State Health Society,Bihar

FINANCIAL GUIDELINE                     
RCH Flexipool (Part A)
Mission Flexipool NHM (Part B)
Part C to O
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A Reproductive & Child Health B NRHM Initiatives C Immunization
A.1 Maternal Health B.1 ASHA D National Iodine Deficiency Disorders Control Programm (NIDDCP)
A.2 Child Health B.2 Untied Funds / Annual Maintenance Grants / Corpus Grants to HMS / RKS Communicable Diseases
A.3 Family Planning B.3 Rollout of B.Sc. (Community Health) E Integrated Disease Surveillance Programme (IDSP)
A.4 Adolescent Health / RKSK (Rashtriya Kishore Swasthya Karyakram) B.4 Hospital Strengthening F National Vector Born Disease Control Programme (NVBDCP)
A.5 RBSK (Rashtriya Bal Swasthya Karyakram) B.5 New Constructions G National Leprosy Eradication Programme (NLEP)
A.6 TRIBAL RCH B.6 Implementation of Clinical Establishment Act H Revised National Tuberculosis Control Programme (RNTCP)
A.7 PNDT Activities B.7 Health Action Plans (including block, village) Non-Communicable Diseases
A.8 Human Resources B.8 Panchayati Raj Institutions I National Programme for Control of Blindness (NPCB)
A.9 Training B.9 Mainstreaming of AYUSH J National Mental Health Programme (NMHP)
A.10 Programme Management B.10 IEC-BCC NRHM K National Programme for the Healthcare of the Elderly (NPHCE)
A.11 Vulnurable Groups B.11 National Mobile Medical Units / National Mobile Medical Vans / Specialised Mobile Medical Units L National Programme for Prevention & Control of Deafness
    B.12 Nationl Ambulance Service M National Tobacco Control Programme (NTCP)
    B.13 PPP / NGOs N National Oral Health Programme (NOHP)
  B.14 Innovations O National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)
    B.15 Planning, Implementation and Monitoring . ............
    B.16 Procurement NUHM: National Urban Health Mission
  B.17 Drug Ware housing ** Letter Regarding Financial Guidelines
  B.18 New Initiatives / Strategic Interventions ** NUHM Financial Guidelines
  B.19 Health Insurance Scheme  
  B.20 Research, Studies, Analysis  
  B.21 State Level Health Resource Centre (SHSRC)  
  B.25 National Programme for Prevention & Control of deafness (NPPCD)  
  B.26 National Oral Health Programme  
    B.29 National Programme for Prevention & Control of Flurosis (NPPCF)  
       













A.1    MATERNAL HEALTH
A.1.1
Operationalise Facilities (any cost other than infrastructure, HR, Training, Procurement, Monitoring etc.) may include cost of mapping, planning-identifying priority facilities etc. A.1.4 Maternal Death Review (both in institutions and community)
A.1.2 Integrated outreach RCH services (state should focus on facility based services and outreach camps to be restricted only to areas without functional health facilities) A.1.5 Other Strategies / Activities
A.1.3 JSY - Janani Suraksha Yojana A.1.6 JSSK - Janani Shishu Surakhsha Karyakram
   
Financial Guideline

























A.2    CHILD HEALTH
A.2.1
IMNCI (including F-IMNCI; primarily budget for planning for pre-service IMNCI activities in medical colleges, nursing colleges & ANMTCs other training) A.2.7 Micronutrient Supplementation Programme (cost of activities except cost of procurement of supplements)
A.2.2 FBNC: Facility Based Newborn Care (SNCU, NBSU, NBCC - any cost not budgeted under HR,Infrastructure, procurement, training, IEC etc.) e.g.operating cost rent, electricity etc. A.2.8 Child Death Review
A.2.3 HBNC: Home Based Newborn Care A.2.9  
A.2.4 IYCF: Infant and Young Child Feeding A.2.10 JSSK (for Sick infants up to 1 year)
A.2.5 Care of Sick Children and Severe Malnutrition (e.g. NRCs, CDNCs, Community Based Programme etc.) A.2.11 Any other interventions (eg; rapid assessments, protocol development)
A.2.6 Management of Diarrhoea, ARI & micronutrient malnutrition A.2.12 National Iron Plus Initiative (procurement to be budgeted under B.16.2.6 & printing under IEC)
     
