|
|
|
FINANCIAL GUIDELINES |
RCH Flexipool (Part A) |
Mission Flexipool NRHM (Part B) |
Routine Immunisation & PP (Part C) |
Final Allocation |
Final Allocation |
Final Allocation |
| A.1 |
Maternal Health |
B.1 | ASHA | C.1 | RI Strengthening Project (Review meeting, Mobility Support, Outreach services etc) |
| A.2 | Child Health | B.2 | Untied Funds | C.2 | Salary of Contractual Staffs |
| A.3 | Family Planning | B.3 | Annual Maintenance Grants | C.3 |
Training under Immunisation Revised FMR - C.3.d |
| A.4 | Adolescent Reproductive and Sexual Health (ARSH) | B.4 | Hospital Strengthening | C.4 | Cold Chain Maintenance |
| A.4.1 - Adolescent services at Health Facilities (ARSH corners in 3DHs and PHCs) | B.5 | New Constructions/Renovation and Setting Up | C.5 | ASHA incentive | |
| A.4.2 - School Health Programme | B.6 | Corpus Grants to HMS / RKS | C.6 | PPI Operation Cost | |
| A.4.3 - Other Strategies / Acivities (Menstrual Hygiene) | B.7 |
District Action Plans (including block, village) Revised Sheet - 3 |
IDD (Part D) | ||
| A.5 | URBAN RCH | B.8 | Panchayati Raj Initiative | Final Allocation | |
| A.6 | TRIBAL RCH | B.9 | Mainstreaming of AYUSH | IDSP (Part E) | |
| A.7 | PNDT & Sex Ratio | B.10 | IEC-BCC NRHM | Final Allocation | |
| A.7.1 - Support to PNDT Cell | B.11 | Mobile Medical Units | NVBDCP (Part F) | ||
| A.7.2 - Other PNDT Activities (Monitoring of Sex Ratio at Birth) | B.12 | Referral Transport | Final Allocation | ||
| A.8 | Infrastructure (Minor Civil Works) and Human Resources (except AYUSH Vulnerable Groups) | B.13 | PPP / NGOs | F.1.1 | Malaria |
| A.9 | Training | B.14 | Innovations | F.1.2 | Dengu & Chikungunya |
| A.10 | Programme / NRHM Management Costs | B.15 | Planning, Implementation and Monitoring | F.1.3 | AES / JE |
| A.11 | Vulnurable Groups | B.16 | Procurement | F.1.4 | Filaria |
| B.17 | Regional Drugs Warehouses (PROMIS to be established and implemented in District Drug Warehouse) | F.2 | Kalazar | ||
| B.18 | New Initiatives/Strategic Interventions (as per State Health Policy) /Innovation / Projects (Telemedicine, Hepatitis, Mental Health, Nutrition Programme for Pregnant Women, Neonatal) NRHM Helpline as per need (Block/District Action Plans) | F.2.1 | Kalazar (World Bank Project) | ||
| B.19 | Health Insurance Scheme | Leprosy (Part G) | |||
| B.20 | Research, Studies, Analysis (Research study to be conducted on Assessment of New Initiative taken for enhancing R.I. Coverage) | Final Allocation | |||
| B.21 | State Level Health Resource Centre (SHSRC) | Blindness (Part H) | |||
| B.22 | Support Services | Final Allocation | |||
| B.23 | Other Expenditures (Power Backup, Convergence etc) | RNTCP (Part I) | |||
| B.23.a - Payment of monthly bill to be BSNL | Final Allocation | ||||
A.1 MATERNAL HEALTH |
|
A.1.1 |
Operationalise Facilities | A.1.4 | Janani Suraksha Yojna / JSY |
| A.1.1.1 | Operationalise FRUs | A.1.4.1 | Home Deliveries |
| A.1.1.1.1 | Dissemination workshop for FRU guidelines | A.1.4.2 | Institutional Deliveries |
| A.1.1.1.2 | Monitor progress and quality of service delivery | A.1.4.2.a | Rural |
| A.1.1.2 |
Operationalise 24x7 PHCs (MCH Centre) |
A.1.4.2.b | Urban |
| A.1.1.3 | MTP services at health facilities | A.1.4.2.c | C-sections |
| A.1.1.4 | RTI/STI services at health facilities | A.1.4.3 | Administrative Expenses |
| A.1.1.5 | Operationalise Sub-centres | A.1.4.4 | Incentive to ASHAs |
| A.1.2 | Referral Transport | A.1.5 | Maternal Death Review |
