ANNEXURES - National Rural Health Mission
ANNEXURES - National Rural Health Mission
ANNEXURES - National Rural Health Mission
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<strong>ANNEXURES</strong>
ASHA Training Budget<br />
Annexure I<br />
ASHA Training Budget (One batch of 25 ASHA)<br />
Sl.<br />
No Particulars Unit cost No of Units Total cost<br />
1 Training materials 150 25 3750<br />
2 DA ( for 23 days) 2300 25 57500<br />
3 TA ( Rs 75 *5 trainings) 375 25 9375<br />
4 Food and Accommodation (150*23 days) 3450 30 103500<br />
5 Banner, photo, publicity 500 5 2500<br />
6 POL, AV Eqpts and Contingencies 400 23 9200<br />
7 TA & Honorarium to R.P (5 sessions / day) ( 200*5) 1000 23 23000<br />
8 Coordinators fee 100 23 2300<br />
9 Miscellaneous 1375 1 1375<br />
TOTAL 212500<br />
Budget for Induction Training (7 days) for ASHA<br />
Sl.<br />
No Particulars Unit cost No of Units Total cost<br />
1 Training materials 50 25 1250<br />
2 DA ( for 7 days) 700 25 17500<br />
3 TA 75 25 1875<br />
4 Food and Accommodation (150*7days) 1050 30 31500<br />
5 Banner, photo, publicity 500 1 500<br />
6 POL, AV Eqpts and Contingencies 400 7 2800<br />
7 TA & Honorarium to R.P (5 sessions / day) ( 200*5) 1000 7 7000<br />
8 Coordinators fee 100 7 700<br />
9 Miscellaneous 375 1 375<br />
TOTAL 63500<br />
Budget for Continuing Training (4 days)<br />
Sl.<br />
No Particulars Unit cost No of Units Total cost<br />
1 Training materials 25 25 625<br />
2 DA ( for 4 days) 400 25 10000<br />
3 TA 75 25 1875<br />
4 Food and Accommodation (150*4 days) 600 30 18000<br />
5 Banner, photo, publicity 500 1 500<br />
6 POL, AV Eqpts and Contingencies 400 4 1600<br />
7 TA & Honorarium to R.P (5 sessions / day) ( 200*5) 1000 4 4000<br />
8 Coordinators fee 100 4 400<br />
9 Miscellaneous 250 1 250<br />
TOTAL 37250<br />
SUMMARY<br />
Induction Training - 7 days 63500 1 63500<br />
Continuing training - 4 days 37250 4 149000<br />
GRAND TOTAL 212500
Circular on implementation of ASHA Programme<br />
Annexure -II<br />
No. NRHM/SD/5058/2007/SPMSU Dated, Thiruvananthapuram 09/12/2008<br />
Sub: NRHM – ASHA Scheme – payment to ASHA – detailed revised guidelines<br />
issued – reg<br />
Ref: GO (RT) No: 649 / 2007 / H & FWD dated 24.02.2007<br />
As per GO cited above, we have selected 20380 Accredited Social <strong>Health</strong><br />
Activists<br />
( ASHA’s) and deployed 14062 after the induction training in fourteen districts during<br />
2007-08 and 2008-09. Selection processes in rest of the districts are going on.<br />
Performance linked incentives payable to ASHA have been detailed in the GO mentioned<br />
above. As per the communication from Government of India, the following revised<br />
detailed guidelines are being issued for payment of incentives to ASHA.<br />
Sl Nature of Incentive Amount payable Source of Authority<br />
No.<br />
funds<br />
pay<br />
1 TA for trainings Actual rates DPM<br />
2 DA for trainings @ Rs. 100 per<br />
DPM<br />
day<br />
3 Monthly review Rs. 100 per day M.O to<br />
Meeting at<br />
authorise JPHN<br />
PHC/Panchayaths<br />
to make<br />
payment<br />
4 Incentive for assisting<br />
JSY Beneficiaries<br />
5 Social mobilisation for<br />
Immunisation<br />
6 Mobilisation for<br />
Sterilisation<br />
7 Social Mobililisation<br />
for Monthly <strong>Health</strong><br />
& Nutrition Day<br />
8 Incentive for<br />
cataract surgery<br />
9 Remuneration for<br />
DOTS providers<br />
Rs. 600 per case<br />
in rural & 200 per<br />
case in urban<br />
areas<br />
Rs. 100 per<br />
session<br />
Rs.150 for<br />
Tubectomy and<br />
200 for<br />
Vasectomy<br />
Rs. 150 per<br />
session<br />
Rs. 175 per<br />
operated eye<br />
Performance<br />
related<br />
