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Arunachal Pradesh SPIP NPCC appraisal 25.3.08. Current Status & Goal. Current Status & Goal. Current Status & Goal. Current Status & Goal. The feedback from sub-group appraisal received.
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The feedback from sub-group appraisal received. • The RCH II, NRHM additionalities,Routine Immunization and vertical programs are addressed as per as possible. • The improved PIP has been submitted. • Typing error may recur.
1. Propose to continue last years approval in toto under all components of NRHM. 2. Proposals made this year very limited & trying to address as required
1.To functionalize 2 DH, 1 CHC and 10 PHC. SC: 20 to functionalize. SC - 20 ANM, Existing to continue, 8 water supply & Power, Drug kits by GoI. PHC - PHC-10, 9 SNs, 22 water supply,6 Power, 3 Labor room renovation,10 MOs. Drug kits by GoI CHC – 1 proposed for BEmOC, IFRU, blood storage functioning. Drug kits by GoI DH - DH -3,Specialist recruitment/relocation/EMoC going on, Anesthesia going on, upgradation going on, equipments, blood bank licensing pending,21 SNs, Drug kits by GoI Equipments not proposed. 2. ANC services – all functional facilities with supply IFA, investigations, 3. MTP services -14 DH/GH, 20 CHC, 16 PHC 4. RTI / STI services –10 LT proposed, 14DH/GH,30 CHC &PPP PHCs 5. Referral Transport –Rs 700/case -700 cases /qtr 6. RCH Camp-1 camp/dist/month, special Camp 1 per Qtr/district 7.VHND - 557 villages, Rs 1000/VHND 8. JSY- 3021(Upto Dec) 2000 beneficiaries/quarter, 500 beneficiaries/quarter (Home) additional support,
1. IMNCI – Under Training, ORT -45 health facilities(14 DH + 31 CHC),workshop 2 districts -120 participants 2. School Health Programme - 3. Infant and Young Child Feeding (IYCF) 4. Care of Sick Children and Severe Malnutrition at FRUs -2 GH, DH roing, training through RRC-NE • Management of Diarrhoea, ARI and Micronutrient -IFA (S) 100, Zinc along with ORS, Vitamin A through GoI supply. • Sterilization services -1/qtr/district(Special RCH Camp), weekly service in FRUs & CHC / PHC-minilap, IUD/Contraceptives through all functional facilities/camps/melas, workshop in standardization on Male and female sterilization/contraceptive update 1 /year. • ARSH services -14 DH / GH and 1 CHC convergence with the APSACS • Urban Health -3as approved (Pasighat, Naharlagun, Itanagar (New). • Health Plan for Vulnerable Groups-11 identified airfed areas -Helicopter services, 33 Nos of ANMs and 22 Nos of HA (EPI) –Rs 1000/month.
PPP To continue till 2008
BCC Maternal Health • IPC campaign - 32 nos. per qtr • Awareness Health Camp involving PRI member • 16 nos. of health awareness camp involving PRI members - 1 awareness health camp per year per district • Focus group discussion involving MSS & AWW. • 16 nos. for FGD involving MSS / ASHA/ AWW will be organized 1 discussion per year per districts will be held.
BCC IMPLEMENTATION OF IEC/BCC ACTIVITIES UNDER JSY • Group meeting involving APWW members. 16 group meeting @ 1 meeting per year in all the district. Posters/Pamphlets/Leaflets. 8000 nos. of poster/pamphlet/leaflet on JSY will be distributed to the entire district in 2nd quarter. Pictorial Hoarding. 48 no. of Pictorial hoarding will be installed in all the districts in the 4th quarter. 32 nos. of wall writing in 2nd and 3rd in the districts.
BCC BCC/IEC activities/campaign for Child Health • Health camps Health camps on child health as a part of RCH camp per district for awareness and participation of the women. • Radio jingles 4 nos. of Radio jingles involving local artist / local dialects will be produced and broadcast at 5 (five) AIR station covering all the districts in the state @ 5 jingles in a quarter in the state.
