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PIP of Union Territory Health Mission, A&N Islands The prologue PROFILE OF ANDAMAN & NICOBAR ISLANDS The Andaman & Nicobar are a group of picturesque Islands, big and small, inhabited and uninhabited, a total of 572 islands, islets and rocks lying in the South Eastern Part of the Bay of Bengal. They lie along an arc in long and narrow broken chain, approximately North-South over a distance nearly 726 kms. . It is logical to presume a former land connection form Cape Negris at South part of Burma to Achin Head (Cape Pedro) in Andalas (Sumatra). The flora and fauna of these islands, however, indicate that this land connection if it existed, should have been prior to the development of their present life form. 1.1 Area Total Geographical Area 8249 Sq.km South Andaman District 3106 Sq.km Nicobar District 1841 Sq.km North & Middle Andaman 3302 Sq.km Revenue Area 659.92 Sq.km URBAN AREA 16.64 Sq.km RURAL AREA 643.28 Sq.km Forest Area 7589.08 Sq Km 1 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 1.2 Primitive Tribal Groups Of A&N Islands There are six Primitive Tribal Groups who have been identified in the Andaman & Nicobar Islands. They are, i) ii) iii) iv) v) vi) Great Andamanese of Strait Island Onges of Little Andaman Jarawas of South and Middle Andaman Sentinelese of Sentinel Island and Shompens of Great Nicobar Nicobaries of Car Nicobar 1.3 Administrative Divisions Administratively Andaman & Nicobar Islands has a total of 03 districts, 04 Sub-divisions, 07 Tehsils and 07 Community Development Blocks. Administrative Unit District Sub-Division Tehsil C.D.Block Lok Sabha Seat Municipal Council Municipal Ward Panchayat Police Station Panchayat Samiti Zilla Parishad Islands Census Villages Revenue Villages Census Village Inhabited Village Uninhabited Village Inhabited Island No. 3 4 7 9 1 1 18 67 15 07 02 572 547 201 547 501 46 38 Andaman & Nicobar Islands has become one of the most natural disaster-prone zone of India. Tsunami which has caused a tremendous damage 2 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands and devastation to these Islands and the fear of frequent occurrences of these natural calamities stand as a barrier to economic progress of the Union Territory. 1.4 Demographic Profile 1.4.1 Population Description 2011 2001 Approximate Population 3.80 Lakh 3.56 Lakh Actual Population 379,944 356,152 Male 202,330 192,972 Female 177,614 163,180 Population Growth 6.68% 26.94% Percantage of total Population 0.03% 0.03% Sex Ratio 878 846 Child Sex Ratio 966 941 Density/km2 46 43 Area km2 8,249 8,249 Total Child Population (0-6 Age) 39,497 44,781 Male Population (0-6 Age) 20,094 22,885 Female Population (0-6 Age) 19,403 21,896 The population of Andaman & Nicobar Islands which was 3.56 lakhs in 2001 increased to 3.80 lakhs in 2011. The density of population which was 43 per sq. km. in 2001 has increased to 46 per sq. km. in 2011, which is lower than the All India average of 324 per sq. km. The sex-ratio (i.e. number of females per thousand males) in Andaman & Nicobar Islands has marginally increased from 846 in 2001 to 878 in 2011 and this is much lower than the All India average of 933 in 2001 and 3 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 940 in 2011. As per the 2011 Census, the rural population in Andaman & Nicobar Islands is 2, 44,411 and urban population is 1, 35,533. 1.4.2 Literacy Description 2011 2001 Literacy 86.27 % 81.30 % Male Literacy 90.11 % 86.76 % Female Literacy 81.84 % 74.71 % Total Literate 293,695 253,135 Male Literate 164,219 146,831 Female Literate 129,476 106,304 Literacy rate in Andaman and Nicobar Islands has seen upward trend and is 86.27 percent as per 2011 population census. Of that, male literacy stands at 90.11 percent while female literacy is at 81.84 percent. In 2001, literacy rate in Andaman and Nicobar Islands stood at 81.30 percent of which male and female were 86.76 percent and 74.71 percent literate respectively. Structure: No. of Districts No. of C.D. Blocks 03 09 No. of Tehsils 07 No. of villages(inhabited) 547 No. of Panchayat 67 4 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 1.5 HEALTH INFRASTRUCTURE IN ANDAMAN & NICOBAR ISLANDS No. of Medical College and Hospitals 00 No. of District Hospitals (including one Referral Hospital) 03 No. of Sub-Divisional Hospitals 00 No. of Community Health Centres 04 No. of Primary Health Centres 22 (+2 Newly Constructed) No. of First Referral Units(F.R.U) 01 No. of Postpartum Centres 01 No. of Urban Health Centres 05 No. of Sub-Centres 119 No. of Health & Family Welfare Training Centers 00 No. of A.N.M. Training Schools 01 No. of M.P.H.W.(Male) Training School 01* No. of AYUSH Hospitals 01 No. of Ayurvedic Dispensaries 08 No. of Homoeopathic Dispensaries 17 5 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands EXECUTIVE SUMMARY For the implementation of National Rural Health Mission in Andaman & Nicobar Islands, the Andaman & Nicobar Administration has constituted the Union Territory Health Mission (UTHM). The UT Health Mission is headed by Hon’ble Lt. Governor (A & N Islands) as its Chairperson and the Chief Secretary (A & N Administration) is the Co-Chairperson of the UT Health Mission with Commissioner-cum-Secretary (Health) of A & N Administration as its Convener. As per the guidelines of NRHM, a State Level Health Society has been constituted and registered by merging all the vertical level societies to improve the functioning and achieve targets of various National Disease Control Programmes such as RNTCP, NPCB, NLEP, NVBDCP, IDSP, NPPCD and programme like RCH and Immunization in a consolidated manner such that proper availability of all the services offered could be ensured there by providing quality health care. Likewise at the District level, a District Health Society at all the 03 districts i.e South Andaman District, North & Middle Andaman District and Nicobar District has been constituted and registered. EFFORTS OF UNION TERRITORY HEALTH MISSION TOWARDS ADDRESSING ISSUES OF HEALTH SECTOR: ROGI KALYAN SAMITI / HOSPITAL MANAGEMENT SOCIETY: For all the 03 District Hospitals, all 04 Community Health Centres and all the 19 Primary Health Centres, the Rogi Kalyan Samitis/Hospital Management Societies have been constituted and registered. For all the 03 District Hospitals, all 04 Community Health Centres and all the 22 Primary Health Centres the separate Bank Accounts of the Rogi Kalyan Samitis/Hospital Management Societies have been opened in a Savings Bank Account. UPGRADATION OF HEATH FACILITIES: Under NRHM, the District Hospitals and Community Health Centres and Primary Health Centres are to be raised to the level of Indian Public Health 6 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Standards (IPHS) for making them into an First Referral Unit (FRU), the foremost thing is to have better physical infrastructure such as buildings and sophisticated medical equipments and for this various steps have been / are being taken to upgrade the existing physical infrastructure into the level of IPHS, for which various civil works were undertaken and sophisticated medical equipments were provided to the health institutions of these islands. Two District Hospitals i.e. BJR Hospital at Nicobar District and Dr.R.P Hospital of North & Middle Andaman District was selected to be made as First Referral Unit during last year, however, due to shortage of Specialist (Obstetrician & Gynaecologists) it could not be made as FRU. However, this year also these two facilities have been selected to be upgraded as FRU under NRHM. Facility Surveys have been conducted for both the District Hospitals and a Priority List addressing the gaps to be filled on priority have been finalized and most of the equipments have been / proposed to be procured accordingly. Human Resource: (Medical & Non-Medical) Under Health Society SHS Port Blair DHS S. Andaman DHS N & M Andaman DHS Nicobar YEAR PLACE OF POSTING NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL Management Consultant NIL 1 NIL State Health Society NIL NIL AANMs PHNs NIL 3 2 2005-06 SHS Port Blair DHS S. Andaman DHS N & M Andaman DESIGNATION NO. OF STAFFS 2006-07 DHS Nicobar 7 PIP of 2012-13 Document NIL Nicobar Zone PIP of Union Territory Health Mission, A&N Islands GDMO SHS Port Blair 2007-08 DHS S. Andaman DHS N & M Andaman A & N Islands Orthopedician 2 1 Public Health Manager 1 A & N Islands Medical Officer SNCU 1 Sister Incharge 1 PHN Staff Nurse Data Entry Operator Lab Technician Ayah State Programme Manager State Finance Manager Management Consultant IEC Officer IEC Assistant Accountant Data Entry Operator Lab Assistant 1 12 1 1 6 Accountant Data Entry Operator AANMs PHNs 1 1 27 7 GDMO Orthopedician 1 Pedriatrician Optholmoligist AANMs PHNs Opthalmic Assistant District Programme Manager District Account Manager Accountant 8 PIP of 2012-13 Document A & N Islands GB Pant Hospital under SNCU 1 1 1 1 2 5 4 1 1 1 1 34 8 2 1 1 1 State Health Society NIDDCP DHS S. Andaman South Andaman Zone N & M Andaman Zone DHS N & M Andaman PIP of Union Territory Health Mission, A&N Islands DHS Nicobar District Programme Manager District Account Manager Data Entry Operator AANMs PHNs Opthalmic Assistant Lab Assistant 1 1 15 3 2 1 GDMO 8 Anesthetist 1 Orthopedician 1 Paediatrician 1 Ophthalmologist 1 Pathologist 1 1 Sister Incharge SHS Port Blair 2008-09 DHS S. Andaman 1 DHS Nicobar PHN Staff Nurse Lab Technician Ayah State Programme Manager State Finance Manager Management Consultant IEC Officer IEC Assistant Accountant Data Entry Operator Lab Assistant 1 12 1 6 GDMO AANMs PHNs Opthalmic Assistant District Programme 5 27 7 2 1 9 PIP of 2012-13 Document Nicobar Zone A & N Islands GB Pant Hospital under SNCU 1 1 1 1 1 5 2 1 State Health Society NIDDCP South Andaman Zone DHS S. An- PIP of Union Territory Health Mission, A&N Islands Manager District Account Manager Accountant Data Entry Operator GDMO Orthopedician Pedriatrician Optholmoligist AANMs PHNs Opthalmic Assistant District Programme Manager District Account Manager Accountant DHS N & M Andaman SHS Port Blair 2009-10 1 1 1 8 1 1 1 27 5 2 1 1 1 General Surgeon Anesthetist 1 Paediatrician 1 4 13 4 1 1 2 GDMO AANMs PHNs Lab Assistant Nurse Assistant Opthalmic Assistant District Programme Manager District Account Manager Accountant Data Entry Operator DHS Nicobar daman Nicobar Zone 1 1 1 1 1 Anaesthetist 1 Paediatrician 1 Ophthalmologist 1 PIP of 2012-13 Document DHS N & M Andaman 1 GDMO 10 N & M Andaman Zone DHS Nicobar A & N Islands PIP of Union Territory Health Mission, A&N Islands Pathologist 1 ENT Specialists 2 1 Sister Incharge PHN Staff Nurse Lab Technician Ayah State Programme Manager State Finance Manager IEC Assistant Accountant Data Entry Operator Data Entry Operator under HIS Lab Assistant DHS S. Andaman DHS N & M Andaman 1 12 1 6 1 1 1 6 6 12 1 GDMO Doctors (Ayurveda) Doctors (Homeo) Pharmacist (Ayurveda) Pharmacist (Homeo) Yoga Instructor Panchakarma Asst. AANMs PHNs Ophthalmic Assistant District Programme Manager District Account Manager Accountant Data Entry Operator 4 3 5 1 5 1 1 27 7 2 GDMO Orthopedician 15 Pedriatrician 11 PIP of 2012-13 Document GB Pant Hospital under SNCU State Health Society GB Pant Hospital under HIS NIDDCP South Andaman Zone 1 1 1 1 1 1 DHS S. Andaman N & M Andaman Zone PIP of Union Territory Health Mission, A&N Islands Optholmoligist ENT Specialists General Surgeon Doctors (Ayurveda) Doctors (Homeo) Pharmacist (Homeo) Yoga Instructor AANMs PHNs Ophthalmic Assistant District Programme Manager District Account Manager Data Entry Operator Accountant DHS Nicobar SHS Port Blair 2010-11 1 1 1 3 4 3 1 27 5 2 1 1 1 1 General Surgeon Ophthalmologist ENT Specialists 1 1 Orthopaedician 1 Anesthetist 1 Pathologist 1 Paediatrician 1 4 2 1 13 4 1 1 2 GDMO Doctors (Ayurveda) Doctors (Homoeo) AANMs PHNs Lab Assistant Nurse Assistant Ophthalmic Assistant District Programme Manager District Account Manager Accountant Data Entry Operator GDMO 12 PIP of 2012-13 Document DHS N & M Andaman 1 Nicobar Zone 1 1 1 1 DHS Nicobar 1 A & N Islands PIP of Union Territory Health Mission, A&N Islands Anaesthetist 1 Paediatrician 1 Ophthalmologist 1 Pathologist 1 Orthopaedician 1 1 PHN Staff Nurse Lab Technician Ayah State Programme Manager State Finance Manager IEC Assistant Accountant Data Entry Operator Data Entry Operator under HIS Lab Assistant DHS S. Andaman GDMO Doctors (Ayurveda) Doctors (Homeo) Pharmacist (Ayurveda) Pharmacist (Homeo) Yoga Instructor Panchakarma Asst. AANMs PHNs Staff Nurse Ophthalmic Assistant District Programme Manager District Account Manager Accountant Data Entry Operator 13 PIP of 2012-13 Document 12 1 6 GB Pant Hospital under SNCU 1 1 1 6 6 12 1 12 4 5 1 4 1 1 29 9 10 2 State Health Society GB Pant Hospital under HIS NIDDCP South Andaman Zone 1 1 1 1 DHS S. Andaman PIP of Union Territory Health Mission, A&N Islands DHS N & M Andaman DHS Nicobar 2011-12 SHS Port Blair GDMOs Doctors (Ayurveda) Doctors (Homeo) Pharmacist (Homeo) Yoga Instructor AANMs PHNs 9 3 4 4 1 31 9 Ophthalmic Assistant District Programme Manager District Account Manager Data Entry Operator Accountant 2 GDMO Doctors (Ayurveda) Doctors (Homoeo) AANMs PHNs Staff Nurse Lab Assistant Ophthalmic Assistant District Programme Manager District Account Manager Accountant Data Entry Operator 2 2 1 13 4 6 1 1 1 1 1 DHS Nicobar Anaesthetist Paediatrician Pathologist Orthopaedician Dermatologist 2 1 1 1 1 A & N Islands PHN Staff Nurse Lab Technician 14 PIP of 2012-13 Document N & M Andaman Zone 1 1 1 1 DHS N & M Andaman Nicobar Zone 1 1 12 1 GB Pant Hospital under SNCU PIP of Union Territory Health Mission, A&N Islands Ayah State Programme Manager State Finance Manager IEC Assistant Accountant Data Entry Operator Data Entry Operator under HIS Lab Assistant DHS S. Andaman DHS N & M Andaman GDMO Doctors (Ayurveda) Doctors (Homeo) Pharmacist (Ayurveda) Pharmacist (Homeo) Yoga Instructor Panchakarma Asst. AANMs PHNs Staff Nurse Ophthalmic Assistant District Programme Manager District Account Manager Accountant Data Entry Operator GDMOs Doctors (Ayurveda) Doctors (Homeo) Pharmacist (Homeo) Yoga Instructor AANMs PHNs Staff Nurse 15 PIP of 2012-13 Document 6 1 1 1 6 7 12 1 10 3 5 1 5 1 1 29 7 10 3 1 State Health Society GB Pant Hospital under HIS NIDDCP South Andaman Zone DHS S. Andaman 1 1 1 6 3 4 3 1 31 9 9 N & M Andaman Zone PIP of Union Territory Health Mission, A&N Islands DHS Nicobar Ophthalmic Assistant District Programme Manager District Account Manager Data Entry Operator Accountant 1 GDMO Doctors (Ayurveda) Doctors (Homoeo) AANMs PHNs Staff Nurse Lab Assistant Ophthalmic Assistant District Programme Manager District Account Manager Accountant Data Entry Operator 4 2 1 20 5 5 1 1 1 DHS N & M Andaman 1 1 1 1 Nicobar Zone DHS Nicobar 1 1 1 SPECIALISTS & GDMOs: For raising the District Hospitals and Community Health Centres to the level of Indian Public Health Standards (IPHS) for making them into a First Referral Unit (FRU) and also for making the Primary Health Centre 24X7 functional the major gap identified in Andaman & Nicobar Islands is the Shortage of Specialists and GDMOs and to fill up these gaps, interviews were conducted at the adjacent States i.e. at Chennai, Delhi & Kolkata by UT Health Mission. Specialists from various specialties such as General Surgeory, Anaesthesia, Paediatrics, Orthopaedics etc. have been engaged and a total of 32 General Duty Medical Officers (GDMOs) including Dental have been engaged by the Union Territory Health Mission in Andaman & Nicobar Islands under NRHM. These Specialists 16 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands and GDMOs are placed in various Health Institutions of A&N Islands so that they may be raised to the level of Indian Public Health Standards (IPHS). PARAMEDICAL STAFFS UNDER NRHM Additional ANMs: Since the Sub Centres are the first contact point for the communities therefore making the Sub Centres functional 24X7 is the major and foremost goal which is to be reached and to achieve this goal providing an AANM is the key area which was concentrated on. AANMs are nothing but Additional Auxiliary Nurse Midwives who are engaged under NRHM on contractual basis so that the Sub Centres could be made 24X7 functional. There are a total of 119 Sub Centres in Andaman & Nicobar Islands and the Union Territory Health Mission of Andaman & Nicobar Islands has engaged a total of 81 AANMs. In addition, a total of 21 Public Health Nurses (PHNs), 25 Staff Nurses, 6 Ophthalmic Assistants, 2 Laboratory Assistants were also engaged to improve the health sector. MAINSTREAMING AYUSH (AYURVEDA, YOGA & NATUROPATHY, UNANI, SIDDHA & HOMOEOPATHY) UNDER NRHM: As per the guidelines of NRHM the Indian system of medicine is to be provided at each of the health facility and among the Indian systems of medicine Homoeopathy & Ayurveda are very much popular and opted by the people of Andaman & Nicobar Islands. 17 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands The NRHM seeks to revitalize local health traditions and mainstream AYUSH (including manpower and drugs) to strengthen the Public Health System at all levels. Mainstreaming of AYUSH system of medicines in the (NRHM) with the aim to introduce either of Ayurveda, Yoga & Naturopathy and Homoeopathy at all the PHC, CHC, District Hospital level as per the local Demand of the area for the Promotion of AYUSH System of medicines and to achieve the healthy life in Natural way. At present in Andaman & Nicobar Islands one 30 bedded multidisciplinary AYUSH Hospital Consisting of Ayurveda, Yoga & Naturopathy, Homoeopathy, Panchakarma, Physiotherapy, Pathology Lab is functioning effectively as well as in all the District Hospitals & Community Health Centres(CHCs) either of these components are present. As per the guidelines of NRHM, the State Health Society (A&N Islands) has recruited 10 Homoeopathic Doctors alongwith 09 Homoeopathic Pharmacists for PHC Garacharma, PHC Manglutan, PHC Ferrargunj, PHC Havelock, PHC R.K Pur, PHC Kadamtala, PHC Tugapur, PHC Radhanagar, PHC Long Island & CHC Nancowry. Similarly, 09 Ayurvedic Doctors for PHC Tushnabad, PHC Wimberlygunj, PHC Neil Island, PHC Hutbay, PHC Baratang, PHC Billyground, PHC Kalighat, PHC Katchal & PHC Teressa. All these AYUSH doctors will also be involved in all National level Programme health care such as in the areas of IMR, MMR, JSY, TB, Malaria Control, Filaria, and other communicable diseases etc. which would improve the service delivery in these Islands. In addition to this, Yoga Instructors were also recruited under NRHM. 18 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Progress with respect to physical infrastructure: E. Type and number of facilities available during pre and post NRHM period Item District Hospital/ Government Hospital Sub District/Sub Divisional Hospitals Rural Hospitals/ Community Health Centres (CHCs) Primary Health Centres (PHCs) Position as on 30.11.2011 2005 2011 2005 2011 2005 2011 2005 2011 3 3 0 0 4 4 19 21 25 29 0 0 14 14 47 54 552 683 0 0 110 253 298 395 3 3 0 0 4 4 6 12 1 1 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 0 3 4 14 20 8.1 No. of Facilities with 3 3 Laboratory 9 Facilities with New Born Care Corner 0 0 4 4 16 20 9.1 No. of Facilities with New Born Care Corner 0 0 2 4 16 0 0 0 2 0 1 Facilities 1.1 No.of Facilities 2 Wards 2.1 No.of Wards 3 Beds 3.1 No. of Beds 4 Facilities with OT 4.1 No.of Facilities with OT 5 Facilities with Blood Bank 5.1 No. of Facilities with Blood Bank 6 Facilities with Blood Storage 6.1 No. of Facilities with Blood Storage 7 Facilities with X-Ray Diagnostic Facility 7.1 No.of Facilities with X2 3 Ray Diagnostic Facility 8 10 Facilities with Laboratory 1 3 Facilities with Intensive Care Unit (ICU) 10.1 No. of Facilities with Intensive Care Unit (ICU) 1 2 19 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands F. Expenditure incurred on facilities added during 2005-2011 Item District Hospital/ Government Hospital Sub District/Sub Divisional Hospitals Rural Hospitals/ Community Health Centres (CHCs) Primary Health Centres (PHCs) Expenditure on New Facilities added during 2005 - 2011 (In Rs. Lakh) i Construction 0 0 0 0 ii Equipments 0 0 0 0 iii Other Items 0 0 0 0 Expenditure on Upgradation of Existing Facilities during 2005 - 2011 (In Rs. Lakh) i Construction 58.40 0 39.33 48.56 ii Equipments 111.49 0 64.96 42.36 iii Other Items 13.66 0 46.26 21.36 AMBULANCES PROVIDED FOR IMPROVING REFERRAL SERVICES: Under National Rural Health Mission 11 Ambulances were procured for improving the referral services in various areas of these islands i.e for CHC Rangat, CHC Nancowry, PHC Havelock, PHC Radhanagar, PHC RK Pur, PHC Katchal, PHC Ferrargunj, PHC Tugapur, CHC Diglipur etc. PUBLIC PRIVATE PARTNERSHIP UNDER NRHM: Under Public Private Partnership one of the major initiatives taken by this Union Territory is involvement of active NGOs working in Andaman & Nicobar Is20 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands lands towards carrying out the activities of various programmes under NRHM in different group of islands. Under NRHM, 8 areas of A&N Islands have been identified to carryout RCH activities by means of MNGO scheme in coordination with CINI, Kolkata. UT Administration has signed MoU with NGOs to carry out School Health Programme in Government Schools of South Andaman District & in Schools of Baratang area in North & Middle Andaman District. The details are as follows: Details No. of Schools Covered No. of Students Covered Water Purifier Installed Weighing machine installed Height recorder Good Samaritan Trust 41 6232 PRAYAS 14 18561 Mata Amritanandamayi Math 09 7922 Total 64 32715 100 VILLAGE HEALTH & SANITATION COMMITTEES (VHSCS): Altogether 275 VHSCs has been constituted and their bank accounts opened and one of the objective of VHSCs is to conduct Village Health & Nutrition Days (every alternate month in each village), which is being done in collaboration with VHSCs, ANM, AWW & ASHA to give the health services at the doorstep of villagers. 21 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands ASHAs: ASHA Support Process Matrix (Updates on progress of ASHA Scheme) Andaman & Nicobar Islands (Up to December 2011) Program Component A&N Islands No. of ASHA selected vs target No. of ASHA selected vs target in % 407/407 (4 more ASHAs added this year in Nicobar District) 100% Total no. of training Days completed (mention round of training) 7+4+4+4+4 = 23 Days completed for all 407 ASHAs No of trained as % on selection Module 1 - 100% Module 2 - 100% Module 3- 100% Module 4 – 100% Module 5 – 100% Distributed to all 407 ASHAs Drug Kit distribution to ASHAs ( % against selected ASHAs) Availability of united schedule of ASHA payment Incentive package framed as per norms prescribed JSY Rs.200/- Immunization Constitution of State ASHA Resource Centre --Not Yet Constitution of State ASHA Mentoring Group Monitoring & Support System Not Yet Meeting schedule happenings of ASHA Monthly Review meetings held at PHC Level 22 PIP of 2012-13 Document Through SPMU & DPMU as well as MPW Training School having Master Trainers. ASHAs days are being observed every month to monitor the services of ASHAs PIP of Union Territory Health Mission, A&N Islands Indicator defined (What are the jobs exactly ASHAs are doing) JSY & Referral, ANC, Sterilization, VHNDs including nutrition, immunization DOTS – Provider,Pregnant Women & Infant Death reporting,Cataract case detection under NPCB, Multi Bacillary & Pauci Bacillary case detection under NLEP,Depot holder for minor ailments,Monthly Review Meeting at PHCsRegular House Visits. All the ASHAs were provided with Identity Cards. Fund Utilization under NRHM (MFP) since the launch: YEAR Fund re- State Total Appd. OutTotal ceived share fund lay exp. (GOI) contbn. available Percentage of fund utilization 2005-06 - 90.70 0.00 90.70 0.00 0% 2006-07 - 74.20 0.00 168.42 5.17 3.06% 2007-08 720.09 445.04 0.00 615.96 75.36 10.46% 2008-09 992.93 362.00 222.00 1136.66 421.19 42.41% 2009-10 1441.01 145.00 378.00 1238.47 887.32 61.57% 2010-11 1222.88 983.00 352.00 1707.49 923.52 75.52% 0.00 948.48 502.79 33.86% * 2011-12 1484.55 (upto (including the 146.00 Dec,2011) part approved under RCH-II) 23 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands SITUATIONAL ANALYSIS In Andaman & Nicobar Islands there is only 01 First Referral Unit (FRU) which is G.B Pant Hospital, Port Blair where Specialist services are available. Proposes to upgrade all PHCs phase wise with weekly visit of Specialists. One Defense Hospital (INHS Dhanwantry) with all modern facilities and Specialist Services are provided 24 hrs X 7 days which is situated in Port Blair. Most of the Health Centres in Nicobar District & Little Andaman Islands were destroyed during Tsunami, December’ 2004 relocated and rehabilitation done recently. Since Andaman & Nicobar Islands consists of various Islands scattered all over, therefore population criteria with regard to the norms of GOI were not followed, however, remoteness & isolation areas were considered the needs among the community towards health services is more. HEALTH INDICATORS: HEALTH INDICATOR S.No. Indicators 2010 2011 South N&M Nicobar A&N South N&M Nicobar A&N Andaman Andaman Islands Andaman Andaman Islands 2010 2011(P) 1 Population (2001 Census) 237586 105539 36819 379944 237586 105539 36819 379944 2 Delivery 3985 1292 599 5876 2901 1156 519 5576 3 Live Births 3905 1285 597 5787 3844 1130 512 5486 4 Crude Birth Rate Infant Death 16.43 12.17 16.21 12.05 16.17 10.70 13.90 14.43 72 24 22 118 48 17 32 97 IMR/1000 Live Birth 18.43 18.67 36.85 20.39 12.48 15.04 62.50 17.68 5 6 24 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 7(a) MaternalDeath 7 (b) MMR/Lakh 2 1 0 3 2 - - 2 51.21 77.82 0 51.84 52.59 0 0 36.45 TFR 2.1 (2001 Census) 2.1 (2011 Census) 8 GFR 43.08 43.00 9 Institutional Deliveries * ANM/LHV 10 (a) 10 * TBA (b) 10 (c) *UTBA 3721 1024 537 5371 3791 849 445 5085 6 3 4 13 3 9 34 46 130 180 54 364 85 190 32 307 48 78 2 128 22 108 8 138 184 261 60 505 110 307 74 491 11 Total Home Deliveries %ANC 99.75% 99.75% 99.75% 99.75% 99.70% 99.70% 99.70% 99.70% 12 %PNC 99.80% 99.80% 99.80% 99.80% 99.70% 99.70% 99.70% 99.70% 25 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Health Care Facilities available in A&N Islands Facility Required Sanctioned In Posi- No. 1 1.1 2 tion Sub-centres 120 119 Sub-centres functional Primary Health Cen- 22 Target for (cumulative) 10-11 11-12 12-13 119 114 118 120 119 114 118 120 22 19 21 22 19 17 19 22 04 04 04 04 00 00 00 02 03 03 03 03 01 01 01 03 22 tres 2.1 3 PHCs offering 24 hour services Community Health 04 04 Centres 3.1 CHCs functioning as FRUs 4 District Hospitals 5 DHs functioning as FRUs 03 03 Institutional Setups under NRHM Particulars South An- N&M An- Nicobar daman daman District District District RKSs of District Hospital 1 1 1 3 RKSs of AYUSH Hospital 1 0 0 1 RKSs of CHCs 1 2 1 4 RKSs of PHCs 10 8 4 22 VHSCs 77 138 60 275 ASHAs 135 219 53 407 26 PIP of 2012-13 Document A&N Islands PIP of Union Territory Health Mission, A&N Islands TOTAL HEALTH HUMAN RESOURCES (HR) IN RURAL AREAS (As on 30th November, 2011) Category (1) Sanctioned (2) A. Human Resources at CHCs In position (3) Regular 4 0 Contractual 0 b. Obstetricians/Gynecologist 4 0 0 0 c. Physicians 4 0 0 0 d. Pediatricians 4 0 0 0 Total (a+b+c+d) 16 0 0 0 a. Anaesthatist 4 0 0 0 b. Eye Surgeon 3 0 0 0 c. Public Health Prog. Manager 1 0 0 0 d. General Duty Medical Officer Allopathic 21 3 10 13 e. General Duty Medical Officer AYUSH 4 0 4 04 a. Public Health Nurse & ANM 9 9 4 13 b. Staff Nurse/Nurse Midwife 37 37 2 39 4.Pharmacist/Compounder 8 9 0 09 5. Lab Technician 4 4 0 04 6. Radiographer 4 2 0 02 0 0 00 1 a. Surgeons Total 0 2. Other Manpower 3. Nursing Staff 7. Computer / Statistical Assistant for MIS / Accountant B. Human Resources at PHCs 4 1. Total Allopathic Doctors 40 10 18 28 2. Total AYUSH Doctors 23 0 22 22 3 15 18 3. Female Doctor (if any) at PHC 4. Block Extension Educator 0 0 0 0 5. Computor / Statistical Assistant for MIS / Accountant 6. Pharmacists 19 19 0 30 0 0 0 30 7. Lab Technician 19 17 1 18 8. Health Educator 19 13 0 13 9. Health Assistant (M) 0 0 0 0 10. Health Assistant (F)/LHV 19 10 0 10 11. Health Worker (F)/ANM 19 19 0 19 27 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 12. Nurse Midwife/Staff Nurse 95 89 11 Sanctioned (2) C. Human Resources at Sub Centres 100 In position (3) Regular 1. Health Worker (F)/ANM 195 114 Contractual 81 2. Health Worker (M) 26 26 0 D. No. of ASHAs In-position 407 407 Numbers Available 1. IMNCI (Integrated Management of Newborn and Childhood Illness) Trained ANMs 120 2. LSAS (Life Saving Anaesthetic Skills) trained Doctors 1 3. EMoC (Emergency Obstetric Care) trained Doctors 1 4. SBA (Skilled Birth Attendant) trained manpower 28 52 Shortage of Specialist in Andaman & Nicobar Islands: This is one of the major gap identified in the health sector in A&N Islands due to which the poor people in rural areas are not able to avail better health facilities/services in their area. The actual goal of the National Rural Health Mission is to provide better and qualitative health facilities/services to the poor people in the rural areas. Due to Shortage of Specialists & Doctors in these Islands one more serious problem which exists in the health sector is that Sterilization Operations performed in Andaman & Nicobar Islands is very low due to non-availability of Gynaecologists and Anaesthetists. The Sterilization Operations performed in these Islands are low inspite of the people opting to undergo sterilization operations. 28 PIP of 2012-13 Document 26 195 Required E. Trained Manpower available in the State a. ANMs b. LHVs c. Staff Nurses Total PIP of Union Territory Health Mission, A&N Islands IMMUNIZATION: District – wise coverage reports (in numbers) S. No. Name of the Yearly Target (2011-12) District Infants 1. South Andaman 2. N & M Andaman 3. Nicobar District 6192 Total S. No. Name of the OPV – 1st Dose Coverage OPV – 3rd Dose Coverage DPT – 1st Dose Coverage DPT – 3rd Dose Coverage 2011-12 2011-12 2011-12 2011-12 2011-12 3027 2600 2432 2600 2432 829 1158 1177 1158 1177 390 426 447 426 447 4246 4184 4056 4184 4056 6420 6192 District 6420 Measles Coverage Measles 2nd Dose Coverage TT2+Booster Coverage Hep B – Birth Dose Coverage Hep B – 1st Dose Coverage Hep B – 3rd Dose Coverage JE-routine (Wherever applicable) 2011-12 2011-12 2011-12 2011-12 2011-12 2011-12 2011-12 1. South Andaman 2513 2516 3112 3027 2600 2432 NA 2. N & M Andaman 1214 1111 1025 829 1158 1177 NA 3. Nicobar District 427 450 464 390 426 447 NA 4154 4077 4601 4246 4184 4056 NA Total S. No. Pregnant Women BCG Coverage Name of the District Diphtheria Whooping Cough Neonatal Tetanus Tetanus (Other) Measles Polio AES Cases Death Cases Death Cases Death Cases Death Cases Death Cases Death Cases Death 1. South Andaman - - - - - - - - - - - - - - 2. N&M Andaman - - - - - - - - - - - - - - 3. Nicobar District - - - - - - - - - - - - - - Total 29 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Disease Prevalence: Revised National Tuberculosis Control Programme (RNTCP): Target (%) Case Detection (NSP) Total Case Detection Sputum Conversion Cure Rate District : : : : 70% 70% 90% of cases registered during previous quarter. 85% Year A&N Islands Case Detection (NSP) (%) 2005 2006 2007 2008 2009 2010 2011 Total Case Detection (%) 96 113 95 92 98 95 112 87 91 85 91 101 94 89 Sputum Conversion (%) Cure Rate (%) 78 86 83 87 86 85 85 85 93 94 93 92 88 94 *Cure Rate of cases registered 13 to 15th months earlier. NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB): Year wise performance of School Eye Screening Programme Year 06-07 07-08 08-09 09-10 10-11 11-12 SES Refractive Errors Free Spectacles Target Achievement Target Achievement Target Achievement 11550 35000 23810 30000 30000 30000 15036 20667 22232 34842 18304 23097 809 2450 1667 1800 1800 1800 1081 844 881 1383 569 512 243 735 500 540 540 540 486 388 778 1249 460 380 (up to Dec) Yearwise performance of Cataract Surgery Year Target Achievement 2005-2006 500 653 2006-2007 600 640 2007-2008 1000 653 2008-2009 1200 500 2009-2010 1200 689 2009-2010 (up to Dec) 1200 341 30 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP): Sl 2006-07 2007-08 2008-09 2009-10 2010-11 No. of new cases detected (ANCDR/100,000) 35 (8.53) 18 (4.28) 25 (5.80) 15 (3.404) 26 (5.76) 2. No. of cases on record at year end (PR/10,000) 3. No. of Grade II disability among new cases (%) 4. Treatment Completion Rate 5. Reconstructive Surgery conducted 0.56 0.57 0.53 0.34 0.52 2.86 5.55 8.00 - 3.84 93.10 % NIL 81.25 % NIL 70.83% NIL 92.30% NIL 91.30% NIL 1. Indicators NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP): Epidemiological data for last six years indicating BS examined, malaria positive, Pf positive, number of death, ABER, API, Pf%, SPR and SFR SOUTH ANDAMAN DISTRICT Year POP 2005 2006 2007 2008 2009 2010 2011 398850 398850 312800 313100 325624 325624 314003 B/S EXAMINED 86432 96366 71372 79331 59442 53485 45286 POS PV 720 1119 1024 627 463 699 349 469 251 0.83 0.29 810 309 1.16 0.32 737 287 1.43 0.40 438 189 0.79 0.23 332 131 0.77 0.22 611 88 1.4 0.16 315 34 0.77 0.07 NORTH & MIDDLE ANDAMAN POS PV 97045 97195 100110 100110 135388 B/S EXAMINED 18639 21220 17636 25936 23649 POS PV PF 2005 43250 B/S EXAMINED 41102 3169 1757 7.71 4.27 95.03 73.27 55.44 0 2006 2007 2008 2009 43250 44083 54140 55223 35606 59346 65080 56420 990 1872 2854 2878 5.26 4.67 5.77 9.03 2.78 3.15 4.38 5.10 82.32 134.62 120.20 102.16 43.32 62.92 69.43 92.28 52.82 67.48 75.92 56.47 1 0 0 0 645 3.44 1.52 76.66 26.43 44.17 0 485 4.56 1.67 70.12 32.0 2 36.60 0 2007 2008 2009 2010 2011 175 302 201 324 244 124 169 162 255 156 2010 55223 42339 1460 141 2 884 902 905 221 8 815 2011 41368 29011 1325 840 1874 2774 3759 5096 PF PF 51 133 39 70 88 31 PIP of 2012-13 Document SPR SPR 0.51 1.43 1.13 1.24 1.03 NICOBAR SPR SFR SFR ABER 21.67 1.8 24.16 2.80 22.81 3.27 25.33 2.00 18.25 1.42 16.25 13.06 14.42 1.11 DISTRICT ABER 0.14 19.20 0.62 21.83 0.22 17.61 0.26 25.90 0.37 17.46 DISTRICT SFR API ABER API 1.80 3.10 2.00 3.20 1.80 API Pf% DEATH 34.88 27.61 28.02 30.14 28.20 12.5 9.74 0 0 0 0 0 0 0 Pf% 29.14 44.0 19.40 21.60 36.06 Pf% DEATH 0 0 0 0 0 DEATH PIP of Union Territory Health Mission, A&N Islands Andaman & Nicobar Islands Year POP 2011 490759 B/S EXAMPOS INED 97946 1918 PV 1311 PF SPR SFR ABER API Pf% DEATH 607 1.95 0.61 19.95 3.90 31.64 0 INTEGRATED DISEASE SURVEILLANCE PROJECT (IDSP): DISEASES CONDITIONS UNDER THE SURVEILLANCE PROGRAM I. Regular Surveillance 1. 2. Vector Borne Disease Water Borne Disease Malaria Acute Diarrhoeal Disease (Cholera), Typhoid Tuberculosis Measles Polio Road Traffic Accidents 3. 4. 5. 6. Respiratory Diseases Vaccine Preventable Diseases Diseases under eradication Other Conditions (Linkup with police computers) 7. Other International commit- Plague ments 8. Unusual clinical syndromes Meningoencephalitis/Respiratory (Causing death/hospitalization) Distress Hemorragic fevers, other undiagnosed conditions II. Sentinel Surveillance 1. 2. Sexually transmitted es/Blood borne Other Conditions diseas- HIV/HBV, HCV Water Quality, Outdoor Air Quality (Large Urban centers) III. Regular periodic surveys: 1. NCD Risk Factors Anthropometry, Physical activity, Blood, Pressure, Tobacco, Nutrition, Blindness 32 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands PART B: SUMMARY BUDGET AS PER BROAD FUNCTIONAL HEADS S.No Main Heads Components Contractual Remuneration for ANMs, Nurses, SNs, LHVs Contractual Remuneration for LTs,MPWs Contractual Remuneration of Specialists (Anesthetists, Pediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHCs.) Budget Amount (Rs.in Lakh) 344.31 25.28 143.47 Medical Officers at CHCs / PHCs 262.62 Contractual Remuneration of PHNs at CHC, PHC level 69.79 Additional Allowances/ Incentives to M.O.s of PHCs and CHCs Payment to Others - Computer Assistants/ BCC Co-ordinator etc 1 Human Resources 98.756 Incentive/ Awards etc. to SN, ANMs etc. Human Resources Development (Other than above) Other Incentives Schemes (Please Specify) Strengthening of SHS /SPMU (Including HR, Management Cost, Mobility Support, Field Visits) Strengthening of DHS/DPMU (Including HR, Management Cost, Mobility Support, Field Visits ) 74.79 57.83 51.05 5.90 Strengthening (support to HIS, BMWM) Other Programme Management Costs (Audit Fees, Concurrent Audit etc.) 8.0 Mobility Support, Field Visits to BMO/MO/Others 6.40 33 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands S.No Main Heads Components Budget Amount (Rs.in Lakh) 243.44 Payment to AYUSH M.O.s 115.84 Payment to AYUSH Other Staffs 51.10 Training under Maternal Health 64.45 Training under Child Health 15.80 Training under Family Planning Services 50.00 Strengthening Training Institutions 22.00 Development of training packages 1.0 2 Training IMEP Trainings ARSH Training 22.87 23.50 Programme Management Training 12.00 Training (Nursing) 25.86 Training (Other Health Personnel) 3 Infrastructure Training for Cold Chain Handlers/refrigerator mechanics 1.06 Training of M.O.s /Other Staffs on R.I. 5.95 Upgradation of CHCs, PHCs, Dist. Hospitals to IPHS) Strengthening of District, Sub-divisional Hospitals, CHCs, PHCs 34 PIP of 2012-13 Document 496.96 20.0 PIP of Union Territory Health Mission, A&N Islands S.No Components Budget Amount (Rs.in Lakh) New Constructions/ Renovation and Setting up CHCs, PHCs, HSCs - Main Heads Construction (Others) Minor civil works for operationalisation of FRUs Minor civil works for operationalisation of 24 hour services at PHCs 4 140.0 - Civil Work under RNTCP 10.75 Other Civil Works 283.50 Procurement of Drugs & Supplies 217.25 Procurement 91.76 Procurement of Equipment 5 6 7 Procurement of Others 49.01 Development of State BCC/IEC strategy 2.00 Implementation of BCC/IEC strategy 140.00 Health Mela 20.00 Creating awareness on declining sex ratio issue 9.00 Other activities 74.67 Untied funds for,VHSC, SC CHC,PHC Annual Maintenance Grants for CHCs, PHCs and SCs 47.40 IEC/BCC Untied funds ASHA Panchayati Raj Initiatives ASHA Payments under NRHM Additionalities 35 PIP of 2012-13 Document 26.9 3.2 PIP of Union Territory Health Mission, A&N Islands S.No Main Heads Components Budget Amount (Rs.in Lakh) Selection &Training of ASHA 8.35 Procurement of ASHA Drug Kit 7.20 Incentive to ASHAs under JSY 9.76 Incentive under Family Planning Services Incentive under Child Health 15.00 Incentive to ASHA's for motivating families for Sanitary Toilets/Other Incentives - Awards to ASHA's/Link workers - ASHA Incentive under Immunisation 0.40 ASHA Incentive under NLEP 0.05 0.20 ASHA Incentive under NVBDCP 8 9 10 ASHA Incentive under NPCB 0.15 ASHA Incentive under RNTCP 0.20 Corpus grants to RKS 41.0 Home Deliveries 0.60 Institutional Deliveries 6.80 Compensation for Male sterlisation 0.60 Compensation for Female sterlisation 36 16.00 RKS JSY Sterilisation PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands S.No Main Heads Components NSV Camps Female Sterlisation Camps IUD Camps Budget Amount (Rs.in Lakh) 6.0 - Social Marketing of contraceptives 10.00 POL for Family Planning 2.00 Repairs of Laparoscopes 1.00 - Other Expenses 11 Referral Transport 12 JSSK 13 Other RCH Activities 14 15 Vulnerable Group Other Mission activities Referral Transport 84.00 Total requirement of JSSK 171.80 ARSH 21.00 Urban RCH 38.40 Tribal RCH 31.50 Vulnerable Groups 15.00 Research Studies, - New Initiatives - Support to other programmes - 37 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands S.No Main Heads Components District Health Action Plan - Mainstreaming of AYUSH 189.18 MMU - SHSRC - School Health Programme 16 17 PPP/NGO Operational Cost(NDCPs) 19 Financial aid/grant to Institutions (NDCPs) Other Components 272.00 Health Insurance - Planning , Implementation, Monitoring - NGO activities, PPP under NRHM Additionalities - Other NDCPs (RNTCP, NPCB etc) Mobility, Review Meeting ,field visits, formats & reports,Communication etc for NDCPs Lab consumables, AMC etc for NDCPs 18 Budget Amount (Rs.in Lakh) 23.72 5.63 Financial Support to Medical colleges - Financial Support to Referral Institutes 0.50 Financial Support to Sentinel sites 1) School Eye Screening & Free Spectacles 2) MDA 3) Teacher Training 4) Intensification of RI, Emergency conveyance 38 1.30 PIP of 2012-13 Document 1.08 2.12 0.37 1.25 PIP of Union Territory Health Mission, A&N Islands Programme/Scheme Wise Summary Sl.No. Scheme/Programme Proposed Amount (Rs. In Crores) 1) RCH Flexible Pool 23.10 2) NRHM Mission Flexible Pool 19.37 3) Immunization and PPI Operation Cost 0.24 4) NIDDCP 0.24 5) IDSP 0.33 6) NVBDCP 7.19 7) NLEP 0.18 8) NPCB 0.90 9) RNTCP 0.89 10) National Programme for Prevention and Control of 0.33 Deafness 11) Direction & Admn. (Treasury route) 12) AYUSH 2.02 Total 54.79 PART-C: Snapshot of Allocation of Funds Sl.No. Name of District Popula- Wheth- Proposed Allocation Per tion of er High Resource Capita District Focus Envelope for (i.e. Alloca- (Y/N) 2012-13 tion/Population) 1 South Andaman 237586 N 756.09 318.23 2 North & Middle 105539 N 800.08 758.08 36819 Y 643.02 1746.43 Andaman 3 Nicobar 39 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Information on Health Infrastructure Name of the State/UT: Andaman & Nicobar Islands Sl.No. Name of District Popu- No. lation of (Cen- DH sus 2011) Pop. for DH No. of SDH Pop. for SDH No. of CHC Pop. No. of for PHC CHC Pop. for PHC No. of HSC 1 South Andaman 237586 1 - - 1 10 37 2 North & Middle Andaman 105539 1 - - 2 8 41 3 Nicobar 36819 1 - - 1 4 40 40 PIP of 2012-13 Document Pop. for HSC PIP of Union Territory Health Mission, A&N Islands CHAPTER 1 STATE SPECIFIC TARGETS FOR NEXT FIVE YEARS State should set annual targets for next 5 years for various output as well as outcome indicators. The targets should be evenly distributed over the next five years and should be given in the PIP in the following format. A. Outcome Indicators Indicators Maternal Mor- Current status as on latest available data 51.84 Cumulative Target for next five year 2012-13 2013-14 2014-15 2015-16 2016-17 51.00 50.00 49.00 48.00 47.00 20.40 20.00 19.00 18.00 17.00 16.00 2.1 2.1 2.1 2.1 2.1 2.1 tality Ratio (MMR) Infant Mortality Rate (IMR) Total Fertility Rate (TFR) Malaria Mortal- Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil 424 2500 500 500 500 500 500 ity Reduction Rate Kala Azar Mortality Reduction Rate Dengue Mortality Reduction Rate Cataract operations Leprosy 0.5 PR is below one % . Target Free Approach Prevalence Rate Tuberculosis 85% 90% 87% Cure Rate 41 PIP of 2012-13 Document 90% 90% 90% 90% PIP of Union Territory Health Mission, A&N Islands B. Output Indicators Activity Measurable indicator A Maternal Health 1 Institutional Deliv- Current Cumulative Targets for the 2nd Phase of NRHM status as (2012-17) on latest available data 91.33% 2012- 2013- 2014- 2015- 2016- 13 14 15 16 17 95.70% 95.70% 95.70% 95.70% 95.70% eries (%) 2 24x7 Facilities 25 25 26 26 27 30 25 25 26 26 27 30 1 2 3 4 5 7 1 2 3 4 4 4 5 10 15 20 25 28 67% 100% 100% 100% 100% 100% (Sub-District) 3 Functional First Referral Units B Child health 4 Sick New Born Care Units 5 New Born Care Corners 6 Stabilization Units in FRUs 7 Full Immunization (%) C Population Stabilization 8 Male Sterilization 19 40 75 100 120 150 9 Female Steriliza- 1095 1600 2000 2300 2700 3200 601 1200 1500 1700 2000 2100 tion 10 No. of IUD Insertions D Disease Control 11 Annualized New 89% 90% 42 PIP of 2012-13 Document 90% 90% 90% 90% PIP of Union Territory Health Mission, A&N Islands Smear Positive Detection Rate of TB (%) 12 Success Rate of 85% 86% 86% 87% 87% 88% 8% 9% 10% 11% 12% 13% 19.5 21.95 24.14 26.56 29.22 32.17 3.90 3.51 3.16 2.84 2.56 2.30 New Smear Positive Treatment initiated on DOTS (%) 13 ABER for malaria (%) 14 API for malaria (per 1000 population) Activity Measurable indicator Current status as on latest available data Cumulative Targets for the 2nd Phase of NRHM (2012-17) 15 Annual New Case Detection Rate for Leprosy (per 1,00,000 population) 16 Cataract Surgeries performed E Training 17 Doctors trained on 1 4 8 13 17 22 - 2 5 7 9 12 - 0 1 1 2 2 3 3 4 6 7 8 EmOC 18 Doctors trained on LSAS 19 Doctors trained in NSV/Conventional vasectomy 20 Doctors trained in Ab- 43 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands dominal Tubectomy (Minilap0 21 Doctors trained in lapa- 2 1 1 1 1 1 165 144 204 304 404 504 roscopic Tubectomy 22 Personnel trained in IMNCI F Community Processes 23 Functional VHSCs 24 ASHAs with Drug kits 25 ASHAs trained in 6th and 7th modules G Improved Management 26 Evaluation and Assessment of NRHM Activities 27 Cold Chain Management (number of functional ILR points) H Infrastructure 28 Construction of subcentre buildings 29 Construction of PHC buildings Activity Measurable indicator Current status as on latest available data Cumulative Targets for the 2nd Phase of NRHM (2012-17) 30 Construction of CHC buildings 31 Construction of District Hospital buildings 32 Construction of Other Hospital buildings 44 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands I MMU and Referral Transport 33 No. of Functional Mobile Medical Units 34 No. of Emergency and 52 64 72 80 85 92 33% 100% 100% 100% 100% 100% 33% 100% 100% 100% 100% 100% 0% 25% 50% 75% 100% 100% 20% 30% 40% 50% 60% 70% 33% 100% 100% 100% 100% 100% 0% 50% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Referral Transport vehicles J Operationalisation of MCTS 35 %of registration of pregnant women in MCTS 36 %of registration of children in MCTS 37 %of facilities (SC, PHC, CHC, DH & others) uploading data 38 %of facilities having internet connectivity 39 %of data validated at State level K Operationalisation of HMIS 40 %of facilities (SC, PHC, CHC, DH & others) uploading data 41 %of districts uploading committing HMIS data within a week of reporting month/quarter Other Indicators 42 Collocation of 86.36% 100% AYUSH at health facilities 45 PIP of 2012-13 Document 100% 100% PIP of Union Territory Health Mission, A&N Islands RCH Monitorable indicators: Quarterly targets both for High Focus districts and other districts and State total for RCH monitorable indicators should also be provided in the format below: SN A A.1 A.1.1 A.1.2 A.1.3 A.2 A.2.1 A.2.2 SN A.2.3 INDICATOR Maternal Health Service Delivery % Pregnant women registered for ANC in the quarter %PW registered for ANC in the first trimester, in the quarter Institutional deliveries (%) in the quarter Quality %unreported deliveries in the quarter % high risk pregnancies identified (a)% women having hypertension (b) %women having low Hb level INDICATOR %of Home Delivery by SBA (i.e. assisted by doctor/nurse/AN M) 2011-12 Baseline (Apr-Nov 2011) HF Stat Distt e s total 2012-13 Q1 Target HF Distt s Stat e total Q2 Target HF Distt s Stat e total Q3 Target HF Distt s State total Q4 Target HF Distt s State total Annual Target HF Distt s State total 99.5 % 100 % 100 % 100 % 100% 100 % 99.5 % 95% 98% 99% 100% 98 % 89% 92% 95% 98% 100% 96% 15% 9% 6% 5% 4% 6% 0.5% 0% 0% 0% 0% 0% 25% 24% 23% 22% 20% 0% 2011-12 Baseline (Apr-Nov 2011) HF Stat Distt e s total 60% 2012-13 Q1 Target HF Distt s Stat e total Q2 Target HF Distt s 68% 72% 46 PIP of 2012-13 Document Stat e total Q3 Target HF Distt s State total 83% Q4 Target HF Distt s State total 88% Annual Target HF Distt s State total 77.75 % PIP of Union Territory Health Mission, A&N Islands A.2.4 A.2.5 A.2.6 C-sections performed (%) (a) in Public facilities (b) in private accredited facilities %of deliveries discharged after at least 48 hours of delivery (out of public institution deliveries) %of still births 12% 7% 5% 3% 4% 4.75 % 0% 0% 0% 0% 0% 0% 92% 94% 96% 99% 99.5 97.12 % % 0.01 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 100 100 100 100 % % % % 100 100 100 100 % % % % % A.2.7 A.3 A.3.1 A.3.2 %age of maternal deaths audited Outputs %of 24x7 PHCs operationalised as per the GoI guidelines %of FRUs operationalised as per the GoI guidelines 47 PIP of 2012-13 Document 100% 100% 100 % 100 % PIP of Union Territory Health Mission, A&N Islands SN A.3.3 A.3.4 A.3.5 A.3.6 A.3.7 A.3.8 A.4 A.4.1 A.4.2 A.4.3 INDICATOR %of SCs doing more than 3 deliveries per month %of PHCs/non FRU CHCs doing 10 deliveries per month % of FRUs (except DH) conducting 20 deliveries per month % ANMs/ LHVs/SNs trained as SBA % doctors trained as EmOC %doctors trained as LSAS HR productivity %of LSAS trained doctors giving spinal anaesthesia Average no. of c-sections assisted by LSAS trained doctors % of EmOC trained doctors conducting c-sections 2011-12 Baseline (Apr-Nov 2011) HF Stat Distt e s total 2012-13 Q1 Target HF Distt s Stat e total Q2 Target HF Distt s Stat e total Q3 Target HF Distt s State total 100 100 100 100 % % % % 100 100 100 100 % % % % 100 100 100 100 % % % % 100 100 100 % % % 100 100 100 % % % 100 0% 100 33.3 3% 0% 0% 0% Nil 10% % HF Distt s State total 100% 100% 100% 100% 0% 100 0% % 25% 30% 48 0% 100 % 35% Annual Target HF Distt s State total 100 % 100 % 100 % 100 % 100% 100 % 0% % 0% PIP of 2012-13 Document Q4 Target 100 % 0% 0% 35% 0% 100 % 31.25 % PIP of Union Territory Health Mission, A&N Islands SN A.4.4 A.4.5 A.4.6 A.5 A.5.1 A.5.2 4.5.3 A.5.4 A. 5.5 A.5.6 INDICATOR Average no. of c-section performed by EmOC trained doctor Average no. of deliveries performed by SBA trained SN/ LHV/ANM % of SBA trained ANMs conducting deliveries Facility utilization %of FRUs conducting Csection Average no. of c-section per FRU Average no. of MTPs performed in FRUs Average no. of deliveries per 24x7 PHCs Average no. of MTPs performed per 24x7 PHC %of SC conducting at least 5 deliveries per month 2011-12 Baseline (Apr-Nov 2011) HF Stat Distt e s total 2012-13 Q1 Target HF Distt s Stat e total Q2 Target HF Distt s Stat e total Q3 Target HF Distt s State total Q4 Target HF Distt s State total Annual Target HF Distt s State total 30 10 13 15 20 58 209 67 65 58 63 253 8% 10% 12% 14% 15% 100 100 100 100 % % % % 566 113 182 190 215 105 15 22 30 50 35 25 35 38 40 2 4 6 8 12 7.5% 0% 0% 0% 0% 0% 0% 49 PIP of 2012-13 Document 100% 12.75 % 100 % 700 29.25 % 34.50 % PIP of Union Territory Health Mission, A&N Islands SN B B.1 B.1.1 B.1.2 B.1.3 B.2 B.2.1 B.2.2 B.3 B.3.1 B.3.2 B.3.3 B.3.4 INDICATOR Child Health Service Delivery Children 9-11 months age fully immunized (%) %children breastfed within 1 hour of birth %of low birth weight babies Quality %age of women receiving PP check up to 48 hrs to 14 days %drop out from BCG to measles Outputs %of SNCUs operationalised % of stabilization units operationalised % of new born baby care corners operationalised %of personnel trained in IMNCI 2011-12 Baseline (Apr-Nov 2011) HF Stat Distt e s total 2012-13 Q1 Target HF Distt s Stat e total Q2 Target HF Distt s Stat e total Q3 Target HF Distt s State total Q4 Target HF Distt s State total Annual Target HF Distt s State total 100 100 100 % % % 60% 78% 85% 89% 95% 20% 12% 10% 8% 7% 55% 70% 75% 80% 85% 19% 12% 9% 7% 6% 100 100 100 100 % % % % 50% 50% 50% 50% 50% 50% 96 96 96 96 96% 0 40 30 10 20% 95% 17.6 4% 0% 50 PIP of 2012-13 Document 100% 100% 100 % 86.75 % 9.25 % 77.5 % 8.5% 100 % PIP of Union Territory Health Mission, A&N Islands SN B. 3.5 B.3.6 B.4 B.4.1 B.4.2 C C.1 C.1.1 C.1.2 C.1.3 C.1.4 C.1.5 C.1.6 INDICATOR %of personnel trained in FIMNCI %of personnel trained in NSSK Facility utilization Average no. of children treated in SNCUs Average of children treated in NBSUs Family Planning Service Delivery %of total sterilization against ELA %post partum sterilization %male sterilizations %of IUD insertions against planned %IUD retained for 6 months %Sterilization acceptors with 2 children 2011-12 Baseline (Apr-Nov 2011) HF Stat Distt e s total 96.8 2012-13 Q1 Target HF Distt s Stat e total Q2 Target HF Distt s Stat e total Q3 Target HF Distt s State total Q4 Target HF Distt s State total 80 64 64 100 100 100 100 % % % % 70% 75 80 82 85 4 25 30 35 40 - - - - - 15% 20% 25% 30% 35% 3% 7% 10% 15% 40% 48% 50% 60% 65% 92% 92% 94% 95% 100% 85% 40% 45% 48% 60% 7% 16.4 0 51 PIP of 2012-13 Document 64 100% Annual Target HF Distt s State total 68% 100 % 80 32.5 % 27.5 % 8.75 % 55.75 % 95.25 % 48.25 % PIP of Union Territory Health Mission, A&N Islands SN C.1.7 C.2 C.2.1 C.3 C.3.1 C.3.2 C.3.3 C.3.4 C.4 C.4.1 C.4.2 INDICATOR % Sterilization acceptors with 3 or more children Quality %of complication following sterilization Outputs %doctors trained as minilap %doctors trained as NSV %doctors trained as laparoscopic sterilization %ANM/LHV/ SN/MO trained in IUD insertion HR productivity Average no. of NSVs conducted by trained doctors Average no. of minilap sterilizations conducted by minilap trained doctors 2011-12 Baseline (Apr-Nov 2011) HF Stat Distt e s total 2012-13 Q1 Target HF Distt s Stat e total Q2 Target HF Distt s Stat e total Q3 Target HF Distt s State total Q4 Target HF Distt s State total Annual Target HF Distt s State total 18% 30% 35% 40% 55% 40% 0% 0% 0% 0% 0% 0% 0% 0% 0% 30% 0% 30% 0% 0% 0% 0% 0% 0% 55% 55% 55% 55% 55% 55% 65% 70% 72% 75% 80% 20 25 30 35 74.25 % Nil 150 52 PIP of 2012-13 Document 28 PIP of Union Territory Health Mission, A&N Islands SN C.4.3 C.4.4 C.4.5 C.4.6 C.5 C.5.1 C.5.2 INDICATOR Average no. of laparoscopic sterilizations conducted by lap sterilisation trained doctorss Average no. of IUDs inserted by MO trained in IUD insertion Average no. of IUDs inserted by MO trained in IUD insertion Average no. of IUDs inserted by SN/LHV/ ANM trained in IUD insertion Facility utilization Average no. of sterilizations performed in FRUs Average no. of sterilizations performed in 24x7 PHCs 2011-12 Baseline (Apr-Nov 2011) HF Stat Distt e s total 2012-13 Q1 Target HF Distt s Stat e total Q2 Target HF Distt s Stat e total Q3 Target HF Distt s State total Q4 Target HF Distt s State total Annual Target HF Distt s State total 1050 35 45 48 55 46 55 15 20 25 30 22 601 60 75 85 90 80 80 75 68 95 79 8 12 15 18 20 16 53 PIP of 2012-13 Document 77.5 % PIP of Union Territory Health Mission, A&N Islands CHAPTER 2 OUTCOME ANALYSIS OF PIP OF 2010-11 AND 2011-12 Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp Expected Output Achievements 2011-12 Expected Output Achievements RCH Flexi pool 1) 4 No’s Ambulances procured through DGS&D Rates for Referring pregnant women’s and sick new born and Exp. done from committed unspent balances of previous year 201011. Maternal Health 29.22 0.27 1.60 24.41 04 Ambulances for referral transport to be procured DGS&D Rates were not available for procurement 04 Ambulances for referral transport to be procured 12 VHNDs to be organised and RCH camps to be organised 54 PIP of 2012-13 Document 2) 5 Nos monthly VHNDs has been conducted in outreach areas and 7 No’s are in pipeline. 