6. Urban Malaria Scheme 

Particular 

Costing (in Rs.) 

Operational Cost including equipments 1200000.00 

Total 1200000.00 

7. Prevention and Control of JE 

Sl. 

No. 

Item 


1. Logistics 

1.1 Elisa Test Kit GOI procurement 

1.2 Swing Fog, Lab. Equipements 150000 

2 Management 

Field Contingency for collection and transportation of 

2.1 

samples and printing of form and format 

50000 

2.2 IEC / BCC awareness session / fogging operation 100000 

2.3 Trining of MO on JE 100000 

2.4 Monitoring and Evaluation 50000 

2.5 Entomological survey etc. 50000 

Total 500000 


230 

8. Prevention and Control of Dengue 

Sl. 

Costing 

Items 

No. 

(in Rs.) 

1. Logistics 

1.1 Procurement of Lab equipement etc. 20000 

Recurring grant to SSLH @ Rs. 0.50 lakh as per approval of 

1.2 

GOI 

50000 

1.3 Elisa Test Kit 

GOI 

procurement 

2. Management 

Field contingency for collection and transportation of 

2.1 

samples, printing forms and formts 

50000 

2.2 Fogging operation, social mobilization, publicity, IEC 200000 

2.3 Trining/workshop etc. 100000 

2.4 Supervision, monitoring 50000 

2.5 Entomological survey 30000 

Total 500000 

9. Decentralised procurement of commodities 

A. Anti malaria drugs 

Items 


Primaquine 2.5 mg tablets 50000.00 

Primaquine 7.5 mg. tablets 100000.00 

Quinine Sulphate 20000.00 

Chloroquine tablets 50000.00 

Quinine Injection 100000.00 

Paracetamol 50000.00 

Total 370000.00 

B. Insecticide 

Items 


Synthetic Pyrethroid in Ltrs. 5000000.00 

Pyrethrum Extract 2% in Ltrs. 600000.00 

Malathion 25% Technical in Kg. 200000.00 

Total 5800000.00 

C. Larvicides 

Item 


Temephose (in Ltrs.) 1827000.00 

Total 1827000.00 

10. Other Operational Cost 

Sl. No. Particulars 

Costing (Rs.) 

1. Human Resource 

1.1 Salary of 100 MPWs @ Rs. 6000/- per month X 12 7200000.00 * 

month 

1.2 Salary 65 MPWs @ Rs. 6000/- per month X 12 month. 4680000.00 * 

Vide letter No. 5-80/2008/NVBDCP/I&E/Contractual 

MPW dated 19 th January, 2010, Directorate NVBDCP, 

Ministry of H&FW, Govt. of India 

1.3 Incentive to ASH/FTD holders 400000.00 

Sub Total 12280000.00 


231 

2. Planning and Administration 

2.1 Assessment of capacity and performance of MPW 

50000.00 

(165 nos.) for subsequent re-engagement 

2.2 POL 400000.00 

2.3 Maintenace of vehicle 300000.00 

2.4 Procurement of supervising vehicle atleast 4 (four) in 

3200000.00 

nos. 

2.5 Annual Report publication 100000.00 

2.6 Office expenses including procurement of lab. 

15950000.00 

Items, bazaar articles, spray equipements, auditing 

and accounting, hiring of ware houses etc. 

Sub Total 20000000.00 


* Subject to revision of salary. 

Total proposes budget under DBS : Rs. 5,79,89,200.00 

(Rupees five crore seventy nine lakh eighty nine thousand two hundred) only 

NRHM ADDITIONALATIES 

Sl. No. Particulars 

Costing (Rs.) 

1. Referral transport 

1.1 Transportation of severe Pf mlaria case for referral to NRHM untied fund 

CHC or district hospital. The minimum transportation 

fare of referring the patient to the nearest health 

facility shall be met from the untied fund 

2 Other mission activities 

2.1 New iniciatives 

2.1.1 TA/DA of ASHA for attending district level meeting of 

2000000.00 

ASHAs on NVBDCP specially for 6 hill districts at the 

flat rate of minimu Rs. 200/- (two hundred only) 

considering the cost and meagre travel facility 

2.1.2 Interaction and monitoring meeting of ASHA for 

200000.00 

evaluation of performance at PHC/CHC level on 

half yearly 

2.2 Support to other programme (NVBDCP) 

2.2.1 Infrastructure development – construction of office 

30000000.00 

building 

2.2.2 Procurement of supervising vehicle for 11 unit 8800000.00 

2.2.3 Engagement of 1 (one) Computer Data Entry 

180000.00 

Operator at State NVBDCP HO for Procurement 

Management Information System (ProMIS) @ Rs. 

15,000X12X1 

Total 41180000.00 

Proposed budget under NRHM additionalities : Rs. 4,11,80,000.00 

(Rupees four crore eleven lakh eighty thousand only) 

PROPOSED BUDGET UNDER DIFFERENT HEADS 

DBS : RS. 57989200.00 (579.892 LAKHS) 

IMCP (GFATM) : RS. 58069000.00 (580.69 LAKHS) 

NRHM additionalities : Rs. 41180000.00 (411.80 Lakhs) 

Total : Rs.157238200.00 (1572.382 Lakhs) 

(Rupees fifteen crore seventy two lakh thirty eight thousand two hundred only) 


232 

D2 

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP) 


233 

Annual Plan for Programme Performance & Budget for the year 

1 st April 2011 to 31 st March 2012 

State: ___MANIPUR______ 

Objectives: 

1. To achieve and maintain a cure rate of at least 85% among newly detected infectious 

(new sputum smear positive) cases, and 

2. To achieve and maintain detection of at least 70% of such cases in the population 

This action plan and budget have been approved by the STCS. 

Signature of the STO__________ 

_______ 

Name__Dr. Ak. Khamba Singh_____________ __________________ 

Section-A – General Information about the State 

1 State Population (in lakh) please give projected population for next year 24.49 Lakh 

2 Number of districts in the State 9 

3 Urban population 

4 Tribal population 

5 Hilly population 

6 Any other known groups of special population for specific interventions 

(e.g. nomadic, migrant, industrial workers, urban slums, etc.) 

(These population statistics may be obtained from Census data /State Statistical Dept/ District 

plans) 

No. of districts without DTC: _NO_____ 

No. of districts that submitted annual action plans, which have been consolidated in this state 

plan: __9___ 

Organization of services in the state: 

S. 

No. 

Name of the District Projected 

Population 

Please indicate number 

of TUs of each type 

Please indicate no. of DMCs of 

each type in the district 

(in Lakhs) Govt NGO Public 

Sector* 

NGO Private 

Sector^ 

1 Imphal West 4.95 2 8 0 0 

2 Imphal East 4.44 2 8 1 0 

3 Thoubal 4.13 2 6 0 0 

4 Bishnupur 2.32 1 4 0 0 

5 Churachandpur 2.58 1 4 1 0 

6 Chandel 1.38 1 4 0 0 

7 Tamenglong 1.26 1 5 0 0 

8 Senapati 4.27 2 7 0 0 

9 Ukhrul 1.59 1 4 1 0 

Total 26.92 13 50 3 0 

*Public Sector includes Medical Colleges, Govt. health department, other Govt. department 

and PSUs i.e. as defined in PMR report 

^ Similarly, Private Sector includes Private Medical College, Private Practitioners, Private 

Clinics/Nursing Homes and Corporate sector 


234 

RNTCP performance indicators: 

Important: Please give the performance for the last 4 quarters i.e. Oct 09_ to September 10 

Name of the 

District (also 

indicate if it is 

notified hilly or 

tribal district 

Total 

number of 

patients 

put on 

treatment* 

Annualised 

total case 

detection 

rate 

(per lakh 

pop.) 

No of 

new 

smear 

positive 

cases put 

on 

treatment 

* 

Annualised 

New 

smear 

positive 

case 

detection 

rate (per 

lakh pop) 

( % ) 

Cure rate for 

cases 

detected in 

the last 4 

corresponding 

quarters 

Plan for the next 

year 

Annualized 

NSP case 

detection 

rate 

Proportion 

of TB 

patients 

tested for 

HIV 

Patients put on treatment under DOTS regimens only are to be included. 

Section B – List Priority areas at the State level for achieving the objectives planned: 

S.No. Priority areas Activity planned under each priority area 

1 To increase case referral 1 a)Sensitization of MOs 

1 b) Co-ordination with NGOs 

No. of 

MDR TB 

suspects 

identified 

and 

subjects 

to C/DST 

of 

sputum 

2 To decrease the default rate 2 a)Active IPC / Field work by the STS and concerned 

NGOs 

2 b) Motivate DOTs providers to ensure timely sputum 

checkup & defaulters retrievals. 

3 To increase the TB / HIV cross referral 3 a) Co-ordination with the MACS and TB / HIV NGOs 

3 b) Regular meeting of STS, ICTC counsellors and 

outreach workers of NGOs 

4 Implementation of DOT PLUS 4 a) 

No. of 

MDR TB 

cases 

diagnosed 

& put on 

treatment 

( % ) 

Imphal West 649 141 216 47(62%) 82% 75(100%) 85% 15.4% 9 0 

Imphal East 853 209 226 55(73%) 87% 67(90%) 90% 62% 2 1 

Thoubal 418 110 115 31(43%) 78% 67(90%) 90% 2% 4 1 

Bishnupur 250 118 113 53(70%) 91% 53(70%) 90% 30% 2 1 

Churachandpur 845 360 121 56(73%) 80% 53(70%) 90% 30% 0 0 

Chandel 169 134 56 44(58%) 88% 53(70%) 90% 50% 2 0 

Tamenglong 75 65 52 45(60%) 92% 53(70%) 100% 67% 1 1 

Senapati 306 78 98 25(33%) 85% 53(70%) 87% 10% 4 1 

Ukhrul 137 102 55 38(51%) 67% 53(70%) 85% 66% 5 0 

Total 3702 1317 1052 44(58%) 83% 58(77%) 90% 37% 29 5 

Cure 

rate 

b) 

Priority Districts for Supervision and Monitoring by State during the next year 

S No District Reason for inclusion in priority list 

1 Senapati District TB/HIV cross referral ,NSP case detection very low. Also 

needs more co-ordination with Health Department and 

District NGOs 

2 Thoubal and Chandel District Low case detection rate & more coverage of unreached 

areas, specially for Chandel District. 

3 Churachandpur District Very high NSN detection rate and need more coverage 

of un-reached areas. 


235 

Section C – Consolidated Plan for Performance and Expenditure under each head, including 

estimates submitted by all districts, and the requirements at the State Level 

1. Civil Works 

Activity 

No. 

required 

as per 

the 

norms in 

the state 

No. already 

upgraded/ 

present in 

the state 

No. 

planned to 

be 

upgraded 

during next 

financial 

year 

Pl provide 

justification if an 

increase is planned 

in excess of norms 

(use separate sheet 

if required) 

Estimated 

Expenditure 

on the 

activity 

Quarter in 

which the 

planned 

activity 

expected to 

be 

completed 

(a) (b) © (d) (e) (f) 

STDC/ IRL 1 1 To be functional in 2075000 Note 1 

2010 -2011( note 1) 

SDS and 1 1 Need repairing 150000 

STC 

DTCs 9 9 DTC, Chandel and 

800000 Note 2 

Imphal East 

TUs 13 13 100000 

DMCs 53 53 1 Medical college- 

30000 

JINMS 

TOTAL 2155000 

2. Laboratory Materials 

Activity 

Amount 

permissible 

as per the 

norms in the 

state 

Purchase of Lab 

Materials by 

Districts 

Lab materials for 

EQA activity at 

STDC (eg. Lab 

consumables for 

trainings, 

preparation of 

Panel slides etc) 

Lab materials & 

consumables for 

Culture/DST 

activity at IRL 

and other 

Accredited 

Culture & DST 

labs in Govt. 

sector including 

Medical 

Colleges 

Amount 

actually 

spent in 

the last 4 

quarters 

Procurement 

planned during 

the current 

financial year 

(in Rupees) 

Estimated 

Expenditure 

for the next 


for which plan 

is being 

submitted 

(Rs.) 

(a) (b) © (d) (e) 

Justification/ 

Remarks for (d) 

524940 668880 350000 900000 Goods are coming 

through transport 

and by air, so that 

price are very high 

to compare with 

other state. 

50000 100000 


236 

3. Honorarium 

Activity 

Honorarium for 

DOT providers 

(both tribal and 

non tribal 

districts) 

Honorarium for 

DOT providers of 

Cat IV patients 

Amount 

permissible 

as per the 

norms in the 

state 

Community volunteers in 

all the districts* 

Amount 

actually 

spent in 

the last 4 

quarters 

Expenditure 

(in Rs) 

planned for 

current 


Estimated 

Expenditure for 

the next 


for which plan 

is being 

submitted 

(Rs.) 

Justification/ Remarks 

for (d) 

(a) (b) © (d) (e) 

853575 550000 1500000 To meet the 

requirement of Tribal 

action plan for the 5 

hill districts. 

No. presently involved in 

RNTCP 

Additional enrolment proposed for 

the next fin. year 

These community volunteers are other than salaried employees of Central/State government 

and are involved in provision of DOT e.g. Anganwadi workers, trained dais, village health 

guides, ASHA, other volunteers, etc. 

Annual Action Plan Format Advocacy, Communication and Social Mobilization (ACSM) for 

RNTCP MANIPUR 

1) Information on previous year’s Annual Action Plan 

a) Budget proposed in last Annual Action Plan: 16,81,000.00 

b) Amount released by the state: Rs. 7,08,400.00 

c) Amount Spent by the district- Rs. 7,00,850.00 

d) Permissible budget as per norm : Rs. 9,00,000.00 

2) Budget for next financial year for the district as per action plan detailed below: Rs. 

18,76,800.00 

Program 

Challenges 

to be 

tackled by 

ACSM 

during the 

Year 

20011-12 

Based on 

existing TB 

indicators 

and 

analysis of 

communic 

ation 

challenges 

(Maximum 

3 

Challenges 

) 

WHY 

ACSM 

Objective 

Desired 

behavior or 

action 

(make 

SMART: 

specific, 

measurable, 

achievable, 

realistic & 

time bound 

objectives 

For 

WHOM 

Target 

Audienc 

e 

Activities 

WHAT 

ACSM 

Activities 

Media/ 

Material 

Required 

When 

Time Frame 

By WHOM 

Monitoring and 

Evaluation 

Bud 

get 

Q1 Q2 Q3 Q4 Key 

Outputs; Outco Tot 

implemente 

mes: al 

r and RNTCP Evidenc 

exp 

officer e that Eviden end 

responsible the ce itur 

for 

activities that it e 

supervision have has for 

been been the 

done effecti acti 

ve vity 

duri 

ng 

the 

fina 

nci 

al 

yea 


237 

Challenge 1. 

