REPRODUCTIVE AND CHILD HEALTH PROGRAMME AND CHILD HEALTH PROGRAMME AND CHILD HEALTH PROGRAMME Schemes for implementation October, 1997
Item
- Title
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REPRODUCTIVE AND
CHILD HEALTH
PROGRAMME AND
CHILD HEALTH
PROGRAMME
AND
CHILD HEALTH
PROGRAMME Schemes for implementation
October, 1997
- extracted text
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REPRODUCTIVE
AND
CHILD HEALTH
PROGRAMME
Schemes for implementation
October, 1997
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DEPARTMENT OF FAMILY WELFARE
MINISTRY OF HEALTH & FAMILY WELFARE
GOVERNMENT OF INDIA
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REPRODUCTIVE
AND
CHILD HEALTH
(
PROGRAMME
Schemes for implementation
October, 1997
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DEPARTMENT OF FAMILY WELFARE
MINISTRY OF HEALTH & FAMILY WELFARE
GOVERNMENT OF INDIA
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CONTENTS
S.No. Topies/Schemes
Page no.
1.
Overview/Background
1
2.
Achievements of goals
2
3.
4.
n
Programme Interventions
5
Funding of the RCII Programme
5
tilult) Itsvul uiid (IlHlilct hivul ollmuH
(
6.
District Projects
9
7.
Immunization/CSSM
9
8.
Essential Obstetric Care
12
9.
Emergency Obstetric Care
15
10.
24 hours delivery service at PHC/CHC
17
11.
Referral Transport to indigent families through panchayats
18
12.
Blood supply FRU/PHC
19
13.
Essential New Born Care
19
14.
Medical Termination of Pregnancy
20
15.
RTI/STI clinics
22
16.
Civil works
23
17.
Indian Systems of Medicine
24
18.
Additional Programme for Urban Slums
28
19.
Special Programme for Tribal Areas
28
20.
Special Programme for Adolescents
29
21.
Research and Development
29
22.
Training
30
23.
Information, Education and Communication
31
24.
Non-Governmental Organisations
36
25.
Management Information System under RCII Programme
39
26.
Procurement Procedures
42
27.
Funding and Reimbursement under RCH Programme
42
28.
Audit Arrangements
43
29.
Annual Performance of work plan
44
30.
Submission of Statement of Expenditure
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Ann«xiir<!«
Contonts of Drug Kit A
1
Contents of Drug Kit B
II
List of Equipment Kits A Midwifery Kit ANM
III
Sub-Centre Equipment Kit
IV
Primary Health Centre Equipment
V
Standard
Surgical Set-1 (Instruments) FRU
VI E
CHC
Standard
Surgical Set-11
F
G IUD Insertion Kit
H Normal Delivery Kit
CHC Equipment for standard surgical set-111
I
Standard Surgical Set-lV
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K Standard Surgical Set-V
L Standard Surgical Set-VI
M Equipment for Anaesthesia
N Equipment for Neo-Natal Resuscitation
O Kit-side laboratory test and blood transfusion
Materials Kit-Donor Blood for transfusion
P
List of RCH Drugs at PHC (Essential Obstetric Care Drugs)
VII
List of RCH Drigs at FRU(Essential Obstetric Care Drugs)
VIII
List of Newborn Care equipment to be supplied to health institutions
IX
List of consumable items for RTI/STI laboratory diagnosis for FRU
X
Items which will not be funded under the head
XI
Minor Civil Works in the RCH Programme
Urban family welfare centres and urban health posts
XII
Proposal for National Institute for Health and Family Welfare
XIII
to act as Nodal Agency for Training
Statements
National Institute for Health and Family Welfare(NlHFW)
1
Statement of faculty in NIHFW
II
Training courses and workshops - 1996-97
III
List of Training Institutions - State and Category-wise
IV
Proposed list of Training under RCH Programme
V
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Additional Manpower for NIHFW
VI
Illustrative costing of some training courses and
VII
norms for payment in training
Annexures
Performance indicators and agreed data sources
XIV
RCH-Component Agency-wise costing
XV
XVI(l) Format of Project Accounts
XVI(2) Project account by component
XVII Criteria for review and appraisal of annual work
programmes and budgets
XVIII Procedure for clalms/reimbursement
Forms IB Schedule of withdrawal of proceeds
Forms IC Statement of Expenditure
Annex A Details of Districts/City Projects
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46
47
48
49
50
51
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52
53
54
55
56
57
57
58
59
60
61
64
65
66
67
69
77
78
81
83
95
96
99
101
104
105
106
107
108
117
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REPRODUCTIVE AND CHILD HEALTH
PROGRAMME
1.
The Family Planning Programme was started in 1951 as a purely
demographic programme. Subsequently the element of public education and
extension was included to facilitate outcomes under the Family Planning
Programme. During the seventies, the Family Planning Programme was
focused mainly on terminal methods and the Programme received set back
due to rigid implementation of a target based approach. The Programme has,
however, remained fully voluntary and the main effort of the Government has
been to provide services on the one hand and to encourage the citizen by
information, education and communication on the other hand to use such
services. The experiences gained, within the country and outside, had amply
established that health of women in the reproductive age group and of small
children (upto 5 years of age) is of crucial importance for effectively tackling
the problem of growth of population which led to the change in approach from
Family Planning to Family Welfare. Since the Seventh Plan implemented
during 1984-89, the FW Programmes have evolved with the focus on the
health needs of the women in reproductive age group and of children below
the age of 5 years on one hand and on the other hand to provide contracep
tives and spacing services to the desirous people. The main objective of the
Family Welfare Programme for the country has been to stabilise population
at a level consistent with the needs of national development.
2.
The Universal Immunization Programme (UIP) aimed at reduction in
mortality and morbidity among infants and younger children due to Vaccine
Preventable Diseases was started in 1985-86. The Oral Rehydration Therapy
(ORT) was also started in view of the fact that diarrhoea was a leading cause
of deaths among children. Various other programmes under Maternal and
Child Health (MCH) were also implemented during the 7th plan. The
objectives of all these programmes were convergent and aimed at improving
the health of the mothers and young children and to provide them facilities
for prevention and treatment of major disease conditions. While these
programmes did have a beneficial impact but the separate identity for each
programme was causing problems in its effective management and this was
also reducing somewhat the outcomes. Therefore, in nineties i.e. in the Sth
plan, these programmes were integrated under Child Survival and Safe
Motherhood (CSSM) Programme and which was implemented from 1992-93.
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3.
4.
Various programmes have led to very substantial improvement in health
indicators. The achievement with regard to some prominent health and
population indicators is depicted in the table (next page).
However, the position is not uniform all over the country. Whereas the
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wtates like Kerala. Tamil Nadu. Goa, Maharashtra and Punjab have achieved
a considerably higher level, the states like U P. M.P., Bihar. Rajasthan, J&K,
Assam and Orissa are performing at levels much below the national level. This
has been a matter of great concern because these states also happen to be
very populous and unless performance in these states improves, the national
performance will continue to remain depressed. The results at ground level
are influenced by a number of factors like investment for the programme at
national/state level, efficiency of the state health system and response of the
people. The deficiencies in implementation of the maternal and child health
services have been responsible for a high incidence of maternal mortality and
child/infant mortality and low health status of women and children. Poor
prospect of health and life of the children is one of the prominent factors leading to
birth of more children per family. The present position vis-a-vis to past levels of various
RCH and population indicators is given in the following table:
ACHIEVEMENTS AND GOALS
V
Indicator
Past levels/achvt.
Current level
Infant Mortality Rate
146(1951-1961
72(1996)
Crude Death Rate
25.1(1951)
8.9(1996)
Maternal Mortality Rate
NA
4.37(1992-93)*
Total Fertility Rate
6.1(1951)
3.5(1993)
Male
37.1(1951)
61.5(1996)
Female
36.1(1951)
62.1(1996)
Crude Birth Rate
40.8(1951)
27.4(1996)
Effective Couple Protection Rate
10.4(1970-71)
46.5(1996)
TT (for pregnant women )
40(1985-86)
76.73(1996)
Infant (BCG)
29(1985-86)
93.12(1996)
44(1987-88)
78.91 (1996)
Life Expectancy at Birth (Years):
Immunization status (% Coverage)
Measles
• National Family Health Survey 1992-93
5
The Approach Paper to the Ninth Plan brought out by the Planning
Commission has brought out the inadequacy of the investment made for
Family Welfare. This is a severe handicap particularly when it is noted that
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in almost all respects, the health care system needs upgradation and it needs
to reach out to many more people for the national goals to be achieved. While
there is a steady improvement due to economic development, spread of
education/literacy and empowerment of citizens, substantial problems in
regard to educational literacy particularly among the weak performing states
and in regard to empowerment particularly of women, remain.
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The process of integration of related programmes initiated with the
implementation of the CSSM Programme was taken a step further in 1994
when the International Conference on Population and Development in Cairo
recommended that the participant countries should implement unified
programmes for Reproductive and Child Health (RCH). The RCH approach
has been defined as “People have the ability to reproduce and regulate their
fertility, women are able to go through pregnancy and child birth safely,
the outcome of pregnancies Is euccessful in terms of maternal and infant
survival and well being and couples are able to have sexual relations free
of fear of pregnancy and of contracting diseases". This concept is in
keeping with the evolution of an integrated approach to the programmes
aimed at improving the health status of young women and children which
has been going on in the country. It is obviously sensible that integrated RCH
Programme would help in reducing the cost of inputs to some extent because
overlapping of expenditure would no longer be necessary and integrated
implementation would optimise outcomes at the field level. During the 9th
Plan, the RCH Programme, accordingly, integrates all the related programmes
of the Sth Plan. The concept of RCH is to provide to the beneficiaries need
based, client centred, demand driven, high quality and integrated RCH
services. The RCH Programme is a composite programme incorporating the
inputs of the Government of India as well as funding support from external
donor agencies including World Bank and the European Commission.
7.
It is a legitimate right of the citizens to be able to experience sound
Reproductive and Child Health and therefore, the RCH Programme will seek
to provide relevant services for assuring Reproductive and Child Health to
all citizens. However, RCH is even more relevant for obtaining the objective
of stable population for the country. The overall objective since the beginning
has been that the population of the country should be stabilised at a level
consistent with the requirement of national development. It is now well
established that parents keep the family size small if they are assured about
the health and longevity of the children and there is no better assurance of
good health and longevity of the children than health care for the mothers
and for young children. Therefore, RCH Programme by ensuring small
families also ensures stable population in the medium and long-term, though
in the short-term, population is controlled by use of spacing methods and
terminal methods for avoiding unwanted pregnancies. Therefore, the overall
strategy of the Government of India (Department of Family Welfare) is to
simultaneously strive for obtaining Reproductive and Child Health arrange-*
ments for the whole of the country's population and to promote and make
available contraceptive/terminal methods for desirous couples. It also needs
to be observed that the measures through the health system alone do not and
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cannot assure success in either ensuring Reproductive and Child Health or
in controlling population. These objectives are determined concurrently by
the following.
Policy support expressed publicly by opinion leaders in different
sectors of the national system and by the community at large. Without
this kind of support, the receptivity of the people to make use of even
(i)
available services cannot be ensured;
(ii)
(Hi)
“ • making available Reproductive and Child
Adequate resources for
rural and urban communities in the country;
Health services of
c.all
--------
.-I-
------ 3 the health workers and effi
Accountability of performance among
ciency of the" health system. Without such efficiency the quality of
services to citizens or even effective access to health services cannot
be ensure;
(iv)
Literacy among women and educational status of families. Similarly
improvement in economic status of families, the educated and eco
nomically well-of families can more rationally assess the options before
them and acquire capability/willingness to assess consequences of
their present actions for future. Therefore the effort of the Department
of Family Welfare is to collaborate for seeking support of their
Programmes for the Family Welfare programmes. This in turn will
similarly improve the outcomes of related Programmes of those
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Departments as well.
8.
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The RCH programme incorporates the components Covered under the
Child Survival and Safe Motherhood Programme and includes two additional
components, one relating to sexually transmitted diseases (STD) and other
relating to reproductive tract infection (RTI). The main highlights of the RCH
Programme are:
0)
The Programme integrates all interventions of fertility regulation
maternal and child health with reproductive health of both men and
women;
(ii)
(iii)
The services to be provided will be client centred, demand driven high
quality and based on the needs of the community arrived at through
decentralised participatory planning and the target free approach;
The Programme envisages upgradation of the level of facilities for
providing various interventions and quality of care. The First Referral
Units (FRUs) being set up at sub-district level will provide compre
hensive emergency obstetric and new-born care. Similarly RCH facili
ties in PHCs will be substantially upgraded;
(iv)
The Programme will improve access of the community to various
services which are commonly required. It is proposed to provide
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facilities for MTP at the PHCs, counselling and IUD insertion at SCs
in a phased manner and
(V)
The Programme aims at improving the out-reach of services particu
larly for the vulnerable groups of population who have till now
substantially been left out of the planning process e.g.
Special Programmes will bo taken up for urban slums, tribal
population and adolescents;
Non-Governmental Organisations will be involved in a much
larger way to improve out reach and make it people’s programme;
Skills of practitioners of ISM will be upgraded by training and
research & development in ISM will be supported to improve the
range of RCH services and
Panchayati Raj System will have a greater role in planning,
implementation and assessment of client satisfaction.
PROGRAMME INTERVENTIONS
9.
The RCH programme will be implemented based on differential approach.
Inputs in all the districts have not been kept uniform because efficient
delivery will depend on the capability of the health system in the district.
Therefore, basic facilities are proposed to be strengthened and streamlined
specially in the weaker districts as the better-off districts already have such
facilities and the more sophisticated facilities are proposed for the relatively
advanced districts which have acquired the capability to make use of them
effectively. All the districts have been categorised into categories A (58), B
(184) and C (265), on the basis of Crude Birth Rate and Female Literacy Rate
which reasonably reflect the RCH status of the district. The districts will be
covered in a phased manner over three years. The nationally uniform and
differentiated RCH interventions would be as given on page 6.
FUNDING OF THE RCH PROGRAMME
10.
I
The estimated cost of the RCH Programme will be Rs. 5112.53 crore
during 9th Plan starting 1997-98. The RCH initiatives in the form of
nationwide programmes will cost Rs. 4565.03 crore during the Ninth Plan.
This would be supplemented by 24 District Projects in 17 States costing Rs.
283.88 crore which will be strengthened by inputs for infrastructure and
facilities to bring them up to the State level. The outlays for RCH Programme
also includes the expected IDA assistance of about US$ 250 million in the form
of RCH-II which will be available after the satisfactory implementation of first
two years of RCH Programme subject to performance review. Some more
District Projects (Rs. 263.62 crore) will be taken up during World Bank
assisted RCH-II.
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Interventions in
Selected States/
Districts
Interventions in All Districts
*
Child Survival interventions (na available under CSSM Programme)
*
Safe Motherhood interventions
(as available
under CSSM Programme)
Emergency Obstetric
Care at selected FRUs
by providing Drugs
Facilitation for operationalisation of Target
Free Approach
*
Institutional Developmeht
*
Integrated training package
*
Modified Management Information System
*
IEC activities & counselling on health, sexuality & gender
Urban & Tribal Areas RCH package
District sub-projects under Local Capacity En
hancement
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*
Minor civil works
*
Provision for Lab Technicians for laboratory
diagnosis of RTI/STI & EOC
Adolescent health and reproductive hygiene
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Rental to contracted
PHNs/ANMs, not pro
vided Govt, accommo
dation.
*
Facility of Referral
transport for pregnant
women during emer
gency to the nearest
referral centre.
ASSISTANCE FOR DIRECTION AND ADMINISTRATION-STATE
LEVEL AND DISTRICT LEVEL OFFICES
ii.
Government of India has been assisting the States for the approved
in
tP°S?Vn the Directorate of Family Welfare at the State level and
in the Distnct Family Welfare Bureaus. In addition, posts of Cold Chain
at ^strict fevel i's'b61
°ther
°f C°ld Chain mechanic
Centres and IRC
SUPP°rted by the Govt °f India. For District Training
d.st cts under D8
" nUmbCr °f P°8tS
been "“nctioned for 200
d.stncts under the varmus externally funded projects implemented in past
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Additional ANM at sub
centres in the selected
districts for ensuring
MCH care
Improved delivery ser
vices and emergency
care by providing
Equipment kits, IUD
insertions and ANM
kits at sub-centres.
Facility for Safe abortions at PHCs by provid
ing equipments, contractual Doctors etc.
*?
Essential Obstetric
Care by providing
Drugs and PHN/Staff
Nurse at PHCs
*
RTI/STI Clinics at District Hospitals (where not
available)
Enhanced community participation through
Panchayats, Women's Groups and NGds
Screening and treat
ment of RTI/STI
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years in various States. Many States have represented that some of the posts
sanctioned from national level by the Government of India in the past do not
answer the state’s specific needs. Also, some of the posts have become
redundant now because of the change in technology relating to IEC and office
management. Also a number of new districts have been created, in many States
for the last few years which have not been provided with posts at par with
old districts. Therefore, henceforth (from 1st April, 1998) States with more
than one crore population will be entitled to receive from the Government
of India financial assistance up to 8% of the grants given by the Department
of Family Welfare for direction and administration of Family Welfare
Programmes in the State. However, in this calculation the funds channelised
to the States for externally aided projects including for the RCH Programme
and kind assistance will not be taken into account. For State, having
population less than one crore (according to census) the assistance will be
12%. Such assistance for direction and administration will be subject to
actual expenditure as would be ascertained by the Accountant General of the
State. The items on which funds cannot be spent under this scheme are
purchase of vehicles, maintenance of vehicles, construction activities etc.
While remaining within these admissible limits, the States will be able to
create District Family Welfare Bureaus, training bureaus, IEC unit and Cold
Chain staff where it is not already available. In order to provide flexibility
to the States so that the actual needs of the Programme can be best served,
it has also been decided that within the above mentioned limits, the States
will be able to create or abolish posts on the basis of their assessment of
needs, subject to the assurance that they provide for at least the following
posts:
I.
State Level :
Addl./Joint/Deputy Director for Maternal Health.
(1)
Addl./Joint/Deputy Director for Child Health(2)
Addl./Joint/Deputy Director with qualifications in Population Science/
(3)
Statistics for monitoring, evaluation and statistical analysis.
Addl./Joint/Deputy Director for administration/personnel matters.
(4)
Addl./Joint/Deputy Director for financial matters.
(5)
Addl./Joint/Deputy Director for population control measures.
(6)
Engineer/Asstt. Engineer level officer for State Cold Chain.
(7)
State Media Officer
(8)
In smaller States, posts at S. Nos. 1 & 2 can be combined and similarly
posts at S. Nos. 4 & 5 and 3 & 6 can also be combined.
11.2
The creation and existence of these posts in direction and administration
is an essential condition for the grant and if any of these posts is not created
at the State level or in any of the Districts, not only this will reduce the
admissibility
of grants to the State/UTs to that extent, but the average
annual cost of such posts will be deducted from the overall grant payable to
the State/UTs. This will be to ensure that availability of these essential posts
is assured for reasonably efficient implementation of Family Welfare
Programmes.
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II.
District Level :
11.3
The States should ensure that one District Health & Family Welfare Officer
assisted by one Gazetted Officer for RCH matters, one for population control
methods, one for training and one Refrigeration Mechanic for Cold Chain
mnintonniK’o are in position in each district. Additional posts required will
be for now districts created before 1st April, 1997 (other than 466 districts).
It will be the responsibility of the States to ensure that adequate technical
and clerical assistance is provided to all the officers so that they can perform
their work competently.
11.4
As in the past, the grant for direction and administration will be released
to the States on the basis of assessed requirement for the year and
subsequently on production of audited statements by the State/UT Govern
ment the final adjustments will be made.
11.5
State/district level staff appointed specifically for Area Projects shall not be
brought under “Direction and Administration” on the completion or termination
of the Area Project.
III.
SCOVA :
11.6
For RCH implementation and flow of funds, the States who have estab
lished their ability for expeditious utilisation of funds and based on their
preference, will be provided funds through State Finance Departments as at
present. Otherwise, funds will be routed through a State Committee On
Voluntary Action (SCOVA) which will be a registered society with State Chief
Secretary as Chairman and State Health Secretary as Vice-chairman. These
SCOVAs are proposed to be strengthened with the provision of contractual
staff. For this, one Accounts Clerk and one Statistical Assistant will be
p
provided for the project in order to strengthen implementation, management
and monitoring. The number of Consultants in large States viz. Andhra
Pradesh, Uttar Pradesh, Madhya Pradesh, Rajasthan, Maharashtra, Bihar and
TamU Nadu will be 8 (eight) each, in the medium States viz. Assam, Punjab,
Haryana, Himachal Pradesh, J&K, Kerala, Orissa, Gujarat, Karnataka, West
Bengal, Delhi will be 5 (five) each and small States/UTs viz. Arunachal
Pradesh, Meghalaya, Mizoram, Nagaland} Tripura, Manipur, Sikkim,
Pondicherry, Chandigarh, Goa, A&N Islands, Lakshwadeep. Daman & Diu,
Dadar & Nagar Haveli will be 3 (three) each. Total - 153 will be appointed.
These experts may be in any of the subject areas mentioned in “Para 10-1
State level” but within these subject areas flexibility will be available to the
States. These will be appointed by State Governments for the project period
as per the requirement. In case, the funds to the State is being routed through
State budget, the services of Account clerk and Statistical Assistant will not
be available, however, services of Consultants will be available. The payment
of honorarium to Account Clerk and Statistical Assistant will be Rs. 5000 per
month each while that of RCH Consultant can be between Rs. 8000-12000
depending upon qualifications and experience for the retired Government
officer whereas the outside experts can be paid honorarium upto Rs. 18000
ft
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per month. The above appointments will be on contract basis and as per World
Bank procedure.
DISTRICT PROJECTS
24 District Projects have been prepared and approved under the World
Bank RGB project in Phase-I of the World Bank Project (Annexure-A). Some
more District plans will be taken up in Phase-11 of the World Bank Project.
At that stage, the priority will be given to those States which have not been
covered by District Projects under Phase-I.
12.
District Project Implementation Plan (DPIP) for each of the District
Project have already been made by the States and these have been approved
by the Government of India and the World Bank. These projects specify the
annual phasing of the expenditure under each area project. The Govt, of India
(Department of Family Welfare) will release grants for implementation of
these area projects equivalent to the first years assessed expenditure worked
out in the District PIP. These funds will be released on receiving a letter of
request from the concerned State Government informing that the arrange
ments for efficient implementation of the District projects have been made
by the State Government. The funds will be released to the State Government
or the State SCOVA as the case may be and they will transfer funds in turn
to the designated District authorities for implementation. The next lot of
funds for the District Projects will be released after the States report
expenditure of at least the 75% of the previous instalment of grant. Thus the
Government of India will be releasing annual grants for the District Projects,
the instalment of release from the Government of India being equal to the
corresponding year’s requirement of the District Project as reflected in the
District PIP. The States, which manage to implement the PIP items faster can
therefore, receive subsequent grafts earlier than those envisaged in the PIP.
IMMUNIZATION
J
13.
The Universal Immunization Programme (UIP) will continue to provide
vaccines for Polio, Tetanus, DPT, DT, Measles and TB. The vaccination
coverage under these Programmes achieved so far is 80-90% in different
parts of the country. The objective in 9th Plan is that 100% coverage should
be achieved for all these vaccine preventable diseases. As a supplement of the
UIP. the Pulse Polio Immunization campaign has been taken up for eradicating
Polio by the year 2000. After about 95% immunization coverage is achieved
for these vaccines nationally, special campaigns like PPI may be taken up later
in the 9th Plan for achieving near zero incidence for Tetanus among pregnant
women/newborns and for Measles.
Inputs for immunization & related programmes of CSSM
i.
For supporting Immunization Programme a Cold Chain has been
created covering all PHCs in the country. The Cold Chain staff has
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already been given to all States to ensure that the cold chain is
managed well. The present equipment for the cold chain is abou
years old and has already outlived its normal life. Therefore, to prevent
excessive break downs the cold chain will bo renewed by replacing
equipment in phases during the 9th Plan. At this stage, a need based
assessment for deep freezers and ILRs will also be made and where
necessary they will be provided in additional places. The assistance to
be available to States/UTs for renewal of Cold Chain will form part of
the sanction for Population Control Programme which will be issued
^1
as a separate scheme to States/UTs.
The assistance for the following items is being provided under the CSSM
Programme. This will continue at the level of norms indicated against each item
it
below :
(a)
Vaccines (BCG, OPV, Measles,
DPT, TT & DT
(b)
Cold Chain Items
(c)
Repair of cold chain
:
As per the number of
beneficiaries in each state/UT.
:
The cold chain established so
far will be maintained and ad
ditional items will be provided
to new health facilities e.g.
PHCs.
(
:
1
Rs 500 per PHC per year.
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Release of Assistance
e for these items will continue to be released to the
The assistance for these items will continue
the basis of number of PHCs and Cold Chain data available
States/UTs on twith the Ministry.
i.
ii.
From 1st April. 1998. the salary of staff created under U /
would not be separately provided to the States/UTs. It wid get a jus e
in the other staff covered under sub-item of the scheme under
Direction/Administration. Similarly, POL for vehicles provided under
UIP/CSSM will also be get adjusted in the expenditure on maintenance
of Family Welfare vehicle.
iii.
Assistance for reporting fee for TBAs and Mother’s Meetings will be
phased out as no longer relevant but the States/UTs can continue these
if they so desire as their liability.
iv.
v.