Incentives to<br />
ASHA - B.1.3<br />
to<br />
M.O to<br />
authorise JPHN<br />
to make<br />
payment<br />
M.O to<br />
authorise JPHN<br />
to make<br />
payment<br />
M.O to<br />
authorise JPHN<br />
to make<br />
payment<br />
Convener to pay<br />
Accounts to be<br />
presented in<br />
WH& SC<br />
Remarks<br />
Subject to<br />
conditions as<br />
detailed below<br />
Subject to<br />
conditions as<br />
detailed below<br />
Subject to<br />
conditions as<br />
detailed below<br />
Subject to<br />
conditions as<br />
detailed below<br />
NPCB funds DPM(NPCB) Subject to<br />
conditions as<br />
detailed below<br />
Rs. 250 per case RNTCP Funds DTO/ MOTC as per RNTCP<br />
norms<br />
Contd
To ensure that ASHA incentive is paid on time, all incentives have now been put<br />
under a single head. Medical Officers should ensure that all field staff reports the<br />
performance of ASHA on time. Based on the report of the field staff, Medical Officers<br />
shall submit SoE of that month and the physical performance of ASHA during the month<br />
(Proforma attached - Annexure - II) along with fund request in the attached Proforma<br />
(Annexure – I) at the end of each month. DPMs shall ensure that SoE is collected in time<br />
and funds are released to needy Institution before 15 th of the succeeding month.<br />
Medical Officers shall ensure that incentive is paid to ASHA before<br />
25 th of the succeeding month..<br />
General Instructions<br />
All payments shall be made only on the basis of the monthly report submitted by the<br />
ASHA to the JPHN. Claims made in the monthly report should be verified before making<br />
payment. A register of claims made by ASHA and the amount paid should be maintained<br />
at the Subcentre level along with an Aquittance roll as proof of payment. Monthly SOE in<br />
this regard should be submitted without fail to the District Programme Manager before<br />
the 2 nd working day of the next month.<br />
Specific Conditions with regard to JSY Scheme<br />
1. Payment:<br />
(i) An amount of Rs 200 for urban areas and Rs 600 for rural areas per delivery facilitated<br />
by ASHA shall be provided as incentive to ASHA, which is part of ASHA package. This<br />
amount shall be given by the JPHN to ASHA for assisting the mother in seeking<br />
institutional delivery.<br />
2. Role of ASHA with regard to JSY<br />
ASHA or an equivalent worker under supervision of JPHN/AWW would have the<br />
following role:<br />
• Identify pregnant women from BPL families as a beneficiary of the scheme.<br />
• Report to the JPHN and bring the women to the sub-centre/PHC for registration.<br />
• Assist the woman to obtain BPL certification if BPL card is not available<br />
• Provide and / or help the lady to receive at least three ANC. At least three antenatal<br />
checkup mandatory for pregnant women.10<br />
• Motivation and Mobilisation for institutional delivery. Institution for safe delivery<br />
to be decided before 7th month of pregnancy, in close consultation with the<br />
family, the JPHN and the PHC.<br />
• Assist in administering two TT injections<br />
• When the pregnant woman is in labour or in case faces complication, escort her<br />
to the pre- identified higher centre foe expert care and stay with her till the<br />
delivery is complete and woman is discharged<br />
• Arrange to immunize the newborn till the age of 10 weeks<br />
• Register birth of child or death of the child or mother<br />
• Post natal visits within 7 days of delivery and track mother’s health and impart<br />
contraceptive advice.<br />
• Counseling for initiation of breastfeeding within one-hour of delivery and<br />
exclusive breast feeding till 6 months weaning there after.