Advocacy Activities 

State 

level 

1. Low 

NSP Case 

Detection 

District 

Level 

2. Low 

NSP Case 

Detection 

55% 

in 

the 

last 

year 

(2009 

) 

-do- 

MLA/ 

Ministers/DC 

/ 

CMO/PP/Me 

dia 

group/ADC/S 

tate level 

NGOs 

Elected 

representati 

ves/MLA/PR 

I/ADC/DLO/ 

NGOs/MOs( 

DMC) & 

PHC 

Sensitiz 

ation 

Worksh 

op 

-do- 

RNTC 

P 

publis 

hed 

Mater 

ial/ 

LCD / 

progr 

amm 

e 

mater 

ial/Su 

ccess 

Story 

-do- 

2 

3 

Q1 Q2 Q3 Q4 

1 

1 

2 3 2 

3 3 3 

STO/IECO 

/Consultant 

/ DTO 

DTO/MO/ST 

S/IECO/ CF 

DTO/MO/ST 

S 

Banner/ 

Photos/ 

attenda 

nce 

sheets 

/ paper 

docume 

nts 

etc 

-do- 

-do- 

sugge 

stion 

& 

invol 

ment 

in the 

prog. 

imple 

ment 

ation 

-do- 

-do- 

r 

Rs.40, 

000 

x2 = 

Rs.80, 

000/- 

Rs.5, 

000 

X 9 

= 

Rs.4 

5,00 

0/- 

Communication Activities 

STATE 

LEVEL 

1. Low 

NSP 

Case 

Detecti 

on 

55% 

in 

the 

last 

year 

(200 

9) 

Gener 

al 

Public 

Radio 

Advertisement in 

7 language 

State Level 

NGOs/Musical 

Nite /Natak 

Hoarding/ 

Key 

Messag 

es 

-do- 

2 

1 1 

3 

1 

3 

STO/IEC 

O/ 

-do- 

To 

populari 

ze the 

prog. 

-do- 

Increase 

in case 

detectio 

n/ 

treatme 

nt 

-do- 

Rs.3, 

000/ 

- X 

12 = 

Rs.3 

6,00 

0/- 

Rs.1,50,00 

0/- 

Rs.5000 x 

8 = 

Rs.40,000/ 

- 

DISTRICT 

LEVEL 

2. Low 

NSP 

Case 

Detecti 

on 

55% 

in 

the 

last 

year 

(200 

9) 

Gener 

al 

Public 

Wall Poster 

Magazin/souvi 

ener 

Local Cable 

Para.Medical 

Staffs 

-do- 

Key 

Messages 

IPC 

2 

3 3 

9 

1 

0 

4 

3 

3 

4 

9 

-do- 

-do- 

DTO/MO/S 

TS 

-do- 

-do- 

-do- 

-do- 

- 

do- 

Rs.10,000 

x10 = 

Rs.1,00,00 

0 

Rs.80,000/ 

- 

Rs.40,000/ 

- 

Rs.50,000/ 

Rs.10,000/ 

- 

School Students 

Leaflets in local 

dialects/ 

Quize/ 

Painting 

competiti 

on 

9 

9 

9 

-do- 

do- 

Rs.10,000/ 

-X 9 = 

Rs.90,000/ 

- 


238 

Hoardings/ 

Sign board 7 

2 

-do- 

-do- 

Rs,3,000X 

9 = 

Rs. 

27,000/- 

Rs.5000 X 

9 = 

Rs,45,000/ 

- 

Social Mobilization activities 

STATELE Media 

VEL 

Groups/ 

1. Low 

State Level 

NSP 

CBOs/NGOs 

Case 

Detecti 

on 

DISTRIC 

T LEVEL 

2. Low 

NSP 

Case 

Detecti 

on 

55 

% 

in 

the 

ye 

ar 

200 

9- 

201 

0 

55 

% 

in 

the 

ye 

ar 

200 

9- 

201 

0 

Local Women 

Based 

Org./ADC/PRI 

/ 

Church 

leader/Religio 

us 

people/Com 

munity 

leaders 

NREGS 

Health Mela 

Participation 

in the 

traditional folk 

festival 

World TB Day 

-do- 

TB 

Aware 

ness 

TB 

Aware 

ness 

-do- 

-do- 

-do- 

-do- 

Success 

story/ key 

facts 

Leaflets/ 

Mike 

-do- 

Display 

IEC 

Material 

-do- 

1 

9 

2 

9 

3 

9 

9 

STO 

/IEC 

O/D 

TO 

DTO 

/M 

O/S 

TS/C 

F 

Banner/ 

Photos/attend 

ance/ 

Paper 

documents 

etc 

-do- 

-do- 

To 

popula 

rize the 

prog. 

to the 

genera 

l public 

To 

popula 

rize the 

prog. 

to the 

genera 

l public 

& 

increas 

e case 

detecti 

on 

-do- 

Rs.1000/- 

X 72 = 

Rs.72,000/ 

- 

Rs.15,00 

0/- X 6 = 

Rs.90,00 

0/- 

Rs.3000/ 

- X 27= 

Rs.81,00 

0/- 

Rs.5,000/ 

- X 9 = 

Rs.45,00 

0/- 

District 

State 

9 

1 

-do- 

- 

- 

Rs.20,00 

0/- X 9 = 

Rs.1,80,0 

00/- 

Challenge 2: 

Advocacy Activities 

STATE 

LEVEL 

1.Def 

ault 

rate 

in Retreat 

Media group 

ment 

case 

DISTR 

ICT 

19 

% 

in 

th 

e 

las 

t 

ye 

ar 

20 

09 

- 

20 

10 

Elected 

representatives/P 

PMix/DLO/ 

Elected 

Members/ADC/P 

RI/MOs/PP/Local 

leader/Communi 

ty leaders 

Sensiti 

zation 

progr 

amm 

e 

Press 

Confe 

rence 

Sensiti 

zation 

Progr 

Key facts 

accordin 

g to data 

available 

/success 

story/leaf 

lets/Mike 

-do- 

Key Facts 

accordin 

1 

3 

4 

2 

3 

2 

1 

3 

- 

STO/IECO/DT 

O/Consultant 

DTO/MO/STS/ 

CF 

Banner/ 

Photos/attend 

ance/ 

Paper 

documents 

Etc 

-do- 

Banner/Photos 

/attendance/ 

Paper 

Goo 

d 

sugg 

estio 

n to 

retriv 

e the 

defa 

ult 

patie 

nt 

To 

publis 

h & 

Awar 

Rs.1,50,00 

0/- 

Rs.10, 

000/- 

X 7 = 

Rs.70, 

000/- 

Rs.20, 

000/- 

X 2 = 

Rs.40, 

000/- 


239 

LEVEL 

2.Def 

ault 

rate 

in Retreat 

ment 

case 19 

% 

in 

th 

e 

ye 

ar 

20 

09 

- 

20 

10 

Communication Activities 

STAT 

ELEV 

EL 

1.Def 

ault 

rate 

in 

Retreat 

ment 

case 

DISTR 

ICT 

LEVE 

L 

2.Def 

ault 

rate 

in 

Retreat 

ment 

case 

19 

% 

in 

th 

e 

ye 

ar 

20 

09 

- 

20 

10 

19 

% 

in 

th 

e 

ye 

ar 

20 

09 

- 

20 

10 

CMOs/DLOs/MO 

(DMC)/PP/STS 

CMOs/DLOs/MOs/P 

P/NGOs/DP/TBHV/S 

TS 

Patients 

/Families/Neighbors 

Paramedical Staffs 

NGOs Partner 

amm 

e 

Progr 

amm 

e 

revie 

w 

Meeti 

ng 

-do- 

IPC 

g to 

Data 

available 

Success 

story, 

Mike etc 

Key 

Fact 

s 

acc 

ordin 

g to 

Data 

avail 

able 

TB 

Regis 

ter 

Treat 

men 

t 

Card 

-do- 

-do- 

1 

9 

2 

7 

e 

a 

ch 

e 

a 

ch 

1 

9 

e 

a 

ch 

STO/IECO/C 

F/Consultan 

t 

STO/DTO 

/CF/IECO 

DTO/STS/TB 

HV/CF 

documents 

Etc 

Banner/Photo 

s/attendance 

/ 

Paper 

documents 

Etc 

-do- 

- 

e the 

risk of 

treat 

ment 

defa 

ult 

Sugge 

stion & 

mass 

involve 

ment 

for 

retriev 

al 

Moni 

torin 

g 

and 

eval 

uatio 

n to 

solve 

d the 

issue 

Ado 

pt 

DOTS 

-do- 

Rs.50 

00 /- 

X 10 

= 

Rs.50, 

000/- 

Rs.15 

,000 

/- X 2 

= Rs. 

30,00 

0/- 

Rs.50 

00/- 

X 18 

= 

Rs90, 

000/- 

Rs.10 

0/- X 

108= 

Rs.10 

,800/ 

- 

Social Mobilization Activities 

STATEL 

EVEL 

1.Defa 

ult rate 

in Retreatm 

ent 

case 

19 

% 

in 

the 

ye 

ar 

200 

9- 

Participation in the 

traditional function 

of different 

community 

Local 

Club/Meirapaibi/C 

hruch 

leader/NGOs/CBO 

201 s/Openion Leders 

0 General Public 

DISTRI 

CT 

LEVEL 

2. 

Defaul 

t rate 

in Re- 

19 

% 

TB 

Aware 

ness 

TB 

Aware 

ness 

Mike 

Succ 

ess 

story 

/ Key 

Facts 

etc 

Succ 

ess 

story 

/ Key 

Facts 

2 

9 

9 

9 

2 

9 

9 

STO/DTO 

/IECO 

DTO/STS 

DTO/STS/ 

CF 

Banner/Photos/att 

endance/ 

Paper documents 

Etc 

-do- 

Mike and vehicle 

To 

awa 

re 

the 

risk 

of 

def 

ault 

pati 

ent 

-do- 

Rs.100 

00/- X 

4 = 

Rs.40.0 

00/- 

Rs.300 

0/- X 

27 = Rs 

81,000 

/- 


240 

treatm 

ent 

case 

in 

the 

ye 

ar 

200 

9- 

201 

0 

Publici 

ty 

etc 

Key 

Messa 

ges 

-do- 

Rs.300 

0/- X 

18 = 

Rs.54,0 

00/- 

5. Equipment Maintenance: 

Item 

Computer 

(maintenance includes AMC, 

software and hardware 

upgrades, Printer Cartridges 

and Internet expenses) 

No. 

actually 

present 

in the 

state 

Amount 

actually 

spent in 

the last 4 

quarters 

Amount 

Proposed for 

Maintenance 

during current 

financial yr. 

Estimated 

Expenditure 

for the next 

financial 

year for 

which plan is 

being 

submitted 

(Rs.) 

(a) (b) (c) (d) (e) 

12 496450 250000 500000 

Binocular Microscopes (RNTCP) 75 200000 

STDC/ IRL Equipment 100000 

Any Other (pl. specify) 0 

TOTAL 800000 


Remarks for (d) 

6. Training 

Activity 

Training of DTOs 

(at National level) 

Training of MO- 

TCs 

Training of MOs 

(Govt ) 

Training of LTs of 

DMCs- Govt + 

RNTCP contract 

Training of 

MPWs/TBHV 

Training of MPHS, 

pharmacists, 

nursing staff, BEO 

etc 

Training of 

Community 

Volunteers 

Training of Pvt 

Practitioners 

Other trainings # 

STLS 

No. in 

the 

state 

No. 

already 

trained 

in 

RNTCP 

No. planned to be 

trained in RNTCP 

during each quarter 

of next FY 

Expenditure 

(in Rs) 

planned for 

current 

financial 

year 

Estimated 

Expenditure 

for the next 

financial 

year 

(Rs.) 

(a) (b) Q1 Q2 Q3 Q4 (d) (e) (f) 

9 9 1 1 

7 4 3 19500 

745 275 25 25 25 25 67000 201000 

155 137 10 10 10 10 50000 182000 

9 9 0 

966 490 25 25 25 25 45000 90520 

1472 596 100 100 100 100 362080 

150 86 30 30 39000 

17 13 17 

13 

0 


remarks 


241 

Activity 

No. in 

the 

state 

No. 

already 

trained 

in 

RNTCP 

No. planned to be 

trained in RNTCP 

during each quarter 

of next FY 

Expenditure 

(in Rs) 

planned for 

current 

financial 

year 

Estimated 

Expenditure 

for the next 

financial 

year 

(Rs.) 


remarks 

STS 

Re- training of 275 80 20 20 20 99120 

MOs 

Re- Training of 53 25 10 10 10 40350 

LTs of DMCs 

Re- Training of 9 9 10000 

MPWs 

Re- Training of 

25 25 25 25 66700 

MPHS, 

pharmacists, 

nursing staff, BEO 

Re- Training of 

25 25 25 25 60000 

CVs 

Re-training of Pvt 

0 0 0 

Practitioners 

Re-training of 17 17 0 9 0 9 53500 

STLS 

Re-training of STS 13 13 0 13 0 26500 

Re-training of 

Part time 

accountant 

Re-training of 

DEO 

TB/HIV Training of 

MO-TCs and 

MOs 


STLS, LTs , MPWs, 

MPHS, Nursing 

Staff, 

Community 

Volunteers etc 


STS 

Training of MOs 

and Para 

medicals in DOTS 

Plus for 

management of 

MDR TB 

Provision for 

Update Training 

at Various Levels 

# 

Review Meetings 

at State Level 

9 

10 

NGOs 

Partners 

MO 

Medical 

College 

35 

9 

10 

9 

10 

20000 

20000 

7 7 13200 

50 0 15 15 22590 

13 13 9800 

1 

1 1 

1 

1 1 

1 80000 

100000 

Any Other 

Training Activity 

1515860/- 

50 

1 1 1 1 

TOTAL 


242 

7. Vehicle Maintenance: 

Type of 

Vehicle 

Number 

permissible 

as per the 

norms in 

the state 

Number 

actually 

present 

Amount 

spent on POL 

and 

Maintenance 

in the 

previous 4 

quarters 

Expenditure 

(in Rs) 

planned for 

current 

financial 

year 

Estimated 


the next financial 

year for which 

plan is being 

submitted 

(Rs.) 

(a) (b) ( c ) (d) (e) (f) 

Four Wheelers 14 14 22,62,622 12,00,000 26,00,000 

Two Wheelers 8 8 2,60,000 

TOTAL 28,60,000 

8. Vehicle Hiring*: 

Hiring of Number 

Four permissible 

Wheeler as per the 

norms in the 

state 

Number 

actually 

requiring 

hired 

vehicles 

Amount 

spent in 

the 

prev. 4 

qtrs 

Expenditure 

(in Rs) 

planned for 

current 


Estimated 

Expenditure for the 

next financial year 

for which plan is 

being submitted 

(Rs.) 


remarks 


remarks 

(a) (b) ( c ) (d) (e) (f) 

For STC/ 2 2 3,92,370 210000 4,10,000 

STDC 

For DTO 1 1 105000 2,10,000 

For MO-TC 13 13 260000 5,88,000 All DTCS will 

be available 

2 nd MO( 

Note 3) 

TOTAL 12,08,000 

* Vehicle Hiring permissible only where RNTCP vehicles have not been provided. 


243 

9. NGO/ PP Support: 

NGO/ PP Support: (New schemes) 

Activity 

No. of 

currently 

involved 

in RNTCP 

Addition 

al 

enrolme 

nt 

planned 

for this 

year 

Amount 

spent in 

the 

previous 4 

quarters 

Expenditure 

(in Rs) 

planned for 

current 

financial 

year 

Estimated 

Expenditure 

for the next 

financial 

year for 

which plan 

is being 

submitted 

(Rs.) 