3) RCH outreach camp was also planned to conduct in the month of March. Due to shortage of specialist this planned activity delayed. PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Child Health Family Planning Physical 2011-12 2010-11 Amount Approved Exp Amount Approved Exp 4.00 3.49 - - 2.80 0.26 0.45 Expected Output Achievements Expected Output Achievements - - Implementation of SHP in all schools of SA District Hb Testing Kits, IFA Tablets, Lancets etc. has been procured for School Health Programme. 3 Nos Sterilization camp to be done 2 Nos Sterilization camp completed and altogether 525 laparoscopic sterilization operations performed. Objectives / Goals of SHP to be achieved Under school health programme all the primary children in this UT has been provided with 1st dose of deworming tablets and syrups on 21st October 2011 and the 2nd phase will be scheduled on 20th April 2012. Monthly Meetings to be organised - 0.18 4 Sterilization camps ARSH 2011-12 55.85 - - Urban RCH - - Tribal RCH - - PNDT and Sex Ratio Innovation/ PPP/NGO - 1 Sterilization camp and 313 sterilizations done 0.20 40.00 - - Selection of MNGOs & FNGOs for proposed 08 areas to implement 55 PIP of 2012-13 Document Applications screening and scrutiny done with the help of CINI Kolka- First time preparatory grant released to 2 MNGOs PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Infrastructure & HR Amount Approved 558.47 2010-11 Exp Expected Output Achievements RCH-II activities ta 296.82 - Training 27.35 13.92 2011-12 30.14 - 2.10 2 batches of EmOc Trg. 6 batches of RTI/STI Trg. PIP of 2012-13 Document 1 batch of EmOC trg. 1 batch of MTP Trg. 2 batches of IMNCI Trg. 9 batches of IMNCI trg. 2 batches of IUD insertion Trg. 15 batches of FBNC trg. 3 batches of ARSH Trg. 5 batches of IUD insertion trg. 56 2 batches of SBA Trg. 8 batches of DAI trg. 2 batches of Minilap Trg. Achievements Salaries of Specialists, GDMOs, SNs, PHNs, AANMs, LTs etc. Being Paid *3 batches of SBA training for Staff nurses * 3 batches of SBA training has been completed and 14 staff nurses trained. **1 batch of EmOC training with 1 MO. 20 batches of SBA Trg. 5 batches of MTP Trg. Expected Output 7 batches of NSSK Trg. *1 batch of RTI/STI Training for Lab. Tech., Staff Nurses and ANMS each batch contains 5 participants ***2 batches IMNCI training for ANMS/LH Vs. * 2 batches of NSSK Training for ANMS, LHVs and Staff Nurses each batch contain 16 participants. ** Due to shortage of MOs this training suspended till March. *** 1 batch IMNCI training was conducted consisting 4 PHN, 7 ANM, 1 LHV trained. * 2 batches of NSSK Training has been completed and 34 Staff Nurses trained. PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Program Management BCC/IEC Procurement Physical 2011-12 2010-11 Amount Approved Exp Amount Approved Exp 2.50 0.42 112.53 71.68 24.32 16.16 Fund utilized from MFP Fund utilized from MFP 12.00 1.51 Fund utilized from the Committed UB of previous year 57 PIP of 2012-13 Document Expected Output Achievements Office Expenses Incurred 2011-12 Expected Output Achievements Salaries of SPMU & DPMU Staff Paid/ Being Paid Creating awareness & publicity through Print, Electronic media etc. Creating awareness & publicity through Print, Electronic media etc. Done World population day, National nutrition week, world Breastfeeding week has been observed all over the UT. Awareness campaign also conducted for pregnant women’s and briefed them about the pre and post natal care before and after delivery. Mother and child Protection card as well as safe motherhood booklet will be implementing soon in this UT. MH, CH & FP equipments to be procured Some child health equipment procured during the year and some equipment receivevable next year. Some child health equipment received this year as the supply order placed at the end of Feb 2011. 1.02 PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp Expected Output Achievements - - Vulnerable Groups JSY 12.00 Sterilisation & IUD compensation and NSV camps 7.20 6.27 6.49 5.01 2011-12 3.39 3.47 Expected Output Achievements 38 Home deliveries 13 Home delivery reported 552 institutiona delivery (Rural) 92 Home Deliveries 51 Home Deliveries 962 Institutional Deliveries 393 Institutional Deliveries 23 institutional delivery (Urban) 886 Tubectomy cases paid incentives 324 female sterilization 4.44 1200 sterilizations 2 vasectomy cases paid incentives as per GOI guidelines 15 male sterilization 222 institutional delivery reported in rural area 1 institutional delivery reported in urban area. 525 Tubectomy cases paid incentives Mission Flexi Pool ASHA Programme United Fund AMG 10.14 44.45 24.90 6.84 38.03 19.95 9.94 45.65 24.90 58 PIP of 2012-13 Document 5.66 Training of 358 ASHA in all 5 modules 3.01 Sanitation, hospital consumables, ad hoc payment for cleanliness etc. 1.67 Repair & Maintenance, minor civil works, electrical fittings etc. Trained 255 ASHA (up to 2nd module) Training of 407 ASHAs and providing drug kits to 407 ASHAs Trained 407ASHA (up to5th module) and drug kits provided to 407 ASHAs Done Sanitation, hospital consumables, ad hoc payment for cleanliness etc. Being done on need basis Done Repair & Maintenance, minor civil works, electrical fittings Being done PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp Expected Output 2011-12 Achievements Expected Output Achievements etc. Hospital 834.59 Strengthening New Construction/ Renovation and setting up committed balance 462.69 376.65 23.04 Manpower support such as Specialists, GDMOs, paramedical and other technical staffs for DHs, CHCs ,PHCs& SCs 0.00 0.00 - Done Minor renovations, adhoc payments for cleaning, sanitations, for other hospital consumables 104.21 Salary disbursed to all staffs Upgradtion of health instutions Being done - - - Being done Rogi Kalyan Samiti 38.00 29.90 38.99 1.30 Minor renovations, adhoc payments for cleaning, sanitations, for other hospital consumables DHAP 0.00 0.00 0.00 0.00 - - - - Panchayati Raj Initiative 0.00 0.00 5.40 0.00 Collocation of AYUSH doctors in 22 Health Institutions 9 Ayur, 10 Homeo GDMOs alongwith Paramedical staff hired & posted to 19 Health Institutions Continuation of the collocated AYUSH personnel in Health Institutions Being Done Being done - Mainstreaming of AYUSH IEC-BCC NRHM MMU/EMRI 153.34 0.00 0.00 123.32 0.00 142.33 73.78 30.00 0.00 0.00 59 PIP of 2012-13 Document 4.09 - - IEC activities i.e printing and dissemination 0.00 Procurement of 7 nos ambulances for referral Procured 7 nos ambulances for referral services - PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Expected Output Achievements 17.16 Manpower support to HIS, G.B.Pant Hospital Benig done 35.76 1.25 - - Upgradation of SNCU Unit by providing equipment Being done 0.00 0.00 - - - - Biomedical waste management Consturction of pit tanks done/being done Done/ Being done Exp Expected Output 2011-12 Achievements services Referral Transport 0.00 0.00 11.00 0.00 PPP/NGO 0.00 0.00 0.00 0.00 Planning, Implementation and Monitoring 0.00 Procurement 0.00 Regional Drugs warehouses 0.00 0.00 0.00 30.84 0.00 0.00 New Initiatives/ Strategic Interventions 0.00 Health Insurance Scheme 0.00 Research, Studies, Analysis 0.00 State level health resources center (SHSRC) 0.00 Support services 0.00 Other expenditures 0.00 Committed balance 4.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.00 0.00 0.00 0.00 0.00 Done Support to SPMU & 3 DPMU w.r.t Manpower, Operational costs & other costs Management Cost 117.47 109.56 0.00 0.00 Support to SPMU & 3 DPMU w.r.t Manpower, Operational costs & other costs Deafness Programme 0.00 0.00 0.00 0.00 - - - - 0.00 Implementation of SHP in 3 Districts Implementation of SHP done in Nicobar - - School Health Programme 0.00 25.00 0.00 60 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp Expected Output 2011-12 Achievements Expected Output Achievements District HH Survey report in final stage of completion - - House Hold Survey 0.00 4.02 0.00 0.00 Conducting House Hold Survey Training of VHSC 0.00 0.00 0.00 0.00 Training of VHSC members Clubbed with other trainings - - Total: 1441.01 762.46 135.56 1.19 320 Session Sites 120 Session Sites 320 Session Sites 162 Session Sites 0.34 Maintenance & Purchase of CCE Procured Maintenance of CCE Maintenance done Done Delivery in 8 Hard to reach areas Advances yet to be realized 923.52 Immunization Mobility support for Supervision and Monitoring at district and state level. Cold chain maintenance 1.40 0.41 0.87 0.37 2.00 0.42 Alternate Vaccine Delivery to Session sites 0.86 0.80 1.00 0.20 Delivery in 8 Hard to reach areas Focus on urban slum & underserved areas 0.00 0.00 0.00 0.00 - - - - Trainings conducted Trg. For 407 ASHAs Trainings conducted/ being organized Social Mobilization by ASHA /Link workers 0.45 0.40 0.40 0.22 Trg. For 403 ASHAs Computer Assistants support at State/district level 0.00 0.00 0.00 0.00 - - - - Printing and dissemination of immunization cards, tally sheets, charts registers, receipt book, monitoring formats etc. 0.34 0.34 1.20 Printing & Dissemination Done Printing & Dissemination Done 4 meetings at 3 Districts, State & 7 Blocks 2 district level meetings, 3 block level meetings & 1 State level meet- 4 meetings at 3 Districts, State & 7 Blocks District level meetings at 3 block level meetings & 1 State level meet- Quarterly review meeting at state /District/ Block level 0.31 0.04 1.20 0.63 0.04 61 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp Expected Output 2011-12 Achievements Expected Output ing held District level Orientation for 2 days ANMs, MPHW,LHV 1.32 1.31 1.62 1.47 Achievements ing being held 60 Nos. 60 Nos. 60 Nos. 79 Nos. 40 Doctors, 30 Cold Chain Handlers & 30 Data handlers 34 Doctors, 29 Cold Chain Handlers & 29 Data handlers 40 Doctors, 29 Cold Chain Handlers & 29 Data handlers 35 Doctors, 29 Cold Chain Handlers & 29 Data handlers Trainings 2.50 2.45 3.32 To develop micro plan at subcentre level and block level 0.11 0.03 0.11 0.01 121 micro Plans 25 Micro Plans made 121 micro Plans 12 Micro Plans made For consolidation of micro plan at PHC/CHC level 0.06 0.00 0.30 0.03 - - - - 0.27 3 District and below district level Utilized 3 District and below district level Utilized/Being utilized 0.05 Operational Expenses of Office Incurred Operational Expenses of Office Incurred/ being incurred - Distribution at 26 Health Institutions - POL for vaccine delivery from state to District and PHC/CHCs Consumables for computer including provision for internet access 2.00 0.19 0.82 0.83 1.00 0.17 0.19 Red/Black/Zipper bags 0.00 0.00 0.30 0.00 Distribution at 26 Health Institutions Bleach/Hypochlo rite solution 0.00 0.00 0.00 0.00 - - - - Could not be done due to lack of exact specifications Instead of twin buckets, hub cutter & polythene bags to be procured Tendering being done - - - Upgradation and maintenance Done Maintenance of DMCs/ DTC - Procurement of Done Procurement of Done Twin Bucket Total: 1.00 0.00 1.00 0.00 368 Twin Bucket to be purchased 10.95 7.60 13.49 5.85 - RNTCP 0.80 0.45 10.75 0.00 Civil works Laboratory mate- 1.20 0.90 1.35 1.16 62 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp rials Expected Output 2011-12 Achievements Lab consumables 0.20 0.00 0.10 0.05 Honorarium 5.00 6.17 6.68 2.87 IEC/Publicity 0.60 0.51 0.61 0.13 Equipment maintenance 2.50 6.45 1.74 3.16 Training 1.10 0.13 1.35 1.22 Vehicle maintenance 0.50 0.53 1.80 0.54 Vehicle hiring NGO/PP support - Incentive to DOTS Provider Hon. paid to 20 eligible DOTS provider Done Publicity through Print, Electronic media etc Done/ Being done Maintenance of office equipments Done Maintenance of office equipments Done/ Being done Training of RNTCP Staffs, MOs & Health Personnel 14 MO, 8 LT and 25 PMW trained Training of RNTCP Staffs, MOs & Health Personnel 12 MOs, 6 LT and 24 PMW trained Done Maintenance of 2 &4 wheeler Done/ Being done Hiring of vehicle for supervisor works Done Hiring of vehicle for supervisor works Done/ Being done Incentive to DOTS Provider Publicity through Print, Electronic media etc Maintenance of 2 &4 wheeler 0.30 0.00 - - - - 1.10 1.61 1.44 1.79 Office expenses, TA/DA Done Office expenses, TA/DA Done/ Being done Salary of contractual staffs Done Salary of staffs Done/ Being done Printing of trg. materials, lab forms Done Printing of trg. materials, lab forms Done/ Being done - - - Not done Done 19.50 19.17 24.59 1.05 10.68 0.84 0.64 Printing 0.00 0.00 0.00 0.00 - 5.00 0.00 4.30 0.00 Procurement of new 4 wheeler Not done Procurement of new 4 wheeler Procurement of office Done Procurement of office Procurement – vehicles Procurement – equipment Lab consumables 0.00 1.10 Medical Colleges Achievements 0.00 Miscellaneous Contractual services Expected Output 0.60 0.60 0.60 0.00 63 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp Expected Output 2011-12 Achievements equipment Total: 39.20 37.57 56.45 Expected Output Achievements equipment 22.24 Disease Control Program NVBDCP Malaria Filaria Dengue /Chikungunya 6.50 11.99 7.50 4.60 11.98 5.02 10.00 3.32 11.00 14.50 64 PIP of 2012-13 Document Observance of Anti Malaria month, IEC & Trainings 1.00 ELF, Survey (MF, Lymphoedema & Hydrocele), M&E and Honorairum to drug distributors, IEC etc. 6.01 Observance of anti dengu month, IEC activities, hiring of vehicles, purchase of HSD oil and training Done Monitoring , Evaluation & Supervision of epidemic preparedness including mobility support Done/ Being done Observance of Anti Malaria month, IEC & Trainings Survey done Survey (MF, Lymphoedema & Hydrocele) & Linelisting, Observance of MDA under ELF, Trainings & Honorariums & IEC etc. Done/ Being done Done Observance of anti dengu month, IEC activities, hiring of vehicles, purchase of HSD oil and training Done/ Being done PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Cash assistance for decentralized Commodities 64.38 Physical 2011-12 Expected Output Achievements 3.67 Purchase of decentalized commodities like insecticides, lavircides and anti malaria medicines. Done Purchase of decentalized commodities like insecticides, lavircides and anti malaria medicines. Done/ Being done Purchase of RDK, HSD & Petrol, Payment of 44 Nos. Fogging Machine Done - - 6.12 Training, salary and operational costs Done Training, salary and operational costs Done/ Being done 1.52 ASHA incentive, consumables for district labs, colelction and transportation of samples Consumables for district labs - - - - - - 3.31 1200 cataract operation 558 1200 cataract operation 349 cataract operated Upgraded 2 Vision Centre - - - - 1 District Under pro- 62.27 5.00 Exp Expected Output 2011-12 Achievements Exp Amount Approved 2010-11 Commodity support by GOI 11.19 4.66 0.00 0.00 Total: 101.56 88.53 40.50 14.00 IDSP Surveillance preparedness, training & staff salary Outbreak investigation 33.83 Analysis & use of data Total: 32.04 5.94 0.20 33.83 7.84 32.04 5.94 NPCB Grant in aid (for Cataract Operations) 22.30 10.73 16.45 Vision Centre (50X50,000) 1.50 0.27 0.00 0.00 upgradation of 3 vision centre Medical Colleges (3 X 40) 0.00 0.00 0.00 0.00 - Strengthening of 60.00 1.92 20.00 29.12 3 District 65 PIP of 2012-13 Document Stren- PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp District Hospital/Sub District Hospital Eye Donation Centre (Non Recurring 3X1) Remuneration (SBCS) &Staff Salary/ Other Activities/Post 0.00 0.00 0.00 18.99 0.00 0.00 7.20 2011-12 Expected Output Achievements Expected Output Achievements Hospitals thened 3 DH Hospitals cess - Upgradation of Eye Donation Centre Under process - Salary of 06 Eye Donation Counselor 06 Nos. Eye Donation Counselor hired. - 0.77 - 7.03 Publicity through Print, Electronic media etc Publicity through Print, Electronic media etc Done/ Being done Procurement of drugs and equipments Procurement of drugs and equipments Under process Requirement IEC Activities (50X20 Thousand+ SBCS 1 Lacs) 14.50 9.60 18.00 Proposal for Sutures / (per Pieces 10.0) /Ophth. Equipments 10.00 14.20 19.13 0.00 Total: 108.3 36.06 99.77 40.23 Done NIDDCP Establishment of IDD Control Cell Establishment of IDD Monitoring Lab a) b) Health Education and Publicity Salt testing Kits supplies by GOI (3.84,000 No) IDD surveys 12.50 0.00 14.00 0.00 Fund not received by SHS Fund not received by SHS NLEP Hiring & Salary of 1 driver Hiring & Salary of 3 drivers, 1 Admn.Ass t. and 1 DEO Hiring & Salary of 1 driver Contractual Services 4.50 0.52 3.60 0.86 Hiring & Salary of 3 drivers, 1 Admn.Asst . and 1 DEO Servicing through ASHA/USHA 0.50 0.11 0.00 0.00 Training to ASHA Advances released to Districts - - 0.00 Office expenses & Consumables Office expenses & Consumables - - Office expenses & Consumables 0.85 0.35 0.00 66 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved 2010-11 Exp Expected Output Achievements Expected Output Achievements Training of Health workers 3batches of training of HW conducted - - IEC Activities Advances released to districts for IEC actitivtes Vehicle Hiring and POL & maintenance Expenditure on POL and hiring and tendering done for repair and maintenance - - Disability prevention and medical rehabilitation activities Supply order issued to purchase MCR footwear and bills to be settled for health camps - - Purchase of Medicines, equipments and printing Supply order issued to CMO stores and bills yet to released - - Review meeting and POD camps for urban areas Review meeting and POD camps undertaken and bills yet to be settled - - - - Capacity building 2.00 1.50 0.00 0.00 Behavioral Change Communication 2.00 1.49 3.50 1.64 IEC Activities 0.00 POL/Vehicle operation & hiring 3.75 1.03 0.00 0.00 DPMR 1.25 0.32 0.00 0.00 Material & Supplies 0.75 0.25 0.00 0.00 Urban Leprosy Control 0.60 0.37 0.00 0.00 Supervision, Monitoring & Review 0.60 0.05 Monitoring and review meeting of SLO 0.00 67 PIP of 2012-13 Document 2011-12 IEC actitives conducted 1 review meeting conducted and bills yet to be settled PIP of Union Territory Health Mission, A&N Islands Financial (Amount in lacs) ACTIVITY 2010-11 Amount Approved Physical 2011-12 Exp Amount Approved Cash assistance 0.70 0.34 0.00 Total: 17.50 6.33 7.10 2010-11 2011-12 Expected Output Achievements Expected Output Achievements TA/DA of SLO and other supportive activities 1 SLO tour to New Delhi - - 4.56 Training to MO & Health Personnel Done Training to MO & Health Personnel Done/ Being done 2.17 Upgradation of health institutions Equipments procured Upgradation of health institutions Equipments being procured Nonavailability of reqd. manpower - - Exp 0.00 2.50 NPPCD Training 24.00 Capacity building PHCs/CHCs & /District Hospital 54.50 2.17 17.32 12.00 15.55 Manpower at district level 5.40 0.00 0.00 0.00 Hiring of staffs Screening Camps 3.00 0.00 3.60 0.88 ENT screening camps Done / being done ENT screening camps Done / being done 0.00 Procurement of hearing aids and equipments Not procured due to constraint of rate fixation by NPPCD division. Procurement of hearing aids and equipments Not procured due to constraint of rate fixation by NPPCD division. Done - - - - - Hearing Aids 200 HI per district per year Central Cell at state level Total: 14.58 0.00 14.59 5.72 0.61 0.00 0.00 Establishment of NPPCD Cell 107.2 20.11 45.74 7.61 - * The list of activity given above may vary from State to State. Therefore States should list the activities as per their RoP. 68 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands CHAPTER 3 POLICY & SYSTEMIC REFORMS IN KEY STRATEGIC AREAS S. No. Strategic Areas HR policies for Doctors, 1. Nurses, Paramedical Staff & Programme Management Staff Issues that need to be addressed For raising the District Hospitals and Community Health Centres to the level of Indian Public Health Standards (IPHS) for making them into a First Referral Unit (FRU) and also for making the Primary Health Centre 24X7 functional, the major gap identified in Andaman & Nicobar Islands is the Shortage of Specialists and GDMOs. Since A&N Islands do not have sufficient pool of Specialist and GDMOs, we have conducted Interviews at adjacent States i.e. at Port Blair, Chennai, Kolkata, Pondicherry, Bangalore & Delhi in respect of hiring of Specialists and General Duty Medical Officers to fill up the gaps existing with respect to manpower in Andaman & Nicobar Islands and the process was a great success. Quite a good number of Specialists & GDMOs were selected through Interviews and have come and joined UTHM, however due to high attrition rate, we are not able to sustain these Specialists and GDMOs. The salary being paid to the specialists and GDMOs under NRHM is more compared to Regular, Ad-hoc & Contractual doctors working under UT administration and also compared to salaries paid in other states. 69 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands All the vacancies under NRHM is being filled by the District Health Societies & State Health Society as per the powers delegated in the Delegation of Administrative & Financial Powers by publishing the vacancy notice in the leading news paper as well as website. The interview is being conducted by the selection committee of State & District Health Society in a transparent manner. Sub Centres being the first contact point for the communities therefore making the Sub Centres functional 24X7 is the major and foremost goal which is to be reached and to achieve this goal providing an AANM is the key area which was concentrated on. There are a total of 119 Sub Centres in Andaman & Nicobar Islands and the Union Territory Health Mission of Andaman & Nicobar Islands has engaged a total of 81 AANMs. In addition, a total of 21 Public Health Nurses (PHNs), 25 Staff Nurses, 6 Ophthalmic Assistants, 2 Laboratory Assistants were also engaged to improve the health sector. A total of 10 GDMOs (Homoeopathy), 09 GDMOs (Ayurveda), 10 Pharmacist (Homoeo & Ayurveda), 03 Yoga Instructors have been engaged for Mainstreaming of AYUSH. The health institutions of A&N Islands have been categorized based on the difficulty / inaccessibility with respect to the remoteness of the areas, distance from the nearest higher level health institu70 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands tion, connectivity and habitation, lack of communication, education, transportation, electricity, regular supply of water for drinking and sanitation, reach of health services etc. For attending complicated cases namely: caesarean sections the patients are being referred from these health institutions to the one and only FRU i.e G.B. Pant Hospital situated at Port Blair. Sometimes, the patients are even being air lifted by helicopter for attending emergency cases. These health institutions are categorized as per the difficulty, situation & remoteness existing within the district. Nicobar District is most difficult area followed by North & Middle Andaman and South Andaman (Employees are paid Hard Area Allowance / Island Special Duty Allowance at the rate of 25%, 20% and 12.5%). Under NRHM, 10% Hard Area Allowance is being paid in Nicobar District & 5% Hard Area Allowance is being paid in North & Middle Andaman District to all the contractual human resources working in various health institutions of Andaman & Nicobar Islands, so that sustainability of Human Resources is achieve to some extent. For overcoming the scarcity of Specialist in this UT, efforts are being made to train the GDMOs in various specialities such as Anaesthesia by means of training them in Life Saving Anaesthetic Skills (LSAS), Emergency Management of Obstet71 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands ric Care (EMoC) at the hospitals of adjacent States. Being limited career progressions and professional developments in this UT, sustaining the HR with respect to clinical as well as programme management staff becomes a challenging task. Also due to better opportunity in Govt. sector as well as high payment in private, attrition rate among managerial staffs is high. To sustain HR under NRHM, salary of Specialists, GDMOs, Paramedical Staffs & Managerial Staffs have been revised considering the 6th Pay Commission. At present, all the categories of staffs are being hired for 11 months contract and renewed on performance basis. Since, due to the short contract period, we are unable to minimize the attrition rate of the staffs. More interviews are in pipeline for hiring of Specialists & General Duty Medical Officers, so that existing requirements of various health facilities could be met in order to provide better health care to the people of A&N Islands. 2. Accountability and Perfor- mance Appraisal Facility based monitoring is being done by means of facility surveys, HMIS reports and regular review meetings. Consolidated salaries are being paid to all the contractual staff. Hard Area Allowance are also being paid to the health personnel who are serving in remote / hard areas. However this year hard area mapping has been done under each district 72 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands and the same has been forwarded to the Ministry of Health & Family Welfare, Govt. of India for consideration, so that the health personnel who are serving in those remote / hard areas will be given allowance depending on the categorization of the area. Performances are being assessed on every renewal of contracts. Performance based payments yet not being given, however, plans are in pipeline for the same. 3. Policies on drugs procure- In this UT, all drugs for OPD/IPD are provided free ment system and logistics of cost. All the drugs and consumables are being management distributed to facilities by the Directorate of Health Services in regular intervals. As decided by the Governing Body of State Health Society and as approved under the Delegation of Administrative & Financial Powers, all major medical equipments and drugs are being procured through the already existing system of Directorate Health Services, A&N Islands. Computerized drugs and logistics MIS system is being maintained at the only FRU of this UT i.e. G.B. Pant Hospital, Port Blair. 4. Equipments By means of Facility Surveys, need of equipments are being assessed and after the identification of the gaps, the same is being projected in the State Programme Implementation Plan (SPIP) for its implementation. This Upgradation of health facility with respect to equipments is done in a phasewise manner. Regular monitoring is being done towards procurement & identification of unused/faulty equip73 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands ments and maintenance is being done either through NRHM or through Directorate of Health Services. For achieving this, under NRHM a Bio Medical Engineer has been appointed in the year 2010-11 and 3 year AMC is also being given as the conditionality for procurement of any equipment. 5. Ambulance Services Referral Transport & Ambulance services is made available in all the health institutions for referral activities of critical patients and for transportation of pregnant women and new born / infants by means of ambulance vehicles provided by the Directorate of Health Services as well as through NRHM. The existing ambulances are used for general referral services. 4 more ambulances have been procured this year under NRHM specifically for referral transport to support Institutional Deliveries & transportation of critical patients & sick children. Establishment of Control Rooms for timely response and provision of services yet to be started 6. Maintenance of Building, Sanitation, Water, Electricity, Laundry & Kitchen All the routine activities like round the clock plumbing, electrical, carpentry services, power backup etc including diet for pregnant women is being done / provided either by Rogi Kalayan Samiti under NRHM or by the Directorate of Health Services. Cleanliness and sanitation in PH facilities, upkeep of toilets, electricity, cleanliness etc. are looked after by the Rogi Kalyan Samiti of the respective Health Institutions. More powers are being planned to be given to the Rogi Kalyan Samiti for the same so that the Rogi Kalyan Samiti becomes the overall responsible 74 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands body. RKS members are sensitized and oriented towards utilization of RKS funds, untied funds and Annual Maintenance grants funds for PHCs/CHCs/District Hospitals. RKS of different health facilities contributed to the health action plan at their level, which becomes a part of District Health Action Plan of concerned district. 7. Diagnostics The people of this UT solely depends on Government Health Institutions as there are no private hospitals/health providers except at Port Blair area. Most of the diagnosis is being done free of cost at the respective health facility and for complicated / sophisticated diagnosis, patients are being referred to the one and only FRU i.e. G.B Pant hospital situated at Port Blair. Now this UT Administration has signed an MoU with Mata Amrithanandamayi Math, Kochi, Kerala which enables us to avail the super specialist services such as Cardiology, Urology, Neurology etc. In addition, the MOHFW, GOI has been deputing the Specialist doctors with respect to various specialties on rotational basis to benefit this UT. Prescription audits are not yet taken up in this UT, however during the visits of officials & Programme Incharges from MOHFW, Other organizations and also from this UT, the purpose of prescription audit is being served to some extent. 8. Patients feedback grievance redressal and Rogi Kalyan Samiti of the respective health institutions are the responsible bodies for Grievance Redressals and to obtain feedbacks from the pa75 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands tients. 9. Private Public Partnership UT Administration has signed an MoU with Mata Amrithanandamayi Math, Kochi, Kerala which enables us to avail the super specialist services such as Cardiology, Urology, Neurology etc. Under NRHM, UT Administration has signed MoU with 3 NGOs to carry out School Health Programme in 106 Government Schools of South Andaman District and Baratang Area of North & Middle Andaman District. Under NRHM, 8 areas of A&N Islands have been identified to carryout RCH activities by means of MNGO scheme in coordination with CINI, Kolkata. For implementation of MNGO Scheme, a total 02 NGOs namely Voluntary Health Association of India (VHAI)-Aparajita & PRAYAS have been selected as MNGOs for all three districts of Andaman & Nicobar Islands. By means of PPP, School Health Programme activities are carried out in various schools and large numbers of students are benefitted. 10. Intersectoral convergence Through the conduction of Village Health & Nutrition Days in addition to providing health coverage, the objectives of ICDS i.e. providing nutrition to the lactating mothers and children are also being taken care off. The activities of School Health Programme are also being carried out under NRHM in close coordination with SSA. Village Health & Sanitation Committee is functioning and carrying out all the activities such as water 76 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands sanitation, hygiene, nutrition etc. in coordination with the respective departments. A Committee is constituted involving officials from departments like Education, Animal Husbandry, Municipal, Social Welfare & Forest under NRHM to act as task force committee to monitor & supervise the outbreak of Chikungunya & Dengue. For implementing various activities of programmes under NRHM such as RCH-II, NPCB, RNTCP & NPPCD, different types of trainings are organized for the officials of Education & Social Welfare department. More these type of intersectoral convergences are being planned for future. 11. Community Mobilization Community ownership of health services is very much part of implementation of Mission’s Objective as in various institutional setups made under NRHM till the village level, PRI Members, Tribal Leaders, Self Help Groups etc. have been coopted as prominent members in planning, monitoring and implementing the programme. Focus on techno managerial clinical model given as per the guidelines of NRHM / Instructions of MOHFW. ASHAs are actively involved in community mobilization for control of diseases under vertical programmes and they are trained for diagnosis and control of diseases like malaria, TB and other diseases. Village Health & Nutrition Days (every alternate 77 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands month in each village) in collaboration with VHSCs, ANM, AWW & ASHA to give the health services at the doorstep of villagers was commenced from May’08 under NRHM. Orientation training for VHSC’s members are being organized in some of the areas, however this year, it is proposed to be organized with the help of active NGOs working in A&N Islands. Under the Total Sanitation Campaign, the VHSCs constituted are being involved towards improving quality of drinking water as well as sanitation. VHSCs are also being involved towards the implementation of various National Health Programme by means of Health Days. For improved coordination among VHSCs members and Health Personnel, orientation programmes were conducted for ANMs, ASHAs, AWWs & VHSC Members. 12. IEC Various IEC/BCC activities were conducted in coordination with RCH-II, Immunization & Other NDCPs and IEC/BCC activities carried out with an intention of achieving the objectives of the respective National Health programmes. IEC / BCC activities are being carried out till the village level with the help of Village Health & Sanitation Committees and also ANM of the respective 78 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Sub Centre also plays a major role in disseminating the health messages and creating awareness among the community. BCC activities are carried out concentrating on the issues of RCH-II Programme and also all the National Disease Control Programmes. The PRIs, Tribal Councils and a large range of community based organizations like Self Help Groups, Village Health Sanitation Committees, Mahila Samakhya Groups, provides an opportunity for seeking local levels accountability in the delivery of social sector programmes. Schools and Anganwadis would form the base of these activities. Self Help Groups, proper training of MOs, Staff Nurses, ANMs and community based organizations would be expected to bring about perceptible changes in the health status of the community. Strategies will be to evaluate & detail the quality and need of existing IEC activities, Develop Client Centered Communication strategies, to highlight issues of concern IMR and MMR issues and the contributing factors for high IMR. and MMR in the State and bring about change in Knowledge, Attitude and Behaviour Practices of the target group, to enhance male participation towards acceptance of Vasectomy and to ensure equity in access to basic health care, adopting substantive changes in different health sector entities for poor and vulnerable segments of the population. 13. Civil Registration System 100% registration of births and deaths are being 79 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands done and maintained at each of the health institutions. Other health indices are maintained by means of HMIS format which is being filled every month. 14. Supportive Supervision Supervision of field level activities/performances is being done by immediate authority concerned for example, ANMs are supervised by Public Health Nurses, LHVs & Medical Officers in implementing the activities of health. Handholding is being done by means of in-service trainings, supervisory visits & review meetings so that the objectives of the programme are achieved. 15. Monitoring & Review For the implementation of National Rural Health Mission in Andaman & Nicobar Islands, the Andaman & Nicobar Administration has constituted the Union Territory Health Mission (UTHM). The UT Health Mission is headed by Hon’ble Lt. Governor (A & N Islands) as its Chairperson and the Chief Secretary (A & N Administration) is the CoChairperson of the UT Health Mission with Commissioner-cum-Secretary (Health) of A & N Administration as its Convener. Recently a District Level Vigilance & Monitoring Committee has been constituted to monitor & review the implementation of the National health Programmes under NRHM. Regular monitoring & review of the activities being implementation along with the fund utilization is 80 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands being done by the Governing Body & Executive Committee of State Health Society, by the District Health Societies of all the districts and also by the Rogi Kalyan Samiti of the respective health institution. From the current year onwards, HMIS data is being relied upon, as earlier the HMIS data uploaded were not authenticated and could not be relied upon. Now the HMIS data is being used to review the status of the programmes/activities being implemented. 16. Meetings of State Health Meetings of District & State Health Society are being Mission/Society/Districts held regularly in such a way that the implementations of activities along with fund utilization are monitored. Meetings are held to review the implementation status and follow up of action taken is analyzed during the successive meetings. 17. Medical Colleges A decision to establish a Medical College in the 11th IDA Meeting under the Chairmanship of Hon’ble Prime Minister held on 15.06.2007. It was decided to setup a 100 seated Medical College at Dudh Line, Port Blair in an earmarked land of 43.31 hectares which is about 4 kms apart from an existing 450 bedded hospital, viz, GB Pant Hospital (State Referral Hospital of A & N Islands). The concept Plan and DPR for the proposed Medical College prepared by the HSCC (I) Ltd., were sent to the MoH & FW and Planning Commission during April, 2010 and expression of interest was invited 81 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands from interested parties for setting up of Medical College at Port Blair in PPP mode. The Administration approached the Ministry of Health & Family Welfare/Medical Council of India on the following issues: Permission to set up Medical College which is 4 kms apart from the existing hospital (GB Pant Hospital). Permission to set up the Medical College in partnership with a “not for profit” private party. In response to our request, a Notification has been issued by the Govt. of India, MoH&FW on 16.09.2011 allowing the establishment of a Medical College within 5 kms of the existing government hospital. However, a decision regarding establishment of Medical College under PPP mode is still under consideration by the Ministry. Meanwhile, it has been learnt that there are atleast two medical colleges in the country which have been established by private organizations and use the Govt. Hospital as the Teaching Hospital. 18. Nursing Schools A Nursing School is functional which provides nursing education i.e. General Nursing (3 year duration) which is having an intake of 30 students per year. 19. Paramedical Education There is only one ANM Training School situated at Port Blair, it has an intake capacity of 25-30 students each year. It is being utilized as State Level Training Institution, for which there are lot of upgradation required to strengthen the institution, so that it can accommodate and provide better training infrastructure for conducting any sort of trainings. Diploma course in Multipurpose Health Worker-Male (DMPWS) for 82 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Health Worker was offered in this Centre and 48 candidates have passed out in last 2 years; however Indian Nursing Council (INC) has given directions for discontinuing this course as it is not recognized by INC. 20. Capacity Building In Andaman & Nicobar Islands we do not have good training institutions and the training infrastructure is very low in these Islands. In the State Level the only training institution is the ANM Training School which is situated at Port Blair and in the District Level there are no training institutions at all which makes the situation more critical. Since there are no any separate training institutions present in the District level and the necessary trainings to the paramedical staffs, Medical Officers are arranged in the District Hospitals of the respective districts. There are no separate accommodation facilities for the trainees to halt even at the State Level and therefore any intensive trainings for more than one day is not possible and therefore organizing various workshops and trainings becomes very difficult. There is an urgent need for developing the Training institutions at the State Level and also there is a big need of creating the necessary training infrastructure in all the Districts of Andaman & Nicobar Islands for arranging workshops and trainings at the District level. A Quality Assurance committee has been constituted for overseeing the RCH activities at state and district level. Regular meetings of the same being held. A centralized training log is being maintained of all 83 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands National Health Programme under NRHM at State level for timely and regular conducting of training for all categories of staffs. The post training outcomes is being monitored by the immediate authority of the concerned Programme of for effective outcomes. In regular intervals, the induction trainings on all programs under NRHM are being organized to all categories of staffs such as Doctors, paramedical & managerial staff etc. Management trainings are being imparted for clinicians such as Doctors & paramedical staff in respect of various health Programme and financial management for better understanding towards implementation of Programmes. As per NRHM’s guidelines personnel from various fields have been engaged on contract to provide support for implementation of various programmes under the NRHM. These personnel have certain basic skills in management, finance, IEC and data entry, which needs to be further developed to enable them to effectively discharge their responsibilities in each district. 84 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands CONDITIONALITIES S. No. Conditionality Compliance status 1. All posts under NRHM are All posts are being filled by District Health Soon contract and based on cieties & State Health Society purely on conlocal criteria. The contract tract basis for a period of 11 months on local should be done by the Ro- criteria. gi Kalyan Samiti /District Health Society. The stay of person so contracted at place of posting is mandatory. All such contracts are for a particular institution and non transferable. The contracted person will not be attached for any purpose at any place. 2. The state agrees to credit From the FY 2008-2009 onwards, 15% State 15% of the State share to Share contribution is being released from the the account of the State State Budget in one installment. Proposal to Health Society in two in- enhance the overall expenditure on health by stallments. The State also State Government by a minimum of 10% per aggresses to enhance the year will be given. over-all expenditure on health by the State Government by a minimum of 10 percent per year. 3. Blended payments com- Consolidated salaries are being paid to all the prising of a base salary contractual staff. Hard Area Allowance are aland a performance based so being paid to the health personnel who are 85 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands component, should be en- serving in couraged . remote / hard areas. However this year hard area mapping has been done under each district and the same has been forwarded to the Ministry of Health & Family Welfare, Govt. of India for consideration, so that the health personnel who are serving in those remote / hard areas will be given allowance depending on the categorization of the area. Performance based payments yet not being given; however, plans are in pipeline for the same. 4. State Government must fill Under NRHM, all efforts are being made to fill up its existing vacancies up the vacancies on contract basis against the agaist sanctioned posts, sanctioned posts. Priority is also being given to preferably by contract. top fill up the vacancies in backward district and most priority in contractual for difficult, most difficult and inaccessible recruitments should be for health facilities. backward districts and for difficult, most difficult and inaccessible health facilities. 5. Delegation of administra- Already done tive and financial powers should be completed during the current financial year. if not already done. 6. State shall set up a trans- As decided by the Governing Body of State parent and credible pro- Health Society and as approved under the curement and Supply Delegation of Administrative & Financial Pow- chain management system ers, all major medical equipments and drugs and Procurement Man- are being procured through the already exist- agement Information Sys- ing system of Directorate Health Services, tem (PROMIS) [ on the A&N Islands. 86 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands lines of the Tamil Nadu Medical Services Corporation]. State agrees to periodic procurement audit by third party to ascertain progress in this regard. 7. The State shall undertake Institute specific monitoring of performance of institution specific monitor- Sub Centres, PHCs, CHCs, District Hospitals ing of performance of Sub are being done by means of supervisory visits Centre, PHCs, CHCs, by CMOs/MOs, SPMU & DPMU officials, in DHs, etc. 8. regular intervals. The State shall operation- Online Health Management Information Sysalise an on-line HMIS in tem (HMIS) reporting is implemented up to partnership with MOHFW. lower level in partnership with MOHFW and accordingly all 03 districts are reporting in HMIS formats on monthly basis and same is being uploaded in the web portal of MOHFW, GOI. Reporting is 100%. 9. The State shall take up Capacity Building by means of trainings and capacity building exercise workshops are being conducted regularly by of Village Health and Sani- the District Health Societies as well as by tation Committees. Rogi NGOs to upgrade the knowledge towards vari- Kalyan Samiti and other ous activities of NRHM and also in respect of community /PRI institutions preparation of Village Health Plans and fund at all levels 10. utilization as per the annual grants. The State shall ensure Meetings of all community organizations i.e. regular meetings community of all VHSCs, RKSs / District / State Health Society Organiza- are being held regularly in such a way that the tions/District/State Mission implementation of activities alongwith fund utiwith public display of fi- lization are monitored. PRI Members being nancial resources received one of the members of the above mentioned 87 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands by all health facilities. committees ensures that the fund utilization is also known to the public. 11. The State Govts. shall also Responsibility has been given to Rogi Kalyan make contributions to Rogi Samitis for maintenance of respective health Kalyan Samiti and transfer institutions and it is the responsibility of the responsibility for mainte- RKS to utilize the annual grants given to the nance of health institutions institution effectively for betterment of the to them. health institution. No contribution is provided to RKS other than annual grants under NRHM. 12. The State shall prepare As decided by the Governing Body of State Essential Drug lists of ge- Health Society and as approved under the neric drugs and Standard Delegation of Administrative & Financial Powtreatment Protocols, and ers, all major medical equipments and drugs give it wide publicity. are being procured through the already existing system of Directorate Health Services, A&N Islands. Standard treatment protocols are being followed in all the health institutions. 13. The State shall focus on Plans are made accordingly. the health entitlements of vulnerable social groups like SCs, STs, OBCs, Minorities, Women, migrants etc. 14. The State shall ensure Timely performance based incentive are being timely performance based to ASHAs / Community Health Workers. payments to ASHAs/Community Health Workers. 15. The State shall encourage In patient care is given priority in health instituin patient care and fixed tions and fixed day services for family planning day services for family is given. 88 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands planning 16. The State shall ensure ef- Village Health & Nutrition Days are being held fective and regular organi- in every alternate months and instructions zation of Monthly Health have being issued to conduct Village Health & and Nutrition Days and set Nutrition Day on monthly basis. DPMU officials up a mechanism to monitor are monitoring regularly the conduction of them. 17. All VHNDs. performance based Performance based payments / incentives as payments/incentives soon as implemented will be under the super- should be under the su- vision of Community Organizations (PRIs) / pervision of Community RKS. However, at present performance based Organization (PRI)/RKS. incentives to ASHAs are paid under the supervision of Community Organizations (PRIs) / RKS. 18. The State agrees to follow Financial Management System as per FMG, all the financial manage- NRHM, Govt. of India is being followed by this ment systems under oper- UT. Audit Report, FMRs, Statement of fund ation under NRHM and positions are being sent as and when they are shall submit Audit Reports, due. By means of Concurrent Audit, periodic FMRs, Statement of Fund assessment of financial systems is being done Position, as and when they i.e. on quarterly basis. Monthly district audit are due. State also agrees will be done from this year onwards. to undertake Monthly District Audit and periodic as- Recently as per the instructions of Ministry of sessment of the financial Health & Family Welfare, GOI, necessary insystem. structions have been issued to all the institutional setups such as District Health Societies, Rogi Kalyan Samitis etc. as well as to all the Programme Officers of various programmes functioning under NRHM to start Annual Transaction Audit to be conducted by the Accountant General under CAG. 89 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 19. The State agrees to fast Physical infrastructure Upgradation on UTs track physical infrastruc- specific implementation arrangements is being ture upgradation by craft- projected in the SPIP in phase wise manner, ing State specific imple- so that Physical Upgradation as desired is mentation arrangements. achieved. All civil works are being done by State also agrees to exter- Public Work Department of A&N Islands nal evaluation of its civil (APWD), which is open for external evaluation. works programmes. 20. The State Govt. agrees to All the PHCs & CHCs have been collocated co-locate AYUSH PHCs/CHCs, in with AYUSH personnel from 2009-10 thereby wherever rendering AYUSH services. feasible. 21. The State agrees to focus Focus on quality of services is given and acon quality of services and creditation of Govt. facilities will be done. accreditation of govern- ment facilities. 22. The State /UT agrees to Community monitoring is being done through undertake community mon- Rogi Kalyan Samitis and Village Health & Sanitoring on pilot basis, itation Committees. wherever not tried out as yet, and scale up with suitable model wherever piloted earlier. 23. The State/UT agrees to There is no medical college in this UT; howevundertake continuing med- er a Nursing School is functional which proical and continuing nursing vides nursing education. education. 24. The State agrees to make All the health facilities are handling JSY and health JSY, facilities women friendly to handling they are women and child friendly, so that and ensure child women and new born children can stay in the that facility for 48 hours. women and new born chil90 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands dren stay in the facility for48 hours. 