Financial Guideline






















A.3    FAMILY PLANNING
A.3.1
 Terminal / Limiting Methods A.3.4 Repairs of Laparoscopes
A.3.2 Spacing Methods A.3.5 Other strategies / activities
A.3.3 POL for Family Planning/ Others (including additional mobility support to surgeon's team if required) A.3.6 Family Planning Indemnity Scheme
 
Financial Guideline



























A.4    Adolescent Health / Rashtriya Kishore Swasthya Karyakaran (RKSK)
A.4.1 Facility based services A.4.4 Scheme for Promotion of Menstrual Hygiene activities (procurement to be budgeted under B16.2.11)
A.4.2
 Community level Services A.4.5 Other strategies/activities
A.4.3 Weekly Iron and Folic Acid Supplementation Programme activities (procurement to be budgeted under B16.2.6)    
       
Financial Guideline



























A.5    RBSK
A.5.1
Operational Cost of RBSK (Mobility support, DEIC etc.) A.5.2 Referral Support for Secondary / Tertiary care
 
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A.6    TRIBAL RCH
A.6.1
Special plans for tribal areas A.6.3 Outreach Activities
A.6.2 HR for tribal areas ( in addition to normative HR) A.6.4 Other Tribal RCH strategies / activities
 
Financial Guideline


































A.7    PC PNDT Activities
A.7.1
Support to PNDT cell A.7.3 Mobility support
A.7.2 Other PNDT activities  
 
Financial Guideline


































A.8    Human Resources
A.8.1
 Contractual Staff & Services A.8.1.6 Additional Allowances/ Incentives to MOs
A.8.1.1 ANMs,Supervisory Nurses, LHVs A.8.1.7 Others - Computer Assistants/ BCC Co-ordinator etc
A.8.1.2.1 Laboratory Technicians A.8.1.8 Incentive/ Awards etc. to SN, ANMs etc.
A.8.1.3 Specialists (Anesthetists, Pediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC) A.8.1.9 Human Resources Development (Other than above)
A.8.1.4 PHNs at CHC, PHC level A.8.1.10 Other Incentives Schemes
A.8.1.5 Medical Officers A.8.1.11 Support Staff for Health Facilities
       
Financial Guideline



























A.9    Training
A.9.1
 Skill Lab A.9.7 Adolescent Health Trainings / RKSK Traininigs
A.9.2 Development of training packages A.9.8 Programme Management Training (e.g. M&E, logistics management, HRD etc.)
A.9.3 Maternal Health Training A.9.9 PC/PNDT training
A.9.4 IMEP Training A.9.10 Training (Nursing)
A.9.5 Child Health Training
 A.9.11 Training (Other Health Personnel)
A.9.6 Family Planning Training A.9.12 RBSK training
       
Financial Guideline



























A.10    PROGRAMME MANAGEMENT
A.10.1
Strengthening of State society/ State Programme Management Support Unit A.10.5 Audit Fees
A.10.2 Strengthening of District society/ District Programme Management Support Unit A.10.6 Concurrent Audit System
A.10.3 Strengthening of Block PMU A.10.7 Mobility Support, Field Visits
A.10.4 Strengthening (others) A.10.8 Other Activities
       
Financial Guideline



























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.1.1.5 ASHA Resource Centre/ASHA Mentoring Group
B.1.1.2 Procurement of ASHA Drug Kit B.1.1.6 Capacity Building of ASHA Resource Centre
B.1.1.3 Performance Incentive/Other Incentive to ASHAs B.1.2 Certification of ASHA by NIOS
       
Financial Guideline































B.4  HOSPITAL STRENGTHENING
B.4.1
Up gradation of CHCs, PHCs, Dist. Hospitals B.4.1.5 Others (MCH Wings)
B.4.1.1 District Hospitals B.4.1.6 SDH
B.4.1.2 CHCs B.4.2 Strengthening of Districts , Sub Divisional Hospitals, CHCs, PHCs
B.4.1.3 PHCs B.4.3 Sub Centre Rent and Contingencies
B.4.1.4 Sub Centres    
 