Contd<br />
Specific Conditions with regard to mobilization for Immunization<br />
ASHA will be eligible for payment of Rs. 100/- for each session of Immunisation to<br />
which she mobilises 5 or more eligible children for Immunisation<br />
Specific Conditions with regard to Monthly Ward <strong>Health</strong> & Nutrition Day<br />
ASHA will be eligible for payment of Rs. 150/- for each programme of Monthly<br />
<strong>Health</strong> & Nutrition Day to which she mobilises at least 25 participants. (The<br />
enhanced rate will be applicable with the effect from 1 December, 2008)<br />
Specific Conditions with regard to Cataract Surgery<br />
ASHA will be eligible to receive an incentive of Rs. 175/- per operated eye for<br />
promoting cases for cataract surgery under <strong>National</strong> Programme for Control of<br />
Blindness (NPCB). To be eligible for this incentive, they shall have to do the<br />
following activities.<br />
i) Motivate persons with cataract to undergo examination<br />
ii)<br />
iii)<br />
Arrange for medical examination<br />
Assist indicated cases to under go surgery at centers identified for cataract<br />
surgery under NPCB( Govt / Private / NGO)<br />
This incentive shall be applicable only for patients who undergo cataract Surgery in<br />
Institutions identified for the same under NPCB. This shall not be applicable for cases<br />
who under go surgery in other institutions.<br />
Dr. Dinesh Aroroa IAS<br />
State <strong>Mission</strong> Director, Arogyakeralam<br />
Contd
INCENTIVE TO ASHA<br />
STATEMENT OF EXPENDITURE CUM FUND REQUEST<br />
Name of Institution:<br />
Month:<br />
Sl.<br />
No<br />
Particulars Rate Amount paid<br />
during the<br />
month<br />
1. JSY (<strong>Rural</strong>) 600<br />
Amount<br />
required<br />
2. JSY (Urban) 200<br />
3. Female Sterilisation 150<br />
4. Male Sterilisation 200<br />
5. Immunisation 100<br />
6. Ward <strong>Health</strong> and Nutrition Day 150<br />
7. Monthly review meeting 100<br />
8. Others ( Specify)<br />
Total<br />
Contd
PEFORMANCE REPORT OF ASHA FOR THE MONTH OF ……..<br />
Particulars<br />
No .of JSY beneficiaries assisted<br />
Total Amount given to ASHA<br />
RNTCP beneficiaries assisted<br />
Total Amount given to ASHA<br />
Amount given to ASHA under Immunisation<br />
No. of camps conducted<br />
No. of Children mobilised by ASHA<br />
No .of Ward <strong>Health</strong> & Nutrition Day<br />
conducted<br />
Amount given to ASHA under WHND<br />
F.W Activities<br />
No. of NSV promoted<br />
Total Amount given to ASHA<br />
No. of tubectomy promoted<br />
Total Amount given to ASHA<br />
Source reduction Activities<br />
Achievement<br />
Amount Spent<br />
Signature:<br />
Name:<br />
Designation:<br />
Contd
Annexure –III<br />
Government Order for Standardisation of Public <strong>Health</strong> Institutions
Annexure –IV<br />
CIRCULAR<br />
Order No. NRHM/Admn/159/2008/SPMSU dated 24.01.2009<br />
Sub:- Guidelines for usage of funds under Untied Funds, Annual Maintenance<br />
Grant, Grant for Hospital Development Society, Ward <strong>Health</strong> & Sanitation<br />
Committee reg.<br />
The following are the revised guidelines for utilization of funds under the<br />
category ‘Untied Funds’, ‘Annual maintenance Grant’, ‘Grants for Hospital<br />
Development Society’ and ‘Ward <strong>Health</strong> & Sanitation committee’. It is to be noted that<br />
the below-mentioned list is illustrative but not exhaustive. Any other activity deemed fit<br />