25. The State Governments District wise budget allocation is being issued shall, within 45 days of the to all the district within 45 days of receipt of issue of the Record of pro- Record of Proceedings as instructed by the ceedings, issue detailed MOHFW, GOI. District wise approvals and place them on their website for public information. 26. The State agrees to return All unspent balances against specific releases unspent balance against made in 2005-2006 have been surrendered / specific releases made in returned to Ministry and no such unspent bal2005-06,if any. 27. ance is lying with this UT. The State is entitled to en- During the FY 2008-09, a total of 81 AANMs gage a second ANM to the have been engaged (including earlier recruitextent that it provides for ments) and later in the year 2009-10 it was MPW (Male) or the con- instructed by MOHFW that second ANMs tractual amount of 2nd could only be engaged if from the State Budg- ANM be paid out of State et MPW (Male) is provided. Since these 81 Budget and Third function- AANMs were engaged earlier, they are being ary may be engaged from continued in the service, and as per the inNRHM Funds. struction of MOHFW, the Directorate of Health Services have been requested to sanction MPW (Male) from the State Budget, so that the left out Sub Centres could also be provided with AANMs. 28. The State shall put in place Efforts are being made a transparent and effective human resource policy so that difficult, most difficult and inaccessible areas attract human resources for 91 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands health. 29. The State agrees to fast Physical infrastructure Upgradation on UTs track physical infrastruc- specific implementation arrangements is being ture up- gradation by craft- projected in the SPIP in phase wise manner, ing State specific imple- so that Physical Upgradation as desired is mentation arrangements. achieved. All civil works are being done by State also agrees to exter- Public Work Department of A&N Islands nal evaluation of its civil (APWD), which is open for external evaluation. works programmes. The Names of the facilities where civil works were State shall provide names undertaken and also certifying that the location of all facilities where civil of these facilities is such that poor households works are undertaken and can seeks services from them, is clearly menalso certify that the loca- tioned and projected in the yearly SPIP, which tion of these facilities is is being submitted to MOHFW. Thrust on such that poor household meeting infrastructure gap in new construction can seek services from under NRHM is being given. them. Prior approval of place of constructions by GoI will be mandatory before taking up new construction under NRHM. Thrust must be on meeting infrastructure gap in backward districts and difficult, most difficult and inaccessible facilities. 30. The State agrees that the Will be done. provision for EMRI operational cost to States will be on declining basis. For first year operational cost will be 60%, 2nd year 40%, 92 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 3rd year 20% and nil thereafter. 31. The State agrees to comply with the following over a period of six months: System for assured and For improving referral transport services, affordable referral 11 Ambulances have been procured out of transport for pregnant which 4 Ambulances were procured during women and sick chil- this financial year. dren /infants. Facility upkeep (includ- For facilities upkeep, funds are being uti- ing of lized by Rogi Kalyan Samitis towards sanitation, maintenance of building, sanitation, laun- maintenance building – laundry, water, electrici- dry, water, electricity and kitchen. ty, kitchen) and griev- RKS/HMS also takes care of grievance re- ance redressal mecha- dressal mechanisms. nisms. bench- Performance marks for staff prior to renewal of Performances are being assessed on every renewal of contracts. contracts and incentives. Availability of functional Based on the facilities survey, availability equipments at all facili- and gap of functional equipments at all fa- ties. cilities are being assessed and based on the gaps, up-gradation plans are being projected in the SPIP and accordingly implemented. 93 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands c) Conditionalities for release of Disease Control Programme funds for 2012-13: I) National Vector Borne Disease Control Programme: S. No. i) Conditionality Mandatory Compliance status Regular and dedicated State Programme Officer (NVBDCP) is in place. The Medical Superintendant of the District Hospital acts as District Programme Officer to takes care of implementation of NVBDCP activities. Majority of posts are filled and efforts are being made to fill the gap and sustain the same. ii) Desirable Being done ABER is more than 10% of the population under surveillance – State & District wise. More than 30% of Pf. cases are detected through Rapid Diagnostic Test (RDT) – endemic districts For Dengue & Chikungunya, the identified Sentinel Surveillance Hospital is functional. There are no cases of JE in this UT. There are no cases of Kala Azar in this UT. 94 PIP of 2012-13 Document Not available. PIP of Union Territory Health Mission, A&N Islands II. Revised National TB Control Programme: S. No. i) Conditionality Mandatory Compliance status Regular and dedicated State TB Officer (RNTCP) and District TB Officers are in place. More than 70% of New Sputum Positive case detection rate is being achieved in all the districts / UT. Default rate is more than 5% in the UT. Due to the topography of the UT, defaulter retrieval is not an easy task. However, all efforts are being done to improve default retrieval mechanism for minimizing default rate. ii) Desirable RMRC, A&N Islands is identified for establishment and accreditation of intermediate reference laboratory for the diagnosis of MDR. DOTS Plan Programme for MDR will be started from FY 2011-12. III. Integrated Disease Surveillance Programme: S. No. i) Conditionality Mandatory Compliance status Regular and dedicated State Surveillance Officer (IDSP) is in 95 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands place. Reporting of surveillance data through portal is being done. ii) Desirable All the approved vacancies lying under IDSP are being filled. The Medical Superintendent of the District Hospital will be designated as District Surveillance Officer to take care of implementation of IDSP activities. IV. National Leprosy Eradication Programme: S. No. i) Conditionality Mandatory Compliance status Regular and dedicated State Leprosy Officer (NLEP) is in place. PR rate is less than 1/10000 population. ii) Desirable All the approved posts have been filled. 96 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands CHAPTER 4 SCHEME / PROGRAMME UNDER NATIONAL RURAL HEALTH MISSION A) RCH Flexi Pool SITUATIONAL ANALYSIS MATERNAL HEALTH Promotion of maternal and child health is most important component of the Reproductive and Child Health Programme. Provision of quality antenatal care (early registration, three antenatal checkups, two tetanus toxoide injections, 100 IFA tablets and ultrasonography of foetal status has been envisaged under the programme. In Andaman & Nicobar Island , DLHS survey 2010 has reported that only 90% pregnant women have received three antenatal checkups with 100 IFA Tablets, two doses of tetanus toxoide injections. The percentage of women receiving any ANC has Increased from 75% to 90% in the last decade. 95.5% deliveries take place in govt.institutions and 4.5% in private institutions/ Home deliveries by trained Dais/ANMs. 95.5% deliveries are attended by Skilled Birth Attendant like staff nurse/ANMs. The percentage of safe delivery has almost reached 100%. Coverage of antenatal care is lower for women amongst the vulnerable groups like primitive tribes as they do not come forward from the deep forest to avail the services. The Reproductive and Child Health Programme seeks to promote institutional delivery conducted by Skilled Birth Attendants. The maternal mortality rate (MMR) is 51.86 per lac deliveries. Child Health Infant and child mortality rates reflect level of socio-economic development and Quality of life and are used for monitoring and evaluating population and health Programmes and policies being pursued by the State/ UT. Efforts made by the Department of Health & Family Welfare have brought down IMR 20.40 / 1000 live births as per 2010 data. However, the rural mortality rates persist to be considerably higher 97 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands than the urban mortality rates because of the poor transportation and communication facilities in outer Islands which are separated from one another by vast stretches of sea. Post Neonatal mortality Rate is only 7.26 per lac live birth. Child Mortality Rate is higher in rural areas in comparison urban areas. Neonatal Mortality Rate is 13.14 in this territory. Thus, it is evident that the rural areas do merit a consistent and concerted attention in regard to requisite interventions under the RCH Programme. HEALTH INDICATOR S.No. Indicators 2010 2011 South N&M Nicobar A&N South N&M Nicobar A&N Andaman Andaman Islands Andaman Andaman Islands 2010 2011(P) 1 Population (2001 Census) 237586 105539 36819 379944 237586 105539 36819 379944 2 Delivery 3985 1292 599 5876 2901 1156 519 5576 3 Live Births 3905 1285 597 5787 3844 1130 512 5486 4 Crude Birth Rate Infant Death 16.43 12.17 16.21 12.05 16.17 10.70 13.90 14.43 72 24 22 118 48 17 32 97 18.43 18.67 36.85 20.39 12.48 15.04 62.50 17.68 7(a) IMR/1000 Live Birth MaternalDeath 2 1 0 3 2 - - 2 7 (b) MMR/Lakh 51.21 77.82 0 51.84 52.59 0 0 36.45 5 6 TFR 2.1 (2001 Census) 2.1 (2011 Census) 8 GFR 43.08 43.00 9 Institutional Deliveries * ANM/LHV 3721 1024 537 5371 3791 849 445 5085 6 3 4 13 3 9 34 46 * TBA 130 180 54 364 85 190 32 307 10 (a) 10 (b) 98 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 10 (c) *UTBA 48 78 2 128 22 108 8 138 184 261 60 505 110 307 74 491 11 Total Home Deliveries %ANC 99.75% 99.75% 99.75% 99.75% 99.70% 99.70% 99.70% 99.70% 12 %PNC 99.80% 99.80% 99.80% 99.80% 99.70% 99.70% 99.70% 99.70% Population Stabilization Population stabilization constitutes another key stream in the mandate of the RCH-II programme. As per the provisional census 2011 data shows marginal improvement in the child sex ratio by 9 points from 957 to 966 between 2001-2011, the ratio continues to remain biased against the girl child. Female sterilization continuing to be predominant (98%) of total sterilization operations conducted during the year 2011 and male sterilization lagging behind at a virtual insignificant level at 2%. Amongst the use of limiting methods, IUD is reported at 2.3%, Pills at 4.1% and Condoms 4.3%. The Unmet Need for the temporary / limiting methods has been increased and the same is to be addressed by social marketing of branded condoms through ASHAs AWWs and ANMs Family planning methods and services in A&N Islands are provided primarily Through the vast network of sub-centres , PHCs,CHCs,UHCs, DHs and the referral government hospital free of cost . PROGRAMME GOALS AND OBJECTIVES The RCH II programme in A& N Islands is consistent with the mandates of Millennium Development Goals and Govt. of India’s policy and programmes. RCH-II Programme Goals Broadly, the programme seeks to improve the health status of all women and children through improved access and quality Reproductive and Child Health services with focused attention to the most vulnerable sections of the society. 99 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Component-wise, the A&N Islands RCH II Programme addresses the following process and enabling indicators: Maternal Health Reduce unmet need of EmONC - To have a minimum of 1 Basic EmONC in each PHC and 1 Comprehensive EmONC facilities for each CHC and DH , which will function for 24X7 so as to. Improve access to skilled delivery care and emergency obstetric care. Improve coverage and quality of antenatal and postnatal care. Increase the institutional deliveries to 100 percent. Increase coverage of postpartum care. Improve the access of safe abortion services. Ensure high level of political and societal commitment to maternal and child health. Provide RTI/STI services up to PHC level and to increase awareness. Implementation of JSSK in letter and sprit. Child Health In addition to the related indicators covered under maternal health component, the following would be addressed: In this UT, we propose to implement and to fully operationalise selected 28 NBSU, 4 NBCCU and 3 SNCU facilities to be provided and improve essential newborn care, sick new born and Infant care including Young Child Feeding practices (IYCF) within the community and health institutions. Implement Integrated Management of Newborn and Childhood Illnesses (IMNCI) Strategy. 100 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Conduct training for skill enhancement and capacity building of medical officers, para-medical health service providers and community volunteers. Ensure 100% full immunization coverage by year. To reduce incidences of diarrhoea and ARI. Facilitate referral and care of sick newborn. CENTRALISED CALL CENTRE AND ASSURED REFFERAL: In A& N Islands, a centralized State level call centre and assured referral system is being implemented at G.B.Pant Hospital Port Blair very shortly. The BSNL Port Blair has allotted a toll free three digit number 102 and a 24x7 dedicated call centre will be made operational for assured referral and transporting of delivery cases and other patients. The ambulances will be fitted with GPS system and VHF sets for monitoring the movement of vehicle and also to make medical aid available to the patient’s en-route to the hospitals. The transport will be provided to the needy patients from home to the primary health care facility and between facility to the referral hospital. In case of pregnant women & Sick New Born they will be drop back to the home also. Population Stabilization Increase the use of modern contraceptive methods to 75 per cent by 2012 Provide universal access to full range of safe and reliable family methods and quality family welfare services for men, women planning and adolescents. Provide services to reduce the unmet need for spacing and limiting methods by 90 per cent by 2012. Increase male participation in Family Welfare Programme to 10% by 2012 and 20% by 2015. Increase the age of the mother at marriage 21 years and at the birth of her first child to 23 years by 2015. 101 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Institutional Mechanisms Strengthen programme management arrangements. Ensure availability of required functionally competent human resource. Strengthen technical capacity of existing human resource. Strengthen decentralized approach by devolution of adequate financial and administrative powers to various levels for effective implementation. Promote public-private partnerships for expanding the reach of primary health services. Promote convergence with other concerned departments and agencies such as DWCD (ICDS), Panchayat, Education, research institutions and NYK etc. Gender Concerns in RCH/ Sex Ratio Address issues related to gender inequity. Increase knowledge of the service providers and the community on gender concerns including gender-based violence.. Enhance capacity of services providers at all levels to deliver gender sensitive and quality services. Create an enabling environment for gender interventions. Adolescent Health Increase knowledge on ARSH and enhance life skills and gender sensitivity for adolescent boys and girls. Promote ARSH services and their optimum utilization by the adolescent population. Enhance capacity of services providers at all levels to deliver gender sensitive and quality ARSH services with sensitivity and confidentiality. 102 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Behavioral Change Communication (BCC) Develop requisite message and media strategy for meeting cation needs of different audience-segments in each of the ponents such as Maternal Health, Child Health, der and Adolescent Health, PC & PNDT Act communitechnical com- Population Stabilization, Genand Tobacco control pro- grammes Enhance capacity of service providers as well as community volunteers and groups to be able to provide effective communication and counsel- ling services. Involve concerned stakeholders like media, opinion makers, and religious leaders, representative of PRIs/Municipal councils and elected legislature representatives for social mobilization. Public Health Infrastructure Development Improve the infrastructure facilities of existing health institutions.. To rationalise the infrastructure Partner with community / private sector to strengthen the infrastructure of existing health institutions. Urban Health Provide integrated and sustainable system for primary health care service delivery in the urban areas, particularly in slum populations. Provide RCH and Family Planning services for urban poor living in slums. Increase the accessibility of RCH and Family Planning services for urban poor. Generate demand for RCH and Family Planning services in urban poor. 103 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Quality Assurance Develop and implement quality standards for RCH services. Develop and institute protocols for standard performance management practices. Develop and institutionalize standard treatment guidelines. Tracking severe Anaemic women It is estimated that more than 25% women have mild to severe anaemia and 10% pregnant women are moderately to severely anaemic and they require special attention and medical care during pregnancy. This severely anaemic woman needs special diet, medication and good nursing care during pregnancy for normal outcome. Many of the severe anaemic women in the Rural areas as well as Tribal areas requires constant monitoring by the way of tracking them for appropriate timely intervention. Hence a comprehensive programme for tracking the severe anaemic women is envisaged in this UT. ACHIVEMENTS AND ISSUES UNDER RCH-II PROGRAMME IN A&N ISLANDS MATERNAL HEALTH: Focus on maternal health has been extended in this UT with the support of NRHM. The pregnant mothers have been largely aware of antenatal care during pregnancies through regular IEC activities by the help of Health Education Bureau. The field level ASHA/ANMs/LHVs regularly monitors the pregnant women who are not coming for antenatal checkups after registration. This system helps to give full coverage and reduce the complication arises during pregnancies. Monthly Village Health and Nutrition days have been conducted every Saturday of the month round the year at remote and inaccessible areas where nutrious supplements has been provided to malnourished children and IFA supplement provided to severe anemic women’s and adolescent girl child. All the antenatal mothers 104 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands are given on the spot antenatal checkup, hemoglobin estimation and iron folic acid supplementation. Four new ambulances are procured through DGS&D rate contract for the referral services under Maternal Health and stationed at remote PHCs. RCH outreach camps were held at CHC Rangat and CHC Diglipur. To Promote Institutional delivery, the ASHA were provided with honorarium and also for BPL and ST cases Rs.700 paid to the mothers who had institutional deliveries. Name of the Scheme No. of beneficiaries Total Amount Utilized Janani Suraksha Yojana Institutional Deliveries - 281 (2008-09) Home Deliveries - 41 Janani Suraksha Yojana Institutional Deliveries - 455 (2009-10) Home Deliveries - 43 Janani Suraksha Yojana Institutional Deliveries - 433 (2010-11) Home Deliveries - 51 Janani Suraksha Yojana Institutional Deliveries - 223 (2011-12) upto 12/11 Home Deliveries - 13 Rs.2,64,286/- Rs.5,89,850/Rs.6,53,467/- Rs.1,77,900/- 3 batches of SBA training has been conducted for the Staff nurses for better maternal care during child birth so that morbidity and mortality associated with delivery could be minimized to the bare minimum due to the better skill development by the staff nurses. CHILD HEALTH Child health has been paramount important during the implementation of RCH-II activities in this territory. The IMNCI training is imparted to ANMs during the year for better management of the Neonates and infants. NSSK training has been given to the Staff nurses to upscale there skills for effective neonatal care. 105 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Almost 96.5% children had complete immunization in this territory. We have conducted six healthy baby contests during the observation of the World Breastfeeding Day and week. National Nutrition week also celebrated throughout the Island highlighting the importance of balanced diet. School Health Programme is implemented from Anganwadi to pre primary school and upto middle school in this territory with 100% coverage. School health activity was also conducted by three NGOs in South Andaman District. To reduce the mortality and morbidity of neonates and infants, a 20 bedded SNCU is fully operational at G.B.Pant hospital Port Blair. Required instruments, logistics and medicines provided to the SNCU including manpower for smooth functioning of the same so that round the clock services can be provided to neonates. We proposed for expansion of neonatal care services from District Hospital to primary health care centre. 2 new SNCUs proposed for 2 District hospitals, Seven newborn Stabilization units (NBSUs) and 25 New Born Care corners (NBCCS) are proposed in a phased manner. FAMILY PLANNING Family planning programmes are implemented on a target free and voluntary approach in this territory. During the financial year i.e upto 31st December 2011, the achievements under family planning programme are as under S. No. Status Status Status 2009-10 2010-11 2011-12 1 No. of female sterilisations (total) 907 1263 1095 1.a Out of which, no. of minilap sterilisations 279 389 164 2 No. of male sterilisations (total) 10 15 19 3 No. of IUD insertions 871 1840 601 5 No. of sterilisation deaths Nil Nil Nil 6 No. of sterilisation failures Nil Nil Nil 106 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands In this territory, 3 laparoscopic sterilization camps were held in North & Middle Andaman District upto December 2011. A total of 525 Tubectomy cases were done in the camps as under. S. Name of the Health Centre Laproscopic sterilization oper- No. ation Cases 1 CHC DIGLIPUR 333 2 PHC BILLIGROUND 86 3 CHC RANGAT 65 4 PHC KADAMTALA 41 TOTAL 525 The achievement of contraceptive pills and IUD insertions are as under: Condoms IUD Inser- Oral Pills tion Distributed 2006-07 943 3290 197429 2007-08 626 19113 191945 2008-09 994 17271 149645 2009-10 639 24559 227065 2010-11 871 29586 82167 2011-12 (upto 12/11) 601 10825 72549 Year pieces Distributed During the year there was short supply of contraceptive pills, copper-T and no supply of Vitamin A solution from Ministry of Health and Family Welfare GoI. So the achievements are not upto the expectation and there is unmet demand from the clients. ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH (ARSH) In this territory, great emphasis is given to Adolescent reproductive and sexual health programme through coordinated efforts of various Departments like educa107 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands tion, Social Welfare and AIDS Control Society. The life skill education including sexual health is implemented in all the schools of this territory by the Directorate of Health Services whereby the Adolescent population is made aware on the healthy habits to keep good personal hygiene and healthy reproductive and sexual health. It is proposed to provide sanitary napkins to the adolescent girls belonging to BPL and ST families of this territory to have better hygiene and healthy reproductive and sexual life. ARSH guidelines were not received from MOHFW so the same could not be replicated for distribution. TRIBAL RCH In A& N Islands, we have four negreto primitive tribes and one mongoloid primitive tribe present in the Andaman as well as Nicobar group of islands. Two negreto tribes accepted the civilian way of life and setteled in two islands namely Dugong Creek in Little Andaman and Straight Island in South Andaman. The Mongoloid tribe is setteled in Great Nicobar Island of Nicobar district. Two negreto primitive tribes are still hostile and not ready to accept the civilian way of life and are having there own territory for hunting and gathering activities. The only mongoloid tribe namely Nicobaries resides in all the islands of Nicobar District. The total population is around 25000. It is proposed to provide RCH Services to the primitive tribes as well as Nicobari tribes like ARSH, NSSK, Nutrition supplement, mobile dispensary etc. in the coming financial year. Posting of additional ANMs, pharmacist and Doctors for the medical management and implementation of all the above programmes. PC and PNDT Activities The PC & PNDT cell is almost non existing in Directorate of Health Services as it is functioning as additional charge to drug inspector and State Family Welfare officer. There is no regular staff either on contract or regular basis to implement the ACT in letter and sprit. It is proposed in the PIP to have a permanent structure and establishment of PC &PNDT cell in the Directorate of Health Services with technical persons, supporting staff and data entry operator. Orientation programmes for the service providers and managers are proposed in addition to large scale BCC/IEC activities. 108 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands RCH Monitorable Indicators: Annexure A-II Monthly Reporting Format on Delivery Points on key Performance Indicators (KPI) Annexure A –II Name of the State : Andaman & Nicobar Islands For the month of : December 2011 Name Sl. Name and Total of the No.(De Type of the deliverDistrict livery Facility ies in Point) (MC,DH,D the reWH,SDH,C porting HCmonth FRU,Nonin the FRU,24x7 facility PHC, Other (includPHC,SC, ing CAny other Section) Type of facility 1 287 South Andaman Total 287 North & Middle Andaman Nicobar No. of CSections (where applicable ) Total No. of PW detected with Hb level 7 gm and below Number of Maternal Deaths in the facility in the reporting month 67 23 1 67 23 1 91 0 31 0 Total 91 0 31 0 Total 43 43 - 23 23 - 2 3 GRAND TOTAL 421 67 77 1 109 PIP of 2012-13 Document Fn LR with NBC C (Y/N) Fn OT (Y/N ) Fn BSU/B B (Y/N) Availability of Essen. Drugs (Y/N) BM W (Y/N) MoS & Specialist (Mention No of Anesth. OBG, Pedia. LSASS/EmO C Trained MO and other MO No. of SNs/AN Ms posted at the facility PIP of Union Territory Health Mission, A&N Islands Annexure A-III Format for Capturing of Institutional Deliveries in Public & Private Health Facilities every Month Name of the State : A & N Islands Report for the Month of : December 2011 Type of Facility Total number of estimated deliveries in the State in current FY (2011-12) Total No. Of deliveries Conducted in current month (please specify) Cumulative No. Of deliveries Conducted in FY.Year (April 2011 to Dec2011) No. Of C-sections Conducted in the current month Dec 2011 Cumulative No. Of C-sections Conducted in FY Year (April 2011 to Dec 2011) Cumulative No. Of Maternal Deaths Reported in Fy. Year (April 2011 to Dec 2011) Public Health Facilities 5284 392 3915 67 722 2 Private Accreditated Health Facilities Other Private Health Facilities - - - - - - - - - - - - 110 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Annexure A-IV Key Performance Indicators (KPIs) for Maternal Health (District Complied Sheet) Name of the State Andaman & Nicobar Islands For the month of December 2011 Date of submission of the data Estimated No. of Pregnancies in the year Estimate No. of Deliveries in the year S. Key Performance Indicators for MaterReporting during the month Cumulative achievement for the current Fin. No nal Health December 2011 Yr. (April 2011 to December 2011) 1 Total No. of Registered pregnancies Pregnancies registered within 12 weeks 719 5528 2 Deliveries conducted at Institution Public 392 3915 Private 3 Total No of C-section Public 67 722 Private 4 Tracking of severe Anaemia Total No. of PW detected with Hb level 168 368 below 7 gm 5 Total No. of Maternal Deaths Public 1 2 Private Home - 111 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Annexure A-VI Information required for LSAS & EmOC trained doctors by Govt. of India S.No. 1. 2. 3. Name of District South Andaman North & Middle Andaman Nicobar Positing and performance of EmOC Trained doctor Posting and performance of LSAS Trained doctor Name and Name of type of Facili- Performance LSAS ty where of EmOC Trained LSAS Trained docDoctor Trained doctor tor is posted ------- Name of EmOC Trained Doctor Name and type of Facility where EmOC Trained doctor is posted Performance of EmOC Trained doctor Dr. Jaya Biswas PHC Tushnabad Good --- --- --- --- --- --- --- --- --- --- --- --- 112 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Annexure A- VII Name of the State :Andaman & Nicobar Islands Type of Training No. of Medical Colleges conducting training No. of District Hospitals conducting training LSAS --1 EmOC ----BEmOC ----SBA --3 MTP/ SAFE --1 ABORTION SERVICES RT/STI --1 *Including the current batches undergoing training Any other facilities conducting training Progress of MH Trainings No. of Master Trainers Trained Target for NRHM period (upto 2012) Achievement cumulative till March 2011 Target for 201112 Achievement or Nos. Trained in 2011-12 (April 11-till December 2011)* Target for 201213 --1 --2 1 --1 --15 2 --1 --15 --- ------14 --- 2 4 8 445 4 2 ---- 15 --- 120 113 PIP of 2012-13 Document No. of trained MOs posted at facilities where their skills are being utilised – eg. FRUs for LSAS & EmOC/MTO; 24X7 PHCs for MeMOC/MTP; Facilities conducting delivery for SBA in the relevant column Performance (Specify No. of Csection and No. of Spinal Anaestheria, No. of MTPs, No. of any other complications attended in the relevant column) Cumulative since 2005 till date PIP of Union Territory Health Mission, A&N Islands Annexure A- IX MATERNAL DEATH REVIEW REPORTING FORMAT TO ASCERTAIN THE STATUS OF IMPLEMENTATION Name of State : Andaman & Nicobar Islands SN. 1 2. 3. 4 5 Activity Name contact no. and e-mail address of State Nodal Officer for MDR Dr. R Thulasidasan State Nodal Officer (MDR) Contact No.:03192-230155 Mobile: +91 9434280136 e-mail: [email protected], [email protected] Medical College faculty State officials (Directorate, SPMU, etc.) District Officials (CMO, DRCHO, Number of medical/ paramedical DPMU, others) personnel trained or oriented on Others including I/Cs of private MDR hospitals Block Officials (BMOs, BPMU, etc.) MO I/Cs of public health facilities ASHAs/AWWs/ANMs/SHGs/others Constitution of Maternal Death State Task Force (Yes/No) Yes Review Committee/task Force Number of districts in the State 03 as per GOI guidelines {Give no. Number of districts where MDR 03 at each level} Committee has been constituted) Total number of health facilities (FRUs, DHs, Private accredited hospitals) indentified for FBMDR Number of health facilities where FBMDR Committees has been constituted Total number of MDs reported at 02 the State level (April to the reporting month, 2011-12) Total number of MDs reported at Through CBMDR (Community the State level (April to the reBased MDR) porting month, 2011-12) Through FBMDR (Facility Based MDR) 6 Status/ Remarks Total number of MDs reviewed by District MDR committees 114 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 8 (CMO) (April to the reporting month, 2011-12) Number of MDs reviewed by State Task Force out of total reported in column 4 Causes of maternal deaths reported in column 4 (in numbers) 8.1 Haemorrhage 8.2 Sepsis 8.3 Abortion 8.4 Obstructed labour 8.5 Hypertension disorders in pregnancy (includes eclampsia) “Others” (include anaemia) 7 8.6 9 10 Analysis of MDR findings done by the State e.g major causes of MDs (Medical/systemic/others), geographical distributionconcentration in specific districts/blocks, whether conforming to the AHS High Mortality districts etc. Compliance with submission of State Monthly MDR Reports for April to the reporting month (2011-12); reasons for noncompliance 115 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Annexure A-X Format for Performance on Comprehensive Abortion Care at State Level (April –September 2011) Name of State/U.T: A&N Islands Month and year of reporting: December 2011 Number of districts in the State : 03 1) Indicators: SN 1 2 3 4 Indicator Number of districts where District Level Committee (DLC)* has not been constituted Number of application pending For one year in the districts with the DLCs More than one year Is MVA equipment being procured and supplied to the districts? (Y/N) Are the drugs for MMA included in the essential drug list? (Y/N) Numbers 0 0 Y Y *As per MTP Act, rules and Regulations 2002-2003 Service Availability and Utilisation Availability : Number of institutions providing services Type of Health facility Up to 12 weeks services Up to 20 weeks services PHC/CHC/DHs/RH RH Government (Total) Private certified 2 0 (Total) “Delivery Points” providing services. PHCs/non FRU 21 0 CHCs FRUs 6 0 (CHCs,SDH etc.) DHs/DWH etc. 2 0 Medical Colleges Private Colleges Private certified 116 PIP of 2012-13 Document Utilisation: Number of MTPs performed-any method Up to 12 Up to 20 weeks serweeks services vices 67 0 5 0 67 0 PIP of Union Territory Health Mission, A&N Islands Does the State have an IEC/BCC plan for MTP Services (Y/N) Yes If yes, please indicate frequency/ periodicity of IEC/BCC activities SN 1 2 3 4 IEC/BCC Activity Print Audio Video Any Other (Specify) Frequency/ Periodicity Monthly Weekly Weekly Daily interpersonal communication Annexure A-X (Contd.) Proposed Budget 2012-13 Area MMA Drugs MVA/EVA Equipments MTP-Training MOs Budget Head & Activity code Training of MO in Safe Abortion MTP training of other field functionaries (counselling and post abortion care) MTP-IEC/BCC activities MTP: Monitoring and Supervision 117 PIP of 2012-13 Document Unit Cost In Lac 0.50 Budget Proposed in PIP 2012-13 2.00 PIP of Union Territory Health Mission, A&N Islands Annexure A-XI IMPLEMENTATION STATUS OF JANANI SHISHU SURAKSHA KARYAKARAM (JSSK) : STATE LEVEL State/UT : A & N Islands No. of districts 3 No. of Blocks:7. Reporting Month/Year: 12/11 State Nodal Officer in place (Y/N): Y State Grievance Redressal Officer in place (Y/N): Y Name Mobile and e-mail of State Nodal Officer (JSSK) Dr.R.Thulasidasan MD E-Mail [email protected], [email protected] No. of District Nodal Officers in place: 3 No. of District Grievance Redressal Officer in place: 3 A) ENTITLEMENTS: CASHLESS SERVICES & USER CHARGES S.No. 1 2 3 4 5 6 7 8 Provision for Cashless deliveries for all pregnant women and sick newborns at all public health facilities Provision of Free Drugs/ Consumables Provision of Free Diagnostics Provision of Free Diet Provision of Free Blood (inclusive of testing fee) Provision of Free treatment to Sick newborns up to 30 days Free Referral Transport for PW (to & fro, 2nd referral) Free Referral Transport for Sick newborns Exemption from all user charges for all Whether G.O issued (Y/N) Month when started/proposed timeline No. of districts implementing Y Sept 2011 3 Y Sept 2011 3 Y Sept 2011 3 Y Sept 2011 3 Y Sept 2011 3 Yes only To not Fro Sept 2011 3 Y Sept 2011 3 Y Sept 2011 3 118 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 9 PW and sick newborns Empowerment of MO in-charge to make emergency purchases Y Sept 2011 3 B) ENTITLEMENTS : REFERRAL TRANSPORT (RT) SNo. 1 Referral transport services Total number of ambu- State owned 52 EMRI/EMTS PPP Other Nil Nil 5 No No No No lances/ referral vehicles in the State/ UT 2 Whether vehicles fitted with GPS (specify no.) 3. Call centre(s) for the ambulance network: Districts (nos.) NIL State (Y/N):.Y 4. Toll free number (provide number, if available): 102 C) IMPLEMENTATION : CASHLESS SERVICES SNo. 1 2 3 3a. 4 5. 6. 7. Provision for Cashless deliveries for all pregnant women and sick newborns at all Govt. health facilities No. of districts where free entitlements are displayed at all health facilities No. of districts where free diet is available to PW (at all facilities 24x7 PHC and above level) No. of districts where lab is functional for basic tests for PW (at all facilities 24x7 PHC and above level) No. of districts where any facility has stock outs of lab reagents/ equipment not working No. of districts where any facility has stock outs of essential drugs/ supplies for PW and sick newborns No. of district where any facility has user charges for PW/ sick newborns for : i. OPD ii. Admission / delivery/ C-section iii. Lab tests/ diagnostics iv. Blood Total no. of govt. medical colleges in the State Total no. of govt. medical colleges not levying any type of user charges 119 PIP of 2012-13 Document Status 3 3 3 0 0 0 0 0 0 0 0 0 PIP of Union Territory Health Mission, A&N Islands SERVICE UTILISATION REFERRAL TRANSPORT (RT): SNo. 1 Referral transport services PPP Other NIL 2231 NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL 395 NIL NIL NIL ii. Transfer to higher level facil- 210 NIL NIL NIL NIL NIL NIL No. of PW who used RT services State EMRI/ vehicles EMTS NIL 3345 for: i. Home to health institution 3345 ii. Transfer to higher level facil- 340 ity for complication s iii. Drop back home 2 Nil No. of sick newborns who used RT services for: i. Home to health institution ity for complications iii. Drop back home NIL D) GRIEVANCE REDRESSAL Sno. 1 Grievance redressal Status detail No. of complaints/ grievance cases related to free entitle- All disposed ments 2 No. of cases addressed/ no. of cases pending No case pending STATUS OF STI/RTI SERVICES DELIVERY IN THE STATE : 1. Allocation of fund for STI/RTI services in the PIP: Fund Allocated for the STI/RTI services in 2011-12: Activities Fund allocated in the PIP (in Lacs) Nil Training of Doctors, Nurse and laboratory Technician (Training cost, printing of module, stationery, venue etc.) Monitoring and supervision Nil of the facilities Nil 120 PIP of 2012-13 Document Expenditure till date (in LAcs) Nil PIP of Union Territory Health Mission, A&N Islands Upgrading of infrastructure Nil of the facilities (audiovisual privacy, examination facilities, speculum, gloves etc) RPR test Kits Nil Colour coded STI/RTI drug Nil kits Total Budget in PIP Nil Nil Nil Nil 2. Coordination Meetings: Activities Number of meeting conducted with dates, participants of the meeting If not conducted than Reasons Meeting with MD/ED NRHM by the State team (SACS and State RCH officer/State NRHM team) on STI/RTI service on convergence Meeting between SACS STI focal Person and State NRHM representative (State RCH Officer/State MH Officer/SPMU) on convergence. Meeting with CDMO/CMOH/CMHO/DHO/Civil Surgeon conducted for sensitizing them on STI/RTI service delivery at the subdistrict level. Any other meeting conducted for Service delivery convergence 10 4th Saturday of every month NA If meeting not conducted, Timeline when the meeting will be conducted NA 5 NA NA 3 NA NA 4 NA NA 121 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 3. Training : a. Training of the District Level trainer including District RCH Officer: Name of the District Number of District Level trainer to be trained (at least 3 per district) 3 Number of District level trainer Not trained Reasons why training was Not conducted. Timeline when the training will be completed 3 2012-13 N & M Andaman 3 3 Nicobar 3 3 No slot found for training at National level No slot found for training at National level No slot found for training at National level Total 9 9 South Andaman 2012-13 2012-13 b. Training of the Sub-district level health Facilities staffs: i. Two Doctors from each of the CHC and Block PHC, one or two doctors from PHC to be trained. One staff Nurse and one laboratory technician from each of the Block PHC/CHC/PHC to be trained. ii. Training status of Sub-District Level Staffs: Consolidated Number for the State : Type of Staffs Number to be trained 2012-13 Number Trained 201112 Doctors 20 Nurse/ANMs Laboratory Technician Total 100 0 Nil Nil 120 Nil Time Line when the training will be completed 2012-13 2012-13 2012-13 122 PIP of 2012-13 Document Name of the Districts where training is Not Conducted Nicobar, S/Andaman ,N & M Andaman Do PIP of Union Territory Health Mission, A&N Islands 4. Supply of STI/RTI colour Coded Drug Kits : Name of the District Has the District Received all the STI/RTI Drug Kits If not Reasons of not being distributed Timeline when it will be distributed NIL Has the Drug Kits been Distributed to the PHC/CHC/Block PHC etc.) NA South Andaman N & M Andaman Nicobar NA NA NIL NA NA NA NIL NA NA NA 5. Implementation of STI/RTI Service Delivery : Has the service delivery started at the sub district health facilities? Name of the district Service Delivery Started ( Y/N) South Andaman N & M Andaman Nicobar Yes No No If No, Reasons why the Services have not started MO not trained MO not trained Time Line when the Service will start 2012-13 2012-13 6. Reporting Status on STI/RTI Name of the district South Andaman N & M Andaman Nicobar Is this district reporting in HMIS/SIMS on STI/RTI (M – 8,a,b column) Yes Yes Yes If not what is the reasons and when the reporting will start NA NA NA 7. Monitoring of Services: Has each of the District has nodal person for STI/RTI ( i.e. RCH Officer)? Yes Number of monitoring visit conducted by the State and District level team for Service Implementation: Once in a quarter 123 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands State / District Team State RCH Officer/MH Officer SPMU District RCH Officer/ADMO incharge of RCH Programme DPMU Number of Visit made to the District for programme Implementation 4 Number of Dist. Visited Number of Sub – district health Facilities Visited 3 21 NIL 2 NIL 2 NIL 40 NA NA 29 CHILD HEALTH 1. Estimated Child Population ( of the State /UT) Estimated live births per year 6000 Estimated number of children under 5 years 40000 2. Situation Analysis ( STATE/UT) Child Mortality Neo Natal Mortality Rate Infant Mortality Rate Under Five Mortality SRS 2007 14.29 SRS 2008 11.85 SRS 2009 14.44 24.93 28.25 16.63 18.93 19.36 23.78 Nutrition % of children ( Under 5 years) of age with anaemia % of children ( Under 5 years) who are underweight % of children ( Under 5 years) who are severely wasted /SAM ( <- 3SD) 124 PIP of 2012-13 Document NFHS 3 Trend Analysis CES* 2009 PIP of Union Territory Health Mission, A&N Islands * Coverage Evaluation Survey Infant & Young Child Feeding NFHS 3 DLHS 3 CES 2009 NFHS 3 DLHS 3 CES 2009 Children age 6 months and above exclusively breastfed Diarrhoea & ARI Children with Diarrhoea in the last 2 weeks who received ORS Children with ARI or fever in the last 2 weeks who were given treatment at facilities. Vitamin A Supplementation NFHS 3 DLHS 3 CES 2009 Percentage of children (age 9 months and above) received at least one dose of Vitamin A supplement Newborn Care Percentage of institutional deliveries Percentage of newborns with low birth weight Percentage of mothers staying for 48 hours at the facility Source CES HMIS CES 3.1 Essential New born Care S.No Name of the district High Focus districts Nicobar Other districts South Andaman N& M Andaman Total 3 No. of existing delivery points No. of NBCCs operational No. of NBCCs proposed (2012-2013) 1 1 5 2 2 11 2 2 9 5 5 25 125 PIP of 2012-13 Document Remarks PIP of Union Territory Health Mission, A&N Islands Name of the district Total Units (NBCCs) proposed in 20122013 2012-2013 Q1 High Focus Districts Nicobar Other districts South Andaman N& M Andaman Total S.N o Name of the district Q2 Q3 5 2 1 1 11 9 25 3 2 7 3 2 6 3 2 6 Existing SNCU (Yes/No ) If yes, date of operationalization 0 Q4 1 2 3 6 SNCU Proposed for 20122013 (Yes/No) Timeline Q1 High Focus Districts 1 Nicobar 0 Other districts 1 South 1 Andaman 2 N& M 0 Andaman Remarks 1 1 1 1 Q2 Q3 Remarks Q4 2007 0 Total S.No Name of the district High Focus Districts Nicobar Other districts South Andaman N& M Andaman Total No.of existing NBSUs No.of NBSUs proposed for 2012-2013 Timeline Q1 Q2 Q3 0 2 1 1 0 2 1 1 0 3 1 1 1 0 7 3 3 1 126 PIP of 2012-13 Document Remarks Q4 PIP of Union Territory Health Mission, A&N Islands S.N o Name of the district No.of existing NRCs No.of NRCs proposed for 20122013 Timeline Q1 High Focus Districts 1 Nicobar 0 Other districts 1 South An- 0 daman 2 N& M An- 0 daman Total Q2 1 Remarks Q3 Q4 1 2 5 1 11 3 3 2 3 9 2 2 3 2 25 6 6 6 7 Trainings Achieve ment in Child Health Training 2011-12 Number of Districts covered AWW ASHA ANM MPW (M) LHV Supervisor (M) SN MO Others IMNCI F-IMNCI NSSK Proposed 3 Achie ved 3 Proposed - Achie ved - Proposed 3 Achie ved 3 14 7 - - 16 - - 1 - - - - 16 16 - 16 - 26 - 4 127 PIP of 2012-13 Document Total Num ber of ASH As in the State ASH AMod ule 6 &7 Rou nd One ASH AMod ule 6 &7 Rou nd Two Achieved 407 ASH AMod ule 6 &7 Rou nd Thre e ASH AMod ule 6 &7 Rou nd Thre e PIP of Union Territory Health Mission, A&N Islands (PHN) Total 14 12 32 0 32 128 PIP of 2012-13 Document 26 PIP of Union Territory Health Mission, A&N Islands Status of IMNCI Trainings Cadre Cumulative target (from inception to March 2012) MO SN ANM LHV AWW Others Total 16 16 32 Cumulative Achievement (Since inception – till date) Proposed numbers to be trained in 2012-13 - Timeline 20122013 (specify the number of batches to be trained in each quarter) Remarks Q1 Q2 Q3 Q4 - 144 36 36 36 36 240 384 60 96 60 96 60 96 60 96 Status of F-IMNCI Training Cadre MO SN Total Cumulative target (from inception to March 2012) Cumulative Achievement (Since inception – till date) 16 16 32 Proposed numbers to be trained in 2012-13 0 20 60 80 Timeline 20122013 (specify the number of batches to be trained in each quarter) Remarks Q1 Q2 Q3 Q4 10 10 30 30 40 30 10 Status of NSSK Training Cadre MO SN ANM PHN Male Nurse Total Cumulative target (from inception to March 2012) Cumulative Achievement (Since inception – till date) Proposed numbers to be trained in 2012-13 Timeline 20122013 (specify the number of batches to be trained in each quarter) 16 16 - 30 70 59 3 1 16 128 128 - Q1 16 32 32 - 32 163 272 80 129 PIP of 2012-13 Document Q2 32 32 - Q3 32 32 - Q4 32 32 - 64 64 64 Remarks PIP of Union Territory Health Mission, A&N Islands ASHA training in module 6 & 7 Module 6 and 7 Total training load , 2012-2013 Round 1 Round 2 Round 3 Round 4 407 407 407 407 To be achieved in Q1 Q2 Q3 Remarks Q4 Projected under MFP Facility Based Management of children with SAM Cadre No. of service providers trained in management of children with SAM, 2011-12 MOs SNs Others Total 0 0 0 0 Proposed training load for 2012 – 2013 To be achieved in 20 Q1 Q2 Q3 Q4 5 5 5 5 20 5 5 5 Remarks 5 SNCU training Cadre SNCU training plan 4 days with batch size 24 Total training To be achieved in load 2012-13 Q1 Q2 Q3 Q4 24 24 48 24 24 Remarks MOs SNs Others Total 72 48 24 SNCU Observership 12 days national/Regional/ State Collaborative Centre batch size 4 Cadre Total training To be achieved in Remarks load 2012-13 Q1 Q2 Q3 Q4 MOs 8 4 4 SNs 12 4 4 4 Others Total 20 8 8 4 130 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Budget of Child Health Intervention 1. 2. 3. 4. 5. 6. Essential Newborn care Cost of New NBCCS Operational cost (existing + new) Sick Newborn Care One time cost for new SNCUs Operational cost for SNCUs (existing +new) One time cost for new NBSUs Opeational cost for NBSUs (existing + new) Janani Shishu Suraksha Karyakram (JSSK) Home Based newborn Care ASHA incentives Equipments, medications & Consumables for ASHA kits Promotion of IYCF Orientation programmes/ trainings Micronutrient Supplementation programme Vitamin A IFA Management of children with SAM One time cost for establishing new Unit cost Physical targets proposed for 2012-2013 Proposed budget FMR code Remarks 85,000 7 5,95,000 2.2.1.1 20,000 7 1,40,000 2.2.1.1.1 41,00,000 1 41,00,000 2.2.1.2 10,00,000 1 10,00,000 5,75,000 2 11,50,000 2.2.1.2.1 Proposed for existing only. 2.2.1.3 1,75,000 4 7,00,000 2.2.1.3.1 1000 6000 54,80,000 1.6.1 to Expected 1.6.1.3.2 6000 deliveries. 250 1000 6000 720 15,00,000 7,20,000 2.3.3 2.3.4 20000 ------------ 20,00,000 2.4.4 50 40000 2,00,0000 (Indicative) 0 131 PIP of 2012-13 Document 0.00 PIP of Union Territory Health Mission, A&N Islands 7. 8. 9. NRC One time cost for existing + new NRCs IMNCI Programme Supplies, Logistics, Supportive supervision Management of Diarrhoea and ARI Training (Cost/Batch) IMNCI ( TOT) IMNCI ( HW) F – IMNCI (TOT) F – IMNCI ( MO – SN) NSSK (TOT) NSSK (HW) Orientation on MCP card Facility Based management of Children with SAM SNCU training SNCU Observership 10. Miscellaneous Rapid Assessment of SNCUs Dissemination of guidelines 7,80,000/unit/year (Indicative) 0 0.00 Kept for 1 NRC 100000 2,52,080 100,000 12 batch with 12 participants in each batch 12,00,000 8.5.1.2 1,20,000 1,50,000 4 MOs 20 4,80,000 3,00,000 8.5.2.1 8.5.2.2 1,00,000 60 6,00,000 8.5.2.3 93,840 90,160 20000 200000 150000 1 ---10 30 participants x 2,40,000 12 batch 150000 100000 1Batch MOs (20) 2 Batch SNs (24) 8 MOs 12 SNs 300000 1 132 PIP of 2012-13 Document 8.3.1.6 2,00,000 3,00,000 2.2.2.1 2.2.2.2 12,00,000 12,00,000 2.2.3.1 2.2.3.2 To be planned for ANM, LHV not for AWWs Batch size consist 10 participant for MOs & SNs Batch size 30 participants PIP of Union Territory Health Mission, A&N Islands Quarterly reviews 11. Infant Death Review Orientation of programme managers on reporting formats for newborn care units and NRCs Operational Research 30000 3 12. Other costs These costs are only to be listed here: budget to be included under appropriate budget heads IEC-BCC: Child Health 400000 Hiring of new contractual staff for CH 780000 (65000 X 12) Child Health Equipments 2500000 As per Annex “A” Procurement of drugs & supplies for CH 2500000 As per Annex “B” 3 133 PIP of 2012-13 Document 23,40,000 9.4.1 PIP of Union Territory Health Mission, A&N Islands FORMAT FOR PLANNING FOR ACTIVITIES FOR 2012-13 PIP State: Andaman & Nicobar Islands SN. STRATEGY/ ACTIVITY CUMULATIVE ACHIEVEMENT (AS ON 31ST MARCH 2011) PLANNED ACHIEVED WORK PLAN SCHEDULED/ TRG. LOAD 2011-12 1 1.1 1.2 1.3 2 2.1 2.2 2.3 2.4 3 3.1 3.2 3.3 3.4 3.5 FAMILY PLANNING MANAGEMENT Review meetings on Family NR Planning performance and initiatives at the State and district level ( periodic; including QAC meetings) Monitoring and supervisory NR visits to districts/ facilities Orientation workshops on NR technical manuals of FP viz. Standards, QA, FDS approach , SOP for camps, Insurance etc. SPACING METHOD (Providing of IUD services by districts) Plan for providing FDS (Fixed day Static) IUD services at health facilities in districts ( at least 2 days in a week at SHC and PHC level)- number of facilities to be provided No. of IUD camps in disNR tricts Compensation for IUD NR 2012-13 5 5.00 2000 cases 4.00 2000 cases 1.00 Plan for strengthening NR PPIUCD services TERMINAL/ LIMITING METHODS (providing sterilisation services in districts) Plan for facilities providing 3 disFEMALE sterilisation sertrict vices on fixed days at health facilities in districts (number of facilities) Plan for facilities providing NSV services on fixed days at health facilities in districts (number of facilities) Number of FEMALE SteriliNR 3 camps 2 camps 12 sation camps in districts camps Number of NSV camps in NR districts Compensation for sterilizaNR 324 cas- 525 cas1600 tion (female) es es cases 134 PIP of 2012-13 Document BUDGET (IN LAKHS) 3.00 6.00 16.00 REMARKS PIP of Union Territory Health Mission, A&N Islands 3.6 3.7 3.8 3.9 4 4.1 4.2 5 5.1 5.1.1 5.1.2 5.1.3 5.1.4 5.1.5 5.2 5.2.1 5.2.2 5.2.3 5.3 5.3.1 5.3.3 5.4 5.4.1 5.4.2 5.4.3 5.5 5.5.1 5.5.2 Compensation for sterilisaNR 15 cases tion NSV (male) Additional mobility support NR to surgeon’s team (if required) Accreditation of private centres/ NGOs for sterilization services (number accredited) Plan for post partum steriliNR sation SOCIAL MARKETING CONTRACEPTIVES Delivery of contraceptives NR by ASHA at door step Any other social marketing NR activity for family planning FAMILY PLANNING TRAINING IUD Insertion Training TOT for IUD insertion Training of Medical officers in IUD insertion Nil 40 cases 0.60 200 cases 3.00 200000 contraceptives 10.00 - - Batch size 10 x2 batch 2.00 Training of ANMs/LHVs in IUD insertion - - 4.80 Refresher training in IUD PPIUCD training TOT for PPIUD insertion Training of Medical officers in PPIUD insertion Training of staff nurses in PPIUD insertion Laparoscopic Sterilisation Training TOT on laparoscopic sterilisation - - Batch size 8 x 8 batch - - - - - - - - - - - Refresher training (if required) Minilap Training for MOs/MBBS TOT on Minilap Minilap training for service providers (medical officers) Refresher training (if required) Non-Scalpel Vasectomy (NSV) Training TOT on NSV NSV training for medical officers - 3 3.00 - - - - - - 135 PIP of 2012-13 Document - - PIP of Union Territory Health Mission, A&N Islands 5.5.3 5.5.4 5.5.5 6. 7. 8. 