| A.1.3 | Integrated outreach RCH services | A.1.6 | Other Strategies/Activities (ICTC for HIV testing of ANC cases |
| A.1.3.1 | RCH Outreach Camps/Others | ||
| A.1.3.2 | Monthly Village Health and Nutrition Days |
A.2 CHILD HEALTH |
|
A.2.1 |
IMNCI | A.2.4 | Infant and Young Child Feeding/IYCF |
| A.2.1.1 | Implementation of IMNCI activities in districts | A.2.5 | Care of Sick Children and Severe Malnutrition |
| A.2.1.2 | Moniter progress against plan; follow up with training, procurement, etc | A.2.6 | Management of Diarrhoea, ARI and Micronutrient Malnutrition (38 Nutritional Rehabilitation Centres) |
| A.2.1.3 | Incentive for HBNC to ASHA/AWWs (state iniative) 3PNC for normal baby | A.2.7 | Other strategies/activities (Vitamin A Biannual round) |
| A.2.1.4 |
Incentive for HBNC to ASHA (state iniative) 6PNC for low birth baby |
A.2.8 | Infant Death Audit |
| A.2.2 | Facility Based Newborn Care/HBNC (Operationalise 40 NBSUs) | A.2.9 | Incentive to ASHA under CH |
| A.2.3 | Home Base Newborn Care/HBNC |
A.3 FAMILY PLANNING |
|
A.3.1 |
Terminal/Limiting Methods | A.3.2.4 | Social Marketing of contraceptives |
| A.3.1.1 | Dissemination of manuals on sterialisation standards & QA of sterialisation services | A.3.2.5 | Contraceptive update seminars |
| A.3.1.2 | Female Sterialisation camps | A.3.3 | POL for Family Planning (for district leve + state level monitoring) |
| A.3.1.3 | NSV camps | A.3.4 | Repairs of Laparoscopes |
| A.3.1.4 | Compensation of female sterialisation |
A.3.5 | Other strategies/activities |
| A.3.1.5 | Compensation for male sterialisation (Compensation for NSV acceptance) | A.3.5.1 | State level workshop/Review for FP |
| A.3.1.6 | Accrediation of private providers for sterialisation services | A.3.5.2 | Orientation |
| A.3.2 | Spacing Methods | A.3.5.3 | Family Planning Incentive/Award to best performer district/other personel |
| A.3.2.1 | IUD camps | A.3.5.4 | Provide IUD services at health facility (IUD camps) |
| A.3.2.2 | IUD services at health facilities | A.3.5.5 | Social Marketing of contraceptives |
| A.3.2.3 | Accrediation of private providers for IUD insertion services | ||
A.8 Infrastructure (Minor Civil Works) And Human Resources (Except AYUSH) |
|
A.8.1 |
Contractual Staff & Services | A.8.1.7 | Others - Computer Assistants / BCC Co-ordinator etc (FP Counsellors) |
| A.8.1.1 | ANMs, Staff Nurses, Supervisory Nurses (Salary of Contractual ANM/Contractual SN) | A.8.1.8 | Incentive/Awards etc. to SN, ANMs etc. (Muskan Programme - Incentive to ASHA and ANM) |
| A.8.1.2 | Laboratory Technicians/MPW (LT in Blood Banks) | A.8.1.9 | Human Resources Development (Other than above) |
| A.8.1.2.1 | MPW | A.8.1.10 | Other Incentives Schemes (Pl. Specify) |
| A.8.1.3 | Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radio-logist, Sonologist, Pathologist, Speicalist fo CHC) | A.8.2 | Minor Civil Works |
| A.8.1.4 | PHNs at CHC, PHC level | A.8.2.1 | Minor civil works for operationalisation of FRUs |
| A.8.1.5 | Medical Officers at CHCs/PHCs (Salary of MOs in Blood Banks) | A.8.2.2 | Minor civil works for operationalisation of 24 hour services at PHCs |
| A.8.1.6 | Additional Allowances/Incentives to M.O.s of PHCs and CHCs | ||
A.9 TRAINING |
|
A.9.1 |
Strengthening of Training Institutions (repair/renovation of training institutions) | A.9.6.5 | Contraceptive Update |
| A.9.2 | Development of training packages | A.9.6.6 | Other FP Training (pl. specify) |
| A.9.3 | Maternal Health Training | A.9.6.6.1 | Post Partum Family Planning ( with emphasis on IUCD insertion) Master Trainers at all 38 districts hospitals |