Justificati 

on/ 

remarks 

(a) (b) ©( Rs.) (d)( Rs) (e)( Rs) (f) 

ACSM Scheme: TB 

advocacy, 

communication, and social 

34 13 1,70,000/- 1,00,000/- 3,00,000.00 

mobilization 

SC Scheme: Sputum 

Collection Centre/s 

27 13 80,000/- 70,000/- 1,50,000.00 

Transport Scheme: Sputum 

Pick-Up and Transport 

27 9 80,000/- 70,000/- 1,50,000.00 

Service 

DMC Scheme: Designated 

Microscopy Cum 

3 1 3,80,000/- 70,000/- 6,00,000.00 

Treatment Centre (A & B) 

LT Scheme: Strengthening 

RNTCP diagnostic services 

2 1,80,000.00 

Culture and DST Scheme: 

Providing Quality Assured 

Culture and Drug 

0 0.00 

Susceptibility Testing 

Services 

Adherence scheme: 

Promoting treatment 

34 14 4,00,000/- 1,00,000/- 6,00,000.00 

adherence 

Slum Scheme: Improving TB 

control in Urban Slums 

0 0.00 

Tuberculosis Unit Model 0 0.00 

TB-HIV Scheme: Delivering 

TB-HIV interventions to high 0 3 4,50,000.00 

HIV Risk groups (HRGs) 

PP cheme 0 0.00 

Others involvement 

1.Individual Sputum 

38 6 57,000/- 30,000/- 1,00,000.00 

collector 

Sub-Total 25,30,000.0 

0 

TOTAL 

10. Miscellaneous: 

Activity* Amount 

e.g. TA/DA, permissible 

Stationary, etc as per the 

norms in 

the state 

Amount 

spent in 

the 

previous 4 

quarters 

Expenditure 

(in Rs) 

planned for 

current 


Estimated 


the next 


(Rs.) 

Justification/ remarks 

(a) (b) ( c ) (d) (e) 

1200000 1765390 9,00,000 2000000.00 

TOTAL 20,00,000.00 

* Please mention the main activities proposed to be met out through this head 


244 

11. Contractual Services: 

Category of No. 

Staff 

permissible 

as per the 

norms in the 

state 

No. 

actuall 

y 

presen 

t in the 

state 

No. 

planned 

to be 

additionall 

y hired 

during this 

year 

Amount 

spent in 

the 

previous 

4 

quarters 

Expenditur 

e (in Rs) 

planned 

for current 

fin. year 

(a) (b) © (d) (e) 

TB/HIV Coord. 0 0 0 

Estimated 

Expenditur 

e for the 

next 

financial 

year 

(Rs.) 

Urban TB 

0 0 0 

Coord. 

MO-STCS 1 1 0 313200 300600 396000 

State 

1 1 0 216900 122400 19800 

Accountant 

State IEC 

1 1 0 216900 122400 19800 

Officer 

Pharmacist 1 1 0 134250 109500 158400 

Justificatio 

n/ remarks 

Secretarial 

1 1 0 101850 58950 112200 

Asst 

MO-DTC 2 2 1 612000 554400 1075200 1 For 

JINMS 

STS 13 13 0 1946925 1325925 2131200 

STLS 17 17 1 2547825 1333200 2836800 1 For 

JINMS 

TBHV 9 9 1 797400 487600 1046400 1 For 

JINMS 

DEO 11 11 0 1149150 755550 1273800 

Accountant – 9 9 0 325800 214200 356400 

part time 

Contractual LT 25 25 1 2466900 1568600 3029100 1 For JINMS 

Driver 14 14 0 1170725 805375 1289400 

Communicati 

on Facilitator 

Any other 

contractual 

post approved 

under RNTCP 

2 2 0 175992 88000 240000 

Microbiologis 

t, 

Epidemiologi 

st 

1 0 418500 220500 462000 

1 0 480000 

Store Assist. 1 0 14200 48000 100800 

DA for 

Contractual 

Staff 

DOT Plus side 

MO 

DOT Plus side 

SA 

DOT Plus side 

TB-HIV 

supervisor 

0 1 0 90000 360000 

0 1 0 45000 180000 

0 9 0 405000 1620000 1 each for 

9 district 

109 16 1260851 

7 

8655200 600000 

TOTAL 1,71,09,300 


245 

12. Printing: 

Activity 

Amount 

permissible 

as per the 

norms in 

the state 

Amount 

spent in 

the 

previous 

4 

quarters 

Expenditure 

(in Rs) 

planned for 

current 

financial 

year 

Estimated Expenditure 

for the next financial 

year for which plan is 

being submitted 

(Rs.) 

(a) (b) © (d) (e) 

Printing-State level:* 223000 162450 150000 350000 


remarks 

Printing- Distt. Level:* 180000 370708 200000 350000 

* Please specify items to be printed in this column 

13. Research and Studies (excluding OR in Medical Colleges): 

Any Operational Research projects planned (Yes/No) 

_________Yes_____________________________ 

Estimated Total Budget ____________________________________________ 

14. Medical Colleges 

Activity 

Contractual Staff: 

MO-Medical College (Total 

approved in state __1_ required 

1) 

STLS in Medical Colleges (Total no 

in state __1 required 1 ) 

LT for Medical College (Total no in 

state _1_ required 1_ ) 

TBHV for Medical College (Total 

no in state_1__ required 1) 

Amount 

permissible as per 

norms 

Research and Studies: 

20000 

Thesis of PG Students 

Operations Research* 

Travel Expenses for attending STF/ZTF/NTF 

150000 

meetings 

IEC: Meetings and CME planned 150000 

Equipment Maintenance at Nodal 

Centres 

Estimated 

Expenditure for the 

next financial 

year(Rs.) 


remarks 

(a) (b) © 

Included in the Included in the To 

Contractual Contractual Service established a 

Service Head Head 

DMC at new 

medical 

college 

(JNIMS) 

approval 

required( 

Note 3 


246 

15. Procurement of Vehicles: 

Equipment 

No. actually 

present in 

the state 

No. planned for 

procurement 

this year (only if 

permissible as 

per norms) 

Estimated Expenditure for the 

next financial year for which 

plan is being submitted (Rs.) 


remarks 

(a) (b) ( c ) (d) 

4-wheeler ** 

Vehicles are 

14 3 1677000 

procure in 1999- 

2000 and 

condemn( Note 

4) 

2-wheeler 

Vehicles are 

8 4 200000 

procure in 1999- 

2000 and 

condemn 

** Only if authorized in writing by the Central TB Division 

16. Procurement of Equipment: 

Equipment 

Office Equipment 

(Computer, modem, 

scanner, printer, UPS 

etc.) 

Any Other 

No. actually 

present in the 

state 

11 computer, 

10 Zerox 

2 Lap top/ 

Desktop 

No. 

planned for 

this year 

(only as per 

norms) 

Estimated Expenditure 

for the next financial 

year for which plan is 

being submitted (Rs.) 

Justification/ remarks 

(a) (b) ( c ) (d) 

6 computer 360000 for computer 

and 

660000 for Zerox 

Replacement of 

condemned computer 

and Zerox 

2 100000 For State Accountant 

and IEC Officer 


247 

Section D: Summary of proposed budget for the state – 

Category of Expenditure Budget estimate for the coming FY 2010_ - 2011_ 

(To be based on the planned activities and 

expenditure in Section C) 

1. Civil works 2155000.00 

2. Laboratory materials 1000000.00 

3. Honorarium 1500000.00 

4. IEC/ Publicity 1876800.00 

5. Equipment maintenance 800000.00 

6. Training 1515860.00 

7. Vehicle maintenance 2860000.00 

8. Vehicle hiring 1208000.00 

9. NGO/PP support 2530000.00 

10. Miscellaneous 2000000.00 

11. Contractual services 17109300.00 

12. Printing 700000.00 

13. Research and studies 20000.00 

14. Medical Colleges 300000.00 

15. Procurement –vehicles 1877000.00 

16. Procurement – equipment 1112000.00 

TOTAL 38563960.00 

(Rs. 385.64 Lakhs) 

Note:-1. Up-gradation of DOT plus including airborne infection control measures 

at JNIMS and Churachandpur District Hospital :- Rs. 20,00,000.00. 

Manipur is hilly Tarrant the valley is only 1/10 of the total area of 

Manipur, so we need another DOT PLUS Side in the hilly area CCpur is 

the biggest hilly district in the Manipur. 

Note 2. The DTC of Chandel District have been dismantle 80% of the previous 

building due to the need of areas for the construction of District 

Hospital, it need up-gradation and DTC Imphal East located at JINMS 

presently, is now to be shifted to the new place allotted by the Govt. 

of Manipur also need up-gradation. 

Note 3. 

Note 4 

DMC for the new medical College at JINMS:- Staff for approval 1 MO, 

1STLS, 1LT and 1 TBHV and required budget is included in the 

Contractual Service. 

Out of the 9 district 3 hill district and 2 valley is approved but the other 

remaining district i.e Senapati , Ukhrul in hilly district and Imphal west 

in valley have also same condition of the vehicles and matter may 

kindly be treated as compulsory. 


248 

Under NRHM additional fund 

Proposal for RNTCP related activities 

Sl. 

Particulars 

Approx cost (Rs. In Lakhs) 

No. 

Civil Work 0 

1 Upgradation of DOT plus including airborne infection 

10.00 

control measures either at JNIMS or RIMS 

2 Construction of one computer room and 2 class rooms 

5.00 

with a capacity of 10 trainees at State Training & 

Demonstration Centre, Lamphelpat 

3 Construction of 30 bedded hostel for the outstation 

25.00 

trainees from Nagaland, Mizoram & Manipur 

4 Construction of Sputum Collection room 5’ X 6’ at 53 

5.30 

DMCs Rs. 10000.00 each 

5 Construction of Biohazard Dispo pits at the DMCs & IRL 

5.30 

Lamphelpat 

Procurement of instruments 0 

1 Installation of Incubation room at IRL / STDC 

6.51 

Lamphelpat. Approved firm of Assam. 

2 Procurement of sputum carrying box under NGO PP 

1.00 

Scheme @ Rs. 500 X 200 Nos. 

IEC Materials 0 

1 TB-HIV hoardings 1.00 

2 TB-HIV Wall posters 1.00 

TOTAL 

60.11 


249 

D3 

NLEP 


250 

INTRODUCTION 

MANIPUR is located in North –eastern part of India and have geographical area of 

22327 sq. kms. It has a projected population of 30, 17,300 as on 31 st March, 2010 

(Central Leprosy Division – GOI). It shares a common boundary with Myanmar. It has 

38 blocks, 2315 revenue villages with literacy rate of 70.5%. It has ethnic population 

consisting of Hindus/Meiteis 46%, Muslims/Meitei Pangal 8.81%, Christians 34.04% and 

the rest 11.15% consist of Sikhs, Buddhist, Jains, etc. 

Manipur achieved elimination of Leprosy in the year 2001. NLEP is now integrated to 

General Health Care (GHC) system in 2002-03. District Nucleus Cells have been formed 

in the districts and 25% of the vertical staff has been integrated to GHC system. 

Though the state has now achieved elimination, new cases are still reported/detected 

in the districts. Further, the programme needs to focus more on DPMR as disabilities 

among new cases are still reported/detected in the population. 

Table 1.Performance during last four years: 

Indicators 2006-07 2007-08 2008-09 2009-10 

No. of new case Detected 44(1.58) 54(1.89) 38(1.29) 31(1.03) 

(ANCDR) 

No. of cases on record at the 27(0.09) 43(0.15) 28(0.09) 18(0.06) 

yearend(PR) 

No. of Grade-II disability among 

new cases (%) 

3(6.8) 4(7.0) 2(5.0) 3(9.7) 

Treatment Completion rate na 98% 95% 98.08% 

RCS Conducted 

Activities started from October,2010-11 at RIMS,Imphal 

SITUATION ANALYSIS 

The Prevalence Rate (PR) of the state as on 1996 was 3.73 which came down to 0.06 

by 2010, showing gradual decline of its prevalence. On the other hand, the ANCDR for 

one lakh population was 8.73 in 2001 which came down to 1.03 in 2010. It shows that 

new cases reported/detected year by year. During 2009-10, 31 new cases reported 

and during 2010-11 (April to November) 18 new cases reported/detected. 

Table 2: Further the p.c. of disability among new cases is as follows: 

Year 

Percentage Grade –II Deformities 

2006 2% 

2007 6.8% 

2008 7% 

2009 5% 

2010 as on 1 st November 9.7% 

The above data show that the deformity cases are still reported, which may be due to 

late diagnosis at remote cornered villages leading to late treatment of cases. Hence, 

there is urgent need to detect early and prompt treatment. 

More cases of leprosy could be detected by improving IEC activities in the 

community, capacity building, training of GHC Staff including ASHAs and by 

improving referral system. As such, the following priority will be given during 2011-12 as 

per SWOT analysis: 


251 

SWOT ANALYSIS 

Object Strength Weakness Opportunity Threat 

Training and Trained DLO & 

Supervision DNT 

Case detection 

Involvement of 

ASHAs in NLEP 

activity 

DPMR 

IEC activities 

Lab technician 

Capacity 

building for MO 

& HW & TOT 

Organise 

training for 

ASHAs 

PMR Centre, 

RIMS identified 

as RCS centre 

for the state 

Training of 

MO/HW/HS will 

activate IEC 

activities 

Lab technician 

(LT) posted 

Frequent transfer 

& posting of 

regular staff 

Some of GHC 

staff unable to 

suspect leprosy 

cases 

In view of difficult 

terrain, fund for 

half day 

sensitization is 

less 

Lack of trained 

cobblers to 

make MCR 

footwear 

GHC Staff 

overloaded with 

too many 

programmes 

Untrained - LT 

Convergence of 

training 

programme to 


Integration with 

NRHM for better 

monitoring & 

supervision 

Integration of the 

programme to 

NRHM & effective 

co-ordination 

GOI identified 

many institutions 

from whom 

protective 

footwear can be 

procured 

Integration to 


Training of 

untrained LT 

arranged 

There is risk of 

wrong diagnosis 

of cases due to 

lack of training & 

motivation 

- do - 

Lack of coordination 

& no 

proper 

integration may 

affect 

programme 

Risk of more 

cases of Grade-II 

deformity 

Lack of attention 

to NLEP by GHC 

Staff 

Quality diagnosis 

of cases difficult 

(1) While implementing IEC/BCC services, priority will be given to those subdivision 

having reported new cases during the last 3 years. On 

epidemiological analysis of the districts, it is found that 19 subdivisions out of 

38 subdivisions in the state, have reported new cases. During 2010-11 (April 

to October) 12 subdivisions are reporting cases. 

(2) As a part of integration to GHC system, training/capacity building of staff 

will be converged to NRHM. 

(3) During 2011-12, Urban Leprosy Control Programme will be taken up at 

Dermatology Department at Regional Institute of Medical Sciences (RIMS), 

Imphal (under Central H & FW-GOI) as Urban Leprosy Clinic as the same 

could not do well at Imphal Municipal Council. 

(4) To reduce discrimination of the disease it is essential to give more 

emphasis on P.O.D. and P.O.W.D. by implementing DPMR services more 

effectively. Government of India has now formally intimated PMR Centre 

RIMS, Imphal as RCS Centre and some of the operable LAPs with deformity 

have also been operated recently with success. As such more emphasis 

will be given in DPMR during 2011-12. 


252 

BREAK UP BUDGET PROPOSAL FOR NLEP (2011-12) MANIPUR STATE. 

Sl. 

Activities Target Unit Cost Amount Remarks 

No. 


1.1 State: 

(a) Salary of 1(one) S.M.O. 

(b) Salary of 1(one DEO. 

(c) Salary of Admin, Asstt. 

(d) Honorarium for Accountant. 

(e) TA/DA for SLS Officials. 

(f) Audit fee State & 9 District. 

12 months 

12 months 

12 months 

12 months 

12 months 

1 year 

Rs.20,000/- pm. 

Rs.8,000/- pm. 

Rs.7,000/- pm. 

Rs.1000/- pm. 

Rs.3000/- pm. 