8.1 8.2 8.3 8.4 8.5 9 10 Refresher training (if required) No. of Contraceptive Update trainings for health providers in the districts Other family planning trainings (please specify) “World Population Day” NR celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities. BCC/IEC activities- CamNR paigns/ melas/ print/ audio/ video materials for family planning PROCUREMENT of DRUGS/ Materials NSV Kits IUD insertion Kits Minilap Set Procurement / repair of laparoscopes Provision for buffer stock for (subject to maximum of 25 % of last year’s utilisation: IUDs Tubal Rings Condom OCPs ECPs Other innovatory NR schemes for promoting FP at State or district level Performance based reNR wards to institutions and providers for FP performance at State and district level - - 64 4.00 - - Checklist for ARSH Activities Activity Status as on 01.04.2012 Planned for 2011 - 12 State Level Training of Trainers (3 days) Translation of Training Modules 136 PIP of 2012-13 Document Achievement against Plan till 31.12.11 Plan for 2012 - 13 PIP of Union Territory Health Mission, A&N Islands Printing of Training Modules for MO and ANM/LHV Helpline for ARSH Peer Educators Trained Any other Activity (Please Specify) ARSH Training District Training Status as on 01.04.12 M ANM/ Coun O LHV sellor Training Planned for 2012-13 M ANM/ Coun O LHV sellor Achievement Against Plan Till 31.12.2011 M ANM/ Coun O LHV sellor Nil Planning for 2012-13 M ANM/ Coun O LHV sellor Adolescent friendly Health Clinic ( AFHC) Total Districts Total DH Total DH with Functional AFHC Planned in 2011-12 Achievement Against Plan for 2011- 12 till 31.12.11 Planned AFHC in DH in 2012 - 13 AFHC in CHC and PHC Total Districts Total CHC Total CHC with Functional AFHC Planned in 2011 - 12 Achievement Against Plan for 2011 – 12 till 31.12.11 Planned AFHC in CHC in 2012 - 13 Total Districts Total PHC Total PHC with Functional AFHC Planned in 2011 - 12 Achievement Against Plan for 2011 – 12 till 31.12.11 Planned AFHC in CHC in 2012 - 13 137 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Total Number of Outreach sessions In – School 2011-12 Out – of – School 201112 Planned with In- School 2012-13 Male Female Male Female Male Planned with Out -of – School 201213 Female Male Female Direct in schools Direct in Colleges VHNDs School Health Team Mobile Medical Unit Teen Clubs Youth clubs/Gymnasium SHGs Vocational Training Centre Youth Festivals Health Mela Other Peer Educators Identified in Trained in To be IdentiTo be Trained 2011-12 2011-12 fied in 2012-13 in 2012 - 13 Male Female Male Female Male Female Male Female Activities planned with peer educators Timeline Remarks Block Level Annual Planning Format Data to be collected on an annual basis Total Number of adolescent Girls Number of girls to be reached Number of sanitary napkin packs required Transport system to enable reach of sanitary napkins to the Sub – Centre Storage arrangements Training Training of ASHA Orientation of VHSC Orientation of ANM 138 PIP of 2012-13 Document 25,000(Approx) 25,000 3,00,000 PIP of Union Territory Health Mission, A&N Islands District Level Annual Planning Format Data to be collected on an annual basis Total number of adolescent girls Number of girls to be reached Number of packs required Transport systems to enable reach of packs to the block Storage arrangements if required Annual audit of accounts at district and block Training – ASHA, ANM, VHSC members State Level Annual Planning Format District Total No. of AGs No. of Girls to be reache d No. of Packs Required Sourcing Agency Quality Assurance Officer /Person Storage Transpor t Total Check – list for SHP Planning activities Sl. Activity No 1. 2. 3. Status as Planned Achievement Planning Remarks on for 2011 against plan for 2012 01.04.2011 – 12 till – 13 31.12.2011 Linkage mapping with other programmes/ departments State /district level convergence and planning Workshop for SHP with stakeholders ICE for SHP (Development and collection from line ministries and dis139 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 4. 5 6 7 8. 9 ease control programmes Printing of implementation guide, school record , Training Modules, health communication Availability of materials in schools State level training of master trainers(3 days0 District /block level training of nodal Nodal teachers trained class teachers Programme connected with ICPS(integrated child protection scheme ) or with Social justice provisions URBAN RCH S,. No. Name of cities identified for implementing UHPs. In the State PIPs. Under Urban RCH, so far Major Urban health strategies / activities carried out under Urban RCH so far city – wise 140 PIP of 2012-13 Document Urban Health strategies /activities as proposed now in the State PIP under Urban RCH, city wise Brief on activates being supported by external agencies PIP of Union Territory Health Mission, A&N Islands TRIBAL HEALTH Name of the District % of tribal population South Andaman N& M Andaman Nicobar 1% Total RCH budget (Rs. Lakhs) Budget allocated to tribal district or facilities located in tribal blocks/ villages* (Rs. Lakhs) % against total RCH budget 1% 75% PRE-CONCEPTION AND PRE-NATAL DIAGNOSTIC TECHNIQUES (PC & PNDT), ACT & GENDER MAINSTREAMING Name of the State: A&N Islands Date: ........................................................................... Sl. Indicator Type No. 1. Implementation of PCPNDT Act Whether State Board and Appropriate Authorities (AA), Advisory committees at different levels being constituted/ reconstituted? (Give details) Whether regular meeting of these statutory bodies under the Act taking place regularly. Please provide the date of the last meeting and details thereof) Whether DC has been appointed as district appropriate? (if yes, give details) Do the State have made any provisions for legal assistance at different level to facilitate the implementation of the Act. State level: (Yes/No/Under progress) District level: (Yes/No/Under progress) Whether State inspection and monitoring committee has been constituted (if yes give 141 PIP of 2012-13 Document Facts/Observations (if required, put Annex 1,2 etc.) Yes Yes Yes NA NA NA Yes PIP of Union Territory Health Mission, A&N Islands 2. 3. 4. 5. details of the inspections carried and action taken thereof). Whether enforcement of PCPNDT is reviewed in District Health Societies? (if yes, please share the reports) Status of Registration , renewals & court cases Registration: Renewals: Suspensions/ Cancellation of registrations Total Prosecutions (Please provide year wise details) Total Convictions (Please provide year wise details) Total Number of Doctors convicted (Give details) Total No of Doctors whose licenses have been suspended or cancelled by the medical council Total Imprisonments in the convictions Total Fines in the convictions (max:min) Total FIR/ Arrests Total no of machines sealed and a follow-up action thereof (Please provide year wise details) Total no of machines de-sealed and the reason thereof (Please provide year wise details) No. of cases filed against the defaulting clinics indentified by the National Inspection And Monitoring Committee Formulation of PNDT Cell Whether PNDT cell has been formulated at State and District Level How much amount has been sanctioned for the support of PNDT cell in the State Programmes/Schemes and IEC Plan for PNDT Whether any innovative initiative has been launched for strengthening the implementation of PC&PNDT law. Like award for whistle blowers etc. (if y es, give details) Whether any programme/scheme has been launched at State level to improve the status of girl child? (if yes, give details) Whether any comprehensive IEC plan for PNDT has been developed? (if yes, give details) Whether State has blacklisted any NGO (if yes give details) 142 PIP of 2012-13 Document No NA NA NA NA Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Yes nil From 1.4.2012 Yes – Planned family Scheme to improve education, delay marriage and old age social security for girl child. Yes- through print and electronic media in addition to folk drama /Nukkad Natak. Nil PIP of Union Territory Health Mission, A&N Islands Item Procured Amount of ExAmount penditure in Proposed 2011-12 in 2012-13 Procurement of Equipment Procurement of equipment: MH Procurement of equipment : CH Procurement of equipment : FP Procurement of equipment: IMEP Procurement of Others Procurement of Drugs and supplies Drugs & Supplies for MH (excluding JSSK) Drugs & Supplies for CH (excluding JSSK) Drugs & Supplies for FP Drugs & Supplies for ARSH Supplies for IMEP General drugs & supplies for health facilities 143 PIP of 2012-13 Document Procedure followed for the procurement As per GFR Remarks PIP of Union Territory Health Mission, A&N Islands Sl. No. Activity B 10 B.10 IEC-BCC NRHM Strengthening of BCC/IEC Bureaus (state and District levels) Development of State BCC/IEC strategy Implementation of BCC/IEC strategy BCC/IEC activities for MH BCC/IECC activities for CH BCC/IECC activities for FP BCC/IECC activities for ARSH Development of Various IEC Materials like card, Brochers,Phamplets, etc Health Mela Creating awareness on declining sex ratio issue Other activities PROCUREMENT Procurement of Equipment Procurement of equipment: MH Procurement of equipment : CH Procurement of equipment : FP Procurement of equipment: IMEP Procurement of Others Procurement of B.10.1 B.10.2 B.10.2.1 B.10.2.2 B.10.2.3 B.10.2.4 B.10.2.5 B.10.4 B.10.5 B.10.6 B.16 B.16.1 B.16.1.1 B.16.1.2 B.16.1.3 B.16.1.4 B.16.1.5 B.16.2 Unit Cost Physical Targets Amount Proposed for Fin Year 2012-13 5.00 1 5.00 2.00 1 2.00 1.00 30 PHCs/CHCs/UHCs/DHs 30.00 1.00 30 PHCs/CHCs/UHCs/DHs 30.00 1.00 30 PHCs/CHCs/UHCs/DHs 30.00 1.00 30 PHCs/CHCs/UHCs/DHs 30.00 20.00 5.00 0.30 4 30PHC/CHCs/UHCs/DHs 40.50 34.76 As per Annex- A 15.00 - 144 PIP of 2012-13 Document 20.00 9.00 PIP of Union Territory Health Mission, A&N Islands B.16.2.1 B.16.2.3 B.16.2.4 B.16.2.5 Drugs and supplies Drugs & Supplies for MH & CH Drugs & Supplies for FP Supplies for IMEP General drugs & supplies for health facilities 177.15 22.00 As per Annex- B - List of Equipments required under Maternal Health, Child Health and Family Planning Annex - A Sl. Name of the Items No. 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 1 Quantity Unit Cost Required (Approx) CHILD HEALTH Ventilator+Compressor nine+humidifier MR 850 Servi (Maquote-Pediatric) 2 1200000.00 Suction machine (Portable) (Fazzini) 12 18000.00 Pulse Oximtre (Nelcor) 7 10000.00 radiant Warmer (Zeal) 7 60000.00 BP Instrument Criticare (With BP cuff-Neonatal & Peadiatric) 2 3000.00 Syringe pump (Terumo/Atom) 12 5000.00 02 Conventrator (devilbiss) 10 15000.00 Transilluminator (Cold light) 1 10000.00 Cloth Dryer 3 5000.00 Digital Weighing Machine (Neoanatal) 30 3000.00 Digital Thermometer 30 700.00 Photothereaphy (Dragger) 6 3000.00 TOTAL MATERNAL HEALTH Foctal Monitor 30 50000.00 Foctal Doppler 3 150000.00 Multiprameter Foctal Monitor 3 100000.00 Portable Ultrasound with 2 probes 3 600000.00 TOTAL FAMILY PLANNING Laparocopic for Sterilisation Complete set 1 1500000.00 145 PIP of 2012-13 Document Total Amount 2400000.00 216000.00 70000.00 420000.00 6000.00 60000.00 150000.00 10000.00 15000.00 90000.00 21000.00 18000.00 3476000.00 1500000.00 450000.00 300000.00 1800000.00 4050000.00 1500000.00 PIP of Union Territory Health Mission, A&N Islands TOTAL 1500000.00 146 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Annex - B PROCUREMENT FORMAT OF DRUGS & SUPPLIES UNDER RCH-II TYPE OF ITEM TO BE PROCURED SN. ITEM a Balance stock available as on date (please specify date and unit of measure) b = reference date for planning purpose Expected receipt till 31st March 2012 (from GoI as well as other sources) c NIL NIL Nil - NIL - Expected usage of supplies by 31st March 2012 Expected stock balance as on April 01, 2012 Demand for 2012-13 Unit cost (Rs.) Total cost (Rs.) D e = (b+c)d f g h = f*g Nil NIL NIL NIL NIL NIL NIL NIL NIL NIL 500 500 25 10 25 7 3 100 20 10 100 500 500 500 5000 5000 5000 5000 5000 5000 5000 500 250000 250000 12500 50000 125000 35000 15000 500000 100000 50000 50000 NIL NIL NIL NIL NIL 10 10 50 2000 2000 500 500 2000 50 20 5000 5000 100000 100000 40000 Maternal and Child Health 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Kit A for sub centre Kit B for sub centre Essen. Obs. Kit PHC Emergency Obst. Kit FRU SBA Kit PHC SBA Kit CHC/FRU SBA Kit DH Drug Kit for Sick New Born PHC Drug Kit for Sick New Born FRU Drug Kit for Sick New Born CHC Emergency Drug Kit for New Born & Child PHC Em Drug Kit for New Born & Child CHC Em Drug Kit for New Born & Child FRU Infusion Equipment BIS 21G/25 Bupivacaine Injection-20ml Lignocaine Injection-02ml NIL - NIL - 147 PIP of 2012-13 Document REMARKS PIP of Union Territory Health Mission, A&N Islands 17 Intracath Cannula for Single Use(Intravascular catheters) BIS-gauze 18 NIL - NIL 500 200 100000 18 Etofylline BP plus Theophyline IP Combination Injection-02ml NIL - NIL 2000 15 30000 19 20 Oxytocin Injection IP-02ml/50 Compound Sodium Lacate Injection IP500ml NIL NIL - NIL NIL 2000 2000 15 30 30000 60000 21 22 23 24 25 26 27 28 Dextrose Injection 5% IP-500ml Thiopentone Injection IP-20ml Dopamine Injection IP-05ml Ampicillin Injection IP-250mg/13 Hydrocortisone Acetate Injection IP-02ml Neostigmine Injection IP-01ml Benzylpencillin Injection IP-300mg Fortified Procaine Pencillin Injection IP60mg Metronidazole Injection IP 100 ml Hydroxyprogestrone Injection IP-02ml Insulin Injection IP-10ml Insulin Zinc Suspension Injection IP-10ml Sodium Bicarbonate Injection IP-10ml Sterile Water for Injection IP/25 Phenytoin Injection BP-02ml/5 Sodium Chloride Injection IP-500ml/30 Vecuronium Bromide for Injection USP Diazepam Tablets-5mg Doxycycline Capsules-100mg/250 Salbutamol Tablets IP-2mg Methylergometrine Injection IP/75 Phenytoin Tablets IP-100mg Intracath Cannula for Single Use(Intravascular catheters) BIS-Size 22 NIL - NIL NIL NIL - NIL NIL NIL NIL NIL NIL NIL NIL 5000 2000 2000 2000 2000 2000 25000 25000 20 50 20 25 20 15 7 12 100000 100000 40000 50000 40000 30000 175000 300000 NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL 1000 1000 0 0 2000 50000 500 10000 500 10000 50000 50000 5000 10000 1000 25 12 0 0 25 3 15 20 22 3 4 3 8 3 200 25000 12000 0 0 50000 150000 7500 200000 11000 30000 200000 150000 40000 30000 200000 NIL NIL 10000 4 40000 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Phenoxy Methyl Penicillin Potassium Tablets IP-250mg NIL NIL NIL NIL NIL NIL NIL 148 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 45 46 47 48 49 50 51 52 53 54 55 56 57 Ketamine Injection IP-10ml Pentazocine Lactate Injection IP-01ml Dexamethasone Injection IP-02ml Adrenaline Injection-01ml/25 Atropine Injection IP-02ml/25 Frusemide Injection IP-02ml Gentamycin Injection Ip-02ml Succinylcholine Injection IP-10ml Pancuronium Bromide Injection BP-02ml Magnesium Sulphate Injection IP-02ml/6 Promathazine Injection IP Diazepam Injection IP-2ml Hypodermic Needle for Single Use-Gauze 22 BIS NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL 5000 5000 5000 2000 2000 5000 10000 0 0 5000 10000 5000 10000 15 15 40 20 7 7 12 0 0 20 10 3 3 75000 75000 200000 40000 14000 35000 120000 0 0 10000 100000 15000 30000 58 Hypodermic Needle for Single Use-Gauze 24 BIS NIL NIL 10000 3 30000 59 Hypodermic Syringes for Single Use-2ml BP/BIS Hypodermic Syringes for Single Use-10ml BP/BIS NIL NIL 500000 7 3500000 NIL NIL 10000 7 70000 61 Hypodermic Syringes for Single Use-50ml BP/BIS NIL NIL 3000 250 750000 62 Hypodermic Needle for Single Use-Gauze 23 BIS/150 NIL NIL 10000 3 30000 63 Hypodermic Syringe for Single Use-5ml BP/BIS/125 NIL NIL 300000 7 2100000 64 Trimethoprim-80mg & Sulphamethoxazole400mg Tablets IP(Adults) NIL NIL 50000 2 100000 65 66 67 68 69 70 71 Amoxycillin Capsules-250mg Metronidazole Tablets IP-200mg/500 Fluconazole Tablets IP-150mg Methyldopa Tablets IP-250mg Frusemide Tablet IP-40mg Norfloxacin Tablets IP-400mg Group 1 NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL 50000 50000 50000 5000 20000 50000 - 5 2 10 3 3 6 - 250000 100000 500000 15000 60000 300000 - 60 149 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 72 73 NIL ` - - Tab. Cefixime 200 mg or 400 mg Tab. Azithromycin 500 mg or 1 g. Tab. Acyclovir 200 mg or 400 mg Gamma benezene hexachlooride 1% lotion or cream NIL NIL NIL NIL 50000 100000 10000 10000 10 8 8 30 500000 800000 80000 300000 Podophyllin tincture 20% Cap. Amoxicillion 500 mg Tab. Secnidazole 1 g or 2 g Inj. Benzathine Penicillion 2.4 MU Permethrin Cream 5% Inj. Survanta (Beractant) 8 ml Inj. Immunoglobulin (PH4) (EL-gan) (0.5gm/10ml) NIL NIL NIL NIL NIL NIL NIL 1000 50000 10000 10000 1000 20 50 25 5 7 20 22 5000 10000 25000 250000 70000 200000 22000 100000 500000 76 Inj. 5% Human Albumin (AlbuRel)5gm (100ml) NIL 20 500 10000 77 Inj. Aminoven Infant 10% (i.V Amino Acids) 100 ml NIL 30 1000 30000 78 Inj. Prostaglandin E1 (Alprostadil (prostal)/Alpostin) 500 mg 1 ml NIL 10 10000 100000 79 80 81 82 83 84 85 86 87 88 Inj. Cefipime + Tazobactum (Pimera) Inj. Doripenem/Imepenem 1 gm Inj. Vancomycin (Plain) 500 mg Inj. Tobramycin 2 ml Inj. Neloxone 2 ml Sucralfeed M.C.T Oil Evion drop Dilantin syrups Paracetamol drop NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL 1000 300 500 200 20 20 20 100 1000 10000 800 1500 250 150 150 175 200 150 180 150 800000 450000 125000 30000 3000 3500 4000 15000 180000 1500000 74 75 Group 2 Others (Please Specify) 17714500 Total Maternal and Child Health Drugs 150 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Immunisation Vaccines 9 10 11 12 13 14 UIP BCG (1 Vial of 10 doses) DPT with VVM (1 Vial of 10 doses) DT (1 Vial of 10 doses) TT (1 Vial of 10 doses) Measles (1 Vial of 5 doses) T-OPV (1 Vial of 20 doses) Hep-B (1 Vial of 10 doses) JE (1 Vial of 5 doses) Pulse Polio bOPV (1 vial of 20 doses)(emergency) bOPV (1 vial of 20 doses)(regular) T-OPV (1 vial of 20 doses) mOPV1 (1 vial of 20 doses) mOPV3 (1 vial of 20 doses) Others (please specify) 1 2 3 4 5 6 7 8 9 10 11 12 13 Cold Box (Large) Cold Box (Small) Ice Packs Vaccine Carrier 4 Ice Pack WIC (nos) WIF (nos) ILR(S) (nos) ILR(L) (nos) Deep freezer(L) (nos) Deep Freezer (S) through (nos) Vaccine Van 4 Wheel (nos) Vaccine Van 2 Wheel (nos) Others (please specify) 1 2 3 4 5 6 7 8 Cold Chain Equipments Syringes 151 PIP of 2012-13 Document NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL PIP of Union Territory Health Mission, A&N Islands 1 2 3 4 5 Disposable Syringe 5 ml (Pieces) AD Syringe 0.5 ml (Pieces) AD Syringe 0.5 ml (Pieces)(through UNOPS) AD Syringe 0.1 ml (Pieces) Others (please specify) NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL Cu-T (Pieces) Emergency Contraceptive Pills (Packs) Mala-N (Cycles) Pregnancy detection Kit (Kit) Tubal Rings (Pairs) OCP-Others (Cycles) Mala-D (1 Cycle of 28 Tablets) Nirodh Condom (Pieces) Deluxe (Nirodh) Govt Type A (Pieces) Deluxe (Nirodh) SMO Brand Type A (Pieces) New Lubricated Nirodh (Condom) SMO Brand Type A (Pieces) NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL 2000 20000 15000 10000 2000 15000 500000 200000 200000 NIL Super Deluxe (Nirodh) Govt Type A (Pieces) Super Deluxe (Nirodh) SMO Brand Type A (Pieces) Others (please specify) Family Planning 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total Family Planning Drugs 600000 2 3 3 1000000 600000 600000 50000 4 200000 NIL 50000 5 250000 NIL 50000 6 300000 NIL NIL NIL 2200000 152 PIP of 2012-13 Document 60 PIP of Union Territory Health Mission, A&N Islands FORMAT FOR LIKELY COMMITTED UNSPENT BALANCES Code Pools/Activities A A.1 A.2 RCH FLEXIBLE POOL MATERNAL HEALTH CHILD HEALTH FAMILY PLANNING A.3 SERVICES A.4 ARSH A.5 URBAN RCH A.6 TRIBAL RCH A.7 PNDT ACTIVITIES INFRASTRUCTURE & A.8 HUMAN RESOURCES A.8.1 HUMAN RESOURCES A.8.2 MINOR CIVIL WORKS A.9 A.10 A.11 TRAINING PROGRAMME/NRHM MANAGEMENT COST VULNERABLE GROUPS Amount of Committed unspent balance but funds not released within 31st March, 2012. (Rs. In Lacs) Expected Timelines for Utilisation (preferably within the first two quarters of 2012-13) 7.09 0.00 1.00 0.00 First quarter of FY 2012-13 --- 0.00 0.15 Last quarter of FY 2011-12 11.42 0.00 0.00 0.00 0.00 3.00 0.00 0.00 0.20 0.00 First quarter of FY 2012-13 ----First quarter of FY 2012-13 0.00 0.00 0.00 0.00 5.00 5.00 ----First & Second quarter of FY 2012-13 --- 1.00 First quarter of FY 2012-13 --- --- --- Amount of committed balance wherein funds have been released within 31st March, 2012 but UC’s not received (Rs. In Lacs) 153 PIP of 2012-13 Document --- PIP of Union Territory Health Mission, A&N Islands Reproductive & Child Health (RCH-II) 2012-13 Sl.No. 1 1.1 1.1.1 1.1.1.1 1.1.1.2 1.1.1.3 1.1.2 1.1.2.1 1.1.2.2 1.1.3 1.1.3.1 1.1.3.2 1.1.4 1.1.4.1 RCH - TECHNICAL STRATEGIES & ACTIVITIES (RCH Flexible Pool) MATERNAL HEALTH Operationalise facilities only dissemination, meetings and quality assurance) Operationalise FRUs Organise dissemination workshops for FRU guidelines Prepare plan for operationalisation across districts (cost of plan meeting should be kept) Monitor progress and quality of service delivery Operationalise 24x7 PHCs Prepare plan for operationalisation across districts (cost of plan meeting should be kept) Monitor progress and quality of service delivery Operationalise Safe abortion services (including MVA/ EVA and medical abortion)at health facilities Prepare plan for operationalisation across districts (priortise facilities for safe abortion services; cost of plan meeting should be kept) Monitor progress and quality of service delivery Operationalise RTI/STI services at health facilities Prepare plan for operationalisation across districts (priortise facilities for RTI/STI services; cost of plan meeting should be kept) 154 PIP of 2012-13 Document South Andaman N&M Andaman Nicobar 240.70 17.16 24.15 26.53 308.54 0.00 0.00 0.00 0.00 0.00 8.70 1.50 1.20 0.00 1.20 0.00 0.60 0.00 11.70 1.50 0.20 0.10 0.10 0.10 0.50 0.40 0.00 0.00 0.00 0.00 0.00 0.00 0.40 0.00 0.20 0.10 0.10 0.10 0.50 0.40 0.00 0.00 0.00 0.40 1.20 0.50 0.50 0.20 2.40 0.40 0.00 0.00 0.00 0.40 0.40 2.40 0.00 0.50 0.00 0.50 0.00 0.20 0.40 3.60 1.20 0.00 0.00 0.00 1.20 State Total in lacs PIP of Union Territory Health Mission, A&N Islands 1.1.4.2 1.1.5 1.1.5.1 Monitor progress and quality of service delivery. Operationalise sub-centres Prepare plan for operationalising services at sub-centres (for a range of RCH services including antenatal care and post natal care; cost of plan meeting should be kept) 1.1.5.2 Monitor quality of service delivery and utilisation including through field visits 1.2 Referral Transport (Home to Facility,interfacility,dropback) 1.3 Integrated outreach RCH services 1.3.1 RCH Outreach Camps in un-served/ under-served areas (state should focus on facility based services and outreach camps to be restricted to areas without functional health facilities) Monthly Village Health and Nutrition Days 1.3.2. 1.3.2.1 Monitor quality of services and utilisation 1.4. Janani Suraksha Yojana / JSY Dissemination of JSY guidelines to districts and sub1.4.1 districts 1.4.2 Implementation of JSY by districts. 1.4.2.1 Home deliveries 1.4.2.2 Institutional deliveries 1.4.2.2.1 Rural 1.4.2.2.2 Urban 1.4.2.2.3 C-sections 1.4.3 Other activities (JSY) 1.4.3.1 ASHA Incentive 1.4.3.2 Admin Cost (5%) 155 PIP of 2012-13 Document 0.40 4.80 0.00 0.00 0.00 0.00 0.00 0.00 0.40 4.80 4.00 0.00 0.00 0.00 4.00 0.80 0.00 0.00 0.00 0.80 84.00 0.00 0.00 0.00 84.00 5.40 1.00 1.60 1.20 9.20 1.00 1.00 1.00 1.00 4.00 4.00 0.40 7.00 0.00 0.00 7.96 0.60 0.00 4.35 0.20 0.00 7.73 4.80 0.40 27.04 3.20 0.00 0.00 0.00 3.20 0.00 0.00 0.00 0.20 0.00 0.10 0.00 0.30 0.00 0.00 2.00 1.20 0.60 0.00 3.00 0.00 3.30 0.00 0.00 0.50 3.76 0.20 0.50 3.00 0.05 0.50 3.00 0.83 0.00 0.60 0.00 5.60 1.20 0.00 4.80 9.76 1.08 PIP of Union Territory Health Mission, A&N Islands 1.5 1.6 1.6.1 1.6.1 1.6.1.1 1.6.1.2 Maternal Death Audit (both in institutions and community) Other strategies/activities (please specify) JSSK-Janani Shishu Suraksha Karyakram Mother and child Care Diagnostic Blood Transfusion Diet (3 days for Normal delivery and 7 days for Caesar1.6.1.3 ean) 1.6.1.3.1 Diet Normal Delivery 1.6.1.3.2 Diet for Caesarean 1.6.2 Drug and consumables 1.6.2.1 Drugs and Consumables for Normal deliveries 1.6.2.2 Drugs and consumables for Caesarean Deliveries 1.6.3 Referral Transport 1.6.4 Others (Pl.Specify) 1.6.4.1 POL 2. CHILD HEALTH 2.1 2.1.1 2.1.2 IMNCI Prepare detailed operational plan for IMNCI across districts Implementation of IMNCI activities in districts Monitor progress against plan; follow up with training, procurement, etc Pre-service IMNCI activities in medical colleges, nursing colleges, and ANMTCs 2.1.3 2.1.4 2.2 Facility Based Newborn Care/FBNC (SNCU, NBSU, NBCC) 156 PIP of 2012-13 Document 0.50 0.00 10.80 0.00 6.00 4.80 0.10 0.00 0.00 0.00 0.00 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.10 0.00 0.00 0.00 0.00 0.00 0.80 0.00 10.80 0.00 6.00 4.80 25.00 5.00 7.00 7.00 44.00 15.00 10.00 95.00 25.00 20.00 14.00 0.00 36.00 5.00 0.00 2.00 0.00 0.00 2.00 0.00 0.00 5.00 2.00 10.00 0.00 0.00 10.00 0.00 0.00 5.00 2.00 10.00 0.00 0.00 10.00 0.00 0.00 30.00 14.00 117.00 25.00 20.00 36.00 0.00 36.00 165.65 6.50 6.50 6.50 185.15 10.40 0.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.40 0.80 0.00 9.60 0.00 0.00 0.00 9.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PIP of Union Territory Health Mission, A&N Islands Prepare detailed operational plan for FBNC across districts ( Essential Newborn Care and Sick New Born Care) 2.2.1.1 Establishment of New born care corners (NBCCs) 2.2.1.1.1 Operation cost (existing +New) 2.2.1.2 Establishment of SNCUs 2.2.1.2.1 Operational Cost for SNCUs (Existing + New) 2.2.1.3 Establishment of New Born Stablization Units (NBSUs) 2.2.1.3.1 Operational cost for NBSUs Monitor progress against plan; follow up with training, 2.2.2 procurement, etc. 2.2.2.1 SNCU Training for MOs (4 Days) 2.2.2.2 SNCU Training for Staff Nurses SNCU observeship 12 days training at National Collab2.2.3 orative centre 2.2.3.1 Medical Officer 2.2.3.2 Staff Nurses 2.3 Home Based Newborn Care/HBNC 2.3.1 Prepare and disseminate guidelines for HBNC. 2.3.2 Prepare detailed operational plan for HBNC across districts 2.3.3 ASHA Incentives 2.3.4 Equipments,Medications & consumables for ASHA kit Monitor progress against plan; follow up with training, pro2.3.4 curement, etc. 2.4 Promotion of Infant and Young Child Feeding/IYCF 2.4.1 Prepare and disseminate guidelines for IYCF. 2.4.2 Prepare detailed operational plan for IYCF across districts 2.2.1 157 PIP of 2012-13 Document 76.85 0.00 0.00 0.00 76.85 5.95 1.40 41.00 10.00 11.50 7.00 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 5.95 1.40 41.00 10.00 11.50 7.00 5.00 0.00 0.00 0.00 5.00 2.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 3.00 24.00 0.00 0.00 0.00 24.00 12.00 12.00 11.20 1.00 3.00 0.00 7.20 0.00 0.00 5.00 0.00 0.00 5.00 0.00 0.00 0.00 5.00 0.00 0.00 5.00 0.00 0.00 0.00 5.00 0.00 0.00 5.00 0.00 12.00 12.00 26.20 1.00 3.00 15.00 7.20 0.00 0.00 0.00 0.00 0.00 25.60 2.00 0.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.60 2.00 0.60 PIP of Union Territory Health Mission, A&N Islands 2.4.3 2.4.4 2.4.5 2.4.6 2.5 2.5.1 2.5.2 2.5.3 2.6 2.7 Monitor Progress against plan; follow up with training,procurement,etc. Micronutrient Supplementation Programme Supplies , Logistics, Supportive Supervision Monitor progress and quality of services. Care of Sick Children and Severe Malnutrition at facilities (e.g. NRCs, CDNCs etc.) Prepare and disseminate guidelines. Prepare detailed operational plan for care of sick children and severe malnutrition at FRUs, across districts ( cost of plan meeting should be kept). Monitor progress against plan; follow up with training, procurement, etc. Management of Diarrhoea, ARI and Micronutrient malnutrition Other strategies/activities (please specify) 2.9 Orientation of Programme Managers on reporting format for New born care units and NRCs Infant Death audit 3 FAMILY PLANNING 3.1 Terminal/Limiting Methods Orientation workshop and dissemination of manuals on FP standards& quality assurance of sterilisation services Prepare operational plan for provision of sterilisation services at facilities (fixed day) as well as camps, review meetings. 2.8 3.1.1 3.1.1.1 158 PIP of 2012-13 Document 0.00 0.00 0.00 0.00 0.00 20.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20.00 3.00 0.00 2.80 0.00 0.00 0.00 2.80 2.00 0.00 0.00 0.00 2.00 0.80 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.00 0.00 7.00 1.00 1.00 1.00 10.00 0.00 0.00 0.00 0.00 0.00 0.30 0.00 0.00 0.00 0.30 2.50 0.50 0.50 0.50 4.00 44.82 9.90 6.70 4.00 65.42 17.00 8.30 5.20 3.10 33.60 5.00 0.00 0.00 0.00 5.00 0.00 0.00 0.00 0.00 0.00 PIP of Union Territory Health Mission, A&N Islands 3.1.1.2 3.1.2 3.1.3. 3.1.4 3.1.5 3.1.6 3.2 3.2.1 Implementation of sterilisation services by districts (including fixed day services and PP sterilization) Organise female sterilisation camps Organise NSV camps Compensation for female sterilisation Compensation for NSV Acceptance Accreditation of private providers to provide sterilisation services 3.4 Spacing Methods IUD Camps Implementation of IUD services by districts (including fixed day services at SHC and PHC) Provide IUD services at health facilities/ compensatin PPIUCD services Accreditation of private providers to provide IUD insertion services Social marketing of contraceptives (including delivery of contraceptive by ASHA at door step) contraceptive Update seminars POL for Family Planning/Others (Including additional mobility support to surgeon's team if req) Repairs of Laparoscopes 3.5 Other strategies/activities (please specify): 3.2.2 3.2.2.1 3.2.2.2 3.2.3 3.2.4 3.2.5 3.3 159 PIP of 2012-13 Document 3.00 0.00 0.00 0.00 3.00 6.00 0.00 0.00 0.00 0.00 0.00 8.00 0.30 0.00 0.00 5.00 0.20 0.00 0.00 3.00 0.10 6.00 0.00 16.00 0.60 3.00 0.00 0.00 0.00 3.00 19.62 0.00 1.10 0.00 0.80 0.00 0.60 0.00 22.12 0.00 2.50 0.50 0.50 0.50 4.00 0.00 6.00 0.60 0.00 0.30 0.00 0.10 0.00 1.00 6.00 0.12 0.00 0.00 0.00 0.12 10.00 0.00 0.00 0.00 10.00 1.00 0.00 0.00 0.00 1.00 2.00 0.00 0.00 0.00 2.00 1.00 0.00 0.00 0.00 1.00 5.20 0.50 0.70 0.30 6.70 PIP of Union Territory Health Mission, A&N Islands 3.5.1 3.5.2 3.5.3 4 4.1 4.1.1 4.1.2 4.1.3 4.1.3.1 4.1.4 4.2 4.2.1 4.2.2 4.2.3 4.2.3.1 4.2.3.2 4.2.3.3 4.2.4 Monitor progress, quality and utilisation of services (both terminal and spacing methods) including complications / deaths / failure cases. Note: cost of insurance / failure and death compensation NOT to be booked here Performance reward if any World Population Day celebration (such as mobility, IEC aactivities etc.): funds earmarked for district and block level activities ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH Adolescent Services at health facilities Disseminate ARSH guidelines. Establishment of new clinics at DH level Establishment of new clinics at CHC/PHC level Operation expenses for existing clinics Outreach activities including peer educators School health programme Prepare and disseminate guidelines for School Health Programme Prepare detailed operational plan for School Health Programme across districts Implementaion of School Health Programme through State School Health Programme cell Procurement of Medicines/Laboratory kits Procurement of Weighing machine, height recorder etc. Printing of School Health Card, pamphlets, forms etc. Monitor progress and quality of services. 160 PIP of 2012-13 Document 1.50 0.00 0.00 0.00 1.50 1.20 0.00 0.00 0.00 1.20 2.50 0.50 0.70 0.30 4.00 293.00 0.00 0.00 0.00 293.00 21.00 10.00 2.00 2.00 1.00 6.00 77.00 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 0.00 21.00 10.00 2.00 2.00 1.00 6.00 77.00 3.00 0.00 0.00 0.00 3.00 2.00 0.00 0.00 0.00 2.00 0.00 0.00 0.00 0.00 0.00 45.00 20.00 5.00 2.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 45.00 20.00 5.00 2.00 PIP of Union Territory Health Mission, A&N Islands 4.3 Other strategies/activities (please specify) Details of the Menstrual Hygiene project to be provided and budgeted under this head 4.3.1 5 5.1 5.1.1 5.1.2. 5.1.3 5.1.3.1 5.1.3.2 5.1.3.3 5.1.4 5.1.5 5.1.5.1 6. 6.1 6.1.2 6.1.3 6.1.4 6..1.5 6.1.5.1 7 7.1 7.1.1 7.1.2 180.00 0.00 0.00 0.00 180.00 Hiring of Dentist, Opthalmic Asssistant, Lab Technicians,ANMs and PHNs (as on when required basis) 15.00 0.00 0.00 0.00 15.00 URBAN RCH (focus on Urban slums) Urban RCH Services Identification of urban areas / mapping of urban slums Prepare operational plan for urban RCH Implementation of Urban RCH plan/ activities Recruitment and training of link workers for urban slums Strengthening of urban health posts & urban health centres Provide RCH services (please specify) Monitor progress, quality and utilisation of services. Other Urban RCH strategies/activities (please specify) additional ANMs and PHNs TRIBAL RCH Tribal RCH services Tribal RCH services Implementation of Tribal RCH activities Monitor progress, quality and utilisation of services. Other Tribal RCH strategies/activities (please specify) Vehicle for Tribal RCH/ other activities PNDT Activities Support to PNDT cell Establishment of PNDT cell Operationalise PNDT cell 38.40 0.00 5.00 0.00 2.00 4.00 10.00 0.00 0.00 0.00 17.40 31.50 0.00 3.00 6.00 0.00 0.00 22.50 30.32 0.00 5.00 7.32 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 1.00 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 0.00 1.00 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 0.00 1.00 0.00 0.00 0.00 38.40 0.00 5.00 0.00 2.00 4.00 10.00 0.00 0.00 0.00 17.40 31.50 0.00 3.00 6.00 0.00 0.00 22.50 33.32 0.00 5.00 7.32 161 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 7.1.2.1 7.1.2.2 7.1.2.3 7.1.2.4 7.1.3 7.2 7.2.1 7.2.2 8 8.1 8.1.1 8.1.2 8.1.3 8.1.4 8.1.4.1 8.2 8.2.1 Technical Assistant Clerical Staff Data entry Operator Peon Orientation of Programme Managers and Service Providers on PC & PNDT Act Other PNDT activities (Please specify) Administrative expenditure for appointment of staff and maintanance of PNDT cell including procurement of computes and peripherals& office equipments BCC/IEC Activity TRAINING (for each type of training, please provide the batch size in the rows below as applicable; in the physical target columns, pls put in the number of persons to be trained) Strengthening of Training Institutions (SIHFW, ANMTCs, etc.) Carry out repairs/ renovations of the training institutions Provide equipment and training aids to the training institutions Developing systems for monitoring & evaluations of training programmes. Other activities (pl. specify) Strengthening of ANM training school and Nursing training schools Development of training packages Development/ translation & duplication of training materials 162 PIP of 2012-13 Document 2.40 1.92 1.92 1.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.40 1.92 1.92 1.08 2.00 0.00 0.00 0.00 2.00 16.00 1.00 1.00 1.00 19.00 10.00 0.00 0.00 0.00 10.00 6.00 1.00 1.00 1.00 9.00 237.15 3.00 3.00 1.00 244.15 50.00 0.00 0.00 0.00 50.00 20.00 0.00 0.00 0.00 20.00 15.00 0.00 0.00 0.00 15.00 5.00 0.00 0.00 0.00 5.00 0.00 0.00 0.00 0.00 0.00 10.00 0.00 0.00 0.00 10.00 22.00 15.00 0.00 0.00 0.00 0.00 0.00 0.00 22.00 15.00 PIP of Union Territory Health Mission, A&N Islands 8.2.2 8.2.2.1 8.2.2.2 8.3 8.3.1 8.3.1.1 8.3.1.2 8.3.1.3 8.3.1.4 8.3.1.5 8.3.1.6 8.3.2 8.3.2.1 8.3.2.2 8.3.2.3 8.3.3 8.3.3.1 8.3.3.2 8.3.3.3 8.3.4 8.3.4.1 8.3.4.2 8.3.5 8.3.5.1 8.3.5.2 Other activities (pl. specify) Training documentation Strengthning of State Training centre Maternal Health Training Skilled Attendance at Birth / SBA Setting up of SBA Training Centres TOT for SBA Training of Medical Officers in Management of Common Obstetric Complications (BEmOC) Training of Staff Nurses in SBA Training of ANMs / LHVs in SBA Orientation on MCP Card EmOC Training Setting up of EmOC Training Centres TOT for EmOC Training of Medical Officers in EmOC Life saving Anaesthesia skills training Setting up of Life saving Anaesthesia skills Training Centres TOT for Anaesthesia skills training Training of Medical Officers in life saving Anaesthesia skills Safe abortion services training (including MVA/ EVA and Medical abortion) TOT on safe abortion services Training of Medical Officers in safe abortion RTI / STI Training TOT for RTI/STI training Training of laboratory technicians in RTI/STI 163 PIP of 2012-13 Document 0.00 2.00 5.00 51.10 36.60 2.00 5.00 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 0.00 0.00 2.00 5.00 51.10 36.60 2.00 5.00 8.00 0.00 0.00 0.00 8.00 9.60 9.60 2.40 6.00 0.00 0.00 6.00 3.00 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 0.00 0.00 0.00 0.00 9.60 9.60 2.40 6.00 0.00 0.00 6.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 2.00 0.00 0.00 0.00 2.00 0.00 2.00 3.50 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 2.00 3.50 0.00 0.00 PIP of Union Territory Health Mission, A&N Islands 8.3.5.3 8.3.5.4 8.3.5.5 8.3.6 8.4 8.4.1 8.4.2 8.4.3 8.5 8.5.1 8.5.1.1 8.5.1.2 8.5.1.3 8.5.2 8.5.2.1 8.5.2.2 8.5.2.3 8.5.3 8.5.3.1 8.5.3.2 8.5.4 8.5.4.1 Training of Medical Officers in RTI/STI Training of Staff Nurses in RTI/STI Training of ANMs / LHVs in RTI/STI Other maternal health training (please specify) IMEP Training TOT on IMEP IMEP training for state and district programme managers IMEP training for medical officers Child Health Training IMNCI & F-IMNCI Training (pre-service and in-service) TOT on IMNCI (pre-service and in-service) IMNCI Training for ANMs / LHVs IMNCI Training for Anganwadi Workers F-IMNCI Training TOT on F-IMNCI F-IMNCI Training for Medical Officers F-IMNCI Training for Staff Nurses Home Based Newborn Care / HBNC TOT on HBNC for ANMs/LHVs Training on HBNC for ASHA Care of sick children and severe malnutrition at FRUs TOT on Care of sick children and severe malnutrition Training on Care of sick children and severe malnutrition for 8.5.4.2 Medical Officers 8.5.5 Other child health training (please specify) 8.5.5.1 NSSK Training 8.5.5.1.1 TOT for NSSK 8.5.5.1.2 NSSK Training for Medical Officers 164 PIP of 2012-13 Document 1.00 1.00 1.50 0.00 1.00 0.00 0.00 1.00 57.45 0.00 0.00 12.00 14.00 13.80 4.80 3.00 6.00 5.40 2.40 3.00 3.50 1.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 0.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 0.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0.00 1.00 0.00 0.00 1.00 1.00 1.50 0.00 1.00 0.00 0.00 1.00 64.45 0.00 0.00 12.00 14.00 13.80 4.80 3.00 6.00 12.40 2.40 10.00 3.50 1.50 2.00 0.00 0.00 0.00 2.00 0.00 8.75 0.00 0.75 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 8.75 0.00 0.75 PIP of Union Territory Health Mission, A&N Islands 8.5.5.1.3 8.5.5.1.4 8.5.5.2 8.6 8.6.1 8.6.1.1 8.6.1.2 8.6.2 8.6.2.1 8.6.2.2 8.6.3 8.6.3.1 8.6.3.2 8.6.4 8.6.4.1 8.6.4.2 8.6.4.3 8.6.4.4 8.6.5 8.6.6 8.7 8.7.1 8.7.2 8.7.3 8.7.4 8.7.5 NSSK Training for SNs NSSK Training for ANMs Other Child Health training Family Planning Training Laparoscopic Sterilisation Training TOT on laparoscopic sterilisation Laparoscopic sterilisation training for doctors (teams of doctor, SN and OT assistant) Minilap Training TOT on Minilap Minilap training for medical officers Non-Scalpel Vasectomy (NSV) Training TOT on NSV NSV Training of medical officers IUD Insertion TOT for IUD insertion Training of Medical officers in IUD insertion Training of staff nurses in IUD insertion Training of ANMs / LHVs in IUD insertion Contraceptive update/ISD Training Other family planning training (please specify) Adolescent Reproductive and Sexual Health/ARSH Training TOT for ARSH training Orientation training of state & district programme managers ARSH training for medical officers ARSH training for ANMs/LHVs ARSH training for AWWs 165 PIP of 2012-13 Document 4.00 4.00 0.00 15.80 2.00 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 4.00 4.00 0.00 15.80 2.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 0.00 3.00 0.00 0.00 0.00 6.80 0.00 2.00 0.00 4.80 4.00 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 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 3.00 0.00 3.00 0.00 0.00 0.00 6.80 0.00 2.00 0.00 4.80 4.00 0.00 22.80 0.00 0.00 0.00 22.80 1.00 0.00 1.00 4.80 16.00 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 1.00 0.00 1.00 4.80 16.00 PIP of Union Territory Health Mission, A&N Islands 8.11.2 8.11.3 Programme Management Training (e.g. M&E, logistics management, HRD etc.) Training of SPMSU staff (pls add rows to specify type of training) Training of DPMSU staff (pls add rows to specify type of training) Other training (pl. specify) Training (Nursing) Strengthening of existing Training Institutions/Nursing School (HR) Engaging additional Nursing/ANM Tutors New Training Institutions/ School (Other strengthening) Training (Other Health Personnels) Promotional Training of health workers females to lady health visitor etc. training of ANMs, Staff nurses, AWW, AWS Other training and capacity building programmes 9 PROGRAMME MANAGEMENT 8.8 8.8.1 8.8.2 8.9 8.10 8.10.1 8.10.1.1 8.10.2 8.11 8.11.1 9.1 9.1.1 9.1.2 9.2 9.2.1 Strengthening of State society/ State Programme Management Support Unit Contractual Staff for SPMSU recruited and in position Strengthening of SPMU (Management Cost, Mobility Support, Supervisory Visits) Strengthening of District Society/ District Programme Management Support Unit Contractual Staff for DPMSU recruited and in position 166 PIP of 2012-13 Document 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 12.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.00 0.00 0.00 0.00 0.00 0.00 12.00 0.00 5.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.00 0.00 5.00 5.00 0.00 0.00 0.00 5.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.63 22.36 33.21 29.48 180.68 72.83 0.00 0.00 0.00 72.83 57.83 0.00 0.00 0.00 57.83 15.00 0.00 0.00 0.00 15.00 0.00 22.36 25.41 21.68 69.45 0.00 18.36 15.41 17.28 51.05 PIP of Union Territory Health Mission, A&N Islands 9.4 9.5 9.6 Strengthening of District PMU (Management Cost, Office Setups, Mobility Support, Field Visits) Strengthening (Others) Hiring of New contactual Staff for CH Administrative expenditures including Honorarium to supporting staff Audit Fees Concurrent Audit System Mobility Support, Field Visits to BMO/MO/Others 10 Human Resource 78.56 222.60 327.88 239.47 868.51 10.1 Existing Manpower 74.24 194.95 282.01 194.53 745.74 72.00 71.60 156.00 106.49 406.09 0.00 0.00 0.00 0.00 2.24 4.32 0.00 0.00 0.00 65.14 27.31 25.34 5.56 0.00 27.65 2.30 0.00 0.00 72.97 24.61 22.81 5.62 0.00 45.86 0.00 19.66 2.59 51.41 17.87 13.25 3.07 2.45 44.94 0.00 16.48 0.00 189.52 69.79 61.40 14.24 4.69 122.77 2.30 36.13 2.59 0.00 25.34 23.62 14.70 63.66 0.00 0.00 0.00 0.00 0.00 0.00 4.10 2.05 4.10 2.05 9.2.2 9.3 9.3.1 9.3.2 10.1.1 10.1.2 10.1.3 10.1.4 10.1.5 10.1.6 10.2 10.2.1 10.2.2 10.2.3 10.2.4 10.2.5 10.2.6 Total manpower requirement of Specialists & GDMOs (15 Specialists & 35 GDMOs) (including the existing strength and with Dental) Salary of 81 AANMs Salary of 25 PHNs Salary of 25 Staff Nurses Salary of 6 Ophthalmic Assistants Salary of 2 Lab Assistants New Manpower proposed this year Salary of 1 Health (MPHW) Salary of 18 Additional ANM Salary of 02 Drivers Salary of 27 Data Entry Operators for HMIS & MCTS Reporting Salary of 2 X-ray Technician Salary of 1 Lab Assistant 167 PIP of 2012-13 Document 0.00 4.00 10.00 4.40 18.40 11.80 7.80 0.00 0.00 7.80 7.80 7.80 7.80 27.40 23.40 4.00 0.00 0.00 0.00 4.00 4.50 2.50 4.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.50 2.50 4.00 PIP of Union Territory Health Mission, A&N Islands 10.2.7 10.2.8 11 11.1 11.1.1 11.2 11.2.1 11.2.2 Salary of 3 Staff Nurses Salary of 1 Environmental Engineer for BMWM VULNERABLE GROUPS Other vulnerable communities not covered by Urban and Tribal RCH such as salt pan, worker,migrants etc. RCH services to the migrants and other vulnerable communities Service for Vulnerable groups Mapping of vulnerable groups prepare operational plan for vulnerable groups (including infrastructure and human resources, training, BCC/IEC, equipment, drugs and supplies, etc.; cost of plan metting should b e kept. 0.00 4.32 15.00 0.00 0.00 0.00 0.00 0.00 0.00 7.61 0.00 0.00 7.61 4.32 15.00 0.00 0.00 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 5.00 5.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 5.00 0.00 0.00 0.00 0.00 0.00 11.3 Implementation of RCH activities 2.00 0.00 0.00 0.00 2.00 11.4 Other strategies/activities (please specify) 0.00 0.00 0.00 0.00 0.00 Committed Unspent Balance 47.000 Total Fund Proposed for the F.Y:2012-13 2,310.672 Unspent Balance as on 01.04.2012 (437.000) Actual Budget Required 2747.672 168 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands B. NRHM Mission Flexi Pool PROGRESS OF NRHM UPTO THE FY 2011-12 IN ANDAMAN & NICOBAR ISLANDS SPECIALISTS & GDMOs: For raising the District Hospitals and Community Health Centres to the level of Indian Public Health Standards (IPHS) for making them into a First Referral Unit (FRU) and also for making the Primary Health Centre 24X7 functional the major gap identified in Andaman & Nicobar Islands is the Shortage of Specialists and GDMOs and to fill up these gaps, interviews were conducted at the adjacent States i.e. at Chennai, Delhi & Kolkata by UT Health Mission. Specialists from various specialties such as General Surgeory, Anaesthesia, Paediatrics, Orthopaedics, ENT, Ophthalmology etc. have been engaged and a total of 32 General Duty Medical Officers (GDMOs) including Dental have been engaged by the Union Territory Health Mission in Andaman & Nicobar Islands under NRHM. These Specialists and GDMOs are placed in various Health Institutions of A&N Islands so that they may be raised to the level of Indian Public Health Standards (IPHS). Mainstreaming of AYUSH under NRHM As per the guidelines of NRHM the Indian system of medicine is to be provided at each of the health facility and among the Indian systems of medicine Homoeopathy & Ayurveda are very much popular and opted by the people of Andaman & Nicobar Islands. The NRHM seeks to revitalize local health traditions and mainstream AYUSH (including manpower and drugs) to strengthen the Public Health System at all levels. Mainstreaming of AYUSH system of medicines in the (NRHM) with the aim to introduce either of Ayurveda, Yoga & Naturopathy and Homoeopathy at all the PHC, CHC, District Hospital level as per the local Demand of the area for the Promotion of AYUSH System of medicines and to achieve the healthy life in Natural way. At present in Andaman & Nicobar Islands one 30 bedded multidisciplinary AYUSH Hospital Consisting of Ayurveda, Yoga & Naturopathy, Homoeopathy, Panchakarma, Physiotherapy, Pathology Lab is functioning effectively as well as in all the 169 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands District Hospitals & Community Health Centres(CHCs) either of these components are present. As per the guidelines of NRHM, the State Health Society (A&N Islands) has recruited 10 Homoeopathic Doctors alongwith 09 Homoeopathic Pharmacists for PHC Garacharma, PHC Manglutan, PHC Ferrargunj, PHC Havelock, PHC R.K Pur, PHC Kadamtala, PHC Tugapur, PHC Radhanagar, PHC Long Island & CHC Nancowry. Similarly, 09 Ayurvedic Doctors for PHC Tushnabad, PHC Wimberlygunj, PHC Neil Island, PHC Hutbay, PHC Baratang, PHC Billyground, PHC Kalighat, PHC Katchal & PHC Teressa. All these AYUSH doctors will also be involved in all National level Programme health care such as in the areas of IMR, MMR, JSY, TB, Malaria Control, Filaria, and other communicable diseases etc. which would improve the service delivery in these Islands. In addition to this, 03 Yoga Instructors were also recruited under NRHM and posted to AYUSH Hospital (Port Blair), Dr.R.P Hospital (Mayabunder) & at BJR Hospital (Car Nicobar). 170 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 171 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Institutional Arrangements: In all the 03 Districts, District Health Societies have been constituted and registered Merger of Health & Family Welfare Activities Completed Merger of all the vertical level societies/programmes completed in all the Districts Rogi Kalyan Samiti/Hospital Management Society: Formation: For all the 03 District Hospitals, all 04 Community Health Centres and all the 22 Primary Health Centres, the Rogi Kalyan Samitis/Hospital Management Societies have been constituted and registered. Bank Accounts: For all the 03 District Hospitals, all 04 Community Health Centres and all the 22 Primary Health Centres the separate Bank Accounts of the Rogi Kalyan Samitis/Hospital Management Societies have been opened in a Savings Bank Account. 172 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands RKS/HMS Bank Accounts opened for the Health Facilities in Andaman & Nicobar Islands Released funds are being utilized by all the Rogi Kalyan Samitis/Hospital Management Society constituted for the Health Facilities of Andaman & Nicobar Islands through concerned District Health Societies. Infrastructure: District Hospitals: Two District Hospitals i.e. BJR Hospital at Nicobar District and Dr.R.P Hospital of North & Middle Andaman District was selected to be made as First Referral Unit during last year, however, due to shortage of Specialist (Obstetrician & Gynecologists) it could not be made as FRU. However, this also these two facilities have been selected to be upgraded as FRU under NRHM. Facility Surveys have been conducted for both the District Hospitals and a Priority List addressing the gaps to be filled on priority have been finalized and most of the equipments have been procured accordingly. 173 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Facility Surveys Completed for District Hospitals (District-Wise) Community Health Centres: From the upgradation funds released, phase wise upgradation was carried out in all 4 Community Health Centres i.e. CHC-Rangat, CHC-Diglipur, Bambooflat and CHC-Nancowry during the FY 2011-12. This year, for the 2nd phase of upgradation, all 4 CHCs have been selected for Upgradation. By means of Facility Surveys conducted for the selected Community Health Centres and a Priority List addressing the gaps to be filled on priority have been finalized and will be followed for upgradation. 174 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Percentage of Facility Surveys Completed for Community Health Centres (District-Wise) Primary Health Centres: From the upgradation funds released, phase wise upgradation was carried out in 17 Primary Health Centres which were identified to be raised to the Indian Public Health Standards (IPHS) in a phased manner and accordingly the budget for phasewise Upgradation has been proposed in this year’s SPIP. By means of Facility Surveys conducted for the selected Primary Health Centres and a Priority List addressing the gaps to be filled on priority have been finalized and will be followed for upgradation. 175 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Village Health & Sanitation Committees (VHSCs): Altogether, 275 VHSCs were constituted considering the need and population criteria throughout A&N Islands and their respective bank accounts were opened. Village Health & Nutrition Days (every alternate month in each village) in collaboration with VHSCs, ANM, AWW & ASHA to give the health services at the doorstep of villagers was commenced from May’08 under NRHM. Orientation training for VHSC’s members are being organized in some of the areas, however this year, it is proposed to be organized with the help of active NGOs working in A&N Islands. Under the Total Sanitation Campaign, the VHSCs constituted are being involved towards improving quality of drinking water as well as sanitation. VHSCs are also being involved towards the implementation of various National Health Programme by means of Health Days. Village Health & Nutrition Days (VHNDs): For improved coordination among VHSCs members and Health Personnel, orientation programmes were conducted for ANMs, ASHAs, AWWs & VHSC Members. Calendar of days to be organized as VHNDs per villages finalized and it is being followed for the same. Selection & Training of ASHAs: During the year 2008-09, since Ministry of Health & Family Welfare has instructed that we can have ASHAs in only in tribal areas and accordingly 49 ASHA were selected in Nicobar District. However, during the year 2009-2010, Ministry gave 176 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands approval for having ASHAs all around throughout A&N Islands. Accordingly, the facilitator trainings were conducted for ANMs, Anganwadi Workers for the selection and training of ASHAs in South Andaman & North and Middle Andaman District. Till date a total of 407 ASHAs have been selected i.e. 53 ASHAs in Nicobar District, 219 ASHAs in N&M Andaman District and 135 ASHAs in South Andaman District. Household survey have been carried out by the District Health Societies of all the 3 Districts with the help of ASHAs. A data base of ASHAs containing her name, address, telephone No. and other important details are being maintained in all the concerned District Health Societies. ASHAs are actively involved in community mobilization for control of diseases under vertical programmes and they are trained for diagnosis and control of diseases like malaria, TB and other diseases. They have a great contribution in increase in institutional delivery. Community level monitoring are proposed to be evolved this year as suggested in the report by the Common Review Mission Team Members deputed by the Ministry of Health & Family Welfare, GOI. The composition of the drug kits of ASHAs will be included with AYUSH formulations i.e. Homoeopathic and Ayurvedic depending on the choice of the community. The Compensation packages for ASHAs has been implemented and are being amended from time to time based on the guidelines received from respective health programmes / MOHFW, GOI on case to case basis. NISHCHAY Programme implemented: • In coordination with HL Family Planning Promotion Trust, Hyderabad, NISHCHAY Programme in A&N Islands during the year 2009-2010. 