National Rural Health Mission



Background Information Required for Approval of State PIPs for 2013-14F.M.R. Code- B 1 : ASHAASHA- Annexure-INumber of ASHA Required as per Rural populationNumber of ASHA engaged (Atleast trained in 1st Module)ShortfallTarget for 2013-14?183302?20?302?ASHA- Annexure-IIStatus of ASHA TrainingSl. NoCumulative Achievement (Since inception -till date)Proposed numbers to be trained in 13-14Module 1302?Module 2302?Module 3302?Module 4302?Module 5302?Module 6 & 7 Round One302Module 6 & 7 Round Two302Module 6 & 7 Round Three302Module 6 & 7 Round Four320ASHA- Annexure-IIIASHA Drug KitsNumber of ASHA Engaged (Trained in Module-I)302Number of ASHA with Drug Kits302Number of ASHA with HBNC Kits302No. of New Drug Kits Required302No. of Drug kits to be Replenished 302No. of New HBNC Kits required302No. of HBNC Kits to be Replenished302Sr. No.Name of Drug in Drug Kit1Cotton2Bandage3Betadin Ointment4IFA5ORS6Zinc7Plaster8DDK9ApronSr. No.Name of Instrument/ drug/ communication material in HBNC Kit1Digital Thermometer2Baby weighing scale3Digital watchASHA- Annexure-IVIncentives for ASHAsSl. NoIncentive Amount proposed per ASHATarget PopulationTotal Amount Proposed in lakhs1Incentive under JSY?Rs. 350 per case851 2.992Incentive under Maternal Health hospital stay Rs. 600 per case8515.113Incentive under Child Health HBNC?Rs. 250 per case28207.054Incentive under immunization programme mobilization?Rs. 150 per case10001.50Incentive under immunization programme fully immunized up to one year?Rs. 100 per case11281.13Incentive under immunization programme fully immunized up to 2 nd year?Rs. 50 per case4510.235Incentive under Family Planning tubectomy?Rs. 150 per case370.06Incentive under Family Planning NSV?Rs. 150 per case150.03IUCD?Rs. 20 per case3680.086Incentive under DOTS Programme?Rs. 250 per case260.077Incentive under leprosy Programme?Rs. 100 per case100.018Incentive under Disease control Programmes Malaria?Rs. 25 per case3000.089Motivation for Sanitary toiletRs. 75 per case10000.7510Salt testingRs. 25 per case6000.1511Cataract operationRs. 175 per case1000.812IPPI per dayRs. 75 per case10000.7513Birth and Death reportRs. 10 per case20000.2014Birth Spacing for 2 years after marriageRs. 500 per case1500.7515Up to 3 years after the birth of 1st Child Rs. 500 per case300.1516Couple opted for Permanent limiting method after 2 children Rs. 1000 per case100.10Total amount in lakhs21.99ASHA- Annexure-VHuman ResourceRequired as per norms?Approved 2012-13Proposed 2013-14No. In positionMonthly Remuneration Total Amount Approved No. Monthly Remuneration Total Amount in lakhsASHA Coordinator at State Level?00?0?0000ASHA Coordinator at District Level?11?Rs. 18000?2.161Rs. 33000Rs. 3.96ASHA Coordinator at Block Level/ Block Community Mobilizer for ASHA?5?0?005Rs. 20000Rs. 12.00ASHA Facilitator?15?1?Rs. 40007.2015 Rs. 7000Rs. 12.60Data Entry Assistant10001Rs. 10000Rs. 1.20TotalRs. 29.76F.M.R. Code- B.2 : Untied FundsUF- Annexure-IVillage Health & Sanitation CommitteesActivityCumulative Achievements so farNo. of Revenue Villages?230Level at which VHSNCs are formed (Village/ Gram Panchayat/ Wards, etc) as per the State policyVillageTotal Target number of villages/ Gram Panchayats/ Wards in the State for VHSNCs302Number of Village Health Sanitation & Nutrition committees constituted ?302Number of villages/ Gram Panchayats/ Wards where VHSNCs are yet to be constituted (reasons for the delay in constitution)0No. of Joint Account opened 302No of joint accounts yet to be opened (reasons for the delay)0Total funds released to VHSNCs in 2012-13 ?18.12 lakhsTotal amount spent by VHSNCs in 2012-13 so far?8.49 lakhsTotal unspent balance as of 31st October 2012?Rs. 10 lakhsNumber of VHSNC utilized less than 50% of fund (2011-12)?32Number of VHSNC members to be trained by the StateNo of VHSNC members already trained?865No. of Village Health Plan Prepared in the State0?No. of Village Health Plan Prepared in the District91?UF- Annexure-IIUntied FundsFacility level Number of facilities for which Untied Funds approved in 2012-13% Expenditure of Untied FundsNumber of facilities as per RHS 2011 Proposal for 2013-14Number of Units as per StateUnit CostLakhsTotal Amount Proposed in lakhsUntied Fund for SCs?4147 ?%41??41Rs. 0.20Rs. 8.20?Untied fund for the facility below PHC & above SC?0?00?0?00?Untied Fund for PHCs?8?16 %?8?8Rs. 0.40Rs. 3.20?Untied Fund for CHCs?1?14.6 %?1?1Rs. 0.75Rs. 0.75?Untied Fund for SDH?0?0?0?00?0Untied Fund for DH?0?0?1?1Rs. 1.00?Rs. 1.00TotalRs. 