Also the Government of India would not be making any payment
small
for contingencies for stores/kerosene oil because it is a very
the responsibility of the State/UT
item and it is legitimately
1 „
Governments.
Dai kits where being given to the TBAs when they' were trained..This
provided by the institutions imparting training to
will continue to be i
TBAs and the expenditure would become part of the cost of training.
10
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vi.
From 1st April, 98, the needles and syringes will be provided as part
of drug/equipment kits at various levels.
vii.
The Department of Family Welfare is also assisting the States/UTs for
procurement and supply of Disposable Delivery Kits. This assistance
will continue till the system of Supply Depots at Divisional level in
States is set up. At that stage delivery kits will be procured centrally and will
be made available for use of the district health set up from the
Divisional Supply Depots.
I
Procedure for sanction/conditions regulating grants
!
It is expected that the States/UT Governments will apportion this grant to
Districts where it should be kept by the District Health & Family Welfare Officer
in a separate Bank Account so that for prompt utilisation when the need arises
becomes possible. The States/UTs will have the flexibility to increase or reduce
grants to any individual district depending on their own assessment of needs for
repairs, maintenance etc. in that district. The District Health &; Family Welfare
Officers must be instructed to adhere to the flexible approach depending on the local
situation for prompt and adequate maintenance of the Cold Chain i.e., they should
supplement the district Cold Chain mechanism with contract assignment for break
downs or by obtaining the services of locally available mechanics/workshops.
DRUG AND EQUIPMENT KITS
14.
Follo'wing drug and equipment kits were being supplied under CSSM
programme at various levels:
Sub-Centre level
PHC level
CHC/FRU level
Drug Kit-A
Drug Kit-B
Mid-wifery Kit
Sub-Centre-Equipment Kit
PHC Equipment
-Kit
Equipment Kits
Kit-E to Kit-P
The items in each kit are mentioned in the Annexure I to Annexure VI.
These kits will continue to be supplied and those FRUs and PHCs which have
not been covered so far, will be covered under the RCH Programme. In addition, a
drug kit for essential obstetric care with items mentioned in the Annexure VII will
be supplied to PHCs in category C districts. The composition of the drug and
equipment kits will be reviewed from time to time.
Procedure for Sanction/conditions regulating assistance
I
It needs to be. however, noted that the supply of these inputs in the
form of kits has the inherent weakness that such supplies presume uniform scale
of requirement all over the country which in reality is not the case. Because of this,
some items fall short of requirement in some places and some items in excess of
11
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actual requirement get supplied There have also been instances where the same
equipment has got provided under different programmes leading to duplication.
To eliminate this, the Department is attempting to set up a system at
Divmionnl level (1 divisional supply depot for each cluster of 6-10 districts) where
PRUs/PHcT nnPby et.h i(ndiVidUn‘ itOnl in reaflonably large packing. The District/
RUs/PHCs will be able to get individual items issued to them as per their
ent.tlement under the scheme in any number of installments throughout the year
llns is expected to minimise wastage of these costly inputs. The effort of the
Department is to operationalise these Depots by end of 1998.
3
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ESSENTIAL OBSTETRIC CARE (Es.O.C.)
15.
vxi.it; uiciuaes tnose items of obstetric care which anv
S °
e Pre£nancy, at least 3 pre-natal check-ups by ANM or in
dispensary for providing check-ups of essential body parameters and counse ing an inc udes detection of complications and reference to PHCs/FRUs
in cases of complication. It also includes assistance during delivery and 3
fckH Hf
t
With Similar tGSting °f basic body Parameters and
ica ion of complications including reference to PHCs/FRUs in the case
of complications.
I
Inputs
Many of these inputs are provided by ANM and her capability in this regard
wll contmue to be augmented by training and by provision of equipment/drugs
In PHCs equipments will continue to be provided where they have not been
ii.
In addition, in all Category C districts and Category B districts
including in State Health Systems Project States, the essential obstetcare. drug kit will also be provided (with items in the Annexure) subject to availability of required infrastracture. In Category A
/mm
pr°Vision of this druK wil1 be the responsibility of the
State/UT Government. In Madhya Pradesh, Es.O.C. drugs will be made
other PHCs
iii.
I
PHC8 °nly’ “ 8UCh facilities are not available in
On the same rationale, the PHCs in Category C districts will be able
h
PUbllC Hea’th Nurse/Staff Nurse on contract basis during
the RCH Project or till the State Government is able to make a regular
arrangements. In such cases, the Staff Nurse would be paid a lumpsum monthly honorarium equal to the pay at the minimum of the pay
scale in the State plus dearness allowance plus Rs. 400/- for HRA No
other allowances/increment will be paid for'the duration of the
contract. Reimbursement to States for this expenditure will be avail
able in addition to the expenditure on Direction & Administration
12
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iv.
In Category C districts the status of RCH is poor and this is
accompanied by low awareness, low educational status and frequently
lower economic status as well. The infrastructure, roads and electric
ity is also generally weak in these districts, therefore, the lesponsibility of ANM is more difficult to discharge efficiently. Therefore, in
all Category C districts of 8 States of U P, Bihar. M I’.. Orissa.
Harayana. Assam, Nagaland and Rajasthan in 30% of the Sub-Centres
which reasonably qualify to be categorised as ’remote Sub-Centres',
one additional ANM will be provided on contract basis. To qualify
being categorised as remote, each of these Sub-Centres will have to
be at least 5 Kms away from the Block headquarters. This input can
also be considered for Delhi wherein 140 ANMs can be appointed on
contract basis for extending services to slum areas through attach
ment with existing government dispensaries. On the request of
Rajasthan, it is agreed to extend the scheme of Jan Mangal for CBD
in lieu of additional ANMs wherein a Sahayika (lady helper) will be
provided to each ANM for conducting deliveries with assistance of
Sahayika. Each Sahayika will be paid Rs. 300 per month through
selected NGOs. The performance of this shceme will be reviewed on
the basis of number of deliveries conducted by ANMs in their area.
r.
On an average each sub-centre caters to the requirement of 5-6 villages and
the services to these villages need to be provided by ANM through the village
visit every week. The mobility of ANM has been found to be one of the
reasons for the poor services to villages at distance from Sub-centre
village. Therefore, in order to cater to the RCH & FP requirement of
far-flanged villages, the mobility needs to be improved. Accordingly,
loan will be provided for purchase of moped out of the corpus funds
provided under the Programme. Under the project period, it is
proposed to provide loan for upto 25% of ANMs, funds for purchase
t
of Moped.
Procedure for sanctlon/conditions regulating assistance
For getting assistance for PHNs, the State Government will be
required to authorise a Committee consisting of District Family
Welfare Officer, Civil Surgeon/CMO and District Magistrate/his repre
sentative and President of District Chapter of IMA to make appoint
ments without seeking any further approval of the State Government.
i.
ii.
iii.
The provision of drugs and PHN/Staff Nurse will be available at the
PHCs having the suitable infrastructure with delivery room, operation
theatre and 25 bedded ward with residential quarters and deliveries
being already conducted. It is expected that these facilities will be
available in about 25% of PHCs in “C” category districts & in about
50% in “B” category districts. However. SSN districts may also have
about 50% PHCs having the required infrastructure.
Whereever additional ANM are being provided on contract basis, the
13
State/UT Government will be expected to divide the jurisdiction of the
existing ANM into two and to assign one part of the divided area to
the additional ANM so that the responsibility of the existing and new
ANM will remain clear. In regard to honorarium for the additional
ANM and the method of selection/appointment, the mechanism speci
fied in regard to Staff Nurse earlier in this sub-item will apply.
iv.
The drug kits will be procured centrally and supplied to the States in kind.
Funds for Staff Nurse and Additional ANMs will be placed with the
SCOVAs/State Governments on the basis of district-wise requirements
estimated by the State/UT Governments and intimated to this Ministry.
Funds for the first year will be given in advance. For the subsequent
years, funds will be released based on actual requirements subject to
adjustments based on audited Statements of account received from
time to time.
The Government of India will release funds for being used by the State
Governments for extending loans to ANMs for procurement of mopeds
to increase their mobility. Whether the loan will be interest-free or not
will be decided by State Government. There will be no interest subsidy
from Government of India. This will enhance the capability of ANMs
to tour the villages in their jurisdiction more regularly and therefore
the effectiveness of their work will improve. The State Governments
will work out the list of remote PHCs (a remote PHC should be at least
10 K.M. away from a District and Sub-divisional head quarters) and
therefore, the number of ANMs eligible for such loans which should
not exceed more than 25% of the total ANMs in the State. On the basis
of such number the State Government will request the requirement
of funds to the Central Government. The banks or State Cooperative
Banks, the arrangements for receiving the money from Government
of India and the Corpus Fund out of which loans will be sanctioned
by their branches to the ANMs. The State Government will also have
to obtain its decision for extending interest subsidy to ANMs. The
number of ANMs to be covered, the size of Corpus Fund required, the
decision to provide interest subsidy and copy of the MOU finalised with
the bank should be furnished to the Government of India for securing
release of funds for the purpose. The State Governments will also have
to decide to authorise Drawing and Disbursing Officer for the salary
of ANMs to recover the instalment of loan out of their salary.
After the ANMs in the identified remote PHCs have been covered, the
recovery from loan to these ANMs will be utilisable for extending loan
to other ANMs and para-medical employees of the State Health and
Family Welfare Department. After these categories have been covered,
the Corpus received from the Government of India can be either
refunded back or retained by the State Government for being contin
ued for future years for extending vehicle loans on normal terms
through the designated bank.
14
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EMERGENCY OBSTETRIC CARE (Em.O.C.)
16.
Emergency Obstetric Care is an important intervention for preventing
maternal mortality and morbidity. The complications of pregnancy such as anaemia,
haemorrhage, obstructed labour and Sepsis are major causes of maternal mortality
and morbidity. If these complications are detected early and managed appropriately,
maternal mortality and morbidity can be reduced substantially. If 3 check-ups by
ANM at ante-natal and 3 at post-natal stage are ensured by competent supervision,
most of such cases of complications can be detected and attended to before they
become life-threatening. The ANM is expected to refer cases of complications during
pregnancy or at the time of delivery to PHCs/First Referral Units (FRUs).
Inputs
A total of 1748 FRUs were identified and equipped under the CSSM
Programme. However, these FRUs have not become fully operational mainly due to
deficiency in manpower of Specialists or infrastructure, equipment kits and medi
cines. The deficiencies are more in Category B & Category C districts than in
Category A. Therefore, under RCH Programme, a provision has been kept for
strengthening these FRUs through :
i.
Supply of drug/medicines;
ii.
Provision for appointment of contractual staff;
iii.
Provision of Laparoscope at district and Sub-divisional hospitals/FRUs.
iv.
Provision for providing Emergency Obstetric Care, requiring
surgical interventions, blood transfusion and anaesthesia at the FRU
level.
v.
Provision for consultant anaesthetists for Emergency Obstetric Care.
vi.
Funding training for Diploma in Anaesthesia.
Procedure for sanction/conditions regulating assistance
i.
Equipment kits (Kit-E to Kit-P) have been provided to 1748 FRUs
(CHCs/PPCs) under the CSSM Programme on the basis of identifica
tion by the respective State/UT Government where Operation Theatre,
Gynaecologist and Anaesthetist are available in these FRUs. However,
in reality this has not been found to be the case and in many places
the equipment kits are not getting utilised in the absence of one or
more of these inputs. The Government of India will provide such
equipment kits to all the remaining CHCs during the 9th Plan but after
the concerned State/UT Government is able to assure that the earlier
assiated FRUs have become operational with all the three inputs and
also after their certification that all the three inputs are available for
the proposed FRUs.
15
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ii.
Under the RCH Programme drug kit for Emergency Obstetric care
(Annexure VIII) costing about Rs. 1.65 lakh will be supplied to 3 FRUS
in Category C districts and 2 FRUs in Category B districts annually. The
State Government are expected to ensure that these drug kits are not
asked for in the districts covered by the State Health Systems Project,
where similar drug kits are being provided under the ongoing project.
12 FHU drug kits will also be provided to Delhi for 12 hospitals under
Delhi Government. In Madhya Pradesh, the selection of FRUs per district
will be such that the atleast one FRU is available in each district provided total
number of FRUs remain the same in the State.
iii.
Under the RCH Project, each district will be assisted to engage 2
Laboratory Technicians for doing routine blood, urine and RTI/STI tests at
FRUs if such technicians are not already available. In regard to their
honorarium and selection system, the mechanism mentioned for Staff
Nurse in the item relating to essential obstetric care will be applicable.
iv.
With regard to Anaesthetists, it is necessary to scrupulously follow the
qualifications laid down by the Medical Council of India (MCI). MCI
has prescribed that the job of Anaesthetist can be performed by a person
havi ng M BBS degree and a degree (3 year) or diploma (2 year) in Anaesthesia.
It is prudent not to dilute these qualifications because in the case the persons
and hospitals may be exposed to claim of damage in a court of law. Since
there is a shortage of Anaesthetists in most of the State, it is suggested that
State Government may persuade one or more Medical Colleges to start
diploma course for anaesthesia for which the assistance will be povided from
Government of India under the Training Programme. The States may
work out their requirements and make proposals for increasing seats
in Medical Colleges for Diploma courses in Anaesthesia in consultation
with MCI. These seats should be available to the medical officers in
State health services and the officers sponsored for . these courses
would be required to fill up a bond binding them to serve the State
Government for a minimum period of 3/5 years. To tide over the
immediate needs, States would be permitted to engage the Anesthe
tists in the private sector on a payment of Rs. 500 per case and this
facility will be available at Sub-district and CHC levels but only for
Emergency Obstetric cases.
v.
The Department of Family Welfare has been providing Laparoscopes
to the State for promoting tubectomy operations by laparoscopic
method. Tubal rings are also supplied by the Department of Family
Welfare. This method of tubectomy is very popular in many parts of
the country. The Department of Family Welfare will supply Laparoscopes
to all CHCs which already do not have it and if the State/UT
Government concerned makes demand, but it will be conditional that
- within 6 months of the demand being placed and before actual supply
of a Laparoscope, the State Government will have the doctors trained
in laparoscopic technique. Facility for training for use of this tech
nique will be available from the Government of India under the
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Training Programme being implemented through the National Insti
tute of Health & Family Welfare.
vi.
The drug kits will be procured centrally and supplied to the States in
kind. Funds for contractual staffs will be placed with the SCOVAs/State
Governments on the basis of district-wise requirements estimated by
the State/UT Governments and intimated to the Ministry. Funds for the
first year will be given in advance. For the subsequent years, funds
will be released based on actual requirements subject to adjustments
based on audited statements of account received from time to time.
vii.
Certain items of drugs and Equipment Kits like Inj. Pethidine, require
excise permit at local level. Other items like oxygen and other gases
will also need to be replenished at local level. These will, therefore, not be
supplied in the kits. The States/UTs will be provided funds for
procuring these items based on the actual number of kits to be
supplied in each State. Procurement of cylinders will be a one time
activity and arrangements for replenishment of gases will have to be
made locally depending on the local requirement.
1 ■
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24 HOUR DELIVERY SERVICES AT PHCs/CHCs
One of the reasons de-motivating people from seeking deliveries in
17.
PHCs/CHCs is non-availability of medical/para medical/cleanliness staff beyond
normal working hours and lack of attention to the patients in the dispensaries/
hospitals. Therefore, under the RCH Programme attempt will be made to set up 24
hour delivery services in CHCs/PHCs in as many districts as becomes feasible.
Inputs
The arrangement in this regard would involve a mechanism for the doctor
to be available on call, at least one nurse being available beyond normal working
hours in the CHC/PHC and cleanliness services being available similarly beyond
normal working hours. The later two items can be additionally arranged on contract
basis either through some agency or by engaging recently retired persons available
in the same locality.
i.
It is suggested that State/UT Governments should make project
proposals with district as a unit envisaging such facilities in all CHCs/
PHCs. The project should envisage:
coordination and monitoring by the district RCH officer.
*
ii.
honorarium to the CHC/PHC doctor at the rate of Rs. 200/- per
delivery conducted by him/her between 8.00 p.m. in the evening
and 7.00 a.m. in the morning, provided the doctor is not on night
shift duty and;~~’
honorarium to the contractual staff (nurse and cleanliness ser
vices).
The Govt, of India is initiating this arrangement for encouraging
17
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AW
institutional deliveries which would have its beneficial impact on
maternal mortality and morbidity rate as also on the health and well
being of the new born It is envisaged that after these facilities
get fully set up and known to the people and the benefits become
apparent to all concerned, the State/UT Governments will take over
responsibility for maintaining this facility after the first 5 years.
The State/UT governments are required to send project proposals for
this activity. The larger States may initially include upto 4 contiguous
districts in the proposal while the smaller States/UTs may submit
proposals for one district. While submitting the proposals details of
infrastructure in these districts along with manpower (particularly
lady medical officers and staff nurses) in position. During the first
year funds will be released to the States/UTs on receipt of these
proposals. In subsequent years, the funding for these projects will be
regulated on the basis of implementation report for individual dis
tricts. In States/UTs where achievement is satisfactory, the coverage
iii.
of districts will be extended.
REFERRAL TRANSPORT TO INDIGENT FAMILIES
THROUGH PANCHAYATS
18.
In weakly performing 8 states, particularly in ,C’ Category districts
of these States the communication infrastructure is weak and the economic status
of many families in almost every village is also very low. Because of this, even i
there is a complication identified during pregnancy or delivery, the women have the
delivery conducted in the village and frequently through untrained persons. This
is one of the causes of high maternal mortality and morbidity.
Inputs
To assist the referral of women from indigent families, in 25% Sub
Centres of ‘C* Category districts of 8 weakly performing states (U.P.,
Bihar, M.P., Rajasthan, Orissa, Assam, Nagaland and Haryana) a lump
sum financial assistance will be made available to Panchayats through
ii
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District Family Welfare Officers.
ii.
In the first year, Hs. 5,000/- will be placed at the disposal of the
Panchayats in the beginning of the year, Hs. 4,000/- in the second year,
Rs. 3,000/- in the third year, Rs. 2,000/- in the fourth year and Rs.
1,000/- in the fifth year.
iii.
The States of Delhi, Karnataka, Maharashtra and West Bengal will be
facilitated to develop and implementation of suitable referral system
for emergency cases in a phased manner.
Procedure for sanctlon/conditions regulating assistance
The States will be required to submit proposals indicating the name
of district, total number of sub-centres and the number of sub-centres
18
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and Panchayats to be included in this activity.-On receipt of the
proposals, funds for the first year will be placed at the disposal of
SCOVA/State Governments who will in turn release it to the Panchayats
through the District Family Welfare Officers.
Before releasing the amount for the second year and onwards, the
Panchayat will have to give the following details to the District Family
Welfare Officers:
ii.
the name of woman assisted;
the name of dispensary/hospital where delivery was conducted;
and
♦
the amount spent on transport and a valid receipt for payment
of transport.
The District Family Welfare Officer will be required to get verification
done from hospital records in 10% of cases reported to have been
referred to hospitals.
iii
This assistance will be used only for procuring and paying for the
transport for carrying the women to the PHC/CHC for delivery. It is
expected that after the benefit of this scheme is realised by the
Panchayat, it will take on the responsibility for maintaining this
facility in subsequent years.
BLOOD SUPPLY TO FRUs/PHCs
A
In many cases of Emergency Obstetric Care and in some cases of
Medical Termination of Pregnancy (MTP) blood transfusion is needed. At present
there is generally no arrangement foY regular and reliable blood supply to the CHCs
and PHCs for this purpose. As a result even through the infrastructure and the
qualified manpower may be available such cases are not handled in these PHCs/CHCs
.or if they are handled, the mortality and morbidity rates are high.
19.
!
Inputs
The Department of Family Welfare will be taking up pilot projects with
the assistance of European Commission under the RCH Programme for
setting up of regular and reliable supply blood to PHCs/CHCs by linking them
with the nearest District Blood Bank. These pilot projects will be framed in
consultation with the State Governments concerned and if an efficient
mechanism gets proven through these pilots projects, the facility will be
extended on that basis under the EC funded component of the RCH.
f.
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ESSENTIAL NEW BORN CARE
l
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20.
Although neonatal mortality is showing a consistent decline, it still
contributed to 63.7% of all infant deaths during 1993. The high incidence
of low birth weight babies is a common contributory factor in neonatal
19
deaths. The major causes of neonatal mortality have been identified as
Hyperthermia, Asphyxia and infections. Simple, cost effective, indigenous
technology is available to provide essential newborn care at the field level
to manage the direct causes of neonatal mortality. Provision of essential
newborn care will thus not only improve the overall quality of services
provided by peripheral health facilities but also contribute to decreasing
neonatal morbidity and mortality.
Inputs
Under the CSSM Programme essential equipment listed in the Annexure IX.
has been supplied to the District Hospitals, CHCs/FRUs and PHCs in 26
districts through WHO assistance.
L
ii.
Where deliveries are being conducted regularly in the PHCs this
equipment is essential for ensuring care of the new born babies.
Therefore, during the 9th Plan under the RCH Programme this
equipment will be supplied to all District Hospitals, CHCs including
all FRUs and the PHCs at block level.
Procedure for sanction/conditions regulating assistance
These equipments will be provided at the district level on the condition that
the State Governments certify that regular deliveries are taking place in the
proposed hospitals/CHCs/FRUs and Block PHCs and that at least one lady medical
officer/staff nurse are in position in the facility.
MEDICAL TERMINATION OF PREGNANCY (MTP)
V
21.
Medical Termination of Pregnancy (MTP) is permissible under certain
conditions laid down in the Medical Termination of Pregnancies Act, 1971. However,
MTP should not be a mechanism for restricting family size or for avoiding unwanted
births in routine. Although officially the MTPs in the country is only about 6 lakh
in a year but various experts/studies have estimated the actual number to be in the
region of 4 million or more per year. Such MTPs (unsafe abortions) in unauthorised
places where the essential facilities are not available and where sometimes even the
person performing MTP is also neither qualified nor experienced are causes of many
deaths and morbidity on a much larger scale. Therefore, increasing and improving
facilities for MTP is an important component of the RCH Programme.
Inputs
Need based training arrangements in MTP are being set up under the
training programme being organised through the National Institute
of Health and Family Welfare. The State/UT Governments have to
ensure that initially at least one team (Medical Officer & Staff Nurse)
is trained for every hospital at district and sub-district level.
ii.
Under the RCH Programme the Government of India will provide MTP
equipments wherever Doctors trained in MTP procedures and opera
tion theatres are available in District Hospitals, CHCs and PHCs.
20
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Hi.
To supplement these regular arrangements the Government of India
will also provide assistance by taking districts as units for engaging
Doctors trained in MTP to the PHCs once a week or atleast once in
a fortnight on a fixed day for performing MTP. These doctors will be
paid at the rate of Rs. 600 per day visit. Those doctors will also provide Ante
Natal Care and Post Natal Caro to the patients during thoir visit.
iv.
In view of the importance of ensuring adequate facilities for MTP in the interest
of women’s health equipment assistance will be similarly provided to well run
and competent medical clinics in the Non-Government sector if they have
operation theatre and trained doctors/nurse.
v.
In some states like Manipur, Mizoram, Sikkim etc., the facility for
provision of MTP services will not be made available below sub-district
level and in Madhya Pradesh, the MTP facilities will be made available
only in Block level PHCs and not in all PHCs.
5
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Procedure for Sanction/conditions regulating assistance
The MTP equipments have already been supplied to a large number
of the District Hospitals and CHCs in the past. However, it is not being
optimally utilised because trained doctors are not always available in
these places. Therefore, on certification from the State or the UT
Government concerned that doctors have been trained in MTP proce
dure. MTP equipment will be supplied :
i.
4
*
In the first stage to all District Hospitals and CHCs where it is
not already available;
•
After all CHCs in a particular state are covered, MTP equipment
will be similarly supplied to PHCs on certification from the State
Government that atleast one doctor and one nurse in the PHC
has been trained in MTP procedure and operation theatre is
available in a functional state; and
♦
In all these hospitals/dispensaries a board should be prominently
put up to inform the people that MTP facilities are available in
the hospital/dispensary.
I
ii.
The payment of contractual service fee of Rs. 500/- will, however, not
be available to those Government Doctors who are substantively
posted in PHCs but are attached to District Hospitals.
Hi.
The utilisation of this contractual facility will be monitored by the
State Government and the Government of India and where the
utilisation is found to be only nominal, this input will be stopped
subsequently.
iv.
The clinics where the MTP equipment is to be provided in the NGO
sector, should be under the management of a reputable NGO or a
Trust. Their doctors will also be eligible to deceive training free for
MTP and if they have atleast one doctor and one nurse trained in MTP
and they also have a functional operation theatre they can be provided
-
21
V.
• -n the rocommeShould be endorsed by
MT I’ equipment on
Such recommendation t
of the district.
Officer, t
'/Chief Medical Officer
geon/ I centrally and
kits will be procured
will be placed
^matedbytheState/UT
The M'ri’
irements
c
kind.
■ ■ this Ministry Funds. for ^rw.n be
Cover
For the subsequent tTSustments based
■■•’"‘""“‘•ivea from un»
released based on
of account receiv
on audited statements
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Action <sti> CLINICS
clinics
—?^TTErT
22
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of Reproductive
The incidence
■r high
and
Infections is very
round 20-30% in
incidence is ai.
■ . morbidity among
Of considerable
the new born also .
so far.
the health c.
on a sound basis
not been set up
•.U'L I
1
FRUs in category•; and three
,.C districts will be
. in category-’
'this input is not
However, t-
sdlxricls.wo'X^ETl/STl clinics. 1setting up
XSaX districts
-2.
in BBS psolec. State.
w
h.