177 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands • Two days training on implementation of NISHCHAY Programme for ANMs, PHNs, LHVs & MPWs conducted in association with HL Family Planning Promotion Trust, Hyderabad. • NISHCHAY Kits distributed to all the health facilities for its further distribution to the eligible women. • One day CMO Level Workshop was organized for the CMOs of PHCs / CHCs / AYUSH under NISHCHAY Programme in association with Hindustan Latex Family Planning Promotion Trust, Hyderabad. All together 18 CMOs/Doctors including AYUSH personnel participated. Health Management Information System Implemented: • HMIS implemented in A&N Islands from April 2009 onwards. • With the implementation of Web Based HMIS Portal throughout the Country, its implementation was done in A&N Islands by notifying the Nodal Officers (State and District level) and by means of monthly HMIS reports. • The data gets compiled and District level and gets uploaded, which the State in turn verifies and forwards it to the centre. • Organized Web Based Health Management Information System for SPMU & DPMU staffs i.e. for District Level Programme Managers, State Finance Manager, District Accounts Manager, Data Managers (IDSP), Accountants, IEC Personnel, Data Entry Operators of State Health Society and vertical programmes. • All earlier reports of RCH & Immn. Cancelled and one single form covering all programmes introduced for monthly reporting. • By means of HMIS data gets uploaded in MOHFW, GOI website directly. • Reporting on the HMIS format and on HMIS Portal is 100% with respect to the districts. 178 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Reporting percentage of Districts on HMIS Formats (Monthly) Ambulances Provided For Improving Referral Services: Under National Rural Health Mission 11 Ambulances were procured for improving the referral services in various areas of these islands i.e for CHC Rangat, CHC Nancowry, PHC Havelock, PHC Radhanagar, PHC RK Pur, PHC Katchal, PHC Ferrargunj, PHC Tugapur, CHC Diglipur etc. HUMAN RESOURCE DEVELOPMENT: Specialists And General Duty Medical Officers For raising the District Hospitals and Community Health Centres to the level of Indian Public Health Standards (IPHS) for making them into a First Referral Unit (FRU) and also for making the Primary Health Centre 24X7 functional, the major gap identified in Andaman & Nicobar Islands is the Shortage of Specialists and GDMOs. Since A&N Islands do not have sufficient pool of Specialist and GDMOs, we have conducted Interviews at adjacent States i.e. at Port Blair, Chennai, Kolkata, Pondicherry, Bangalore & Delhi in respect of hiring of Specialists and General Duty Medical Officers to fill up the gaps existing with respect to manpower in Andaman & Nicobar Islands and the process was a great success. 179 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Quite a good number of Specialists & GDMOs were selected through Direct Interviews and have come and joined UTHM, however due to high attrition rate, presently a total of 07 Specialists and 32 GDMOs are working under Union Territory Health Mission, A&N Islands and are serving in various Health Facilities in different Islands respectively. PARAMEDICAL STAFFS Additional ANMs: Sub Centres are the first contact point for the communities therefore making the Sub Centres functional 24X7 is the major and foremost goal which is to be reached and to achieve this goal providing an Additional Auxiliary Nurse Midwife (AANM) is the key area which is to be concentrated on. There are a total of 119 Sub Centres in Andaman & Nicobar Islands and the Union Territory Health Mission of Andaman & Nicobar Islands have engaged a total of 81 AANMs till date under NRHM so that the Sub Centres could be made 24X7 functional. The District-Wise details of the AANMs engaged under NRHM is as follows: Details No. of Sub Centres No. of Sub Centres where AANMs Positioned under NRHM South Andaman District 38 29 180 PIP of 2012-13 Document North & Middle Andaman District 41 31 Nicobar District 40 21 PIP of Union Territory Health Mission, A&N Islands District-Wise AANMs positioned under NRHM in Andaman & Nicobar Islands As there are 119 Sub-Centres in the Andaman & Nicobar Islands and presently the sanctioned strength of Additional ANM is 81 i.e. 37 AANMs less for making all the Sub Centres functional with AANMs. Therefore, it is proposed to fill up the remaining posts AANMs as per IPHS norms in the next financial year. The total fund required for recruiting the Additional ANMs has been projected in the budget of SPIP of financial year 2012-13. Public Health Nurses: A total of 21 Public Health Nurses have been engaged under NRHM till date The District-Wise positioning of the PHNs is as follows, Details No. of Public Health Nurses positioned under NRHM South Andaman District 08 181 PIP of 2012-13 Document North & Middle Andaman District 08 Nicobar District 05 PIP of Union Territory Health Mission, A&N Islands The PHNs appointed under NRHM, plays a major role towards all sorts of data collection and reporting under NRHM such as HMIS Reporting, MCTS Reporting, Maternal Death Reporting etc. This year out of the remaining health centres where PHNs are not available, a total of 3 more PHNs are proposed this year. Ophthalmic Assistants: A total of 06 Ophthalmic Assistants have been engaged on contract under NRHM till date. Laboratory Assistants: A total of 02 Laboratory Assistants have been engaged on contract under NRHM till date.The District-Wise positioning of the Lab. Assistants is as follows, Details No. of Laboratory Assistants positioned South Andaman District 01 182 PIP of 2012-13 Document North & Middle Andaman District 00 Nicobar District 01 PIP of Union Territory Health Mission, A&N Islands Details of Staff Nurse working in A&N Islands (Directorate of Health Services & NRHM) S.No. 1. 2. 3. 4. 5. 6. 7. Name of Institution IPHS Norms Filled under DHS Filled under NRHM Vacant as per IPHS 200-250 Staff Nurses Sanctioned under DHS 126 GB Pant Hospital (450 Bedded) BJR Hospital Car Nicobar (116 Bedded) Dr. RPH Mayabunder (74 Bedded) CHC Diglipur (70 Bedded) CHC Rangat (62 Bedded) CHC Bambooflat (29 Bedded) CHC Nancowry (50 Bedded) Total: 126 - 124 75-100 26 20 01 54 50 12 12 00 38 09 13 13 01 * 09 19 17 01 * 09 13 13 01 * 09 08 08 01 - 217 209 5 216 * The Number of Staff Nurses crosses the IPHS norms in CHCs however considering the No. of Beds at CHCs it requires some more Staff Nurses. For CHC Diglipur – 07 S/N and for CHC Rangat – 03 S/N in addition to the above requirements. Programme Management Units: STATE PROGRAMME MANAGEMENT UNIT(SPMU) Designation Sanctioned (Numbers) Selected (Numbers) In Position (Numbers) State Programme Manager 01 01 01 State Finance Manager 01 01 01 IEC Assistants 02 02 01 Accountant 06 06 06 Data Entry Operator 06 06 06 Office Attendants 02 02 02 Peon 01 01 01 183 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands DISTRICT PROGRAMME MANAGEMENT UNIT(DPMU) Designation Sanctioned Selected In Position (Numbers) (Numbers) (Numbers) District Programme Manager 03 03 03 District Accounts Manager 03 03 02 Accountant 03 03 03 Data Entry Operator 03 03 03 PLANNING PROCESS: In A&N Islands, like every State, a State Programme Management Unit (SPMU) and District Programme Management Units (DPMU) for all the districts are functioning effectively. Considering the need assessment and population coverage, it was decided that Block Level Programme Management Units are not required and the Rogi Kalyan Samitis of particular health facility manages and plans the activities. District Health Action Plan for this year has been prepared for all the 03 Districts by the District Programme Management Units as well as with the Consultation from the State Programme Management Unit (SPMU) at State level. The State Health Action Plan has been prepared considering the District Health Action Plans of all the 03 Districts after assessing the District needs towards health by means of Situational Analysis of all the districts of Andaman & Nicobar Islands for the planning process. On the basis of various kinds of surveys which were done at the villages of all the districts of Andaman & Nicobar Islands and accordingly the needs at each and every village were assessed as well as the need for the infrastructure required at each and every Health Facility were ascertained and a need based plan was made accordingly. 184 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands VILLAGE HEALTH PLAN This year, one of major achievement towards planning is the making of Village Health Plans of some of the villages in these islands. The Village Health Plans were prepared with the help of NGOs who are involved in other activities of NRHM. Village Health Planning is one of the key components of NRHM. One of the basic tenets on which the NRHM rests is that people are actively involved in planning, implementing and monitoring programmes to improve their health status. This planning exercise is a participatory process starting from the Village level upward to Gram Panchayat, Block and District levels in order to prepare district health plans. This is done by engaging the community through interface with Panchayati Raj Institutions and other stakeholders like representatives from departments like the Women and Child Development -under which the ICDS functions-, Water and Sanitation and Education. Representatives from NGOs are also included. With participation from across the board specific health needs, problems in accessing health services and possible solutions relevant to local population, are ascertained. It has been envi- sioned as an effective way of catalyzing improvements in primary health care and enabling the goals of NRHM and ensuring sustained gains for development of all with participation at the lowest unit of Governance i.e. the Panchayat. It is expected that planning in this manner will be evidence based, cost effective and will include an assessment of current preventive, curative and promotive interventions, barriers in accessing services and role of various existing wide range of providers. The main objectives of Village Health Planning are: Heightened community awareness regarding community health status and the multiple determinants that affect health Better understanding of the roles and responsibilities of various providers in health care system and organization of health care services Improved skills in conducting community surveys, prioritizing problems based on local evidence and data and demanding services as appropriate. 185 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Development of VHP that identifies problems and key actions required at household, community and health system levels. Development of Village Health Charter that lists the key goals of the VHP and a commitment from people and the system that they will work together towards achieving the goals of the charter Key Stake holders at the village level in Village Health Planning are the Panchayati Raj Institutions and through them an intersectoral coordination between key health functionaries at the village level such as the ANM, AWW and the newly introduced ASHA worker. Traditionally inspite of complementing roles within a common target population there has been in most cases a lack of synergy of efforts. The Village Health plan is an exercise which is one of the key tasks of the Village Health and Sanitation committee. It serves also to bring all key functionaries onto a common platform. The first steps in the development of a Village Health Plan include a community needs assessment preceded by participatory appraisal by VHSC members. The plan includes community situational analyses and an activity plan. Situational analyses identify the main problems affecting the village/community with secondary data collected from relevant departments, Panchayat and primary data from Focussed Group Discussions and transect walks in the community. The following is the questionnaire used for assessing the need in the villages where the VHPs were made, they are: QUESTIONNAIRE: Identifying community health issues Is diarrhoea common among children? Are worm infections common? Are respiratory (breathing) problems common? Are eyesight problems common, particularly among women? Are mosquitoes, flies and other insects common in the community? 186 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Is malaria or other vector-borne diseases common? Are rats and other vermin common? Are cattle or other domestic animals kept close to homes? Do many people have fevers? Have there been recent outbreaks of disease that affected many people in your community? Are children undernourished? Do they look thin or lack energy? Are community people aware of AWCs? Are the children (0-6 yrs) enrolled in AWCs? What types of services are available from there? Are there health workers or facilities (clinics or health centres) in the community? What type of services do the village people get from the SC/PHC? Are the availability of doctors and services adequate? Where do they go during emergency situations? Is ambulance service available to take pregnant mother to the health centre? If regular ambulance service is not available, can Panchayat make some arrangements for the BPL people for transportation? Do people go to quacks or witchcraft for health related problems? Do they have faith that their problems will be solved when they go to the witchcraft? Do they get medicines from the quack? What are the expenses like when they visit a quack? Do any children or adults have a mental health problem (e.g. psychosis)? What are the major health problems identified by community members? List them in order of importance. Health problems seen in all seasons/also seasonal ones Common Health Problems, which need immediate attention according to the community Health and Nutrition related services available in and around the village. What could be the average expenditure of people on health every month? What is your perception about NGO services? What water sources are available to the community? Which local water sources do people commonly use? What are the water sources used for? 187 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands What influences decisions to use the sources? What types of water supply does the community have? Is the water source protected and/or treated? Do people get filtered water? Are there problems of arsenic/fluoride in water? How much water is collected by households? Is the water always available? Does everyone have access to water? Does the community know the quality of the water? Are there special places for bathing and laundry? Are the same bodies of water used for washing, laundering and receiving human and animal wastes? Do households have some form of sanitation? What types of sanitation are there? Are there separate facilities for women (in areas where mixed facilities are unacceptable)? Is solid waste disposed of, or does waste build up in the village? How is solid waste disposed of? Are there stagnant or standing bodies of water in the community? Is there a system of drainage in homes and for the community? Is there a market in the community? Is the market area cleaned every day? Is the market dirty? Are market vendors careful with personal hygiene and do they keep their hands clean? Does the market have water supply and sanitation facilities? Are there any factories in the vicinity of the community? Are chemicals used or stored in the community? How are they stored? How are chemicals disposed of? What cooking fuel is used in the community? Where do people cook in the community? What materials are used for house construction? 188 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Educational dropout of children especially girls? Child labour cases? Early marriage cases? Does the community have problems of alcohol abuse and substance abuse? Are the people still getting relief services (ration) from the Govt.? How many people in the village avail those services? What is their vision in terms of health or how do they want to see their village in terms of health? In addition to the above questionnaire, the Village Health Information Schedule has been used for conducting House Hold Surveys for need assessment in the Villages and accordingly the District Health Plan was made. Common Priority Areas Identified for improving Health Services (Village Level) Health Facilities: Equipping the existing services with instruments and laboratory so that they can provide better services (BP machine USG machine, CT scan, X-Ray and OT for surgery). Recruiting the staff needed in the sub centres and PHCs. Appointment of ANMs, doctors and specialists; gynecologists, child specialist, pathologists and laboratory technicians. Awareness drives about using existing facilities to be carried out. Setting up more sub centres equipped with staff and facilities. Referral support needs to be strengthened CHC to be set up with advanced medical facilities as per the IPHS. Improvising Referral Transport. Community Monitoring of the Facilities being provided at each facility. Maternal Health Pre and post natal check up with follow up. 189 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Need based implementation of JSY (Janani Suraksha Yojana) and its monitoring. Early detection of complication, checkups and referral services. Support for caesarian sections. Awareness drives on the subject of immunization schedule and nutritional diet charts. Child Health including Neonatal Health: Training of pregnant women and mothers regarding new born care. Immunization of all children of the village. Prevention and treatment of diarrhoea, ARI and other childhood disease. Family Planning: Improving facilities for permanent contraception at PHC and sub centres. Improving facilities of copper’ T’ insertion at sub centres. Free supply of oral pills and condoms at sub centres. Listing out eligible couples by house hold survey. Family planning services (tubectomy, vasectomy etc). Nutrition: House hold survey of malnourished children. Vitamin supplementation doses for children of 2-6 yrs of ages. Regular IFA supply at all schools for girls. Regular IFA small supply at all AWCs. Malaria: Awareness drives Blood samples collection from all vulnerable area of the village. Presumptive treatment for all suspected fever cases. Regular spray of DDT in short intervals and introducing new kinds of insecticides. 190 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Medical treatment for all positive cases. Supply of impregnated mosquito nets and quarterly spray activities. Lymphatic Filariasis, Dengue and Japanese Encephalitis Diarrhoea: Regular awareness campaign at a larger level to encourage the safe drinking practices. Encouraging chlorination of well, ponds and other water resources. Regular water testing facility in the sub centres. Survey to find out and prevent any epidemic. Birth & Death Registration: Facilitating the birth and death registration process at the PHC and sub centre levels and ASHA involvement in doing so. Infant and maternal death audit. BCC/IEC activities Using better techniques for promotion of health and hygiene. Preparing and displaying visibility material for BCC. Collecting and disseminating health and hygiene materials from different sources. Drinking Water: Promoting use of safe drinking water. Regular quality checks up of the water storage system. Awareness drives and campaign about methods and quality checks at home. Sanitation: Discouraging the practices of open field defecations. Installing of dustbins at every institution and public places. 191 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Implementing waste management system at village level. Mobilizing the community for using sanitary house hold toilets. Other Initiatives: Conducting health camps annually / half yearly for dental, cataract and other eye infections, kidney stones and UTI problems. 192 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands B. 1.2. ASHA: During the year 2008-09, since Ministry of Health & Family Welfare has instructed that we can have ASHAs in only in tribal areas and accordingly 49 ASHA were selected in Nicobar District. However, during the year 2009-2010, Ministry gave approval for having ASHAs all around throughout A&N Islands. Accordingly, the facilitator trainings were conducted for ANMs, Anganwadi Workers for the selection and training of ASHAs in South Andaman & North and Middle Andaman District. Till date a total of 407 ASHAs have been selected i.e. 53 ASHAs in Nicobar District, 219 ASHAs in N&M Andaman District and 135 ASHAs in South Andaman District. Household survey have been carried out by the District Health Societies of all the 3 Districts with the help of ASHAs. A data base of ASHAs containing her name, address, telephone No. and other important details are being maintained in all the concerned District Health Societies. ASHAs are actively involved in community mobilization for control of diseases under vertical programmes and they are trained for diagnosis and control of diseases like malaria, TB and other diseases. They have a great contribution in increase in institutional delivery. Community level monitoring are proposed to be evolved this year as suggested in the report by the Common Review Mission Team Members deputed by the Ministry of Health & Family Welfare, GOI. The composition of the drug kits of ASHAs will be included with AYUSH formulations i.e. Homoeopathic and Ayurvedic depending on the choice of the community. The Compensation packages for ASHAs has been implemented and are being amended from time to time based on the guidelines received from respective health programmes / MOHFW, GOI on case to case basis. 193 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Initiatives Taken: Till date a total of 407 ASHAs have been selected i.e. 53 ASHAs in Nicobar District, 219 ASHAs in N&M Andaman District and 135 ASHAs in South Andaman District. All ASHAs have been issued Identity Cards. Compensation for ASHA has been implemented in the month of Oct 2008 on case to case basis. From this year onwards, ASHA Drug Kits are proposed to be included with AYUSH Formulations. Details of ASHAs selected throughout A&N Islands are as follows: Program Component A&N Islands No. of ASHA selected vs target No. of ASHA selected vs target in % 407/407 (4 more ASHAs added this year in Nicobar District) 100% Total no. of training Days completed (mention round of training) 7+4+4+4+4 = 23 Days completed for all 407 ASHAs No of trained as % on selection Module 1 - 100% Module 2 - 100% Module 3- 100% Module 4 – 100% Module 5 – 100% Distributed to all 407 ASHAs Drug Kit distribution to ASHAs ( % against selected ASHAs) Availability of united schedule of ASHA payment Incentive package framed as per norms prescribed JSY Rs.200/- Immunization Constitution of State ASHA Resource Centre --Not Yet 194 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Constitution of State ASHA Mentoring Group Monitoring & Support System Not Yet Meeting schedule happenings of ASHA Monthly Review meetings held at PHC Level Indicator defined (What are the jobs exactly ASHAs are doing) JSY & Referral, ANC, Sterilization, VHNDs including nutrition, immunization DOTS – Provider,Pregnant Women & Infant Death reporting,Cataract case detection under NPCB, Multi Bacillary & Pauci Bacillary case detection under NLEP,Depot holder for minor ailments,Monthly Review Meeting at PHCsRegular House Visits. Through SPMU & DPMU as well as MPW Training School having Master Trainers. ASHAs days are being observed every month to monitor the services of ASHAs 1. Number of ASHA Number of ASHA Number of Number of Shortfall Required as per ASHA se- ASHA engaged Rural population lected 407 407 407 Target for 201213 NIL 2. Status of ASHA Training Sl.No. Module 1 Module 2 Module 3 Module 4 Module 5 Module 6 Module 7 Number of ASHA Trained Target for 2012-13 All 407 ASHAs were trained upto 5th Module Training Nil Nil 407 407 195 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 3. The timely and sustainable availability of drug kits Number of ASHA Engaged Number of ASHA having Drug Kits Shortfall Target to achieve shortfall Status of Drug Replenishment in 2011-12 % Utilization of Drug Kits (No. of ASHA replenished drug kits/Total no. of ASHA having drug kits) 407 407 Nil Nil 100 % 4. Proposed Performance incentive with rates Sl.No. Incentive 1 2 Incentive under JSY Incentive under Maternal Health Incentive under Child Health Incentive under immunization programme Incentive under Family Planning Incentive under DOTS Programme Incentive under leprosy Programme Incentive under Disease control Programmes (NVBDC P Incentive under NPCB 3 4 5 6 7 8 9 Amount proposed Total Amount per ASHA proposed(Rs.) 600 100/- 50,000/- 250/- 20,000/- M B :500/PB : 300/- 45,500/5,00,000/- 175/- 5. Non monetary incentives proposed for ASHAs Equipping ASHAs with Support Materials 196 PIP of 2012-13 Document 15,000/- PIP of Union Territory Health Mission, A&N Islands 6. Availability of HR for ASHA Human resource Sanctioned as per In posi- Shortnorms tion fall ASHA Coordinator at State Level ASHA Coordinator at District Level ASHA Coordinator at Block Level/Block Community Mobilizer for ASHA ASHA Facilitator Any other specify NIL Nil Nil Target for 201213 1 Nil Nil Nil 1 Nil Nil Nil Nil Nil Nil Being facilitated by the DPM of the Districts please B. 1.3. Village Health Sanitation & Nutrition Committee (VHSNC) Village Health Sanitation & Nutrition Committee (VHSNC) has been constituted for about 275 villages of Andaman & Nicobar Islands with Pradhan / Tribal Captain of the Village as its Chairperson. The Village Health & Sanitation Committee is responsible for the Health and Sanitation needs of the village and also the Untied Fund may be used as a Revolving Fund for the betterment of the poor people of the village. Planning done at the Village level by the Village Health Sanitation & Nutrition Committee is forwarded to the PHC/Cluster level to be discussed with the Rogi Kalyan Samiti (planning committee) of the Primary Health Centre and forwarded to Block level and from the Block Level the consolidated plan of the Block forwards it to the District Health Society to prepare the District Health Action Plan for the District. 197 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands District wise details of Village Health Sanitation & Nutrition Committees Constituted South Andaman District - 77 North & Middle Andaman District - 138 Nicobar District - 60 - 275 Total Activities to be carried out: Preparation of ‘VILLAGE HEALTH PLAN’. Conducting cleanliness drive, sanitation drive etc. Organizing ‘Village Health & Nutrition Days’. Conducting Household Surveys. Progress made so far (VHSNCs): Activity Cumulative Achievement so far No. of Revenue village 547 No. of Village Health Sanitation & Nutrition Committees 275 Constituted No. of Joint Account opened 275 Total funds released to VHSCs (in lacs) 77.09 lacs Total amount spent by VHSC so far 30.26 lacs Total unspent balances 46.83 lacs No. of VHSNC members trained 1250 198 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands B. 1.4. Untied Funds: Untied Funds & Annual Maintenance Grants for Sub centre: There are a total of 119 Sub-centres in Andaman & Nicobar Islands to provide Basic Health Care services to the people at the village level through the Health Workers and all of them are in Government Buildings, however some do not have residential facilities at the Sub Centre. There are 40 sub centers in the Nicobar district among them only 06 Sub centre is in permanent building and remaining is functioning in temporary prefab structures. Due to the topography of Andaman & Nicobar Islands most of the Islands are in the scattered form because of which providing the health facilities/services to the community living in the remotest Island becomes difficult and becomes a challenging task as well. Making the Sub Centres 24X7 functional such that basic health care to be provided at the village itself serves the purpose to some extent. In order to strengthen the sub-centres, GOI has provided Rs.10,000/- per annum for each Sub Centre and a Joint Account has already been opened and being operated by the ANM and Pradhan. The fund is being used after taking the approval of Village Health & Sanitation Committee of which the Pradhan/Tribal Captain of that village is the Chairperson. Similarly, GOI has provided Rs.10,000/- per annum for each Sub Centre for Annual Maintenance Grant and a Joint Account has already been opened and being operated by the ANM and Pradhan. Guidelines have been issued to the Sub-centres and also trainings have been imparted to the ANMs for utilizing the untied fund. Some are as follows, Minor repair of Sub-centres. Adhoc payment for cleaning services after child birth & other sessional activities. Transport of samples/drugs during epidemics Labour wages for environmental cleanliness / sanitation. Emergency transport services Reward / Payment for certain identified activities. 199 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Joint operation of the account by ANM and Pradhan of the village. Involvement of the Village Health & Sanitation Committee. Taking up minor repair works of the Sub Centre building. Making the residential Facility available for ANMs. Adhoc payments for cleaning personnel. Maintaining Transparency in the Expenditure of the funds. Untied Funds And Annual Maintenance Grants for PHCs Primary Health Centres are not being maintained properly due to lack of steady fund, available locally for repair/refurbishing of infrastructure and basic facilities. Therefore GOI has released the Untied Fund for Primary Health Centres for strengthening the basic facilities at the Primary Health Centres. The responsibility of utilization of this fund will be on the Rogi Kalyan Samitis (RKS) / Hospital Management Society (HMS) constituted for the Primary Health Centres. The Bank Accounts of the Rogi Kalyan Samitis of almost all the Primary Health Centres have been opened in the concerned districts. There are a total of 22 Primary Health Centres and out of the PHCs some of them need major repair and renovation. In rural hospitals, the provision for the staff quarter is also a major concern. Activities to be carried out: Effective functioning of RKS in PHCs. Approval of the Rogi Kalyan Samiti/Hospital Management Society for carrying out any type of activity. Providing untied funds @Rs. 25,000 and Annual Maintenance Grant @ Rs. 50,000 to 22 PHCs A separate register be maintained in the PHC giving sources of funds clearly for various activities. PHC untied fund shall be kept in the bank account of the concerned Rogi Kalyan 200 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Samiti(RKS)/Hospital Management Society(HMS) concerned. Rogi Kalyan Samiti will undertake and supervise the work to be undertaken from Annual Maintenance Grant. Funds will be spent and monitored by RKS. Suggested areas where Untied Fund may be used : Minor modifications to the Center- curtains to ensure privacy, repair of taps, installation of bulbs, other minor repairs, which can be done at the local level. Provision of running water supply. Provision of electricity. Adhoc payments for cleaning up the Centre, especially after child birth. Transport of emergencies to appropriate referral centres. Transport of sample during epidemics. The Annual Maintenance Grant for PHCs may be utilized for the following : The repairs & renovations on the basis of Facility Survey. The progress of work should be monitored by Rogi Kalyan Samitis. Maintaining transparency in doing so. Progress made so far: Activity No. of Revenue Villages Number of Village Health Sanitation & Nutrition committees constituted (specify if panchayat level) No. of Joint Account opened Total funds released to VHSCs (Rs. In lakh) Total amount spent by VHSCs so far Total unspent balance Number of VHSNC utilized less than 50% of fund (in 2010-11) No. of VHSNC members trained No. of Village Health Plan Prepared Cumulative Achievements so far 547 275 275 76.65 49.25 27.40 54 57 112 201 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands B. i. c Untied Fund: Cumulative achievements so far: Facility level Untied Fund for SCs Untied fund for the facility below PHC & above SC Untied Fund for PHCs Untied Fund for CHCs Untied Fund for SDH Untied Fund for DH Number of facilities in position as per norm Number of facilities received untied fund (2011-12) 119 115 Total amount released so far Total amount utilized 52.07 41.29 No. of Unspent facilities balance that have utilized less than 50% of their funds in 2010-11 7 10.78 - 22 19 16.4 13.84 2 2.56 4 4 5.64 3.64 - 2.00 0 0 - 0 0 - 202 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands B. i. d. Annual Maintenance Grant: Requirement of funds: Facility level AMG for SCs AMG for the facility below PHC & above SC AMG for PHCs AMG for CHCs AMG for SDH AMG for DH Number of facilities situated in Govt. Building Number of facilities received AMG in 2011-12 115 115 115 27.21 16.29 2 10.92 - - - - - - - 22 22 19 33.13 24.78 2 8.35 4 4 4 8.58 6.58 - - - - - - - - - - - - - - 203 PIP of 2012-13 Document Total Total amount amount released utilized so far (Rs. In lakh) No. of Unspent facilities balance that havbe utilized less than 50% of their funds in 2010-11 Number of facilities in position as per norm 2.00 PIP of Union Territory Health Mission, A&N Islands B. i. e Rogi Kalyan Samiti: Cumulative amount released to Rogi Kalyan Samitis and amount utilized so far: Facility Number RKS District Hospital Sub Divisional Hospital Community Health Centres Primary Health Centres Other health facilities (Please Specify) of Total amount released so far Total amount utilized No. of fa- Unspent cilities that balance have utilized less than 50 % of their funds in 2010-12 03 50.51 35.51 - - - - - 04 14.68 10.68 - 4.00 22 57.14 39.44 - - - 15.00 17.70 - - Information on Programme Management Units Level SPMU No. of Regular No. of contractual Staff Staff in important positions like Programme managers and Consultants who have been employed for their technical expertise Nil 01 DPMU Nil BPMU NA Total 17 18 03 09 12 - - - 04 26 30 204 PIP of 2012-13 Document No. of contractu- Total number al support staff of Staff in such as pro- SPMU gramme assistants/DEOs/ typists/peons PIP of Union Territory Health Mission, A&N Islands B. 1.6. Rogi Kalyan Samiti: Rogi Kalyan Samiti is a simple, yet effective management structure, which is a registered society, acting as a group of trustees for CHC/ hospitals/ to manage the affairs of the hospitals. It consists of members from local P.R.I., NGOs, local elected representatives and officials from Government Sector, who are responsible for proper functioning and management of hospitals/ CHCs/ FRUs. The RKS is free to prescribe, generate and use the funds placed with it, as per its best judgment for smooth functioning and maintaining the quality of services. Orientation of the Rogi Kalyan Samitis/Hospital Management Societies constituted for the District Hospital, Community Health Centres and Primary Health Centres is a key activity to be carried out in order to sensitize the Rogi Kalyan Samiti/Hospital Management Society constituted. One of the main responsibilities of the RKS/HMS is the Upgradation of District Hospitals, Community Health Centres and Primary Health Centres to the level of Indian Public Health Standards. Rogi Kalyan Samitis for District Hospitals : There are a total of 3 District Hospitals and as desired by the Govt. of India excluding the FRU, the Rogi Kalyan Samitis (RKS) / Hospital Management Society (HMS) for both the District Hospitals (i.e. BJR Hospital Car Nicobar & Dr. R.P Hospital Mayabunder) have already been constituted and registered. These RKS/HMS constituted for the District Hospitals will be responsible of the Availability of Services at the District Hospital and also the delivery of Quality with various Services provided by the District Hospital. Cleanliness and Transparency in the accounts are also considered as a main objective of RKS/HMS of District Hospital. This year as per the decision taken by the Executive Committee of the State Health Society, A&N Islands for G.B. Pant Hospital, which is the only FRU of A&N Islands, the Rogi Kalyan Samiti is proposed to be constituted and registered this year. In this year the budget for the 205 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands above mentioned RKS is proposed in the PIP. The fund released to RKS/HMS will be managed by the Rogi Kalyan Samitis constituted for the Hospitals and also meetings are planned under regular intervals by the District Health Societies respectively. The District Health Societies will be responsible for the effective functioning of these RKS / HMS constituted for the District Hospitals and also will be submitting the Utilization Certificates for various funds disbursed accordingly. Rogi Kalyan Samitis for Community Health Centres There are a total of 4 Community Health Centres (CHCs) in Andaman & Nicobar islands namely Community Health Centre Bambooflat situated at South Andaman District, Community Health Centre Nancowry situated at Nicobar District, Community Health Centre Rangat & Community Health Centre Diglipur both situated at the District of North & Middle Andaman. These RKS/HMS constituted for the Community Health Centres will be responsible of the Availability of Services at the District Hospital and also the delivery of Quality with various Services provided by the District Hospital. Cleanliness and Accountability are also considered as main objectives of RKS/HMS of Community Health Centres. As per the guidelines of the National Rural Health Mission (NRHM), the Rogi Kalyan Samitis (RKS) / Hospital Management Society (HMS) for all the 4 Community Health Centres (CHCs) have been constituted and registered. The fund released to these RKS/HMS also will be managed by the Rogi Kalyan Samitis constituted for the Community Health Centre and also meetings are planned under regular intervals by the District Health Societies respectively. The District Health Societies will be responsible for the effective functioning of these RKS / HMS constituted for the Community Health Centres and also will be submitting the Utilization Certificates for various funds disbursed accordingly. 206 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Rogi Kalyan Samitis for Primary Health Centres There are a total of 22 Primary Health Centres (PHCs) in Andaman & Nicobar Islands, 10 Primary Health Centres (PHCs) under South Andaman District, 04 Primary Health Centres (PHCs) under Nicobar District and 08 Primary Health Centres (PHCs) under the District of North & Middle Andaman. These RKS/HMS constituted for the Primary Health Centres will be responsible of the Availability of Services at the Primary Health Centres and also the delivery of Quality with various Services provided by the Health Centre. Cleanliness and Accountability are also considered as main objectives of RKS/HMS of Primary Health Centres. As per the guidelines of the National Rural Health Mission (NRHM), the Rogi Kalyan Samitis (RKS) / Hospital Management Society (HMS) for all the 21(+1) Primary Health Centres (PHCs) have been constituted and registered and the accounts of all the Rogi Kalyan Samitis of all the 21(+1) PHCs have been opened. The funds released to these RKS/HMS also will be managed by the Rogi Kalyan Samitis constituted for the Hospitals and also meetings are being planned under regular intervals by the District Health Societies respectively. The District Health Societies will be responsible for the effective functioning of these RKS / HMS constituted for the Primary Health Centres and also will be submitting the Utilization Certificates for various funds disbursed accordingly. Activities to be carried out: Conducting the Situational Analysis of the concerned Health Facility and the concerned community availing the services. Identifying the problems faced by the patients in DHs/CHC/ PHC. Income Generation for the Health Facility. Upgradation of the health facility as per the Indian Public Health Standards. Making arrangements for the maintenance of hospital building (including residential buildings), vehicles and equipment available with the hospital. Public Private Partnership for the improvement of support services such as Laundry Services, Sanitation and Security Services of the concerned Health Institution. Community Participation for Hospital Management. 207 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Health Facilities Number of RKS meetings held in 2011-12 Target for 2012-13 DH Level 7 12 SDH Level - - CHC Level 8 16 PHC Level 41 88 Any other - - B. 2 Health Care Infrastructure: B. 2.1. Civil Construction: State’s requirement of Infrastructure DH SDH CHC PHC SHC 3 0 4 22 119 Existing facilities 3 0 4 22 119 Shortfall - - - - - Mapping of facilities undertaken Y Y Y Y Y Requirement of facilities under- - - - - - - - - - - - - - - - Required as per population norms taken Requirement of facility up gradation after mapping exercise as per IPHS New construction proposed under NRHM after gap analysis for 208 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 2011-12 Facilities proposed for up grada- - - - - - tion after gap analysis for 201112 Cumulative achievement since launch of NRHM: PHC New constructions of PHC building Nil 0.00 Renovation of PHC building 17 48.56 Setting up of new PHCs Nil 0.00 Upgradation of PHCs 17 63.72 Availability of 24x7 services 19 NA New constructions of CHC building Nil 0.00 Renovation of CHC building 04 39.33 Setting up of new CHCs Nil 0.00 Upgradation of CHCs 04 111.22 Blood storage unit Nil 0.00 Strengthening of District Hospitals 03 125.15 Upgradation of SDH Nil 0.00 Renovation of SDH Nil 0.00 Renovation of DH 03 58.40 CHC SDH/DH 209 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands B. 2.2. Mobile Medical Units / Emergency Referral Transport: Activity Cumulative Achievements so far Physical Financial 2007- 2008- 2009- 2010- 2011- 2007- 2008- 2009- 2010- 201108 09 10 11 12 08 09 10 11 12 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Year Mobile Medical Unit (MMU) provided under NRHM MMUs Nil from other sources Nil Nil Nil Nil Nil Nil Nil Nil Nil * It was decided that instead of MMUs, Ambulances for improving referrals services will be procured. Proposal for new Constructions: S.No Type of Health Institute New Construction Physical Target 1 2 Budget Required Repairs/Upgradation Proposed Timeline for Completion District Hospital Sub District Hospital 3 CHC 4 PHC 5 SC Total 210 PIP of 2012-13 Document Physical Budget Target Required (In lacs) Total Proposed PhysiTimeline cal for Com- Target pletion Budget Required 03 233.32 March, 2013 03 233.32 - - - - - 03 36.50 03 36.50 17 227.14 17 227.14 34 140.00 34 140.00 54 636.96 54 636.96 March, 2013 March, 2013 March, 2013 PIP of Union Territory Health Mission, A&N Islands B. 10. District Plans: (FY 2012-13) Name of the district PIP Prepared Whether DHAP format followed Resource envelop indicated by the State (Rs. in lakh) Amount proposed by the Amount approved to district district (Rs. in lakh) (Rs. in lakh) South Andaman District Y Y 570.22 756.09 - N&M Andaman District Y Y 504.35 800.08 - Nicobar District Y Y 381.04 643.02 - 211 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands ACTIVITIES PLANNED MNGO / FNGO Programme: Partnership with NGOs in delivering Reproductive and Child Health (RCH) services through mother NGO (MNGO) to the marginalized population of the un-served and under-served area will be done under this programme. Basically the MNGO & FNGOs will be working concertedly in sub-centers & with VHSNCs for demand generation at the grass-root to have access to RCH services and information and for addressing the unmet needs of the identified targeted population. This is for effective decentralization, flexibility in decisionmaking, timely release of funds and adequate accountability systems. Apart from the regular ongoing activities, the MNGOs will be supplementing and complementing in implementation of both state and central Govt. sponsored schemes and programmes. Some of the thrust areas where these MNGOs/FNGOs are expected to deliver their services are as follows: Organizing & conducting ASHA training programme. To mobilize SHGs on gender, health and nutrition Implementation of School Health Programme Act as a member of the Rogi Kalyan Samiti and facilitate the functioning of village health and sanitation committee Advocacy for better implementation of JSY Continuously persuading the elected PRI representatives for involvement in ongoing health programme through sensitization, orientation training and dialogue. Conducting Village Health & Nutrition Days. 212 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Preparation of Village Health Plans. This year in Andaman & Nicobar Islands the implementation of MNGO /FNGO Programme is proposed for better Maternal & Child Health Care. This will be done in coordination with CINI, Kolkata which is the regional nodal agency of Andaman & Nicobar Islands recognized by the Ministry of Health & Family Welfare, GOI. In A&N Islands, 08 areas were identified for implementation of this Programme. The details are: South Andaman District: Port Blair & Ferrargunj Area Little Andaman Area North & Middle Andaman District: Rangat Area Mayabunder Area Diglipur Area Nicobar District: Car Nicobar Area Nancowry Groups Campbell Bay Under NRHM, 8 areas of A&N Islands have been identified to carryout RCH activities by means of MNGO scheme in coordination with CINI, Kolkata. For implementation of MNGO Scheme, a total 02 NGOs namely Voluntary Health Association of India (VHAI)-Aparajita & PRAYAS have been selected as MNGOs for all three districts of Andaman & Nicobar Islands. The details of fund release are as follows: Giving one time preparatory grant of Rs 1 lakh to the MNGOs 213 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Giving Rupees 12 lakhs / district per year to the MNGO-FNGO team for three consecutive years (with renewal every year) upon sanctioning their project proposal. Health Infrastructure Development This year 5 new Sub Centers have come up one namely Sub-Centre Tsunami Pahad and four in the Tribal areas viz, Phillolow, Afra Bay, Makkachua & Shastri Nagar of Campbell Bay Sub Division which got devasted in the Tsumani of 2004. These Sub Centers are covering proportionate population and by releasing yearly grants an effort can be made to upgrade these sub centers to make it functional 24x7. As of now there are a total of 119 Sub-centres in Andaman & Nicobar Islands to provide Basic Health Care services to the people at the village level through the Health Workers and all of them are in Government Buildings, however some does not have residential facilities at the Sub Centre. Since due to the topography of Andaman & Nicobar Islands most of the Islands are in the scattered form and due to this providing the health facilities/services to the community living in the remotest Island becomes difficult and a becomes a challenging task as well and for this, making the Sub Centres 24X7 functional such that basic health care to be provided at the village itself serves the purpose to some extent. There are a total of 04 Community Health Centres and 22 Primary Health Centres (in addition to it, one being constructed) out of the PHCs some of them need major repair and renovation. In rural hospitals, the provision for the staff quarter is 214 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands also a major concern. It is proposed to undertake and provide permanent water supply to all the Health Institutions. Since almost all CHC/PHCs were constructed way back, most of them are in dilapidated condition and need one time repair including the repair of vehicles at the respective health facility. Activities to be carried out: a. Repair and renovation of Sub Centres. b. Provision of Additional ANMs, Public Health Nurses & Ophthalmic Assistants at all the respective Health facilities. c. Construction of Labour Room in all the Sub centres & providing residential facilities for ANMs at Sub Centres. d. Repair and maintenance of available vehicles. e. Repair and maintenance of equipments. 3.5 Institutional Strengthening The Community Health Centre & Primary Health Centres are playing a major role towards providing health facilities and services in A&N Islands. That’s why there is need to upgrade all the Community Health Centres & Primary Health Centres to the level of Indian Public Health Standards (IPHS) and making the PHCs 24x7 functional. The following are some selected health institutions, which are selected for phase wise up-gradation to IPHS and the details of the activities to be carried out are as follows: SUB CENTRE (SCs) Since Sub centres are the first contact point of the Community therefore making the Sub Centres functional on 24 X 7 basis becomes the main priority. The Equipment 215 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands provided to the Sub-Centers should be adequate to provide all the assured services in the Sub Centers. This will include all the equipment necessary for conducting safe deliveries, immunization, contraceptive services like IUD insertion, etc. Maintenance of the equipment has to be ensured either through preventive maintenance/ prompt repair of non-functional equipment so as to ensure uninterrupted delivery of services. The equipments required at Sub-Centers are detailed below:- South Andaman District: Fund requirement for upgradation of Sub-Centres S No 1 Name of the Sub centre Hopetown 2 Stewartgunj 3 Shorepoint 4 Wandoor 5 Rutland 6 Guptapara 7 Nayasehar 8 Chouldhari 9 Miletilak 10 Shoal Bay - 12 Requirement Fencing around SC. Repair of approach road to SC. Over head tank facility at SC. Fencing around SC. Fencing around SC. Repair of leakage of roof. Separate room for antenatal check up. Repair of SC with rewiring. Changing of Pipelines. Barbed wire fencing. Painting of SC Fencing/Barbed wiring of SC. Electrification of SC Barbed wire fencing. Rewiring of Building. Fencing/Barbed wiring of the compound. Maintenance of Water tank. Painting of SC. Barbed wiring of SC. Repair of SC with rewiring. Renovation of SC. Extensions of SC Miletilak with attach staff quarter. Fencing around SC with green mesh and concrete pole. Repair and Renovation of Sub center 216 PIP of 2012-13 Document Estimated Cost (In Rs.) 3.00 1.00 3.00 1.50 1.50 1.00 1.00 1.50 10.00 05.00 PIP of Union Territory Health Mission, A&N Islands 11 Shoal Bay - 19 Repair and Renovation of Sub center. Solar Home Lighting Systems Reconstruction of Sub Center building Barbed fencing with RCC pillar. 05.00 12 Manarghat 13 Krishna Nagar 14 Kalapather 2.00 19 Construction of Footpath. Barbed wire fencing with RCC pillar Rampur/Sitapur Renovation of Sub Center. Fencing with separate Entrance Gate in Subcenter. Water Supply Facility in Subcenter Farm Tikrey Dressing table Fridge Almirah Sterlizer Permanent fencing of SC area with gate. Onge Tikrey Dressing table Fridge Almirah Sterlizer Permanent fencing of SC area with gate. Netaji Nagar Dressing table Fridge Almirah Sterlizer Permanent fencing of SC area with gate. Prothrapur Fencing 20 Brichgunj Fencing 1.00 21 New Bimblitan Fencing 1.00 22 Beodnabad Fencing 1.00 23 Terlyabad Fencing 1.00 24 Carbin Quary Fencing 1.00 15 16 17 18 TOTAL 1.00 3.00 1.5 1.5 1.5 1.00 90.00 217 PIP of 2012-13 Document 40.00 PIP of Union Territory Health Mission, A&N Islands Kalapather SC without Footpath N & M Andaman District: There are a total of 41 Sub-centres in Andaman & Nicobar Islands to provide Basic Health Care services to the people at the village level through the Health Workers and all of them are in Government Buildings, however some of the SubCentres do not have residential facilities. Since due to the topography of North & Middle Andaman District, most of the villages are located in far flung areas and for that providing the health facilities/services to the community living in the far flung areas becomes difficult and also becomes a challenging task as well and for this, making the Sub Centres 24X7 functional such that basic health care to be provided at the village itself serves the purpose to some extent. Since Sub centres are the first contact point of the Community therefore making the Sub Centres functional on 24 X 7 basis becomes the main priority. The Equipment provided to the Sub-Centers should be adequate to provide all the assured services in the Sub Centers. This will include all the equipment necessary for conducting safe deliveries, immunization, contraceptive services like IUD insertion, etc. Maintenance of the equipment has to be ensured either through preventive 218 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands maintenance/ prompt repair of non-functional equipment so as to ensure uninterrupted delivery of services. There are 41 Sub-Centres in the District of North and Middle Andaman and as per the Up gradation funds sanctioned in this year, efforts are being made judiciously to improve the existing infrastructure of the Sub-Centres. Also as per the survey done in this financial year, it has been found that some of the Sub-Centre buildings of N&MA is in dilapated condition and needs to be renovated. Therefore Rs. 50, 00,000 is being proposed for up gradation of the 10 Sub-Centres of North and Middle Andaman for the financial year 2012-13. In the next financial year a total of 10 Sub Centres has been selected for repair and renovation @ Rs.5/- lakhs each. PRIMARY HEALTH CENTRE (PHCs) During the current year, a new Primary Health Centre (PHC) has come up and is functional namely PHC Gandhinagar. This PHC is located at Gandhi Nagar village of Campbell Bay sub division and was fully devastated in the tsunami which got hit on 26th December, 2004. Now this has been re-constructed and made functional and it is a 10 bedded hospital and with a bed occupancy rate of 60%. Average daily OPD attendance is approximately 40 and basic services namely, Ante-Intra-Post natal care, New Born Care Child Care including immunization, Family Planning counseling, general OPD service, and others are being provided effectively. This year the plan for Upgradation of various PHCs functioning in Andaman & Nicobar Islands is detailed as below: 219 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands South Andaman District: Name of the PHC PHC Manglutan PHC Ferrargunj Details PHC Tushnabad o o o PHC Wimberlygunj Estimated Cost (In Lacs) Rs.20.00 (Approx) Room for LMO. Store for QMS items. Barbed wire fencing/compound wall for 3 sides of PHC. X-Ray Machine Rs.2.50 (Approx) Stretcher for ambulance Nebuilzer Incubator Delivery tray Baby warmer Wheel Chair Cardiac patient special bed Stethoscope Glacometer Hemoglobin Meter Re-Construction of X- Rs.18.00(Approx) ray room and Dark room. Construction of 10 beded Labour Ward with Labour room and duty room. Construction of Ophthalmic room. Repair and renovation of existing operation theratre. Renovation of Old male ward to a conference hall for conducting National Health Programme and monthly meeting. Renovation of Immunization and ANC Clinic. Procurement of New Rs.10.00 (ApAmbulance. 