can be decided by the HMC/ WH&SC.<br />
A. Untied Funds for CHC / Bl.PHC / 24 x 7 PHC / Primary <strong>Health</strong> Centres<br />
1. Minor modification to the centre (curtains to ensure privacy, repair of taps,<br />
installation of bulbs etc.)<br />
2. Patient examination table, delivery table, BP apparatus, hemoglobin meter,<br />
copper-T insertion kit, instruments tray, baby tray, weighing scales for mothers<br />
and for newborn babies, plastic / rubber sheets, dressing scissors, stethoscopes,<br />
buckets, attendance stool, mackintosh sheet, needle destroyer etc.<br />
3. Maintenance of running water supply.<br />
4. Maintenance of electricity.<br />
5. Adhoc payments (cleaning up the centre, especially after childbirth)<br />
6. Referral transport<br />
7. Payment / reward to ASHA for certain activities.<br />
Source Reduction Activities<br />
8. Purchase of bleaching powder, disinfectants, chlorine tablets etc.<br />
9. Labour and supplies for environmental sanitation. (cleaning or larvicidal measures<br />
for stagnant water)<br />
10. Repair / operationalising soak pits.<br />
11. Making functional existing hatcheries / construct new hatcheries for field release<br />
of guppy fishes<br />
12. Making ‘ovi traps’ for field level activities<br />
Contd
B. Annual Maintenance Grant for CHC / Bl.PHC / 24 x 7 PHC / PHCs / SC<br />
1. Maintenance of physical infrastructure (water, toilets etc)<br />
2. Providing Electricity<br />
3. Painting the centres.<br />
4. Minor Maintenance (curtains, water supply systems, electrical items, minor<br />
repairs etc)<br />
5. Repair / Operationalising soak pits<br />
6. Adhoc payments (cleaning up the centre, especially after childbirth)<br />
7. Transport of samples during epidemics<br />
8. Purchase of invertor, generator etc.<br />
Source Reduction Activities<br />
9. Purchase of bleaching powder and disinfectants<br />
10. Labour and supplies for environmental sanitation. (cleaning or larvicidal measures<br />
for stagnant water)<br />
11. Repair / operationalising soak pits.<br />
12. Making functional existing hatcheries / construct new hatcheries for field release<br />
of guppy fishes<br />
13. Making ‘ovi traps’ for field level activities<br />
C. Untied fund for Sub-Centre (SC) under NRHM<br />
Untied Fund - Rs. 10,000/- (Rupees Ten Thousand only)<br />
Used only for common good and not for individual needs except for referral transport in<br />
emergency situations.<br />
Areas where untied fund may be used<br />
1. Minor modification to sub-centre (curtains to ensure privacy, repair of taps,<br />
installation of bulbs, other minor repairs, which can be done at local level)<br />
2. Adhoc payments (cleaning up sub centre)<br />
3. Transport of emergencies to appropriate referral centres<br />
4. Transport of samples during epidemics.<br />
5. Consumables such as bandages in sub centre.<br />
6. Purchase of bleaching powder, disinfectants, chlorine tablets etc.<br />
7. Labour and supplies for environmental sanitation. (cleaning or larvicidal measures<br />
for stagnant water)<br />
8. Making ‘ovi traps’ for field level activities<br />
9. Payment / reward to ASHA for certain activities.<br />
D. Hospital Development Society (Rogi Kalyan Samity)<br />
Expenses can be incurred under three broad headings.<br />
D.1. Reporting & Surveillance<br />
Improving <strong>Health</strong> Information System<br />