Bow
be in the form of
India will and in the form of
:h NIHFW
(items are listed m
equipment
3X=«
a Drug
Annexure X)
»s«i»tance
• —! facilities
for .anction/condltion.
ciinic and these
procedure
!Ondition that:
t° ensure that
readily, it will be ac<
In order
for Male
i.
rTI/STI are availab
adjOining rooms, one
to
KTI/ST1
for
attaining
will
the ^XTtheVh'Tfor
Lady Doctor for
'
♦
and the other for
d. rTi/STI will be made exclusively availabte
a board mentioning the
rooms.
RTI/STI clinic,
above these
1
•& I
1
li
i|
1
al
?I
iI
|
II
I
I
State Government
hp certified by the
nment of India.
"X'“"'Liub..»‘»«G»-"'
ii.
Thl.
iii.
“^nstsuppKca^hsw.
22
b_.
will be put
i
kits Will be supplied
n
I
u
CIVIL WORKS
23
Although infrastructure to a large extent has been built up for the
District Hospitals, CHCs and PHCs. but small items are lacking in many places or
in some of the major constructions, upgradation of facilities to some extent is
needed. It is necessary to upgrade these facilities because of the increased
sophistication in medical inputs under the R('H Programme so that small deficien
cies do not prevent the benefits of RCH Programme reaching to the people.
Inputs
A lumpsum financial assistance to the extent of Rs. 10 lakh per CHC
(District Hospital will also be provided Rs. 10 lakh) will be provided
to every district for constructing operation theatre or labour room,
providing water supply or electricity facility where it may not be
available or for upgrading these facilities where they require improve
ment.
ii.
The district will have flexibility of providing more amount in a CHC
if less than this amount is required for some other CHC. However, the
money meant for CHCs will not be diverted for use in District
Hospitals
iii
Similarly a lumpsum of Rs. 10 lakh to each district will be provided
for minor civil work providing water supply and/or electricity facility
in the PHCs or for their upgradation if it is already provided in part.
This money will also be available for upgrading the facilities in labour
room or repairs in the PHCs if it is needed.
Procedure for sanction/conditions regulating assistance
1
In all these cases estimates for new facility, upgradation, repair will be
prepared for each hospital/dispensary through the authorised agency of the
State/UT Government and money will be claimed from the Government
of India only on that basis. Proposals for whole district will be
submitted in one lot (It will not be necessary to submit copy of estimate
to Government of India).
ii.
In case of construction of labour room and operating theatres, civil
works drawings should be in accordance with the agreed Civil Works
Manual. No prior review of drawings by the World Bank would be
necessary, but the State would have to certify that the construction
is in accordance with the Manual. Civil Works contract estimate to cost
more than $25,000, the bid documents for the first three such
contracts from each State would require prior review.
iii
The State/UT Government will have to certify while making proposal for the
assistance that the amounts are based on the estimates prepared by the
authorised agency.
iv.
Items which are not to be funded out of the funds indicate at para (iii)
of inputs for civil works are given at Annexure XI
1
23
L
li
INDIAN SYSTEMS OF MEDICINE
24.
Considering that about half of the population according to some
estimates depends on the Indian Systems of Medicine for health care, the Repro
ductive & Child Health for the whole population of the country cannot be assured
without involving the Indian Systems in a large and meaningful manner. The
Ayurveda and Unani Systems in this regard are particularly important. About 5 lakh
practitioners of these disciplines mostly in the non-governmental sector are spread
out in different parts of the country. These systems have the additional advantage
that a large proportion of their practitioners are located in the rural areas where
the reach of the modern system is weakest. The Indian Systems are known to have
many efficacious practices and remedies for a number of conditions of women and
children. These systems generally do not have side-effects also.
I
*1
4
There are three specific programmes on ISM which will be implemented under
the RCH Programme.
24.1
Training of ISM practitioners
I
It is neither feasible nor recommendable to create a parallel extensive system
of dispensaries and hospitals of ISM to provide RCH facilities through Indian
Systems to the citizens. Therefore, the RCH Programme does not seek creation of
any posts or proposal for construction of building for ISM dispensaries/hospitals.
The RCH programme will confine itself to tapping
large resources of ISM
practitioners in the non-governmental sector. These persons need to be oriented in
RCH concept and framework. Their professional skills also need to be revised and
upgraded through training, particularly, in areas relevant to RCH.
■
Inputs
Short-term training of 2-4 weeks will be provided to ISM practitioners, both
in the Government and non-government sector through ISM Medical Colleges which
have maintained good standards. These Colleges will be provided financial assistance
for imparting these training courses on the basis of norms available for similar
scheme under the “Training” head.
24.2
Improving awareness and availability of ISM remedies
The Indian Systems have relied over generations on medicinal plants available
in the neighbourhood and knowledge about use of such medicinal plants and other
easily available medicinal products (like condiments, herbs, etc.) passed on from
generation to generation through the family elders. Because of pressure of popu
lation the cultivation of food grains and commercial crops have progressively
practically eliminated locally growing medicinal plants and because of the vast
changes in the social system, the family traditions have also become weak.
Inputs
i.
To address both these problems and to resurrect a highly cost effective
preventive health and medical care system, the NGOs will be assisted
24
..
h
A
for raising nurseries of medicinal plants which are known to grow in
that particular area. They will distribute the medicinal plants free of
charge to desirous families and village level ISM practitioners.
I
ii.
These practitioners will bo encouraged to grow those plants over a
somewhat larger piece of land about 1-2 acres (if that can be managed.)
This will enable the products of these medicines to be not only readily
available but to be available in a pure form.
iii.
The NGOs will also be simultaneously assisted to do extension work
and educate local population about the uses of locally available
medicinal plants for preventive health and for curative purposes.
iv.
In order to ensure impact, NGOs will be asked to take up this work
on a project basis for a district and only a few of the NGOs with proven
larger capability will be assigned more than one district. The items
of assistance will be as indicated above.
Procedure for sanction/conditions regulating assistance
24.3
i.
It is not possible to lay down norms for assistance for each item
because area of each district will be different and the programme
proposed by the NGO may also differ somewhat from project to project.
ii.
However, value of a district project of one year will generally not be
more than Rs. 15 lakh.
iii.
These projects will be sanctioned by an Expert Committee headed by
the Secretary, Department of Family Welfare which will also consider
research projects for ISM.
iv.
While evaluating the performance of the NGOs, their effectiveness will be
adjudged on the basis of their motivation among, the people for
maintaing these plants for medical purposes.
Research in ISM
While there is extensive literature going back 2500 years to Charka Samhita
mentioning practices and cures, a deficiency of the ISM is that objective data
through clinical trials and laboratory work has not been generated to prove the
extent of efficacy of individual prescriptions/cures. As a result a large variety of
cures and practices are prescribed by the practitioners leading to varying results.
It will be beneficial if the cures mentioned in the texts are systematically taken up
and subjected to laboratory investigation and clinical trials so that their efficacy is
established or disproved. This will allow the most effective cures out of the many
recommended for a particular condition to be identified, which then can be
propagated for extensive use for the benefit of patients.
Inputs
i.
Research projects through ISM research institutions will be supported
25
u
nnanciahy by the Department in areas of rdevance to KCH.
Procedure for sanctlon/condltions regulating assistance
To consider the project proposa.s and to
i.
‘X "m
as to monitor progress of the research proj . , <
_
welfare
under the Chairmanship of Secretary. Department of lannly
will he constituted.
Each research project will be required to associate a
familiar with modern research to ensure objectivity.
ii.
researcher
and regulate release of grants for subsequent years.
no sanction wiU be considered tor regular P““m”
Assistance will also bo provided lor ’O”"’™" I
gencios and expenses on patients In ease of clinical trials
24.4
ThZVorests have been the traditional ^^^^X^X^ation^TtMs
population pressure on the one hand t ere' “
b are ghrinkjng. Therefore,
resource and on the other hand t e ores 8
population of Indian System, the
while due to increasing population an^Cf^
Viability is decreasing. More
demand for ipedicmal plants is Krow ®
’
aiready on the endangered list,
than 150 out of about 1200 medicinal plants are aireany
X“.. sy.un,. b.».« b. Uu>i.ea in •
i
sanctlon/condltions regulating assistance
1
I
I
I
I
■11
I? I
I
11
•SI
i
11
I
1
Societies Registration Act.
ii.
II
“ ““"2
to augment availability of medicinal plants in amea
to do this on a limited scale by taking up o
denuded forest land of 3000-
Procedure for
11
i1
sI
iii
iv.
-I I
The society :
will be headed by a Forest Officer to ensure cooperation from the
will be neaaea oy a
qoeietv will have one nominee of
State Forest Department. The bocievy wm
its Executive Committee.
26
1
t
u
1
1
'1
It will have a fuiuiII compliment of staff conHisting of Forost.
Agriculture, Botany, Ayurveda and Unimi professionals. This will
generally not be more than 15.
•
111.
'rhe State will have to identify almost a continuous patch of land over
3000-5000 hectares of denuded or degraded forest land including
wastelands. The project will envisage identification of 100 or more
medicinal plants which grow naturally in that agro-climatic condition
and to raise a sufficiently large plantation of each of these plants in
the Vanaspati Van to have impact on availability in the region.
iv.
Since many of the Ayurveda medicines are in the form of fruit, roots
or bark, the produce will not be available before 5-8 years. In the case
of shrubs and leaves the produce may become available in 1-3 years.
Therefore, assistance will be provided under the project for 5 years
after which the Vanaspati Van will be expected to produce enough of
medicinal plants to sell them in the market and to support itself and
preferably effect some savings by way of profit.
v.
Each Vanaspati Van:
£
*■
•=
•
•
a
will be assisted by an Advisory Committee of 1 expert of
Ayurveda, 1 of Botany and 1 of Agriculture/Forestry who will visit
the Vanaspati Van at least every quarter and provide guidance
and supervision.
Each Vanaspati Van will also require a small compliment of staff
headed by a Manager of the rank of a District Officer assisted
by about 6 persons of agriculture, management, marketing,
accounts and stores.
In addition, it will have to engage some workers for raising
plants and looking after the plantations.
•
vi.
ii
V
?•'
u
v\
The Vanaspati Van may require protection by way of fencing
along its parameters.
All these inputs will be worked out in the form of a project report
which may be prepared by the State Government. It is envisaged that
one Vanaspati Van may require upto Rs. 1 crore per year by way of
assistance through its 5 year period. Each project proposal will be
considered by the Expert Committee constituted for research projects
in ISM.
While the primary responsibility for development of Indian Systems of Medicine
is of the Department of ISM&H, that Department does not presently have
access to resources. Accordingly, it is not able to take up meaningful
programmes for harnessing ISM for RCH. Therefore, after the Department of
ISM&H is able to develop the full range of programmes, which may
be by the end of 9th Plan, some of the foregoing programmes through
the Department of Family Welfare can be transferred to the Depart
ment of ISM&H in the subsequent Plans.
27
d
ADDITIONAL PHOGllAMME FOR THE URBAN SLUMS
It is estimated that about 9 crore people are residing in urban slums
25.
and in some of the towns like Delhi and Bombay the urban slum population is more
than 30% of the total city population. It is well known that sanitation and health
facilities in urban slums are extremely poor. RCH status of urban slums population
is poorer than even the national average. This population is also characterised by
large family size, high birth rate and high infant as well as maternal mortality. The
incidence of diarrhoea, malnutrition and vaccine preventable diseases is also much
higher in this population. Unfortunately, these areas have not received much
attention in the past. Even though they are in the urban areas, they tend to be away
from the city hospitals and therefore, are effectively not covered by good city health
services.
.1
if
I
•?
Inputs
r‘
In previous Plans, Family Welfare Centres and Urban Posts have been
created. The details of the posts available at the Urban Family Centres and the
Urban Health Posts are at Annexure XII. These are generally not located in the slum
areas.
S;
’
An expert committee has been appointed in the Department of Family Welfare
to recommend an appropriate and effective Family Welfare set up for the urban
slums. The report of that Committee is expected shorty and the special Family
Welfare Programme for urban slums will be worked out on the basis of its
recommendations.
SPECIAL PROGRAMME FOR TRIBAL AREAS
26.
There are extensive tribal areas in the country. These are generally
characterised by low density of population, long distances and small hamlets/
villages. Because of poor communication, lower than average educational
participation and generally low economic status of families the RCH status of this
population is also generally poor. While the health infrastructure as it exists in
other parts of the country has been put in places in tribal areas also because of
their special characteristics the benefit of Family Welfare Programmes is not
getting passed on to the citizens in the tribal areas to the extent it is happening
elsewhere.
Inputs
In view of the extensive tribal area and fairly large tribal population in the
country it is necessary to put in places a special programme package for tribal
areas so that the Family Welfare Programme can be brought within reach of
individual families effectively. A Committee of experts has been constituted in the
Department of Family Welfare to work out appropriate package of Programmes, for
the tribal areas. The report is expected shortly. Based on the.recommendations of
this Committee the special package of Programmes for tribal areas will be worked
out.
I
•■ff
’■i
*
i
11
1
ii
I
$
I
28
■j
k.
SPECIAL PROGRAMME FOR ADOLESCENTS
I
is
I
<
27.
Adolescents constitute a large segment of population which is of
special significance for the RCH status of the population at large, more so because
adolescents will shortly join the reproductive ago group. The special needs of
this segment of population have not been addressed adequately in the past. This
is an important segment to be addressed because if their needs are adequately
provided for, the impact of RCH on population in the reproductive age group will
not be much.
A Committee of exports has been constituted in the Department of Family
Welfare to work out appropriate package of Programmes and its report is expected
shortly. Based on the recommendations of this Committee the special package of
Programmes for adolescents will be worked out.
I
$
t
I
r
RESEARCH AND DEVELOPMENT
28.
The need of Research and Development in areas related to RCH is
extensive. Up till now, the research effort in the country has been very modest
because the financial support for R&D from the Department has been nominal. The
result of this situation has been that practically all drugs and practices relating to
RCH have been taken from the western countries as far as Modern System of
Medicine is concerned.
The arrangement has been that the Departments relies exclusively on the
Indian Council of Medical Research (ICMR) for Research and Development. ICMR
takes up research and studies through its own chain of 33 branches/laboratories.
Two of these laboratories, one at Hyderabad is focused on nutrition and the other
at Bombay is focused on reproduction studies/research. In addition the ICMR
entertains proposals from other medical research institutions in the country and
funds them for research. While some good research studies have been made in this
manner, a common feeling has been that the research has been modest and the
research projects have tended to be inconclusive for long years.
Inputs
i.
In view of foregoing, the Department of Family Welfare will continue
financing R&D through ICMR to the extent R&D projects are taken
up in its own laboratories.
ii.
Department will also continue to provide financial support for part of
the expenditure on headquarters and the two institutes at Hyderabad
and Bombay.
iii.
In addition to such R&D through ICMR, the Department will entertain
proposals in the form of projects from other research institutions in
the country in areas relevant for RCH. Dr. Roy Chowdhary Committee
29
L
i
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u
minted by the Department has recently identified some 80 research
"».»■.■«»
««• ................ ....................... .........................................
Family Welfare for research.
In addition if some other project proposals with important
XX Bubmilted to th. D.p.rtkt.nt, th... wilt ...» b. ......
iv.
The Department will also consider support to basic research and
ine uepaiunv
nnw fhnno-h on a limited
operations research in areas relevant for RCH though on
scale in view of the limited availability of resources.
v.
The conferences and seminars are essential for promoting R&D in the systerm
They^rovi^m^portunfty to researchers for presenting the residtsofthe^r research
vi.
and studies to the peer group for valuable comments an
enable the results of R&D to be disseminated among .the P^rt c.pa
Therefore the Department will extent financial assistance to
established NGOs and research institutions to the extent o up o
.
2h“or ..mta^wo.k.h.p.. up.. »•. 3
upto Rs. 5 lakh for international conferences based on their proposals
. .
volunteering item wise requirements.
assistance.
Procedure for sanctlon/condltlons regulating
i.
basis.
The ICMR will also be helped to take up projects beyond this si« through Hs
own internal sanctioning mechanism but for each such project the IC
furnish a copy of the project proposal mentioning the subjec o
’
organisational arrangement for researcn, duration of the p J
financial implications and annual milestones expected.
it
/I
"I
1
11
I
ri
I
3S
1
■»
iii.
The project proposals by other Research Bodies will be considered by an
Expert Committee headed by the Secretary, Department Family Welfare an
existing of RCH experts. The Committee will also annually
progress of the research projects sanctioned on its recommendations in
reference to the milestones volunteered in the sanctioned proj
training
29.
.aawon,
:=—==—
-«l b. ptorf •«
« n.o.ssary for th.
ruhcttonari.. of other reMed d.parttn.ttU whose “^’'"““Xork of Trsintap
success of the Family Welfare Programme. An extensive net
30
’i
■'41
r
u
institutions esscntirdly consisting of 513 ANM Training Schools, 45 LHV I raining
Schools about 200 district Training Cent res, 47 Health and Family Welfare 1 raining
Centrcs’besides Stale and K<‘gional Institutes of Health and Family Welfare. Medical
Colleges and National Institute of Health
Family Welfare have been set up and
maintained during the last many decades. The training will be conducted in
accordance with the guidelines for '’Inservice Training for the Family Welfare
Programme" brought out by Ministry of Health & Family Welfare in 1996.
r-
r
The National Institute of Health and Family Welfare (NIHFW) will be nodal
agency for co-ordinating all training programmes of the Department of Family
Welfare. They will be assisted by 15 collaborating institutions on regional basis for
implementation of RCH training. The collaborating institutions will ensure that in
the districts where projects are implemented through IPPs, SIFSA, UNFPA and other
agencies, the training is in accordance with the overall plan for training under RCH
and that there is no duplication. The details of the training component under RCH
Programme including responsibilities of NIHFW, collaborating and training insti
tutions are at ANNEXURE-XIII.
The District Family Welfare Officer assisted by the District Training Centres
will coordinate with the training institutions to ensure that the health personnel
of the district are nominated for the training regularly He will also coordinate with
other related departments and Panchayati Raj system in the district to organise
training for their functionaries. He will be required to closely interact with the
collaborating training institutions of the State and NIHFW. The district authorities
are expected to prepare annual plans for training according to the training needs
of health workers. They will be assisted in this regards by collaborating institutions.
INFORMATION, EDUCATION AND COMMUNICATION
30.
importance
'The
_______
__________ of IEC activity cannot be over overstated for demystifying
the RCH and population issues among public and in advocacy role. Imaginatively
produced programmes have a very strong persuasive effect. Therefore, the Depart
ment of Family Welfare has been implementing a large IEC progi‘amme under which
extensive use is being made of Doordarshan, All India Radio, Directorate of
Advertising and Visual Publicity, Directorate of Field Publicity, Song and Drama
Division and Films Division under the Ministry of Information and Broadcasting.
In addition, Mahila Swathya Sanghs, sensitisation of opinion leaders, health
awareness units in Nehru Yuvak Kendras are being supported.
Inputs
?•
r
The IEC Division in the Department has been commissioning some programmes
directly. The ongoing projects will continue as per the conditions of sanction in each
case and will be valid till the date of completion of such projects. The Department
also provides financial assistance for State level and District Level IEC.
TV & Doordarshan
Since the primary target for Information, Education and Communication is
31
w
H
middle class and low income group, reliance has to he on Doordarshan because the
clientele of the non-government; channels is middle class and above. Therefore,
I hereforo, it
other
channels
will
be
utilised
only
to
the
extent
viewership
is
is proposed that c.—
middle
class
and
above
families.
Doordarshan
is
proposed
to
intended from amon^
bo used for :
i
(a)
n-
Spots
A
4-11
For placement of spots, it will be negotiated with Doordarshan that
Family Welfare spots should be scheduled 3-4 days a week during the
Polio Immunization period and two days a week during rest of the year
- each day once in Hindi and second time in English. Attempt will be
made to negotiate spots just before the national news and at least once
just before the cinema film transmission to ensure maximum viewership.
To the extent necessary the Department will agree to pay for time.
Spots will be got produced by non-government professional agencies.
Since money will be drawn partly under the Reproductive and Child
Health (International) funds, shortlisting of the agencies based on
presentation/screening before an expert group and subsequently
inviting offers from the shortlisted firms and entering into production
agreement will have to be through procurement agency under the RCH
programme. The name of the experts will be suggested to them after
consulting the Ministry of Information and Broadcasting and one officer
at Joint Secretary level from the Department will also be nominated.
1
The VHS Cassettes of the spots produced by Department of -Family
Welfare will be provided to the State Governments for dubbing in
regional languages and telecast through local channels of Doordarshan/
1
II
1
L?:
I
TV.
(b)
li
Films
Production of films if left to Doordarshan or Films Division tend to
be less creative. On the other hand the existing arrangement of
inviting scripts in the Department has attracted only mediocre and
substandard offers and lot of pressure. In any case the viewership of
films through field shows is nominal and on Doordarshan one can
show only a few films a year. Therefore, it is proposed to stop the
practice of making a large number of films (there are already more
than 300 films from the past) and also to stop the practice of
entertaining scripts in the Department. Instead it is proposed to
approach six to eight creative producers (to be firmed up in consul
tation with the Directorate of Film Festivals) through Films Division
or National Films Development Corporation and invite them to make
film of 1 to 1 1/2 hour on any of the themes relating to women's
empowerment, population situation and the changes these are bring
ing about in the lives of the people, issues relating to girl child and
reproductive behaviours of men/women. The costing of these films will
also be left to these bodies. These films will be telecast on Doordarshan
32
i
u
I'■1
and then given to field publicity unitH. Since both Films Division and
NFDC will be treated as extension of the Government under World
Bank procedures, no other procedural requirement will be there. Also,
as part of 50th Anniversary of Independence, Films Division will be
requested to make two documentaries about the changes brought
about in the life of individuals or in the community by the Family
Welfare/Population Control programme.
i
/ *
(c)
Interactive panel discussions
These are proposed to be commissioned through procurement agency
by considering a shortlist of creative producers. Since these will be
at regional level, each will be preceded by 2-3 district level interactive
panel discussion as a build up. In each panel there will be of opinion
leaders, the anchor person with the invited audience will interact with
the panel in regard to population and Reproductive Child Health
issues involving attitudes and responses of the citizens. This effort will
aim to elicit support of opinion leaders in the Family Welfare
programmes and to disseminate awareness above the issues in an
informed manner. This will have to be done through the procurement
agencies and according to World Bank procedures which essentially
means financing on the basis of competitive bidding and two stage
clearance of the World Bank first at shortlisting stage and second at
the stage of finalising selected parties and their terms.
r
(d)
Panel discussions
This would bo on topics where some professional information is sought
to be communicated to specialist groups or citizens like in regard to
Prp-natal Diagnostic Techniques Act, abortions, and STD etc. This
would be done through Doordarshan about once in a month.
11.
RADIO
It is proposed to assign both the production and transmission task to the AIR.
The Department will pay the amount which AIR may require for production and
sponsorship of programmes (including money for time). It is proposed to sponsor
dramas and folk music about two days a week, each day for 20-30 minutes. The spots
then can be placed in the beginning, in the middle or at the end of the programme.
The sound track of TV messages will be made available to the AIR for their use and
AIR will supplement it by their additional recordings to the extent necessary. To
maximise the audience only Vividh Bharati and the national channel will be used.
Since AIR is a Government agency no other procedural requirement is necessary.
111.
Song and Drama Division
In order to optimise impact of the song and drama shows it is proposed to
ask the Song and Drama Division to assign 2-3 districts to each group for intensive
performing
coverage. It is proposed to focus these performances in the 275 weakly
■
>
other
procedural
districts. Since this Division is part of the government, no
33
u
I
requirement will be there.
In addition it will be negotiated with Ministry of Information and Broadcasting that the Department of Family Welfare would not want to continue to pay for
„.„y or
-= «•
would only be
costing of each performance according to its own systems
Broadcasting can do the
which should include the cost of salary.
iv.
Directorate of Field Publicity
v.
Hoardings In Towns
An arrangement similar to one for Song and Drama Division is proposed.
It is proposed to engage professional agencies through the Proc^el"e^
for hoardings in Prominent locations in town of more than 10 lakh
agency
■ > begin with (5-10 hoardings in a town) and similarly to seec
population to
professional agencies and assigning them the task of designing and painting the
hoardings by a new design every quarter. This procedure will be in accordance with
1
1
1
I
:'rl
I
-1
the World Bank requirement.
vi.
• a-
Print Media
(a)
Advertisements
Advertisements ape proposed to be issued through DAVP on a number
of specified annual days. The designs for advertisements will be
prepared through professional agencies to be selected according to
World Bank procedures through the procurement agency.
It is also proposed to negotiate with some established T-shirts
manufacturers to manufacture and market T-shirts with design an
messages of Family Welfare. It will be done if there is no cost involved
nr if the Department is able to get a small royalty for design/name.
The designs will be not prepared from professional agencies and
supplied to manufacturers of T-shirts. If this succeeds, there will be
a few lakh young men and women sporting such T-shirts in a few
months time. This could give a boost to the image of the programme
I
I
$
!
I
1
particularly among youth.
(b)
vii.
Printing of IEC material
Department of Family Welfare will continue printing of IEC material
centrally whenever required. However, printing in regional languages
will be undetaken by the State Government for the respective State.
State level
While the above activities will be undertaken by the Government of India,
state Governments may undertake similar local specific IEC activities from the fuhds
allocated to the States for IEC activities. For this purpose, an amount of Rs. 25 lakh
34
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to lar^c Statcfi. Ks. 15 lakh to medium States and Rs. 10 lakh to smaller States will
be provided annually.