220 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands PHC Gharacharma PHC Neil PHC R.K.Pur PHC Hutbay Procurment of Cardiac Monitor. Labour room to be expanded. OPD chambers Injection rooms. Registration and record room. Store for medicine and Q.M Storage. HIV testing and counseling room in the OPD Complex. Ophthalmic testing room. Separate Labour Ward. Renovation of Mortuary with Cold Chain Facility. Postmartum Kit. Solar Water Heater. Equipment for Eye Testing and Eye Care. Blood Centifuse. Nebulizer. Sauce pan with LID. Mucus Extractor with Suction Tube. Phototherapy unit. Extension of Labour Room Corridoor joining tribe (onge) ward with shed. Equipment for new born care and neonatal resuscitation. Radiant warmer for new born baby. Phototherapy unit. Laryngoscope and endotracheal intubation tubes (neonatal). Equpment for manu221 PIP of 2012-13 Document prox) Rs.15.00 (Approx) Rs.10.00 (Approx) Rs.17.50 (Approx) Rs.20.00 (Approx) PIP of Union Territory Health Mission, A&N Islands al vaccum aspiration. Equipment for assisted vaccum delivery. Equipment for assistwed forceps delivery. Baby warmer/incubator. Binocular microscope. H2S Strip test bottles. Instrument trolley – 02 Nos. Equipment for Pap smear – Cusco’s Vaginal speculum (each of small, medium and large size), Sim’s vaginal speculum – single and double ended – (each of small, medium and large size) – Anterior vaginal wall retractor. Sterlization Equipment Aqua guad water cooler (big size) – 01 No. Solar Water Heater – 01 No. Vacuum Cleaner – 02 Nos. Total Fund Proposed for Upgradation 222 PIP of 2012-13 Document Rs. 113.00 PIP of Union Territory Health Mission, A&N Islands North & Middle Andaman District: PHC Long Island: Rs.22,17,000 Sl. Name of the proposed work No Civil/Electrical Estimated Cost 1 2 Rs 5,00,000 Rs 3,00,000 Renovation of Mortuary Building Painting of the Hospital Building and Quarters Total Rs 8,00,000 Procurement of Equipments: Sl. Name of the Equipments No 1 2 Semi Auto Analyser Cell Count for 03 parts (TC, DC, Platelet Counter) Total Sl. No 1 Name of the Item Fibre Boat Qty. 01 No. Total Qty. Estimated Cost 01 01 Rs.1,17,000 Rs.3,00,000 Rs.4,17,000 Estimated Cost Rs.10,00,000 Rs.10,00,000 PHC Kishorinagar: Rs 12, 17,700 Sl. No 1 2 Name of the proposed work Construction of Garbage Pit. Construction of Mortuary Room. 223 PIP of 2012-13 Document Estimated Cost Rs. 50,000 Rs.10,00,000 PIP of Union Territory Health Mission, A&N Islands Total Sl. No Rs.10,50,000 Name of the proposed work Civil/Electrical 1 Estimated Cost Invertor Rs.50,000 Total Rs.50,000 Procurement of Equipments: Sl. Name of the Equipments No Qty. Estimated Cost 1 01 No. Rs.1,17,700 Semi Auto Analyzer Total Rs.1,17,700 PHC Billyground: Rs.17,65,000 Sl. No. 1 2 Name of the proposed work Civil/Electrical Estimated Cost Up gradation of Kitchen Solar Water Heater LPD Rs.3,00,000 Rs.65,000 Total Rs.3,65,000 Procurement of Equipments: Sl. No 1 2 Name of the Equipments Qty. Estimated Cost O.T Table Modern Laundry Equipments 01 01 Rs.1,00,000 Rs.2,00,000 Total Rs.3,00,000 Sl. Name of the Item No 1 2 3 Qty. Audio Visual Equipments Computer set with table and Chair Two Stretcher Ambulance Estimated Cost 01 Rs.50,000 Rs.50,000 01 Rs.10,00,000 Rs.11,00,000 224 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands PHC Kadamtala: Rs.12,50,000 Sl. No. Name of the Equipments 1 Blood Cell Counter (MS-45) (Five Parts differential) Qty. Estimated Cost 01 Rs.5,00,000 Referral Transport: Sl. No 1 Name of the Item Qty. Estimated Cost Two Stretcher Ambulance 01 No Rs 7,50,000 Rs 7,50,000 PHC Tugapur: Rs.10,50,000 Sl. Name of the proposed work No. 1 2 Sl. No. 1 2 Estimated Cost Toilet for Male/Female OPD Mosquito proofing of all Windows and doors of PHC Total Name of the Equipments Fowlers cots Manual All steel cots with railing Total Rs. 2,50,000 Rs. 7,50,000 Qty. Estimated Cost 03 20 Rs.1,00,000 Rs.2,00,000 Rs.3,00,000 225 PIP of 2012-13 Document Rs. 5,00,000 PIP of Union Territory Health Mission, A&N Islands Nicobar District: PHC Campbell Bay: Name of Work Extension of existing Mortuary Estimated Cost Remarks Rs.15,00,000 As per PWD building to accommodate double estimates chambered mortuary cabin PHC Gandhi Nagar: Particulars Qty. Estimated Cost (In Rs.) Requirements for a fully equipped and operational labor room for PHC Gandhi Nagar A labor table 1 50000.00 Suction machine 1 15000.00 Sterilization equipment 1 100000.00 Electricity supply with back-up facility (generator with POL) Normal Delivery Kit 1 100000.00 1 30000.00 Equipment for assisted vacuum delivery 1 10000.00 Equipment for assisted forceps delivery 1 10000.00 Standard Surgical Set 1 30000.00 Equipment for Manual Vacuum Aspiration Equipment for New Born Care and Neonatal Resuscitation 1 10000.00 1 300000.00 Deep freezer 1 50000.00 TOTAL Rs. 8,05,000.00 226 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands PHC Katchal: Construction & Equipping Labor Room At PHC Katchal, the existing labor room is not setup with adequate space in the prefabricated PHC. Even though there is a plan for constructing a new PHC, but this being a big project it would take a long period of time. Hence it is felt to construct up a prefabricated labor room adjoining present PHC premises immediately to serve the tribal community. There is shortage of some essential Labor room equipments. Hence, it is proposed to procure required equipments. Particulars Qty. Estimated Cost (In Rs.) Requirements for a fully equipped and operational labor room for PHC Katchal A labor table 1 50000.00 Suction machine 1 15000.00 Sterilization equipment 1 100000.00 Electricity supply with back-up facility (generator with POL) Normal Delivery Kit 1 100000.00 1 30000.00 Equipment for assisted vacuum delivery 1 10000.00 Equipment for assisted forceps delivery 1 10000.00 Standard Surgical Set 1 30000.00 Equipment for Manual Vacuum Aspiration Equipment for New Born Care and Neonatal Resuscitation 1 10000.00 1 300000.00 Deep freezer 1 50000.00 TOTAL Rs. 8,05,000.00 227 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands PHC Teressa: Construction & Equipping Labor Room The existing labor room is not setup at PHC Teressa with adequate space in the prefabricated PHC. Even though there is a plan for constructing a new PHC, but this being a big project it would take a long period of time. There is shortage of some essential Labor room equipments. Hence, it is proposed to procure required equipments. Particulars Qty. Estimated Cost (In Rs.) Requirements for a fully equipped and operational labor room for PHC Teressa A labor table 1 50000.00 Suction machine 1 15000.00 Sterilization equipment 1 100000.00 Electricity supply with back-up facility (generator with POL) Normal Delivery Kit 1 100000.00 1 30000.00 Equipment for assisted vacuum delivery 1 10000.00 Equipment for assisted forceps delivery 1 10000.00 Standard Surgical Set 1 30000.00 Equipment for Manual Vacuum Aspiration Equipment for New Born Care and Neonatal Resuscitation 1 10000.00 1 300000.00 Deep freezer 1 50000.00 TOTAL Rs. 8,05,000.00 228 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands COMMUNITY HEALTH CENTRE (CHCs) South Andaman District: S. No 1 Health Centres CHC Bombooflat Requirement Budget (In Rs.) Construction of compound wall/ fencing Estimate about 5 lakhs Dismantling of old building/ sanitation & kitchen upgradation Total amount Estimate about 2lakhs 07 lakhs North & Middle Andaman District: CHC Rangat Name of the proposed work Construction of Parking shed for Ambulances and drivers duty rooms Total Sl No 1 2 3. Estimated Cost Rs 4,00,000 Rs 4,00,000 Name of the proposed work Civil/Electrical Two Beds ICU ward at male ward with aluminum panel cubical cabin, with tinted glass and AC Transparent Sheet Roof for rain protection over the IP entrance approach Ramp Modification of Saraikhana (Transit accommodation) with 2 rooms in each block (2 Blocks) with provision for 2 bed in each room, RCC Cupboard with shutters, adequate ventilation and provision of drinking water supply Total Estimated Cost Rs 1,50,000 Rs 1,50,000 Rs 2,50,000 Rs 5,50,000 Procurement Of Equipments: Sl Name of the Equipments .No 1. ICU Beds with accessories 2. Compound Microscope 229 PIP of 2012-13 Document Qty. 02 Nos 01 No Approx Cost Rs 1,00,000 Rs 25,000 PIP of Union Territory Health Mission, A&N Islands 3. 4. 5. 6. 7. Centrifuge Machine Incubator Glucometer 12 Lead ECG Machine Pediatric & adult Pulse Oxymeter 8. Height adjustable Trolley 9. Infusion Pump 10. Autoclave 11. Sterilizer (Electrical) Total 01 01 04 02 01 No No No No No Rs Rs Rs Rs Rs 25,000 25,000 15,000 25,000 25,000 01 01 01 01 No No No No. Rs 10,000 Rs 20,000 Rs 10,000 Rs 20,000 Rs 3,00,000 Total Amount Proposed for CHC Rangat: Rs.12.50 Lacs CHC, Diglipur Sl No 1 2 3 Name of the proposed work Civil/Electrical Two Beds ICU ward at male ward with aluminum panel cubical cabin, with tinted glass and AC Two Beds ICU ward at male ward with aluminum panel cubical cabin, with tinted glass and AC Fencing of Garden Total Sl .No 1 Name of the Equipments Defibrillators Estimated Cost Rs 1,50,000 Rs 1,50,000 Rs 50,000 Rs 3,50,000 Qty. 01 No. Total Estimated Cost Rs 3,50,000 Rs 3,50,000 Sl. Name of the No Item Qty. 1 01 Nos Fibre Boat Total Estimated Cost Rs 10,00,000 Rs 10,00,000 Total Amount Proposed for CHC Diglipur: Rs.17.00 Lacs 230 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Nicobar District: DISTRICT HOSPITALS (DHs) South Andaman District: District Hospital G.B Pant To Procure Medical EquipEstimated cost ments like Defibrillator & about 30 lakhs Auto Analyzer. Total amount: 30.00 lakhs North & Middle Andaman District: Dr. R. P. Hospital, Mayabunder : Rs.42,05,,000 Name of the proposed work Repair, Renovation and painting of Nursing home including toilet Total Sl Name of the Equipments .No 1. 300 MA X-Ray Machine 2 Dental X-Ray Machine 3. Cardiart Defibrillator with reader 4. 5. 6. 7. 8. 9. 10. 11. Pulse Oxymeter Baby Incubator Semi Auto Analyzer ICU Bed Radiant Warmer Phototherapy Unit OT Light Ceiling ( 500 W-1000W) Infusion with syringe pump Total Estimated Amount Rs 8,00,000 Rs 8,00,000 Qty. 01 01 01 01 02 01 10 01 01 01 01 Approx Cost Rs 6,00,000 Rs 1,50,000 Rs 2,00,000 Rs 40,000 Rs 3,00,000 Rs 1,17,700 Rs 5,00,000 Rs 1,00,000 Rs 75,000 Rs 5,00,000 Rs 1,50,000 Rs 27,32,700 Total Fund Required for Dr.R.P Hospital – Rs. 35.32 Lacs 231 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Nicobar District: Bishop John Richardson Hospital, Car Nicobar: Thematic Area Services Manpower Critical Issues Specific Priorities Pediatrician, medical specialist & pathologist services are not in place. . Emergency Obstetric services should start as priority to reduce maternal and fetal mortality rate. Appointment of Specialists under NRHM. Absence of specialists such as Gynecologist, pediatrician, medical specialist, Ophthalmologist, ENT Surgeon & Pathologist. Appointment/Rotation of specialists such as Gynecologist, pediatrician, medical specialist, microbiologist & Pathologist. Training of support staff such as Staff nurses & Lab Assistants etc in ECG & other identified areas. Procurement of OT equipments to start of general surgery, orthopedic surgery & Laproscopy Construction & up gradation of fully functional ICU Physical Infra- Most of the OT equipments at structure minor OT of OPD complex to support the available specialist are not available. Intensive care unit also not in place Equipments Absence of channel for proper maintenance of medical equipments in absence of inhouse biomedical engineer. As per IPHS, required equipments can be procured. Provision of yearly maintenance can be made. Institutionalizing Intensive Care Unit: Sl.No Particulars Estimated Cost 1 Renovation of identified room as functional ICU 2 a Rs. 30,00,000 EQUIPMENTS Patient Monitoring Equipments Acute care physiologic monitoring 232 PIP of 2012-13 Document Rs. 35,00,000 PIP of Union Territory Health Mission, A&N Islands b c d system, Pulse oximeter, Intracranial pressure monitor, Apnea monitor, Life support and emergency resuscitative equipment Ventilator, Infusion pump, Crash cart, Intra aortic balloon pump. Diagnostic equipment Mobile X ray unit, portable battery generator, point of care analyzer, blood chemistry parameters. Other ICU Equipments ICU Beds, Arterial Line, Brain Stem Evoked Response Equipment, Catheter, Central Venous Pressure (CVP) Line, Chest Tubes, Electrocardiogram (ECG/EKG), Endotracheal Tube (E.T. Tube), Eye Tape, Foley Catheter, GI Tube, Intracranial Pressure (ICP) Monitor, Intravenous (IV), Intravenous (IV) Board, Jejunostomy Tube (J Tube), Leg Bag, Monitor Intensive Care Nasogastric Tube (NG Tube), Respirator/Ventilator, Posey Vest/Houdini Jacket, Shunt, "Space Boots" (Spenco Boots), Subarachnoid Screw, Support Hose/TEDS, Swan-Ganz Catheter, Tracheostomy Tube, Traction, Transducer Rs. 25,00,000 Rs. 10,00,000 Rs. 20,00,000 Disposable ICU equipment urinary (Foley) catheters, catheters used for arterial and central venous lines, Swan-Ganz catheters, chest and endotracheal tubes, gastrointestinal and nasogastric feeding tubes, and monitoring electrodes. TOTAL Rs.120,00,000 233 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Upgradation of Minor OT of newly constructed OPD Block The newly constructed OPD complex has quite spacious minor OT, which will be unjustified if not filled with required equipments. Hence, proposal is made here to upgrade the same in this Financial Year. Requirements: Sl. No. Particulars Estimated Cost 1 Operation Theatre Light Ceiling Mount Rs. 5,00,000 2 Electro cautery Rs. 5,00,000 3 Ventilator Rs. 15,00,000 4 Syringe Infusion Pump Rs. 5,00,000 5 Diagnostic Laparoscope Rs. 18,00,000 TOTAL Rs. 48,00,000 Total Fund Required for BJR Hospital – Rs. 168.00 Lacs Objectives: 1. Setting up of a mechanism to upgrade the selected health facilities to IPHS. 2. Hiring of Doctors for the PHCs/CHCs/District Hospitals as per the norms of IPHS. 3. Providing Basic amenities required at the PHCs/CHCs/District Hospitals. Activities to be carried out: 1. Taking up the Upgradation work at the PHCs/CHCs/District Hospitals. 2. Hiring of General Duty Medical Officers. 3. Study of existing transfer policy of the Health Department. 234 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 4. Setting up of a Deployment Committee for the deployment of the selected/ existing Doctors. Public Private Partnership /NGO/ Innovation One of the major initiatives taken by this Union Territory is involvement of active NGOs (since there is no presence of the Private Hospitals in these Islands which can be involved in PPP) working in Andaman & Nicobar Islands towards carrying out the School Health Programme under the NRHM and for carrying out RCH-II activites in different group of islands under NRHM under the Public Private Partnership. For the selection of MNGOs for implementing the RCH-II activities in various identified areas of A&N Islands, an Expression of Interest has been called for’ and accordingly 4 interested NGOs have participated in the same. Under NRHM, 8 areas of A&N Islands have been identified to carryout RCH activities by means of MNGO scheme in coordination with CINI, Kolkata and 2 MNGOs have been selected to function in all 3 districts of A&N Islands. UT Administration has signed an MoU with Mata Amrithanandamayi Math, Kochi, Kerala which enables us to avail the super specialist services such as Cardiology, Urology, Neurology etc. Under NRHM, UT Administration has signed MoU with 4 NGOs to carry out School Health Programme in 106 Government Schools of South Andaman & North & Middle Andaman District. By means of PPP, School Health Programme activities are carried out in various schools and large numbers of students are benefitted. The details of School Health Programme are as follow: 1. NGO Good Samaritan Trust was selected to carry out the School Health Programme in 42 Schools under five health centers which covers approx 6232 students. 235 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Name of the Health Centre Project Amount No. of schools Covered No. of students Covered 1 PHC Manglutan 781057.2 16 2,131 2 PHC Ferrargunj PHC Wimberly 3 Gunj 607471 6 670 680505 11 1,505 4 PHC Neil Island 597580 3 580 5 PHC Havelock 700346 6 1,346 33,66,959 42 6,232 Sl. No TOTAL 2. NGO PRAYAS was selected to carry out the School Health Programme in 38 Schools under two health centers which covers approx 18561 students. FOR SECOND YEAR Name of the Health Centre PHC Tush1 nabad G.B.Pant 2 Hospital TOTAL Project Amount No. of schools Covered No. of students Covered 634500 12 1,337 1073000 26 17,224 17,07,500.00 38 18,561 Sl. No 3. NGO Mata Amritanandamayi Math was selected to carry out the School Health Programme in 26 Schools under two health centers which covers approx 7922 students. FOR SECOND YEAR Sl. No Name of the Health Centre CHC Bamboo 1 Flat PHC Gara2 charma TOTAL Project Amount No. of schools Covered No. of students Covered 152394 9 2,994 304275 17 4,928 4,56,669 26 7,922 236 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands The above NGOs are allotted the SHP work as per the Memorandum of Understanding signed between the District Health Society (SA), Education Department and with concern NGO. The major activities to be done as per MoU are as given below: 1. 1 Doctor and 2 Nurses to be appointed for health check up of the school children under one health centre. 2. Printing of Health Cards and regular updation of child health profiles to be maintained in school. 3. Provision of essential micronutrients and dosages of de-worming medicine to children to be administered by health officials regularly with support from local Health Centres. 4. Providing and installation of weighing machines, height recorder and water purifier with 2 year warranty in every school. 5. Hemoglobin Colour scale set to be purchased under each health centre for hemoglobin test of children. 6. Training of teachers on promoting health care in classrooms. 7. Strengthening of yoga and physical education in schools through ToT (Training of Trainer). 237 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands PHYSICAL ACHIEVEMENT: Details No. of Schools Covered No. of Students Covered Water Purifier Installed Weighing machine installed Height recorder No. of teachers Trained for health Care No. of teachers trained for Yoga and Physical education Good Samaritan Trust PRAYAS Mata Amritanandamayi Math Total 41 14 09 64 6112 1919 3824 11855 12 8 9 29 55 7 0 62 55 0 7 0 0 26 62 26 0 0 26 26 238 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands ESTABLISHMENT OF MEDICAL COLLEGE IN ANDAMAN AND NICOBAR ISLANDS- PPP MODE The Andaman & Nicobar Administration entered into an agreement with HSCC (I), Ltd, Noida on 09.02.2009 for preparation of a Concept Plan and Detailed Project Report for establishment of Medical College in A&N Islands at a cost of Rs. 1.75 crores. Accordingly, HSCC (I), Noida, UP submitted the Concept Plan on 06.04.2009. The technical committee under the Chairmanship of Director of Health Services, A&N Islands formed to study and assess the Concept Plan had suggested certain suggestions/ modifications in the Concept Plan submitted by HSCC (I), Ltd. The HSCC (I) submitted a revised Concept Plan along with the DPR on 12.06.2009. The estimated cost for Establishment of Medical College is projected as Rs. 277.61 crores, as per the DPR. The suggestion and recommendations of the Technical Committee were forwarded to HSCC (I) Ltd on 07.07.2009, asking to re-submit revised Concept Plan and DPR by 20.07.2009. The modified DPR along with Concept Plan of the Medical College was presented before the Chief Secretary and Joint Secretary, Medical Education, Govt. of India, MOH & FW on 12.08.2009, wherein the HSCC (I) Ltd. Was asked to submit the DPR after suitable modifications, by the end of September, 2009. It was also decided in the meeting to approach the Planning Commission and Ministry of Health & Family Welfare, with the DPR for its approved by 15th October, 2009. The HSCC (I) Ltd., was also asked to submit a plan for the Upgradation of GB Pant Hospital to Teaching Hospital as per standards laid down by MCI. Further, it was decided to run the college on PPP Mode, retaining the present Hospital with the Administration. It was opted to go for a 100 seated medical College from inception itself. 239 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands It was also decided to undertake fresh topographical survey and soil testing of the land, bearing Survey No. 36/6 and 49 area 32.50 hectrs. And 10.81 hectrs. respectively situated at Dudh Line already allotted in favour of Health Department vide Deputy Commissioner’s Order No. 879 dated 08.11.1989 for construction of Medical college. To protect the land from encroachment, the work of construction of compound wall at a cost of Rs. 1.70 Crores around the Medical college site has been started by APWD. It was also decided to carry out an EIA (Environment Impact Assessment). Accordingly, M/s. Environ- Enviro Engineers Pvt. Ltd Surat has been awarded the work of conducting the environmental impact assessment (EIA) within a period of 4 months, following signing of agreement on 29.10.2009 at a total cost of Rs. 5,06,277/-. The work has been started by the consultant. The topographical survey and soil testing report received from the Executive Engineer, PBSD, APWD, Port Blair has already been dispatched to HSSC (I) Ltd., on 13.11.2009 for its incorporation in the DPR. The final Concept Plan and DPR has been submitted by HSCC (I), which is under process. Initiatives of Public Private Partnership: The major identified activities planned and being carried out under the School Health Programme are as under; 1) Draw up and maintain roster of School visits by Health Officials for regular checkups of school children. 240 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 2) Availability of Health Cards and regular updating of Child Health Profiles 3) Providing de-worming medicine and essential micro nutrients to children. 4) Installation of weighting machine and height recorder. 5) Training of Teachers in promoting health care. 6) Strengthening of Yoga and physical education in schools. 7) IEC activities to spread health messages. Objectives: Strategies Proposed: Developing models for Public Private Partnership (PPP). Resource Mapping of public and private health facilities. Involvement from adjacent States for PPP. Activities to be carried out: Selection of NGOs/private agencies. Agreement and negotiation with selected NGOs with a clean set of guidelines and model contract developed for the purpose. NGOs to take care of the Laundry, Sanitation and Security part of the Primary Health Centres. Providing health education by means of NGOs using their technical expertise. Supportive supervision, monitoring and evaluation of progress of activities, measurement of the process and impact measurement of the programme. Outsourcing. 241 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Tribal Health Among Andaman & Nicobar Islands, Nicobar District (so called Nicobar Group of Islands) holds the Tribal Community as a whole and in Nicobar District the major disease that haunts the area is Malaria & TB. Since the large population of the Tribals live in the Nicobar Group of Islands, therefore there is a need for providing better health facilities and services to these community. As we all know that the culture of a community deeply influences and determines the health behaviour of the community in general. Evidence has shown that the health problems of the tribal community need special attention as their unique distinctive culture, habitat, difficult terrain, isolation and remoteness. The major findings in the tribal areas have shown that the community due to lower awareness towards prevention of communicable diseases and due to less health education are more prone to the communicable diseases such as Tuberculosis (TB). Anemia largely affects the women in tribal communities as almost 80 % suffer from this problem in the communities. Under the NRHM special emphasis is being given to the Tribal Population towards creating awareness and improving knowledge for preventive health care among the tribal community. This year, a dedicated TB Ward in Nancowrie group of Islands in Nicobar District is proposed to be constructed as well as from the State Budget of A&N Administration, a dedicated Onge Ward in Little Andaman Area is being constructed for providing better health care to the Onge population living in Dugong Creek area, which is one of the primitive tribes of A&N Islands. Objectives: Development of an integrated Heath Care System integrating Maternal & Child Health as well as various National Disease Control Programmes such that a complete package of better health care is available for the Tribal Population keeping 242 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands their culture intact. Activities to be carried out: Making the District Hospital of Nicobar District as First Referral Unit. Additional ANMs to be appointed at sub centres. Training for community based workers, Tribal Leaders and other service providers to ensure effective and efficient timely RCH Services in tribal areas. Providing Emergency Obstetric Care at CHC level and Complicated Emergency Obstetric Care at District Hospitals by developing infrastructure facilities. Knowledge improvement among grass root workers like ANM, AWW, TBAs regarding data collection and proper documentation. Proper evaluation and scrutiny of data should be done at weekly sector level meeting for taking necessary remedial measures. Training of TBAs for delivery of RCH services and creation of awareness at village level. Monthly Village Health Days to be conducted at each and every village. Advocacy for NRHM There is a need to raise the level of knowledge and awareness about prevailing communicable and non-communicable diseases among the communities. The major diseases which haunt the Andaman & Nicobar Islands as a whole are Malaria, Tuberculosis, Sickle cell Anemia, Viral Fever, Leptospirosis, Typhoid, infective Hepatitis, Diabetics, and Hypertension etc. Other issues that need to be highlighted are Personal Hygiene, Environmental Sanitation, School Health & Sanitation Education and Safe Drinking Water which form an integral part of the NRHM activities. The following are the prevalence of diseases occurring in various districts of A&N Islands. Diseases Profile of South Andaman District 1) Viral Fever 243 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 2) 3) 4) 5) Diabetes Malaria Tuberculosis Leptospirosis Diseases Profile of M&N Andaman District 1) Viral Fever 2) Diabetes 3) Malnutrition, leading to Anemia 4) Typhiod, infective Hepatitis 5) Malaria Diseases Profile of Nicobar District 1) Malaria 2) Hypertension 3) Tuberculosis 4) Diabetes 5) Viral Fever Note: Report based on Lab Surveillance, OPD and indoor cases records, sion with physicians. discus- The objectives and Goals of the Union Territory Health Mission set for Andaman & Nicobar Islands in preventive health care. As we all know “Prevention is Better than Cure”. To achieve these goals and objectives special ‘Behaviour Change Communication Initiatives’ are to be taken to improve the Health Seeking Behaviour of the people living in remote and inaccessible areas across various scattered Islands of this Union Territory. The general overview of the diseases pertinent in Andaman & Nicobar Islands is needed to be communicated and the knowledge for the prevention is needed to be disseminated among the communities of these Islands. Objectives: To undertake advocacy at different levels to ensure & spread of health measures. To facilitate Community Based Advocacy Interventions for ensuring greater participation in health matters at the grass root level. To ensure equity in access to basic health care services and adopting substantial changes in different health sector entities for poor and vulnerable segments of 244 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands the population. Activities to be carried out: Orientation of ANMs, AWWs & PRI Members through a District level Campaign so as to sensitize them upon their joint ‘Roles & Responsibilities’ in the implementation of NRHM Activities at the Sub-centre and village level. Printing and subsequently disseminating Resource Materials to P.R.I. Members, MSS members, SHG members, Community Leaders and Target Audience on various health & related issues. Behaviour Change Communication/IEC The need for the Behaviour Change Communication (BCC) is very much necessary for a Programme for its better implementation and to achieve its Goal and objectives set. Since during the current year, Institutional Delivery in Andaman & Nicobar Islands is higher than the previous year i.e 86%(ID) and 14% (HD) compared to this year i.e 87.61% Institutional Deliveries and 12.39% Home Deliveries. There is much more need to increase the percentage of Institutional Deliveries in Andaman & Nicobar Islands to reduce the health indicators i.e MMR and IMR. For the system of delivery of health services to the poor, one needs to crystallize a mechanism that could attract people who are not into it by means of carrying out Information, Education & Communication(IEC) activities in these Islands this can be achieved. A BCC Plan is to be prepared concentrating on the issues of RCH-II Programme and also all the National Disease Control Programmes. The PRIs, Tribal Councils and a large range of community based organizations like Self Help Groups, Village Health Sanitation Committees, Mahila Samakhya Groups, provides an opportunity for seeking local levels accountability in the delivery of social sector programmes. Schools and Anganwadis would form the base of these activities. Self 245 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Help Groups, proper training of MOs, Staff Nurses, ANMs and community based organizations would be expected to bring about perceptible changes in the health status of the community. Objectives: Developing an effective BCC plan to achieve all the goals of NRHM/RCH-II as well as all the NDCPs. Strategies proposed: Evaluate & detail the quality and need of existing IEC activities. Develop Client Centered Communication strategies. To highlight issues of concern I.M.R. and M.M.R. issues and the contributing factors for high I.M.R. and M.M.R. in the State and bring about change in Knowledge, Attitude and Behaviour Practices of the target group. To enhance male participation towards acceptance of Vasectomy. To ensure equity in access to basic health care, adopting substantive changes in different health sector entities for poor and vulnerable segments of the population. Activities to be carried out: Capacity Building of MOs, Staff Nurses, Pharmacists, and ANMs and other Paramedical Staffs. Organize group meetings involving Village Health Sanitation Committee members etc. Train ANMs for dissemination of information. Observance of health days and weeks at PHC, C.H.C and District level. Develop Posters, Newsletters, Documentaries, Booklet for NRHM/RCH-II Programme highlighting IMR, MMR, TFR and also the impacts of all the National Disease Control Programmes. 246 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands ANNUAL PLAN FOR CARRYING OUT THE IEC ACTIVITIES IN ANDAMAN & NICOBAR ISLANDS DURING THE FY 2012-13 No. Of activities Sl. No. Detail Activities APR. To JUN.12 1 JULY. To SEP.12 OCT. JAN. To To DEC.12 MAR.13 Total activities Estimated cost per activity (in rs.) Total expenditure (approx.) 40 500.00 20000.00 30 400.00 1000.00 96 300.00 28800.00 Outreach Activity a)Group/Commu nity Meeting General public/ awareness generation and social mobilization 2 Out door publicity/activity b) Mike Publicity c) Mahila Swasthya sangh Meeting (RKS) 10 24 10 24 10 24 10 24 Out door activity/ Publicity 0 a) Wall Painting 0 0 b) Hoarding 2 30,000.00 60000.00 c) Banner (cloth) 0 0 18700.00 d) Polyflex Board 20 2,500.00 50000.00 Banner (cloth)/Poly flex Board 33500.00 3 Print Publicity Printing of IEC materials 0 News letter 2000.00 Booklet 20000.00 Flipchart 20000.00 Poster 15000.00 Hand bills 30000.00 Desk Calendar 2013,Logo 2000.00 Poly sticker 10000.00 Information/Rolling Chart Wall Calendar 2012,logo 20000.00 30000.00 150000.00 OPD Slips 4 Other Details Advocacy meeting (pri, local leader,ngo) Intera communication 6 6 6 6 24 2,000.00 48000.00 Folk/ cultural approach Cultural/ Folk show/ Nukkad natak/ Puppet show etc. 5 5 6 6 22 3,000.00 66000.00 Mass communication publicity Local cable TV network (Scrolling messageof awareness about disease ) 5 6 40000.00 247 PIP of 2012-13 Document for three districts (South Andaman, M/N Andaman, Nicobar) PIP of Union Territory Health Mission, A&N Islands No. Of activities Sl. No. Detail 7 Mass commnication publicity 8 Tableaux 9 Bharat nirman campaign Estimated cost per activity (in rs.) Total expenditure (approx.) Door Darshan spot/jinggle 100,000.00 100000.00 AIR Spot/jinggle 100,000.00 100000.00 35,000.00 35000.00 100,000.00 100000.00 100,000.00 100000.00 Activities APR. To JUN.12 JULY. To SEP.12 OCT. JAN. To To DEC.12 MAR.13 Local cable TV network (Scrolling messageof awareness about disease ) Present the NRHM activites by Tableaux Public Information campaign in Rural Area 1 Total activities 1 Grand Total 248 PIP of 2012-13 Document 1100000 Other Details In Republic Day PIP of Union Territory Health Mission, A&N Islands Training and Capacity Building: The success in the implementation of any programme lies in the frequency and concentration on the training programme designed for a particular programme and thereby developing the skills of the complete health personnel towards carrying out a particular activity. Training in Health Care enhances one’s capability not only in the treatment aspect but also in counseling, in community mobilization and developing the interpersonal communication skills. Designing a training programme has taken a paradigm shift in its model of designing and implementation. Trainings from just confining to classroom lectures have shifted to field based method and also have become more and more interactive which makes the training programme more effective and efficient. Worldwide it has been found that personal behaviour attitude and motivation are fundamental for true participation. Behaviours, attitudes and motivation of the trainees matters more than education and methods of training. National Institute of Health and Family Welfare is the Nodal Agency for coordinating various training activities under RCH and other programmes in the country. In Andaman & Nicobar Islands we do not have good training institutions and the training infrastructure is very low in these Islands. In the State Level the only training institution is the ANM Training School which is situated at Port Blair and in the District Level there are no training institutions at all which makes the situation more critical. 249 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Since there are no any separate training institutions present in the District level and the necessary trainings to the paramedical staffs, Medical Officers are arranged in the District Hospitals of the respective districts. There are no separate accommodation facilities for the trainees to halt even at the State Level and therefore any intensive trainings for more than one day is not possible and therefore organizing various workshops and trainings becomes very difficult. There is an urgent need for developing the Training institutions at the State Level and also there is a big need of creating the necessary training infrastructure in all the Districts of Andaman & Nicobar Islands for arranging workshops and trainings at the District level. As per NRHM’s guidelines personnel from varied fields have been engaged on contract to provide support for implementation of various programmes under the NRHM. These personnel have certain basic skills in management, finance, IEC and data entry, which needs to be further developed to enable them to effectively discharge their responsibilities in each district. Details of Training Infrastructure in Andaman & Nicobar Islands The need for the Training Institution in the districts of Andaman & Nicobar Islands are as follows and also the details of the Referral Hospitals and District Hospitals which can be developed into a training center are as follows: Name of the District Training Institution Health Institution which could be developed/used as a Training Centre South Andaman District ANM Training School, Port Blair Referral Hospital: G.B Pant Hospital, Port Blair North & Middle Andaman District (Proposed this year) District Hospital: Dr.R.P Hospital, Mayabunder Nicobar District (Proposed this year) District Hospital: B.J.R District Hospital, Car Nicobar 250 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Activities to be carried out: SBA Trainings for ANMs. Orientation Training on NRHM among the Stake Holders. Training on Integrated Management of Neonatal and Childhood Illness (IMNCI) to the ANMs. Orientation training of Faculty Members of ANM Training School and GNM Nursing School. Training of General Duty Medical Officers who are MBBS Doctors for Life Saving Anaesthetic Skills and Emergency Obstetric Care. Training Plan under NRHM this year Training of Finance and Accounts Staff: Refresher training on Accounting system followed under NRHM / Financial Reporting & Audit report preparation for Accountants working under SPMU and DPMU (Including all attached to various NDCPs) Training on HMIS Refresher training for SPMU and DPMU Officials on HMIS General Administration: Training for SPMU and DPMU on General Administration, Convergence between departments, Preparation of PIP and implementation of other activities. MCTS: Training for SPMU and DPMU Staff on Data Collection, Compiling and Reporting of data with respect to Pregnant Women & Children. Training of Health Personnel on convergence with HIV/AIDS Trainings Planned Training Load 1 20 1 day 1 1 20 2 days 1 1 20 2 days 1 1 20 2 day 1 1 100 1 Day 5 251 PIP of 2012-13 Document Duration Batches PIP of Union Territory Health Mission, A&N Islands Programme Management Unit: A State Programme Management Unit (SPMU) and District Programme Management Units (DPMU) for all the districts are functioning effectively. The Programme Management Units has been setup at the State Level and at District Level for providing the Technical Support for the Mission and also for effective implementation of NRHM in these Islands. And a decision was taken in the meeting of the Executive Committee of the State Health Society (A&N Islands) and the Directorate of Union Territory Health Mission had been strengthened by hiring the professionals of various fields for providing support to the Mission. Further the State Programme Management Unit (SPMU) is also working as the ‘State Health Resource Centre’ which is providing all the technical support to the Mission as well as the District Health Societies of all the 03 districts. The State Resource Centre is working as point of contact which resolves all the Technical as well as management problems. The details of various posts sanctioned and In-position under the State Programme Management Unit(SPMU) and District Programme Management Units(DPMUs) of Andaman & Nicobar Islands are as follows: STATE PROGRAMME MANAGEMENT UNIT(SPMU) Designation Sanctioned (Numbers) 01 Selected (Numbers) 01 In Position (Numbers) 01 State Finance Manager IEC Assistants 01 01 01 01 01 01 Accountant 06 06 06 Data Entry Operator 07 07 07 Office Attendants Peon 02 01 02 01 02 01 State Programme Manager 252 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands DISTRICT PROGRAMME MANAGEMENT UNIT(DPMU) Designation District Programme Manager Sanctioned (Numbers) 03 Selected (Numbers) 03 In Position (Numbers) 03 District Accounts Manager 03 03 03 Accountant 03 03 03 Data Entry Operator 03 03 03 Activities: State Health Society: Filling up all the proposed posts under the State Programme Management Unit Filling up of additional posts proposed this year. District Health Society: Filling up all the vacant posts under the District Programme Management Units Recurring expenses and travel costs. Performance Appraisal of the contractual staffs of the State Programme Management Unit and District Programme Management Units. 253 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Rogi Kalyan Samiti/Hospital Management Society Rogi Kalyan Samiti is a simple, yet effective management structure, which is a registered society, acting as a group of trustees for CHC/ hospitals/ to manage the affairs of the hospitals. It consists of members from local P.R.I., NGOs, local elected representatives and officials from Government Sector, who are responsible for proper functioning and management of hospitals/ CHCs/ FRUs. The RKS is free to prescribe, generate and use the funds placed with it, as per its best judgment for smooth functioning and maintaining the quality of services. Orientation of the Rogi Kalyan Samitis/Hospital Management Societies constituted for the District Hospital, Community Health Centres and Primary Health Centres is a key activity to be carried out in order to sensitize the Rogi Kalyan Samiti/Hospital Management Society constituted. One of the main responsibilities of the RKS/HMS is the Upgradation of District Hospitals, Community Health Centres and Primary Health Centres to the level of Indian Public Health Standards. 254 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Rogi Kalyan Samitis for District Hospitals : There are a total of 3 District Hospitals and as desired by the Govt. of India excluding the FRU, the Rogi Kalyan Samitis (RKS) / Hospital Management Society (HMS) for both the District Hospitals (i.e. BJR Hospital Car Nicobar & Dr. R.P Hospital Mayabunder) have already been constituted and registered. These RKS/HMS constituted for the District Hospitals will be responsible of the Availability of Services at the District Hospital and also the delivery of Quality with various Services provided by the District Hospital. Cleanliness and Transparency in the accounts are also considered as a main objective of RKS/HMS of District Hospital. This year as per the decision taken by the Executive Committee of the State Health Society, A&N Islands for G.B. Pant Hospital, which is the only FRU of A&N Islands, the Rogi Kalyan Samiti is proposed to be constituted and registered this year. In this year the budget for the above mentioned RKS is proposed in the PIP. The fund released to RKS/HMS will be managed by the Rogi Kalyan Samitis constituted for the Hospitals and also meetings are planned under regular intervals by the District Health Societies respectively. The District Health Societies will be responsible for the effective functioning of these RKS / HMS constituted for the District Hospitals and also will be submitting the Utilization Certificates for various funds disbursed accordingly. 255 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Rogi Kalyan Samitis for Community Health Centres There are a total of 4 Community Health Centres (CHCs) in Andaman & Nicobar islands namely Community Health Centre Bambooflat situated at South Andaman District, Community Health Centre Nancowry situated at Nicobar District, Community Health Centre Rangat & Community Health Centre Diglipur both situated at the District of North & Middle Andaman. These RKS/HMS constituted for the Community Health Centres will be responsible of the Availability of Services at the District Hospital and also the delivery of Quality with various Services provided by the District Hospital. Cleanliness and Accountability are also considered as main objectives of RKS/HMS of Community Health Centres. As per the guidelines of the National Rural Health Mission (NRHM), the Rogi Kalyan Samitis (RKS) / Hospital Management Society (HMS) for all the 4 Community Health Centres (CHCs) have been constituted and registered. The fund released to these RKS/HMS also will be managed by the Rogi Kalyan Samitis constituted for the Community Health Centre and also meetings are planned under regular intervals by the District Health Societies respectively. The District Health Societies will be responsible for the effective functioning of these RKS / HMS constituted for the Community Health Centres and also will be submitting the Utilization Certificates for various funds disbursed accordingly. 256 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Rogi Kalyan Samitis for Primary Health Centres There are a total of 22 Primary Health Centres (PHCs) in Andaman & Nicobar Islands, 10 Primary Health Centres (PHCs) under South Andaman District, 04 Primary Health Centres (PHCs) under Nicobar District and 08 Primary Health Centres (PHCs) under the District of North & Middle Andaman. These RKS/HMS constituted for the Primary Health Centres will be responsible of the Availability of Services at the Primary Health Centres and also the delivery of Quality with various Services provided by the Health Centre. Cleanliness and Accountability are also considered as main objectives of RKS/HMS of Primary Health Centres. As per the guidelines of the National Rural Health Mission (NRHM), the Rogi Kalyan Samitis (RKS) / Hospital Management Society (HMS) for all the 21(+1) Primary Health Centres (PHCs) have been constituted and registered and the accounts of all the Rogi Kalyan Samitis of all the 21(+1) PHCs are being opened. The funds released to these RKS/HMS also will be managed by the Rogi Kalyan Samitis constituted for the Hospitals and also meetings are being planned under regular intervals by the District Health Societies respectively. The District Health Societies will be responsible for the effective functioning of these RKS / HMS constituted for the Primary Health Centres and also will be submitting the Utilization Certificates for various funds disbursed accordingly. Activities to be carried out: Conducting the Situational Analysis of the concerned Health Facility and the concerned community availing the services. Identifying the problems faced by the patients in DHs/CHC/ PHC. Income Generation for the Health Facility. Upgradation of the health facility as per the Indian Public Health Standards. Making arrangements for the maintenance of hospital building (including residen257 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands tial buildings), vehicles and equipment available with the hospital. Public Private Partnership for the improvement of support services such as Laundry Services, Sanitation and Security Services of the concerned Health Institution. Community Participation for Hospital Management. Untied Funds & Annual Maintenance Grants for Sub centre: There are a total of 119 Sub-centres in Andaman & Nicobar Islands to provide Basic Health Care services to the people at the village level through the Health Workers and all of them are in Government Buildings, however some do not have residential facilities at the Sub Centre. Due to the topography of Andaman & Nicobar Islands most of the Islands are in the scattered form because of which providing the health facilities/services to the community living in the remotest Island becomes difficult and becomes a challenging task as well. Making the Sub Centres 24X7 functional such that basic health care to be provided at the village itself serves the purpose to some extent. In order to strengthen the sub-centres, GOI has provided Rs.10,000/- per annum for each Sub Centre and a Joint Account has already been opened and being operated by the ANM and Pradhan. The fund is being used after taking the approval of Village Health & Sanitation Committee of which the Pradhan/Tribal Captain of that village is the Chairperson. Similarly, GOI has provided Rs.10,000/- per annum for each Sub Centre for Annual Maintenance Grant and a Joint Account has already been opened and being operated by the ANM and Pradhan. Guidelines have been issued to the Sub-centres and also trainings have been imparted to the ANMs for utilizing the untied fund. Some are as follows, Minor repair of Sub-centres. Adhoc payment for cleaning services after child birth & other sessional activities. 258 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Transport of samples/drugs during epidemics Labour wages for environmental cleanliness / sanitation. Emergency transport services Reward / Payment for certain identified activities. Joint operation of the account by ANM and Pradhan of the village. Involvement of the Village Health & Sanitation Committee. Taking up minor repair works of the Sub Centre building. Making the residential Facility available for ANMs. Adhoc payments for cleaning personnel. Maintaining Transparency in the Expenditure of the funds. Untied Funds And Annual Maintenance Grants for PHCs Primary Health Centres are not being maintained properly due to lack of steady fund, available locally for repair/refurbishing of infrastructure and basic facilities. Therefore GOI has released the Untied Fund for 20 Primary Health Centres which had been released during the financial year 2007-2008 i.e. Rs. 5 Lakhs for strengthening the basic facilities at the Primary Health Centres. The responsibility of utilization of this fund will be on the Rogi Kalyan Samitis (RKS) / Hospital Management Society (HMS) constituted for the Primary Health Centres. The Bank Accounts of the Rogi Kalyan Samitis of almost all the Primary Health Centres have been opened in the concerned districts. Activities to be carried out: Effective functioning of RKS in PHCs. Approval of the Rogi Kalyan Samiti/Hospital Management Society for carrying out any type of activity. Providing untied funds @Rs. 25,000 and Annual Maintenance Grant @ Rs. 50,000 to 22 PHCs A separate register be maintained in the PHC giving sources of funds clearly for various activities. 