| A.9.3.1 | Skilled Attendance at Birth | A.9.6.6.2 | Training of Family Planning Counsellors |
| A.9.3.2 |
Comprehensive EmOC Training (indluding c-section) |
A.9.7 | ARSH Training (MOs, ANM/Nurses, Nodal Officers) |
| A.9.3.3 | Life saving Anaesthesia skills training | A.9.8 | Programme Management Training |
| A.9.3.4 | MTP training | A.9.8.1 | SPMU Training |
| A.9.3.5 | RTI/STI Training | A.9.8.2 | DPMU Training |
| A.9.3.6 | BEmOC Training | A.9.9 | Other training (pl. specify) |
| A.9.3.7 | Other MH Training (any integrated training, etc.) - Training of MOs and Paramedics at sub-district level (Convergence with BSACS) | A.9.9.1 | Continuing Medical and Nursing Education |
| A.9.4 | IMEP Training | A.9.9.2 | Post Graduate Diploma in Family Medicine for MO |
| A.9.5.1 | IMNCI | A.9.9.3 | DNB in Family Medicine for MO |
|
A.9.5.2 |
F-IMNCI | A.9.9.4 | PGD in Public Health Management for MO (IIPH) |
| A.9.5.3 | Home Based Newborn Care | A.9.9.5 | PGD in Public Health Management for Health and Management Personnel (IIPH at SIHFW) |
| A.9.5.4 | Care of sick children and severe malnutrition | A.9.10 | Training (Nursing) |
| A.9.5.5 | Other CH Training (pl. Specify) | A.9.10.1 | Strengthening of Existing Training Institutions/Nursing School |
| A.9.5.5.1 | TOT on FBNC | A.9.10.2 | New Training Institutions/School |
| A.9.5.5.2 | Trianing on FBNC for Medical Officers | A.9.11 | Training (Other Health Personnel) |
| A.9.5.5.3 | NSSK Training (SN/ANM) | A.9.11.1 | Promotional Training of health workers female to lady health visitors etc. |
| A.9.6.1 | Laproscopic Sterialisation Training | A.9.11.2 | Training of ANMs, Staff nurses, AWW, AWS |
| A.9.6.2 | Minilap Training | A.9.11.3 | Other training and capacity building programmes |
| A.9.6.3 | NSV Training | A.9.11.3.1 | Training of Faculty / Post Basic B.Sc / Basic B.Sc |
| A.9.6.4 | IUD Insertion Training | A.9.11.3.2 | Community Visit for Students and Teachers |
| A.9.6.4.1 | Training of Medical officers in IUD insertion | ||
| A.9.6.4.2 | Training of ANMs/LHVs/SN in IUD insertion |
A.10 PROGRAMME / NRHM MANAGEMENT COSTS |
|
A.10.1 |
Strengthening of SHS / SPMU (including HR, Management Cost, Mobility Support, Field Visits) | A.10.4.3 | AMC (State, Regional & DHS) |
| A.10.1.1 | Liability on current staff at prevailing salary | A.10.4.4 | AMC (Block Level) |
| A.10.1.2 | Additional manpower under SHSB | A.10.4.5 | Training on Tally |
| A.10.1.3 | State Monitoring Cell for Blood Banks/BSUs | A.10.4.6 | Training on Accounting Procedure |
| A.10.1.4 | Provision of equipment / furniture and mobility support for SPMU staff | A.10.4.7 | Capacity Building & Exposure visit of Account Staff |
| A.10.1.5 | Mobility support (District Maleria Office) | A.10.4.8 | Regional Programme Management Unit |
| A.10.1.6 | Strengthening of Directorate | A.10.4.9 | Management unit at FRU (Hospital Manager & FRU Accountant) |
| A.10.1.7 | Liability on various new posts approved in PIP 2010-11, already advertised and shortlisting underway | A.10.5 | Audit Fees |
| A.10.2 | Strengthening of DHS / DPMU (including HR, Management Cost, Mobility Support, Field Visits) | A.10.5.1 | Annual audit of the programme (Statutory Audit) |
| A.10.2.1 | Contractual Staff for DPMU recruited and in position | A.10.5.2 | Internal Auditor |
| A.10.2.2 | Provision of equipment / furniture and mobility support for DPMU staff | A.10.5.3 | TA for Internal Auditor |
| A.10.3 | Strengthening of Block PMU | A.10.5.4 | Training of Internal Audit Wing |