Rs.2,40,000/- 

Rs.96,000/- 

Rs.84,000/- 

Rs.12,000/- 

Rs.36,000/- 

Rs.60,000/- 

Sub Total= Rs.5,28,000/- 

1.2 District (9) 

(a) Salary of 8 (eight) drivers. 

(b) Honorarium for Account Clerk. 

(c) TA/DA for DLS Officials. 

2. Services through ASHA: 

2.1 Incentive for PB case. 

2.2 Incentive for MB case. 

2.3 Half day sensitization (Trg). 

3. Office Expenses & Consumable: 

3.1 State: 

(a) Rent, Telephone, Electricity, P & 

T charges, Miscellaneous. 

(b) Office Equipment Maintenance 

cost. 

12 months 

12 months 

12 months 

18 cases 

20 cases 

1200 ASHA 

1 year 

1 year 

Rs.4500/-pm. 

Rs.500/- pm. 

Rs.1500/- pm. 

Rs.4,32,000/- 

Rs.54,000/- 

Rs.1,62,000/- 


Total (State + District) = Rs.11,76,000/- 

Rs.300/- case 

Rs.500/- case 

Rs.75/- ASHA 

Rs.5,400/- 

Rs.10,000/- 

Rs.90,000/- 


Rs.38,000/- 

Rs.85,000/- 

Rs.50/- per 

ASHA is not 

sufficient to 

meet the travel 

expenses. 

(b) Include 

procurement 

of 1 (one) 

Computer set 

for SLS. The 

existing one is 

more than 5 

years old. 

(c) Stationary items. 

3.2 Districts (9 Nos) 

3.2 (a) Rent, Telephone, Electricity P & T 

Charges, Miscellaneous. 

(b) Stationary items. 

1 year 

1 yr 

1 yr 

Rs.8000/- dist/yr 

Rs.14,000/- dist/yr 

Rs.28,000/- 


Rs.72,000/- 

Rs.1,26,000/- 


Total (State + District)= Rs.3,49,000/- 


253 

Sl. 


No. 

4. Capacity Building: (Annexure-1) 

4.1 

4.2 

4.3 

2 days refresher training of MO. 

2 days refresher training of HW/HS. 

5 days Lab. Technician training. 

120 nos 

(4 batches) 

150 nos 

(5 batches) 

30 nos 

Rs.50,000/- 

Per batch of 30 

Rs.35,000/- 

Per batch of 30 

Rs.2,00,000/- 

Rs.1,75,000/- 

Rs.77,250/- 

At State HQ & 

Dist. HQ. 

-do- 

At State HQ. 

Total= Rs.4,52,250/- 

5. Behavioral Change 

Communication: 

5.1 Mass Media: 

(a) Panel discussion, Phone-in 

Programme in local TV/Radio, 

(b) Advertisement in newspaper, 

magazine etc. 

2 nos. 

15 nos. 

Rs.5,000/- 

Rs.2000/- 

Rs.10,000/- 

Rs.30,000/- 

(a) At State 

level. 

b) 1 at each 


and remaining 

6 at State 

level. 

5.2 Outdoor Media: 

(a) Hoarding (20’ x 10’). 

9 nos 

Rs.21,000/- 

Sub Total= Rs.40,000/- 

Rs.1,89,000/- 

a)At State 

level 

(b) Wall Painting (10’ x 5’). 

(c) Posters (20” x 18”). 

(d) Stickers (1’ x 1’). 

(e) Rally. 

5.3 Rural Media: 

(a) School Quiz.(4 per dist.) 

(b) IPC Meeting at block level for 

teachers, Officials, 

MO/HW/HS/ASHA. 

(c) Exhibition, Health Mela. 

(Annexure-II) 

(d) Publicity by Megaphone. 

80 nos 

2000/posters 

4000/stickers 

10 nos 

36 nos 

100 nos 

9 nos 

20 nos 

Rs.1750/- 

Rs.20/- 

Rs.25/- 

Rs.10,000/- 

Rs.2000/- 

Rs.1000/- 

Rs.10,000/- 

Rs.2000/- 

Rs.1,40,000/- 

Rs.40,000/- 

Rs.1,00,000/- 

Rs.1,00,000/- 


Rs.72000/- 

Rs.1,00,000/- 

Rs.90,000/- 

Rs.40,000/- 


b) At State & 

District level. 

c) At State 

Level. 

d) -doe) 

1 each at 


and 1 at State 

level. 

a) At Dist. 

Level. 

b) 10 at each 

District level & 

10 at State 

level 

c) 1 each at 


d) 2 at each 

District level 2 

at State level. 


254 

Sl. 


No. 

5.4 Advocacy 

(a) Meeting with Zila Parishad 

Councillors, Mahila Mandals 

etc. 

b) NGO, Oreintation. 

40 nos 

35 nos 

Rs.5000/- 

Rs.3000/- 

Rs.2,00,000/- 

Rs.1,05,000/- 

a) 3 at each 


13 at State 

level 

b) 3 at each 


8 State Level 


BCC/IEC Total= Rs.12,16,000/- 

6. POL/Vehicle Maintenance & 

6.1 Hiring: 

State 

6.2 2 (two) Vehicles. 

Districts 

6.3 8 out of 9 district have vehicles. 

Hiring of 1 (one) Vehicle for 

Imphal East district. 

7. DPMR: 

7.1 Procurement of MCR Footwear 

7.2 Aids & Appliances for PAL for 9 

districts & State. 

7.3 

7.4 

Welfare allowance to BPL patients 

for RCS. 

Incentive to RCS Institution. 

8. Materials & Supplies: 

8.1 Lab. Reagent & minor lab. 

Equipments for 9 districts & state 

(10 units). 

8.2 Supportive Medicine for 9 districts. 

Printing of formats for 9 district 

8.3 

1 yr 

1 yr 

1 yr 

100 pairs 

1 yr 

20 

20 

1 yr 

1 yr 

1 yr 

-10- 

Rs.90,000/- veh. 

Rs.60,000/-dist x 

8 

Rs.6,000/-pm 

Rs.500/- 

Rs.12,000/-dist 

Rs.5000/pt. 

Rs.5000/-pt/RCS 

Rs.6000/- 

Rs.12,000/-dist 

Rs.9000/-dist 

Rs.1,80,000/- 

Rs.4,80,000/- 

Rs.72,000/- 

Total= Rs.7,32,000/- 

Rs.50,000/- 

Rs.1,20,000/- 

Rs.1,00,000/- 

Rs.1,00,000/- 

Total= Rs.3,70,000/- 

Rs.60,000/- 

Rs.1,08,000/- 

Rs.81,000/- 

Imphal East 

DLS does not 

have vehicle. 

For PAL/LAP. 

Procurement 

of Prosthetic 

arms/legs, 

crutches, 

various splints 

for LAPs. 

In 

coordination 

with RIMS, 

Imphal. 

Total= Rs.2,49,000/- 


255 

Sl. 


No. 

9. Urban Leprosy Control (Township): 

9.1 

9.2 

9.3. 

Supportive Medicine. 

MDT delivery services and follows 

up of under treatment patients. 

Monitoring, Supervision & 

Coordination. 

1 yr 

1 yr 

1 yr 

Rs.10,000/- 

Rs.18,000/- 

Rs.22000/- Periodic 

meeting & 

mobility 

Total= Rs.50,000/- 

10. Supervision, Monitoring & Review: 

10.1 State: 

(a) Supervision & Monitoring 

10.2 

(b) Review Meeting 

District (9 districts) 

Monthly Review Meeting at DLO 

office. 

11. Cash Assistance: 

11.1 State: 

(a) Anti Leprosy Day Observation. 

(b) TA/DA SLS Officials. 

(c) IEC activities support by State 

to District. 

11. 2 District (9 districts) 

(a) Anti Leprosy Day Observation 

& TA/DA for DLS Officials 

12 months 

12 months 

12 months 

1 

12 months 

1 yr 

Rs.4500/-pm 

Rs.1000/-pm 

Rs.300/-pm 

Rs.2000/- 

Rs.54,000/- 

Rs.12,000/- 

Rs.32,400/- 

Total= Rs.98,400/- 

Rs.16000/- 

Rs.24,000/- 

Rs.70,000/- 


(a) By SLO, 

SMO, Surgeon. 

(b)Attended 

by all 

DLOs/NMS 

DNT 

At State HQ. 

9 Rs.10,000/-dist. Rs.90,000/- At Dist.HQ. 

Total= Rs.2,00,000/- 

Grand Total = Rs.49,97,650/- 

(Rupees forty nine lakh ninety seven thousand six hundred fifty) only 

BUDGET PROPOSAL FOR NLEP (2011-2012) MANIPUR STATE. 

Sl.No. Activities Proposed Amount Proposed 


1.1 

1.2 

State 

District 

Rs. 5,28,000.00 

Rs. 6,48,000.00 

Rs.11,76,000.00 

2. Services through ASHA: 

Total= 


256 

2.1 

2.2 

Incentive to ASHA. 

Sensitization of ASHA. 

Rs.15,400.00 

Rs.90,000.00 

Total= Rs.1,05,000.00 

3. Office Expenses & Consumable Rs.3,49,000.00 

4. Capacity Building (Training) 

4.1 

4.2 

4.3 

2 days refresher training of MO. 

2 days refresher training of HW/HS. 

5 days training for Lab. Technicians. 

Rs.2,00,000.00 

Rs.1,75,000.00 

Rs. 77,250.00 

5. Behavioral Change Communication (IEC) 

5.1 Mass Media 

5.2 Outdoor Media 

5.3 Rural Media 

5.4 Advocacy 

Total= Rs.4,52,250.00 

Rs. 40,000.00 

Rs.5,69,000.00 

Rs.3,02,000.00 

Rs.3,05,000.00 

Total= 

Rs.12,16,000.00 

6. POL/Vehicle Operation & Hiring Rs. 7,32,000.00 

7. DPMR Rs. 3,70,000.00 

8. Material & Supplies Rs. 2,49,000.00 

9. Urban Leprosy Control Rs. 50,000.00 

10. NGO-SET Scheme Rs. 00.00 

11. Supervision, Monitoring & Review Rs. 98,400.00 

12. Cash Assistance Rs, 2,00,000.00 

Grand Total= Rs.49,97,650.00 

(Rupees forty nine lakh ninety seven thousand six hundred 

fifty) only 

WORKOUT (ANNEXURE-I) 

MO (per batch) HW/HS (per batch) Lab. Technician (per batch) 

- Trainees @ 400/- day 

x 30 x 2= 24000/- 


x 30 x 2= 12000/- 


x 30 x 5sSs= 30,000/- 

- Trainers@500/-day 

x 3 x 2 = 3000/- 


x 3 x 2 = 3000/- 


x 3 x 5 = 7500/- 

- Refreshment @150/-day 

x 35 x 2 =10500/- 


x 35 x 2 =10500/- 


x 35 x 5 =26250/- 

- Training Materials @150 

x 35=5250/- 


x 35 =3500/- 


x 35=3500/- 

-Miscellaneous (Venue hiring, 

back-drop, banner, camera, 

overhead, etc. =7250 

-Miscellaneous (Venue 

hiring, back-drop, banner, 

camera, overhead, etc. 

=6000/- 

-Miscellaneous (Venue 

hiring, back-drop, banner, 

camera, overhead, etc. 

LAB. Demonstration) 

=10,000/- 

Rs.50,000/- Rs.35,000/- Rs.77250/- 

WORKOUT (EXHIBITION) (ANNEXURE-II) 

- Banner & backdrop –Rs.1500/- -Arrangement of Stall – Rs.1500/- 

- TA/DA Officials – Rs.2000/- -Misc – Rs.2500/- 

- Refreshment – Rs.2500/- 

Total=Rs.10,000/- 


257 

D4 

Integrated Disease Surveillance Project, Manipur 


258 

Executive summary 

The World Bank funded Integrated Disease Surveillance Project (IDSP) on expiry of its 

term on 31 st March, 2010 was last extended by another 3 months up to 30 th June 2010. 

The project has been restructured and extended from 1 st July 2010 up to 31 st March 

2012 to 26 Non-Focus States of the country including Manipur. 

The restructured project will be financed partly from NRHM flexi pool fund and partly, 

domestic components of IDSP, (NCDC), Government of India (GoI). The existing 

vacant positions of contractual staffs (Technical & Non-technical) would be filled up 

by the State Health Societies under the de-centralized recruitments procedures. 

Recruitment of vacant contractual staffs in the state is under process. 

IDSP has successfully tackled the Pandemic Influenza H1N1 during 2009-10 through its 

networks of 9 (nine) surveillance units at the District level. It could detect cases in the 

State on time. Surveillance activity of the H1N1 is still continuing at Imphal Airport and 

in the State. 

IDSP have investigated and contained 7 (seven) outbreak/epidemic in the state since 

its implementation viz. 1. Dengue fever at Moreh in December 2007, 2. Scrub Typhus in 

Bishnupur district in April 2008, 3. Malaria outbreak in Churachandpur in March 2009, 4. 

Malaria outbreak at Moreh in April to July 2009, 5. Malaria at Touthong Khunou in June 

2009, 6. German measles at Khurai, Imphal East in May 2009, and 7. Outbreaks of JE 

epidemic during June-July 2010. 

Rapid Response Team (RRT) in every district is in position to respond to any disease 

outbreak. From 23 rd August to 4 th September 2010 (2 weeks), 7 (seven) CMOs and 2 

(two) DSOs have been trained on Field Epidemiology Training Programme (FETP) at All 

India Institute of Hygiene and Public Health (AIIHPH), Kolkata. Another batch of the 

Public Health doctors will be trained on need based assessment for capacity building 

in Epidemiology. 

An innovative EWS reporting by using mobile phone SMS from periphery to district and 

to state surveillance will be introduced during the current year. The informer will be 

recharged @ Rs. 70/- a month in their pre-paid SIM card mobile phones by IDSP. 

Sentinel Surveillance of the Vaccine Preventable childhood infectious Diseases (VPD) 

will start within the current financial year 2010-11at JNIMS, Porompat. It will help to 

generate continuous surveillance data on the diseases. Private sector health institutes 

will also be collaborated for regular data collection. The district priority laboratory, 

District Hospital, Churachandpur has been fully equipped and is ready to function 

immediately. One lab technician will be sent for training at NCDC, Delhi during 

January 2011. Recruitment of the contractual Microbiologist is under process. 

The Daily newspaper and e-mail scanning will be introduced to enhance the ongoing 

surveillance with detection of Early Warning Signals of Communicable Diseases from 

this year. 

One model lab per district for diagnosis of epidemic prone diseases will be 

upgraded/developed. 

The loss of ICT equipments (EDUSAT and Data Management), which is the back bone 

of this project, at DSU, Senapati following burning down, by antisocial elements, of the 

office of the CMO and DIO, Senapati on the night of 12/5/2010 (FIR No. 20(S)10 SPT-PS 

U/S 447/436/427/34 IPC) will be restored as soon as possible during the year 2010-11 to 

make District Surveillance Unit(DSU), Senapati functional once again in public interest. 


1. Surveillance 

preparedness 

, training & 

staff salary 

2. Outbreak 

investigation 

3. Analysis & use 

of data 

Amount 

Approved 

• NIL GIA 

released 

• Fund 

carried 

forward 

• NIL GIA 

released 

• Fund 

carried 

forward 

• NIL GIA 

released 

• Fund 

carried 

forward 

OUTCOME ANALYSIS OF PIP 2009-10 AND 2010-11: 

Financial Physical 

2009-10 2010-11 2009-10 2010-11 

Exp. Amount 

Approved 

*9,00,000/- • NIL GIA 

released 

------ 

------ 

• Fund carried 

forward 

• NIL GIA 

released 

• Fund 

carried 

forward 

• NIL GIA 

released 

• Fund 

carried 

forward 

Exp. Expected 

output 

# 12,16,000/- • Training for 

Doctors, Lab. 