259 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands PHC untied fund shall be kept in the bank account of the concerned Rogi Kalyan Samiti(RKS)/Hospital Management Society(HMS) concerned. Rogi Kalyan Samiti will undertake and supervise the work to be undertaken from Annual Maintenance Grant. Funds will be spent and monitored by RKS. Suggested areas where Untied Fund may be used : Minor modifications to the Center- curtains to ensure privacy, repair of taps, installation of bulbs, other minor repairs, which can be done at the local level. Provision of running water supply. Provision of electricity. Adhoc payments for cleaning up the Centre, especially after child birth. Transport of emergencies to appropriate referral centres. Transport of sample during epidemics. The Annual Maintenance Grant for PHCs may be utilized for the following : The repairs & renovations on the basis of Facility Survey. The progress of work should be monitored by Rogi Kalyan Samitis. Maintaining transparency in doing so. Upgradation of CHC to IPHS 260 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Community Health Centres are the major component of the health infrastructure and the GOI has identified the same and developed the Indian Public Health Standards. As per the Indian Public Health Standards the Facility Surveys are to be performed and on the basis of those gaps have to be found out and the upgradation of the CHC needs to be done. There are a total of 04 Community Health Centres in Andaman & Nicobar Islands and these CHCs have already been identified for up gradation. The District Health Society concerned is taking up the upgradation process. The Facility Surveys of all the Community Health Centres have been completed and on the basis of that various gaps which exists in the concerned Community Health Centre with respect to Physical Infrastructure, Equipments and Manpower have been identified and the Upgradation is in process for all the Community Health Centres of Andaman & Nicobar Islands. Activities to be carried out: Facility survey of CHCs in respect of infrastructure, manpower and equipments Making the Priority List on the basis of the Facility Survey performed. Involvement of the APWD in upgradation process. Procurement of equipment and instruments Provision of referral transport Citizens charter to be displayed in the premises 261 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Referral Services: Under National Rural Health Mission 11 Ambulances were procured for improving the referral services in various areas of these islands i.e for CHC Rangat, CHC Nancowry, PHC Havelock, PHC Radhanagar, PHC RK Pur, PHC Katchal, PHC Ferrargunj, PHC Tugapur, CHC Diglipur etc. Need for the referral services: Topography of Andaman & Nicobar Islands. Distance of the remote villages from the Health Facility. Lack of mobility support for field visit by the staff assigned to do the job. Lack of medicines / equipment / manpower. Lower health education and awareness as well as health consciousness in the community so as to prevent the diseases to spread. It was decided by the Governing Body of the State Health Society that instead of Mobile Medical Units, Ambulances with fair facilities will be procured under NRHM to improvise the referral services in A&N Islands by supporting Directorate of Health Services towards the same. Activities to be carried out: Involvement of active NGOs for running and maintenance of Ambulances for providing referral transport facilities in each district. If at all the Ambulance is proposed to be operated by the NGO the Engagement of manpower such as Driver and paramedic will be the responsibility of the respective NGO selected for its operation. Supervision of the running and maintaining the Ambulances including the activities to be performed in the District to be done by the District Health Society concerned / Rogi Kalyan Samiti of the respective health facility. 262 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Village Health & Sanitation Committee (VHSC) Village Health & Sanitation Committee (VHSC) is being constituted for about 275 villages of Andaman & Nicobar Islands with Pradhan / Tribal Captain of the Village as its Chairperson. The Village Health & Sanitation Committee will be responsible for the Health and Sanitation needs of the village and also the Untied Fund may be used as a Revolving Fund for the betterment of the poor people of the village. Planning done at the Village level by the Village Health & Sanitation Committee will be forwarded to the PHC/Cluster level where it will be discussed with the Rogi Kalyan Samiti (planning committee) of the Primary Health Centre and forwarded to Block level and from the Block Level the consolidated plan of the Block will be forwarded to the District Health Society to prepare the District Health Action Plan for the District. District wise details of Village Health Sanitation Committees Constituted South Andaman District - 77 North & Middle Andaman District - 138 Nicobar District 60 Total - 275 Activities to be carried out: Preparation of ‘VILLAGE HEALTH PLAN’. Conducting cleanliness drive, sanitation drive etc. Organizing ‘Village Health & Nutrition Days’. Conducting Household Surveys. Village Health & Nutrition Days (VHNDs): Orientation programmes conducted for ANMs, ASHAs, AWWs & VHSC Mem263 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands bers. Calendar of days to be organized as VHNDs per villages has been fixed and supplied to all concerned authorities in all 3 subdivisions. Banners printed and distributed for all villages. Started from May’08. 3.18 Procurement of Drugs for CHCs/PHCs/FRUs Supply Chain Management: A supply chain is a network of facilities and distribution options that performs the functions of procurement of materials, transformation of these materials into intermediate and finished products, and the distribution of these finished products to customers. Supply chains exist in both service and manufacturing organizations, although the complexity of the chain may very greatly from industry to industry and firm to firm. As our Union Territory is nearly 1100 km away from the mainland and means of transport is by sea and by Air. Moreover the availability of raw materials is nearly nil in this UT. Therefore finished products are procured from mainland and transported to this UT through ships plying between Port Blair to Chennai and Port Blair to Kolkata. As a result the cost of materials is very much higher with compared to the mainland rate. Therefore there is no medicine manufacturing unit in this UT. This Directorate is procuring the finished VMS approved products from the centralized unit of Govt. of India i.e. GMSD Kolkata & GMSD Chennai and rest of the required medicines, instrument. QMS items and disposable items are procured from the open market by floating open tender to meet the demand of all the Health Institutions functioning under the Directorate of Health Services. A&N Administration. The demand of essential and common medicines are projected on the basis of consumption of last three years with the increase of 5% and 10 % buffer stocks are kept to meet any natural disasters. Some of the life saving medicines such as 264 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Cancer drugs, immunosuppressant drugs are procured from the local market on the demand by specialists. The procured medicines are then transported to the different Health Institutions of this Directorate on their demand projected in their quarterly, monthly and supplementary indents. The medicines indented by southern groups of Islands are transported by Sea and North & Middle Andaman by Road as well as by sea. TRACKING: The track of consumption is being maintained by time to time inspection by Medical Officer I/c, officers deputed on special duty, Chief Medical Officer (Store) and sometimes by Medical Superintendent as well as by Director of Health Services to ensure the proper utility of the indented medicines, instruments, Medical store items, QMS items etc. ASHAs During the year 2008-09, since Ministry of Health & Family Welfare has instructed that we can have ASHAs in only in tribal areas and accordingly 49 ASHA were selected in Nicobar District. However, during the year 2009-2010, Ministry gave approval for having ASHAs all around throughout A&N Islands. Accordingly, the facilitator trainings were conducted for ANMs, Anganwadi Workers for the selection and training of ASHAs in South Andaman & North and Middle Andaman District. Till date a total of 407 ASHAs have been selected i.e. 53 ASHAs in Nicobar District, 219 ASHAs in N&M Andaman District and 135 ASHAs in South Andaman District. Household survey have been carried out by the District Health Societies of all the 3 Districts with the help of ASHAs. A data base of ASHAs containing her name, address, telephone No. and other important details are being maintained in all the concerned District Health 265 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Societies. ASHAs are actively involved in community mobilization for control of diseases under vertical programmes and they are trained for diagnosis and control of diseases like malaria, TB and other diseases. They have a great contribution in increase in institutional delivery. Community level monitoring are proposed to be evolved this year as suggested in the report by the Common Review Mission Team Members deputed by the Ministry of Health & Family Welfare, GOI. The composition of the drug kits of ASHAs will be included with AYUSH formulations i.e. Homoeopathic and Ayurvedic depending on the choice of the community. The Compensation packages for ASHAs has been implemented and are being amended from time to time based on the guidelines received from respective health programmes / MOHFW, GOI on case to case basis. Initiatives Taken: Till date a total of 407 ASHAs have been selected i.e. 53 ASHAs in Nicobar District, 219 ASHAs in N&M Andaman District and 135 ASHAs in South Andaman District. All ASHAs were issued Identity Cards. ASHA and AWW are conducting a House Hold surveys Compensation for ASHA has been implemented in the month of Oct 2008 on case to case basis. From this year onwards, ASHA Drug Kits are proposed to be included with AYUSH Formulations. 266 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Swasthya Jagrukta Mela – Health Mela These health melas will be targeted on people desiring to avail quality health care services with essential pathological tests and medicines, along with information, without any cost. The health care services involves national programmes for control of tuberculosis, malaria, blindness, leprosy, cancer, and HIV/AIDS, apart from services relating to maternal health, child health, immunization and Family Planning. This year the Health Meals are proposed to be carried out in all the 03 Districts of Andaman & Nicobar Islands. School Health Programme In view of the convergence of the National School Health programme with the National Rural Health Mission, the UT Health Mission of these Islands is planning to provide the essential micronutrients and dosage of deworming medicines to the children administered by the Health officials. As part of the Mainstreaming of AYUSH in these Islands, the School Health programmes are planned to be strengthened with Yoga & Naturopathy classes and also the Weighing Machines and Height Recorders are being installed this year. School Health Programme has been included in the National Rural Health Mission and accordingly it has been included in the Programme Implementation Plan (PIP) of NRHM for A&N Islands and as per the guidelines for Public Private Partnership (PPP) under NRHM, NGOs are to be involved in every process. The designed format for the activities to be involved in the School Health Pro267 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands gramme In the proposal of NGOs is as follows- PARTICULARS NGO IS PROVIDING: S.No Location 1st Year HUMAN RESOURCE 1 Doctors 2 Nurses 3 Para-professionals 4 Consultants 5 Admin. Staff: 5.1 Manager 5.2 Area Coordinator 5.3 Accountant 5.4 Volunteer 6 Others (Please Specify) MATERIAL RESOURCES 1 Deworming Medicines 2 Weight & height Recorder 3 Health Cards 4 5 6 Vehicle IEC Material Others (please specify) 268 PIP of 2012-13 Document 2nd Year 3rd Year 4th Year 5th Year Total Unit PIP of Union Territory Health Mission, A&N Islands SICK NEW BORN CARE UNIT (SNCU) Sick New Borne Care Unit is one of the finest Care Unit for the Sick New Born which was firstly introduced in Andaman & Nicobar Islands by UNICEF and installed at the one and only Referral Hospital named as G.B Pant Hospital and it is claimed to be one of the hi-tech care units in India. The SNC Unit started functioning from 1st February 2006 and UNICEF is providing support with respect to the Manpower involved, Procurement of Equipments and the necessary training to the Medical Officers and Staff Nurses of the SNCU for this is also being imparted by UNICEF. Now, as the National Rural Health Mission’s interventions towards the health sector the NRHM has started supporting the SNCU from January 2008 onwards and same was included in the last years State PIP of 2008-09. 269 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands With the basic objective of reduction of neo-natal mortality rate in the UT, a 12 bedded sick New Born Care Unit was established under the financial support of UNICEF in the G.B.Pant Hospital for a period of one year. The SNCU is now continued even after discontinuation of financial support by UNICEF with the financial support of Union Territory Health Mission (NRHM), A & N Islands, Port Blair. Due to increased demand of the services of SNCU by the patient party as well as the treating physicians and gynaecologists, the number of beds in the SNCU to be increased officially to 18 from the present 12 in the phase II of the SNCU project. So it is essential to provide required manpower like Staff Nurses, Ayahs & Safaiwala to manage efficiently the 18 bedded SNCU. Further few types of equipment are required for the additional 6 beds and also funds are required for the proper running and maintenance of the expanded SNCU for the next financial year 2012-2013. Name of Post Public Health Nurse Staff Nurse Lab. Technician Ayah (3) No. of Posts 1 13 1 6 BUDGETARY PROVISION FOR YEARLY MAINTENANCE AND REPAIR OF EQUIPMENTS OF SNCU Sl No. Budget Required (in Rs) Activity a) Maintenance and repair of equip6,00,000.00 ments (At actual) b) Contingency / Stationary 1,50,000.00 TOTAL 7,50,000.00 (4) BUDGETARY PROVISION FOR TRAINING WORKSHOP/CONFERENCE Sl No. a) Activity Training / Workshop / Conference TOTAL 270 PIP of 2012-13 Document Budget Required (in Rs) 2,00,000.00 2,00,000.00 PIP of Union Territory Health Mission, A&N Islands Health Information System (HIS) Support for G.B. Pant Hospital Healthcare is one of the most important services provided by a civilized society. Hospital Information System (HIS) has been developed with the objective of streamlining the treatment flow of a patient in the hospital, while allowing doctors and other staff to perform to their peak ability, in an optimized and efficient manner. The HIS incorporates an integrated computerized clinical information system for improving hospital administration and patients care. It also provides an accurate, electronically stored medical record of the patient. A data warehouse of such records can be utilized for statistical requirements and for research. HIS is based on centralized information system designed for quick delivery of operational and administrative information. The software is built around a highly optimized core library. Application modules are layered around this core and can be suitably customized for any user specific requirements. Advantage of Electronic Patient Medical Records over the conventional paper records: Prompt and reliable information storage, querying and retrieval. Easy access to query data to generate varied reports. Instant information access for research and library information. Efficient and accurate administration of financial, Medical and other assets. Improved monitoring of drug usage, and study of effectiveness. Brief Detail of Implementation of HIS at G.B.Pant Hospital: The HIS Project was implemented in G.B Pant Hospital under the technical guidance of C-DAC, Noida. In this connection a MOU was signed on 3rd September, 2003 between the then Director of Health Services and the Director (Project), C-DAC 271 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands for implementing this project on a turn key basis. The Project envisaged implementation of Hospital information system at G.B Pant Hospital with full computerization of Registration, Central Admission, Out-Patient Department, Investigation, Blood Bank, OPD Pharmacy, Central Medical Store, Enquiry and Medical Records Department (Offline). C-DAC was entrusted with the responsibility of designing, developing, delivering and commissioning of Hardware and Software for the Project. They also took responsibility of training the staff of G. B Pant Hospital. In pursuance of the above MOU, the C-DAC procured necessary hardware and software, appointed one Project Manager and 12 Nos. Data Entry Operators on Contract basis for implementing the Project. As per the terms of reference in MOU, the Project was supposed to be completed within 36 weeks of signing of MOU. Due to various reasons the project was extended up to 31st Dec 2006. During April, 2005 the Director of Health Services vide his letter No.18/DHS/HIS/0418 dated 25th April, 2005 requested the Executive Director, C-DAC for extension of this project into In-Patients Department, Diet Kitchen, OT Management, IPD Pharmacy, STD & AIDS & Laundry Management. This was supposed to be done within the sanctioned budget for this project. An agreement to this effect was also signed between Director (Project), C-DAC and Director of Health Services for extending the MOU till May, 2006. At the end of this period C-DAC has requested a further extension of MOU till December 2006 to complete the final IPD phase of the project. It was envisaged during planning that the staffs of G.B Pant Hospital will maintain the HIS after completion of the project period. Due to some reason for which no record is available in this office, C-DAC abruptly withdrew from this project without a proper handing over of the same to the appropriate authority. Brief details of the Functional Setup of HIS: Physical Setup:The Physical setup of HIS consists of the following:- 272 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Server:A Couple of Servers working at tandem forms the nerves centre of the HIS sys- tem. They store all the data in stable database and make the same available to the users on a 24 X 7 basis. Nodes: Around 80 nodes were installed at various departments in G B Pant Hospital. Presently 20 Nodes are functioning at OPD area. The IPD is yet to be functional- ized. LAN: A dedicated LAN connects all the nodes with the server. It consist of 6 nos of Switch, Optical Fiber network and cat-5 network. Program Setup:The HIS functions through a number of software modules which are as follows:- Master Management Central Medical Stores Registration Out-Patient Management Pharmacy Enquiry Investigations Blood Bank In-Patient Module Patient Medical Records 273 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Staff Setup:In the Original MOU it was agreed by the Hospital authorities to operationalize the project by deployment of Hospital staff. During implementation of the project that hospital authorities found this concept difficult to implement. Presently the setup at OPD is only functionalized though Daily Rated employment of the DEO’s originally employed by C-DAC during the Project period. Need of Technical Staff: As per the MOU signed between Administration and C-DAC, it is clear that the Hospital Information System is to be run by hospital staff after it is handed over by CDAC. During implementation of HIS the hospital authorities has faced problems in implementing this decision. The Hospital staffs are not recruited on the basis of there computer literacy and in spite of proficiency gained by them in handling the software they cannot become self sufficient without the help of professional staff trained in Software/Hardware operations. Thus professional and technical staffs are still required to supervise or assist and train the hospital staff for successful running of the system. They are also to be made responsible for rectifying the basic problems which arises during the operation of software and technical system which can not be done by the hospital staff. Thus it is imperative that a few technical staffs are also to be employed for running HIS successfully. It is suggested to deploy the following additional staff for management of Software and Hardware at GBPH. Database Administrator:- A Database Administrator (DBA) shall work under the direct supervision of concerned Nodal Officer (IT) and is responsible for the performance, integrity and security of the database. Additional role requirements are likely to include planning, development and troubleshooting. 274 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Data Entry Operator/Medical Record Assistant/Computer Assistant:- The incumbent shall work under the direct supervision of concerned Nodal Officer and will be providing support in respect to running Hospital Information System Project (HIS) and be responsible for supervising the staff in Patient Medical Record Entry works at different departmental level. He/She shall be responsible for maintenance of medical records in health department. He/She shall be responsible for upkeep of patient files, including typing, indexing, coding and compiling medical records. Staff Requirement:On Preliminary analysis this office found that the activities under HIS can be in clubbed into a total of 17 functional areas in OPD and IPD. One DEO can supervise the staff of one functional area. As proposed in the MOU the hospital staff will be utilizing the exiting nodes for record entry at their respective place of posting. The DEO/MRA/CA will train the hospital staff in record entry and also will validate the data and make correction whenever necessary. After completion of the training of the hospital staffs they will function as Supervisors for one of the functional areas as listed above. Thus it is proposed that 1 DEO will look after the work of 1 functional area. As there are 12 functional areas as per the analysis done by this office, a minimum of 12 DEO/MRA/CA are required for smooth functioning of the HIS, in addition to the regular hospital staffs. During the last year, the following setup was approved and accordingly they were taken up under NRHM. This year, the following is proposed for the HIS Support as mentioned above. Summary of Manpower Support for HIS S.No Name of Post No. of Post required 01 Database Administrator 01 02 Data Entry Operator/Medical Record Assistant/ Computer Assistant TOTAL 12 275 PIP of 2012-13 Document 13 PIP of Union Territory Health Mission, A&N Islands Institutional Strengthening under NRHM for various Health Centers (Equipments) (Year Wise) Under Health Society SHS Port Blair DHS S. Andaman DHS N & M Andaman DHS Nicobar YEAR 2005-06 SHS Port Blair DHS S. Andaman 2006-07 DHS N & M Andaman DHS Nicobar SHS Port Blair DHS S. Andaman 2007-08 DHS N & M Andaman Fund Allocated NIL NIL NIL NIL NAME OF EQUIPMENTS NIL NIL NIL NIL QTY NIL NIL NIL NIL NIL Upgradation of CHC Upgradation of 2 CHC Upgradation of CHC NIL 2000000 NIL NIL NIL NIL 4000000 2000000 NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL Electro Surgical Cautery Semi-auto Analyser Slit lamp Feotal monitor Multi para monitor Pulse oxemeter A- scan biometer NIL NIL HEAD NIL NIL NIL NIL UPGRADATION & RKS FUND- DISTRICT HOSPITAL UPGRADATION & 276 PIP of 2012-13 Document 2500000 Total 2100000 1.Ultra sonography 1 1 1 1 1 2 1 1 PIP of Union Territory Health Mission, A&N Islands Under Health Society YEAR HEAD RKS FUND- CHC DIGLIPUR Fund Allocated NIL NIL NIL NIL NIL PHC KALIGHAT RKS, AMG & UF NIL NIL NIL NAME OF EQUIPMENTS machine QTY 2.Blood cell counter 1 Total DHS Nicobar SHS Port Blair DHS S. Andaman NIL 125000 NIL NIL NIL B.P. Appartus Stethoscope NIL NIL NIL NIL 1 1 Total DHS N & M Andaman 2008-09 PHC TUGAPUR RKS,AMG & UF 125000 Microscope B. P. Appartus Section Appartus Hemoglobin meter 1 1 1 1 Total UPGRADATION FUND & RKS- DISTRICT HOSPITAL DHS Nicobar SHS Port Blair DHS S. Andaman DHS N & M Andaman PIP of 2012-13 Document 2009-10 Twin Dome OT Light 7000000 Untied Fund for Sub Center 360000 NIL NIL Sethoscope Weighing Machine Foldable Strecher NIL NIL NIL NIL UPGRADATION & 277 2100000 Blood Gas Analyzer 1 11 11 11 NIL NIL 1 PIP of Union Territory Health Mission, A&N Islands Under Health Society YEAR HEAD RKS FUND- CHC DIGLIPUR Fund Allocated NAME OF EQUIPMENTS Air Conditioner 5 Total DHS Nicobar UPGRADATION FUND, AMG, RKS & UF- PHC Campbell Bay 1175000 RKS , AMG & UF 175000 278 PIP of 2012-13 Document QTY Auto Analyzer Incubater Water Bath Nebulizer Foetal Doppler Dental X-ray Machine Bed Side Locker Ornate Chair Hot air oven Mattresses Single Bed Refrigerator Trolley Five seated netted chair Accupappet T-100 Accupappet T-200 Accupappet T-1000 Iron cot I.V stand Bed side screen Automatic ECG Machine PIP of Union Territory Health Mission, A&N Islands Under Health Society YEAR HEAD for PHC Teressa 279 PIP of 2012-13 Document Fund Allocated NAME OF EQUIPDigital MENTS Thermometer Glucometer Biohazard waste Container Biodischargebale waste bag Water Filter BP Apparatus Sethescope Baby Weghing Machine Personal Mosquitos Killer Sterelizable Silicon Heameter Settedoppler QTY 8 3 2 50 2 8 8 7 7 6 10 7 1 PIP of Union Territory Health Mission, A&N Islands Institutional Strengthening under NRHM for various Health Centers (Civil Works & Non Medical Equips. Etc.) (Year Wise) Under Health Society SHS Port Blair DHS S. Andaman DHS N & M Andaman DHS Nicobar SHS Port Blair DHS S. Andaman DHS N & M Andaman DHS Nicobar YEAR Fund Allocated HEAD Particulars NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL 2000000 NIL 4000000 Upgradation of CHC Upgradation of 2 CHC 2000000 Upgradation of CHC NIL 200506 200607 NIL Laptop Sony VAIO Desktop Lenovo SHS Port Blair 3264000 Printer HP 1020 SPMU 200708 DHS S. Andaman DHS N & M Anda- Office Furniture NIL 2500000 NIL Upgradation & RKS 280 PIP of 2012-13 Document Unit 1 4 1 9 NIL Refrigerator double door 2 PIP of Union Territory Health Mission, A&N Islands Under Health Society YEAR Fund Allocated HEAD Particulars District Hospital man Refrigerator 180 litres Washing machine Ro plant Hand drill machine Garbage trolly Tea coffee maker machine PVC water tank Air conditioner Unit 1 1 2 2 2 1 2 2 Carbage holder and carbage bags 2100000 UPGRADATION &RKS FUND- CHC DIGLIPUR Kitchen almira 1 Executive sofa set Supply and Laying of UG cable from new OPD block to generator room 2100000 UPGRADATION & RKS FUND- CHC RANGAT Extension of power house building Repairing of Hospital Furniture Repair, Painting, & Welding of QMS DHS Nicobar SHS Port Blair DHS S. Andaman 200809 Replacement of defective spares, Painting & Servicing 125000 RKS, AMG &UF PHC Baratang NIL NIL NIL NIL NIL District Health Action Plan NIL 1000000 281 PIP of 2012-13 Document Repairs & Maintenance of DG set Computer, Photo Copier & Furniture PIP of Union Territory Health Mission, A&N Islands Under Health Society YEAR Fund Allocated 2100000 HEAD Particulars Upgaradtion & RKS CHC Bambooflat Unit Invertor 2 Generator 1 Tata ACE Magic 1 Hospital Beds 46 Bedside Lockers 70 Fridge Computer & Accessories 50 kva generator fund given to APWD as advance DHS N & M Andaman 2100000 UPGRADATION FUND & Rogi Kalyan Samiti- CHC RANGAT 282 PIP of 2012-13 Document 42 inch LCD TV 24 inch TV 21 inch TV 15 inch TV Dvd player Lcd projector Digital still camera Laptop compaq with accessories Desktop with accessories Black laser multifuntion printer Handi cam Mounting for 42” LCD TV Mounting of 21” TV Pa system with speaker and mikes 1 2 5 1 1 1 1 1 1 1 1 1 5 1 PIP of Union Territory Health Mission, A&N Islands Under Health Society YEAR Fund Allocated HEAD 2100000 Upgradation &RKS Fund of CHC Diglipur 125000 125000 125000 DHS Nicobar 7000000 Particulars Fixing of Tiles Washing machine Water filter PHC KALIGHAT Solar water heater Refrigerator - RKS, AMG &UF Colour TV and CD player Bicycle 1 2 1 1 1 1 Refrizerator with stabilizer Water cooler PHC TUGAPUR Tube light frames , chalk , - RKS, AMG & starter Acquaguard UF Washing machines 1 1 1 Solar heater 21” (TV flat) PHC RADHANAGARDVD player RKS,AMG & UF Refrigerator 180 ltr 1 1 1 1 Upgradation & RKS District Hospital 283 PIP of 2012-13 Document Unit Renovation of OT of BJR Hospital Renovation of 05 Toilets Blocks Installation of UPS at of BJRH 1 1 PIP of Union Territory Health Mission, A&N Islands Under Health Society YEAR Fund Allocated HEAD Particulars Unit Providing Netlon for Doors & Windows Renovation of Medical Kitchen Establishment of SNCU Renovation of Male Ward Installation of Water Purifier 3 Installation of DG Set 2100000 1000000 Upgradation & RKS Fund of CHC Nancowry District Health Action Plan Construction of Medical Kitchen Providing Netlon for Doors & Windows Installation of Water Purifier 3 Lap Top 1 Computers 3 Xerox Machine 1 Office Furniture 1400000 Improvising Office Set up of SPMU Air Conditioner 4 1-CHC Nancowrie 1-PHC Katchal SHS Port Blair 200910 5000000 Referral Transport Services 1-CHC Rangat Purchase of 7 Ambulance 1-PHC Radhanagar 1-PHC Ferrargunj 1-PHC Havelock 1-PHC RK Pur DHS S. Andaman 300000 660000 Improvising Office Set up of DPMU Upgradation of PHC 284 PIP of 2012-13 Document Computer & Accessories C/o 01 No Garbage disposal unit at PHC F/Gunj PIP of Union Territory Health Mission, A&N Islands Under Health Society YEAR Fund Allocated 329685 HEAD Particulars Upgradation of PHC 500000 Upgradation of PHC 669333 Upgradation of PHC 399106 Upgradation of PHC 1000000 Upgradation of PHC 480000 Upgradation of PHC Upgradation of Sub Center 2000000 Upgradation of Sub Center Upgradation of Sub Center 285 PIP of 2012-13 Document C/o C.C.F/path (100 mtr length) and approach road (75 mtr length) to staffs qtr at PHC F/Gunj C/o ramp for stretcher patients, dust bin and pit tank at PHC W/Gunj Extension of patients wards at PHC Garacharma Construction of Vision Centre room for ophthalmic check up at PHC M/tan Concrete garbage disposal tank at PHC R.K.Pur Store Room for medicine & Vision centre room for ophthalmic check up at PHC Neil Renovation of Shoal Bay-12 SubCentre Reconstruction of Mitha Khari Sub-Centre Renovation of Prothrapur SubCentre Unit PIP of Union Territory Health Mission, A&N Islands Budget of NRHM's Interventions for the year 2012-13 Sl No. 1 Activity Proposed ASHAs Training of ASHAs 1.2 Observance of ASHA Day 1.3 Equipping ASHAs with Support Materials 1.4 Incentives to ASHAs 4 Health Information System (HIS) Salary of Data Base Administrator for HIS of G.B. Pant Hospital. Salary of 12 Data Entry Operators for HIS of G.B. Pant Hospital Biomedical Waste Management System Salary of 1 Biomedical Engineer @ Rs.25000/- PM Trainings on BMWM Training of Medical Officers on BMWM Training of Paramedical Staff on BMWM IEC/BCC Activities for BMWM 4.1 Printing of Multi Colour Flex Boards 4.2 Printing of Multi Colour Posters 2.1 2.2 3 3.1 3.2 3.3 Amount (In Lacs) 17.560 1.1 2 State NicoSouth N&M Health bar DisAndaman Andaman Society trict 2.000 4.000 0.500 0.700 0.500 0.300 - 6.360 - - 3.200 6.500 1.500 6.360 3.200 35.096 3.168 - - - 31.928 - - - 3.168 31.928 8.100 3.600 - - - 1.000 - - - 1.000 - - - 1.500 - - - 1.000 - - - 3.600 1.000 1.000 1.500 1.000 Strengthening of Health Institutions 5 5.1 5.2 5.3 District Hospitals Upgradation of BJR Hospital, Car Nicobar Upgradation of Dr. R.P. Hospital, Mayabunder Upgradation of G.B.Pant Hospital 248.320 - - - - 35.320 - - 30.000 - - 286 PIP of 2012-13 Document - 168.000 168.000 35.320 30.000 PIP of Union Territory Health Mission, A&N Islands Sl No. 5.4 6 6.1 6.2 6.3 6.4 6.5 6.6 Activity Proposed Funds for the Rogi Kalyan Samitis constituted for 3 District Hospitals Community Health Centres Upgradation of Community Health Centre, Nancowry Upgradation of Community Health Centre, Bambooflat Upgradation of Community Health Centre, Rangat Upgradation of Community Health Centre, Diglipur Annual Maintenance Grants for Community Health Centre (CHCs) Funds for the Rogi Kalyan Samitis constituted for 4 Community Health Centres (CHCs) 6.7 Untied funds for 4 CHCs 7 Primary Health Centres 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12 State NicoSouth N&M Health bar DisAndaman Andaman Society trict - 5.000 5.000 5.000 - - - - - 7.000 - - - - 12.500 - - 17.000 - 1.000 2.000 1.000 - 1.000 2.000 1.000 - 0.500 1.000 0.500 - Upgradation of PHC Tushnabad - 18.000 - - Upgradation of PHC Garacharma Upgradation of PHC Wimberly Gunj - 15.000 - - - 10.000 - - Upgradation of PHC Manglutan - 20.000 - - Upgradation of PHC Neil Island Upgradation of PHC RK Pur (Hutbay) - 10.000 - - - 17.500 - - Upgradation of PHC Hutbay - 20.000 - - - - 12.170 - - - 22.170 - - - 12.500 - - - 17.650 - 287 PIP of 2012-13 Document 4.000 4.000 2.000 265.640 - Upgradation of PHC Billiground 7.000 17.000 2.500 Upgradation of PHC Kadamtala - 12.500 - Upgradation of PHC Long Island 15.000 46.500 Upgradation of PHC Ferrargunj Upgradation of PHC Kishorinagar Amount (In Lacs) 2.500 18.000 15.000 10.000 20.000 10.000 17.500 20.000 12.170 22.170 12.500 17.650 PIP of Union Territory Health Mission, A&N Islands Sl No. 7.13 Activity Proposed Upgradation of PHC Tugapur 7.14 Upgradation of PHC Katchal 7.15 Upgradation of PHC Campbell Bay 7.16 Upgradation of PHC Gandhi Nagar 7.17 Upgradation of PHC Terrassa 7.18 7.19 7.20 8 Annual Maintenance Grants for 22 Primary Health Centres Untied Funds for 22 Primary Health Centres (PHCs) Funds for the Rogi Kalyan Samitis for 22 PHCs Sub Centres 8.1 Upgradation of 34 Sub Centres 8.2 Annual Maintenance Grants for 119 Sub Centres 8.3 Untied Funds for 119 Sub Centres 9 Urban Health Centres Annual Maintenance Grants for 5 UHCs 9.1 9.2 Untied Funds for 5 UHCs 10 Sick New Born Care Unit (SNCU) 10.1 11 Salary of Staff of SNCU State NicoSouth N&M Health bar DisAndaman Andaman Society trict - - 10.500 - - - - 8.050 - - - 15.000 - - - 8.050 - - - 8.050 - 5.000 4.000 2.000 - 2.500 2.000 1.000 - 10.000 8.000 4.000 Salary of 11 GDMO (Ayurveda) 11.2 Salary of 11 Pharmacists (Ayurveda) 11.3 Salary of 10 GDMO (Homoeo) 11.4 Salary of 9 Pharmacists (Homoeo) 11.5 Salary of 3 Yoga Instructor 8.050 15.000 8.050 8.050 11.000 5.500 22.000 90.000 50.000 - 3.800 4.100 4.000 3.800 4.100 4.000 140.000 11.900 11.900 1.000 - 0.500 - - - 0.500 - - 0.500 0.500 57.960 57.960 - - - 57.960 359.282 288 PIP of 2012-13 Document 10.500 163.800 Mainstreaming of AYUSH 11.1 Amount (In Lacs) 31.800 31.272 22.200 10.260 9.708 7.608 43.740 31.740 7.452 12.900 10.584 - 2.148 2.232 2.052 85.272 27.576 82.932 23.484 6.432 PIP of Union Territory Health Mission, A&N Islands Sl No. 11.6 Activity Proposed State NicoSouth N&M Health bar DisAndaman Andaman Society trict Salary of 1 Panchakarma Attandant (Female) New Manpower Proposed 11.7 Salary of 10 GDMO (Ayurveda) 11.8 Salary of 8 Pharmacists (Ayurveda) 11.9 Salary of 1 GDMO (Homoeo) 11. 10 Salary of 1 Pharmacist Assistant(Ayurveda) Salary of 2 Panchakarma At11.11 tendant 11.12 Salary of 5 Panchakarma Assistant 11.13 Salary of 4 Data Entry Operator 11.14 Salary of 12 Multi Purpose Worker 12 12.1 13 13.1 13.2 13.3 13.4 13.5 13.8 Health Programme Health Mela /Swasthya Jaagrukta Mela Training Training for Village Health Sanitation Committee Capacity Building of SPMU & DPMU Staffs including TA/DA Refresher training for SPMU and DPMU Officials on HMIS Training of Paramedical Staff in implementing the HMIS/MCTS Monthly Formats reporting under NRHM Training for SPMU and DPMU on General Administration, Convergence between departments Training of AYUSH Personnel(45 MOs & 45 Paramedics) 14 BCC/IEC Activities of NRHM (including Advocacy of NRHM) 14.1 Strengthening of BCC/IEC Bureaus (State and District levels) - - 27.360 27.360 13.680 7.344 7.344 4.896 6.840 - - 1.872 - - - 2.304 - - 9.360 - 6.912 2.304 - 14.690 - - 1.320 68.400 19.584 6.840 1.872 2.304 9.360 9.216 14.690 12.000 5.500 3.000 3.000 0.500 12.000 23.500 - 3.000 - 4.000 2.500 1.000 2.000 1.000 - - - 2.000 - 1.000 - 1.000 - - - 6.000 - - - 3.000 9.500 1.000 3.000 1.000 6.000 198.500 16.000 289 PIP of 2012-13 Document 1.320 Amount (In Lacs) - 10.000 1.500 27.500 PIP of Union Territory Health Mission, A&N Islands Sl No. Activity Proposed 14.2 Development of State BCC/IEC strategy 14.3 BCC/IEC activities for MH 14.4 BCC/IECC activities for CH 14.5 BCC/IECC activities for FP 14.6 BCC/IECC activities for ARSH 14.7 Development of Various IEC Materials like card, Brochers,Phamplets, etc 14.8 Health Mela 14.9 15 Creating awareness on declining sex ratio issue PROCUREMENT State NicoSouth N&M Health bar DisAndaman Andaman Society trict 2.000 - - - 30.000 - - - 30.000 - - - 30.000 - - - 30.000 - - - 20.000 - - - 20.000 - - - 9.000 - - - Procurement of equipment: MH 15.2 Procurement of equipment : CH 15.3 Procurement of equipment : FP 15.4 Procurement of equipment: IMEP 0.00 15.5 Procurement of Others 0.00 40.500 - - - 34.760 - - - 15.000 - - - - - - - - - Procurement of Drugs and supplies Drugs & Supplies for MH & CH 16.2 Drugs & Supplies for FP 16.3 Supplies for IMEP 0.00 16.4 General drugs & supplies for health facilities 0.00 17.1 177.150 - - - 22.000 - - - - - - - - - Other Activities Untied Fund for the Village Health & Sanitation Committee of (77+138+60 = 275) villages 30.000 30.000 30.000 20.000 20.000 9.000 40.500 34.760 15.000 - 177.150 22.000 58.000 - 290 PIP of 2012-13 Document 30.000 199.150 16.1 17 2.000 90.260 15.1 16 Amount (In Lacs) 7.700 13.800 6.000 27.500 PIP of Union Territory Health Mission, A&N Islands Sl No. 17.2 17.3 17.4 18 State NicoSouth N&M Health bar DisAndaman Andaman Society trict Activity Proposed Facility and Household survey School Health Programme Activities State Review Mission & National Common Review Mission Innovation: VSAT for Reporting and Monitoring (HMIS, MCTS etc.) 18.1 Infrastructure & Equipments 18.2 Recurring Expenses 18.3 Training - 1.000 - - - 21.500 - - - - - 8.000 Amount (In Lacs) 1.000 21.500 8.000 24.000 - - - 20.000 - - - 3.600 - 0.400 - Committed unspent balance Total 597.066 482.386 392.518 304.698 20.000 3.600 0.400 129.000 1,937.668 Less: Unspent Balance as per fund availability as on 1.04.2012 137.530 Less: 15% State Share Contribution 290.650 Actual budget required for the FY 2012-13 1,509.488 291 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands TOTAL FUND FLOW UNDER NRHM FROM 2005-2011 (MISSION FLEXI POOL) YEAR Approved Outlay Fund received (GOI) State Share Contribution Total fund available Total exp. Percentage of fund utilization 2005-06 - 90.70 0.00 90.70 0.00 0% 2006-07 - 74.20 0.00 168.42 5.17 3.06% 2007-08 720.09 445.04 0.00 615.96 75.36 10.46% 2008-09 992.93 362.00 222.00 1136.66 421.19 42.41% 2009-10 1441.01 145.00 378.00 1238.47 887.32 61.57% 2010-11 1222.88 983.00 352.00 1707.49 923.52 75.52% 2011-12 As on 31st Dec 11 1484.55 (including the part approved under RCH-II) 146.00 0.00 948.48 502.79 33.86% * 292 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands C. IMMUNIZATION: C.I: Situation analysis of the State Immunization Programme 1. Current scenario of implementation of immunization programme a. State level coverage as per District Level District Level household survey-3, coverage Household Survey-3, Coverage Evaluation evaluation is not conducted by State Immunizasurvey 2009 & Reported coverage for 2010- tion officer. 11, 2011-12 till Dec. 11. Antigens 2010-11 TT 5954 2011-12 (April to December 2011) 4601 DPT 5264 4056 Polio 5264 4056 BCG 5511 4246 Measles 5738 4154 b. District wise coverage levels of all antigens for 2010-11, 2011-12 till Dec. 11. (in- 3494 1581 1214 663 5738 427 4154 2010-11 cluding Hepatitis B & JE wherever application.) 2011-12 (April to Dec, 2011) 2513 Antigens South Andaman N&M Andaman Nicobar Total c. Reasons for Shortfall in coverage The achievement is against the estimated number of children not on the basis of actual numbers .Therefore actually there were no major shortfall .however steps are been taken up for monitoring root level by engaging the District Immunization officer. d. Reporting and incidence of VPDs for No cases have been reported 2011-12 till Dec. 11. 293 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands e. Reporting and Response to Outbreaks No major AEFI reported and AEFIs for, 2011-12 till Dec. 11. 2. Strategies for further improving Routine Immunization Steps have been taken up to nominate District Immunization officers for all 3 districts for proper monitoring and streamline of activities. a. What is the target of immunization coverage for this year? Target Pregnant Women Infant 2011-12 2012-13 6420 6366 6192 6000 b. To improve the accessibility of routine immunization services (reflected by BCG - and DPT-1 coverage); identify the districts with poor access and reasons thereof. c. To reduce dropouts (reflected by DPT3 Migration of people from these islands to maincoverage); reasons for dropout and specify land is the main reason for shortfall and dropsteps taken for this. outs however the process of appointing District Immunization officer is taken up and more focus will be on hard to reach areas and migrant people. d. To create community demand for routine 407 ASHAs are appointed in 3 Districts for immunization; (write specific steps taken). which training for RI have been provided to ASHA and ICDS & AWWs Staffs have been oriented in review meeting. Further a proposal for training of AWW has also been included in PIP 12-13. e. Any other innovation started for strength- The process of appointing District Immunizaening of routine immunization in the state. 294 PIP of 2012-13 Document tion officer is taken up and 02 nos. DIO have PIP of Union Territory Health Mission, A&N Islands been appointed for Nicobar and N & M Andaman District for more grass root operations at district levels and ASHA and ICS staffs are also engaged for strengthening of routine immunization. 3. Status of micro planning- Number of districts where RI micro-plans have been up- Details in the format enclosed dated in 2010-11. (Provide details in the format enclosed). 4. What are the roles & responsibilities pertaining to immunization of 1st ANM, 2nd Prepare Sub center session plan and work plan. Estimate requirement of Vaccines and AD ANM, and HW (Male)? syringes Arrange supplies and equipment for the session. Attend village health day with logistics. Inform MO PHC for visiting the AWC on village health day. Ensure that vaccines are brought in a vaccine carrier with frozen ice packs. Ensure vaccine carriers are kept in shade and are not opened frequently. Verifying the immunization record. Preparing a list of dropouts for sharing with AWW and ASHA. Recording all immunization in a tally sheet, immunization cards, immunization register. Report all AEFIs. 5. What is the mechanism of coordination & convergence between AWW and ASHA? Date of RI has been 6. Alternate Vaccine Delivery System- what Alternate vaccine delivery systems is being at system is in place, whether it is working and use and fund is been provided to places 295 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands what are issues faced? /islands which are hard to reach for transportation of vehicle /boat/dinghy. 7. Supervision and Monitoring – Status of State Immunization Officer is looking after the Routine Immunization cell, Supportive Su- entire programme of Routine Immunization and pervision structure in field, Review meetings regularly making visits for monitoring and suand data analysis and action taken at all pervision. Review meeting have been conductlevels etc). ed in District level and meeting have been conducted in Micro Plan at Sub-Center level. 8. Status of RIMS implementation for monitoring (details of districts uploading data - regularly, issues with other districts and proposed support required). 9. Co-ordination with partners (ICDS, Public Review meeting have been conducted on RI in private partnerships. Other agencies). every quarter with ICDS staffs for proper coordination. 10. Component – wise receipt & expenditure of funds received from 2009-10 onwards Details attached in format 11. Status of Cold Chain EquipmentDetails attached in format i) ILRs, DF, Voltage stabilizers Details attached in format a) Plan for replacement of all condemned All non serviceable equipments on being conor non service able equipment which is demned as per the guide line of Govt. of India. beyond repair. b) Expansion:- Need based depending on New PHCs are opened at Kishori Nagar, Ganthe setting up of New PHC/ cold chain dhi Nagar and Chouldhari during 2011-12. points. c) All CFC equipments supplied till 1992 No. CFC equipments are available in this UT. has been replaced with Non CFC All CFC equipments were replaced by non equipment. The expansion plan should CFC equipments during 2005-06 onwards. Till include replacement of remaining CFC date altogether 13 Nos. Haier Make ILRs are 296 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands equipments supplied during the period found beyond repair and the replacement units of 93-98 for the same have been received from Govt. of India recently since the Haier Make ILRs are giving a life span of 5 years, remaining 10 ILRs of Haier Make are expected to be beyond repair. ii) Cold boxes, Vaccine carriers – replace- 10 Cold boxes are required to replace the ment plan for expansion or replacement of damaged ones and to not the future requirecondemn equipment. ment. iii) Insulated / Non Insulated vaccine van: There are 3 districts in A & N Islands only one Plan for supply of insulated vaccine vans vaccine van is available at Andaman District. against condemned vehicles and expansion Therefore it is proposed to process 2 more plan for supply of vaccine van for newly cre- Vaccine Delivery Van for the remaining two ated district. districts. iv) mechanism for cold chain maintenance Two Refrigerator machines are to repair and and repairs – HR structure, AMC (if any) etc. maintain the CC equipments. So far no AMC is given to any body as the maintenance is under taken by the Refrigerator machines independently. 12. Status of implementation of procurement management information system (ProMIS). 13. IEC plan for strengthening UIP:. No IEC fund is provided for Routine Immunization so far. In this PIP IEC fund is proposed for awareness and publicity among people by Printing of desk calanders, Advt. through Cable T.V, Orientation meeting with ICDS staffs, BDO's, Health camps for RI, Printing of Pamphlets for RI. 14. Infrastructural and manpower requirements that are essential for implementation of UIP but not admissible under Part C (Im297 PIP of 2012-13 Document 2 Nos. Helper for Cold Chain Section PIP of Union Territory Health Mission, A&N Islands munization) may be provisioned under the NRHM/RCH heads. (eg; Refrigerator mechanics, renovation of stores etc.) This should include district level need for godown for vaccine / logistics. 15. Additional support required to improve Routine Immunization; for any state specific need please provide a separate write-up on - objective, strategy, expected output and budgetary basis for the activities. C.2 Basic information of the State/UT related to Immunization Programme. Position State Immunization Officer Name & Designation Contact No. / Email Dr.Avijit Roy, [email protected] Deputy Direc- 9434289163 tor(Health) State Cold Chain Officer Dr.Avijit Roy, [email protected] Deputy Direc- 9434289163 tor(Health) State Level Data Assistant Jamal-Ud-Deen [email protected] 9434280177 District Immunization Officers No. of Districts - 3 (DIO) 298 PIP of 2012-13 Document No. of DIOs in position - 02 PIP of Union Territory Health Mission, A&N Islands C. 3 Beneficiaries details of pregnant women and children S. No. 1. 2. 3. 4. 5. 6. 7. Beneficiaries 2010-11 Pregnant Women O to 1 yrs. infants 1-2 yrs. 2-5 yrs. 5 yrs. 10 yrs. 16 yrs. 7133 6879 6238 18699 6769 6539 6238 Target 2011-12 6420 6192 6879 19373 6101 5857 5588 2012-13 6366 6000 6000 18000 5904 5704 5442 C4 Details of Routine Immunization Sessions The following information is to be filled based on the RI micro-plans. Please provide the details of held sessions for 2009-10 & 10-11, while for 2011-12 the number of planned sessions is to be provided: S. No. 1. 2. Routine Immunization Sessions 2010-11 2011-12 2012-13 Total Sessions Planned 12960 12600 Total Sessions Held 10120 10355 6109 (up to Dec. 11) - - - - - - 720 (up to Dec. 11) 7613 (up to Dec. 11) - - - - - - - 4. No. of Outreach Session All DHs, CHSs, PHCs, UHCs & Sub Centers No. of Fixed site sessions 5. No. of Session in Urban Areas 932 6. No. of Session in Rural Areas 9188 7. 8. 9. 10. No. of Session in hard to reach Areas No. of Session with hired vaccinators* No. of hired Vaccinators* No. of village where sessions are held monthly No. of villages (smaller) where sessions are held on alternate months No. of villages where sessions are held quarterly. 3. 11. 12. (State to provide separate targets, quarter-wise, for 2012 for high districts (consolidated) and State total. 299 PIP of 2012-13 Document - - PIP of Union Territory Health Mission, A&N Islands C.5 Existing Support to the States Sl. No . Items Stock (functional) as on 31st Dec.11 Requirement Remarks 2010-11 2011-12 2012-13 1. Cold Chain Equipments a) WIC 1 No. - Nil Nil b) WIF Nil - Nil Nil c) ILR 44 - 6 4 d) DF 47 - 6 4 e) Cold Boxes 51 - 5 5 f) Vaccine Carrier 600 - 200 100 g) Ice Pack 5000 Nos - 1000 Nil h) Vaccine Van 1 1 1 Nil 2. Vaccine stock and requirement (including 25% wastage and 25% buffer) a) TT b) BCG 660 doses c) OPV 8640 doses d) DPT 10790 doses e) Measles 7780 doses f) Hep B 15030 doses g) JE (Routine) 3. Syringes including wastage of 10% and 25% buffer a) 0.1 ml 11000 Nos 17000 Nos Nil 15000 Nos b) 0.5 ml 66200 Nos 58700 Nos c) Reconstitution Syringes 2900 Nos 6000 Nos 141600 Nos Nil 150000 Nos 50000 Nos 4. Hub Cutters - - - 21960 doses Nil 10000 doses 15000 doses 25000 40,000 Doses 13000 doses 30000 45000 doses 15000 doses 40000 doses 20000 doses 19000 doses 28900 doses- doses 34000 doses 10000 doses 26000 doses- doses 50000 doses 20000 doses 40000 doses- 300 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands District – wise coverage reports (in numbers) upto December 2011 S. No. Name of the District Yearly Target (201112) Infants 1. South Andaman 2. N & M Andaman 3. Nicobar District BCG Coverage (in numbers) OPV – 1st Dose Coverage in numbers) OPV – 3rd Dose Coverage in numbers) DPT – 1st Dose Coverage in numbers) DPT – 3rd Dose Coverage in numbers) 2011-12 2011-12 2011-12 2011-12 2011-12 3027 2600 2432 2600 2432 829 1158 1177 1158 1177 390 4246 426 4184 447 4056 426 4184 447 4056 Pregnant Women 6192 6420 Total S. No Name of the District Measles Coverage Measles 2nd Dose Coverage TT2+Booster Coverage Hep B – Birth Dose Coverage Hep B – 1st Dose Coverage Hep B – 3rd Dose Coverage JE-routine (Wherever applicable) 2011-12 2011-12 2011-12 2011-12 2011-12 2011-12 1. South Andaman 2513 2516 3112 3027 2600 2432 2011-12 NA 2. N & M Andaman 1214 1111 1025 829 1158 1177 NA 3. Nicobar District 427 450 464 390 426 447 NA 4154 4077 4601 4246 4184 4056 NA Whooping Cough Cases Death Neonatal Tetanus Cases Death Polio AES Total Diphtheria S. No. Name of the District 1. South Andaman 2. N&M Andaman Nicobar District 3. Cases - Death - - - - - - - - - - - - Measles Cases Death Cases Death Cases Death Cases - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Total 301 PIP of 2012-13 Document Tetanus (Other) Death PIP of Union Territory Health Mission, A&N Islands Supervisory visits by state and district level officers for monitoring and supervision of RI Cold Chain maintenance Focus on slum & underserved areas in urban areas: Mobilization of children through ASHA/ Mobilizers @Rs.50,000 per District for district level officers (this includes POL and maintenance) per year By state level officers @ Rs.100,000 /year @ Rs 500 per PHC/CHC per year District Rs 10,000 per year Hiring an ANM @Rs.300/session for four sessions/month/slum of 10000 population and Rs.200/- per month as contingency per slum of i.e. total expense of Rs. 1400/- per month per slum of 10000 population. 