13.15F.M.R. Code- B.3 : Annual Maintenance GrantsAMG- Annexure-IFacility level Number of facilities for which AMG approved in 2012-13% Expenditure of AMGNumber of facilities in Govt Buildings as per RHS 2011 Proposal for 2013-14Number of Units as per StateUnit CostTotal Amount ProposedAMG for SCs?290Fund to be released?29??29Rs. 0.20?Rs. 8.20AMG for the facility below PHC & above SC?0?0?00?00?AMG for PHCs?8?4 %?8?8Rs. 0.75?Rs. 6.00AMG for CHCs?1?6 %?1?Rs. 1.00?Rs. 1.00AMG for SDH?0?0?0?000?AMG for DH?0?0?1?Rs. 2.00Rs. 2.00Total17.20F.M.R. Code- B.6 :Rogi Kalyan SamitisFacility level Number of facilities for which RKS Funds approved in 2012-13% Expenditure of RKS Proposal for 2013-14Number of RKS Unit CostTotal Amount ProposedDistrict Hospital?1?To be released?1Rs. 5.00?Rs. 5.00Sub Divisional Hospital?0?00?00?Community Health Centres ?1?44 %?1Rs. 1.50?Rs. 1.50Primary Health Centres?6?17 %?8Rs. 1.00Rs. 8.00?Total????Rs. 14.5F.M.R. Code- B 4 & 5: infrastructureInfrastructure- Annexure -INew Constructions – I - (To include Absolutely New Constructions only) Name of the DistrictType and Name of the FacilityNo. of Beds ProposedPopulation to be covered by the facility Timeline for completionTotal Project cost (Rs. In lakhs)Total funds proposed for 2013-14 (Rs. In lakhs)Justification for FacilityUkhrul Construction of IB for PHSC Tuinem 4Above 7000March 201227.0027.00Identified for Delivery points to be started.Population size, topography, mobility problem, accessibility, isolated areaConstruction of IB for PHSC Maokot Chepu 4Above 5000 March 201227.0027.00Construction of IB for PHSC Mawai 4Above 3000March 201227.0027.00Construction of Staff Quarter for 9 PHSC identifies as Delivery points namely PHSCs; Sinakeithel, Tongou, Tuinem, Maokot Chepu, Awang Kasom, Nungbi, Kharasom, Mawai, Lamlai Khunou0Range3000-10000March 201222.00*9=19822.00*9=198Stay facility for Staffs ASHA/AWW has been a big problem in Ukhrul DistrictConstruction of 3 Type IV Quarters for PHC Somdal, PHC Lambui, PHC Kasom KlAverage 10350004000015000March 201445*3=13545*3=135Doctors stay facility a must for continues stay and available 24 X7Construction of 2 Type IV Quarters for District Hospital Ukhrul183000March 201445 *2=9045 *2=90District Hospital need 2 Type IV qtrs. In addition to existing 2Infrastructure- Annexure -IINew Constructions II – (Rented to own Building/ Additional Building/ Major upgradation/ MCH Wings)Type and Name of the FacilityPopulation covered by the facility No. of existing bedNo. of additional bed proposedAny additional infrastructure proposedOPD/month(average since April 2012)IPD/month(average since April 2012)Normal Deliveries per month(average since April 2012)C-section per month(average since April 2012)Bed occupancy per month(average since April 2012)Timeline for completionTotal Project cost (Rs. In lakhs)Total funds proposed for 2013-14 (Rs. In lakhs)JustificationConstruction of Kitchen cum Dinning Hall for District Hospital 18300050001220252810150-200March 201475.0075.00As per JSSK scheme Kichen and Dinning hall is a must for District Hospital and Other delivery pointsConstruction of MCH Wing: Maternity Ward for District Hospital, 2 PPP centres at Ukhrul Head Qtrs18200020 DH10 CHSRC10 LCH301220DH427CHSRC469LCH252DH29CHSRC39LCH81DH320CHSRC150LCH59CHSRC26LCHMarch 2014200.00250.00MCH to be run by Both District Hospital and PPP centresIncludes Kitchen, Dinning, Stay facility for ASHA, Water supply, Electric Back upInfrastructure- Annexure -IIIRepair & Renovation of existing structure:Type and Name of the FacilityPopulation covered by the facility No. of existing bedNo. of additional bed proposedAny additional infrastructure proposedOPD/month(average since April 2012)IPD/month(average since April 2012)Normal Deliveries per month(average since April 2012)C-section per month(average since April 2012)Bed occupancy per month(average since April 2012)Timeline for completionTotal Project cost (Rs. In lakhs)Total funds proposed for 2013-14 (Rs. In lakhs)JustificationRenovation of Kasom Kl PHC 1327610004050100March 201215.0015.00This PHC one of the remotest area bordering Myanmar, total cut off from Imphal or 6-8 months because of inaccessibility due to poor road condition.Institutional Building, Labour Room, Water supply, Electric fitting, floor, windows and doorsInfrastructure- Annexure -IVOngoing / Spill Over WorksName of the DistrictType and Name of the FacilityYear of Approval of Project Total Project CostLakhsAmount Approved in 2011-12 (if any)Amount Approved in 2012-13 Amount Proposed for 2013-14 (if any)Remaining Amount (if any)Physical Progress till dateTime Line for CompletionJustificationUkhrulPHSC Construction of T. Hundung2008-0922.00000progressMarch 2012Law & OrderPHSC Construction of Ningthi2008-0922.00000progressMarch 2012Law & OrderPHC Construction of IB Phungyar 2009-1075.5000progressMarch 2012Law & orderPHC Construction of IB Khangkhui Kl2009-1075.5000progressMarch 2012Law & orderBTQ of PHC Chingai2010-1174.5000progressMarch 2012Law & OrderUp-gradation of Kasom Kl PHC2008-0916.00000progressMarch 