Technicians, 

Nurses/ 

Pharmacies 

and Health 

Worker 

------ 

------ 

• Swine flu 

detection 

and control 

• Weekly 

Analysis of 

data 

Achievements Expected output Achievements 

• Training not done 

due to lack of 

fund 

• Equipments 

installation at DSU 

Imphal-East and 

• Reporting from 

IDSP Reporting 

Unit at RIMS to 

SSU. 

• Lab testing of 

samples 

• Surveillance 

activities still 

continuing 

• Regular surveillance 

activities 

conducted 

through data 

reporting 

• Training for Doctors, 

Lab. Technicians, 

Nurses/ Pharmacies 

and Health Worker 

• Recruitment of 

vacant post 

• Swine flu detection 

and control 

• Early Detection and 

Control of 

Outbreak/Epidemi 

c 

• Weekly Analysis of 

data for trends 

over time and for 

incidence by area 

• Monthly feedback 

• Training of 7 CMOs & 2 

DSOs for FETP. 

• Induction training of 3 

Epidemiologist 

• Equipments installed in 

District Priority Lab 

(Churachandpur) 

• Timeliness of Reporting 

has reached more than 

50% in 8 out of 9 districts 

• Pandemic H1N1 Influenza 

& JE outbreak 

monitored and 

controlled timely 

• Lab testing of samples 

• Surveillance activities still 

continuing 

• Regular surveillance 

activities conducted 

through data reporting 

• Monthly Feedback to 

DSUs. 

# Expenditure for the staff salary from April to July 2010 

*Staff salary for 3 Epidemiologist @ Rs. 25,000/-p.m. and 1 Microbiologist @ Rs. 15,000/-p.m. for 10 months w.e.f. May in the year 2009-10 


259

260 

INTEGRATED DISEASE SURVEILLANCE PROJECT, MANIPUR 

Activity wise details with Financial Estimates 

For the year 2011-12 

PART - A 

TRAINING: 

Though state level and district level training of the Medical Officers have 

been done during 2008-9 most of the trained hand is not clustered at their 

original place of posting due to recent rationalization of the posts. Hence, 

most of the staffs need re-training. 

Fund for conducting training are as follows: 

1. Hospital Doctors in 20 batch @50,000 per batch=10,00,000/- 

2. Hospital Pharmacist/Nurses 4 batch @40,000per batch=1,60,000/- 

3. Medical College Doctors in 1 batch @60,000 per batch=60,000/- 

4. Data entry and analysis training for @45,000 per batch=4,50,000/- 

block health team in 10 batches 

5. Data Manager & DEO in 1 batch @40,000 per batch=40,000/- 

6. Training of trainers in 2 batch @60,000 per batch=1,20,000/- 

7. Training of Doctors in FETP in 1 batch @60,000 per batch=60,000/- 

8. District Lab. Technician in 1 batch @40,000per batch=40,000/- 

9. Health worker(Male/Female) in 15 batches @20,000 per batch=Rs.3,00,000/- 

Total (Part - A) = Rs. 22,30,000/- 

PART – B 

STAFF RENUMERATION: The total numbers of the contractual staffs engaged under 

IDSP are 37: 7 in SSU and 28 staffs at 9 DSUs, and 1 each for 

RIMS and JNIMS. 

Fund required for payment of these contractual staff for the year 2011-12: 

State Surveillance Unit: 

1. Epidemiologist (Medical/Non-medical) 11 : 1 No. 

(30000x1x12)=Rs. 3,60,000/- 

2. Entomologist : 1 No. (15000x1x12)=Rs. 1,80,000/- 

3. Microbiologist (Medical/Non-medical) 12 : 1 No. 

(30000x1x12)=Rs. 3,60,000/- 

4. Consultant Training : 1 No. (28000x1x12)=Rs. 3,36,000/- 

5. Consultant Finance : 1 No. (14,000x1x12)=Rs. 1,68,000/- 

6. Data Manager : 1 No. (14,000x1x12)=Rs. 1,68,000/- 

7. Data Entry Operator : 1 No. (8,500x1x12)=Rs. 1,02,000/- 

District Surveillance Unit: 

1. Epidemiologist (Medical/Non-medical) 1 : 9 nos. 

(30000x9x12)=Rs. 32,40,000/- 

2. Microbiologist (Medical/Non-medical) 2 : 1 No. 

(30000x1x12)=Rs. 3,60,000/- 

3. Data Manager : 9 nos. (13500x9x12)=Rs. 14,58,000/- 

4. DEO (including RIMS & JNIMS Hospitals) : 11 nos. 

(8500x11x12)=Rs. 11,22,000/- 

Total (Part – B) = Rs. 78,54,000/- 

11 With Medical Graduation Rs. 30000/- & other qualifications Rs. 25000/- 



261 

PART - C 

OPERATIONAL COST: 

The requirements of fund for the activities enumerated under operational cost are as 

below: 

SSU: 

1. Mobility Support (Travel cost, POL, Maintenance or Hiring of Vehicle) Rs. 140,000/- 

2. Office Expenses Rs. 85,000/- 

(Office expenses on Telephone, FAX, Electricity, etc) 

3. Consumable for state Labs Rs. 45,000/- 

4. Broadband Expenses Rs.20,000/- 

5. Periodic and Annual Report Rs. 1,20,000/- 

6. Biannual Review Meeting of IDSP & other IDSP related Rs. 80,000/- 

meeting outside the state. 

7. Miscellaneous including Contingency Rs.85,000/- 

DSU: 

1. Mobility support for 9 districts & 2 Medical Colleges (MC) Rs. 6,60,000/- 

(@ 60,000/-per DSU & MC: Travel cost, POL, 

Maintenance or Hiring of Vehicle) 

2. Office expenses for 9 districts & 2 MCs Rs. 3,30,000/- 

(@30,000/- per DSU & MC)Office expenses on 

Telephone, FAX, Electricity, etc) 

3. Consumable for District Labs. Rs.1,40,000/- 

(@20,000/-for 7 DSU, *No dist. Labs in 

Imphal-East and Imphal-West) 

4. Collection and Transportation of Sample Rs.3,30,000/- 

(@30,000/-per DSU & MC) 

5. IDSP Reports including alerts Rs. 1,65,000/- 

(@15,000/-per DSU & MC) 

6. Printing of reporting forms Rs. 1,65,000/- 

(@15,000/-per DSU) 

7. Broadband Expenses Rs.2,20,000/- 

(@20,000/-per DSU & MC) 

8. ASHA incentives for outbreak reporting Rs.1,62,000/- 

(For 120 informants per district, incentives 

to be given @ Rs.150 each) 

9. Consumables and kits for identified priority district priority lab. Rs. 2,00,000/- 

10. Miscellaneous including Contingency Rs.3,30,000/- 

(@ 30,000/-per DSU & MC) 

Total (Part - C) = Rs. 32,77,000/- 


262 

PART - D 

PROCUREMENT: 

1. ICT equipments supplied by MH & FW, GoI to DSU, Senapati was burnt down by 

known miscreants on the night of May 12 th , 2010. As a result DSU, Senapati is 

deprived of the EDUSAT facility till date. DSU, Senapati has already lodged FIR with 

the District Police Senapati FIR vide No. 20(S) 10 spt – PS U/S 447/436/427/34 IPC. 

These equipments are to be procured through Central Surveillance Unit, 

IDSP, NCDC, MH & FW, GoI. 

List of equipments is given below: 

i) Items (Training Centre to be provided by ISRO: 

a. Modem with 2W RFT @ 45,015/- Rs. 45,015/- 

b. Lms Client Software @ 2889/- Rs. 2889/- 

c. Two Speakers – LBD8373 @1519/- Rs. 1519/- 

d. Mixer Amplifier – LBD1906 @ 9892/- Rs. 9892/- 

e. DX MT2000 Desktop Computer (HP) @ 38968/- Rs. 38968/- 

f. Wireless Microphone system (MR801a & MH801A) Rs. 15919/- 

Microphone Receiver & Mic @15919/- 

g. UPS – 1 KVA APC @ 18365/- Rs. 18365/- 

h. Video Camera – Handy Cam @18000/- Rs. 18000/- 

i. PCI Capture Card – Ospray 230 @23286/- Rs. 23286/- 

j. Tripod for Video Camera @ 2055/- Rs. 2055/- 

k. Projection Screen @ 1650/- Rs. 1650/- 

ii) Items ( Training Centre Equipments): 

a. Two Speakers – LBD8373 @1519/- Rs. 1519/- 

b. Mixer Amplifier – LBD1906 @ 9892/- Rs. 9892/- 

c. Infiti PRO BL 1230 Desktop Computer @ 28293/- Rs. 28293/- 

d. Wireless Microphone Systems (MR801a & MH801A) Rs. 15919/- 

Microphone Receiver & Mic @15919/- 

e. UPS – 1 KVA online @ 16245/- Rs. 16245/- 

f. Video Camera – VP-DC 173i @18260/- Rs. 18260/- 

g. PCI Capture Card – Ospray 230 @23286/- Rs. 23286/- 

h. Tripod for Video Camera @ 2055/- Rs. 2055/- 

i. Projection Screen @ 1650/- Rs. 1650/- 

iii) Items (Data Centre Equipments): 

a. 16 Port 10/100 Switch @ 3900/- Rs. 3900/- 

b. 48cm 9U Rack 530 MMD-1 Section @ 4564/- Rs. 4564/- 

c. Infiniti PRO BL 1230 Desktop Computer @ 27611/- Rs. 27611/- 

d. Scanjet G3010 @ 6536/- Rs. 6536/- 

e. Laserjet 1022 @ 7426/- Rs. 7426/- 

f. UPS Digital 600 VA with 2*28 AH @ 10264/- Rs. 10264/- 

g. Kit Cable with RJ45 Connetor @ 898/- Rs. 898/- 

2. Computers for SSU: The present no. of staff and computers is not Rs. 1,80,000/- 

proportionate. (2 laptops @ 60000/- each and 2 desktops @ 30000/- each. 

Specification: Intel i5 Processor, 3GB RAM, 300 GB SATA HDD, 1GB NVidia Graphic 

card, Windows 7 Home Premium) 

3. Generator 3.5 KV for SSU & DSU: Surveillance & reporting of Rs. 2,50,000/- 

EWS for which electricity is required for 24 hrs. But power supply 

is very irregular and there are problems in timely 

Data Management. (@25,000/- per district SSU & DSU) 

4. 1 Xerox Machine for SSU: Rs. 90,000/- 

5. Fax machines for DSU & MC: Internet connectivity is very Rs. 1,65,000/- 

disturbing in remote areas and hilly districts. Fax is the only alternative 

means for reporting of data. (@15,000/- per district DSU & MC) 

6. AC for SSU (@35,000/-) Rs. 35,000/- 

Total (Part - D) = Rs. 10,75,876/- 


263 

PART - E 

INNOVATIONS: 

1. News scanning for SSU (newspapers/e-mails etc.) Rs. 70,000/- 

2. Mobile Recharge coupon for selected ASHA/community leaders for Rs.3,41,040/- 

enhancing data reporting (@ 70 per person/sub-centre/month) 

Total (Part - E) = Rs. 4,11,040/- 

PART - F 

MODEL LAB: Development of district labs for diagnosis of epidemic prone diseases vide 

D.O. No. T18015/150/2010-IDSP dated 13 th December, 2010. 

Gr-i: Basic equipments 

a) Biosafety cabinet class I (for 8 districts @ 3 lakhs) Rs. 24,00,000/- 

b) Autoclave (sterilization) (for 8 districts @ 1.5 lakhs) Rs. 12,00,000/- 

c) Autoclave for decontamination(vertical) (for 8 Rs. 12,00,000/- 

districts @ 1.5 lakhs) 

d) Hot air oven (for 8 districts @ 1 lakh) Rs. 8,00,000/- 

e) Incubators (for 8 districts @ 0.5 lakh) Rs. 4,00,000/- 

f) Binocular microscopes (2 each for 8 districts @ 0.8 lakhs) Rs. 12,80,000/- 

g) ELISA reader and washer (for 8 districts @ 5 lakhs) Rs. 40,00,000/- 

h) Refrigerator (285 ltrs capacity) (for 8 districts @ 0.2 lakhs) Rs. 1,60,000/- 

i) Deep Freezer (-20°C) (for 8 districts @ 2 lakhs) Rs. 16,00,000/- 

j) Centrifuge (for 8 districts @ 0.4 lakhs) Rs. 3,20,000/- 

k) Micro pipette: (0.2–10 µ l, 20–200 µ l, 100–1000µ l) Rs. 2,40,000/- 

(3 each for 8 districts @ 0.3 lakhs) 

l) Water bath (for 8 districts @ 0.4 lakhs) Rs. 3,20,000/- 

m) Weighing scale & MIxer (for 8 districts @ 0.2 lakhs) Rs. 1,60,000/- 

n) Needle Destroyer (for 8 districts @ 0.1 lakhs) Rs. 80,000/- 

o) Computer with printer,scanner, UPS (for 8 districts @ 1.0 lakh) Rs. 8,00,000/- 

Sub-total of Gr-i Rs. 1,43,20,000/- 

Gr-ii: Staff salary 

a) Microbiologist (for 8 districts @ 40,000/- Rs.38,40,000/- 

b) Laboratory Technicians (minimal qualification DMLT) Rs. 34,56,000/- 

(3 each for 8 district @ 12,000/- ) 

c) Laboratory Assistants (for 8 districts @ 10,000/-) Rs. 9,60,000/- 

d) Laboratory Attendants (for 8 districts 7,000/-) Rs. 6,72,000/- 

e) Cleaner (for 8 districts 6,000/-) Rs. 5,76,000/- 

Sub-total of Gr-ii Rs. 95,04,000/- 

Gr-iii: Other recurring expenditure 

a) Consumables and general lab ware cost, cost of kits, media & Rs. 39,40,000/- 

reagents (based on tests carried out) and contingency amount. 

Total (Part - F) = Rs. 2,77,64,000/- 

Fund Position: 2010-11: 

A. Grant-in-aid received: Nil 

B. B/F from previous year: Rs. 1,50,000/- 

Head wise break up fund: 

A. Training Rs. 22,30,000/- 

B. Staff Salary Rs. 78,54,000/- 

C. Operational Cost Rs. 32,77,000/- 

D. Procurement Rs. 10,75,876/- 

E. Innovation Rs. 4,11,040/- 

F. Model Lab Rs. 2,77,64,000/- 

GRAND TOTAL: Rs. 4,26,11,916/- 


264 

Surveillance Training 

Preparedness 

IDSP-Budget-Sheet for States (26) not Funded by World Bank 

Activity Subactivity 

Unit cost 

Subactivity 

No. 

of 

Units 

Proposed 

Budget for 

2011-12 

One day training of Hospital as per NRHM 

20 10,00,000/- 

Doctors 

guidelines 

One day training of Hospital as per NRHM 

4 1,60,000/- 

Pharmacist/Nurses 

guidelines 

One day training of Medical as per NRHM 

1 60,000/- 

College Doctors 

guidelines 

One day training Data entry as per NRHM 

10 4,50,000/- 

and analysis training for block guidelines 

health team 

One day training of DM & as per NRHM 

1 40,000/- 

DEO 

guidelines 

Training of trainers 2 1,20,000/- 

Training of Doctors in FETP 1 60,000/- 

Training of Laboratory 

1 40,000/- 

Technicians 

Training of Health 

15 3,00,000/- 

worker(Male/Female) 

Sub total 22,30,000/- 

Staff State/district Epidemiologists 

remuneration (1 at State HQs-SSUs and 1 

each at district HQs – DSUs) 

State/district Microbiologists 

(1 at State HQs-SSUs and 1 

each at identified district 

priority labs) 

Entomologists (1 at State HQs- 

SSUs) 

Consultant Training (1 at State 

HQs-SSUs) 

Consultant Finance (1 at 

State HQs-SSUs) 

Operational 

Cost 

Data Managers(1 at State 

HQs-SSUs and 1 each at 

district HQs – DSUs) 

30000 13 10 36,00,000/- 

30000 14 2 7,20,000/- 

15000 1 1,80,000/- 

28000 1 3,36,000/- 

14000 1 1,68,000/- 

14000 

13500 

1 

9 

1,68,000/- 

14,58,000/- 

Data Entry Operators(1 at 8500 12 12,24,000/- 

State HQs-SSUs and 1 each at 

district HQs – DSUs and 1 

identified Medical 

Colleges/Other institutions viz. 