Funds for maintenance of existing about 80,000 Mahila Swasthya Sanghs
(MSS) will be provided
Rs. 1200 per annum per MSS. In addition, each year 30,000
new MSS will be established based on the request of States. An amount of Rs. 1530
for each new MSS will be provided during the first year and in subsequent year funds
will be provided as per existing rate. The funds for MSS will be provided through
State Government/SCOVA as the case may be.
viii.
I'.
£
District programmes
It is proposed to build up a strong component of Information, Education and
Communication at district level. It proposed to link up with the National Literacy
Mission which works through Zila Saksharata Samitis at district level for Total
Literacy Campaign conducted over 1-2 years for each district. The District Samiti
is headed by District Magistrate and includes all NGOs, related departments and
opinion leaders. Literacy programme has substantially succeeded in mobilising
masses and this strategy would be helpful for Family Welfare also. In any case.
Education and Family Welfare are mutually supportive and in Total Literacy
Campaign, women’s literacy is the primary concern which again is relevant for
Family Welfare. It is proposed to seek project proposals from each district (involving
design and display of posters, wall writings, mass campaigns, local folk songs/
performance etc.) and to sanction individual projects through national literacy
mission. This would be also helpful because Total Literacy Campaign is presently
continuing mostly in districts which are weakly performing for Family Welfare.
National Literacy Mission is also a Government agency and therefore, no other
procedural requirement will be necessary and in any case it will be part of the NGO
Programme.
An amount of between Rs. 3-5 lakh annually may be provided on the basis
of Project proposals to the Zilla Saksharata Samities in the districts where they are
functional and for other districts the proposal will be considered as and when Zi,lla
Saksharata Samitis becomes functional.
ix.
I
Evaluation of impact of IEC
It is proposed to follow World Bank procedures and assign the work of con
current evaluation in a few districts every quarter to specialist communication
agencies to asses the impact of IEC in all forms so that the programmes could be
reoriented on the basis of results of evaluation.
In the 9th Plan, the IEC Programme will be further strengthened and
extended. The main thrust of the Programme in the 9th Plan is to take away direct
production responsibility from the Department and to give it the role of coordina
tion, monitoring and commissioning of programmes/agencies. Also, while extensive
use will continue to be made of agencies of Ministry of Information and Broadcasting
more reliance will be placed on using professional non-governmental agencies for
production for increasing innovative-ness.
35
H
NON-GOVERNMENTAL ORGANISATIONS (NGOs)
31
The work through the NGOs is not by way of alternative to work
through a Government system, it is actually complementary in nature. Both sectors^
have their own strong points which cannot be ignored and therefore, both the
Government Sector and the NGOs should be used in complementary manner fbr$|
optimum effect. The NGOn have the advantage of flexibility in proceduren. rapport W
with local population and credibility. They are therefore, better placed to try!®
innovations which the Government system is not in a position to even attempt. T1»e.W
Department of Family Welfare has been increasing the involvement of NGOs over
the years and currently about 600 NGOs are being assisted for various Programmes. W
The main thrust of the NGO Programme in the Sth Plan will be to involve NGOs »
essentially in innovative programmes and not to use them for implementing routine
Government
the NGO
NGO Programme
Programme will
will be
Government Programmes.
Programmes. Also
Also the
be so directed as to not &
burden the Department of Family Welfare with all the NGO cases of the country
which obviously the Department cannot deal with efficiently.
h
■
■hi’
Inputs
'Sf
In view of the above mentioned policy thrusts, the following NGO Programmes ||
would be implemented in the 9th Plan:
#
Small NGOs
'
At the village, Panchayat and Block levels, small NGOs will be involved
i.
basically for advocacy of RCH and Family Welfare Practices and for counsel- <
ling to explain the facts and consequences of using or not using RCH/Family
Welfare Practices. However, the individual NGOs at this level will be allowed
to propose innovative programmes also and these will be considered for
sanction if they are found practicable by Mother NGO.
These small NGOs have small resourcesi and
and they
they should
should not
not in
m fairness
fairness be
be W
ii.
asked to send their proposals all the way upto Central Government or to come
to Delhi. Therefore, assistance to such small NGOs will be organised throug
■ -WMother NGOs each for 5-10 districts.
w
W
Motherr NGOs
Mother NGOs with substantial resources and proved competence will be
iii.
1
approved. They will be given grants by the Department directly once in a year
at the beginning of the year. In subsequent years the annual grant will be
given after taking into consideration the performance report for the previous jg
year and utilisation certificate for the grants given earlier.
%
iv.
v.
The Mother NGO will have one nominee of the State Government and one
of the Government of India on its Executive Committee. They will screen the
credentials of the applicant small NGO, obtain proposal from it, consider it
for sanction, release money to it, monitor its work and obtain utilisation
certificate from the small NGO. The nominee of the State/Central Govern
ments must be present while sanctioning the Projects otherwise such
sanctions may not be valid.
The Mother NGO will also provide training to the staff of the small NGOs
for both management of the NGO and for management of the Programmes.
36
b.:
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vi.
The Mother NGO will furnish Annual Report and its audited accounts to the
Department every year mentioning the work done by each NGO during the
year and the result of periodic verification done by the Mother NGO in the
field of the work of small NGOs while claiming grant for the next year.
vii.
In order to facilitate easy working, it has been decided that there will be no
insistence on any share being contributed for implementation of the Programme
by the small NGO or the Mother NGO. Also the annual grant to all NGOs ^ill
be released in one annual installment because the system of two installments
in the year has been found to be impracticable.
viii.
While sanction to small NGO by the Mother NGO will be for the needs of the
Programme, the sanction to the Mother NGO by the Department of Family Welfare
will be to the extent of financing done by the Mother NGO to the small NGO
plus 20% of such financing by way of institutional overheads of the Mother
NGO and for providing support services to the small NGOs.
ix.
No Mother NGO would be expected to sanction a project to itself for
implementation. This applies to any branch or affiliated office of the Mother
NGO as well. However, in few cases, if some branch of the National or Mother
NGO submit the project for implementation, the same would be got verified
from other National/Mother NGO and the project will be sanctioned if all
necessary conditions are fulfilled by that branch independently for being a
suitable NGO.
x.
Annual funds required by a Mother NGOs will be released on quarterly/sixmonthly basis and will be based on their performance.
National NGOs
A limited number of national level NGOs will be assisted by the Department
xi.
on project basis for innovative Programmes. Again, the attempt will be to not
involve the NGOs in repeating the Government Programmes. In addition to
above mentioned general categories of NGO Programmes, the Department
proposes to involve NGOs for some specific areas wherever involvement is
expected to yield good results. For example, for introducing Baby-friendly
practices in hospitals it is proposed to give projects for individual hospitals
in cities to individual NGOs. Similarly for helping in enforcement of Pre
natal Diagnostic Technique Act by detecting offending sex determination
clinics and collecting evidence for making specific complaints against them
to the designated authorities in the States, it is proposed to involve a number
xii.
xiii.
of NGOs in different parts of the country.
A limited number of NGOs may be assisted for mobile clinics having equipped
vans offering RCH and spacing methods services including IUD insertions.
These clinics will operate in identified areas and visit villages on fixed days
of the week or fortnight. The cost of vans, drugs, a lady medical officer and
a paramedical worker will be funded under the programme. Initially these
clinics will be operationalised at 10 places in the country and extended later
based on the experience gained from the projects.
A large number of hospitals and clinics have come up and are coming up in
urban areas which unfortunately are so far not getting adequately involved
37
u
HI
in offering facility for contraceptivo/tcrminal methods and for counselling
both in regard to RCH and population control measures. The desirability of
involving the hospitals/clinics in non-government sector in those activities
is obvious. It is proposed to motivate such hospitals/clinics for setting up the
above mentioned units by offering them a token one time start-up assistance
of not more than Rs. 2 lakh after which they will be expected to maintain
these services in any case for not less than 5 years.
xiv.
I
A small number (6 to 8) of national level NGOs,'Institutions will be selected
to make verfication of credentials of Mother NGOs. Apart from the verification of Mother NGOs, National level NGOs may also be assigned the work
of the assessing the performance of some of the Mother NGOs on a regular
basis.
‘>
Procedure for sanction/conditions regulating assistance
The following conditions will apply to small NGOs and Mother NGOs :
♦
NGO should have the character of a registered society or trust or non
profit making company.
NGO should have been in existence preferably for at least 3 years but
this can be considered for being waived in areas which are weak in NGO coverage.
NGO must have office premises cither its own or rented. There should
be at least minimum necessary furniture and office equipment.
NGO should have at least one full time or part-time specialist relating
to field of activity and at least one full time/part-time person for
administration/financial management. The Governing Body of NGO
must have at least 35% members with background in the field of
activity.
National and Mother NGOs must have at least Rs. 1 lakh in fixed/cash
assets to ensure that it is an organisation of substance. For field level
small NGOs this would be to the extent of Rs. 25,000/-.
v
Before the first project is assigned to the NGO its credentials and
assets must be verified by an independent agency to establish its bona
fides.
An NGO blacklisted by any Ministry/Department of GOI would not be
sanctioned a project by the Department for next 5 years.
The NGO should have already existing premises/office in the state
where it wishes to work.
ii.
It will be the responsibility of the Mother NGOs to verify fulfillment of these
conditions and to keep a record of the verification made for being made
available to the Department of Family Welfare on demand.
iii.
In the case of Mother NGOs, the Department of Family Welfare will have their
antecedents and credentials verified through a national level NGO before
according it the status of Mother NGO and before sanctioning any project
to it.
iv.
For this purpose, the Department of Family Welfare will enter into an
arrangement with oiw or more national level NGOs like SOSVA or Voluntary
38
4
H
4
Health Association of India or Family Planning Association of India etc., by
agreeing to pay to these national level NGOs for every verification report.
Therefore, at the time of first application the sanction to the Mother NGO
is likely to take three months after the application is received in the
Department
II
A limited number of national level NGOs will be assisted by the Department
on project b;isis for innovative programmes. Again, the attempt will be to not
involve the NGOs in repeating the Government programmes.
V.
The conditions specified for small and Mother NGOs will apply to the
national level NGOs also. Although many of the national level NGOs
have established credentials but the NGOs which have not earlier
worked for the Department may be subjected to verification through
an identified national level NGO before a project is sanctioned to it.
♦
vi.
vii.
viii.
All such sanctions to national level NGOs will be on project basis which
will be generally for 3-4 years. Each project will be for a well defined
area with stated objectives to be attained at the end of the project.
While the sanction under the individual projects will vary depending
on the nature of the project but generally an upper limit of Rs. 50 lakh
for a 3 year project will be observed.
All NGO cases at the central level will be considered for sanction by a
committee headed by the Secretary, Department of Family Welfare and will
include in addition to the Programme Joint Secretary and Financial Adviser
of the Department, two NGO representatives, three RCH specialists and
representative of the Planning Commission. The Committee will meet atleast
every quarter and will bonsider cases which have been received up to that
stage.
The effectiveness of the NGO projects in the area of counselling and advocacy
will be assessed on the basis of the improvement in increased CPR, sterilisations
and other project related goals. Similarly, while evaluating the performance
of National level NGOs and Mother NGOs, their effectiveness will be judged
on the»the same criterion.
All ongoing NGO projects will continue as per the conditions of sanction in
each case and will be valid till the date of completion of such projects.
MANAGEMENT INFORMATION SYSTEM UNDER RCH PROGRAMME
RCH approach has been built upon the participatory planning ap32.
proach that was initiated in 1996-97. The participatory planning approach is
intended to identify Reproductive and Child Health needs of the communities and
he Target Free Approach manual is an instrument to assist this process.
Target Free Manual which has been renamed as Community Needs Assessment
Manual has been revised in order to simplify the messages and contents and is being
made available to all districts for distribution among all health facilities and workers.
On the basis of community needs assessed by the health workers. Sub-centre Action
Plan need to be prepared annually. This process will involve discussion and approval
of supervisor of the health worker (LHV/MO). Similarly PHC Action Plan incorpo-
39
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rating the Sub-centre Action Plan will be prepared under the supervision of the next
supervisory officer. The PHC Plans will form an integral part of the District Plan
which will bo formulated on annual basis Availability of the Annual District Plan
would bo one of the performance indicator
For a complex and extensive programme like RCH, the Management Infor
mation System (MIS) needs to be strengthened. The Appraisal Document of the World
Bank mentions a number of indicators (Annexure XIV) which will be used for
monitoring the progress of implementation and information on these indicators are
to be provided on a six monthly basis to World Bank. An efficient MIS should provide
a regular and reliable information about the implementation of various programmes/
activities initiated under the RCH programme and their impact in improving the
health status of women and children.
I
I
I
At present the information about the various demographic indicators
are being made available through decennial census. National Family
Health Survey (NFHS: 1992-93), Sample Registration System (SRS) of
Registrar General of India, studies conducted by various agencies like
PRCs etc. and routine reporting made for the activities under Family
Welfare Programmes by the States. The reliability and authenticity of
the information provided by SRS and NFHS is beyond any doubt,
however, the information is available either at national level or upto the
state level only and that too with a considerable time lag.
i.
I
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ii.
I
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I
iii.
I
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iv.
I
A.
I
The information collected through SRS is only in respect of small
numbers of indicators. Therefore, for effectively monitoring the
programme activities, the information collected through routine
channels of the state system is only available and used for this
purpose. The routine information available from the state systems
suffers in authenticity. to some extentv because it involves large
number of personnel and most of them may not be aware of the
purpose of collection of such information and therefore not meticulous
in reporting.
National Family Health Survey (NFHS)-1992-93, was the first survey
conducted in the country and it is proposed that henceforth National
Family Health Surveys will be conducted at every five years interval.
This year UPS, Mumbai will be conducting second NFHS with the
support from USAID.
Under the RCH Programme, the following mechanisms are being
proposed for getting information on selected RCH indicators on
annual basis with district level estimates of the indicators.
ROUTINE REPORTING
In order to improve the routine reporting under the decentralised
participatory plans at the PHC level the reporting for all interventions under
the Family Welfare Programme have been integrated. Formats for the reports
to be submitted at various levels have been revised and are being separately made
I
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Bank. They would also be responsible for receiving expenditure reports from
Drawing and Disbursement Officers, the registered society and any other agency
to which project funds have been allocated. For any expenditure incurred through
the registered society, the society would submit compiled accounts to the Project
Director for submission of disbursement applications.
38.
Each year the Project Director would be required to arrange for the accounts
to be audited by the auditors. In the case of Zilla Parishads, audits by the Examiner/
Director of the Local Fund Audit will be acceptable. Accounts of registered societies
would be audited by private auditors in accordance with Registration of Societies
Act. The Project Director would arrange for one consolidated audit report to be
submitted to MOHFW within the six months after closing of each financial year,
covering the project for the respective state as a whole.
ANNUAL PERFORMANCE AND WORK PLAN
I
'I
39.
It has been agreed in principle with World bank to implement performance
based funding during the project. Each state would provide annual performance
report and Annual Work Plan (for the national wide component as well as for each
sub-project separately). These documents will be jointly reviewed by World Bank and
MOHFW. MOHFW will be responsible for approving annual budgets after reviewing
these documents using agreed criteria (Annexure XVII). Since the performance
based funding has been introduced for the first time, MOHFW and World Bank from
time to time assess appropriateness and effectiveness of this exercise and wherever
necessary, revision may be carried out.
SUBMISSION OF STATEMENT OF EXPENDITURE (SOES)
1
40.
All the Statq Project Directors will coordinate the activity-wise periodic
expenditure and prepare the disbursement applications on the prescribed formats
and submit the Statement of Expenditure (SOEs) to MOHFW on monthly basis. The
Expenditure of “Contractual Staff” may be submitted under two sub-headings of
“Full Time” (Doctors, Nurses. ANMs, Lab. Techs.) and “Part Time” (Anaesthetists,
PHC Doctors, staff nurse for Midwifery, ciearning services). Details of items under
which reimbursement for World Bank will be available, extent of reimbursement
available, agency which will claim reimbursement and essential document to be
submitted
while
preferring
reimbursement
claims
are
at
ANNEXURE-XVIII.
44
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ANNEXURE-I
CONTENTS OF DRUG KIT
A
9
R
n
■
■
Name of the Item
Quantity
1.
Oral Rehydration Salt (O.R.S.)
150
packets
2.
Tablet I.FA.
(large)
15000
tabs.
3.
Tablet LEA. (small)
13000
tabs.
4.
Vitamin A solution
6
bottles
of
100 ml.
each
5.
Tablet Cotrimoxazole
(Paediatric)
1000
tabs.
Sr. NO.
-
45
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ANNEXURE-II
CONTENTS OF DRUG KIT
I
I
B
J
Name of the Item
Quantity
1.
Tab. Methylergometrine Maleate
(0.125 mg.)
500
tablets
2.
Tablet Paracetamol (500 mg.)
500
tablets
3.
Inj. Methylergometrine Maleate
[0.2 mg./ml., 1ml. ampoule
(for I.M. use) in light
resistant amber colour
ampoules]
10
ampoule
4.
Tab.Mebendazole 100 mg.
300
tablets
5.
Dicyclomine Hcl 10 mg.
250
tablets
Sr. No.
Chloramphenicol Eye Ointment
1% w/w in applicaps. Each
applicap to contain 250 mg. of
ointment
500
applicap
7.
Ointment Povidone Iodine 5%
5
Tubes
8.
Cetrimide Powder
125 gm.
9.
Absorbent Cotton
1 roll
10.
Cotton Bandage
(4 cm width x 4 metres length)
120
rolls
t 6.
Ii
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•v
■ I
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ANNEXURE III
LIST OF EQUIPMENT KITS
A MIDWIFERY KIT A.N.M.
.■I
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1
1
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I
£
f
I
1
Qnty
8.No.
Item Description
1.
Sphygmomanometer, aneroid, 300mm with cuff
1
2.
Scale, weighing, (baby) hanging type, colour coded, 5kg.
1
3.
Steriliser Instrument, 222 x 82 x 41mm. stainless steel
1
4.
Forceps, spring-type, dressing 160mm, stainless steel
1
5.
Basin, Kidney, 825ml, stainless steel
1
6.
Bowl, sponge set of two sizes, 600ml 1200ml-SS
1
7.
Catheter, uretheral, 12fr, rubber
1
8.
Sheeting, clear, vinyl plastic, 910mm wide x 180mm
1
9.
Can, enema with tubing and clip
2
10.
Thermometer, clinical, oral dual scale, celsius/fahrenheit
1
11.
Thermometer, clinical, rectal dual celsius/fahrenheit
1
12.
Brush, hand, surgeon's with white nylon bristles
1
13.
Mucus extractor
1
14.
Forceps, artery, straight, pean 160mm, stainless steel
2
15
Scissor, cord-cutting, busch, curved on flat, 160mm.-SS
1
16.
Tape, umbilical non-sterile, 3mm wide x 25m spool
1
17.
Nail clipper/file
1
18.
Foethoscope (Stethoscope Foetal)
1
19.
Bag, multipurpose, vinyl, for midwifery kit
1
$
y:
47
■ I
ANNEXURE IvW
SUB-CENTRE EQUIPMENT KIT
______ JI
Qty./
QtyV
Kit
Item description
BASIN KIDNEY 825 ML (28 OZ)
STAINLESS STEEL. REF IS: 3992
2EA
BASIN SOLUTION DEEP
APPROX 6 LITRE S S REF IS: 5764
1EA
TRAY INSTRUMENT/DRESSING
W/COVER 310X195X63MM SS,
REF IS: 3993
IEA
BRUSH SURGEONS WHITE
NYLON BRISTLES
ZEA
Item description
Kit
i
Kit C-Sub-Centers
4-\-
FLASHLIGHT BOX-TYPE PRE
FOCUSED 4 CELL
1EA
SPHYGMOMANOMETER
ANEROID 300 MM WITH
CUFF IS: 7652
1EA
IE A
RACK BLOOD-SEDIMENTATION
WESTERGREN 6-UNIT
IEA
4
JAR DRESSING W/COVER 0.945
LITER STAINLESS STEEL
HEMOGLOBINOMETER-SET SAHL
1 TYPE COMPLETE
IEA
BATTERY DRY CELL 1.5, 'D'
TYPE FOR ITEM IOC
4EA
$
IEA
SCALE. INFANT METRIC
IEA
r
SCALE BATHROOM METRIC/
AVOIRDUPOIS 125 KG/280 IB
SHEETING PLASTIC CLEAR
PVC CM X 180 CM
ZEA
LANCET SS (MAGEDORN
NEEDLE) 75 MM PKT OF 6
IEA
FORCEPS TISSUE- 160 MM
IEA
FORCEPS HEMOSTAT STRAIGHT
KELLY 140MM SS
IEA
FORCEPS STERILIZER (UTILITY)
200 VAUGHM SS
IEA
FORCEPS UTERINE VULSELLUM
CURVED 25.5 CM
IEA
SCISSORS SURGICAL STRAIGHT
140MM S/B, SS
IEA
REAGENT STRIPS FOR
URINE TEST
IEA
REAGENT STRIPS FOR URINE
TEST
IEA
SPECULUM VAGINAL BI-VALVE
CUSCOS/GRAVES MEDIUM
IE.A
SIMS UTERINE DEPRESSOR/
RETRACTOR
IEA
SPECULUM VAGINAL DOUBLEENDED SIMS. ISS MEDIUM
IEA
MEASURE 1 LITER JUG-SS
1EA
MEASURE 1/2 LITRE JUG- SS
SOUND, UTERINE, GRADUATED)
IE.A
IEA
Ift
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48
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ANNEXURE V
PRIMARY HEALTH CENTRE EQUIPMENT
KIT D- PRIMARY HEALTH
CENTRES
c
IE A
IRRIGATOR 15 LTR W/TUBINOCLAMP AND STRAIGHT CONNECTOR
iSet
BASIN. KIDNEY 825 ML (28 OZ)
STAINLESS. REF: 3092
1EA
TRAY INSTRUMENT/DRESSING W/COVER
310X 195X 63 MM S/S REF IS 3903
1EA
JAR DRESSING W/COVER 310X195X
36MM S/S. REF 13:3093
1EA
HEMOGLOBINOMETER SET SAHLITYPE. COMPLETE
ISet
SPHYGMOMANOMETER. ANEROID.
300 MM WITH CUFF. REF IS: 7652
RACK BLOOD SEDIMENATION.
WESTERGREN. 6 UNIT
1EA
MICROSCOPE MONOCULAR W/OIL1MM OBJ WITH ILLUMINATOR
1EA
MUCUS EVACUATOR
BATTERY ALKALINE DRY CELL “C"
TYPE 1.5 V
2EA
ISet
SCALE PHYSICIAN ADULT METRIC
125KGS/1OO GMS
1EA
SCALE INFANT METRIC 16 KGS/20 GMS
1EA
REAGENT STRIPS FOR URINE TEST
1 Botl
ISet
CURETTE UTE.RINE SHARP/BLUNT,
BLUKE 270 MM S/S
1EA
SPECULUM NASAL. STAINLESS
STEEL
1EA
DILATOR UTERINE DOUBLE-ENDED.
HEGAL S/S. SET OF 5
1EA
FORCEPS HEMOSTAT, STRAIGHT.
KELLY 140MM. S/S
FOREPs SPONGE - HOLDING.
STRAIGHT. 228 MM. S/S
1EA
FORCEPS TISSUE. SPRING TYPE 1X2 .
TEETH 150MM S/S
1EA
FORCEPS TISSUE 4X5 TEETH ALLIS
150MM S/S
1EA
FORCEPS. TONGUE HOLDING. YOUNG
170 MM. SOFT RUBBER JAWS.
STAINLESS STEEL
1EA
FORCEPS STERILIZER (UTILITY)
280MM VAUGHAN. S/S
1EA
1EA
i KNIFE-HANDLE SURGICAL FOR
MINOR SURGERY # 3
1EA
FORCEPS UTERINE VULSELLUM
STRAIGHT JACOBS 250 MM
KNIFE-HANDLE SURGICAL FOR
MAJOR SURGERY # 4
1EA
KNIFE-BLADE SURGICAL FOR
MINOR SURGERY # 1 PKT 5 •
IE.A
KNIFE-BLADE FOR MAJOR SURGERY
# 22 PK T 5
iPkt
NEEDLE SUTURE 3/8 CIRCLE
CUTTING. ASSORTED
2 Pkt
RETRACTOR VAGINAL SIMS MEDIUM
BLADE 31X SOM S/S
1EA
SCISSORS, SURGICAL CURVED.
140MM SHARP/BLUNT. S/S
IE.A
1EA
SCISSORS SURGICAL. STRAIGHT.
140MM SHARP/BLUNT. S/S
1EA
SPECULUM VAGINAL. BI-VALVE
CUSCO'S/GRAVES, SMALL
1EA
SPECULUM VAGINAL. BI-VALVE
I CUSCO’ S/GRAVES. MEDIUM
1EA
SPECULUM. VAGINAL. DOUBLEHANDED SIMS. 165 MM LONG.
STAINLESS STEEL
SOUND UTERINE SIMPSON 300 MM
GRADUATED IN 20MM
1EA
IE.A
LARYNGOSCOPE FOLDING TYPE
MACKINTOSH PATTERN WITH
SEPARATELY PACKED BATTERIES
1EA
HOLDER, NEEDLE. STRAIGHT.
NARROW-J AW MAYO HEGAR. 180MM
1EA
NEEDLE. SUTURE SURGEON’S .