2012Law & OrderUp-gradation of Chingai PHC2008-0916.00000progressMarch 2012Law & OrderInfrastructure- Annexure -VAchievements in Infrastructure Development - Health FacilityYearNo. Sanctioned Progress of New Constructions No. CompletedNo. Under ConstructionNo. Sanctioned but Yet to startHigh Focus DistrictsNon High Focus DistrictsHigh Focus DistrictsNon High Focus DistrictsHigh Focus DistrictsNon High Focus DistrictsHigh Focus DistrictsNon High Focus DistrictsDHStart of NRHM till 2012-1360600060In 2012-13303??00??03??0SDH and other hospitals above CHCStart of NRHM till 2012-13000??00??00??0In 2012-1300000000CHCsStart of NRHM till 2012-13101??00??00??0In 2012-1310000010PHCsStart of NRHM till 2012-13301?0??02??0In 2012-1340000040APHC/ OthersStart of NRHM till 2012-130301??02??00?0?In 2012-131000010Sub-CentersStart of NRHM till 2012-1319017?02??00??0In 2012-13200020ND: Indicates No. of Civil Works sanctioned from 2006-20012F.M.R Code – B.11 – Mobile Medical UnitsMMU – Annexure-IFunctional Status of Existing Regular MMUsSl. No.Name of District covered by MMU Name/ Vehicle Number of MMURun by State/ NGO/ PPP Mode (If NGO/PPP Mode specify name of agency)Average No. of OPD cases /month (average since April 2012)Average No. of Diagnostic Tests conducted in MMU/ month (average since April 2012)Average No. of villages covered by MMU/month (average since April 2012)Average No. of AWCs covered per month (average since April 2012)Per Trip Operational Cost (Excluding all Capital Costs in lakhs)1UkhrulDMMUDistrict200304-Rs. 0.45Functional Status of Existing Specialized MMUs (includes MHUs, Dental Units, Mammography Vans, Boat Clinics etc)Sr. No.Name of District covered by MMU Name/ Vehicle Number of MMURun by State/ NGO/ PPP Mode (If NGO/PPP Mode specify name of agency)Average No. of OPD cases /month (average since April 2012)Average No. of Diagnostic Tests conducted in MMU/ month (average since April 2012)Average No. of villages covered by MMU/month (average since April 2012)Per Trip Operational Cost (Excluding all Capital Costs)10000000MMU – Annexure-IIDetails of Newly Proposed MMUsSr. No.Name of District No. of Existing MMUsNo. of New MMUs ProposedMMUs proposed to be run by State/ NGO/ PPP Mode (If NGO/PPP Mode specify name of agency)Justification1Ukhrul203District/Block/PPPThe existing MMU is very heavy and not fit for high focus and more vulnerable as well as interior part of our region. Also each block requires one MMU because of its unique topographyF.M.R Code – B.12 – Referral TransportRT- Annexure- ISr. icVehicles only for Referral transport [Not ambulances e.g Mamta Wahan (Jharkhand), Janani Express (M.P)] Basic Life Support Ambulances Advanced Life Support AmbulancesState managed EMRI/ NGO/ Other Private Provider managed Ambulances State managed EMRI/ NGO/ Other Private Provider managed Ambulances State managed EMRI/ NGO/ Other Private Provider managed Ambulances No. of Existing Ambulances01 under state at District Hospital Ukhrul00000No. of ambulances supported under NRHM 000000No. of Districts covered by AmbulancesDistrict HQrs00000Average Population covered per Ambulance (In lakhs)4000000000Average Response Time per callOnly reffered from District Hoispital to higher facility00000Average no. of trips per month per ambulanceDepend on case/emergency/average case per month is 20-2500000Monthly Operational Cost Per Ambulance (Excluding all Capital Costs)Rs, 30000-40000 including POL and maintenance00000Average No. of Emergencies handled per month per ambulance (including Pregnant Women &Neonates) (average since April 2012)15-20 cases00000Average No. of Pregnant Women transported per month per Ambulance (average since April 2012)5-10 cases00000Average No. of Neonates transported per month per Ambulance (average since April 2012)Less than fiveDepend on season also00000No. of New Ambulances Proposed0500000RT- Annexure- IIFinancial Data on EMRI?YearType of AmbulancesNo. of AmbulancesCapital CostOperating Cost% of NRHM Contribution in Operating CostState ContributionNRHM ContributionState ContributionNRHM Contribution?2006-07ALSNANANANANANA?BLSNANANANANANA2007-08ALSNANANANANANA?BLSNANANANANANA2008-09ALSNANANANANANA?BLSNANANANANANA2009-10ALSNANANANANANA?BLSNANANANANANA2010-11ALSNANANANANANA?BLSNANANANANANA2011-12ALSNANANANANANA?BLSNANANANANANA2012-13ALSNANANANANANA?BLSProposedALS2013 -14 (Proposed)?BLSProposed F.M.R Code: B. 13 & 14 & B. 18 - PPP/NGOs/ Innovations/ New InitiativesActivities Proposed: Name of the Activity: PPP Model with Leishiphung Chirstian Hospital on Obstetric care and Family planningWhether New/ or being continued: New for LCH but Continued for CHSRC.There is 1 District Hospital (Public) and 2 Private Provider in the District. Among these 2 Private Provider one is under PPP Model with State Health Society, Manipur