ID Hospitals) identified under 

IDSP 

Sub Total 78,54,000/- 

Transport 8,00,000/- 

Office Expenses 4,15,000/- 

Consumable for state Labs 1,85,000/- 

Broadband Expenses 15000 12 2,40,000/- 

Periodic and Annual Report 2,85,000/- 

Biannual Review Meeting of 

80,000/- 

at NCDC 

Collection and Transportation 

3,30,000/- 

of Sample 

Printing of reporting forms 1,65,000/- 




265 

Outbreak 

investigation 

and 

response 

Procurement 

ASHA incentives for outbreak 

reporting 

1,62,000/- 

Miscellaneous including 

4,15,000/- 

Contingency 

Sub Total 30,77,000/- 

Sub Total (Surv. Preparedness = 

1,31,61,000/- 

Training+Remuneration+Operational 

cost) 

Consumables and kits for identified Rs 

2,00,000/- 

priority district labs 

2,OO,OOO/- 

per year per 

priority 

district lab 

(Identified 

No. of labs in 

States are as 

follows: 

Manipur-I) 

Sub Total (OB Investigation & Response) 2,00,000/- 

Equipments for DSU Senapati which 

3,55,876/- 

are to be procured through CSU, 

IDSP, NCDC, MH & WF 

Computers for SSU (2 Laptops & 2 

2+2 1,80,000/- 

Desktops) 

Generator 3.5 KV for SSU & DSU 

10 2,50,000/- 

(@25,000/- per district SSU & DSU) 

1 Xerox Machine for SSU 1 90,000/- 

Fax machines for DSU & MC 

11 1,65,000/- 

(@15,000/- per district DSU & MC) 

AC for SSU (@35,000) 1 35,000/- 

Sub total (procurement) 10,75,876/- 

Innovation News scanning for SSU 70,000/- 

Mobile Recharge coupon for 

3,41,040/- 

selected ASHA/community 

leaders for enhancing data 

reporting (@ 70 per person/subcentre/month) 

Sub total (innovation) 4,11,040/- 

District Lab 

Developing one model lab per 

2,77,64,000/- 

district for diagnosis of epidemic 

prone disease 

Total 4,26,11,916/- 


266 

CONSOLIDATED BUDGET SHEET FOR IDSP, MANIPUR 

Sl. No. Activity Unit cost Physical Targets Required fund 


V 

IDSP 

1 Operational Cost 

1.1 Mobility support 140000+60000 1+11 8,00,000/- 

1.2 Lab Consumables 45000+20000 1+7 1,85,000/- 

1.3 Review Meetings 80000 1 80,000/- 

1.4 Field visits 30000 11 3,30,000/- 

1.5 Formats and reports 1,20,000+15,000+15000 1+11+11 4,50,000/- 

1.6 Office expenses 85000+30000 1+11 4,15,000/- 

1.7 Broadband Exenses 20000 12 2,40,000/- 

1.8 ASHA incentives 120*150 9 1,62,000 

1.9 Misc including contingency 85000+30000 1+11 4,15,000/- 

2 Human Resources 

2.1 Remuneration of 

30000 10 36,00,000/- 

Epidemiologists 

2.2 Remuneration of 

30000 2 7,20,000/- 

Microbiologists 

2.3 Remuneration of Entomologist 15000 1 1,80,000/- 

3 Consultant 

3.1 Consultant Finance 14000 1 1,68,000/- 

3.2 Consultant Training 28000 1 3,36,000/- 

3.3 Data Managers 14000+13500 1+9 16,26,000/- 

3.4 Data Entry Operators 8500 12 12,24,000/- 

4 Procurements 

4.1 ICT Equipments for DSU 

1 3,55,876/- 

Senapati 

4.2 Computers for SSU 60000+30000 2+2 1,80,000/- 

4.3 Generator 25000 10 2,50,000/- 

4.4 Xerox Machine for SSU 90000 1 90,000/- 

4.5 AC for SSU 35000 1 35,000/- 

4.6 Fax for DSU & MC 15000 11 1,65,000/- 

4.7 Procurements – Drugs and 200000 1 2,00,000/- 

Supplies (Priority District lab. 

Churachandpur) 

7 Innovations/PPP/NGOs Newspaper & Mobile 

4,11,040/- 

Recharger coupon for 

ASHA 

8 Training Training for Doctors, 

22,30,000/- 

Pharmacist, Nurses, Data 

Manager, DEO, Lab. 

Technician, Health Workers 

9 District lab Developing one model lab 

2,77,64,000/- 

per district for diagnosis of 

epidemic prone disease 

Grand Total 4,26,11,916/- 


267 

D5: 

National Programme for Prevention and Control of Deafness (NPPCD), Manipur 


268 

Proposed budget for NPPCD for the year 2011-12 

S.No. 

Compo 

nent 

Nature of Expenses 

1 Training One time Expenditure 

1. Training of the doctors at the 

Primary Health Centre and 

Community Health Centre 

2. Training of Public Health Nurses, 

Multi Purpose Workers male and 

female (ANMs), Anganwadi 

Supervisors (AWW Supervisor) and 

Child Development Project Officers 

(CDPO) (For one day) 

3. Training of Health workers at Grass 

root level: Anganwadi workers 

(AWW), ASHAs, TBAs: 

4. Training of the Primary School 

teachers and Parents of 

Hearing/Speech impaired children at 

the village level: 

Rs. 45,700.00x4 

6600x8 

3350x30 

5375.00x90 

Rs. 1,82800/- 

Rs. 52800/- 

Rs. 100500/- 

Rs. 483750/- 

2. Capacity Building PHCs/CHCs & 

District Hospitals ( Rs 9.5 lakh per 

district hospital and Rs 10000/- 

per CHC and PHC of the 

selected/proposed district) 

Sub Total: Rs. 819850/- 

One time 

Rs. 5,700,000/- 

Expenditure 

Rs 9.5 lakh X no of 

Dist.(6) 

+ 

Rs 10000 X total No of 

CHC and PHC in 

proposed dist. 

Rs. 300,000(6CHC) 

(24 PHC) 

Tot: Rs. 6,000,000/- 

3. Manpower at district level 

(Audiometric assistant & 

Instructor for hearing Impaired) 

(@ Rs 7500/- per person for 2 

contractual person) 

4. Screening Camps (Rs. 10,000/- 

per camp per month per 

district) 

5. Hearing Aids 200 HI per district 

per year (Rs 4,86,600/- per 

district for 200 hearing aids) 

Recurring 

expenditure 

Recurring 

expenditure 

Recurring 

expenditure 

6. Central Cell at state level Recurring 

expenditure 

7. Misc. & Contingency Recurring 

expenditure 

Rs 180000 x no of Dist. 

7500X2X12X6=1,08,00,00/ 

- 

Rs 120000 x no of Dist. 

10000X6X8months=600,0 

00/- 

Rs 486600 X no of Dist. 

486600X6=2,919600/- 

Rs. 1,080,000.00/- 

10000X6X8= Rs. 

480,000/-(8 months) 

Rs. 2,919,600.00/- 

Rs 5.72 lakh Rs. 572000/- 

Rs 10000/- Rs. 10,000.00/- 

TOTAL Rs. 11,881450/- 

GRAND TOTAL: Rs. 11, 881450/- 

(One Crore eighteen lakhs eightyone thousand four hundred and fifty) 


269 

D6: 

NATIONAL PROGRAM FOR CONTROL OF BLINDNESS, MANIPUR 


270 

Budget: 

Sl.No. Strategy Activities Target 

Time 

Line 

Total Amt. 

in Lacs 

A Catop 4000 1-4Q Rs 80,00,000.00 

B GIA to NGO’s Expandable Eye Care 2(two) 1-4Q Rs 60,00,000.00 

C 

Infrastructure 

Strengthening 

Eye Wing & O.T. 3 

1-4Q Rs 2,25,00,000.00 

(three) 

District Hospital 1 1-4Q Rs 20,00,000.00 

Vision Centre 10 1-4Q Rs 5,00,000.00 

Mobile Ophth. Unit 

with Tele Network 

1 1-4Q Rs 60,00,000.00 

Eye Bank 2 1-4Q Rs 30,00,000.00 

Eye Donation Centre 2 1-4Q Rs 2,00,000.00 

Eye Donation 1-4Q Rs 1,10,000.00 

D SES 70000 1-4Q Rs 8,00,000.00 

E Other Eye Diseases 1-4Q Rs 2,00,000.00 

F Training MO Training 60 1-4Q Rs 1,50,000.00 

PMOA Training 39 1-4Q Rs 70,000.00 

Ophth Nurse 15 1-4Q Rs 90,000.00 

ASHA/HW Training 2000 1-4Q Rs 5,00,000.00 

Teachers Training 1300 1-4Q Rs 3,00,000.00 

G IEC Eye Donation 

Forthnigt 

3Q Rs 9,00,000.00 

H Salary Manpower Mobile Opth. Unit, 

D/H Eye Bank, V.C’s, 

SBCS 

World Sight Day 1-4Q Rs 20,00,000.00 

Awarness Program 1-4Q Rs 20,00,000.00 

1-4Q Rs 26,08,000.00 

I Contingency & SBCS 1-4Q Rs 7,00,000.00 

Honorarium BDCS 1-4Q Rs 20,00,000.00 

J Opthalmic Equipments District Hospitals, 

CHCs, State Hospital 

1-4Q Rs 80,00,000.00 

TOTAL Rs 6,86,28,000.00 


271 

D7: 

NIDDCP 


272 

NIDDCP: - Programme Implementation Project 2011-12 

1. Background 

1) Total area = 22,327 SqKm. 

Hill Area = 20089 SqKm 89.98% 

Valley area = 2238 SqKm 10.02% 

2) Population = 22,93,896 Cencus 2001 

Male = 11,61,952 

Female = 11,31,944 

Rural population = 74.90% 

Urban population = 25.10% 

Tribal population = 32.30% 

Density = 102.70/SqKm. 

Literacy rate = 70.5 Male = 80.3 

Female = 60.5 

Per capital income= 

3) Administrative division:- 

Area No. of District No. of Sub.Div. No. of Valley Population 

Hill 5 24 1.901 8,82,130 

Valley 4 24 490 14,11,766 

Total 9 38 2391 22,93,896 

4) Climate 

Annual Rainfall (average) = 160.55cm 

Humidity = 82 to 95 Max. (Mean) 

41 o 66m Min. (Mean) 


273 

2. Background- 

2.1 Background of the Programme : 

Iodine is an essential micronutrient. The requirement is 150 gms daily for normal 

human growth and development. The deficiency of iodine in diet/food cause iodine 

deficiency disorders. It could result in physical and mental retardation, neuromotor 

defect, abortion still birth, deaf mutism etc. 

Realizing the magnitude of the problems. The Government of India launched a 

100 per cent centrally assisted National Goitre Control Programme (NGCP) in 1962. In 

1992, the NGCP was renamed as National Iodine Deficiency Disorders Control 

Pogramme (NIDDCP) with a view to cover a wide spectrum of iodine deficiency 

disorders like mental & physical retardation, deaf-mutism, abortion skill birth, cretinism 

etc. 

2.2 Formation of State IDD Cell. 

NIDDCP, erstwhile NGCP in Manipur was launch in the year 1987 and attached to the 

Medical Directorate Manipur, along with the following staff as below :- 

Staff Position 

Programme Officer (IDD) along with supporting staff like Statistical Assistant, Lab. Tech. 

(Contract) Lab. Assistant (Contract) LDC/Typist etc. 

2.3 Organization Set up of NIDDCP, Manipur 

(a). State Level 

1) Director of Health Services 

2) Additional Director of health Services (Public Health) 

3) Programme Officer 

4) Supporting Staff – Clerk, Statistical Asst., Lab Tech., Lab. Asst. and Peon. 

(b). District Level: 

The Programme is implemented through district Chief Medical officers (CMO) 

Chief Medical Officers are the nodal officers at the District Level for implementation of 

NIDDCP. 

3 Goal of NIDDCP, Manipur – 

The Goal of NIDDCP in Manipur is to reduce the prevalence of iodine deficiency disorders: 

below 5% by 2012 AD. 


274 

4. STATE PLAN OF ACTION (2010-11) 

4.1. Objectives 

The specific objectives are:- 

i) To reduce iodine deficiency disorders below 5% in the state. 

ii) To achieve 100% household consumption of iodized salt. 

4.2. Components :- 

The important objectives and components of NIDDCP are as follows:- 

i) Survey to assess the magnitude of the IDD problem. 

ii) Supply of iodated salt. 

iii) Resurvey after every 5 years to assess the extent of IDD and the impact of 

iodated salt. 

iv) Laboratory monitoring of iodated salt and estimated of urinary iodine excretion. 

v) Health Educations and Publicity. 

5. Implementation of NIDDCP, Manipur. 

5.1 Survey- 

The surveys are for assessing the magnitude of goitre and other IDDs. It to be conducted 

as per the guidelines of GOI. 

Annexure – I 

Budget requirement for survey of IDD Problems 

Sl. Activity Cost per District Total No. of Dist. 2010-11(Rs.) 

1. IDD Survey Rs. 50,000 9 4,50,000 

2 Survey of Household 

consumption of adequate level 

of iodine salt. 

9,00,000 

Rs. 50,000 9 4,50,000 

Total 

5.2. Estimation of Urinary Iodine Excretion and Analysis of iodine content of iodated salt. 

Urinary Iodine analysis is a sensitive common method used for the biochemical 

assessment of IDD, since urinary iodine output directly reflects recent dietary iodine 

intake. 

The State Plan envisage qualitative estimations of iodine deficiency in the 

population. Children between the age group of 6 to 12 years will be screened for iodine 

level. The urine samples will be collected from the districts and the samples will be sent 

to National Laboratories for analysis. 

The proposed activity given below. 

Sl. Activity Methods Project Area Project 

duration 

1. Analysis of iodine content of 

iodated salt 

2. Estimation of UIE by wet 

digestive 

By iodometric titration 

By wet digestive 

method 

District wise 

survey 

2011-12 


275 

Annexure II 

Budget 

Sl. Activity Item Cost 

(Rs.) 

1. Analysis of iodine content of iodated salt 

Collected from Blocks etc. 