1. Procurement of hardware (being done state-wise)<br />
2. Payment for internet connection
3. Modification of room meant for Hospital Information System including physical<br />
infrastructure and software development<br />
4. Capacity building for existing administrative & field staff including block<br />
coordinators for using computers<br />
5. Annual Maintenance Contract for computers, printers etc.<br />
D.2. Source Reduction and Cleanliness<br />
1. Source reduction activities<br />
2. Contractual appointment of staff for source reduction in the “attack phase” after<br />
getting approval of CEO & District Program Manager (NRHM)<br />
3. Lab supplies – purchase of reagents<br />
4. Mosquito nets at hospitals in wards, theatre, labour room etc.<br />
5. Diagnostic Kits in case of “attack phase”<br />
6. Cleaning of Water Tanks / Pond / Biological Control<br />
7. Purchase of bleaching powder and disinfectants<br />
8. Labour and supplies for environmental sanitation. (cleaning or larvicidal measures<br />
for stagnant water)<br />
9. Repair / operationalising soak pits.<br />
10. Making functional existing hatcheries / construct new hatcheries for field release<br />
of guppy fishes<br />
11. Making ‘ovi traps’ for field level activities<br />
12. IEC activities<br />
D.3. Other Activities<br />
1. Purchase of water purifier (like aqua guard) for purified water and purchase of jugs<br />
1. Cleanliness of the Hospital<br />
2. Purchase of Baby Warmer<br />
3. Purchase of Baby resuscitation kit<br />
4. Emergency Medicines Purchase<br />
5. Repairing of intercom<br />
6. Purchase of BP instruments and Rubber flex tube for Oxygen Cylinders<br />
7. Purchase of Stethoscope<br />
8. Repair of Quarters<br />
9. Repair of BP Instruments<br />
10. Providing TV and setting up of a Public Awareness System.<br />
11. Cleaning of surrounding including landscaping, cleaning & sanitation (persons<br />
can be hired occasionally)<br />
12. Providing basic facilities for visitors<br />
13. Purchase of invertor, generator etc.<br />
14. Hospital Infection Control Activities<br />
Contd
E. Ward <strong>Health</strong> & Sanitation Committees<br />
1. Ward <strong>Health</strong> Nutrition Day – One Ward <strong>Health</strong> Nutrition Day to be conducted in<br />
every ward every month, maximum of Rs.100/- can be utilised for organizational<br />
expenses<br />
2. Ward level public health activity (cleanliness drive, sanitation drive, school health<br />
activities, ICDS Anganwadi level activities, household surveys etc.)<br />
3. Referral transportation for destitute women or very poor member of the<br />
ward(BPL). Maximum limit - Rs.1000/- (Rupees One Thousand only)<br />
4. Communication allowance of Rs.300/month as phone charges for convenor of the<br />
Ward <strong>Health</strong> & Sanitation Committee (eligible to get the allowance from only one<br />
place)<br />
5. Special case like mosquito control measures including source reduction<br />
6. Community activities (Nutrition, Education and Sanitation, Environment<br />
protection, Public <strong>Health</strong> Measures)<br />
Community is free to contribute additional grant towards the <strong>Health</strong> and Sanitation<br />
Committee. Utilization certificate for the financial year by 15th April of every financial<br />
year.<br />
Note:<br />
1. Though NRHM funds cannot be generally used for purchase of furniture, it is<br />
hereby clarified that furniture required for patient care can be purchased from the<br />