REGULAR 3/8 CIRCLE
1EA
PUMP. ASPIRATING. SURGICAL
PORTABLE. FLOOR OPERATED
1EA
CATHETER. TRACHEAL. DELEE. 16FR,
5/5MM DIA. 400MM OPEN TUP
WITHOUT EYE. FUNNEL END 6 MM.
SOFT RUBBER
CONNECTOR 3-IN-l FOR 6 TO 8MM
NYLON TUBING__________
—
1EA
i
49
i
I
u
ANNEXURE VI
I
E STANDARD SURGICAL SET-1 (INSTRUMENTS) FRU
II
Only
S. No.
Item Description
1.
Tray, Instrument/dressing with cover, 310x200x600mm-88
1
2.
Gloves surgeon, latex sterilizable, size 6
12
3.
Gloves surgeon, latex sterilizable, size 6-1/2
12
4.
Gloves surgeon, latex sterilizable, size 7
12
5.
Gloves surgeon, latex sterilizable, size 7-1/2
12
6.
7.
Gloves surgeon, latex sterilizable, size 8
12
Forceps backhaus towal -130mm
4
8.
Forceps sponge holding- 228mm
Forceps artery, pean straight, 160mm, stainless steel
6
4
4
9.
10.
!
I'
''(■j
I
11.
Forceps hysterectomy, curved-22.5mm
Forceps, hemostatic, halsteads mosquito, straight, 125mm-88
12.
Forceps tissue, all/is 6x7 teeth, straight 200 mm- ss
6
1314.
Forceps, uterine, tenaculum-280mm stainless steel
1
Needle holder, mayo, straight, narrow jaw, 175 mm, ss
1
15
Knife-handle surgical for minor surgery # 3
1
16.
Knifenhandle surgical for major surgery # 4
1
17.
Knife-blade surgical, size 11, for minor surgery, pkt of 5
3
18.
Knife-blade surgical, size 15, for minor surgery, pkt of 5
4
19.
Knife-blade surgical, size*22, for major surgery, pkt. of 5
3
20.
Needles, suture triangular point- 7.3 cm, pkt of 6
2
21.
Needles, suture, round bodied, 3/8 circle No. 12 pkt of 6
2
22.
Retractor, abdomimal. Deavers, Size 3,2.5 x 22.5 cm.
1
■‘I
23.
Retractor, double-ended abdominal, Beltouis, set of 2
2
i
24.
Scissors, operating curved mayo-blunt pointed 170mm
1
25.
Retractor abdomimal, Balfour 3 blade self-retaining
1
26.
Scissors, operating, straight, blunt point 170mm
1
27.
Scissors, gauze, straight, 230mm- stainless steel
1
28.
Suction tube-225mm, size 23F
Clamp Intestinal, Doyen, curved 225mm- stainless steel
1
2
30.
31
Clamp Intestinal, Doyen straight, 225mm- stainless steel
2
Forceps, Tissue Spring Type, 160mm stainless steel
2
32.
Forceps, Tissue Spring-Type 250mm stainless steel
1
29.
50
6
7
'(■
h
ANNEXURE VI (Contd.)
F CHC STANDARD SURGICAL 8ET-II
S. No. Item Description
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
Forceps, Tissue, 6x7 teeth, Thomas-Alhs 200mm- SS
Forceps, Backhaus Towel- 130mm, stainless steel
Syringe anaesthetic (Control) 10ml. luer-glass
Syringe, hypodermic 10ml glass, spare for item 3
Needles hypodermic 20G x 1-1/2” box of 12
Forceps Tissue, Spring type 145mm stainless steel
Forceps Tissue spring type 1x2 teeth, Semkins 250mm
Forceps, Tissue spring, type 250mm stainless steel
Forceps, Hemostat curved mosquito haistead 130mm
Forceps, Artery, straight pean 160mm stainless steel
Forceps, Artery, curved pean 200mm stainless steel
Forceps, tissue, babcock, 195mm, stainless steel
Knife handle for minor surgery No. 3
Knife blade for minor surgery No. 10 pkt of 5
Needle holder, straight narrow-jaw Mayo-Heger 175mm
Needle suture straight 5.5 cm triangular point, pkt of 6
Needle, Mayo, 1/2 circle, taper point, size 6, pkt of 6
Catheter urethral Nelaton solid-tip one-eye 14Fr
Catheter urethral Nelaton solid-tip one-eye 16 Fr
Catheter urethral Nelaton solid-tip one-eye 18 Fr
Forceps uterine tenaculum duplay dbl-cvd 280mm
Uterine elevator (Ranathlbod), stainless steel
Hook, obstetric, Smellie, stainless steel
Proctoscope Mcevedy complete with case
Bowl, sponge, 6000ml stainless steel
Retractor abdominal Richardson-Eastman, dbl-ended, set 2
Retractor abdominal Deaver 25mm x 3cm. stainless steel
Speculum vaginal bi-valve graves, medium, stainless steel
Scissors ligature, spencer straight, 130mm. stainless steel
Scissors operating straight 140mm blunt/blunt SS
Scissors operating curved-170mm blunt/blunt SS
Tray instrument, curved, 225 x 125 x 50mm stainless steel
Battery cells for item 24
51
/oo
05184
duty
Unit
1
4
1
4
1
1
1
1
6
3
1
2
1
8
1
2
2
1
1
1
1
EA
EA
EA
EA
Box
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
Pkt
Pkt
EA
EA
EA
EA
EA
EA
EA
EA
Set
EA
EA
EA
EA
EA
EA
EA
I
1
1
1
1
1
1
1
1
2
1
2
u
ANNEXURE VI (Contd.)
—------- n W
IUD INSERTION KIT
KIT (I
SETAL STERILIZATION TRAY
WITH COVER SIZE 300 X 220
X 70MM, S/S, REF IS: 3993
1EA
TORCH WITHOUT BATTERIES
1EA
GLOVES SURGEON, LATEX.
SIZE-6-1/2 REF 4148
6
Pairs
GLOVES SURGEON. LATEX.
SIZE- 7. REF: 4148
6
Pairs
GLOVES SURGEON LATEX. SIZE
7’/«, REF 4148
6
Pairs
GLOVES SURGEON. LATEX SIZE 6
REF-IS 4148
6
Pairs
BOWL, METAL, SPONGE.
600 ML REF IS: 5782
1EA
BATTERY DRY CELL 1.5 V
TYPE FOR ITEM 7G
D’
1EA
SPECULUM VAGINAL BI-VALVE
CUSCO’S GRAVES SMALL S/S
1EA
SPECULUM VAGINAL BI-VALVE
CUSCO'S/GREA VES MEDIUM S/S
1EA
FORCEPS SPONGE HOLDING.
STRAIGHT 228MMH SEMKEN
200MM
1EA
FORCEPS ARTERY. STRAIGHT.
PEAN 160MM
1EA
SOUND UTERINE SIMPSON
300MM GRADUATED UB 20MM
IE.A
SCISSORS OPERATING
STRAIGHT 145MM
BLUNT/BLUNT
1 Set
FORCEPS UTERINE TENACULUM
DUPLAY DBL-CVD 280MM
1EA
FORCEPS UTERINE VULSELLUM
CURVED MUSEUX 240MM
1EA
FORCEPS TISSUE - 160MM
1EA
SPECULUM VAGINAL DOUBLE
ENDED SIME SIZE # 3
IE.A
ANTERIOR VAGINAL WALL
RETRACTOR STAINLESS
1EA
■I
f
NORMAL DELIVERY KIT
KIT I
TROLLEY. DRESSING CARRIAGE
SIZE 76 C. LONG X 46CM WIDE
AND 84CM HIGH. REF
IS: 4769/1968
1EA
TOWEL. TROLLEY 84 CM X
54 CM
2EA
MASK. FACE. SURGEON'S)
CAP OF REAR TIES; B) BERET
TYPEWITH ELASTIC HEM
2EA
GOWN, OPERATION. COTTON
1EA
TOWEL. GLOVE
3EA
CAP. OPERATION. SURGEON'S
36 X 46 CM
2EA
COTTON WOOL ABSORBENT
NON-STERILE 500G
2EA
GAUZE ABSORBENT NONSTERILE 200 MM X 6M.
AS PER IS; 171/1985
2EA
DRUM. STERILIZING.
CYLINDRICAL - 275 MM D1A X
132MM, S/S AS PER IS: 3831/1979
2EA
TRAY INSTRUMENT W/COVER
450MM(L) X 300MM(W) X 80MM(H)
1EA
TABLE INSTRUMENT
ADJUSTABLE TYPE WITH TRAY, S/S
iSet
MACINTOSH. OPERATION.
PLASTIC
2F,A
0
•/•J
'■V
52
•A
9
.y
'4
Ji
i
u
ANNEXURE VI (Contd.)
1
H CHC- EQUIPMENT FOR STANDARD SURGICAL SET III
S. No. Item Description
Qnty
Unit
1.
Tray, instrument/dressing with cover 310 x 195 x 63mm.
1
IGA •
2.
Forceps, Backhaus towel 130mm, stainless steel
4
EA
3.
Forceps, Hemostat, straight. Kelly, 140mm, stainless steel
4
EA
4.
Forceps, Hemostat, curved. Kelly, 125mm, stainless steel
2
EA
5.
Forceps, tissue Allis 150mm. stainless steel, 4 x5 teeth
2
EA
6.
Knife handle for minor surgery No. 3
1
EA
7.
Knife blade for minor surgery, size 11 pkt of 5
10
Pkt
8.
Needle hypodermic, Luer 22G x UM”, box of 12
1
Box
9.
Needle hypodermic Luer 250G x 3/4”, box of 12
1
Box
10.
Needle, Suture straight 5.5cm triangular point, pkt of 6
2
Pkt
11.
Needle, suture, Mayo 1/2 circle, taper point No. 6 pkt of 6
2
Pkt
12.
Scissors, ligature, angled on flat 140mm. stainless steel
1
EA
13.
Syringe anaesthetic control. Luer - 5ml glass
4
EA
14.
Syringe 5ml, spare for item 13
4
EA
15.
Sterilizer, instrument 200 x 100 x 60 mm . with burner. SS
1
EA
16.
Syringe, hypodermic. Lure 5ml, glass
4
EA
17.
Forceps, sterilizer, cheatle 265mm, stainless steel
1
EA
53
H
‘.11
ANNEXURE VI (Contd.)
r;.
J STANDARD SURGICAL SET- IV
S. No. Item Description
Glnty
Unit
SET
-SK
I
1.
Vaccum Extractor. Malastrom
1
2.
Forceps, obstetric, Wrigley's- 280mm. stainless steel
1
EA
3.
Forceps, obstetric, Barnes-Neville, with traction- 390mm
1
EA
4.
Forceps, sponge holding, straight 228mm, stainless steel
4
EA
5.
Forceps, artery, Spencer-Wells, straight, 180mm-SS
2
EA
6.
Forceps, artery, Spencer-Wells, straight, 140mm-SS
2
EA
7.
Holder, needle straight, Mayo-Hegar 175mm-SS
1
EA
8.
Scissors, ligature, Spencer 130mm- stainless steel
1
EA
Scissors, episiotomy, angular, Braun 145mm, stainless steel
1
EA
10.
Forceps, tissue, spring-type, 1x2 teeth, 160mm-SS
1
EA
11.
Forceps, tissue, spring-type, serrated ups. 160mm-SS
1
EA
12.
Catheter, urethral, rubber, Foley's 14ER
1
EA
Catheter, urethral, Nelaton, set of five (Fr 12-20) rubber
1
Set
14.
Forceps, Backhaus, towel- 130mm-SS
4
Set
1
EA
1
15.
Speculum, vaginal, Sim’s, double-ended # 3-SS
Speculum, vaginal, Hamilton-Bailey
1
EA
■A
16.
9.
13.
»
.f
■S’
B
i -w
W
■i
1
54
"I
i
u
ANNEXURE VI (Contd.)
K STANDARD SURGICAL SET-V
S. No. Item Description
$
________
Only
Unit
1.
Forceps, obstetric, Neville-Barnes, W/traction 390mm
1
EA
2.
Hook, decapitation, Braun, 300mm, stainless steel
1
EA
3.
Hook & Crochet, obstetric, 300mm, Smellie, stainless steel
1
EA
4.
Bone, forceps, Mesnard 280mm, stainless steel
4
EA
5.
Perforator, Smellie, 250mm stainless
1
EA
6.
Forceps, cranial. Gouss, straight, 295mm-SS
1
EA
7.
Cranioclast, Braun, stainless steel, 365mm long
1
EA
8.
Scissors ligature Spencer 130mm, stainless steel
1
EA
9.
Forceps sponge holding, 22.5 cm straight.-SS
1
EA
10.
Forceps, tissue, spring-type, 1x2 teeth. 160mm stainless steel
1
EA
11.
Forceps, tissue, spring-type, serrated tips, 160mm-SS
1
EA
12.
Forceps, artery, spencer-wells, straight, 180mm-SS
2
EA
13.
Forceps, artery, spencer-wells, strarght, 140mm-SS
2
EA
14.
Forceps, scalp flap. Willet’s 190mm.- SS
4
EA
15.
Forceps, Vulsellum, Duplay double curved, 280mm- SS
4
EA
16.
Forceps, Vulsellum, Duplay double curved, 240mm- SS
1
EA
17.
Catheter, urethral, 14Fr, Solid tip. one eye, soft rubber
3
EA
18.
Holder, needle, Mayo-Hegar, narrow jaw, straight, 175mm-SS
1
EA
19.
Speculum vaginal Bi-valve. Cusco-medium, stainless steel
1
EA
20.
Speculum, vaginal Sim's double-ended, size # 3- SS
1
EA
21.
Forceps, Backhaus, towel-130mm. stainless steel
4
EA
55
I
ti
(7/
ANNEXURE VI (Contd.)
s
L STANDARD SURGICAL. SET-VI
S. No. Item Description
duty
Unit
1.
Forceps, sponge holding, straight. 225mm, stainless steel
4
EA
2.
Speculum, vaginal, Sim’s double-ended, size # 3 -SS
1
EA
3.
Speculum, vaginal, weighted Auvard, 38 x 75 mm blade- SS
1
EA
1.
Forceps. Tenaculum, Teale's 230mm-SS 3x4
2
EA
5.
Sound, uterine, Simmpson 300mm with 200mm graduations
1
EA
Io.
Dilator, uterine, double-ended hegar, set of 5-SS
1
Set
7.
Curette, uterine, Sim’s, blunt, 26cm x 11mm size # 4- SS
2
EA
8.
Curette, uterine, Sim's, sharp, 26cm x 9mm. size # 3- SS
2
EA
9.
Forceps, artery, Spencer-Well's straight 140mm- SS
1
EA
10.
Forceps, tissue, spring-type, serrated tips 160mm-SS
1
EA
11.
Forceps, ovum, Krantz, 290mm-stainless steel
1
EA
•ife-
■
1
■t
*-■
s
'i
1
56
i
u
ANNEXURE VI (Contd.)
M EQUIPMENT FOR ANAESTHESIA
S. No. Item Description
Qnty
Unit
1.
Face mask, plastic w/rubber cushion & headstrap, set of 4
4
Set
2
Airway. Gucdel or Berman, Autoclavable rubber, set of 6
2
Set
3.
Laryngoscope, set with infant, child, adolescent blades
3
Set
4.
Catheter, endotracheal w/cuff. rubber set of 4
3
Set
5.
Catheter, urethra), stainless steel, set of 8 in case
2
Set
6.
Forceps, catheter, Magill, adult and child sizes, set of 2
1
Set
7.
Connectors, catheter, straight/curved, 3, 4, 5mm (set of 6)
3
8.
Cuffs for endotracheal catheters, spare for item 4
4
Set
EA
9.
Breathing tubes, hoses, connectors for item 1, anti-static
4
Set
10.
Valve, inhaler, chrome-plated brass, Y-shape
3
EA
11.
Bag, breathing, self inflating, anti-static rubber, set of 4
2
Set
12.
Vaporiser, Halothane, dial setting
2
Set
13.
Vaporiser, ether or Methoxyflurane, wick type
2
EA
14.
Intravenous set, in box
6
EA
15.
Needle, spinal, stainless, set of 4
2
Set
16.
Syringe, anaesthetic, control, 5ml Luer mount glass
2
EA
17.
Cells for item 3
2
EA
.
ANNEXURE VI (Contd.)
0
N EQUIPMENT FOR NEO-NATAL RESUSCITATION
S. No. Ite&i Description
Unit
1.
Catheter, mucus, rubber, open-ended tip, size 14 Fr
2
EA
2.
Catheter, nasal, rubber, open tip, funnel end, size 8Fr
2
EA
3.
Catheter, endo/tracheal. open-tip, funnel end, rubber, 12Fr
3
EA
4.
Stilette, curved, for stiffening tracheal catheter-SS
1
EA
5.
Catheter, suction, rubber, size 8Fr
3
EA
6.
7.
Laryngoscope, infant, w/three blades and spare bulbs.
1
EA
Lateral mask, with ventillatory bag, infant size
2
EA
8.
Resucitator, automatic, basinet type
1
EA
9.
Lamp, ultra-violet (heat source) with floor stand
1
EA
10.
Cells for item 6 (laryngoscope)
2
EA
---- ‘
57
I
Qnty
H
ANNEXURE VI (Contd.)
O KIT-SIDE LABORATORY TEST & BLOOD TRANSFUSION
2.
3.
4.
5.
6.
7.
8.
Rod, flint-glass, 1000x10mm dia, set of two
2
Set
Cylinder, measuring, graduated W/pouring lip, glass 50ml
2
EA
Bottle, wash, polyethylene w/angled delivery tube- 250ml
1
EA
Timer, clock, interval, spring wound, 60 minutes x I minute
1
EA
Rack, slide drying nickel/silver, 30 slide capacity
1
EA
Tray, staining, stainless steel 450 x 350 x 25mm
1
EA
Chamber, counting, glass, double neubauer ruling
2
EA
Pipette, serological glass, 0.05ml x 0.0125ml
6
EA
6
EA
1
EA
'4-
1
EA
Cover glass for counting chamber (item 7)- box of 12
1
Box
Tube, capillary, heparinized, 75mm x 1.5mm, yial of 100
10
Vial
1
EA
Lancet, blood (Hadgedorn needle) 75mm pack of 10- SS
10
Pkt
II
1
■i
Benedict's reagent qualitative dry components for soln
1
Kit
Pipette, measuring, glass, set of two sizes 10ml. 20ml.
2
Set
Test-tube, w/o rim, heat resistant glass, 100 x 13mm
24
EA
Clamp, test-tube, nickel-plated spring wire, standard type
3
EA
Beaker, HRG glass, low form, set of two sizes, 50ml. 150ml.
2
Set
Rack, test-tube wooden with 12 x 22mm dia holes
1
EA
___
_
9
Pipette, serological glass, 1.0ml x 0.10ml
10.
Counter, differential, blood cells, 6 unit
11.
Centrifuge, micro-hematocrit, 6 tubes, 240v
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
IM i
Unit
S. No. Item Description
1.
w
Gtnty
_
Lamp, spirit w/Screw cap. metal 60ml
■w
w
J
‘i
1
<1
J
t'
'■'&
I
i.
58
u
1
ANNEXURE VI (Could.)
P MATERIALS KIT- DONOR BLOOD FOR TRANSFUSION
S. No. Item Description
r
*
Bovidne albumin 20% testing agent, box of 10 x 5ml vials
5
Box
2.
Centrifuge, angle head for 6 x 15ml tubes, 240 volt
1
EA
3.
Bath, water, serological, with racks, cover, thermostat, 240v
1
EA
4.
Pipette, volumetric, set of six lml/2mV3ml/5ml/10ml/20ml
1
EA
5.
Test-tube without rim 75x 12mm HRG
12
EA
6
Test-tube without rim 150 x 16mm, HRG
12
EA
7.
Cuff, sphygmomanometer, set of two sizes-Child/Adult
1
Set
8.
Needle, blood collection disposable, 17G x 1-1/3 box of 100
1
Box
9
Ball, donor squeeze, rubber, dia, 60mm
1
EA
10.
Forceps, artery, spencer-wells, straight 140mm, stainless steel
1
EA
11.
Scissors, operating, straight 140mm, blunt/points, SS
1
EA
12.
CPDA anti-coagulent, pilot bottle 350ml for collection
20
EA
13.
Microscope, binocular, inclined, 10 x 40 x 100 x magnificant
1
EA
14.
Illuminator for item 14 (microscope)
1
EA
15.
Slides, microscope, plain 25 x 75mm, clinical, box of 100
1
Box
■.
r-
59
‘f
I
Unit
1.
V
r
Only
u
ANNEXURE
LIST OF RCH DRUGS AT PRIMARY HEALTH CENTRE
(Essential Obstetric Care Drugs)
S. No.
Name of the drug with specification
i
1
Annual qnty.
required per
P.H.C.
1.
Inj. Diazepam 2ml amp. 5mg//ml
50
2.
Inj. Lignocaine/Xylocaine 2%-30ml
10
3.
Inj. Pethidine 50 mg
10
4.
Inj. Pentazocine 30 mg
50
5.
Inj. Dexamethasone 2ml amp, 4 mg/ml.
100
6.
Inj. Promethazine 2ml amp. 25mg/ml
50
7.
Inj. Methyl Ergometerin 0.5mg/amp
150
8,
Inj. Etophyilline + Theophlline 2ml
100
9.
Inj. Aminophyline 50mg/10 ml
50
10.
Inj. Adrenalin 0.5mg/ml
50
11.
I.V. Fluid-Ringer Lactate
200
12.
Tablet Methyl Ergotamine/Methargine 0.125mg
500
13.
Tablet Diazepam 5mg
250
14.
Tablet Paracetemol 500mg
15.
Tablet Cotrimaxazole
16.
Tablet Nofloxacin 400mg
1000
17.
Cap. Ampicillin- 250mg
2000
18.
Cap. Doxycycline lOOmg
500
19.
Tab. Metronidazole 200mg
2000
20.
Tab Salbutamol 2mg
1000
21.
Tab. Penicilin-V 125mg/130mg
5000
•
1000
V
!
I-■I
> 4:4
■f
-
1J'
i
.41:
2000
22.
Clotrimazole/Cenestin lOOmg Vaginal pessary
1000
23.
Gyne. CVP (Tab/Cap)
1000
24.
Inj. Vit. K
200
25.
Inj. Atropine 1ml. amp., 0.65mg/ml
26.
Tablet Nalidixic Acid 500 mg
1000
27.
Dextrose, 5% I.V. Solution
50
28.
Normal Saline, 0.9% I.V. Solution
100
60
<1
i
4
’w
.•.•U
50 amp
•
•
H
ANNEXURE VIII
LIST OF RCH DRUGS AT FIRST REFERRAL UNIT
(Emergency Obstetric Care Drugs)
S. No.
Name of the drug with specification
I
CRITICAL DRUGS
Annual qnty.
required/FRU
I (i) ANAESTHETICS/Preanesthetics
1.
Halothane 5Oml/per bottle
5 bottles
2.
Inj. Atropine- 0.6mg/ml
500
3.
Oxygen Cylinder bulk (M) type
2 with 24
fillings
per year
4.
Inj. Thiopentor.e Sod. 500mg
100
5.
Inj. Bupercaine 0.5%, 25ml vial
50
6.
Inj. Xylocaine 58 amp.
50
7.
Inj. Xylocaine 2% 30ml
50
8.
Inj. Diazepam 2ml/amp, 5mg/ml
100
I (ii) ANALGESIC
9.
Inj. Pentazocine 30ml
100
I (iii) ANTI ALLERGICS
10.
Inj. Dexamethasone 8mg
100
11.
Inj. Promethazine
50
I (iv) ANTI DIABETIC
12.
Inj. Insulin (plain) 10ml vial, 40 lU/ml
10
13.
Inj. Lente Insulin
10
I (v) ANTI HYPERTENSIVE/C.V. DRUGS
14.
Cap. Nifedipine lOmg
500
15.
Inj. Mephentine 15mg
25
16.
Inj. Dopamine 20ml vial
25
I (vi) ANTIBIOTICS
17.
Inj. Ampicilin 250mg
1000
18.
Inj. Gentamycine 8mg
1000
19.
Cap. Ampicilin 250mg
2000
20.
Tab Norfloxacin 400mg
2000
61
H
ANNEXURE VIII (Contd.)
8. No.
Name of the drugr with epeoifioation
Annual qnty.
required/FRU
21.
Cap. Doxycycline lOOmg
1000
22.
Tab. Metronidazole 200mg
2000
•'Af
■"I
I (vii) DIURETIC
23.
Inj. Frusomide 40mg/ml, 1ml amp
100
1
I (viii) I.V. FLUIDS
24.
Normal Saline 0.9% 540ml
1000
25.
Ringers Lactate 500ml
1000
26.
Inj. Sod. Bicarbonate
1000
27.
Inj. Dextrose 5%
250 bottles
28.
Haemaceel 500ml
25
I (lx) OXYTOCICS
29.
Inj. Ergometrine 0.5mg/ml
500
30.
Inj. Oxytocine 10.14/ml
500
I (x) DISPOSABLES
31.
I.V. Infusion Sets
100
32.
Intracath Cannula, No. 18, 20 & 22
100
(No. 50, 30, 20 Resp.)
33.
34.
Syringes & needles
Syringes & Needles
5ml
2000
&
100
10ml
500
&
500
20ml
100
&
2000
Gloves size 7 & 8
3000 &
I (xi) OTHERS
(1500)
each size)
■ 11
I iI
|
# !
<
35.
Inj. Deriphylline
100
36.
Inj. Hydrocortisone lOOmg/vial
100
37.
Tab. Salbutamol 2mg
1000
38.