i.e. CHSRC. Both the private provider has got dedicated gynecologists which contribute to the health system in a big way as there is no gynecologist in the Public District Hospital, Ukhrul. Under the existing PPP model with CHSRC, JSSK has been covered. As per our latest data available the comparative performance picture of these three institutions is as follows:Sl. NoHealth FacilityIPDOPDInstitutional DeliveryC-sectionMinilapPPP SterilisationRemarks1District Hospital2585122038100Data April-October 20122CHSRC3954697320590163LCH29042771502670As District Hospital functionality for C-section still lacking manpower and others, the Private providers have contributed to the maximum. As with the case of PPP Model with CHSRC, the performance at the District level has increased considerably benefitting the PW in the District. We have also seen some performance from LCH as shown by the above data.In this case we look forward to include LCH for PPP Model during 2013-14 in addition to PPP model with CHSRC. This approach will facilitate reduce untimely MMR in the District.Funding Proposed:For LCH: A total cost of Rs. 29.00 lakhs is proposed for augmentation of Manpower support, Basic Equipment, Ambulance for referral and others. For CHSRC: it will be continued as before as decided by State Health Society, Manipur.FMR Code: B 15.1: Community MonitoringNumber of Visioning workshops for community monitoring held so far in the District (UPTO 2012-13) ?01Number of Visioning workshops for community monitoring planned for 2013-14 Distrit/ Block level and other?20Officer responsible for community monitoring at each level (Designation). Also mention if the officer has any other charges.?CMOWhether a nodal agency at State has been identified already. If yes, then please give details.?NoWhether a State chapter of the Advisory Group of Community Action?NoWhether Community Monitoring is being undertaken in the state for health (both under NRHM and under State budget - please specify)?NoNumber of blocks where Community Based Monitoring was being implemented in the State - activities undertaken?NoNumber of districts where Community Based Monitring was being implemented - activities undertaken?NoWhether social audit / Jan Sunwai is being undertaken anywhere in the state for health?NoMeasures to increase Accountability to community:Whether citizen's charter is prepared and displayed on public domain. If yes, provide link:?YesWhether a grievance redressal mechanism is set-up. If yes, pleas provide details.?Yes recentlyA committee headed by DM has been formedWhether an ombudsman is appointed for grievance redressal. If any please provide further details.?NoWhether a portal is prepared for mandatory disclosure of information needed as per instructions of CIC?NoF.M.R. Code: B.15.2: QUALITY ASSURANCE CELLQUALITY ASSURANCE CELLHas State established QA Cell?YESNOIf yes, at what levelState level District level NoAny other levelNoField Visits by QA CellNo. of Proposed visits in 2012-13 No. of Visits conducted State level District level 00Any other level00Meeting by QA Cell No. of Proposed Meetings in 2012-13No. of Meetings conducted State level ??District level ?0?0Any other level?0?0Reports No. of Reports SubmittedNo. of Reports Analyzed State level ??District level ?0?0Any other level?0?0FMR Code: B-15.3- Monitoring & Evaluation Major Head?Minor Head??Budget in RsDetails (including cost per unit)RemarksAmount approved in 2012-13Actual expenditure in 2012-131.Strengthening of M&E/HMIS/ MCH Tracking Salaries of HMIS Consultants1.1No allocation till date intimated from stateTo be allocated and released to District from stateMobility for M & E Officers1.2Rs.?10.08Monthly 3 visits by the District and Block @ Rs. 5000/- for 1 District and 5 blocks?Workshops/Training on M & E1.3?Rs. 4.80Quarterly Training on ME at District and Block @Rs. ?20000/- per training for 1 District and 5 blocksM&E Studies1.4Review meeting1.5Rs. 2.40Quarterly review meeting for District and Blocks@Rs. 10000/- per meeting for 1 District and 5 blocks2.?Procurement of HW/SW and other equipments Hardware/Software Procurement 2.1Rs. 2.00Produrement of 5 lap tops for newly recruited HMIS Assistant in 5 blocksGive deployment details Internet connectivity2.2Rs. 2.5Rs. 2.5 Internet Connectivity for District and Blocks @ Rs. 3000 per centre for 6 centres for 12 monthlyProcurement of V-set for District Hqrs Annual Maintenance2.3Rs. 0.24Phone bill for District Head QtrsOperational Costs (consumables etc) 2.4Rs. 0.60@ Rs. 10000/- annully for 6 centresAnti Virus2.5Rs. 0.203.Operationalising HMIS at Sub District levelReview of existing registers – to make them compatible with National HMIS3.1StatePrinting of new registers/Forms3.2StateTraining of staff3.3Rs. 3.60Training on New format for Health