funds available under Untied grant, Annual Maintenance Grant or Hospital<br />
Development Society.<br />
2. Though the limit for quotations for purchase from Govt funds is Rs. 20,000/,<br />
Medical Officers are permitted to purchase articles / execute works on Quotation<br />
basis to the tune of Rs.50,000/- (Rupees Fifty Thousand only) based on decisions<br />
in the HMC under the heads Untied grant, Annual Maintenance Grant or Hospital<br />
Development Society. The Engineer of Block Panchayat or Overseer of Grama<br />
Panchayat or any approved Engineer of HMC or Beneficiary Committee can issue<br />
Technical Sanction for the Civil Works being carried out. He/she will be given an<br />
honorarium of Rs.250/- for estimates less than Rs.10,000/- and Rs.500/- for<br />
estimates greater than Rs.10,000/-. This is to be met from the concerned fund<br />
itself and included in the estimate for the work.<br />
3. The Conveners of Ward <strong>Health</strong> & Sanitation Committees are permitted to<br />
purchase articles / execute works using Subcentre / Ward <strong>Health</strong> & Sanitation<br />
Committee funds on Quotation basis up to a limit of Rs. 10,000/- based on<br />
decisions taken in the Ward <strong>Health</strong> & Sanitation Committee.<br />
Sd/-<br />
State <strong>Mission</strong> Director (Arogyakeralam)
UNTIED FUND FOR CHC, 24 X 7 PHC, PHC & SC<br />
DISTRICT WISE BUDGET REQUIREMENT FOR THE YEAR 2009 – 10<br />
Annexure –V<br />
Total<br />
Amount in lakhs<br />
Unit Amount (Rs.in<br />
lakhs)<br />
No. of SC<br />
Amount in lakhs<br />
Unit Amount (Rs.in<br />
lakhs)<br />
No. of PHC<br />
Amount in lakhs<br />
Unit Amount (Rs.in<br />
lakhs)<br />
No. of CHC & 24 x 7<br />
PHC<br />
Name of the District<br />
Sl. No<br />
1 Trivandrum 30 0.5 15 64 0.25 16 485 0.1 48.5 79.50<br />
2 Kollam 24 0.5 12 49 0.25 12.25 468 0.1 46.8 71.05<br />
3 Pathanamthitta 14 0.5 7 41 0.25 10.25 265 0.1 26.5 43.75<br />
4 Alapuzha 32 0.5 16 42 0.25 10.5 381 0.1 38.1 64.60<br />
5 Kottayam 27 0.5 13.5 45 0.25 11.25 334 0.1 33.4 58.15<br />
6 Idukki 22 0.5 11 32 0.25 8 313 0.1 31.3 50.30<br />
7 Ernakulam 57 0.5 28.5 45 0.25 11.25 425 0.1 42.5 82.25<br />
8 Thrissur 32 0.5 16 72 0.25 18 471 0.1 47.1 81.10<br />
9 Palakkad 29 0.5 14.5 68 0.25 17 515 0.1 51.5 83.00<br />
10 Malappuram 37 0.5 18.5 68 0.25 17 596 0.1 59.6 95.10<br />
11 Kozhikode 23 0.5 11.5 58 0.25 14.5 448 0.1 44.8 70.80<br />
12 Wayanad 15 0.5 7.5 14 0.25 3.5 204 0.1 20.4 31.40<br />
13 Kannur 26 0.5 13 69 0.25 17.25 414 0.1 41.4 71.65<br />
14 Kasaragode 16 0.5 8 35 0.25 8.75 249 0.1 24.9 41.65<br />
Total 384 192.00 702 175.50 5568 556.80 924.30
WARD HEALTH AND SANITATION COMMITTEE<br />
Annexure – VI<br />
DISTRICT WISE BUDGET REQUIREMENT FOR THE YEAR 2009 – 10<br />
Sl. No<br />
Name of the District<br />
No. of wards<br />
in rural area<br />
Amount in<br />
lakhs<br />
Total<br />
1 Trivandrum 1784 0.1 178.40<br />
2 Kollam 1339 0.1 133.90<br />
3 Pathanamthitta 847 0.1 84.70<br />
4 Alapuzha 1284 0.1 128.40<br />
5 Kottayam 1269 0.1 126.90<br />
6 Idukki 777 0.1 77.70<br />
7 Ernakulam 1663 0.1 166.30<br />
8 Thrissur 1703 0.1 170.30<br />
9 Palakkad 1451 0.1 145.10<br />
10 Malappuram 2043 0.1 204.30<br />
11 Kozhikode 1326 0.1 132.60<br />
12 Wayanad 459 0.1 45.90<br />
13 Kannur 1505 0.1 150.50<br />
14 Kasaragode 721 0.1 72.10<br />
Total 18171 1817.10
Annexure – VII<br />
Sl.<br />
No<br />
Name<br />
of the<br />
