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NRHM 2008-09 PIP Presentation to NPCC 27th March, 2008

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NRHM 2008-09 PIP Presentation to NPCC 27th March, 2008

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    1. NRHM 2008-09 PIP Presentation to NPCC 27th March, 2008 1

    2. 2 PROGRESS

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    8. REQUST FOR ADDITIONAL FUNDS Infrastructure Development Plan HCM, J&K had projected the demand of building up proper Health infrastructure to Hon’ble Prime Minister and on his directions, the Planning Commission provided to J & K Rs. 60.00 crore as ACA in the last quarter of 2006-07. MOHFW also released Rs. 20 crore for upgradation of District Hospitals. (Contd)

    9. REQUST FOR ADDITIONAL FUNDS Infrastructure Development Plan Hon’ble Prime Minister set up a Task Force on Development of Jammu and Kashmir. It recommends: “It will be erroneous to use the same norm for health coverage uniformly across the country. In J&K, the low density of population, difficult terrain, militancy, poor road infrastructure and lack of public transport all add to the costs and accessibility of health care, and these variables should be factored in evaluating the adequacy of coverage.” It recommends as follows: Increased outlays under National Rural Health Mission (NRHM) from Rs. 65 cr to Rs. 100 cr per annum ; (Contd) (Contd)

    10. REQUST FOR ADDITIONAL FUNDS Report also recommends construction of health centre buildings with external assistance (Rs1000 cr) for PHCs/HSCs Report advises J&K "to capitalize on the funds, programme mode and expertise available under the NRHM. Any further programmes and projects in the health sector need to build on the foundation to be laid by NRHM. If J&K makes a success of NRHM, it will have put its heath sector on a virtuous circle of higher efficiency, lower costs to the poor and better outcomes…” Rs. 1057 Cr IDP was prepared & submitted for EAP 10

    11. REQUST FOR ADDITIONAL FUNDS Accordingly J&K formulated & presented an Infrastructure Development Plan (IDP), NPCC approved in principle & Rs 95.50 Cr allotted in 2007-08; DPRs in progress and likely to be completed in 2 months. (contd)

    12. 12 Jammu & Kashmir

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    14. Jammu & Kashmir SPIP-2008-09 14

    15. Jammu & Kashmir District IDHAPs through decentralized & consultative planning: Village Level consultations & preparation of Village Health Plans Block Level consultations & preparation of Block Health Plans District Action Plans, through integration of Health Facility Surveys and assessments of district specific needs. State PIP : Integration of all 22 District IDHAPs form the part of the State PIP 15

    16. RCH 2008-09 Rs in lacs

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    19. NRHM Additionalities Rs in lacs

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    30. Jammu & Kashmir J&K SPECIFIC CONSTRAINTS 30

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    35. 35 Other Problems Difficulty to engage MBBS doctors at Rs. 8000/- Per month DCs delaying engagement of staff on contractual basis. In far-flung/difficult hard to reach areas like Leh, Kargil, Kupwara and some parts of Uri, Doctors are not applying for contractual positions. In some districts, “District Programme Management Support Units” got delayed due to non-availability of candidates possessing the requisite qualification as are required under the guide lines on NRHM. Progress slow on purchase of equipments necessary to upgrade DHs /CHCs/PHCs –replicating TNMSC

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    44. 44 SPMU/DPMU

    45. Jammu & Kashmir DELIVERIES IN HEALTH FACILITIES 45

    49. Jammu & Kashmir MAISTREAMING OF AYUSH 49

    50. Jammu & Kashmir ISM Doctors at PHC level in first phase 2 ISM Doctors/ Dwasaz in DHs proposed in 2008-09 Provision of AYUSH Drugs for PHCs/DHs ASHA Drug Kits having AYUSH Medicine provided 50

    51. Jammu & Kashmir SNPSHOTS OF NRHM WEBSITE 51

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    54. Jammu & Kashmir PROIRITIES FOR 2008-09 54

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    66. Jammu & Kashmir C R M APPRAISAL: KEY FINDINGS 66

    67. CRM Appraisal Some Key Findings 67

    68. CRM Appraisal Some Key Findings 68

    69. 69

    70. CRM Appraisal Some Key Findings 70

    71. CRM Appraisal Some Key Findings 71

    72. CRM Appraisal Some Key Findings 72

    73. CRM Appraisal Some Key Findings 73

    74. CRM Appraisal Some Key Findings 74

    75. 75 Jammu & Kashmir Prime Minister’s Reconstruction Plan

    76. Prime Minister’s Reconstruction Plan NRHM: already discussed Pradhan Mantri’s Swasthya Suraksha Yojna (PMSSY) Special Dispensation of Rs. 60 Cr. for DH/SDHs PMSSY Upgradation of Govt. Medical Colleges Jammu and Srinagar to the level of AIIMS @ Rs. 120.00 Cr. each with State Equity of Rs. 20.00 Cr. 15 super specialties in Jammu and Institute of Traumatology in Srinagar alongwith 9 related Specialties J&K first to start the work at Jammu, Work on Srinagar GMC to start in April. 76

    77. Central Equity 77

    78. Upgradation of Govt. Medical College Jammu Central Equity Work started on 4-storey 220-bedded Super Specialty Hospital Block, to be completed in 18 months. State Equity (Rs. 7.70 Cr. spent ending Jan 2008) Const. of Addl. Emergency Block Rs. 6.10 Cr. (completion by June 2008) Const. of 30-bedded Pediatric ward completion by June 2008) (Cost 2.40 Cr.) Repair /Renovation of existing Medical College complex (Taken up) (Cost Rs. 3.50 Cr.) 78

    79. GOVT. MEDICAL COLLEGE SRINAGAR Central Equity Const. of Institute of Traumatalogy & upgradation of 9 Super Specialties. CPWD is finalizing tenders, work likely to start in April 2008 to be completed in 24 months State Equity Const. of Nursing College (to be completed by June 2008) Out of State Equity Rs. 11.28 Cr. utilized ending Jan 2008 79

    80. MACHINERY/EQUIPMENT – STATE EQUITY Machinery & equipment worth Rs. 8.00 crores for each College being purchased. Machinery worth Rs. 1.40 Crore purchased for Medical College Jammu last year 80

    81. SPECIAL DISPENSATION UNDER PM’S PACKAGE 81

    82. SPECIAL DISPENSATION UNDER PM’S PACKAGE (RS. 60.00 CRORES FOR CONSTRUCTION OF DH/SDHS 82

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