| A.10.4 | Strengthening (Others) | A.10.6 | Concurrent Audit (State & District) |
| A.10.4.1 | Tally Purchase for RAM | A.10.7 | Mobility Support to BMO / MO / Others |
| A.10.4.2 | Renewal (Upgradation) | ||
|
B.1 ASHA |
|
B.1.1 |
ASHA cost | B.1.1.4 | Awards to ASHA's/Link workers |
| B.1.1.1 | Selection & Training of ASHA | B.1.1.4.a | Best performance award to ASHAs at district leve |
| B.1.1.1.a | Training on HIV / AIDS | B.1.1.4.b | Rechargeable Torch to ASHA |
| B.1.1.2 | Procurement of ASHA Drug Kit & Replenishment | B.1.1.4.c | Identity Card to ASHA |
| B.1.1.3 |
Other Incentive to ASHAs (TA/DA fpr ASHA Divas) |
B.1.1.5 | ASHA Resource Centre / ASHA Mentoring Group |
|
B.2 UNITED FUNDS |
|
B.2.1 |
United Fund for SDH/CHC | B.2.3 | United Fund for Sub Centres |
| B.2.2.a | United Fund for PHCs | B.2.4 | United Fund for VHSC |
| B.2.2.b | United Fund for APHC | ||
|
B.3 ANNUAL MAINTENANCE GRANTS |
|
B.3.1 |
CHCs | B.3.2 | PHCs |
| B.3.1.a | SDH | B.3.2.a | APHC |
| B.3.3 | Sub Centres | ||
|
B.4 HOSPITAL STRENGTHENING |
|
B.4.1 |
Upgradation of CHCs, PHCs, District Hospitals to IPHS | B.4.1.5 | Others (Upgradation of 2 Health Facilties (Rajendra Nagar) Eye Hospital & Lok Nayak Jay Prakash Narayan Hospital) into Super Speciality as per IPHS |
| B.4.1.1 | District Hospitals | B.4.2 | Strengthening of Districts, Sub-divisional Hospitals, CHCs, PHCs |
| B.4.1.1.a | Construction of SNCU in 11 District Hospitals | B.4.2.a | Installation of solar water system in 25 SDH, 10 RH and 150 PHC |
| B.4.1.1.b | Upgradation of 05 DHs by increase number of Beds to 900 | B.4.2.b | Accrediation / ISO:9000 certification of 90 Health Facilities (15 DH + 15 SDH + 10 RH + 50 PHC) |
| B.4.1.2 |
CHCs |
B.4.3 | Sub Centre Rent and Contingencies |
| B.4.1.3 | PHCs (Construction of 3 Doctors & 4 Staff Quarters in 38 PHCs) | B.4.4 | Logistics management / improvement (G2P Bihar Health Operations Payment Engine HOPE) |
| B.4.1.4 | Sub Centres | ||
|
B.5 NEW CONSTRUCTIONS / RENNOVATION AND SETTING UP |
|
B.5.1 |
CHCs | B.5.6 | Consturctions of BHO, Facility improvement, civil work, BemOC and CemOC centrers |
| B.5.2 | PHCsDistrict Hospitals | B.5.7 | Major civil works for operationalisation of FRUS |
| B.5.2.a | Construction of APHC (PHC) | B.5.8 | Major civil works for operationalisation of 24 hour services at PHCs |
| B.5.2.b | Construction of residential quarters for Doctors & Staff Nurses in 38 old APHC | B.5.9 | Civil Works for Operationalising Infection Management & Environment Paln at health facilities |
| B.5.2.c |
Strengthening of cold chain (Refurbishment of existing cold chain room for district stores and earthing and wiring of existing cold chain rooms in all PHCs) |
B.5.10 | Infrastructure of Training Institutions |
| B.5.3 | SHCs / Sub Centres | B.5.10.1 | Strengthening of Existing Training Institution / Nursing School (Other than HR) - Strength-ening of Nursing Education - at IGIMS Bihar |
| B.5.4 | Setting up Infrastructure wing for Civil works (9 Executive eng., 38 Asst. Eng. & 76 JE under Bihar Mediacal Services & Infrastructure Corporation Ltd) | B.5.10.2 | New Training Institutions / School ( Other than HR) |
| B.5.5 | Govt. Dispensaries / Others renovations | ||
|
B.6 CORPUS GRANTS TO HMS / RKS |
|
B.6.1 |
District Hospitals | B.6.3 | PHCs |
| B.6.2 | CHCs (SDH ) | B.6.4 | Other (APHC) |
|
B.8 PANCHAYATI RAJ INITIATIVE |
| B.8.1 | Construction and Orientation of Community Leader and of VHSC, SHC, PHC, CHC etc | B.8.3 | Other State Level Activities (IEC + Monitoring + need based training for VHSC members in 5 CBPM focus districts) |