2. Estimation of Urinary Iodine excretion- the 

samples will be sent- Mobility 

expenditure/Packing/Others 

By iodometric Method & 

Spot Testing Kits (STK) 

20,000/- 

30,000/- 

Total Rs. 50,000 /- 

6. Health Educations and Publicity: 

Health Educations & Publicity will be the major means of social mobilizations and will 

be used to create awareness about IDD Control Programme, its objectives and role that the 

Community can play in improving for the preventing iodine deficiency disorders. 

There will be an overall emphasis on monitoring systems performance at all level and 

the following activities are proposed. 

Sl. Activities No. of activities 

State HQ 

Proposed in 

District 

1. State Level sensitization meeting 1 1 

2 Sensitization meeting at District 

level 

3. School Health awareness 

@ 5 Schools per district 

9 9 

45 45 

4. Press advertisement 4 4 

5. Printing Health Education material 

on IDD 

1 1 

6. State level review meeting 1 1 

7. District level review meeting 9 9 

2011-12 

Total 


276 

Annexure III 

Budget Requirement for health Educations and publicity for the year 2010-11 

Sl. Activity Cost 

Estimate 

No. of activity 

per years 

State 

HQ 

District 

Grand 

Total (Rs.) 

1. State level sensitization 

meeting 

2. Sensitization society at 


3. School Health 

Awareness per School 

per District Total 5 

schools per District 

20,000 1 20,000 20,000 

60,000 9 5,40,000 5,40,000 

10,000 2 Rs.10,000 x 

5 Schools x 

9 districts x 

2 activities 

9,00,000 

4. Press advertisement 20,000 4 80,000 80,000 

5. Printing HE materials on 

IDD 

6. State level review 

meeting 

7. District level review 

meeting 

Rs. 22,00,000/- 

4,00,000 1 4,00,000 4,00,000 

60,000 1 60,000 60,000 

20,000 10 2,00,000 2,00,000 

Total 

Training 

For the programme to be successful, effective training of all categories of staff is vital. 

The training strategy would aim at strengthening its capacities of both medical, non medical 

and paramedical staff. The activities for capacity building is given below:- 

Sl. Activities No. of proposed activities 

during 2010-11 

1. Training of the Trainers 

a) Supervisor, CDPO, AWW, under Social Welfare Dept. 

b) Teachers, Headmasters under School Dept. 

c) Female Health Workers/Supervisors 

Male Health Workers/Supervisors / ASHA under Medical 

Dept. 

2. Capacity building for villagers/NGO/PRI 10 

3. Observing global IDD Prevention day in State & District HQs. 10 

10 Nos. 

5 Nos. 

10 Nos. 


277 

ANNEXURE III (A) 

Budget for training 

Sl. Activity Cost Estimate No. of Activity Total 

1. TOT 

a) Supervisor, etc 25 Nos/ Batch 

b) Teacher, etc 25 Nos/ Batch 

c) FHW, etc 25 Nos/ Batch 

40,000 

40,000 

40,000 

5 

5 

5 

2,00,000 

2,00,000 

2,00,000 

2. Capacity Building @ 25 Nos 40,000 5 2,00,000 

3. Observing global - districts/HQ 40,000 10 4,00,000 

Total 12,00,000 

7. Use of Information Technology 

Strengthening of State IDD Cell 

In order to facilitate work of the state IDD Cell and for developing an effective 

monitoring & information system, the following equipment needs to be provided 

Annexure IV 

Sl. No. Items Qnty Amt (Rs) 

1. Desktop Computer 1 Rs. 40,000/- 

2. Printer - Laserjet 

- Inkjet 

1 

1 

Rs. 9,000/- 

Rs. 6,000/- 

3. Generator (Portable) 1 Rs. 30,000/- 

4. LCD Projector 1 Rs. 90,000/- 

5. Photocopier 1 Rs. 75,000/- 

Total Rs. 2,50,000/- 

Survey/Resurvey 

This will give the knowledge regarding the impact of the use of iodated salt. The 

resurvey area 

Annexure V 

Sl. No. Activity Cost Estimate (Rs. in lakhs) 

1. Survey of Children 6-12 yrs of all districts 2.50 

2. Maintenance of IDD Cell 1.50 

3. Continency & office Mater 0.50 

Total = 4.50 

Summary 

The NIDDCP in the state is functioning as per the guideline of GOI since more than 20 

years. This state plan of action has been purposed for the year 2010-11 during in which period, it 

is planned to undertake activities to determine the extent of iodine deficiency prevalent in the 

population. 

The major components which are part of the normal programme implemented are: 

i) Survey 

ii) To determine the level of iodine present in iodised salt. 

iii) Monitoring quality of iodised salt 

iv) Health education and publicity. 


278 

Special emphasis has been laid on Health education since the impact of iodine 

deficiency almost always goes unnoticed and very few people are aware of the different 

consequence of iodine deficiency disorders. 

Iodised Salt monitoring is vital to track the quality of various brands of package iodised 

salts available in the state. 

The annexure VI gives the summary budget requirement to transform this plan of action 

into result. 

Annexure – VI 

Summary budget requirement for the Project plan 2011-12 for plan of action as NIDDCP 

Sl. Activities 2010-11 (Rs. in lakh) 

1. Survey of Goitre prevalence and to estimate the percentage of 

household having access to iodised salt 

2. Study to determine iodine deficiency in the population through 

analysis of iodine content in iodised salt and UIE and 

maintenance of laboratory. 

3. a) Sate Level meeting, Sensitization Society at District Level, 

School Health Survey, Printing on IDD, etc. 

9.0 

0.50 

22.0 

b) State & District Level meeting, Training of Trainers Supervisors of 

Social Welfare Dept. & Medical Dept., Teaches Male and Female 

Health Workers, etc. Capacity building, Observance of Global 

prevention on IDD etc. 

12.0 

4. Survey and resurvey 2.5 

5. Maintenance of IDD cell, Contingencies 4.5 

Total 50.50 

Constrains in implementation of NIDDCP 

1. Requires a Computer & a separate Lab. Room. 

2. Requires a vehicles for Supervision. 

3. Survey & Resurvey 

4. Fund Release -Delayed by State due to lengthy official procedures. 

Conclusion 

The awareness on use of iodised salt at retail and household level has improved 

significantly in the last twenty years in the state. The availability of iodised salt has tremendous 

improved at the same time. 

However, there is a need to study the actual prevalence of iodine deficiency in the 

population. To sustain the iodine deficiency disorders elimination, survey and resurvey should be 

a continuous effort. 


279 

Part-E 

INTERSECTORAL CONVERGENCE 


280 

Mainstreaming of AYUSH and Revitalization of Local Health Tradition. 

Executive Summery 

The concept of ‘Mainstreaming of AYUSH’ finds place in the policy documents of the 

Government of India since the IXth five year plan. The department of Indian System of 

Medicine and Homoeopathy (ISM&H) was created in March 1995 and in Nov.2003, it was 

renamed as Department of Ayurveda, Yoga&Nature cure , Sidha and Homoeopathy (AYUSH). 

With the increase in the number of lifestyle disorder, there has been a resurgence of interest in 

the AYUSH system of Medicine in the country and abroad. Knowing the potentials of AYUSH, 

Government of India made it to be a critical part of NRHM. 

Before the launching of NRHM in 2005 the Deptt. Of AYUSH has been implementing a plan 

scheme called ‘Hospitals and Dispensaries’ from the 10 th plan onwards, which has now been 

subsumed under NRHM. 

Revitalizing of Local Heath Tradition is not yet visibly developed but attempts are made 

referring to health promotion, preventive and curative methods having general acceptance 

and prevalence among household of different economic strata. LHT are important for 

sustaining and strengthening the AYUSH system as well. Therefore Revitalizing LHT is another 

strategy of NRHM. 

Vision: 

1. Provided accessible. Affordable and quality health care to the rural population 

especially the vulnerable section. 

2. Sustained availability of raw materials. 

3. Research and development on the efficacy of the system. 

4. Awareness creation and information dissemination among the people on its 

a) Gentleness, b) Locally available, c) Cost effectiveness, d) No side effects. 

Objectives: 

1. To provide comprehensive health care along with the modern system of Medicine. 

2. To improve both health and economy of the state. 

3. Encourage and facilitate to set up specialty and AYUSH clinic on; 

a. Geriatric Care (Ayurveda) 

b. Mother and Child. (Homoeopathy) 

c. Psychosomatic disorders (Yoga) 

d. Skin problems (Unani) 

4. Promote the culture of cross referral system. 

5. Integrated in health care delivery system including the national program 

6. Facilitate to maintain quality standard of AYUSH services. 

7. To promote systematic participatory of Local Health Tradition (LHT) 

Strategies and Frameworks: 

1. Collocation of AYUSH Doctors and paramedics in PHCs/CHCs/DHs. 

2. Discuss the role of AYUSH Doctors and paramedics in PHCs/CHCs/DHs. 

3. Integrating vertical Health and Family welfare programs at National/ State/District/ 

Block level. 

4. Drug kit provided to ASHA will contain AYUSH preparation. 

5. Norms of IPHS should be maintained for AYUSH faculty at PHCs/ CHCs/ DHs. 

6. Intersectoral co-operation (School,Education, Industries,PHED, ICDS, Culture and 

tourism) 

7. Promotion of herbal garden at sub-centre level. 


281 

AYUSH Manpower in the State. 

One Yoga and 8 Homoeopathic Doctors are working in Manipur State Health Services under 

the Directorate of Health Services. After the NRHM was launched 88 AYUSH AYUSH Doctors and 

34 AYUSH pharmacists are engaged till date on contractual basis. Out of these 13-Ayurveda, 5- 

Unani, 9- Yoga &NC, 61- Homoeopathy. Out of 34 AYUSH pharmacists some of them are 

already appointed as Doctors. 

Collocation of AYUSH facilities under NRHM (Doctors) 

Sl. System of Medicine Facilities 

PHC CHC DH Others Total 

1 AYURVEDA 12 1 Nil Nil 13 

2 HOMOEOPATHY 47 14 Nil Nil 61 

3 UNANI 5 0 Nil Nil 5 

4 YOGA/ NATUROPATHY 8 1 Nil Nil 9 

Total 88 

AYUSH Pharmacists 

Sl Institution I/E I/W TBL BSP CCP TML SPT UKL CDL 

1 DH 0 0 0 0 0 0 0 0 0 

2 CHC 1 3 1 2 1 1 1 0 0 

3 PHC 1 2 4 2 2 1 0 0 1 

4 Total 2 5 5 4 3 2 1 0 1 (23) 

Trainings 

1. 74 AYUSH Doctors are trained in IMNCI 

2. 85 AYUSH Doctors are trained on Mainstreaming of AYUSH. 

3. 54 MBBS Doctors are trained on Mainstreaming of AYUSH. 

4. 225 PHN. ANMs SN are trained on Mainstreaming of AYUSH 

5. 10 AYUSH Doctors are trained on emergency management on Obs/gynae for 40 days in 

I/E. 

6. 10 AYUSH Doctors are trained on RTI/STI at state level. 

7. 49 Homoeopathic Doctors conducted TOT on HOMOEOPATHY for Mother and Child. 


282 

Other activities: 

1. AROGYA Fair was organized at Iboyaima Sanglen Imphal on 27 th -30 th Nov. 2009. 

2. TOT On Mainstreaming of AYUSH under NRHM was conducted in 3 batches comprising 

of 30 participants from 35 th -27 th June, 2009, 29 th June-1 st July, 2009 and 2 nd -4 th July 2009 

at conference Hall F/W. 

3. National Campaign on Homoeopathy for healthy Mother and Happy Child was 

conducted at Hotel Tampha on 27 th -28 th Nov, 2008. 

4. Homoeopathic Software (RADAR) was distributed to the Homoeopathic Doctors for 

repetorization of the cases. 

5. AYUSH units in the Allopathic setups were monitored by Nodal Officer AYUSH NRHM both 

in the Hill and Valley. 

6. OPD of the Unani and Yoga has shifted in the Morning Hrs i.e.(from 7:30am-10:30am). 

7. Special AYUSH clinics (OPD) have started as per national campaign. 


283 

CHAPTER-5 

MONITORING AND EVALUATION 


284 

i. For HMIS portal : 

• Facility level reporting for physical performance (HMIS) have been 

operationalised from April 2009 in respect of Manipur through District Health 

Information Software (DHIS 2). Facility level reporting in HMIS portal will be 

made operational from April 2011. 

• About 95% of private sector health facilities have started reporting in Manipur 

since 2009. 

• Till now, the MIS for the National Disease Control Programmes is not 

functional in the HMIS portal. Once it is made functional, all districts will be 

able to report through it. 

• The FMR from the state & the districts have been regularly uploaded starting 

from 2008-09 till now. No FMR report is pending from the state & the districts . 

• Till now, the infrastructure details, facility survey reports stc. are not functional 

in the Ministry HMIS portal. 

• Consistency & validity of data have been checked regularly through the 

inbuilt features provided by the HMIS portal. 

ii. For MCH Tracking System (MCTS) : 

• In Manipur, Mother & Child Tracking is being piloted in 1 district - Bishnupur in 

the first phase. Once the system is stabilized in this district, it may further be 

extended to the remaining 3 valley districts and gradually the rest of the 

districts. 

• Trainings have been imparted for this district – Bishnupur, for the district & the 

block staffs. 

• 95% of health facilities have been mapped in the Common Master 

application of the Mother & Child Tracking System in respect of Manipur 

state. 

• Registration of pregnant woman through the MCTS application have been 

started . Altogether, 299 pregnant women have been registered through the 

MCTS for Bishnupur district. 

• Currently, no child can be registered through the s/w without the mandatory 

Mother-ID (which is unavailable as of now) , as a result of which, child data 

are unable to be captured through the s/w application. 

• Incentive under MCTS: In order to expedite the Mother & Child tracking, an 

incentive policy for ASHAs is being formulated under MCTS in the state. Under 

this policy, ASHAs will get incentives (shown below) for accompanying & 

registering beneficiaries (pregnant woman & children) through MCTS. 


285 

Sl. 

No. 

Category 

of 

beneficiary 

1 ASHA/AWW 

Performance/Activity 

Pregnant Woman : 

2. For accompanying and 

registering a pregnant 

woman through MCTS 

within the first trimester of 

pregnancy 

(after 

confirmation of pregnancy 

by the MOi/c) 

2. For completing full ANC 

(one ANC in each 

trimester) through MCTS 

Children : 

3. For accompanying and 

registering a child through 

MCTS within 45 days after 

birth. 

4. For fully immunizing a child 

under 1 year through MCTS. 

Unit 

Incentive 

Rs. 100/- 

(every 

woman) 

Rs. 100/- 

(every 

woman) 

Rs. 100/- 

(every 

woman) 

Rs. 100/- 

(every 

woman) 

Fund source 

Separate 

MCTS fund 

2 ANM at SC 

Mobility support of Rs. 100/- 

monthly for submitting & 

collecting facility work-plans to 

& from PHC/CHC/Block. 

Rs. 100/- 

(monthly) 

Untied fund 

of 

SC/PHC/CHC 

iii. Formation of HMIS Core Team : 

• A state level HMIS Core Team comprising of - 

1. One Asst. Director from PRC, Guwahati 

2. Regional Director, MoHFW, Manipur 

3. One representative from RET, Kolkata 

4. One Asst. Director from State Health Services, Manipur 

5. State Data Manager 

6. All District Data Manager 

has been constituted in June 2010. Regular monthly review meetings have 

been conducted since then, to check the validity & quality of data. 

• HMIS data have been extensively used in the preparation of the State & the 

District PIPs for 2010-11 and the 2011-12. The quality of data have also been 

improved in the last couple of years. 