Staffs4.Operationalising MCH trackingPrinting and reproducing Registers/ Forms4.1StateCapacity building of teams4.2Rs. 4.00Training on MCTS for District and Block staffsOngoing review of MCH tracking activities4.3Rs. 0.30Monitoring data collection and data quality4.4Monthly review of MCTS data by HMIS Assistants in fieldASHA package4.5Rs. 1.20 Follow up to MCTS card for PW & Infants@ Rs. 200 per case for 300 cases in Ukhrul block Total34.42FMR. B.16 Drugs:Articulation of policy on entitlements, free drugs for delivery , rational prescriptions, timely procurement of drugs and consumables, smooth distribution to facilities from DH to SC, uninterrupted availability to patients, minimization of out-of-pocket expenses, quality assurance, prescription audits, EDL in public domain, computerized drugs and logistics MIS system. Essential drugs lists (EDL) is to be prepared by the State and budget should be projected accordingly.Sl. No.Name of essential drugsRequirement of drugs for the FY 2013-14JustificationQuantityUnit costTotal Amount (Rs. In lakhs)Health FacilityDHCHC Kamjong 8PHCsThis is as per our requirements and necessity1Acetaminophen20000 strips5000 strips25000 strips2Paracetamol1500ph500ph2500ph3Paracetamol1200amp200amp1000amp4Acyclovir1000strips100strips500strips5Acyclovir Ointment50tabrs50tabrs250tabrs6Adrenalin500 tubes200 tubes1000 tubes7Amikacin800vials200vials1000vials8Amlodipine1500strips500strips2500strips9Amoxicillin4000ph1000ph5000ph10Amoxicillin15000strips5000strips25000strips11Amoxicillin15000strips5000strips25000strips12Ampicillin15000strips5000strips25000strips13Ampicillin and Sulbactam (unasyn)1200strips200strips1000strips14Antabuse (Disulfiram)1500strips500strips5000strips15Ascorbic Acid (Vitamin C)1500strips1000strips5000strips16Aspirin (Bayer)10000strips300strips300strips17Atenolol Tablets)1000strips400strips2000strips18Ativan(Lorazepam)800strips200strips1000strips19Atropine(Atropine)200amp20amp100amp20Augmentin(Amoxicillin Clavulanate)2000strips500strips2500strips21Augmentin Chewable Tablets800strips200strips1000strips22Azithromycin (Zithromas)4000strips1000strips5000strips23Azithromycin(Zithromax)8000strips2000strips10000strips24Benzoyl Peroxide Gel(Brevoxyl Gel)500tubes100tubes500tubes25Betaine500ph100ph500ph26Betamethasone1500viais500viais2500viais27Brevoxyl Gel (Benzoyl Peroxide Gel)500 tubes50 tubes250 tubes28Calcium chloride injection 10%(Calcium chloride)1200amp400amp2000amp29Calcium Gluconate (Caicium Gluconate)400amp400amp2000amp30Carbamazepine200 container50 cont250 cont31Critirezine, Pseudoephedrine 1000 strips300strips1500strips32Cefotaxime (Cefotaxime for injection)8000vials2000vials10000vials33Cefotaxime (Claforan8000vials2000vials10000vials34Cefotaxime for injection (Cefotaxime)8000vials2000vials10000vials35Cefpodoxmine proxetil (vantin)1000strips100strips500strips36Ceftriaxone (Ceftriaxone Sodium Dextrose injection8000vials2000vials10000vials37Ceftriaxone(Rocephin)8000strips2000strips10000strips38Chlordiazepoxide (Librium)8000 strips2000 strips10000 strips39Chlordiazepoxide and clidinium (Librax)1000strips100strips500strips40Chloroquine40,000tab20,000tab1,00,000tab41Chlorpheniramine Maleate/Avil1500strips500strips2500strips42Chlorpromazine (thorazine)1000strips100strips500strips43Chlorpamide1000strips100strips500strips44Chlorzoxazone (Parafon Forte)1500strips500strips2500strips45Cimetidine (Tagamet)1500strips500strips2500strips46Cipro (Ciprofloxacin)1500strips500strips2500strips47Cipro i.v. (Ciprofloxacin IV)20001000500048Ciprofloxacin HCI Ophthalmic Ointment (Ciloxan Ophthalmic Ointment)800tabes200tabes1000tabes49Ciprofloxacin HCL Ophthalmic Solution Ciloxan Ophthalmic Solution800200100050Ciprofloxacin Otic Solution (Cetraxal)50010050051Clotrimazole Vaginal Cream (Gyne-Lotrimin)50001000500052Cyanocobalamin(Nascobal)25005025053Dexamethasone (Decadron)1500vials500vials2500vials54Dextrose 10%1200box200box100box56Dextrose injection 5% (Hydrous Dextrose)1200box200box1000box57Diazepam injection (Diazepam injection)250amp50amp250amp58Diazepam Tablets (Valium)800strips200strips1000strips64Diclofenac Sodium (Voltaren)1500amp500amp2500amp65Diclofenac Sodium Gel (Voltaren Gel)900tubes300tubes1500tubes67Dicyclomine (Bentyl)100010050068Diflucan (Fluconazole)1500strips500strips2500strips69Digoxin Tablets (Digitek)250strips50strips250strips70Disulfiram (Antabuse)250strips50strips250strips71Doxycycline1500strips500strips5000strips72Elocon Lotion (Mometasone Furoate Lotion)1002010073Elocon Ointment (Mometasone Furoate Ointment)903015074Erythromycin1400strips400strips2000strips75Erythromycin (Emgel)1400strips400strips2000strips76Esomeprzole Magnesium (Nexium)1500strips500strips2500strips77Esomeprazole Sodium (Nexium I.V.)1500strips500strips2500strips78Famotidine injection (Famotidine injection1500strips500strips2500strips79Flagyl (Metronidazole)5000strips1000strips5000strips80Flagyl injection (Metronidazole injection)1500strips500strips2500strips81Floxin (Ofloxacin)1500strips500strips2500strips82Floxin Otic (Ofloxacin Otic Solution)2505025083Floxin Otic Singles (Ofloxacin otic Solution)2505025084Fluocinolone Acetonide (Derma-Smoothe Scalp/FS)2505025085Folic Acid (Folvite)4000strips1000strips5000strips86Furazolidone (Furoxone)8000strips2000strips10000strips87Furosemide (Lasix)1500strips500strips2500strips89Gentak(Gentamican Sulfate Ophthalmic Ointment)800200100090Gentamican Sulfate Ophthalmic Ointment Gentak)800200100091Glipizide (Glucotrol)250strips50strips250strips92Glipizide and Metformin (Metaglip)800strips200strips1000strips93Haloperidol Decanoate (Haldol Decanoate)100105094Haloperidol Injection (Haldol100105095Humulin 50-50 (50-50Human insulin lsophane Suspension and Human insulin Injection)100105096Humulin N (insulin (Human Recombinant))100105097Hydrocortisone Tablet (Cortef)2002010098Hydrocortisone Valerate Cream (Westcort Cream)2002010099Hydrocortisone Valerate Ointment (Westcort Ointment)50050250100Ibuprofen (Motrin)1600strips600strips3000strips101Inderal (Propranolol)130strips30strips150strips102Inderal LA (Propranolol)1001050103Indocin IV (Indomethacin inj)20020100104Insulin (Human Recombinant) (Humulin 70-30)30030150105Insulin (Human Recombinant) (Humulin N)1001050106Insulin (Human Recombinant) (Humulin R)1001050107Iron Dextran (infed)30060300108Iron Sucrose injection30060300109Ivermectin (Stromectol)800strips200strips1000strips110Kanamycin (Kantrex)500100500111Ketoconazole (Nizoral)500100500112Ketoconazole (Xolegel)500100500113Ketoconazole Cream (Ketoconazole Cream)500100500114Lactated Ringer,s (Lactated Ringer,s Injection)500box200box1000box115Lactated Ringer,s and5% Dextrose injection (Lactated Ringer,s in 5% Dextrose)500b0x200b0x1000b0x116Lactated Ringer,s in 5% Dextrose (Lacated Ringer,s and 5% Dextrose injection)500box100box500box117Lanoxin injection (Digoxin injection)25050250118Lanoxin Tablets (Digoxin Tablets)250strips50strips250strips119Lasix(Furosemide)1000strips100strips500strips120Librax (chlordiazepoxide and Clidinium)1000strips100strips500strips121Librium (Chlordlazepoxide)1000strips100strips500strips122Lidocaine (Xylocaine)50050250123Losartan Potassium (Cozaar)5000strips1000strips5000strips124Losartan Potassium Hydrochiothiazide (Hyzaar)5000strips1000strips5000strips125Mannitol Injection (Mannitol IV)16060300126Mannitol Injection in Aviva Plastic Container (Osmitrol Injection in Aviva)16060300127Mannitol Injection in Viaflex Plastic Container (Osmitrol injection in Viaflex)16060300128Mannitol IV (Mannitol injection)16060300129Metformin Hcl (Fortamet)8002001000130Metformin Hcl (Glucophage,Glucophage XR)8002001000131Methergine (Methylergonovine Maleate)800amp200amp1000amp132Metoclopramide (Regian)1500strips500strips2500strips133Metoclopramide Hydrochloride Orally Disintegrting Tablets (Metozoiv ODT)500strips100strips500strips134Metoclopramide Injection (Reglan Injection)500100500135Metronidazole (Flagyl)1500strips500strips2500strips136Metronidazole (Metrogel)1500strips500strips2500strips137Metronidazole (MetroGel Vaginal)25050250138Metronidazole Injection (Metronidazole injection)9003001500139Miconazoie (Monistat Derm)500100500140Minocycline (Minocin Capsules)500strips100strips500strips141Minocycline Hydrochloride (Sominlodyn)500100500142Mometasone Furoate (Elocon)1001050143Mometasone Furoate Ointment (Elocon Ointment)1001050144Monoodox (Doxycline)1500strips500strips2500strips145Motrin (Ibuprofen)2000stirps500strips2500strips146MVI (Multi Vitamin Conentrate(intravenous infusion) 300amp100amp500amp147Nefedepine600strips200strips1000strips148Nifedepine Extended Release Tabs (Procardia XL)300100strips500strips149Niravam (Alprazolam)300100strips500strips150Norfloxacin (Chibroxin)300100strips500strips151Norfloxacin (Noroxin)300100strips500strips152Ocuflox (Ofloxacin Opthalmic)1506003000153Ofloxacin Opthalmic solution 250100500154Ofloxacin Otic Solution(floxin otic)250100500155Ofloxacin Otic Solution(floxin otic singles)250100500156Omeprazole, Sodium bi-carbonate (Zegerid)250100500157Ondansetron Hydrocloride (Zofran)250100500158Ondansetron Hydrocloride injection (Zofran injection)250100500159Doxycycline (Oracea)15000500025000160Oxytetracycline (terramycin)500100500161Oxytetracycline hydrocortisone (Terracortisol)500100500162Oxytocin Injection (Pitocin)3000500amp2500amp163Phenergan (prometherzine)10020am100am164Phenytion Tabs (Dilantin)15005002500165Prednisolone (prednisolone Tabs)300100500166Prenisolone syp.301050167Quinidine1500500amp2500amp168Quinidine Gluconate15005002500169Quinidine sulfate Tabs Film Coated Extended release15050250170Quinidine sulfate caps.6002001000171Rabavert (Rabies