BCC BCC/IEC activities/campaign for family planning • Folk songs plays and dramas 16 folk song plays and dramas - various cultural groups at the rate 1 per district including state HQ. • Exhibition/Video shows in rural areas. 16 nos. of exhibition/video show @ one per quarter per district. • IEC/BCC activities/campaign for ARSH • Print Advertisement in local Newspaper 400 col. Cm of awareness messages will be advertised at the rate of 100 col. Cm per quarter in the state. • Maintenance of MSS Centres 448 nos. of Mahila Swastha Sangh (MSS) functioning in the State. However, 200 MSS will be maintained.
Quality Assurance • Quality Assurance committed on sterilization extending to maternal and child health of state and districts • Activities:- • State & district level Quality Assurance Committee review meeting @ 2 times this year. • Reproduction and dissemination of manuals to the health institution and doctors. • Training of doctors on Family Planning Insurance Scheme. • Accreditation of private hospitals will be considered on receipt of protocol / guidelines from GoI.
Financial Management • SPMU – State Finance Manager State Accounts Manager Accountant • FMG- being considered. • processing of fund releases, accounting of expenditure, monitoring of Utilisation Certificates and audit arrangements • Group Account in the name of A.P. State Health Society –sub accounts • existing bank accounts will be closed during the financial year 2008-09 • Expenditure sanctions will be issued by the respective Programme Officers/Managers within their powers
Programme Management Arrangement • SPMU SPM - 1 (2nd quarter ) • DPMU DPM - 8 (2nd quarter ) Block - 40 (2nd quarter )
Review of existing registers: There will be provisions for procurement of the registers and making it available in sufficient quantity upto Sub district facility levels. Printing of new forms: The printing of the existing formats like M&E, Status, UIP, Monthly coverage, etc. will be done during the 1st Quarter.
M&E :- The state officials shall visit all the districts twice a year with - State Monitoring and Evaluation Team (SMET) State Mission Director (NRHM), Nodal Officer (NRHM), State Finance Manager (NRHM), Deputy Director (IEC), Consultant (HMIS), Consultant (Training) and Consultant (Finance) & Member of Quality Assurance Committee. - Each member of the team shall monitor at least 2 Districts twice at least up to the PHC level. Mobility support from mobility support head.This will include monitoring of activities like Maternal health, Child Health, JSY, Immunization, IEC/BCC activities, PPP, outreach activities, etc. It will be purely done on the basis of a prepared calendar.
Workshops for State, District and Block level Mission Teams -2 workshop at state, 2 at District for 16. • Orientation of PRI on NRHM activities -800 GPMs, • Untied grants to VHSC-557 , 557 VHND • ASHA - 390, incentives for ASHAs • Selection, remuneration and training of ANMs – 20 • Selection, training and remuneration of Staff Nurses -9 + 21 • Selection, training and remuneration of Medical Officers -10 • Selection, training and remuneration of Specialists – 3 + 6 • Construction and maintenance of physical infrastructure of SHCs – 25 • Construction and maintenance of physical infrastructure of PHCs – 1 • Construction and maintenance of physical infrastructure of CHCs – not proposed. • drugs – 50 SC only. • Untied Grant to SCs, PHCs and CHCs - 250 SC, 85 PHC, RKS CHC-31, RKS DH -14 • Mobile Medical Unit -MMU drugs @ Rs 1 lakhs per district for 16 districts, Maintenance/repair fund of Rs 2 Lakhs per district ,POL @ Rs 2 lakhs for all 16 districts
15. State Health Resource centre – Rs 2 Lakhs (Hiring /furnishing. 16. Improving physical infrastructure at SC / PHC / CHC /DH –PHC-5 qtrs,5 qtrs for 5DH 17. Ambulance for PHC / CHC / DH -10 for PHC & 2 for GH 18. Telephones – maintenance for 50 connections. 19. Strengthening Nursing School At Pasighat, facility exist. Manpower (Faculty by state Government) Rs 8070000/ only. 20. Additionalities requested by National Disease Control Programme - Rs.23,24,000/-(Honoraium, training, tally, equipments)