Inj. Adrenalin
100
Ii
■
■f *
.•F
i
i
62
ANNEXURE VIII (Contd.)
I
S. No.
Name of the drug with specification
II
ESSENTIAL DRUGS
Annual qnty.
required/FRU
II (1) ANAESTHETICS/Preanesthetics
39.
Nitrous Oxide
2 cylinder
with 10
refillings/year
40.
Inj. Scoline 50mg/ml (Suxamethonium)
30
41.
Inj. Ketamine 10ml vial, lOmg/ml.
50
42.
Tab. Diazepam 5mg
250
43.
Inj. Vecuronium 4mg/amp
500
44.
Inj. Pancuronium 4mg/amp
500
45.
Inj. Prostigmine 0.5mg/amp
1000
46.
Salbutamol inhaler
20
Pi
■I
i
II (il) ANALGESICS
47.
Inj. Pethidine, 50mg/ml, 1ml Amp.
100
II (iii) CARDIO VASCULAR SYSTEM (C.V.S.)
■
48.
Tab. Frusmide 40mg.
f
500
49.
Tab. Digoxin 0.25mg.
!
500
50.
Inj. Digoxin 50ml.
50
51.
Tab. Methyldopa, 250mg.
50
II (iv) ANTIBIOTICS
52.
Inj. Benzyl Pencillin
2000
53.
Inj. Procaine Penicillin 4 lakh units
1000
54.
Inj. Benzathine Penicillin
100
55.
Tab. Cotrimoxozole
5000
56.
Tab. Penicillin V 125mg
5000
■■
II (v) OTHERS
57.
Tab. Ergometrine 0.125mg
2000
58.
Tab. Nalixic Acid 500mg.
3000
59.
Inj. Cloxacillin 250mg.
100
60.
Inj. Chloroquine 5ml.
50
63
u
H
annexure ix
it
z •
I IST OF NEWBORN CARE EQUIPMENT TO BE SUPPLIED TO
HEALTH INSTITUTIONS
PHC
FRU
District
Hospital
No
No
No
S.
No.
Equipment
Infant resuscitation bag with mask
(capacity 700ml with safery valve set to
70cm of water)
1
2
3
1.
Weighing machine (Pan type 0-10 kg with 50gm
sensitivity)
1
2
3
2.
Paddle operated suction machine
1
2
3
3.
4.
Mounted lamp with 200 w bulb (warming device)
5.
6.
Phototherapy Unit
7.
Oxygen hood
8.
Baby bassinet
9.
Neonatal laryngoscope
10.
Endotracheal tubes
«i
•w
2
4
1
1
1
2
2
4
i'
c
1
I !
s<1
1
Radiant warmer (manually operated with
adjustable heat output). Operates at 180-220
volts. Surface on which baby is placed is
tiltable to facilitate resuscitation.
cl
2
1 ■
y ■
■A i
'i
100
P's'
1
•11
■wl
Il
'■iT 1
•f'
: ■
64
u
ANNEXURE X
LIST OF CONSUMABLE ITEMS FOR RTI/STI LABORATORY
DIAGNOSIS FOR F.R.U.
4
S. No.
Item with specifications
Quantity
Per F.R.U.
I
1.
Microscopic slides & cover slips
iI
1
50 boxes, each
with 100 slides
(5000 slides and
5000 cover slips)
2.
Pipette graduated (1 ml.- glass)
10
3.
VDRL slides
10
4.
Petri Dish (glass - 90mm)
10
5.
VDRL Antigen vial including diluent
50 vials
6.
Sterlised Disposable Syringes (5ml.)
.2000
7.
Disposable needles
■Mi
size 21 awg
1000
size 22 awg
2000
size 23 awg
1000
8.
Disposable glove (size 7)
300
9.
Test Tubes (glass, 15mm x 125mm)
60 dozens
(720 tubes)
10.
Gram stain re-agents (ready)
J:
4
s
a) Gention violet (100 ml. bottle)
5 bottles
b) Grama iodine (100 ml. bottle)
5 bottles
c) Actone (100 ml. bottle)
5 bottles
d) Safranin (100 ml. bottle)
5 bottles
11.
KOH Crystals
50gm.
12.
Distilled water
1 Itr. bottle
J
65
I
u
■H
•1'
ANNEXUREM W,
ITEMS WHICH WILL NOT BE FUNDED UNDER THE HEAD
MINOR CIVIL 'WORKS' IN RCH PROJECT
-X
’x-
* f*
1.
No new construction or expansion of FRUs, PHCs, SCs, STD clines etc. shall
be permitted.
2.
Minor civil works beyond Rs 4.00 lakh at any single facility shall be made
only after specific clearance by GOI.
3.
No vehicle shall be procured or maintained under transport.
4.
Cost on POL or any other consumables shall not be shown under this head.
This should be met by the states/implementation agencies.
5.
No. equipment for FRUs/PHCs shall be permitted
6.
7.
8.
A
I!
i 1
■f I
No addition/deletion in the list of drugs for RTI/STI annexed to guidelines
shall be permitted.
SHS project districts will not use this fund for any purpose at FRUs. However,
they are permitted to use these funds for PHCs/Sub-Centres.
«
furnitures/machinery etc. will not be permitted.
on
office
Any expenditure
I
.1^11 are essential and where non-availability
Only those type of works/items which
of the health facilities will be
of the same hinders the smooth functioning
fkn
permitted.
1 j
-I
?
■i
•W
I
•tf I
I
k
!
J
66
1
t
3.
L
ANNEXURE XII
URBAN FAMILY WELFARE CENTRES
AND
URBAN HEALTH POSTS
tMCIfami'y planninS services in urban areas are provided
through existing net work of 1083 Urban Family Welfare Centres and 871
Urban Health Posts. Presently there are three types of Urban Family Welfare
nattern Tit t, tyPpS °fi Health Posts- The population served and the staffing
pattern of Urban Family Welfare Centres and Health Posts are given below>
Type
Population covered
Staffing pattern
I
10000 to 25000
Auxiliary Nurse Midwife
F.P. Field Worker (Male)
1
1
25000 to 50000
EP Extension Educator/LHV
F.P. Field Worker (Male)
A. N. M.
1
1
1
Above 50000
Medical Officer
(Pref. Female)
LHV
ANM
IJP Field Worker (Male)
Store Keeper cum Clerk
1
II
III
Type
A
For area below 5000 population
B
For area with population 5000-10000
C
D
*
1
2
1
1
For area with population 10000-25000
For area with population 25000-50000
If population of the area is more than 50000 then it is to be divided into
sectors of 50000 population and Health Posts provided.
67
' r
1
ANNEXURE XII (Contd.)
Ji
STAFFING PATTERN OF HEALTH POSTS
■(W
Staff admissible by typo of Health Posts
Category of Staff
A
B
C
D
1
Lady Doctor
1
PUN
1
Nurse Midwife
MPW (male) (<»>
1
2
3-4
1
2
3-4
1
Class IV women
1
Computer cum Clark
♦
Voluntary women health worker @
*.
!i
3
Ii
<i
‘•’i »
■ 'i
’•i
J
One for every 2000 population
(a)
At present there is a ban on these categories of staff.
Note- Type a to C Health Posts be’attached to a hospital for providing referral
and supervisory services. Type P Health Post to be attached to a hospital for
sterilisation, MTP and referral.
Centres an£ Health Posts provide
MCH and family planning and out
reach services. The referral support for these centres come from the nearest
hospital/Post Partum Centres. The Urban Family Welfare Centres
and Health Rosts are envisaged to function in close coordination
with ICDS (Anganwadis) and urban basic services centres in their respective
The
Urban
Family
.'s
■
1
Welfare
areas.
The State wise list of Urban Family Welfare Centres and Health Posts are
annexed.
;w ;
I
!
li
TI
1
il
■
68
I
F
ANNEXURE-XIII
DEPARTMENT OF FAMILY WELFARE
NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE (NIHFW)
Subject : Proposal for NIHFW to act as national level coordinating agency
for training programmes of the Department of Family Welfare.
1.1
The National Institute of Health & Family Welfare (NIHFW) was set up
in Match, 1977 (by the merger of National Institute of Family Planning and
the Institute of Health Administration & Education) as the national level
academic and Research & Development Institution for the Department of
Family Welfare. NIHFW is affiliated to Delhi University for Post Graduate
courses (MD, CHA and Diploma in HA and undertakes various inservice
training programmes for trainers, researchers and health administrators to
upgrade their knowledge and skills in relevant areas to promote Health and
Family Welfare Programmes in this country.
1.2
The NIHFW is registered as a Society under the Societies Registration Act.
Its Governing Body is headed by the Minister for Health & Family Welfare and
the Secretary, Department of Family Welfare is the Vice Chairman. Within the
provisions of the Societies Registration Act, the Institute is autonomous. It is
funded mainly by grants form the Department of Family Welfare and also by
Department of Health through International and bilateral agencies. The compo
sition of the Governing Body and important Committees is at Statement-I
1.3
The NIHFW has very good campus measuring 32 acres at Munirka, New
Delhi. It has a very well porvided administrative and teaching blocks. It has
hostel accommodation for 75 persons and it has 166 residential quarters for
various categries of staff. The Institute is headed by a Director and it has
9 positions of professors (6 filled up), 11 Readers ^8 filled up) and 15
Lecturers. They are supported by various categories of technical and support
ive staff. List of faculty members is at Statement-II. All the faculty members
have qualifications as required for a University level Institution.
1.4
The NIHFW conducts a number of training courses regularly. The course
conducted in 1996-97 are listed at Statement-HI. The, NIHFW is well
equipped to take on the responsibility for organising and coordinating
training programmes for the Department of Family Welfare.
II.
OBJECTIVE
(i)
To organise, co-ordinate and monitor training in the country.
(ii)
To upgrade the competence of family welfare personnel and managers
to provide technically sound client centred and gender sensitive RCH
services.
To create mass awareness on RCH and population stabilization issues
by holding orientation training programme.
(iii)
(iv)
To involve other government departments in promotion of RCH
programme by team training for convergence of services.
69
L
IJ
1
ANNEXURE-XIII (Contd.)
III.
SPECIFIC OBJECTIVES
a.
•
„COOrdinate : W training financed by the Family Welfare Department
munStiZ aEC)enatndC1;";CaI
interpeSO"al C«“ng skiHs a’nd comtion GnSudin^ rn
° awarene8s generation and community mobilizarequested by MORFW^6”^
programme8 such « ICDS) as
b.
To coordinate the development and or adaptation as necessary of model
nZrt8 CU",CU,a> facl>>tators, guides, and prototype manuals/materials and
LpJira LdT.
lO CO""b0r“U',K “«*"»
oenire. Tor ioca.
c.
To assist MOHFW in the development of clinical management protocols
i methods, reproductive tract infecSn^ndTe^
survival as specified in the
SXdZnZCaining011
enSUr6
8UCh PrOt°CO1S are
d.
pnvate/corporate sector in accordance with World Bank Guidelines and to
organise training of trainers of these institutions.
e.
I
To review the work of the collaborative institutions annually and to assist
the MOHFW in determining suitability of the institution
---- 1 to continue as a
collaborating institution.
f.
programme inputs such as equipment, civil works, IEC and NGO activities.
g-
To monitor the implementation, outcome and impact of the training
component of RCH programme.
rv.
•ft
To assist States in the establishment of system of proficiency certificate
award to trainees and monitor and report on state specific achievements on
the project performance.
11
SPECIFIC TASKS AND MECHANISM FOR IMPLEMENTATION
OF TRAINING BY THE NODAL AGENCY
1.
To coordinate (a) development of model training curricula in accordance
with the MOHFW Training Guidelines, 1996 and the Target Free Mannual
(as revised from time to time), development of facilitators' guides (b)
reviewing and upgrading of training manuaVmaterials currently used inte
grating best practice materials produced and used by state specific and NGO
specific training programme.
2.
For task (a) the nodal agency will constitute an maintain Expert Commit70
Ai
u
ANNEXURE-XIII (Could.)
tees, ensuring approprieate inputs from MOHFW. States, relevant experts
from NGOs, public and private sector institutions, representatives of poten
tial trainee groups and donor representatives. For this purpose a hst of
agreed suitable experts will be compiled, regularly updated and used and the
source from which exports would bo drawn to provide inputs for the Export
Committees.
To (a) participate in and provide inputs to working groups and similar
groups organised by MOHFW for the purpose of developing clinical manage
ment protocols and (b) distribute copies of clinical management protocols to
collaborating centres and training centres.
3.
To (a) review and release funds for state and district training plans with
assistance from collaborating centres so as to reduce unnecessary duplication
and ensure optimum utilisation of training funds (b) collate and integrate
into training plans, requests from MOHFW for specific upgrading or revision
to accommodate newer programme directions and priorities.
4.
Hi
To develop a system of proficiency certification for trainees, by, (a)
establishing criteria for proficiency certification for clinical skills training
of different categories of health providers (b) designing prototype formats for
such certification with the assistance of collabotrating centres (c) providing
orientatin as required on the certification process and (d) monitoring of
5.
proficiency certificates awarded.
1
6.
rr-
To coordinate selection and assist MOHFW and national procurement
support agency for appointment of suitable agencies/institutions from Government, NGO and private corporate sector in accordance with World Bank
guidelines in respect of the following :
(a)
Selection of Training Institutions for Medical Officers/Specialists
for training in :
Medical Termination of Pregnancy (MTP)
Mini Laparotomy
Laparoscopic sterilisation
No Scalpel Vasectomy
(b)
Selection of Resource Person/Institutions for conducting Management
Training for Health Administrators at District, Division and State
levels.
(c)
7.
To prepare a panel of experts to be paid higher rates of honorarium
per day for specified number of days in a month for training
programmes.
To conduct orientation courses for master trainers of collaborating
agencies/institutions and specialised training instutitons appointed for this
purpose and also to implement some training of trainers courses.
71
u
ANNEXURE-XIII (Contd.)
Monitoring and Evaluation of Training Programmes:
8.
(a)
To monitor the implementation, outcome and impact of the training
component of RCH programme.
(b)
To review with MOHFW, State representatives and relevant experts the
continued relevance of training courses every year and make neces
sary changes in curricula and training materials.
9.
To conduct directly training courses for some of the Health Managers/
Communication Personnel at State/Divisional/District level in regard to RCH
concept and management of RCH issues.
10.
Disbursement of finances for the training courses to be held under RCH
project to the collaborating Institutes and Training Institutes. Also to obtain
and furnish to MOHFW accounts duly audited by CA for training courses and
utilisation certificates.
11.
To conduct on site review of some training institutions every month to
review the quality of training and ensure that the financial accounts are being
maintained in accordance with the required standards.
v.
SCHEDULE FOR COMPLETION OF TASKS
Assignment is likely to continue for five years but the contract will be for
one year at a time, to be renewed each year if work continues to be
satisfactory.
VI.
PROPOSED TRAINING AND ORGANISATIONAL ARRANGEMENTS
A.
The training programmes will
have two distinct components :
(i)
Awareness generation/orientation for RCH programme, for all health
personnel, functionaries of releated departments and members of
elected bodies (Panchayati Raj Institutions and NGOs.), team approach
orientation for convergence of services at community level.
(ii)
Knowledge, task oriented and technical skill upgradation training for
health personnel.
AWARENESS GENERATION/ORIENTAION FOR RCH PROGRAMME
The orientation and awareness generation courses for personnel working
in the district, will be ANM/LHV training schools or district training centre.
The State Institute of Health and Family Welfare or collaborating insti
tutions will hold awareness/orientation courses for senior level health pro
fessionals, officiers of related departments.
The National Institute of Health and FW will conduct (a) courses for
faculty of collaborating institutions to familiarise them about the RCH
concepts, issues and the proposed scheme (b) will hold courses for
72
■w
< •
u
ANNEXURE-XHI (Contd.)
management of RCH issues for state/Divisional and senior district level
officers.
TECHNICAL SKILL DEGRADATION
!• ?
The skill based courses will be conducted in the district hospitals or sub
district hospitals/CHC/FRU/hospitals run by NGOs/Private/Corporate Sectors
selected for the purpose on the basis of sufficient training load and number
of trainers.
The Medical Officers will be trained for skill development at the District
Hospitals/Medical Colleges/government recognised Centres for specialised
skills like MTP/Tubectomy/Vasectomy and IUCD insertion.
Experts from Centres of Excellence will be sent abroad to acquire new
skills like No Scalpel Vasectomy to act as trainers for the doctors.
B.
RESPONSIBILITIES OF NIHFW :
Select 15 collaborating institutions on regional basis for assisting the
NIHFW in providing the support services and supervision required to the
peripheral institutions which are likely to be 300-500 in number as per the
requirements of the country. The collaborating institutions would be selected
on regional basis and could be Government, Non-Government, private
institutions. A list of possible institutions for short listing and selection as
collaborating institutes is at Statement - IV.
*
The criteria for selecting the collaborating institution will be their
capability and consultancy charges quoted by them, per training (actual cost
for Government Institutions).
0
The NIHFW will assist the Department of Family Welfare and procurement
agency for selection and appointment in accordance with the World Bank
procedures.
I
C.
RESPONSIBILITIES OF COLLABORATING AGENCIES :
(i)
To assist the state authorities and the nodal agencies in selection of
appropriate training institutions from government, NGO, private/corporate
sectors in implementing all types of training envisaged under RCH programme.
(ii)
To assist the state government and to provide guidance to the districts in
preparation of district training plans in accordance with the MOHFW’s “InService Training Guidelines 1996”.
(iii)
To procure the training materials from nodal agencies, translate, adapt and
print copies as per requirement of the State Government.
(iv)
To distribute the training materials to all selected training institutions.
(v)
To conduct training of trainers of the selected institutions and other training
courses in the region in accordance with the approved plans.
73
k
I
i!
u
ANNEXURE-XIII (Q<^|
(vi)
(vii)
VII.
1
To train District Family Welfare Officers in collating information
supervisory check lists (TFA manuul) and provide feedback on staff perfcij
mance gaps to the training institutions.
.
To evaluate training carried out by the training institutions in the deHne4W
reigion including on-site visits of the institutions provide evaluation reptwU >’
to the state authorises and the nodal agencies and take corrective measure.^
guiding principles OF TRAINING :
■
The training programmes will be conducted in conformity with the(O
Inservice Training Guidelines developed by the Department of Family
Welfare, Government of India- 1996.
.X
(O
(ii)
The training programmes will have two components - (*> ^renes. W generation/orientation and (ii) upgradation of technical skills of health j
,
personnel.
(iii)
(iv)
• •
Each skill upgradation training
course-j will normally have 15 - 20
■-••
---------- will be conducted
participants.* Whereas the orientation
programme
mentioned for these training pro- 7^)
for 25 participants. The sites
grammes would be as mentioned in para 6 above.
*
In specialised skills development programme there will bo two to three
'i.
trainees per trainer.
(v)
The skill based training will have a recall after three to six months
wherein the trainees wiU work under the supervision of the trainers for
technical assessment of their skills for issuing the validation certificate.
(vi)
For each category of training programmes standards for development
of necessary skills will be laid down by a group of experts.
(vii),
(viii)
At the end of every training course each training
- institution will
obtain the feed back of each trainee about the quality of each session
and its effectiveness. This record will be kept by the’ tral“in^
tution and a compiled summary will be submitted to
collaborat
institution alongwith the report of the trainee at the end of each
course. This will be used for improving the subsequent courses.
A uniform honorarium will be paid on per session basis to the in-house
faculty There will be provision of one outside expert being invited for
training every day as required. There will be one rate of honorarium
for district and sub-district level experts and another for state and
regional level experts. Similarly the daily allowance for trainees will
beguniform for group B. C and D level. Another rate will apply' for
Group A level trainees. Contingencies including money for teachi g
material consumable etc. wiR.be at Rs. 100 per trainee per day. A
training’institution will receive 15% of the total training expenditure
for providing institutional support services. If the institutions wishes
to pay something to supportive staff it will be able to make t
payment out of the contingencies or out of its institutional suppor
74
1
■
fl
"fl
I
r-
Ii
ANNEXURE-XIII (Contd.)
payment. The scale of these payments is specified in statement-VII.
These norms can be changed by the NIHFW with the prior approval
of the Department, if required.
The experts for the training programme of the trainers at the National
Institute of Health and Family Welfare and State Institutions will be hired
at the rate of Rs. 1000/- per day for specified number of days in a month.
2.
The NIHFW with the assistance of the collaborating institutions will
furnish to the Department every quarter the list of training courses, the list
of training institutions for each course and the brief report of courses
organised during the quarter alongwith a summary of findings by NIHFW
and collaborating institutions during their inspections during the quarter.
3.
The list of training courses on the basis of which the NIHFW will operate
to begin with is at Statement - V.
VIII.
OUTPUTS:
a.
Selection of 15 collaborating agencies/institutions and 300-500 pe
ripheral training institutions.
b.
Integrated Training District Plans.
c.
Establishment of mechanism of proficiency certification.
d.
Clinical protocols
e.
Training modules
f.
Training material
g
Customised training packages •
h.
Facilitators guides
i.
Curriculum for integrated training for all categories.
j-
Short lists for selection of collaborating agencies/institutions
k.
Annual Review Reports on performance of collaborating agencies/
institutions.
Quarterly Review Reports on training courses being conducted includ
ing training of trainers.
1.
m.
Recommendations on various training aspects.
n.
Accounts duly audited by CA and utilisation certificate of the funds
released by MOHFW to NIHFW.
Accounts duly audited by CA and utilisation certificates for the funds
released by NIHFW to collaborating institutions and other agencies.
o.
IX.
DATA SERVICES AND FACILITIES EXPECTED FROM THE MINISTRY OF
HEALTH AND FAMILY WELFARE
•
MOHFW will ensure participation of the representatives of the Nodal
Agency in all activities that could have implications for training, such
75
11
■ WHlo
ANNEXURE-XIH (CnWWWp
as development of clinical r"“L~-.
management
protocols, expert group
ings, workshops, review of
of relevant
re!=v~r.t programme monitoring
evaluating meetings etc.
J
'V'
MOHFW will include representation in relevant committees
groups etc. established by the Nodal Agency.
MOHFW will nominate a <coordinator who will liaise with appropriaU^lfe
f cmc* set ««M
— J _ 1 Agency
A »•
. departments and committees
up l^e>
by KT
Nodal
for
the
project^
MOHFW will furnish Nodal Agency with nzzzzz^^
vuuuie
necessary data, ;
document*
Aenc1161* lnPUtS neCeSSary for carryin* out the assignment by Nodal
...
.. ” -HI
MOHFW will make available adequate funds to Nodal Agency for
carrying out task assigned.
MOHFW will make necessary arrangement to provide entry/exit passes^^O
ment81tS
x.
N°dal A&ency personnel during the course of the assign-
--------INSTITUTIONS
111053 STRENGTHENINO IN NIHFW AND COLLABORATING «
While NIHFW and collaborating institutions are quite well provided
generally but the overall range and size of the training programme is very
arge. The NIHFW and the collaborating institutions will not be able to take
on th!s additional responsibility only with the existing human resource at
Nmvw181"81. 11 W1“ b® nec?ssary to strengthen the human resource in
NIHFW as well as in collaborating institutions to some extent for performing
the unctions assigned to NIHFW and collaborating institutions adequately
All the proposed additional human resource will be for the project period only
and all the appointments against such positions'will be contractual The
strengthening required in NIHFW and collaborating institutions will be as
(Annexed under H.R.D.) Statement - VI.
!
w
4
s
76
11
STATEMENT - I
NATIONAL INSTITUTE OF HEALTH AND
FAMILY WELFARE*
GOVERNING BODY
Mrs. Renuka Chowdhary
Union Minister of State for Health and Family Welfare
Chairman
Mr. Y.N. Chaturvedi
Secretary (FW)
Vice-Chairman
J
Ex-Officio Members
Members
Ms. Shailaja Chandra
Addl. Secretary (Health),
MOHFW, New Delhi
Prof. V Ramalingaswami
Ex-Director General, ICMR &
Professor Emeritus AIIMS,
New Delhi
Dr. S.P. Agarwal
DGHS, New Delhi
i
1
1
I
i
Dr. (Mrs.) Banoo J. Coyaji
Chairman,
KEM Hospital Research Centre, Pune
Mr. K. S. Sugathan
Joint Secretary.
MOHFW. New Delhi
Shri Vijay Singh
Joint Secretary (FA.),
MOHFW, New Delhi
Dr. Raja J. Chelliah
Chairman,
National Institute of Public
Finance and Public Policy,
New Delhi
Dr. (Mrs.) G.V Satyawati
Director General,
ICMR, New Delhi
Dr. lualitha Kameswaran
No. 5, 3rd Avenue,
Indira Nagar, Chennai •
Dr. P. K. Dave
Director.
AIIMS, New Delhi
Mrs. Kalpana Jain
Journalist
D-26, Gulmohar Park
New Delhi
Dr. K. B. Pathak
Director. UPS
Mumbai
Prof. S. Chakraborty
Indian Institute of Management
Prabha Nagar,
Sitapur Road, Lucknow
Dr. (Mrs.) Prema Ramachandran
Adviser (Health),
Planning Commission, New Delhi
Dr. (Ms.) H. Helen
Director, NIHFW
Member-Secretary
• An Autonomous Body, registered as a Society under the Societies Registration Act XXXI of 1860.
77
H
STATEMENT-H
W
STATEMENT OF FACULTY IN NIHFW
Teaching
Experience
Director :
Dr. H. Helen
B.Sc.. M.B.B.S., D.G.O.
M.D., F.R.C.O.G.