Financial Guideline




































B.5  NEW CONSTRUCTIONS
B.5.1
 CHCs B.5.8 Major civil works for operationalization of 24 hour services at PHCs
B.5.2 PHCs B.5.9 Civil Works for Operationalising Infection Management & Environment Plan at health facilities
B.5.3 SHCs/Sub Centres B.5.10 Infrastructure of Training Institutions
B.5.4 Setting up Infrastructure wing for Civil works B.5.11 SDH
B.5.5 Govt. Dispensaries / others
 B.5.12 DH
B.5.6 Construction of BEmONC and CEmONC centres B.5.13 Civil work of DEIC (RBSK)
B.5.7 Major civil works for operationalization of FRUS
     
Financial Guideline



























B.9  MAINSTREAMING OF AYUSH
B.9.1
Medical Officers at DH/CHCs/PHCs (only AYUSH) B.9.3 Other Activities (Excluding HR)
B.9.2 Other Staff Nurse/ Supervisory Nurses/ AYUSH Pharmacists (for AYUSH) B.9.4 Training
   
Financial Guideline



































B.10 IEC-BCC NHM
B.10.1
Strengthening of BCC/IEC Bureaus (state and district levels) B.10.5 Targeting Naturally Occurring Gathering of People/ Health Mela
B.10.2 Development of State Communication strategy (comprising of district plans) B.10.6 Others
B.10.3 Implementation of BCC/IEC strategy B.10.7 Priniting Activities
B.10.4 Interpersonal Communication Tools for the frontline health workers  
       
Financial Guideline






























B.12  National Ambulance Service
B.12.1
Ambulance/EMRI Capex B.12.2 Operating Cost /Opex for ambulance
   
Financial Guideline

































B.13  PPP / NGOs
B.13.1
Non governmental providers of health care RMPs B.13.3 NGO Programme/ Grant in Aid to NGO
B.13.2 Public Private Partnerships (Out Sourcing set up, if applicable for State, to be budgeted under this head)  
Financial Guideline

































B.14  Innovations
B.14.1 Intersectoral convergence B.14.7 Need Based Competency Enhancement of ANM and Staff Nurses
B.14.2 HOPE (Government to Person -G2P Payment project) B.14.8 Various new innovations for NRC
B.14.3 Food Security (Social Determinants of Health) B.14.9 Telemedicine Mobile
B.14.4 GIS Based Disease Surveillance B.14.10 Sub-centre level Supportive supervision meeting to create platform for effective, quality MCH service delivery through front line workers
B.14.5 Research, Studies, Analysis B.14.11 District Innovation
B.14.6 Implementing Team Based Goals and Performance Based Incentive (TCBPBI) at sub -Centre level at sub Center level in the 10 High proirity Districts (HPDS) of Bihar for improveing coverage of key RMNCH+A Intervantaion B.14.15 Development of State of ART
     
Financial Guideline



































B.15  PLANNING, IMPLEMENTATION & MONITORING
B.15.1 Community Action for Health (Visioning workshops at state, dist, block level, Training of VHSNC, Training of RKS) B.15.3.2 MCTS
B.15.2 Quality Assurance B.15.3.3 Drugs & Vaccines Distribution Management System (DVDMS)
B.15.3 Monitoring and Evaluation B.15.3.4 Hospital Management System
B.15.3.1 HMIS B.15.3.5 On-ine OPD Registration & Drug Distribution System (Sanjivani)
     
Financial Guideline





































B.16  PROCUREMENT
B.16.1
 Procurement of Equipment B.16.3 National Free Diagnostic services
B.16.2 Procurement of Drugs and supplies      
   
Financial Guideline





































B.17  DRUG WARE HOUSING
B.17.1
Drug warehouses (include all operating costs) B.17.3 Others  
B.17.2 Supply chain logistic system    
     
Financial Guideline