Vaccine)15050250172Rabiprozole SodiumRanitidine HCL15005002500173Ranitidine HCL inj15005002500174Reglan300100500175Reglan Inj300100500176Reglan ODT300100500177Ringers Inj & 5% Dextrose inj300100500178Ringer Inj300100500179Silavadene 300100500180Silver Sulfadiazine300100500181Tinidazole300100500182Tizanidine300100500183Tramadol HCL300100500184Tricenolone Acetonide300100500185Triamcinolone (inhalation aerosol)300100500186Triamcinolone Acetonide cream15060300187Triamcinolone Acetonide Oinment15050250189Triamcinolone Diacetate injectable sup15050250190Triamcinolone Hexacetonide Inj 5 mg15050amp250amp191Triamcinolone lotion15050ph250ph192Triamcinolone ointment100500193Triamcinolone and sulfamethaxozole3005002500194Triamcinolone tabs300010005000195Typhod Vaccine30050dose250dose196Tramadol15005002500197Tramadol HCL300100500198Ampicillin sulbactum300100500199Ursodiol15050250200Daizipam Tab500100500201Cefodoxim Proxetil900300strips1500strips203Human Insulin8020vails100vails204Iron Sucrose inj10030150205Mebendazole150005000strips25000strips206Doxycyline calcium Oral sup1500500ph2500ph207diclofenac sodium inj10000amp5000amp25000amp208Rofecoxib800200strips1000strips209diclofenac sodium gel800500tubes2500tubes210Miconazole Nitrate 15% Zinc Oxide & 81.35 white petrolatum300100tubes1000tubes211Hydrocortisone Valerate ointment1500500tubes2500tubes212Hydrocortisone Valerate cream30050250213Alpraxolam30001000strips5000strips214Acyclovir & Hydrocortisone cream1000500tubes2500tubes215Ketoconazole50001000tabs5000tabs216Lidocaine30050250217Lidocaine HCL300100500218Tizanidine 200100500219Zantac inj1600400amp2000amp220Cefuroxime30001000vails5000vails221Azitromycin250mg30001000strips5000strips222Azitromycin 500mg500010005000223Olanxapine15050strips250stripsState needs to commit the amount for provision of essential drugs from State’s budget during the year. FMR. B.16.1 Equipment:Justification fordelivery Points at Health Facility for DH/CHC/PHC:Sl. NoHealthFacilityDelivery point identifiedIPD load per dayOPD load per dayNormal DeliveryHome Delivery attended by SBA trainedNo. of C-sectionBed Occupancy per monthJustification 1District Hospital25851220381-0150-200District Hospital &CHC kamjong requires some basic equipment for MCH & FP2CHC kamjong4121511-0-3PHC Somdal010540-0-PHC Somdal,PHC Lambui and PHC Kasom Kl will be doing delivery 24X7 as infrastructure improvement will completed very soon4PHC Lambui06670-0-5PHC kasom kl04051-0-6PHC Tolloi00050-PHC Tolloi & PHC Jessami has been up-graded as PHC with manpower available. Infrastructure for Jessami have been completed recently. For tolloi it is expected to be completed before march 2013.7PHC Jessami000140-Justification for Delivery Points at PHSC Level: Sl. NoHealthFacilityDelivery point identifiedHome Delivery attended by SBA trainedJustification 1PHSC SinakeithelUkhrul Block17Pop coverage =10000 above, 13 villages, SBA Trained, location feasibility, Distance of nearest PHC= 30 km, transportation a major hurdle, isolated area.2PHSC TongouUkhrul Block16Pop coverage=6000 above, 10 villages, SBA trained area, suitable side in term of accessibility, Distance of nearest PHC=30 km, No public transport3PHSC TuinemUkhrul Block10Pop coverage =7000 above, 5 villages, SBA Trained, location feasibility, Distance of nearest PHC= 30 km, transportation a major hurdle, isolated area.3PHSC Maokot ChepuPop coverage: 5000 above, local small town area, Near national Highway, SBA trained, Distance of nearest PHC= 30 km.4PHSC Awang kasomChingai Block 14Pop coverage =3000 above, 6 villages, SBA Trained, location feasibility near national highway, Distance of nearest PHC= 30 km, transportation a major hurdle, isolated area.5PHSC NungbiChinga Blocki13Pop coverage =10000 above, 5 villages, SBA Trained, location feasibility, Distance of nearest PHC= 30 km, transportation a major hurdle, isolated area.6PHSC KharasomChingai Block4Pop coverage =10000 above, 10 villages, SBA Trained, location feasibility, Distance of nearest PHC= 50 km, transportation a major hurdle, isolated area.7PHSC MawaiKasom Kl Block5Pop coverage =3000 above, 7 villages, Dedicated SBA Trained staff, location feasibility, Distance of nearest PHC= 15 km, No transportation. 