• In Manipur, Electricity and Internet connectivity have always been a 

problem. It is necessary to strengthen this area in order to exploit the full 

benefit of HMIS. Appropriate and alternative solution is the installation of 

higher band-wide V-Sat’s at all the District Head Quarters 

• Regular trainings are being conducted at the state, district, block and the 

health facility level. As reflected in the SPIP 2011-12, it is proposed to have 

two trainings at the state, four at the district and 4 at the block and the 

facility level annually. 

IV. Integration of Monitoring & Evaluation activities across programme: 

Integrating the M&E activities across various health programmes like TB, Malaria, 

Leprosy etc. is yet to be operationalised in the state except for RCH. 


286 

V. M&E Action Plan : 

The state of Manipur has already started capturing health facility data 

(CHC/PHC/SC) starting from April 2009, through the integrated DHIS 2 application 

software, which is compatible with the National HMIS portal, in co-ordination with 

the National Health System Resource Centre (NHSRC). The data captured through 

this software is then aggregated to give district consolidated report which is then 

directly uploaded to the national HMIS portal. Now, the state and district level 

teams are focusing on diagnosing data quality issues, affecting improvements, and 

also strengthening the analysis, use and dissemination of information. 

The state have already started capturing and recording the pregnant women 

and child information through the MCTS application through the existing manpower 

at the block level in Bishnupur district. In order to expedite the process, an 

incentive policy for ASHAs is being formulated under MCTS in the state. Under this 

policy, ASHAs will get incentives for accompanying & registering beneficiaries 

(pregnant woman & children) through MCTS. 

The details of Mother & Child tracking system have been in corporate in the SPIP 

2011-12. 

VI. 

Notification of Nodal Officers (M&E) at State, District and block levels: 

The identification and re-designation of Nodal Officers (M&E) at the state, 

districts, blocks, CHCs and PHCs are completed. They are to act as the Nodal 

contact points for all health related information in the respective formations, for 

HMIS, for MCTS and for sending feedback to the lower units. Three monitoring visits 

each is being planned monthly for each of these officials. 

Adequate mobility provision for regular supervisory visits by these M&E Officers 

are being incorporated in the SPIP 2011-12. 

VII. Formation of HMIS Task Force at all levels : 

Formation of State and District HMIS Task Force are being completed in 2009. 

Formation of block HMIS Task Force is in progress and it may be completed in early 

2011. The primary objective of this team is to provide technical support regarding 

HMIS matters in their jurisdiction, as and when, required. They are to strengthen and 

streamline the data reporting system and to leverage the advances in IT to ensure 

timely flow of information at all levels. 

VIII. 

Augmenting IT infrastructure at various levels: 

As data capturing at the district & block level has already been operationalised 

in the state, it is important that their IT infrastructure be strengthened by providing 

internet connectivity, printing/ computer stationery and other requirements. As of 

now, there is no integration with other health programs except RCH and necessary 

steps to be taken for integrating the existing resources across programmes like 

NRHM, RCH, NDCPs, IDSP etc. 

Appropriate budgetary provisions in this regard have been incorporated in the 

SPIP 2011-12. 


287 

IX. 

Meetings, Reorientation & Trainings on HMIS: 

For ensuring a strong and effective M&E system, there is need for regular 

meeting of the M&E Team at the State, District and Block level to analyze and 

evaluate the quality of reports. In addition to state review meetings where district 

wise achievements are presented, monthly review meeting at the district may be 

organized in which block wise achievements may be presented by the blocks. 

Similarly, at the block level, facility reports may be analyzed to improve the quality 

of data. A regular feedback mechanism may also be chalked out. Regular 

orientation & training of personals at facility level may be organized by the 

district/block HMIS team from time to time and feedback may be given to them. In 

this regard, the state HMIS team may be approached for any technical support. 

The following training schedules are proposed for 2011-12: 

d. At the state level: 2(two) times/annum @ Rs.1,50,000/- per training. 

e. At the district level : 4(four) times/annum @ Rs.10,000/- per block per 

training (no. of blocks are different for different districts). Trainings at this 

level will focus mainly on district and block health functionaries and the 

MO i/c’s of PHCs/CHCs. 

f. At the Block level: 4(four) times /annum @ Rs. 30,000/- per training. 

Trainings at this level will focus mainly on the staffs/ANMs at the health 

facilities and ASHAs at the community level. 


288 

CHAPTER-6 

FINANCIAL MANAGEMENT 


289 

FINANCIAL MANAGEMENT 

The States are expected to provide detailed information on the present status and the 

proposals on various important issues of financial management and implementation of finance, 

accounts, audit, fund flow and other financial guidelines issued by the MoHFW. A separate 

chapter on Financial Management under NRHM may be incorporated in the PIP, providing 

information on the following key issues to bring about effective financial management and 

ensure timely and proper utilisation of funds to achieve the objectives of NRHM: 

1. Budgeting for various Activities 

The budgeting for various programmes/activities under NRHM should be proposed strictly in 

accordance with Financial Monitoring Report (FMR) Format so as to facilitate proper analysis of 

the progressive utilisation of funds and taking remedial measures. Indicate whether the Program 

Management cost has been kept within the ceiling of 6% and whether the proposals for 

construction works are within the ceiling of 33% for high focus states and 25% for non-high focus 

states as per 

norms. 

The budget is being proposed as per the FMR code heads. Program management cost has 

been kept within the permissible 6% and constructions works are within the allowed ceilings. 

2. Financial Management Staff: 

Status of Financial Management personnel whether Director (F&A), SFM, SAM, 

Accountants and Data Assistants are in position at State/District/Block levels may be indicated. 

If not, the action plan to fill up vacant positions may be given. It may also be stated whether 

the remuneration of the PMU staff including NDCPs has been revised and suitable incentive 

scheme worked out considering local conditions. 

S.No. 

Sanctioned 

Posts of F & A 

at State Level 

Deputation 

/ Contract 

Vacant Since 

..(date) 

Reason for 

vacant 

position 

Action taken & 

tentative date 

for filling up the 

vacancy 

State Level : 

Deputy 

Director(Finance) 1 deputation nil 

State Finance 

Manager 1 Contract nil 

State account 

Manager 1 Contract nil 

Accountants 2 Contract 2 vacant In process 

District Level: 

DAM 9 Contract 

BAM 36 Contract 

PHC accountant 36 Contract nil 

1 vacant 

since 

Feb,2010 Resigned In process 

4 vacant 

since 

march,2010 Resigned In process 

The remuneration of the PMU staff has been revised and suitable incentive scheme has 

been worked out and incorporated in the SPIP 2011-11. 


290 

3. Statutory Audit 

Whether Statutory Audit Report and UCs for 2009-10 have been submitted and 

deficiencies intimated/feedback given by FMG has been complied with. Any problem being 

faced regarding the audit process may also be highlighted. 

Statutory Audit Report and UCs for 2009-10 has been submitted and quarterly FMR 

analysis till the 3 rd quarter has been replied to. Lack of adequate presence of CA firms leaves 

little room to tender and negotiate for timely completion of audit etc. 

4. Concurrent Audit 

Whether Concurrent Audit has been implemented at the State and all Districts and 

quarterly summary reports sent to MoHFW. If not reasons therefore. Status of Concurrent Auditor 

appointment for 2011-12 and action plan therefore may be incorporated. 

Quarterly concurrent Audit has been planned however due to lack of adequate 

number of CAs (only one local CA available at Manipur with only branches of firms based 

outside Manipur. 5 districts are being covered by a single CA) half yearly concurrent Audit are 

being conducted. First half yearly concurrent audit is completed in the district level and 

currently going on in the SHS. Appointment of concurrent auditor for 2011-12 has been initiated. 

5. Implementation of Tally 

Whether Tally has been procured, training initiated and made operational at State and district 

level. If not, reasons therefore and the action plan for ensuring that this is done may be 

indicated. 

Tally ERP 9 is operational at the State and most of the districts. A few of the districts are 

facing a transition problem of earlier versions of tally erp to tally erp but with the recent 

conclusion of tally training for all the DFMs, it is expected that full implementation at the district 

level may be achieved by end of the financial year. 

6. Mode of Fund Transfer 

Whether funds are being released electronically to all districts and blocks? If not reasons 

therefore and the expected time frame for achievement of e-transfer may be indicated. 

Funds to the districts are being released electronically. In case of release from districts to 

blocks, on account of lack of adequate presence of banks at the district level, districts are 

facing a constraint. 

7. Uploading of FMRs on HMIS Portal 

Present district wise status may be indicated. If the data is not being uploaded, the reasons 

thereof along with the action plan for implementation of the same may be given. 

It has been uploaded for upto 31.12.2010 

8. Financial reporting under NRHM 

FMRs are not timely and accurate which leads to nonavailability of reliable data. The 

State and District level FMGs shall monitor the release and utilization of funds for all programmes 

under NRHM including NDCPs and send a consolidated FMR for all programmes under NRHM 

including NDCPs. Mention whether FMR upto 31.12.10 has been submitted and deficiencies 

complied with. 


291 

Clear cut instructions has been issued to all vertical programmes whose funds are 

routed through SHS, NRHM to sent monthly FSP/FMR reports to the State Head Office. Efforts are 

on to form the state level FMG. FMR upto 31.12.10 has been sent. 

9. MIS 

The submission of monthly MIS/FSP and quarterly MIS along with head wise and age wise 

details of advances upto 31.12.2010 may be indicated. 

Monthly MIS has been sent. Quarterly MIS will shortly be sent. 

10. Statutory Audit 

The audit reports for the accounts of 2009-10 including all NDCPs and covering 100 per 

cent of the DHS and 40% of the blocks should have been submitted to the FMG by 31 

December 2010. This may be confirmed. Release of funds in the second tranche is dependent 

on submission of the audit reports. 

Statutory Audit Report for 2009-10 including all NDCPs covering 100 percent and 40% 

blocks has been sent. 

11. RCH-I Unspent Balance 

Indicate whether Unspent Balance of RCH-I has been refunded and utilisation certificates or 

refunds the activity specific releases by individual program divisions during 2005-06 and 2006-07 

have been sent. 

It has been refunded. 

12. Key Areas for Priority during 2011-12 

A clear Action Plan for identified backward districts on special interventions for identified 

high focus districts/backward areas such as difficult, left wing affected, minority, tribal, SC/ST, 

gender etc. for special incentives to medicos and para-medicos for performing duties in such 

difficult areas may be incorporated with appropriate financial and other incentives scheme for 

attracting qualified human resource in may be worked out and proposed in the PIP with timebound 

targets for addressing the key issues and optimum utilization of funds to ensure effective 

implementation of NRHM. 

During planning maximum care has been taken to ensure that special interventions for 

identified high focus districts such as difficult, tribal, SC/ST, gender etc. are being incorporated. 

As special incentives to medicos and para-medicos for performing duties in such difficult areas 

and in order to retain them, SPIP 2011-12 is continuing on offering incentives in the form of 

higher pay to the staffs posted in these areas. 

13. Committed and Uncommitted Unspent balances 

The programme-wise committed unspent balances for the activities approved during the last 

years which are under implementation may be indicated, showing the amount already utilised 

and the timeframe for utilisation of the remaining amount with time frame for completion of the 

activities. Similarly, the details of uncommitted balances for the activities approved during 

previous years but not yet taken may also be given programme-wise along with reasons for 

non-start of such activities and whether the same are proposed to be implemented during 

2010-11. 


292 

Details of committed and uncommitted liabilities 

2. Part A balance of Rs16.01 crore has been booked as committed liability which means that we are 

committing to spending Rs 16.01 crore within March. An amt of Rs 1.44 crore booked as 

uncommitted.Details below (Amt in lakhs) 

FMR code Details Amt Reason 

Process Initiated this year. 

Proposed for next year with 

A8.2 PPP 105.07 fund 

A8.4 Other Innovations 38.5 

Due to situations not conducive 

for taking up the project, the 

project is advised to be 

abandoned. 

143.57 

3. For Part B, committed liability booked is Rs Rs 13.05 crore. Rs 4.4crore has been booked as uncommitted 

liabilities. Details are as below (Amt in lakhs) 

FMR code Details Amt Reason 

Process initiated this year. 


B1 ASHA Resource center 107.58 fund 

B1 4000 ASHA diaries 4.15 

B14.2.2 

B.18.3.5 

Additional Engagement of the 

contractual staffs (Ayush) 66.51 

Hardware & Software 

procurement 64.93 

Not needed to be procured this 

year. Proposed for next year 

with fund 

Process initiated this year. 


fund 

Laptops for assitant block data 

managers were not procured 

as the recruitement of the 

assitant block data managers 

are in process. Instead 

procurement of desktops has 

been proposed with fund for 

next year 

B19.2.7 

Procurement of 30 pieces of 

W45043 Zoe Gynaecologic 

simulator for the IUCD 380-A 

training 16.5 Being supplied by Ministry 

B23.1 Incentives for difficult area 181 

440.67 

Incentives for Jan-March'11 

deducted from uncommitted 

liability 

Total Committed (A & B) 29.06 

Total Uncommitted (A&B) 584.24 


293 

Conditions to be fulfilled to ensure smooth release of funds to the States 

a. The State shall not make any change in the allocation among different 

components/activities without approval of GOI. Any proposal for reappropriation between 

activities/functional heads within activities should be submitted to MoHFW in advance and 

should reflect realignment of activities in accordance with priority to high focus 

districts/involvement of NGOs. etc. 

State Health Society is ensuring that proper guidelines and allocation of funds are being 

followed so that any diversion of funds is avoided between the different components are 

avoided. 

b. The State shall ensure that 15% of its share, based on release of funds by MoHFW is credited 

to the account of the SHS within one month of issue of the release order. The overall 

expenditure on health by the State should also go up by a minimum of 10% each year. 

Efforts are on to ensure that 15% of state share is being allocated based on release of 

funds by MoHFW. State Health Society, NRHM has already requested Planning Dept of GoM for 

clearning the backlog of state share funds as well as requirement for 15% state share funds for 

the year 2011-12. 

c. The State shall ensure complete delegation of administrative and financial powers at state, 

district and block levels to ensure smooth fund flow at all levels. 

Proper delegation of administrative and financial powers at state, district and block 

levels are ensured. Time to time the situation is apprised of taking into local situations to ensure 

that proper delegation takes place for smooth flow of funds at all levels, within the NRHM 

guidelines. 

d. The State shall ensure timely submission of the Quarterly and Monthly MIS reports in the 

prescribed format including the statement of funds position and the age-wise and head-wise 

details of advances given to various implementing agencies. 

State is submitting quarterly and monthly MIS as per requirements. Further monthly 

meetings of the district financial personnel are conducted so that the reports arrived in time for 

onward submission to the Ministry. 

e. The State shall also intimate the interest amount earned on unspent balances which could 

be utilized against activities already approved and will also count towards the central share. 

It is being intimated. 


294 

SUMMARY BUDGET 

Part 

Amount 

(Rs in Lakh) 

A RCH FLEXI POOL 2724.867 

B NRHM FLEXI POOL 6164.99 

C IMMUNIZATION 155.93 

D DISEASE CONTROL PROGRAM 

1. NVBDCP 1160.582 

2. RNTCP 385.64 

3. IDSP 426.12 

4. NPCB 686.28 

5. NLEP 49.98 

6. NIPPCD 118.82 

7. NIDDCP 50.50 

Part-D Total 2877.922 

E INTER-SECTORAL CONVERGENCE 0.00 

TOTAL 11923.709 

Central Share (Rs in Lakh) 

15% State Share (Rs in Lakh) 

10368.44 1555.27 



295

FINAL DRAFT - NRHM Manipur

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