District<br />
AMG for CHC, 24 X 7 PHC, PHC & SC<br />
DISTRICT WISE BUDGET REQUIREMENT FOR THE YEAR 2009 – 10<br />
No.<br />
of<br />
CHC<br />
&<br />
24 x<br />
7<br />
PHC<br />
Unit<br />
rate<br />
in<br />
Lakhs<br />
Amount<br />
in<br />
lakhs<br />
No.<br />
of<br />
PHC<br />
Unit<br />
rate<br />
in<br />
Lakhs<br />
Amount<br />
in<br />
lakhs<br />
No.<br />
of<br />
SC<br />
Unit<br />
rate<br />
in<br />
Lakhs<br />
Amount<br />
in<br />
lakhs<br />
Total<br />
1 TVM 30 1 30 64 0.5 32 198 0.1 19.8 81.8<br />
2 KLM 24 1 24 49 0.5 24.5 198 0.1 19.8 68.3<br />
3 PTA 14 1 14 41 0.5 20.5 174 0.1 17.4 51.9<br />
4 ALPY 32 1 32 42 0.5 21 162 0.1 16.2 69.2<br />
5 KTYM 27 1 27 45 0.5 22.5 235 0.1 23.5 73<br />
6 IDK 22 1 22 32 0.5 16 189 0.1 18.9 56.9<br />
7 EKM 57 1 57 45 0.5 22.5 326 0.1 32.6 112.1<br />
8 TSR 32 1 32 72 0.5 36 230 0.1 23 91<br />
9 PLKD 29 1 29 68 0.5 34 453 0.1 45.3 108.3<br />
10 MLPM 37 1 37 68 0.5 34 533 0.1 53.3 124.3<br />
11 KKD 23 1 23 58 0.5 29 162 0.1 16.2 68.2<br />
12 WAYD 15 1 15 14 0.5 7 186 0.1 18.6 40.6<br />
13 KNR 26 1 26 69 0.5 34.5 218 0.1 21.8 82.3<br />
14 KZD 16 1 16 35 0.5 17.5 205 0.1 20.5 54<br />
Total 384 384 702 351 3469 346.9 1081.9
HOSPITAL MANAGEMENT SOCIETY<br />
Annexure – VIII-(A)<br />
DISTRICT WISE BUDGET REQUIREMENT FOR THE YEAR 2009 – 10<br />
Sl.<br />
No<br />
Name<br />
of the<br />
District<br />
No. of Genl. Hosp / Dist Hosp.<br />
Unit rate in Lakhs<br />
Amount in lakhs<br />
Specialty Hosp.<br />
Unit rate in Lakhs<br />
1 TVM 2 5 10 3 5 15 4 5 20 45<br />
2 KLM 1 5 5 1 5 5 5 5 25 35<br />
3 PTA 3 5 15 0 5 0 3 5 15 30<br />
4 ALPY 1 5 5 3 5 15 6 5 30 50<br />
5 KTYM 2 5 10 1 5 5 4 5 20 35<br />
6 IDK 1 5 5 0 5 0 4 5 20 25<br />
7 EKM 1 5 5 1 5 5 8 5 40 50<br />
8 TSR 1 5 5 2 5 10 6 5 30 45<br />
9 PLKD 1 5 5 1 5 5 5 5 25 35<br />
10 MLPM 1 5 5 0 5 0 6 5 30 35<br />
11 KKD 1 5 5 3 5 15 6 5 30 50<br />
12 WAYD 2 5 10 0 5 0 2 5 10 20<br />
13 KNR 2 5 10 0 5 0 4 5 20 30<br />
Amount in lakhs<br />
14 KZD 2 5 10 0 5 0 0<br />
No.<br />
of<br />
Taluk Hospitals<br />
Unit rate in Lakhs<br />
Amount in lakhs<br />
Total<br />
5 0 10<br />
Total 21 5 105 15 5 75 63 5 315 495
HOSPITAL MANAGEMENT SOCIETY<br />
Annexure – VIII-(B)<br />
DISTRICT WISE BUDGET REQUIREMENT FOR THE YEAR 2009 – 10<br />
Total<br />
Amount in lakhs<br />
Unit rate in Lakhs<br />
No. of PHC<br />
Amount in lakhs<br />
Unit rate in Lakhs<br />
No. of 24 X 7 PHC<br />
Amount in lakhs<br />
Unit rate in Lakhs<br />
No. of CHC<br />
Name of the District<br />
Sl. No<br />
1 TVM 24 1 24 6 1 6 64 1 64 94<br />
2 KLM 20 1 20 4 1 4 49 1 49 73<br />
3 PTA 11 1 11 3 1 3 41 1 41 55<br />
4 ALPY 17 1 17 15 1 15 42 1 42 74<br />
5 KTYM 18 1 18 9 1 9 45 1 45 72<br />
6 IDK 12 1 12 10 1 10 32 1 32 54<br />
7 EKM 23 1 23 34 1 34 45 1 45 102<br />
8 TSR 24 1 24 8 1 8 72 1 72 104<br />
9 PLKD 18 1 18 11 1 11 68 1 68 97<br />
10 MLPM 19 1 19 18 1 18 68 1 68 105<br />
11 KKD 15 1 15 8 1 8 58 1 58 81<br />
12 WAYD 7 1 7 8 1 8 14 1 14 29<br />
13 KNR 12 1 12 14 1 14 69 1 69 95<br />
14 KZD 11 1 11 5 1 5 35 1 35 51<br />
Total 231 1 231 153 1 153 702 1 702 1086
B1<br />
BUDGET PROPOSAL FOR PART B- ADDITIONALITIES UNDER<br />
NRHM<br />
PART B<br />
ASHA<br />
Rs. In Lakhs<br />
B.1.1 Selection and Training of ASHA 1325.77<br />
B.1.2 Procurement of ASHA Drug Kits 457.50<br />
B.1.3 Performance related incentives to ASHA 394.24<br />
Total for ASHA 2177.51<br />
B2<br />
Untied Funds<br />