8PHSC Lamlai khunouPhungyar Block26Pop coverage =6000 above, 15 villages, SBA Trained, location feasibility, Distance of nearest PHC= 35 km, transportation a major hurdle, isolated area.Propose Equipment for the following Health Facilities: DH/CHC/PHC Identified as Delivery PointsSl. NoName of EquipmentDistrict HospitalCHC Kamjong PHC SomdalPHCLambuiPHCJessamiPHCTolloiPHC Kasom KhullenTotalEquipment for MHNormal Delivery Kit11111117Equipment for assisted vacuum delivery11111117Equipment for assisted forceps delivery11111117Sponge holding forcept22111119Volsellum uterine forceps22111119Tenaculum uterine forcepts22111119Labour table00111104Oxygen administration facility11001104Sterilization equipment11111117Emergency drug tray11111117Gen Set00001113Delivery kit11111117Mobile screen11111117Urinary catheter11111117Focus light00111115Ventouse cups00111115Dressing drum11111117Cabinet instrument 11111117Equipments for CH1Neonatal resuscitation101111162Baby warmer111111173Radiant warmer111111174Baby scale001111175Photo therapy111111176Table lamp with battery/Solar lamp10533333307Bak & mask Neonates000001128Laryngoscope & endotracchaeal intubation tubes neonates111111179Mucus extractor with saction tube1111111710Foot operated suction machine001111111Feeding tubes baby1111111712Pulse Oximeter11111117Equipments for FP71Equipment for MVA111111172Equipments for IUCD insertion111111173MVA syringe and cannulae of size 4-8 (2 sets)111111174Kidney tray MVA contents111111175Bowl for antiseptic solution for soaking cotton swaps111111176Anterior vaginal wall retractor11111117Other Equipments 1Standard surgical set (minor)111111172Equipments for essential laboratory investigation111111173Binocular Microscope01000004Examination table3211111106Streacher on trolley2211111107Intrument trolley211111198Foot steps111111179Bed stead iron100444443010Bed side table100444443011Baby cot2111111812Medicine chest2111111813Stool52222221414Mattress for labour table1111111715Mnachintosh for LR1111111716Kelly’s pad1111111717IV stand105444443518blankets40105555575Propose Equipment for Delivery Points : PHSC LevelSl. NoName of EquipmentPHSC SinakeithelPHSC TongouPHSC TuinemMaokot ChepuPHSC Awang kasomPHSCNungbiPHSC KharasomPHSC MawaiPHSC Lamlai KhunouTotalEquipment for MHNormal Delivery Kit1111111119Equipment for assisted vacuum delivery1111111119Equipment for assisted forceps delivery1111111119Sponge holding forcept1111111119Volsellum uterine forceps1111111119Tenaculum uterine forcepts1111111119Labour table1111111119Sterilization equipment1111111119Emergency drug tray11111119Gen Set1111111119Mobile screen111111119Urinary catheter1111111119Focus light1111111119Ventouse cups1111111119Dressing drum1111111119Cabinet instrument 1111111119Equipments for CH1Radiant warmer11111111192Baby scale00111111193Table lamp with battery/Solar lamp105333331194Bak & mask Neonates00000111195Mucus extractor with saction tube11111111196Feeding tubes baby11111111197Pulse Oximeter1111111119Equipments for FP191Equipment for IUCD insertion11111111192Kidney tray MVA contents11111111193Bowl for antiseptic solution for soaking cotton swaps1111111119Other Equipments 1Standard surgical set (minor)11111111192Equipments for essential laboratory investigation11111111194Examination table11111111196Streacher on trolley11111111197Intrument trolley11111111198Foot steps11111111199Bed stead iron3333333332710Bed side table3333333332711Baby cot111111111912Medicine chest111111111913Stool2222222221814Mattress for labour table111111111915Mnachintosh for LR111111111916Kelly’s pad111111111917IV stand222222222918blankets3333333339Infrastructure Maintenance:Sr. No.Type of InstitutionCategory of PostNumberUnit CostAmount ProposedIDirection & Administration000Salaries (Kindly Specify the position and the type of Staff)000IISub-CentresANM0001/6th salary of LHV per Sub-Centre000IIIUrban Family Welfare Centres (UFWCs)MPW (M)000MPW (F)000CLERK000MO000PHN/LHV000IVUrban Revamping Scheme (Health Posts)PHN/MPW (F)000MPW (M)000MO000CLERK000VBasic Training for ANM/LHVsNursing Officer000Sister Tutor000Public Health Nurse000Sr. Sanitary Inspector000Warden000U.D.C.000Domestic Staff000VIMaintenance and strengthening of Health and FW Training Centres (HFWTCs)Principal000Medical Lecturer-cum-demonstrator000Health Education Instructor000Social Service Instructor000Public Health Nurse000Health Education Extension Officer000Senior SanitarianSenior Health Inspector (Communicable Diseases)000Statistics000Office Superintendent000Projectionist000Clerk-cum-Accountant/Store Keeper000Artist ComputerSteno typist000Clerk-cum-Typist000Driver-cum-Mechanic000Peon-cum-attendant000Sweeper000Cleaner000Chowkidar-cum-MaliVIIBasic Training for MPWs ( Male)?000At HFWTCEpidemiologist000Management Instructor000Sanitary Engineer000Communication Officer000Public Health Nurse000Junior Accounts Officer000Class IVAt New Basic Training SchoolMedical Officer (I/C)000Public Health Nurse000Health Educator000Sr. Sanitary Inspector000UDC-cum-Accountant000UDC-cum-Typist000Class IV for Schools000Class IV for Hostel000FMR Code: B 21: SHSRCYearAmount ApprovedExpenditurePhysical performance *2007-08?00?0?2008-09?0?0?02009-10?0?0?02010-11?0?0?02011-12?0?0?0*Kindly provide details about research studies, policy documents prepared by SHSRC and all other contributions of SHSRC to NRHM in the State. ................
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