Professor :
31 Years
Dr. I. Murali
Epidemiology,
M.D., Dip., HSA
23 Years
Prof. P. L. Trakroo
Communication,
M.A., Ph D.
23 Years
Dr. M. C. Gupta
Education & Training,
M.D. (Med.), DPH
23 Years
Dr. M. Bhattacharya
Community Health Admn.
M.B.B.S., M.D. (PSM)
Dr. N. Sethi
Planning fz Evaluation,
M.D. (PSM)
15 years
• '.1
Dr. K. Kalaivani
Reproductive Biomedicine,
M.B.B.S., D.G.O., M.D. (O&G)
Dip, N.B.E. (O&G)
■‘W'
i
Statistics & Demography,
Social Sciences,
Medical Care & Hosp. Admn.
Selection under process
•-W
■
Readers :
Dr. A.K. Sood
Reader in Education & Training
M.B.B.S., M.D. (Health Admn.),
M.A., Ph.D.
13 Years
Dr. Pratima Mitra
Reader in Nursing Administration,
B.Sc. (H) Nsg„ M.A. (P.A.)
M.A. Health Mgmt. & Planning Policy
Ph.D., Training in Health Management
13 Years
78
•
I j
STATEMENT-II (Contd)
Readers :
Dr. J.K. Das
Reader in Medical Care & Hosp. Admn.
6 Years
Dr. A M. Khan
Reader in Social Sciences,
M.A., Ph D.
13 years
Dr. U. Dutta
Reader in Health System Research
(Gwalior Project),
B.Sc., M.B.B.S., DCP, M.D. (C. Med.)
12 Years
Dr. Vivek Adhish
Reader, Education & Training (IPP),
M.B.B.S., M.D. (PSM)
Trained in Health Management
5 Years
Dr. M.M. Misro
Reader, Reproductive Biomedicine,
M.Sc., Ph.D.
Since June 1997
Dr. T. G. Shrivastav
Reader, Reproductive Biomedicine,
M.Sc., Ph.D.
Since Sept., 1997
Recruitment iS'
being done
Reader in Reproductive Medicine - Clinic
Reader in Electronic Media
Reader in Management Sciences
Lecturers :
Mr. C. B. Joshi
Sr. Lecturer in Evaluation,
M.A. (Eco), M.A. (Soc.), CD
.1 23 Years
Sh. B.B.L. Sharma
Sr. Lecturer in Health Economics,
M.A. (PHA)
18 Years
Dr. I S. Allag
Sr. Lecturer in Rep. Biomedicine,
M.Sc., Ph D.
13 Years
Dr. (Mrs.) S. Menon
Sr. Lecturer in Rep. Biomedicine (Clinic)
M.B.B.S., MS. (O&G)
10 Years
79
ivSTATEMENT-II (Contrt’Wfe
Lecturers :
Dr. T. Mathiyazhagan
Sr. Lecturer in Communication
M.Sc., Ph.D.
10 Years
Dr. (Mrs.) Noora Dhar
Education & Training,
M.Phil. Ph. D., M.S.
6 Years
Dr. Sanjay Gupta
Community Health Administration
M.B.B.S., M.D. (PSM)
5 Years
Mrs. Beena Khillare
Biomedical Research,
M.S.c., M.Phil.
5 Years
Dr. (Mrs.) Rajni Bagga
Psychology. Deptt. of Soc. Sci
M.A., Ph.D.
5 Years
Sh. Thaneshwar Bir
Anthropology, Deptt. of Soc. Sci
M.A., M.Phil.
5 Years
Dr. (Mrs. Gita Bamezai
Print Media - Communication
M.A., Ph.D.
5 Years
Dr. (Mrs.) Ssyjal Gupta
Deptt. of RBM, Clinical Female
M.B.B.S., M.D. (Obst. & Gynae)
D.G.O.
80
i'
w
♦
'
s•
Dr. Y. L. Tekhre
Sociology, Soc. Sci. Deptt.,
Ph.D., LL.B., PG Diploma
in Pub. Admn., Dip. in Journalism
Dr. Vijay Kumar Tiwari
Statistics & Demography
M.Sc., Ph.D.
PG Dip. in Computer Programming
& System Analysis.
'/■
5 Years
■1J
4 Years
it
2 Years
u
STATEMENT III
TRAINING COURSES AND WORKSHOPS - 1996-97
1.
Trianing Course in Research Methodology in Reproductive Bio-Medicine (1)
2.
Training Course in Maternal and Child Health for Trainers of Health
Personnel (Non-IPP VI & VII States) (1)
3.
Training Course in Interpersonal Communication for District Media Officers
and Faculty from Training Institutions (1)
4.
Training Course in Hospital Administration (1)
I
5.
Training Course for Trainers of Statistical Personnel (1)
t
6.
Training Course for Incorporation of Health and Family Welfare Messages for
Trainers (1)
7.
Development of Curriculum for Panchayati Raj Institutions (1)
8.
Training Courses for State and District Level Officers in Health Economics
and Financing (2)
9.
Training Course in Computer Application in Health and Hospital Manage
ment (1)
10.
Workshop on Restructuring of Training and Education in Public Health
Management for Health Administrators (1)
«
Workshop on Restructuring of Training and Education in Public Health
Management for Residents and Post Graduates (1)
Mr
I
1
4
11.
12.
11th Health Systems Research Training Course (1)
13.
Repeat Workshop of 11th Health Systems Research Training Course (1)
*
14.
12th Health Systems Research Training Course (1)
I
15.
Repeat Workshop of 12th Health Systems Research Training Course (1)
16.
Integrated Training Course in Health and Family Welfare for Trainers of
Medical Officers at various levels (2)
17.
Integrated Training Course in Health and Family Welfare for Trainers of
Peripheral Health Functionaries (2)
18.
Training Resource Development Consortium Workshop (1)
19.
Orientation Training Course for District Hospital Specialists (2)
20.
Integrated Training Course in IEC (IPP VI & VII) (2)
21.
Training Course in Hospital Administration for IPP Trainers (IPP VI & VII)
(1)
K’
81
Hi
&
STATEMENT-III (Contd,)> ^
Z
Iw
■i ' V ''
W„,«.oP for P.oW DireoWr., DTootor. (S.nrw, for prep^U-
22.
23.
%
&
Plan (IPP VI) (1)
„„„ rf Trainins Cour... ConduCd by SUU»
™> <*>
Workshop for
review or the Epidemiological Research AcliviVes (2)
24.
Workshop for
25.
Workshop on Educational Technology (1)
26.
Workshop on Health Policy Planning (1)
Training/Research Meetings
27.
Functional Group Meeting of Health Systems
Research (Northern Regions)
(1)
28.
-- -nd Ponodona! Oroop
<■, Coneordom Member. oC HeaUh
Core Group an
(1)
Systems LResearch
-----Number of Trainins Courses. Workshops and MeeLings = 34
Total
i-
ln lb. parenlhe.es Indlcs.e the number oi Coor.e.^rksbop^Mee.ins.
Figures
3-
82
•4
-rr;
STATEMENT IV
LIST OF TRAINING INSTITUTIONS - STATE AND CATEGORY-WISE
(Illustrative)
S= State.
N= National
R= Regional,
STATES
GOVERNMENT TRAINING
INSTITUTIONS
Andhra Pradesh
Principal,
Regional Health & F.W Training
Centre,
Sultan Bazar, Hyderabad
(S/D)
oo
Ca3
D= Disnct
ADMINISTRATIVE TRAINING
INSTTT CITES
Commissioner.
Instt. of Admin. Road No. 25,
Jubilee Hills, Hyderabad-34
(N/R/S/D/)
Health & Family Welfare Training
Centre, Nallapadu, Guntur-5
(S/D)
Principal.’
. Administrative Staff College of India,
Hellavista, Hyderabad. (N/R/S/D)
Principal,
Health it Family Welfare Training
Centre.
Acor TD Hospital. Resapurnipulem.
Vishakhapatnam 13.
(S/D)
Director General.
National Instt. of Rural Development.
Rajendranagar, Hyderabad-30
(N/R/S/D)
Principal.
Health St Family Welfare Training
Centre, Kumool.
(S/D)
Director,
State Instt. of Health St F.W,
Hyderabad, Andhra Pradesh.
(S/D)
Reginnal Centre for Urban and
Environmental Studies (ROUES),
Osmania University,
Hyderabad 500007, AP (S/D)
Director, Administrative
Trg. Instt. I tanagar.
(SO)
Arunachal Pradesh
Assam
Principal
Health & Family Welfare Training
Centre.
New Colony, Cuwahati
Director.
Assam Administrative Staff College.
Jawahamagar. PO. Khanapara.
Guwahati 781 002
NGO
Catholic Hospital Association of
India. PD-2126, Gun rock
Enclave, Secundrabad 500003.
AP
(D)
EEC
STATEMENT IV (contd.)
STATES
GOVERNMENT TRAINING
ADMINISTRATIVE TRAINING
TNSTITUTES
iNsnrunoNS
Bihar
Principal.
Health & Family Welfare Training
Centre.
Road No. 10-A, Rajendra Nagar,
Patna.
(S/D)
Director
Sri Krishna Instt. of Public Admin.
Merus Road, Ranchi-8
(S/D)
Principal,
Health
Family Welfare Training
Centre, Jurnachapra, Lane No. 4,
PO MIT, Muzaffarpur,
(S/D)
co
Principal,
Health Ac Family Welfare Training
Centre, Bhagaipur
(S/D)
Principal,
Health & Family Welfare Training
Centre. Hazaribagh.
(S/D)
Director,
State Instt. of Health & F V.'..
Indira Gandhi Instt. of Medical
Sciences Campus Seikhpura
Patna - 14.
(S/D)
fl
NGO
IEC
Dr D.K. Dey,
Tata. Iron and
Steel Company.
Jamshedpur-831001
STATEMENT IV (contd.)
STATES
GOVERNMENT TRAINING
INSTITUTIONS
Gujarat
Principal,
Health & Family Welfare Training
Centre. Opp. Govt. Press. Rajkot
(S/D)
Programme Officer (Trg)
& Principal.
Health & Family Welfare Training
Centre. New Civil Hospital Campus
Opp. T.B. Hospital, Ahmedabad-16.
(S/D)
Director. State Instt. of Health &
Family Welfare
Gandhi Nagar, Gujarat
(S/D)
CD
O’
Haryana
Principal
Health & Family Welfare Training
Centre, Rohtak Medical College
Campus, Rohtak.
(D)
State Bank Staff College, IDPL
Complex, Dundahera,
Gurgaon-122001, Haryana, (N/S)
Himachal Pradesh
Principal
Health & Family Welfare Training
Centre,
Par im ah al Shimla
(D)
ADMINISTRATIVE TRAINING
INSTITUTES
Director.
Indian Instt. of Management.
Vastrapur. Ahmedabad-380015
(N/R/SD)
Chairman,
Instt of Rural Management.
PB No. 60 Anand 388 001
(S/D)
Commissioner of Trg..
Sardar Patel Instt. of Public Admin.,
Opp. ISRO, Satellite Road,
Ahmed abad-53
(SJ3)
Director,
Haryana Instt. of Public Admin.
Gurgaon. (S)
Chief Executive,
Management Dev. Instt..
PB. 60. Mehrauli Road, Gurgaon-1
(N/R/S/D)
Director,
H.P Instt. of Public Admin.
Fair Lawns, Shimla (HP)
(S)
NGO
IEC
Centre for Health Education.
Training and Nutrition
Awareness. (CHETNA).
Lilavatiben Lalbhai’s
The
Operational
Research
Group
Bungalow, Civil Camp Road
Vikram
Sarabhai
Marg
Baroda39007
Shahibaug, Ahmedabad-380004
(N/R'S/D)
Sewa Rural.
Jhagadia. Distt. Barauch,
Gujarat-393 110
(S/D)
Mrs. Geeta Sabbarwal,
Kutch Mahila Vikas Sangathan,
11, Nutan Colony, Bhuj Kutch
370001
Mrs. Merai,
SEWA, Opp M. Chaterjee,
Victoria Garden Hills Elis
Bridge, Bhadra, Ahmedabad
380001 (S/D)
Survial for Women and Child
Foundation, Sector 16, (near
Sanatan Dharam Mandir)
Panchkula 134 109
(N/R/S/D)
National
Institute of
Design.
Ahmedabad.
STATEMENT IV (contd.)
STATES
Jammu & Kashmir
government training
INbTHUllONS
administrative training
institutes
Principal,
Health & Family Welfare Training
Centre,
Baramulla, Srinagar.
(S/D)
Director,
Regional Instt. of Health & F. W,
C/o Project Director, IPP-VII.
Health & Medical Education,
Govt, of J & K,
344, Shastri Nagar, Jammu.
(S/D)
Karnataka
00
Oi
Principal,
Health & Family Welfare Training
Centre,
Magadi Road, Bangalore 23
(S/D)
Principal.
Health & Family Welfare Training
Centre, KMC Campus, Distt.
Dharwar, Hubli 022.
(S/D)
Kasturba Medical Collage,
Mampal 576119 (N/S/D)
(S/D)
Deptt. of Community Medicine,
St. Jhon’s Medical College, Sarjapur
Road, Bangalore 560034
(N/S/D)
Kerala
NGO
Principal,
Health & Family Welfare Tranin g
Centre, Theraud Trivandrum-14
(SD)
Principal,
Health & Family Welfare Training
Centre, Calicut-9
(S/D)
Director,
Indian Instt. of Management,
Bannerghata Road. Bangalore.!. 560076
(N/R/S/D)
Director,
Admin. Trg. Instt. Karnataka.
Lalithamahal Rd. Mysore-10.
Community Health Cell.
367, Srimvassa Nilia,
Jkkasandra I, main I block:
Koramanga, Bangalore 560034.
(S/D)
SEARCH,
219/26, 6th main, 4th Block.
Jainagar Bangalore 560011
(0)
Indian Society for Health
Administration (ISHA),
104 (15/13) Cambridge Road
Cross, Ulsoor, Bangalore-560008
Director,
Instt. of Management in Govt.
Vikaa Bhawan, Thiruvanthapuram-695033
(N/R/S/D)
The Direcor
Kerala Instt. of Local Admin.
Mulankunathukavu, PO. Thrissur-81.
(S/D)
IEC
- v.i'M&jl
feft-J’’'-
STATEMENT IV (contdj
STATES
Madhya Pradesh
GOVERNMENT TRAINING
iNsnrunoNS
Principal,
Health «fc Family Welfare Training
Centro. Old CRP Lines, Indore
(S/D)
Director.
M P Academy of Admin
Arera Colony,
Hitkanni Nagar, Bhopal-1G
Principal.
Health & Family Welfare Training
Centro, Jabalpur 01.
(S/D)
(S/D)
Principal,
Health & Family Welfare Training
Centre, Seepat Road, Sarkande,
Bilaapur.
(SA»
00
ADMINISTRATIVE TRAINING
JNSTITUTES
Principal,
Health & Family Welfare Training
Centre,
Palpur Kothi, Kampoo,
Gwalior 01.
(S/D)
Director,
State Instt. of Health Management
Communication,
Gwalior, Madhya Pradesh.
(S/D)
NGO
IEC
STATEMENT IV (contd.)
STATES
Maharashtra
government training
enstti u noNS
Principal,
Health & Family Welfare Training
Centre. Aundh Camp, Pune-7.
(S/D)
Course Coordinator.
Tata Instt. of Social Science.
|
PB. No. 8313, Deonar. Bombay-88.
I
(N/R/S/D)
Principal,
Health & Family Welfare Training
Centre, Vaccine Instt. Premises.
Sard han and Peth. Nagpur-22.
(S/D)
Principal,
Health & Family Welfare Training.
Centre, New Civil Hospital
Compound, Nasik-2.
(S/D)
Principal,
Health & Family Welfare Training
Centre. Behind Rama Intesnational
Hotel, New Aurangabad-3.
(S/D)
Public Health Department, Municipal
Corporation of Greater Bombay,
Ilnd Floor. F/S Ward Office, Parel.
Bombay-12
(S/D)
X
X
Manipur
Principal
Health & Family Welfare Training
Centre, Porompat, Imphal.
(S/D)
Meghalaya
Principal
Health & Family Welfare Training
Centre. Pasteur Hills, Shillong.'
(S/D)
_
Mizoram
Director.
Tata Management Trg. Centre,
1, Manpal Das Road. Pune-1.
(N/R/S/D)
Director.
Shn Yashwantrao Chavan Instt. of
Dev. Admin..
Pune-Ban er Road. Pune-7.
Aga Khan Health Service India.
905. Raheja Chambers.
231, Nariman Point, Bombay-21
(S/D)
EEC
Tala Institute
of Social
Science.
Sonibay
Family Planning Association of
India. Bijjay B haw an, Nariman
Point. Bombay. (N/R/SD)
Dr. S.V Gore, Managing Trustee.
Sewa Dham Trust,
Manoj Clinic. 1148. Sadasiv Peth
Pune. Maharashtra. (S/D)
HPSA Bombay.
(N/R/S/D)
SOSVA. Society for Services to
Voluntary Agencies Shardaram
Parth. A wing 3rd floor, near
Jhangir Nursing Home.
Pune 411001 Maharashtra
Director,
Administrative Training Instt.,’ Aizwal.
(S)
Nagaland
NGO
ADMINISTRATIVE TRAINING
institutes
____________
Director,
Administrative Trg. Instt.
Oncer Hills, Kohxmn (S)
STATEMENT IV (contd.)
STATEMENT IV Qcontd.)
STATES
GOVERNMENT TRAINING
INSTITUTIONS
Orissa
Principal,
Health St Family Welfare Training
Centre, Sambalpur.
(S/D)
ADMINISTRATIVE TRAINING
INSTITUTES
Commssioner,
Gopabandhu Academy of Admin.
Sahidnagar. Bhubaneswar-751 007
(S)
co
CD
TEAM for Human Resource
Education and Action for
Development (THREAD)
Sidharth Village. Post B. No 9,
Jatm, Distt. Puri-752 050
ORRISA (S/D)
Principal
Health St Family Welfare Training
Centre, Cuttack-7.
(S/D)
F*u njab
NGO
Principal.
Health St Family Welfare Training
Centre, Kharar, Distt. Ropar.
(S/D)
Director.
Punjab State of Public Admin ,
SCO 175-176, Sec C.
Madhya Marg. Chandigarh-18
Director,
State Instt. of Health St F.W,
Kharar, Punjab.
(S/D)
(S/D)
Sikkim
Tamil Nadu
Principal
Health St Family Welfare Training
Centre, 417, Panthoon Road,
Egmore-9
(S/D)
Gandhigram Institute of Rural
Health and Family Welfare
Trust. PO : Ambadhurai.R.S.
Dindigal. Quaid-e-Milleth
Disrtict, Tamil Nadu-624 309
Principal,
Health St Family Welfare Training
Centre, Salem Govt. H Q. Hosp.
Compound Salem-1.
(SJ3)
(N/R/S7D)
Principal
Health St Family Welfare Trining
Centre, PO. Ambathurai, Anna R.S.
Distt., Madurai-9
(S/D)
Department of Community Medicine,
Christian Medical College,
Vellore-632002
(N/S/D)
Tripura
ANITRA, 60. Radhakrishana
Road, Chennai-24, Tamil Nadu
Ms. Jaya Arunachalam,
President,
Working Women Forum
55, Bhimasen Garden Road,
Mylapore Chennai.
IEC
STATEMENT IV (contd.)
STATES
West Bengal
ADMINISTRATIVE TRAINING
INSTITUTES
GOVERNMENT TRAINING
INSTITUTIONS
Director.
Indian Instt of Management.
Joka Diamond Harbour Raod.
Calcutta 700027
(N/R'S'D)
Child in Need Institution (CINI).
Post Box No. 16742. Calcutta-27
West Bengal.
(ST))
Shn R. Das.
Secretary
General.
Indian Tea
Association
Principal,
Health & Family Welfare Training
Centre, Kalyani, Distt. Nadia.
(S/D)
(West Bengal. N E.)
Shn R. Das. Secretary General.
Indian Tea Association. Royal
Exchange. 6 Netaji Subhash
Road. Calcutta-1 (SD)
Royal
Exchange.
6 Netaji
Subhash
Road.
Calcutta700001
Calcutta Metropolitan Development
Authority, Unnayam Bhawn, Vidhan
Nagar, Calcutta-91
(S/D)
All India Institute of Public
Health & Hygiene, Calcutta.
(N/S/D)
A <Se N Islands
Chandigarh
EEC
Principal.
Health & Family Welfare Training
Centre. 235, Bipin Behari Ganguli
Street, Calcutta
(S/D)
Principal
Health & Family Welfare Training
Centre, P O. Danguajher, Jalpaiguri
(S/D)
co
o
NGO
Director, State Instt. of Health <Sc
Family Welfare,
Near Topiary Park, Sec. 6,
Panchkula-9
(S/D)
D & N Haveli
Daman & Diu
I
(
(
r
MR
STATEMENT IV (contd.)
CD
STATES
GOVERNMENT TRAINING
INSTITUTIONS
Delhi
Principal,
Health & Family Welfare Training
Centre. Nurses Hostel 2nd Floor.
Han Nagar New Delhi-64.
(S/D)
ADMINISTRATIVE TRAINING
INSTITUTES
NGO
EEC
Indian Society for Training and
Development (ISTD) Training
House, Behind Kutub Hotel,
Institutional Areaa, New Delhi
(N/S/D)
The Indian Instt of
Mass Communication,
J.N U Campus.
New Delhi-67
(N/'S’D)
Director.
National Instt. of Health & Family
Welfare, New Delhi
(N/S/D)
Plan Intemational-ROSA/India.
J-27, South Extn. Part-1, New
Delhi
(N/S/D)
The Media Research
Group, E 126, Rajouri
Garden, New Delhi110027 (N/S/D)
Director,
Central Health Education Bureau,
Kotla Road, New Delhi.
(N)
Society for Participatory
Research in Asia,
42 Tuglakabad Institutional Area,
New Delhi (N/S)
The Mode Research
Pvt. Ltd.
Kotla Mubarakpur
New Delhi. (N/S/D)
Director,
National Instt. of Communicable
Diseases, 22, Shamnath Marg,
New Delhi.
(S/D)
Voluntary Health Association of
India, Tong Swasthya Bhawan,
Behind Qutub Hotel, 40,
Institutional Area New Delhi-16
(N/S/D/)
The Centre for
Research & Planning.
& Action. 10. Hailey
Road, New Delhi.
(N/'S'D)
Ms. Ad arash Sharma
Addl. Director,
NIPCCD,
Siri Institutional Area,
New Delhi
(N/S)
Mr A. Sengupta,
Director. Bharat Gyan Vigyan
Sanstha. C/o Delhi Science
Forum. B-l, 2nd floor. LSE.3
Block.Saket, New Delhi
(N/S/D)
The Centre for Social
and Techno Economic
Research, B 2-235,
Paschim Vihar,
New Delhi-110063
(NSD)
Department of Community Medicine,
Maulana Azad Medical College,
New Delhi-1.
(N/S)
Smt.Sudhi Tiwari,President,
Parivar Seva Sanstha. 28
Defence Market. New Delhi
(N/SZD)
The Socio-Economic
Research Centre,
C 4D 48 A. Janakpun.
New Delhi. (N S/D)
Department of Community Medicine,
Lady Hardinge Medical College.
New Delhi-1,
(N/S)
Centre for Information
Education and Communication
D-332.Defence Colony,
New Delhi
Jamia Milia Islamia
University.
New Delhi.
(N(>D
Director,
Indian Instt. of Public Admin
I P Estate, New Delhi
(N/R^D)
STATEMENT IV (contd.)
STATES
GOVERNMENT TRAINING
TNsnrunoNS
administrative training
NGO
IEC
INSTITUTES
Lakshdweep
Pondicherry
Department of Community Medicine,
Jawahar Lal Nehru Instt. of Post
Graduate Medical Education and
Research, Pondicherry-605006
(N/S/D)
Rajasthan
Principal.
Health & Family Welfare Training
Centre. Hira Bagh,
Sawai Ram Singh Road. Jaipur-4
(SAD)
CD
Principal,
Health & Family Welfare Training
Centre, Jaipur Road, Ajmer.
(S/D)
Principal,
Health & Family Welfare Training
Centre. House No. 846.
Pawta Mandor Road, Jodhpur
(S/D)
Director.
Indian Institute of Health Management
Research (HHMR),
1. Parbhu Dayal Marg. Sangncr
Airport. Jaipur (N/R/S/D)
Director,
HCM Rajasthan State Instt. of Public
Admin., Malviya Nagar, Jaipur 17.
(S/D)
ASTHA.. 4 Bed la Road.
Udaipur 313 001. (D)
Seva Mandir. Fatehpur. Udaipur
313 001 (S/D)
The Human
Environment
Action Research.
8 06 Pratap Nagar.
Jaipur-302015
ASSEFA, Association for
Sarva Sewa Farms
Rajasthan
ASSEFA
Association
for Sarva Sewa
Farms, Rajasthan.
State Institute of Health & Family
Welfare. HCM-RIPA Campus.
Malviya Nagar, Jaipur-302015.
(S/D)
-
L -i.
iwlW
■crr
STATEMENT IV (contd.)
STATES
Uttar Pradesh
GOVERNMENT TRAINING
INSTITUTIONS
Director. State Institute of Health
and Family Welfare, Indira nagar,
Lucknow 226016 (S)
ADMINISTRATIVE TRAINING
INSTITUTES
Chairman, (EDP).