| B.8.2 | Orientation Workshops, Trainings and capacity building of PRI at State/District Health Societies, CHC, PHC | ||
|
B.9 MAINSTREAMING OF AYUSH |
|
B.9.1 |
Medical Officers at DH/CHCs/PHCs (only AYUSH) | B.9.3 | Activities other than HR |
| B.9.1.a | AYUSH Specialists | B.9.3.1 | Training of AYUSH Doctors & Paramedical staffs w.r.t AYUSH wing and establishment of head quarter cost |
| B.9.2 | Other Staff Nurse / Supervisory Nurses (for AYUSH) | ||
|
B.10 IEC-BCC NRHM |
|
B.10 |
Strengthening of BCC/IEC Bureaus (state and district levels) | B.10.2.3 | BCC/IEC activities for FP |
| B.10.1 | Development of State BCC/IEC strategy | B.10.2.4 | BCC/IEC activities for ARSH |
| B.10.2 | Implementation of BCC/IEC strategy | B.10.3 | Health Mela |
| B.10.2.1 | BCC/IEC activities for MH | B.10.4 | Creating awareness on declining sex ratio issue |
| B.10.2.2 |
BCC/IEC activities for CH |
B.10.5 | Other activities |
|
B.12 REFERAL TRANSPORT |
|
B.12.1 |
Ambulance / EMRI / Oher models | B.12.2.b | 1911 - Doctor on Call & SamadhanActivities other than HR |
| B.12.2 | Operating Cost (POL) | B.12.2.c | Advanced Life Saving Ambulance (Call 108) |
| B.12.2.a | Emergency Medical Service / 102 - Ambulance Service | B.12.2.d | Referal Transport in districts |
|
B.13 PPP / NGOs |
|
B.13.1 |
Non-Governmental providers of health care RMPs / TBAs | B.13.3.b | Outsourcing of Pathology and Radiology Services from PHCs to DH |
| B.13.2 | Public Private Partnership | B.13.3.c | Outsourcing of HR Consultancy Services |
| B.13.3 | NGO Programme / Grant in Aid to NGO | B.13.3.d | IMEP-Operartionalise Infection Management & Environment Plan at Health Faiclities Bio-Waste Management |
| B.13.3.a | Setting up of Ultra-Modern Diagnostic Cenres in Regional Diagnostic Centers (RDCs) and all Government Medical College Hospitals of Bihar |
|
B.14 INNOVATIONS |
|
B.14.a |
Innovations (if any) (Rajiv Gandhi Scheme for Empowerment of Adolescent Girls or SABLA) | ||
| B.14.b | YUKTI Yojna Accreditation of Public and Private sector for providing Safe Abortion services | ||
|
B.15 PLANNING, IMPLEMENTATION & MONITORING |
| B.15.1 | Community Monitoring (Visioning workshops at state, district, block level) | B.15.3.2 | Computerization HMIS and e-governance, e-health (MCTS, RI Monitoring, CPSMS) |
| B.15.1.1 | State Level | B.15.3.2.a | MCTS and HRIS |
| B.15.1.2 | District Level (Purchase of 830 mobile handsets from BSNL / By Tender Process) | B.15.3.2.b | RI Monitoring |
| B.15.1.3 | Block Level | B.15.3.2.c | CPSMS |
| B.15.1.4 |
Other |
B.15.3.2.d | Hospital Management System, Telemedicine and Mobile based Monitoring |
| B.15.2 | Quality Assurance | B.15.3.3 | Other Activities (HMIS) |
| B.15.3 | Monitoring and Evaluation | B.15.3.3.a | Strengthening of HMIS (up-gradation and maintenance of Web Server of SHSB) |
| B.15.3.1 | Monitoring and Evaluation / HMIS / MCTS (State, District, Block and Divisional Data Centre) | B.15.3.3.b | Plans for HMIS supportive supervision and data |
| B.15.3.1.a | State, District, Divisional, Block Data Centre | ||
| B.15.3.1.b | CBPM |
|
B.16 PROCUREMENT |
|
B.22 SUPPORT SERVICES |
|
B.22.1 |
Support Strengthening NPCB | B.22.5 | Contigency support to Govt. dispensaries |
| B.22.2 | Support Strengthening Midwifery Services under medical services | B.22.6 | Other NDCP Support Programmes |
| B.22.3 | Support Strengthening NVBDCP | B.22.7 | Mobility and computer facility for DMO |
| B.22.4 | Support Strengthening RNTCP |