B.2.1 Untied Funds for Sub centre 556.80<br />
Untied Funds for PHC 175.50<br />
Untied Funds for CHC/24x7 PHC 192.00<br />
B2.4 Untied fund for VHSC 1817.10<br />
Total for Untied Funds 2741.40<br />
B3.1 Upgradation of CHCs, PHCs, Dist. Hospitals to IPHS)<br />
B3.1.1 District Hospitals /General Hospitals 1950.00<br />
B3.1.2 CHCs 0.00<br />
B3.1.3 PHCs 0.00<br />
B3.1.4 IMCH 1000.00<br />
Sub Total 2950.00<br />
B3.2<br />
B4<br />
Strengthening of District and Su-divisional<br />
Hospitals(Thaluk)<br />
Annual Maintenance Grants<br />
1085.00<br />
B4.1 CHCs 384.00<br />
B4.2 PHCs 351.00<br />
B4.3 Subcentre 346.90<br />
Total for AMG 1081.90<br />
B5<br />
New Constructions/ Renovation and Settingup<br />
B5.1 CHC 759.40<br />
B5.2 PHC 850.00<br />
B5.3 Sub Centre 660.00
Sub Total 2269.40<br />
B6 Corpus Grants to HMS/RKS<br />
District / General Hospitals 105.00<br />
CHC/24X7 PHC 384.00<br />
PHC 702.00<br />
Others 390.00<br />
Sub Total 1581.00<br />
B7 District Action Plans (Including Block, Village) 140.00<br />
B8 Panchayti Raj Initiative 0.00<br />
B9 Mainstreaming of AYUSH 1983.77<br />
B10 IEC-BCC NRHM - <strong>Health</strong> Mela 210.00<br />
B11<br />
Mobile Medical Units (Including recurring expenditures)<br />
B12 Referral Transport 0.00<br />
B13 School <strong>Health</strong> Programme 0.00<br />
B14<br />
Additional Contractual Staff (Selection, Training,<br />
Remuneration)<br />
Medical Officers 899.76<br />
JHI 400.80<br />
Total for additional contract staff 1300.56<br />
B15 PPP/ NGOs 0.00<br />
B16 Strengthening of Training Institution/ Nursing School 1500.00<br />
B17<br />
Incentives Schemes<br />
Incentive to Specialist 784.72<br />
Incentive to medical officers 76.68<br />
Other incentives 218.18<br />
Total for Incentives 1079.58<br />
B18 Planning, Implementation and Monitoring 0.00<br />
B18.2 Quality Assurance 530.13<br />
B18.3 Monitoring and Evaluation 0.00<br />
B19<br />
Procurements<br />
B.19.1 Drugs 314.80
B20 PNDT Activities 0.00<br />
B21 Regional drugs warehouses 75.00<br />
B22<br />
New Initiatives/ Strategic Interventions (As per State<br />
health policy)/ Innovation/ Projects (Telemedicine,<br />
Hepatitis, Mental <strong>Health</strong>, Nutrition Programme for<br />
Pregnant Women, Neonatal) NRHM Helpline, setting up of<br />
EMRI,RIO, community based care as per need (Block/<br />
District Action Plans)<br />
B.22.1 Pain and Palliative Care 150.00<br />
B.22.2 Mental <strong>Health</strong> 180.00<br />
B.22.3 ICCONS Project 500.00<br />
B.22.4 Kerala Emergency medical Services Project 2048.00<br />
B.22.5 Child Development Service 13.63<br />
B.22.6 Institute of Non Communicable Diseases 300.00<br />
B.22.7 Geriatric Care 170.61<br />
Sub Total 3362.24<br />
B23 <strong>Health</strong> Insurance Scheme 189.80<br />
B24 Research, Studies, Analysis 100.00<br />
B25 State level health resources center (SHSRC) 200.00<br />
B26<br />
Support Services<br />
B.26.1 Support Strengthening RNTCP 120.64<br />
B.26.2 Support Strengthening IDSP 419.44<br />
B.26.3 Contingency Support to Govt. dispensaries 69.00<br />
B.26.4 Support Services to NVBDCP 229.76<br />
B27<br />
Sub Total 838.84<br />
NRHM Management Costs/ Contingencies<br />
B27.1 Block Level PMU 529.92<br />
B27.2 District level 67.20<br />
B27.3 State level 37.00<br />
B27.4 Other management cost (Financial Management Cost) 75.37<br />
B27.8 Mobility Support to BMO/MO/Others 1426.00<br />
Sub Total 2135.49<br />
Total for Part B 27846.42