Indian Instt.of Management
Sector ‘O'. Aliganj Housing Scheme.
t’hase-II, Lucknow (N/R/S/D)
Principal, Health & Family Welfare
Training Centre, C Block Indira
Nagar, Lucknow
(D)
Principal. Health & Family Training
Centre, LLRM Medical College
Campus, Meerut. (D)
CD
co
Director,
Lal Bahadur Shastri National
Academy of Admin., Charleville,
Mussoorie 179 (U.P) (N/R/S/D) ’
Principal. Health <& Family Welfare
Training Centre,PG.I. Building
Mental Hospital Campus,
Mathura Road. Agra.
(D)
Principal, Health & Family Welfare
Training Centre, Jonti
B hawan, 5.8/119-B Khajuri
Varanasi 2.
(D)
Principal. Health & Family Welfare
Training Centre,PO. Geeta Batika,
Gorakhpur-66
(D)
Principal, Health & Family Welfare
Training Centre, Kanpur
(D)
Principal. Health & Family Welfare
Training Centre. Jhansi
(D)
Principal, Health & Family Welfare
Training Centre, Moradabad
(D)
.
Principal, Health & Family Welfare
Training Centre, Haldwani
(D)
Director, UP Acedemy of
Administration, Nainital
(N/R/S/D)
NGO
Mrs. Maithili
Himalyan Institute and Hospital
Trust, Jolly Grant.
Doiwala, Dehradun. UP
IEC
STATEMENT IV (contd.)
STATES
Uttar Pradesh
GOVERNMENT TRAINING
iNsnrunoNS
Principal, Health & Family Welfare
Training Centre. Dehradun
(□)
CD
Principal, Health & Family Welfare
Training Centre, Azam garh
(D)
Principal, Health & Family Welfare
Training Centre, Allahabad
(D)
Principal, Health & Family Welfare
Training Centre, Faizabad
(D)
Principal, Health & Family Welfare
Training Centre. Bareilly
(D)
ADMINISTRATIVE TRAINING
INSTITUTES
NGO
EEC
u
£
STATEMENT-V
PROPOSED LIST OF COURSES FOR TRAINING UNDER
REPRODUCTIVE AND CHILD HEALTH PROGRAMME
Awareness Generation Training:
(a)
Grass-root functionaries-2 days: Composite groups of ANMs, LHVs, Male
Health Workers, Health Assistant (M), Village level workers of Department
of Women and Child Development, Education and Panchayati Raj functioaries.
(b)
Similarly for Doctors, Sub-divisional Officers (Collectros, Zilla Parishad
members and District level (one day)
(a)
Awareness Generation and Management Development of State, Division, and
District level Health Managers.
(b)
Orientation Training, Seminar for all District Medical Staff-one day in RCH
Concept and status of RCH/Population Indicators. This may be needed every
quarter in all districts for 2 years.'
Skill deveopment training of ANMs,-Nurses and LHV-Health Supervisors.
RCH skill development of Medical officers.
Specialised courses for Specialists/Medical Officars.
Skill development of Health Workers (M) and Health Supervisor (M).
Vocational courses for Lab Technicians.
Refresher training to Nurses for RCH, obstetric care and communication.
Skill development course for BEEs, DMEIOs and State Medical Officers.
Diploma in Aneasthesia in the Medical Colleges.
95
1
1
ANNEXURE-XV
REPRODUCTIVE AND CHILD HF AT.TH PROGRAMME-COMPONENT/AGENCY-WISE COSTING
fRs. In Lnkhn)
O
Activity
IDA
Phase I
IDA
Phase II
IDA
Total
UNICEF
UNFPA
GOI (incl
EC and
Counterpart
DANIDA
OOA
Total
RTI CLINICS (Districts)
RTI DRUGS
EOC FRU (DURGS)
EOC PHC (DURGS)
Addl. ANMs (30%)
____
SM CONSULTANT (2 VISITS p.m.)
PH.N. (A.TPHCs)
Lab. Techs (2 Per distt)
Mtp eqpt & spares (PHC level)
Minor civil works
(10 lakh over 5 yrs for repairs)
Rental (ANM/PHN)
Training
Institutional Development
Indian System of Medicines
IEC
Equpt. kits C, D, G & I
Urban RCH
Tribal RCH
LCE
Op. cost
NGO & oom. part.
Referral TFT
Mon. & Eva
Civil Works (SSN)
IUD Ins. kits
Cold Chain Eqpt
Vaccines
Drug Kits & Bulk
Research
Ref. System for RH
Missing Ess. Package
Dist. F.W Bureaus
Innovative Scheme
Contingency______________________
325.80
688-80
3307.92
2750.48
7587.32
3629.55
1615.60*
536.83
1745 90
2760.80
0.00
0.00
0.00
3185.52
6962.44
0.00
10244.40
1059.52
0.00
1295.20
325.80
688.80
3307.92
5936.00
14549.76
3629.55
11860.00
1596.35
1745.90
4056.00
0.00
0 00
0 00
0.00
0 00
0.00
0 00
0 oo
0.00
0.00
0.00
O 00
O 00
0.00
0.00
0.00
0.00
0.00
0.00
0 00
121.95
1093.20
3251.08
1656.00
4112 24
1135.45
3066.00
432 65
545.60
1244 00
0.00
0.00
000
0.00
0 00
000
0.00
000
0.00
0.00
0 00
0.00
0 00
0.00
0.00
0.00
000
000
0.00
447.75
1782.00
6559 00
7592.00
18662.00
4765 00
14926 00
2029.00
2291.50
5300 00
, 0.00
0.00
4500.00
8760.00
1825.00
4380.00
0 00
0.00
4388.00
1460.00
6320.00
173.06
5840.00
0.00
6224.00
1080.00
20483.80
23316.20
3832.50
7665.00
5000.00
1634.80
963.20
357.00
0.00
2920.00
0.00
0.00
0.00
0.00
0.00
0.00 .
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
9125.00
10950.00
0.00
13260.00
6205.00
0.00
5848.00
6493.06
5840.00
7304.00
43800.00
11497.50
6634.80
1320.20
2920.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
20075.00
0.00
10000.00
3000.00
0.00
6000.00
0.00
0.00
0.00
0.00
0.00
9000.00
0 00
4000.00
0.00
0.00
8000.00
7500.00
0.00
2750.00
2000.00
0.00
0.00
2500.00
0.00
0.00
4250.00
0.00
0.00
5500.00
0.00
0.00
0.00
0.00
0.00
4000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2000.00
500.00
0.00
0.00
2000.00
0.00
2974.00
3490.00
7295.00
3000 00
2152.00
3606.94
17160.00
2696.00
10950.00
7202.50
7865.20
1479.80
1380.00
27500.00
16800.00
2700.00
45800.00
36500.00
2250.00
400.00
19000.00
8000.00
1500.00
0.00
0.00
0.00
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
13.00
2000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0 00
000
0 00
0.00
2000 00
0.00
0.00
0.00
0.00
1300 OO
0.00
0.00
0.00
0.00
0.00
0.00
4400.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
87645.06
91248.58
178893.64
54750.64
18250.00
248359.61
3300.00
7TOO.OO
TOTAIu
0 oo
3 4
2974.00
31000.00
16500.00
3000.00
21500.00
10100.00
23000.00
10000 00
54750.00
20000.00
27500.00
2800.00
8300.00
27500.00
16800.00
12000.00
59700.00
36500.00
7000.00
2900.00
19000.00
8000.00
eooaoo
2007S00 :
J
if
I
ANNEXURE-XVI(l)
n
FORMAT OF PROJECT ACCOUNTS
' 8
(by Expenditure Categories)
1f
Year :
I
8 8s
Investment Item
Expenditure
(Rs. M)
Share of funding
n
I
I 6
II §
I 8
w
8
IDA
WORKS
Civil works
Sub-total
GOODS
Vehicles
s
£X
■h
s
Il “
s
ii 1i
'I
8
«
Drugs
Materials and Goods
Sub-total
CONSULTANTS & SERVICE
V
Training
Consultants
Contractual Services
MISCELLANEOUS
Salaries of Additional
Staff
ji
Rental Costs (Residential
staff quarters)
ii
Incremental Operating
& Maintenance
$
11
1
Medical Equipment
Sub-total
'i
I
Furniture & Non
medical Equipment
Referral Transport
Sub-total
TOTAL
I
105
I
I
GOI
Cumulative
expenditure to
end of the year
uI
I
JI
ANNEXURE-XVIII (Contd.)
Programme for the new districts created before 1st April. 1997 other than the 466
districts and post of Cold Chain Officer and Technical Assistant created in 6
States/UTs. namely Goa. Andaman & Nicobar, Daman & Diu, D& N Haveli,
Chandigarh and Pondicherry will be supported by World Bank. The rate of reimburse
ment will be 80% upto September 30. 1999, 55% from October 1, 1999 to September
30, 2001 and 25% thereafter. For this purpose, the States/UTs would require to
submit the following details of quarterly expenditure on salaries of such additional
posts, on the basis of which the reimbursement will be filed with the World Bank
by the GOI.
Name of post
No. of posts
I
I
No. of posts
filled after
1.10.1997
Expenditure incurred oh
salary during the quarter
I
I
I
2. SCOVAs: The posts created for strengthening of SCOVAs at the state level
will be funded by World Bank for which all the SCOVAs would be required to send
quarterly expenditure details alongwith the number of consultants to GOI on the
basis of which the GOI will file claims with World Bank. This includes appointments
of Accounts Clerks and Statistical Assistants which are to be appointed on contract
basis. This component will be funded 100% by the World Bank.
[B]
DISTRICT PROJECTS
GOI will release grants for the districts projects as per the projections
indicated in the Implementation Plan. The eligible percentage of reimbursement by
World Bank will vary from item to item as defined in the Development Credit
Agreement. The States would be required to compile item-wise expenditure on this
account and prepare disbursement application and send the same to MOHFW for
forwarding to World Bank through DEA
[C]
IMMUNIZATION.
1. The vaccines and Drugs in kits A & B will be procured centrally and
suplied to the States/UTs. The expenditure on these these items will be funded by
Govt, of India except the cost of Polio vaccine for the use in PPI will be funded
by ODA, DANIDA, Japan, KFW, Rotary etc.
Most of the cold chain equipments including needled and syringes will
similarly will be procured centrally out of GOI funds in case no donor support is
2.
available.
3
Funds
Funds tor
for operational
operational expenses
expenses on cold chain maintenance, POL expenses of
UIP vehicles, procurement of disposable delivery kits & Dais kits, the World Bank
will reimburse 80% through September, 30,1999, 55% from October, 1. 1999 to
September. 30, 2001 and 25% thereafter. For procurement purposes, the reimburse
ment will be
80% of the expenditure. The States are required to furnish
110
I
I,
ANNEXURE-XVIII (Contd.)
5. The IUD kits for ANMs will be procured centrally and supplied to the
districts on the basis of information about training of ANMs on IUD. The funds for
this purpose will be borne by GOI.
[E]
I
I
I
I
I
I
I
EMERGENCY OBSTETRIC CARE
o’ EquiPment klt8 (kit-E to kit-P) to the districts other than provided under
CSSM Programme, will be procured centrally and the claims will be filed by GOI.
80% of expenditure on this account is reimbursable by World Bank. 'The World Bank
will, however, fund for this activity only under the RCH Phase II.
2. Drug kits for emergency obstetric care at FRUs/CHCs will also be
procured centrally and claims filed by GOI for 90% reimbursement by World Bank.
I
■
3 Expenditure on Laboratory Technicians provided on contractual basis will
be reimbursable 100% from World Bank. For this the States are required to
urmsh quarterly details about number of such contractual staff engaged and
honorarium paid to them during each quarter in accordance with guidelines on the
®ubJ®ctthe bas18 of information furnished by the States, the claims will be filed
Dy the GUI..
4. For training of doctors as Anaesthetists in Medical Colleges funds will
‘'hr°Ugh NIHFW of which 100% expenditure is reimbursable by
the World Bank. The expenditure details will be submitted by NIHFW to MOHFW.
I
I
I
5. Laparoscopes will be procured cetrally and supplied U
vi CHCs which
to the
do not have it. This will be funded by GOI, however, expenditure
—j on training is
rembursable by the World Bank.
6. The States will make procurement of items like Ini., Pethidine Oxvsen
and other gases as per World Bank procedure. 80% of such procurement will be
reimbursable by the World Bank. The States are also required to furnish quarterly
expenditure details for such procurement on the proforma as indicated in “Para 3
under Immunization” above.
[F]
24 HOURS DELIVERY SERVICES AT PHCs/CHCs
In order to encouraging institutional deliveries the States are required to
send proposals in this regard. Such proposals as detailed in the guidelines, will be
scrutinized and funds released to the States for whichi the States are required to
send item-wise expenditure details. Funding for this activity will be undertaken
under GOI funds.
[G]
REFERRAL TRANSPORT TO INDIGENT FAMILIES THROUGH
PANCHAYATS
r
frdUwkOh\hePXdr^
°f the Same the reimb~nt claims will be
112
'1 •*
ANNEXURE-XVIII (Contd.)
[H]
BLOOD SUPPLY TO FRUb/PHCs
To ensure regular and reliable supply of blood to PHCs/CHCs, pilot projects
will be framed in consultation with the States. Funding for this activity will be made
by E.C. The States will be required to furnish the actual expenditure details on
quarterly basis to GOI.
[I]
ESSENTIAL NEW BORN CARE
Essential equipments to be provided at various levels viz. district hospital/
CHCs/PHCs will be procured centrally by GOI. The funding for this will be from GOI.
[J]
MEDICAL TERMINATION OF PREGNANCY (MTP)
1. MTP equipments will be procured centrally for supply to CHCs/PHCs
where not available. 100% (ex-factory cost) of such expenditure will be reimbursable
by the World Bank. GOI will file the claim.
2. Expenditure on need based training arrangements will be made by NIHFW
who will furnish the detaile to MOHFW for filing claim to World Bank. 100%
expenditure on this amount is reimbursable by World Bank.
3. Expenditure on contractual fee of Rs. 500/- will be released through the
SCOVAs/State Finance Division, as the case may be. The districts are required to
give expenditure details along with number of consultants appointed to State Family
Welfare Directors i.e. Project Directors (RCH). Who would be responsible for
compiling & preparing disbursement application which will be pursued through
MOHFW to DEA for onward tranmission to World Bank. 100% of such expenditure
is reimbursable by World Bank. The States are required to submit disbursement
applications on monthly basis.
[K]
REPRODUCTIVE TRACT INFECTION (RTI)/SEXUALLY TRANSMIT
TED INFECTION (STI) CLINICs
1. RTI/STI drugs, to be supplied in the form of kits will be centrally provided.
90% of expenditure on the amount is reimbursable by World Bank. Claims will be
filed by the MOHFW.
2.
The expenditure on training for the purpose will be made by NIHFW
who will funish details to MOHFW. MOHFW will file claims with World Bank. The
eligible percentage for reimbursement is 100% on the amount.
[L]
CIVIL WORKS
1.
There are 2 components under Civil Work. Under one component called
“Minor Civil Works and Repairs”, a sum of Rs. 10 lakh will be provided to each
district except sub-project district. This component will be funded by World Bank
and eligible for 90% reimbursement. State Director (FW) will obtain details from
districts and prepare SOE on monthly basis.
2.
In addition, for civil work similar to Social Safety Net Scheme will be
113
Ui
1 ‘
I
I
ANNEXURE-XVIII (Contd.)
I
I
given as per the procedure given earlier and will be funded by GOI. However, States
are required to give item-wise monthly expenditure report along with following
details:
I
I»
I
Name of facility with Activity of
Work
location (SC/PHC/CHC /
District Hospital)
Name of
Agency
Budgeted
Amount
Payment
made during
to month
I
[M]
INDIAN SYSTEMS OF MEDICINE
1.
Training to ISM practitioners will be looked after centrally by MOHFW.
Funding will be as World Bank programme and 100% expenditure is reimbursable.
2.
The project regarding raising nurseries of medicinal plants will be
sanctioned by MOHFW. The agency/institution are required to send quartely
expenditure deta’ls for such expenditure to MONFW This item of expenditure is to
be borne by World Bank/GOI.
3.
The Reseacch in ISM will be a part of Survey & Studies and 100%
expenditure will be reimbursable by the World Bank. The funds to the agency/
institutions will be provided directly by MOHFW and claims filed to World Bank.
I
I
I
Assistance for Vanaspati Van Projects under ISM will be placed
4.
through SCOVA/State Governments. Each such projects will provide detailed expen- ■
diture reports to the fund releasing agency. Consolidated Vanaspati Van Project-wise
expenditure details will be sent by State F.W. Directors to MOHFW. The expenditure
for the activity will be brone by World Bank/GOI.
[N]
ADDITIONAL PROGRAMME FOR THE URBAN SLUMS
Recommendation of Expert Committee set up for the purpose is yet to come.
Keeping in view the Project requirements, the flow of funds will be through SCOVAs/
State Governments if activities are to be implemented by States. Otherwise the funds
may be provided by MOHFW directly to any other implementing agency. The monthly
activity-wise expenditure reports are to be submitted to MOHFW who will file the
claims to World Bank. The percentage of reimbursement will depend upon the type
of expenditure.
[O]
SPECIAL PROGRAMME FOR TRBAL AREAS
Recommendation of Expert Committee set up for the purpose is yet to come.
Keeping in view the Project requirements the flow of funds will be through SCOVAs/
State Govermments if activities are to be implemented by States. Otherwise the funds
may be provided by MOHFW directly to any other implementing agency. The monthly
activity-wise expenditure reports are to be submitted to MOHFW who will file the
claime to World Bank. The percentage of reimbursement will depend upon the type
of expenditure.
114
I
I,
u*
I
b
fc
r
n
ANNEXURE-XVIII (Contd.)
IP]
Recommendation of Expert Committee set for the purpose is yet to come.
Keeping in view the Project requirements, the flow of funds will be through SCOVAs/
State Governments if activities are to be implemented by States. Otherwise the funds
may be provided by MOHFW directly to any other implementing agency. The monthly
activity-wise expenditure reports are to be submitted to MOHFW. Funding for this
component are likely to come from UNFPA/UNICEF/World Bank.
[»]
Iv.
SPECIAL PROGRAMME FOR ADOLESCENTS
RESEARCH AND
DEVELOPMENT
The Research under RCH Programme will be sponsored directly by MOHFW
and 100% expenditure will be reimbursable by the World Bank. The funds to the
agency/institutions will be provided directly by MOHFW and claims filed to World
Bank.
e-
pe
ly
to
%
jy/
k.
?d
ri
se
,re
[R]
TRAINING
Funds for training will be placed with NIHFW, who will coordinate, compile
the expenditure from collaborating institution and send the consolidated SOEs to
MOHFW for filing reimbursement claims with World Bank/UNICEF/UNFPA as the
case may be. 100% expenditure on training is reimbursable.
[S]
INFORMATION, EDUCATION AND COMMUNICATION
1. The funding for IEC activities will be through GOI and World Bank. ODA
(UK) will provide funds for IEC activities under Pulse Polio Immunization. Expen
diture on national level IEC activities will be incurred by GOI centrally.
2.
]Funds for State specific IEC activities will be placed with the SCOVAs/
I’
O* 4I
2 1_____ IT r _ IX*
« «
State Governments. fThe
State Family
Welfare Directors
will ensure sending quar
terly expenditure details to MOHFW for filing claims with World Bank, ODA etc.
100% expenditure is reimbursable on this amount.
wk
re.
ds
aly
he
fpe
I
ne.
As/
ids
hly
the
h?e
[T]
NON-GOVERNMENTAL ORGANISATIONS (NGOs)
Funds to NGOs, under RCH programme will mainly from GOI, however, in
the RCH Phase-I, World Bank will provide funding for the Jan Mangal Scheme of
the Rajasthan Government in lieu of additional ANMs. Under RCH Phase-II addi
tional support for NGOs and for community participation is likely to be available.
For enhanced community participation, suport will be available from UNICEF and
UNFPA under district projects (other than RCH). As per schemes given, funds will
be provided by GOI to National level NGOs/Mother NGOs and expenditure details
will be obtained from them.
[U]
MANAGEMENT INFORMATION SYSTEM UNDER THE RCH
PROGRAMME
!.
]MIS related material i.e. forms, registers, manuals etc. will either be
provided by MOHFW or funds released to States through SCOVAs/State Government
80% of such expenditure will be reimbursed by World Bank. Against the funds
115
i 1
ANNEXURE-XVHI (Contd.)
released to the States, the States are required to send item-wise expenditure details
on monthly basis to MOHFW, who will consolidate and file claims with World Bank
2.
Funds relating to District Surveys and concurrent evaluation surveys
will be released to the agencies, to be selected by MOHFW and expenditure details
will be obtained from these agencies on monthly basis and claims will be filed with
World Bank who will reimburse 100% of such expenditure.
I
I"
0
J
116
I
FORM IB
SCHEDULE OF WITHDRAWAL OF PROCEEDS
Date
Details of Payments made from the Special Account 1/
During the period
IFC Credit No. No 18-IN
through
Application No.
Summary Sheet No.
For : (i) Expenditures on goods contracts equivalent to USS 3,00,000 or more
(ii) Expenditures on works contracts equivalent to USS 3,00,000 or more
(iii) Expenditures on contracts with consulting firm equivalent USS 2,00,000 or more, and contracts
with individual consultants equivalent to USS 50,000 or more
(iv) Expenditures on vehicles contracts equivalent to USS 1,00,000 or more
1
Item
No
2
3
Brief
Category
descripion
No
of goods
or servioes
4
5
Name of
Contractor,
Address,
Contract No.
Contract date
Contract
Amount
6
7
Currency
Currency
and Amount
and
paid
cumulative
during
amount paid
this period
to date
'J
8
o
10
11
12
13
IDA
Financing
Percentage
from
Schedule 1
to the Credit
Agreement
Amount
eligible for
IDA financing
(% in column
8 applied
to amount
in column 7)
Exchange
Rate
U.S. Dollar
Equivalent
charged to the
Special Account
(Exchange Rate
in column 10
applied to
amount in
Column 9)
Project
State
Remarks/No
Objection
date/Country
of origin
TOTAL
1/
If this application is not for replenishment of the special
Account, leave columns 10 and 11 blank
(Authorized Representative)
FORM 1C
REPROCUTIVE AND CHILD HEALTH PROJECT
STATEMENT OF EXPENDITURES (SOE)
PAYMENT MADE DURING THE PERIOD FROM
to
1/
Date
IFC Credit No. No 18>IN
For expenditures under :
Application No.
Summary Sheet No.
Goods contracts less than USS 3,00,000 equivalent
Works controls less than USS 3,00,000 equivalent
Connsulting firms contracts less than USS 2.00,000 equivalent and
Individual consultant contracts less than USS 50.000 equivalent
Vehicles contracts under USS 1,00,000 equivalent
training and workships
Surveys and studies
Referral transport
Incremental salaries and operating expenses
1
CO
Item
No
2
3
4
5
0
7
8
9
10
11
Category
No
2/
Country
of
Supplier 3/
Name and
Address of
Supplier/
Contractor 4/
Total Amount
of Invoices
convered by
Application
(net of retention)
Eligible
Percentage
Schedule 1
of Credit
Agreement
Amount
eligible
for
Currency & Amount
paid from the
Special Account
(if applicable)
Exchange Rate
(amount in Col. 7
divided by
amount in
column 8)
Project
State
Remarks
TOTAL
Supporting documents for this SOE retained at
(insert location)
1/ A separate SOE form should be used for retroactive financing
(ZZu
(Authorized Representative)
2/ Items should be grouped by category or alternately, a separate SOE form may be used for each category
3/ Consolidate payments by country of supplier except for US suppliers.
° '
4/ Column 4 should be filled in respect of all suppliers/contractors from the U.S., t’
the address should include the city and the state.
It is certified that detailed information on expenditures incurred by each district is available
-------- at a central location in the State Government.
I
ANNEXURE-A
DETAILS OF DISTRICT/CITY PROJECTS
I
s.
Project
Cost
Population
Rs. in Crore)
(in lakh)
No.
Name of the
State
1.
Punjab
Sangrur
12.62
16.85
2.
Gujarat
Baroda
10.61
30.00
3.
Tripura
Tribal Autonomous Districts
11.97
9.42
4.
Orissa
Kaiahandi
15.00
11.31
5.
Karnataka
Bellary
15.05
18.90
6.
Mizoram
Entire State
17.31
7.50
7.
Andhra
Pradesh
1) 7 Municipalities of
Hyderabad
7.72
2.25
2) Mehboob Nagar
18.96
30.70
(
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8.
Himachal
Pradesh
Kinnaur
3.65
0.71
9.
Madhya
Pradesh
Rajgarh
12.34
9.93
10.
Maharashtra
Nasik
13.78
38.50
11.
Haryana
(1) Bhiwani
6.18
11.66
(2) Faridabad
7.83
4.60
5.56
12.
Manipur
Tamenglong, Churachandpur
& Thoubal
13.91
13.
Rajasthan
1) Tonk
10.23
2) Jaipur
13.10
15.18
1) Madurai (City)
7.90
3.70
2) Madurai (Distt)
15.24
19.10
1) Firozabad
4.87
2.70
2) Rai Barreily
16.33
23.22
1) Asansole
8.57
4.78
2) Murshidabad
13.53
47.40
1) Palakkad
16.87
23.82
2) Kozhikode
10.31
26.20
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I
14.
15.
16.
17.
Tamil Nadu
Uttar Pradesh
West Bengal
Kerala
I
119
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9.80
....
r
)
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.1
Designed & published by IEC Division. Department of Family Welfare. Ministry of Health & Family
Welfare. Government of India Printed by M/s Veerendra Printers. New Delhi
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- Media
5184.pdf
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