87,537.00 0.00 36,664.00 0.00 PIP of 2012-13 Document No of districts visited for RI review 85.27 % Funds used No of sessions with hired vaccinators 1,19,129.00 6109 No of sessions Supervised 0.00 33,960.00 0.00 No. of sessions with ASHA @ Rs 150/session (for all states/UT.s) @ Rs 100/ASHA for ½ day Training 10120 No of sessions Supervised Achievement Mobility support for supervision Achievement Norms* Expenditure Service Delivery: - Expenditure Expenditure & Achievement 2011-12(till dec.) 2010-11 40,300.00 78.98 % Funds used No of sessions with hired vaccinators Funds requirement 100,000.00 Target No of sessions Supervised 100,000.00 No of districts visited for RI review 100,000.00 % Funds used 0.00 No. of sessions with ASHA 21,573.00 302 No of districts visited for RI review Remarks 2012-13 No of sessions with hired vaccinators No. of sessions with ASHA 50,000.00 403 ASHA PIP of Union Territory Health Mission, A&N Islands Alternative Vaccine Delivery: Support for Computer Assistant for RI reporting (with annual increment of 10% w.e.f. from 2010-11) Printing and dissemination of immunization cards, tally sheets, monitoring forms, etc. Review Meetings Geographically hard to reach areas (eg. Session site>30 kms from vaccine delivery point, river crossing etc.) @ Rs 100 per RI session 80,000.00 State @Rs 12,000- 15,000 p.m. - - 0.00 Districts @ Rs 8000- 10,000 p.m - - 0.00 34,000.00 1,20,000.00 100,000.00 @ Rs 5 per beneficiary 12620(6420+6200) Support for Quarterly State level Review Meetings of district officers @ Rs 1250/participant/day for 3 persons (CMO/DIO/Dist Cold Chain Officer) Quarterly Review & feedback meeting for exclusive for RI at district level with one Block MO.s, ICDS CDPO and other stakeholders@ Rs 100/- per participant for meeting expenses (lunch, organizational expenses) Quarterly review meeting exclusive for RI at Block level @Rs 50/-pp as honorarium for ASHAs (travel) and Rs 25 per person at the disposal of MO-I/C for meeting expenses(refreshments, stationery and misc. expenses) No of sessions with AVD No of meetings held Nos of sessions with AVD 100,000.00 No of meetings held No of sessions with AVD No of C.A. in position - No of meetings held 0.00 0.00 15,000.00 4,000.00 4,517.00 28,000.00 - 0.00 - 20,000.00 - 303 PIP of 2012-13 Document 20,000.00 PIP of Union Territory Health Mission, A&N Islands 79 Nos of persons trained Trainings District level orientation training for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male / Female), Nurse Mid Wives, BEEs & other specialist (as per RCH norms) Three day training of Medical Officers on RI using revised MO training module Two days Cold Chain handlers training for block level cold chain handlers by State and District Cold Chain Officers and DIO for a batch of 15-20 trainees and three trainers One day Training of block level data handlers by DIO and District Cold chain Officer to train about the reporting formats of Immunization and NRHM Micro planning To develop sub-center and PHC Micro plan using bottom up planning with participation of ANM, ASHA, AWW 1,30,934.00 60 Nos of persons trained 1,46,683.00 60 Nos of persons trained As per RCH _II norms 162,150.00 As per revised norms for trainings under RCH - As per revised norms for trainings under RCH 1,91,499.00 35 Nos of persons trained As per revised norms for trainings under RCH 29,592.00 29 Nos of persons trained As per revised norms for trainings under RCH 23,520.00 29 Nos of persons trained - 50,390.00 33,072.00 - 197,800.00 30 Nos of persons trained As per RCH _II norms 29 Nos of persons trained 53,475.00 30 Nos of persons trained As per RCH _II norms 29 Nos of persons trained 53,475.00 30 Nos of persons trained As per RCH _II norms 0.00 @ Rs 100/- per sub centre (meeting at block level, logistic) 2,760.00 - 1,400.00 For consolidation of Microplan at PHC/CHC level @ Rs 1000/block & at district level @ Rs 2000/- per district 0.00 - 3,500.00 304 PIP of 2012-13 Document No. of Districts have updated micro plans this year 11,500.00 30,000.00 No. of Districts have updated micro plans this year 19 PHC ,4 CHCs 3 districts PIP of Union Territory Health Mission, A&N Islands POL for vaccine delivery from State to District and from district to PHC/CHCs Consumables for computer including provision for internet access for RIMS 81,718.00 Rs.100,000/ district/year @ 400/ - month/ district % Funds used 0.00 Office expences and consumables including Procurement of toner, stationery etc 17,078.30 Injection Safety 26,556.00 0.00 - 5,096.00 % funds used Red/Black Plastic bags etc Bleach/Hypochlorite solution Twin bucket Any State Specific Need with justification (Please provide a separate writeup on objective, strategy, expected output and outcomes, basis for cost estimates etc.) 13 % Funds used 100,000.00 % Funds used 0.00 - 60,000.00 - % Funds used 0.00 % Funds used @ Rs 2/bags/session 50,000.00 @ Rs 500 per PHC/CHC per year @ Rs 400 per PHC/CHC per year 0.00 0.00 0.00 0.00 The fund is for SIO to visit mainland Delhi etc for seminars and meetings. TA/DA expences of SIO for Meetings and seminars at ministry level 0.00 % funds used 0.00 % Funds used 100,000.00 IEC activities for RI 0.00 % funds used 0.00 % Funds used 150,000.00 % Funds used The fund may be utilized for Intensification of RI for 2012-13 0.00 % funds used 0.00 % funds used 5,00,000.00 % Funds used Sensitization Emergency conveyance for refrigerator mechanic 0.00 - - - 50,000.00 - 2 Nos. Helper for Cold Chain Section 0.00 - - - 1,92,000.00 - Total: 759,602.00 585,876.00 305 PIP of 2012-13 Document 2,323,400.00 % Funds used PIP of Union Territory Health Mission, A&N Islands Immunization Programme (2012-13) S. No. 1 Activities Proposed Total in lacs Mobility Support for Supervision Supervisory Visits by states and district level offiers for monitoring and supervision of RI 2.000 2 Cold Chain Maintenance 1.000 3 Focus on slum & underserved areas in urban areas: 0.000 4 Mobililzation of Children Through ASHA/ Mobilizers 0.500 5 Alternative Vaccine Delivery 1.000 Support for computer assistant for RI reporting 0.000 6 Printing and Dissemination 1.000 7 Review Meeting 1.1 5.1 7.1 7.2 7.3 8 Support for Quarterly State level Review Meetings of district officers @ Rs. 1250/participant/day for 3 persons (CMO/DIO/Dist cold Chain Officer 0.150 Quarterly Review & feedback meeting for exclusive for RI at district level with one Block MO.s, ICDS CDPO and other stakeholders @ Rs. 100/- per participant for meeting expenses (lunch, organizational expenses) 0.280 Quarterly review meeting exclusive for RI at Block level @ Rs. 50/- pp as honorarium for ASHAs (travel) and Rs. 25 per person at the disposal of MO-I/C for meeting expenses (refreshments, stationery and misc. expenses) 0.200 Training 1.620 8.1 District level orientation training for 2 days ANM, Multi Purpose Health Asistant (Male/Female), Nurse Mid Wives, BEEs & other specialist (as per RCH norms) 8.2 Three day training of Medical officers on RI using revised MO training module 1.980 Two days Cold Chain handlers training for block level cold chain handlers by State and District Cold Chain Officers and DIO for a batch of 15-20 trainees and three thrainers 0.530 8.3 306 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 8.4 9 9.1 9.1.1 9.1.2 10 11 12 One day training of block level data handlers by DIO and District cold Chain Officer to train about the reporting formats of Immunization and NRHM 0.530 Micro Planning To develop sub-centre and PHC Micro plan using bottom up planning with participatin of ANM, ASHA, AWW Rs. 100/- per sub centre (meeting at block level, logistic 0.115 For Consolidation of Microplan at PHC/CHC level @ Rs. 1000/block & at district level @ Rs. 2000/- per district 0.300 POL Vaccine Delevery from State to District & from District of PHC/CHC 1.000 Consumables for computer including provision for internet access for RIMS 0.600 Injection Safety 11.1 Red/Black Plastic bags etc 0.500 11.2 Bleach/Hypochlorite solution 0.000 11.3 Twin bucket 0.000 12 Any state specific need with justification (please provide a separate write-up on objective, strategey, expected output and outcomes, basis for cost estimates etc.) 12.1 TA/DA expensces of SIO for Meetings and seminars at Ministry level 1.000 12.2 IEC activities for RI 1.500 12.3 Intensification of RI for 2012-13 5.000 12.4 Emergency conveyance for refrigerator mechanic 0.500 12.5 2 Nos. Helper for Cold Chain Section 1.920 Committed unspent balance Total Fund Proposed for the FY 12-13 Less: Unspent Balance on 01.04.2012 Actual Budget Required 307 PIP of 2012-13 Document 0.70 23.925 3.800 20.125 PIP of Union Territory Health Mission, A&N Islands D. DISEASE CONTROL PROGRAMMES D.1. NATIONAL VECTOR (NVBDCP): BORNE DISEASE CONTROL PROGRAMMES INTRODUCTION: The National Malaria and Filaria Control Programmes is being implemented since the inception of the programmes in this UT and subsequently the same has been redefined as National Vector Borne Disease Control Programme from 02nd December 2003. The main objective of the programme is to prevent and control all the vector borne diseases like malaria, filaria, dengue, chikungunya etc. in an integrated approach through the health care delivery system situated in far flung Islands under the direct supervision of concerned Medical Officers of the area positioned at primary health centres, community health centres, district hospitals and under the technical support and supervision of Deputy Director (Malaria) at its head quarter, Port Blair. The existing health infrastructure under the Directorate of Health Services is quite sufficient to meet the requirement for successful implementation of National Vector Borne Diseases Control Programme in this Union Territory. National Vector Borne Disease Control Programme unit has infrastructure like District Malaria Officer, Assistant Malaria Officer, Malaria Inspector, Filaria Inspector, Insect Collector, Surveillance Worker, Head Worker and Mazdoor. 308 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands EXECUTIVE SUMMARY In the State Andaman & Nicobar Islands, Vector Borne Diseases are major public health problem. Malaria is endemic in one district viz Nicobar District Filaria is endemic in one district viz Nicobar District Dengue / Chikungunya is endemic in South Andaman District Kala azar is endemic in Nil District AES including JE is endemic in Nil District The requirement for programme implementation has been indicated in detail and the summary is indicated below:Disease Cash Assistance from GOI Malaria - Malaria Filaria Dengue / Chikungunya De-centralized commodities Kala-Azar/JE Total Balance Committed Net refrom Expenditure quirement previous year 600.00 10.00 11.00 14.50 5.00 Nil - 10.00 11.00 14.50 5.00 11.05 24.50 9.50 34.51 Nil 40.5 Nil Nil Nil 40.5 Nil 679.56 State Resources Cash Assistance for salary under treasury route NRHM NRHM NRHM NRHM NRHM PART – I I. MALARIA 1. SITUATIONAL ANALYSIS OF THE DISEASE: a) Demographic profile of State indicating names of District, number of District hospitals, CHCs, PHCs, Sub Centres / FTDs. Ref. Hosp. 1 SOUTH ANDAMAN DISTRICT Dist. CHC PHC UHC No. of SC / Hosp FTDs 0 1 10 5 37 309 PIP of 2012-13 Document Population 3,14003 PIP of Union Territory Health Mission, A&N Islands Ref. Hosp. 0 Ref. Hosp. 0 b. NORTH & MIDDLE ANDAMAN DISTRICT Dist. CHC PHC UHC No. of SC / Hosp FTDs 1 2 7 0 42 Dist. Hosp 1 Population 1,35,388 NICOBAR DISTRICT CHC PHC UHC No. of SC / Population FTDs 1 4 0 35 41,368 Status of various posts in Andaman and Nicobar Islands Name of the Post District Malaria Officer Entomologist A.M.O Malaria Inspector Filaria Inspector Insect Collector Surveillance Worker Lab Technician Lab Assistant Lab Attendant Head Worker Mazdoor Office Superintendent Head Clerk HGC LGC Driver Peon Safaiwala Chowkidar DRM (Annually DDT Spray) 5 months Grand Total Name of the Post MPW (Female) MPW (Male) Grand Total Sanctioned 02 01 02 18 06 05 43 08 05 02 16 61 01 01 01 02 03 02 01 01 90 271 Sanctioned 171 26 197 310 PIP of 2012-13 Document In Place Vacant 02 Nil Nil 01 02 Nil 13 05 04 02 05 Nil 41 02 08 Nil 05 Nil 02 Nil 15 01 61 Nil 01 Nil 01 Nil 01 Nil 02 Nil 03 Nil 02 Nil 01 Nil 01 Nil 90 DRMs Engaged for two rounds DDT spray 260 11 In Place 167 26 193 Vacant 04 Nil 04 PIP of Union Territory Health Mission, A&N Islands ASHAs South Andaman District North & Middle Andaman District Nicobar District Grand Total Village Health & Sanitation Committee South Andaman District North & Middle Andaman District Nicobar District Grand Total Note:- No.of ASHAs in Place 135 219 53 407 In Position 77 138 60 275 1. Posts of DMO & AMO have not been created for North & Middle Andaman District. 2. One post of Entomologist is lying vacant since its creation. 311 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands DISTRICT WISE REPORT c) Epidemiological data for 2010 and upto October’ 2011 indicating BS examined, malaria positive, Pf positive, number of death, ABER, API, Pf%, SPR and SFR Year 2010 2011 upto oct. Year 2010 2011 upto oct. B/S EXAMPOP INED 325624 53485 314003 38568 B/S EXAMPOP INED 100110 25936 135388 19884 Year POP 2010 55223 B/S EXAMINED 42339 2011 upto oct. 41368 23785 SOUTH ANDAMAN DISTRICT POS PV PF SP SFR ABER API R 699 611 88 1.3 0.16 16.42 2.14 0 390 281 105 370 312 PIP of 2012-13 Document Pf% 21.60 64 0 DEATH 0 0 NICOBAR DISTRICT PV PF SP SFR ABER API R 1460 815 645 3.4 1.52 76.66 26.43 4 652 DEATH 0 POS 1022 12.58 28 NORTH & MIDDLE ANDAMAN DISTRICT POS PV PF SP SFR ABER API R 324 255 70 1.2 0.26 25.90 3.23 4 169 Pf% - - - - Pf% DEATH 44.17 0 - 0 PIP of Union Territory Health Mission, A&N Islands Andaman & Nicobar Islands: Year POP 2010 480957 2011 upto Oc- 4,90,759 tober. B/S EXAM- POS PV PF SPR SFR ABER API Pf% DEATH INED 121760 2483 1681 803 2.03 0.65 25.31 5.16 32.33 0 82237 1500 1038 462 - - - - - 0 d) No. of Outbreak reported during 2010: Number of Outbreak Nil Period of outbreak Death reported Nil Nil Outbreak and area of outbreak Nil e) No. of Lab Technician / Lab Assistants for Microscopic facilities available 2. No. of PHCs without Lab Technicians / Lab Assistants No. of PHCs without Microscopic facilities Nil Nil Specific constraints for implementation of the programme a. One post of DMO and One post of AMO to be created for North & Middle Andaman district. b. Limited No. of vehicles for movement of the field staff. c. Due to Tsunami the eco-balance of A & N Islands has been disturbed with large collection of water in the low land near the sea-shore, which are suitable breeding places for mosquitoes. d. Migration of labourers from mainland in connection with construction works. e. Considerable increase in the population of A&N Islands in comparison with the man-power available presently. f. Reported Chloroquine resistant cases of malaria in Nicobar district. 3. Prioritization of the areas including the criteria for prioritization Nicobar District is identified as the prioritized area. Criteria for prioritization a) Very high API b) High prevalence of Pf malaria c) Reported Chloroquine resistant cases of PV & PF malaria d) Tribal area. 313 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 4. Strategy & innovations proposed :a. For rapid diagnosis & prompt treatment especially in the Nicobar district – Rapid Diagnosis Kit to be supplied to the sub-centre level with proper training of the multipurpose health workers (male & female) b. Supply of LLIN to the tribal population, BPL families & migrated bourers. la- c. IEC activities are to be augmented with utilization of services of ASHA. d. Restriction on the Migration of labourers from mainland. e. Surveillance activities are to be geared up. f. 100% coverage of houses with indoor residual spray with DDT and regular antilarval activities are to be carried out & regular fogging in the areas with sudden increase in the case of Pf malaria. g. Periodically training & Orientation programme for medical officers & para- medical staff is to be arranged. h. Gambusia fishes are to be released in all large water bodies. i. Vehicle for mobility – Pick up van three nos. for three districts. j. Target : To achieve the target of API 3.5 in Andaman & Nicobar Islands by the end of 2012-13. Which was 5.16 in the year 2010. 314 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands 5. I. Cash Assistance for Malaria: Monitoring evaluation and supervision and epidemic preparedness with mobility support:Component Monitoring evaluation and supervision and epidemic preparedness with mobility support Approved Fund rePIP 2011- quired for FY 12 2012-13 (in lakhs) (in lakhs) 5.50 5.85 Total II. 5.85 Capacity Building, IEC/BCC Activities:Activities Approved PIP 201112 Training/ Capacity building 2.00 IEC/BCC activities includ2.00 ing observance of Anti Malaria Month in June’ 2012. Proposed Expenditure upto March’ 2012 2.00 2.00 Fund required for FY 2012-13 (in lakhs) 2.00 3.00 Total II. 5.00 Lymphatic Filariasis National Health Policy 2002 aims at elimination of lymphatic Filariasis by 2015. The Strategies for achieving this goal is by MDA, morbidity management and vector control. 1. Situational analysis of the disease: a) Line listing of Lymphoedema & Hydrocele Cases in the year 2010. Name of Districts Name of Island Port Blair Havelock South Andaman Neil Islands Hutbay Campbell Nicobar Bay District Nancowry Lymphoedema Hydrocele Lymphoedema Hydrocele + Hydrocele Operation 57 42 01 10 Nil Nil Nil Nil Nil 03 Nil 01 01 02 Nil Nil Nil Nil Nil 02 15 10 315 PIP of 2012-13 Document Nil 03 PIP of Union Territory Health Mission, A&N Islands Katchal Teressa Chowra Car Nicobar North & North & Middle Middle AnAndaman daman Grand Total Nil 48 12 Nil 07 03 10 11 01 09 Nil 02 Nil Nil Nil Nil 05 04 06 03 140 91 03 34 b) Pre – MDA Micro Filaria Survey - 2010 Name of the District South Andaman District Nicobar District N & M Andaman Grand Total BS BS ExamCollected ined 3218 3218 6428 802 10448 6428 802 10448 Mf 0 Mf Rate 0 10 0 10 0.15 0 0.15 c) District Wise Details Of Mass Drug Administration Cases For 2010:- Name of the District Total Population Eligible Population Population covered with MDA No. of DEC tab administered No. of Albendazole tab administered South Andaman North & Middle Andaman Nicobar Grand Total 232633 210249 202232 532645 202232 111678 101967 97666 250589 97666 42706 387017 37975 350191 37634 337532 97872 881106 37634 337532 % coverage against eligible Pop. 96.38 2. Specific constraints for implementation of the programme Less amount of honorarium to the drug distributors. Delay in the receipt of the drugs (DEC & Albendazole tablets) for MDA for the year 2009 was observed on 8.5.2010. 3. Prioritization of the areas including the criteria of prioritization 316 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands a) Teressa, Chowra, Nancowry and Katchal Islands of Nicobar District. b) Mf positive cases are found as well as lymphoedema & Hydrocele cases have been detected. 4. Proposal for ICT Survey in South Andaman District and North & Middle Andaman District :MDA is being carried out in all parts of A & N Islands from 2004. But in the year 2005 no MDA was conducted due to post Tsunami condition. During this period there were two districts in A & N Islands namely:- Andaman District and Nicobar District. Later on in the year 2006 Andaman District was divided into two districts. So, presently there are three districts in A & N Islands namely :- South Andaman, North & Middle Andaman and Nicobar districts . Present Mf rate in South Andaman and North & Middle Andaman Districts is Zero. As per the guideline ICT survey is to be conducted in these two districts. MDA for 2011sheduled to be conducted in February’ 2012 will be the seventh round in A & N Islands. ICT – Kits for Survey: Requirement – 6,60 nos. kits for two districts. Fund required Rs.11.5 lakhs. 5. Cash Assistance for Lymphatic Filariasis:Activities Approved PIP (2011-12) State Task force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid response Team. Microfilaria Survey Post MDA assessment by medical colleges (Govt. & Private) ICMR institutions. Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers. Specific IEC/BCC at state, district, 3.80 317 PIP of 2012-13 Document (Rs. in lakhs) Expected Ex- Fund penditure up- required to March’ for FY 2012 2012-13 3.8 2.20 0.50 0.30 0.50 0.30 0.50 0.30 1.70 1.70 3.00 2.70 2.70 2.00 PIP of Union Territory Health Mission, A&N Islands PHC, sub-centre and village level including VHSC/GKS for community mobilization efforts to realize the desired drug compliance of 85%during MDA. Honorarium to drug distributors in2.00 cluding ASHA and supervisors involved in MDA. Total Lymphatic Filariasis III. 2.00 5.00 13.00 KALA-AZAR & JAPANESE ENCEPHALITIS No case of Kala-Azar & Japanese Encephalitis has been reported from any part of Andaman & Nicobar Islands. 1. Cash Assistance for Kala-Azar & Japanese Encephalitis Activities Training Approved PIP Expected Expenditure 2011-12 upto march’ 2012 Nil Nil (Rs. in lakhs) Fund required for FY 2012-13 Nil IV. DENGUE / CHIKUNGUNYA Situational analysis of the disease: There has been out break of Chikungunya cases in South Andaman and in North & Middle Andaman. Incidence of Chikungunya cases has been reported from Nancowry group of Islands in Nicobar District. Out break of Dengue occurred in South Andaman and in North & Middle Andaman in 2010. Incidence of Dengue / Chikungunya for the year 2010: DENGUE: For the year 2010 No. of cases CLASSICAL DEN- DENGUE HEMORRHAGIC DSS GUE FEVER(CDF) FEVER CASES (DHF) 722 20 04 318 PIP of 2012-13 Document Death 02 PIP of Union Territory Health Mission, A&N Islands CHIKUNGUNYA: For the year 2010 No. of cases 1266 Cases Incidence of Dengue / Chikungunya for the year 2011: DENGUE: For the year 2011 st (1 January’ 2011 to 31st October’ 2011) From 1st November to 18th November’ 2011 Classical Dengue Fever(CDF) Nil Samples collected 69 No. of cases Dengue Hemorrhagic DSS Death Fever Cases (DHF) Nil Nil Nil Samples Confirmed Death tested Cases (Igm ELISA) 69 02 Nil CHIKUNGUNYA: (1st For the year 2011 January’ 2011 to 31st October’ 2011) From 1st November to 18th November’ 2011 No. of cases Nil Sample Sample Collected tested 13 13 Confirmed Cases (Igm ELISA) 01 - Positive 01 EQUIVOCAL Death NIL 2. Specific constraints for the implementation of the programme. a) South Andaman with North & Middle Andaman are the tourist places. b) Migration of the labourers from Mainland specially from West Bengal, Andhra , Bihar, Orissa and Tamil Nadu in connection with the construction works taken up after Tsunami. c) Rapid increase in the population. d) Unplanned urbanization and overcrowding. e) Improper dumping of garbage like polythene bag, disposable cups, coconut shells, water bottles and other articles. 319 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands f) Dumping of unused tyres, insulators and scrap materials in the open air by some Govt. organizations and traders. g) Water scarcity in South Andaman forcing people to store water without proper covering of the containers. 3. Prioritization of the areas including the criteria for prioritization. a) South Andaman with North & Middle Andaman. b) Special attention to be given to the Nancowry group of Islands as Chikungunya cases have been reported from these Islands in 2010. Criteria for prioritization. a) Tourist Places. b) Migration of labourers. c) Tribal Area. 4. Strategy and Innovation Proposed. I. Current Strategy. a) Active Surveillance. b) Anti Larval Activities. c) Anti Adult Activities. d) IEC / BCC Activities. II. Strategy and Innovation Proposed a) Medical examinations of the passengers in mainland i.e. Kolkata and Chennai before embarkation in the Ship and before boarding in Aeroplane and in Delhi before boarding in Aeroplane. b) Restriction on the migration of the labourers from mainland specially to the tribal areas. c) Training of Medical Officers and Para Medical staff periodically. d) Sensitization of students and teachers of schools and colleges. e) Involvement of all the Govt. & Non-Govt. Organizations linked with this programme and have specific role to be played, like – 320 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands Municipal Council. APWD. Social Welfare Department. Education Department. Transport Department. PRI. Tribal Council in Nicobar District. Media. f) Surveillance Activities are to be geared up with house to house visit and identification of breeding places and to take immediate measures. g) Formation of state level committee under the Chairmanship of Director of Health Services, district level committee under the Chairmanship of Medical Superintendent of district hospitals and local committee. h) Local committee to be formed at every PHC / CHC level under the direct supervision of MO / CMO i/c to utilize the services of village health and sanitation committee. 5. Requirement of commodity as per technical norms and considering balance of store consumption capacity and its justification. a) Strengthening Disease Surveillance : Operational Cost to Sentinel Surveillance Hospitals: Sl.NO 1. Component Operational Cost to Sentinel Surveillance Lab Fund required for FY 201213 (in lakhs) 1.50 321 PIP of 2012-13 Document Remarks G.B. Pant hospital Port Blair, RMRC (ICMR) Port Blair and Dr. RP Hospital, Mayabunder (District hospital)have been identified by MOH&FW to function as Sentinel Surveillance Hospital. PIP of Union Territory Health Mission, A&N Islands Equipment required – One ELISA reader for Dr. R.P.Hospital, Mayabunder identified as Sentinel Surveillance Hospital (under process) to make it functional mac ELISA Kits for Dengue /Chikungunya supplied by GOI (NIV, Pune). Sl. No. Item Received in year 2011-12 Monthly requirement Per year requirement 1. a. Dengue mac ELISA kit for Dengue 09 nos. 03 nos 24 nos. 2. a. Chikungunya mac ELISA kits for Chikungunya 06 nos. 01 no. 08 nos. b. GOI (NIV, Pune) Vector Control and Environmental Management: i. Cash Assistance through NRHM Particulars No. Available No. in Working Condition No. in repairable condition Requirement for the year 2012-13 Fund required for FY 2012-13 Fogging Machines (Operation & Maintenance) 105 Nos. 57 Nos. 48 Nos. Nil (in lakhs) Nil Total 322 PIP of 2012-13 Document Nil PIP of Union Territory Health Mission, A&N Islands c. S.N o 1. d. S.No 1. 3. 1. Activity Rapid response Fund required for FY 2012-13 (in lakhs) 1.00 Remarks For One District i.e South Andaman Capacity Building: Activity Training load Training for Medical Officers, Programme Manager, SSH, MPW, ASHA etc 1. 50 nos. of Medical Officers in 2 batches i.e 25 nos. of Medical Officers in each batch. 2. 30 nos. of MPW & other para Medical Staff in 2 batches i.e total 60 nos. of participants. - Printing of Guideline/Manuals/Formats etc. e. S.N o Epidemic Containment: Fund required for FY 2012-13 (in lakhs) Remarks - 2.00 Printing of guidelines / Manuals / formats etc. will be according to the training load. Monitoring & Evaluation: Component Fund required for FY 2012-13 (in lakhs) M & E costs including reviews, feedback mobility support for field visits. 1.50 f. IEC/BCC for Community awareness:- 323 PIP of 2012-13 Document Remarks One Unit for each District, i.e South Andaman , N & M Andaman and Nicobar districts (total three units). PIP of Union Territory Health Mission, A&N Islands S.N o 1. Activity Fund required for FY 2012-13 (in lakhs) Advocacy Campaign including observance of Anti Dengue Month in July’ 2012. 3.50 324 PIP of 2012-13 Document Remarks To be carried out in three districts of Andaman & Nicobar Islands to create awareness among the general public. PIP of Union Territory Health Mission, A&N Islands V. HUMAN RESOURCE MANAGEMENT (ASHA) Under NRHM in South Andaman District One Hundred and thirty five (135) ASHAs, in Nicobar District fifty three (53) ASHAs and two hundred and nineteen (219) ASHAs in North & Middle Andaman District are giving their services. Sl.No. 1. (Rs. in lakhs) Proposed Budget 0.20 Activity Honorarium for ASHAs VI. DECENTRALIZED COMMIDITIES:1. Requirement of De- Centralized commodities as per the technical norms and considering balance of stores, consumption capacity and justification for 2012-13. a. Drugs: Sl. Name of Item No. Present Stock 1. Tab. Chloroquine Tab Primaquine (7.5mg) 13,70,420 nos. 28,280 nos. 50,000 nos. Approx. Qty. reFund balance quired for required at the 2012-13. for end of 2012-13. March’ (in 2012. Lakhs) 60,000 13,10,420 Nil Nil nos. nos. 33,000 45,280 78000 0.11 nos. nos. nos. 3. Tab Primaquine (2.5mg) 16,550 nos. 50,000 nos. 22,500 nos. 44,050 nos. 41000 nos. 0.01 4. 1,240 nos. 20,000 nos. 5,000 nos. 2,600 nos. Nil Nil Nil Nil 632 nos. 18,640 nos. 6,459 nos. Nil Nil 6. Tab Quinine Sulphate Injection Quinine ACT (Adult) 3000 nos. 0.67 7. ACT 0-1 year 346 nos. Nil 320 nos. 26 nos. 1,200 nos. 0.05 8. ACT 1-4 year 546 nos. Nil 380 nos. 166 nos. 1,250 nos. 0.09 9. ACT 5-8 year 370nos. Nil 320 nos. 50 nos. 1,200 nos. 0.14 10. ACT 9-14 year Tab. DEC 439 nos. Nil 380 nos. 59 nos. 1,500 nos 0.25 8,26,000 9.50 2. 5. 11. 2,699 nos. 632 nos. 5,14,843 Qty. to be procured during 2011-12 Approx. Qty. to be used upto March’ 2012 Nil 4,50,000 1,240 nos. 8,85,250 325 PIP of 2012-13 Document 79,593 PIP of Union Territory Health Mission, A&N Islands 100 mg 12. Tab. Albendazole 400 mg nos. nos. nos nos. nos 93410 nos. 4,00,000 nos. (GOI) 3,50,000 nos. 1,43,410 nos 2,07,000 nos. Total 12.42 23.24 b. Diagnostics:- Sl. Name No. Item 1. 2. of Present Stock RDT (PF only) for Malaria ELISA based NS1 antigen kits Qty. to be procured during 2011-12 Nil 5,000 Approx. Qty. to be used upto March’ 2012 5,000 Nil Nil Nil Approx. balance at the end of March’ 2012. Nil Qty. required for 201213. 20,000 Fund required for 2012-13. (in lakhs) 3.00 Nil 24 kits 4.20 Total 7.20 c. Larvicides:Sl. Name No. Item 1. 2. of Present Stock Temephos Bti(wp) 1165 ltrs 1018 Kg Qty. to be procured during 2011-12 Nil Nil Approx. Qty. to be used upto March’ 2012 272 ltrs 400 kg 326 PIP of 2012-13 Document Approx. balance at the end of March’ 2012. 893 ltrs 618 Kg Qty. required for 201213. Fund required for 201213. (in lakhs) 130 ltrs 220 kg Total 1.37 2.70 4.07 PIP of Union Territory Health Mission, A&N Islands d. Insecticides Sl. Name No. Item 1. of Present Stock Pyrethrum Extract (2%) Qty. to be procured during 2011-12 697 ltrs 150 ltrs Approx. Qty. to be used upto March’ 2012 220 ltrs Approx. balance at the end of March’ 2012. 240 ltrs Qty. required for 201213. Fund required for 201213.(in lakhs) Nil nil Total Nil VII. Commodities supply by GOI. 1. Requirement of commodities as per the technical norms and considering balance of stores, consumption capacity and justification for 2012-13. a. Insecticides S.N o 1. 2. Items GOI Supplied DDT 50% Malathion Technical GOI Supplied Present stock position Approx. balance upto March’ 2012. Qty. required for 2012-13 1340 kg Approx. Qty. to be used upto March’ 2012 400 kg 940 kg 25 MT 1399 kg 600 kg 799 kg 500 kg PART – II EXPENDITURE (FINANCIAL PERFORMANCE ) – BUDGET PROPOSAL S. No. Component (SubComponent) 1 Domestic Budget Support (DBS) Malaria 1.1 Unit cost in Rs.(Cr.) Nos. 327 PIP of 2012-13 Document (Rs. In Lakhs) Financial ReSupport to be met quirement for from NVBDCP / the year 2012-13 GOI or State resources or NRHM flexi fund PIP of Union Territory Health Mission, A&N Islands 1.2 a. ASHA Honorarium Operational Cost Spray Wages-for NE states and UTs without legislation Monitoring, Evaluation & Supervision & Epidemic Preparedness including mobility IEC/BCC Training /Capacity Building - - 0.20 - - 600.00 - - 5.85 - - - 3.00 2.00 - Total Malaria (DBS) - - 611.05 - 0.01 1 1.50 0.03 - - 0.05 - - - - - 0.02 - - 0.2 - - Dengue & Chikungunya Strengthening disease surveillance Operational Cost to Sentinel Surv. Labs Operational Cost to Apex ref Labs ElISA facility to Sentinel Surv. Labs Cost of test kits IgM b. c. Case management Strengthening Dist Hospitals for Dengue case management & Rehabilitation of post Chikungunya sequel Vector Control & Environmental Management For source reduction volunteers @Rs.100 perday x 20 days x 5 months 200 Volunteers per towns/ 328 PIP of 2012-13 Document Treasury Route G.B. Pant hospital Port Blair, RMRC (ICMR) Port Blair and Dr. RP Hospital, Mayabunder (District hospital)have been identified by MOH&FW to function as Sentinel Surveillance Hospital. Not applicable GOI Supply PIP of Union Territory Health Mission, A&N Islands d. e. cities , 40.0 lakh pop. 100 Volunteers per towns/ cities , 40. To 10 lakh pop. 50 Volunteers per towns/ cities ,10.0. To lakh pop. Districts of rural areas PHC/ Block level Fogging Machine Epidemic Containment Rapid response State District 0.1 - - 0.05 - - 0.1 - - 0.0075 - - 0.02 0.01 1 1.00 For one district i.e South Andaman Capacity Building / Training i. Medical Officer, Programme Manager, SSH, Entomologist MPW, ASHA etc. Printing of guideline/manuals/formats etc. 0.04 1 2.00 0.001 - - - - - 0.05 0.005 3 1.50 1. 50 nos. of Medical Officers in 2 batches i.e 25 nos. of Medical Officers in each batch. 2. 30 nos. of MPW & other para Medical Staff in 2 batches i.e total 60 nos. of participants. 3. Printing of guidelines / manuals/formats etc. will be according to the training load Operational Research ii. f. State Level Monitoring & Evaluation Reporting Cost i. ii. Cost of data card for district level Monthly rental of data card @ Rs 750/-+ Annual Maintenance incl data entry @Rs.1000/M& E costs including reviews, feedback mobility support for field visit M & E costs to states M & E costs to Districts 329 PIP of 2012-13 Document One Unit each for PIP of Union Territory Health Mission, A&N Islands three districts i.e. South Andaman, N&M Andaman and Nicobar. g. IEC/BCC for Community Awareness Advocacy Campaign i. At Panchayat / Ward level by districts 0.05 1 3.50 0.1 - - 0.01 - - Media Campaign ii. h. 1.3 State Inter sectoral convergence State & district level Total Dengue & Chikungunya Lymphatic Filariasis State Task force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid response Team. Microfilaria Survey Post MDA assessment by medical colleges (Govt. & Private) ICMR institutions. Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers. Specific IEC/BCC at state, district , PHC, sub-centre 9.50 - - 2.20 - - 0.50 0.30 - - 3.00 - - 2.00 330 PIP of 2012-13 Document To be carried out in three districts of Andaman & Nicobar Islands to create awareness among the general public. PIP of Union Territory Health Mission, A&N Islands and village level including VHSC/GKS for community mobilization efforts to realize the desired drug compliance of 85%during MDA. Honorarium to drug distributors including ASHA and supervisors involved in MDA. ICT Kits Total Lymphatic Filariasis 1.4 2. 2.1 2.2 2.3 KALA – AZAR Training Total Kala – Azar Cash Grant for Decentralized commodities Drugs Tab. Chloroquine Tab Primaquine (7.5mg) Tab Primaquine (2.5mg) Tab Quinine Sulphate Injection Quinine ACT (Adult) ACT 0-1 year ACT 1-4 year ACT 5-8 year ACT 9-14 year Tab. DEC 100 mg Tab. Albendazole 400 mg Diagnostics RDT Malaria (PF Only) ELISA based NS1 antigen kits Larvicides Temephos Bti (wp) Insecticides Pyrethrum Extract 2% Total De-centralized Commodities - - 5.00 - - 11.50 24.50 - - - - - 0.11 0.01 0.67 0.05 0.09 0.14 0.25 9.50 12.42 - - 3.00 4.20 - - 1.37 2.70 331 PIP of 2012-13 Document 34.51 PIP of Union Territory Health Mission, A&N Islands Statement of Expenditure from 1st April’ 2011 to 31st December’ 2011 Budget Head F.1.1 Malaria F.1.1.b ASHA Honorarium Monitoring, Evaluation & Supervision, Epidemic Prepaedness includF.1.1.e ing mobility F.1.1.f IEC/BCC Training / Capacity F.1.1.g Building Dengue & Chikungunya Sentinel Surveillance Hospital recurrent @ F.1.2.c Rs.1.00 lakh per lab. Monitoring/Supervision, rapid Response includF.1.2.e ing mobility Epidemic Preparedness & logistics including repair of equipF.1.2.f ments F.1.2.h Training / Workshop Opening Bank BalApproved Bank ance as (in Rs.) Interest on 01.04.2011 50000 32600 17400 550000 200000 26433 184616 523567 15384 200000 75149 124851 50000 50000 200000 199750 250 1000000 302176 697824 200000 31075 168925 332 PIP of 2012-13 Document Grant from GOI Committed Total Expenditure Fund Expenditure (from Available 1.01.12 to 31.03.12) PIP of Union Territory Health Mission, A&N Islands Lymphatic Filariasis F.1.4.a F.1.4.b F.1.4.c F.1.4.d F.1.4.e F.1.4.f F.6 State Task Force, etc Microfilaria Survey Post MDA assessment Training /sensitization Specific IEC/BCC Honorarium to drug distributors Cash grant for decentralized commodities Add: Last year Committed expenditure Grand Total 380000 50000 30000 170000 270000 119899 200000 200000 500000 210000 4260000 260101 50000 30000 170000 270000 222737 12793 1337000 1572530 217500 282500 210000 1399198 0 2860802 Expenditure from 1st April’ to 31st December’ 2011 = 13.99 lakh. Expected committed expenditure from 1st January’ 2012 to 31st March’ 2012 = 28.61 lakh. Expected Unspent balance as on 01.04.2012 = Nil NOTE 1 :- The existing bank balance as on 31.12.2011 is Rs.4.37 lakh in which a sum of Rs.3.69 lakh is already booked under committed expenditure for the month of January’ 2012. Hence, after meeting the committed expenditure a sum of Rs.0.68 lakh will be left as unspent balance. NOTE 2 :- 01st installment of Rs.13.37 lakhs and 2nd installment of Rs.2.59 lakh has been received against total sum of Rs.42.60 lakhs. 3rd and final installment of Rs.24.54 lakh is awaited from the ministry. 333 PIP of 2012-13 Document PIP of Union Territory Health Mission, A&N Islands National Vector Borne Disease Control Programme (2012-13) Sl No. 1 1.1 1.1.a 1.1.1 1.1.2 Total in lacs Activities Proposed Domestic Budget Support (DBS) Malaria ASHA Honorarium Operational Cost 0.20 1.1.3 Spray Wages-for NE states and Uts without legislation Monitoring, Evaluation & Supervision & Epidemic Preparedness including mobility 1.1.4 IEC/BCC 3.00 1.1.5 Training/Capacity Building 2.00 1.2 1.2.a 1.2.1 Total Malaira (DBS) Dengue & Chikungunya Strengtheningh disease surveillance Operational Cost to Sentinel Surv. Labs 1.2.2 Operational Cost to Apex ref Labs 0.00 1.2.3 EIISA facility to Sentinel Surv. Labs 0.00 1.2.4 Cost of test kits 0.00 1.2.5 1.2.b IgM 0.00 Case Mangement Strengthening Dist Hospitals for Dengue case mangement & Rehabilitation of post Chikungunya sequel 0.00 1.2.1 600.00 5.85 611.05 1.50 Vector Control & Enviornmental Management For source reduction vllunteers @Rs. 100 perday x 20 days x 5 months 0.00 1.2.2 200 Volunteers per towns/cities 40.0 lakh pop. 0.00 1.2.3 100 Volunteers per towns /cities 10. to 10 lakh pop. 0.00 1.2.4 50 Volunteers per towns / cities 10.0 to lakh pop. 0.00 1.2.5 Districts of rural areas PHC/Block level 0.00 1.2.6 Fogging Machine 0.00 1.2.7 1.2.d 1.2.1 Procurement of Long Lasting Insectiside Treated Nets (LLINs) 15.00 Epidemic Containment Rapid response 0.00 1.2.2 State 0.00 1.2.3 Districts 1.00 1.2.c 1.2.1 Page 334 of 530 PIP of Union Territory Health Mission, A&N Islands 1.2.e i) Capacity Building Taining Medical Officer, Programme Manger, SSH, Entomologist MPW ASHA etc. 2.00 Printing of guideline/manuals formats etc. ii) 1.2.f i) Operational Research State level 0.00 Monitoring & Evaluation Reporting Cost Cost of data card for district level 0.00 Monthly rental of data card@Rs. 750/-+ Annual Maintenance inclu data entry @Rs. 1000/M & E Costs including reviews, feedback mobility support for field vist M & E Costs to states 0.00 M & E costs to Districts 1.50 1.2.g i) 1.2.1 IEC/BCC for Community Awareness Advocacy Campaign At Panchayat/Ward level by districts 3.50 1.2.2 Media Campaign 0.00 1.2.3 State 0.00 1.2.4 Inter sectoral covergence 0.00 1.2.5 State & district level 0.00 Total Dengue and Chikungunya Lymphatic Filariasis State Task force, State Technical Aedvisory committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility suport for Rapid response Team. 9.5 2.20 1.3.2 Microfilaria Survey 0.50 1.3.3 Post MDA assessment by medical colleges (Govt. Private)ICMR instituions. 0.30 Training /sensitization of district level officers on ELF and drug distributors in including peripheral health workers. 3.00 1.3.4 2.00 1.3.5 Specific IEC/BCC at State , district, PHC, sub-centre and village level including VHSC/GKS for community mobilization efforts to realize the desired drug compliacne of 85% during MDA 5.00 1.3.7 Honoratium to durg distributors including ASHA and supervisors involved in MDA ICT Kits 1.4 1.4.1 Total Lymphatic Filariasis Kala -Azar Training ii) 1.3 1.3.1 1.3.6 2 Total Kala -Azar Cash Grant for Decentralized commodities 0.00 11.50 24.5 0 Page 335 of 530 PIP of Union Territory Health Mission, A&N Islands 2.1 2.2 2.3 Durgs Ta. Chloroquine 0.11 Tab Primaquine (7.5mg) 0.01 Tab Quinine Sulphate 0.00 Injection Quinine 0.00 ACT (Adult) 0.67 ACT 0-1 year 0.05 ACT 1-4 year 0.09 ACT 5-8 year 0.14 ACT 9-14 year 0.25 Tab. DEC 100mg 9.50 Tab. Albendazole 400 mg 12.42 Diagnostics RDT Malaria (PF Only) 3.00 ELISA based NS1 antigen kits 4.20 Larvicides Temephos 1.37 Bti (wp) 2.70 Insecticides Pyrethrum Extract 2% Total Decentralized commmodities 34.51 Committed unspent balance 24.54 Total Fund Proposed for the FY 12-13 719.10 Less: Unspent Balance as on 01.04.2012 Actual Budget Required 0.00 719.10 Proposed amount for Spray Wages-for NE states and Uts without legislation i.e.Rs.600 Lacs - Treasury Route Page 336 of 530 PIP of Union Territory Health Mission, A&N Islands D. 2. REVISED NATIONAL TB CONTROL PROGRAMME (RNTCP) Objectives: 1. To achieve and maintain a cure rate of at least 85% among newly detected infectious (new sputum smear positive) cases, and 2. To achieve and maintain detection of at least 70% of such cases in the population Section-A – General Information about the State 1) No. of districts without DTC : 2 2) No. of districts that submitted annual action plans, which have been consolidated in this state plan : 3 Organization of services in the state: S. No. Name of the District Projected Population (in Lakhs) Please indicate number of TUs of each type Govt NGO 01 N & M Andaman District 1.60 01 - 02 03 South Andaman District Nicobar District Total: 3.50 0.50 5.60 01 01 03 - Please indicate no. of DMCs of each type in the district Public NGO Private Sector* Sector^ 04 05 04 13 - - *Public Sector includes Medical Colleges, Govt. health department, other Govt. department and PSUs i.e. as defined in PMR report ^ Similarly, Private Sector includes Private Medical College, Private Practitioners, Private Clinics/Nursing Homes and Corporate sector Page 337 of 530 PIP of Union Territory Health Mission, A&N Islands RNTCP performance indicators: (October 2010 to September 2011) Name of the District (also indicate if it is notified hilly or tribal district) South Andaman District N&M Andaman District Nicobar District A&N Islands Total number of patients put on treatment* 469 Annualised total case detection rate (per lakh pop.) 93% No of new smear positive cases put on treatment * Annualised New smear positive case detection rate (per lakh pop) Success rate for cases detected in the last 4 corresponding quarters Plan for the next year AnnualSucized cess NSP rate case detection rate 133 70% 79% 80% Proportion of TB patients tested for HIV No. of MDR TB suspects identified and subjects to C/DST of sputum No. of MDR TB cases diagnosed & put on treatment 85% 38 23 - 159 78% 55 72% 84% 70% 85% 11 6 - 278 258% 91 227% 90% 70% 85% 22 8 - 906 112% 279 93% 83% 70% 85% 71 37 - * Patients put on treatment under DOTS regimens only are to be included. Section B – List Priority areas at the State level for achieving the objectives planned: S.No. Priority areas Activity planned under each priority area 338 PIP of Union Territory Health Mission, A&N Islands 1 N & M Andaman: Diglipur, Rangat, Mayabunder & Billiground 2 South Andaman: Dairyfarm, Haddo, Anarkali, Bambooflat & Hut Bay 3 Nicobar: Car Nicobar, Nancowry, Katchal & Campbell Bay Group meetings, sensitization meetings, patients provider interaction meetings, distribution of pamphlets, handbills, display posters, banners, wall paintings, competitions in schools, film shows, mini exhibition etc. Group meetings, sensitization meetings, patients provider interaction meetings, distribution of pamphlets, handbills, display posters, banners, wall paintings, competitions in school, film shows, mini exhibition etc Group meetings, sensitization meetings, patients provider interaction meetings, distribution of pamphlets, handbills, display posters, banners, wall paintings, competitions in schools, film shows, mini exhibition etc. Priority Districts for Supervision and Monitoring by State during the next year S No District Reason for inclusion in priority list 01 N & M Andaman District Case Detection Rate is less. 02 Nicobar District Case Detection Rate is more. Section C – Consolidated Plan for Performance and Expenditure under each head, including estimates submitted by all districts, and the requirements at the State Level 339 PIP of Union Territory Health Mission, A&N Islands 1. Civil Works: Rs.10,75,000/ Activity No. required as per the norms in the state No. already upgraded/ present in the state No. planned to be upgraded during next financial year Pl provide justification if an increase is planned in excess of norms (use separate sheet if required) Estimated Expenditure on the activity Quarter in which the planned activity expected to be completed (a) (b) (c) (d) (e) (f) STDC/ IRL - - - - - - SDS - - - - - - DOTS Plus Site 1 0 1 - 1000000.00 2 DTCs 3 1 1 - 25000.00 1 TUs 3 3 1 - 25000.00 - DMCs 13 13 3 - 25000.00 1 Total: 1075000.00 2. Laboratory Materials: Rs.1,50,000/Activity Amount permissible Amount actually 340 Procurement Estimated Justification/ planned durExp.for Remarks for PIP of Union Territory Health Mission, A&N Islands as per the norms in the state spent in the last 4 quarters ing the current financial year (in Rupees) the next F.Y.for which plan is being submitted (d) (Rs.) (a) 150000.00 (b) 138192.00 (c) 150000.00 (d) 120000.00 Lab materials for EQA activity at STDC (eg. Lab consumables for trainings, preparation of Panel slides etc) - - - 30000.00 Lab materials for EQA & preparation of Panel slides etc. Lab materials & consumables for Culture/DST activity at IRL and other Accredited Culture & DST labs in Govt. sector including Medical Colleges - - - - - Purchase of Lab Materials by Districts and State Total: 3. Honorarium: Rs.20,000/341 150000.00 (e) Lab consumables items such as slides, sputum cups & reagents are purchased locally as per requirement PIP of Union Territory Health Mission, A&N Islands Activity Amount permissible as per the norms in the state Amount actually spent in the last 4 quarters Exp. (in Rs) planned for current financial year Estimated Expenditure for the next financial year for which plan is being submitted (Rs.) Justification/ Remarks for (d) (a) (b) (c) (d) (e) Honorarium for DOT providers (both tribal and non tribal districts) 50000.00 4500 20000.0 0 20000.00 25% of patients cured in a year in a State. Honorarium for DOT providers of Cat IV patients - - - - - Total: No. presently involved in RNTCP 20000.00 Additional enrolment proposed for the next fin. year Community 217 Nos. 75 Nos. volunteers in all the districts* * These community volunteers are other than salaried employees of Central/State government and are involved in provision of DOT e.g. Anganwadi workers, trained dais, village health guides, ASHA, other volunteers, etc. 342 PIP of Union Territory Health Mission, A&N Islands INCENTIVE SCHEME FOR TB PATIENTS: This year it is proposed to give non-monetary incentives to TB patients in the form of nutritional food products. This would not only help in minimizing the drop-outs of treatment but also it would help the patients to recover with good health thereby maintaining nutritional aspects. Total budget required for 1000 patients (approx) @ Rs.500 each for the whole treatment package – Rs.5,00,000/ Annual Action Plan Format Advocacy, Communication and Social Mobilization (ACSM) for RNTCP: 1) Information on previous year’s Annual Action Plan (Communication Facilitators ) a) Budget proposed in last Annual Action Plan : Rs.7.42 lacs b) Amount released by the state : Rs.6.68 lacs c) Amount Spent by the District/State : Rs.5.30 lacs 2) Permissible budget as per norm : Rs.5.00 lacs 3) Budget for next financial year for the district as per action plan detailed below: Rs.8,42,250/Target Group/ Objective Patients and General public / for awareness generation and social mobilization Opinion Activities Planned at State Level Activity (All activities to be planned as per local needs, catering to the target groups specified) Outdoors Wall painting Hoardings Tin plates Banners Others Outreach Activities Patient Provider interaction meetings Community meetings Mike publicity Other Puppet shows / street plays etc School activities Print Publicity Posters Pamphlets OPD slips with TB messages Calendar with TB messages Media activities on Cable / Local channels / Radio & TV Spot Display Board Sensitization meetings 10 0 0 0 Total activities proposed during next FY 10 4 150 25 0 25 0 25 0 25 0 100 100000.00 62250.00 0 0 10000.00 7 0 3 30000 7 0 3 0 7 0 3 0 9 5 3 0 30 5 12 30000 30000.00 0 0 25000.00 12000.00 45000.00 100000 100000 1000 3 0 0 0 3 0 0 0 3 0 0 0 3 100000 100000 1000 12 20000.00 90000.00 97000.00 180000.00 0 1 0 1 0 1 0 1 0 4 0 2000.00 No of activities proposed in the next financial year, quarter wise AprJulyOctJanJun Sep Dec Mar 343 Total budget for the activity during the next FY 15000.00 PIP of Union Territory Health Mission, A&N Islands leaders / NGOs for advocacy Health Care Providers Public & Private Any other activities proposed Media activities (AIR) Power point presentations / one to one interactions Information Booklets / Broachers World TB Day activities Health Mela CMEs Interaction meetings 0 - 1 - 0 - 0 - 1 - 2000.00 0 0 - 0 1 0 0 1 0 1 1 0 150000 0 0 2000.00 One to one interaction meetings - - - - - 0 Information booklets - - - - - 0 Any other - - - - - 0 Communication Facilitators - - - - - 0 Total: 344 842250.00 PIP of Union Territory Health Mission, A&N Islands 5. Equipment Maintenance: Rs.62,500/Item No. actually present in the state Amount actually spent in the last 4 quarters Amount Proposed for Maintenance during current financial yr. Estimated Justification/ Expenditure Remarks for for the next (d) financial year for which plan is being submitted (Rs.) (a) (b) (c) (d) (e) Computer (Maintenance includes AMC, software and hardware upgrades, Printer Cartridges and Internet expenses) 01 38690.00 40000.00 40000.00 - Binocular Microscopes (RNTCP) 15 0.00 22500.00 22500.00 - STDC/ IRL Equipment - - - - - Any Other (pl. specify) - - - - - - - 57500.00 62500.00 TOTAL 6. Training: Rs.5,55,000/ 345 PIP of Union Territory Health Mission, A&N Islands Activity No. No. in already the trained state in RNTCP No. planned to be trained in RNTCP during each quarter of next FY (c) Expenditure Estimated Justification/ (in Rs) Expenditure remarks planned for for the next current fifinancial nancial year year (Rs.) (a) (b) Q1 Q2 Q3 Q4 Training of STO/STDC/APMEpidemiologist/TBHIV coordinator /IRL Microbiologist and other staff/ Medical College Faculties /DTOs (at National level) 5 3 - 2 Training of Sr. DOTS Plus & TB – HIV Supervisor 1 - - 1 Training of MOTCs 3 2 1 1 0 0 Training of MOs (Govt + Non-Govt) 104 95 15 0 0 0 Training of LTs of DMCs- Govt + Non Govt 19 26 8 0 0 0 80000.00 90000.00 Training of MPWs - - - - - - - - Training of MPHS, pharmacists, nursing staff, BEO etc 822 625 25 0 0 0 90000.00 90000.00 Training of Community Volunteers - 146 50 0 0 0 80000.00 60000.00 Training of Pvt Practitioners - - - - - - - - - Other trainings # - - - - - - - - - Training of Accountant (National Level) 1 0 1 - - - 10000.00 15000.00 - Training of DEO 1 1 1 0 0 0 10000.00 15000.00 - - - - - 346 (d) (e) (f) - 50000.00 - - 15000.00 - 40000.00 25000.00 - 100000.00 100000.00 - PIP of Union Territory Health Mission, A&N Islands (National Level) Re- training of MOs - - - - - - - - - Re- Training of LTs of DMCs - - - - - - - - - Re- Training of MPWs - - - - - - - - - Re- Training of MPHS, pharmacists, nursing staff, BEO - - - - - - - - - Re- Training of CVs - - - - - - - - - Re-training of Pvt Practitioners - - - - - - - - - TB/HIV Training of MO-TCs and MOs - - - - - - - - - TB/HIV Training of STLS, LTs , MPWs, MPHS, Nursing Staff, Community Volunteers etc 984 - 25 - - - - 50000.00 - TB/HIV Training of STS 3 - 3 - - - - 45000.00 - Training of MOs and Para medicals in DOTS Plus for management of MDR TB - - - - - - - - - - - - - - - - - - Provision for Update Training at Various Levels # Total: 347 555000.00 PIP of Union Territory Health Mission, A&N Islands 7. Vehicle Maintenance: Rs.2,25,000/- Type of Vehicle Number permissible as per the norms in the state Number actually present Amount spent on POL and Maintenance in the previous 4 quarters Expenditure (in Rs) planned for current financial year Estimated Expenditure for the next financial year for which plan is being submitted Justification/ remarks (Rs.) Four Wheelers (a) (b) 01 01 (c) (d) (e) 150000.00 150000.00 75000.00 75000.00 140500.00 Two Wheelers 03 03 Total: 348 225000.00 (f) PIP of Union Territory Health Mission, A&N Islands 8. Hiring of Four Wheele r Vehicle Hiring*: Rs.1,80,000/Number permissible as per the norms in the state Number actually requiring hired vehicles Amount Expendispent in ture (in Rs) the prev. planned 4 qtrs for current financial year Estimated Exp. for the next financial year for which plan is being submitted (Rs.) Justification/ remarks (a) (b) (c) (d) (e) (f) For STC/ STDC - - 74000.0 0 80000.00 For DTO - - - - 50000.00 For MOTC 3 3 - - 50000.00 80000.00 Vehicle is more than 9 years old and is not in good condition. For long tour vehicle has to be hired. - Total: 180000.0 0 * Vehicle Hiring permissible only where RNTCP vehicles have not been provided 349 PIP of Union Territory Health Mission, A&N Islands 9. NGO/ PP Support : Rs.30,000/- Activity No. of currently involved in RNTCP in the state AddiAmount Expenditional en- spent in ture (in Rs) rolment the preplanned planned vious 4 for current for this quarfinancial year ters year Justification/ remarks (Rs.) (a) (b) (c) (d) (e) (f) 0 1 0 30000.00 30000.00 - NGOs involvement scheme 2 Total: 10. Estimated Expenditure for the next financial year 30000.00 Miscellaneous: Rs.1,54,000/- Activity* e.g. TA/DA, Stationary, etc Amount permissible as per the norms in the state Expenditure (in Rs) planned for current financial year Estimated Expenditure for the next financial year (c) (d) Stationery 65000.00 75000.00 Telephone Bill 26000.00 26000.00 3000.00 3000.00 TA/DA 40000.00 40000.00 Others 10000.00 10000.00 144000.0 0 154000.0 0 (a) Drinking Water Amount spent in the previous 4 quarters (b) 148000.00 Total: 350 Justification/ remarks (Rs.) (e) PIP of Union Territory Health Mission, A&N Islands 11. Contractual Services: Rs.39,96,700/- Category of Staff No. permissible as per the norms in the state No. actually present in the state No. planned to be additionally hired during this year (a) (b) (c) Asst, Program Officer/Epidemiolog ist - - - Medical Officer (State TB Cell) 1 0 TB-HIV Coordinator 1 Urban TB Coordinators Amou nt spent in the previous 4 quarters Expenditure (in Rs) planned for current fin. year Estimated Expenditure for the next financial year Justification/ remarks (Rs.) (d) (e) - - - - 1 0 360000.0 0 360000.0 0 Under process - 1 - - 480000.0 0 - - - - - - - - DOTS Plus Site Sr.M.O. 1 - 1 - - 360000.0 0 DOTS Plus Site Statistical Assistant 1 - 1 - - 180000.0 0 - Microbiologist (IRL) - - - - - - - Sr. LT (IRL) 1 - - - - IEC Officer 1 1 0 180000.0 0 245700.0 0 Accounts Officer/ State Accountant - - - Secretarial Assistant 1 1 0 112200. 101200.0 00 0 117300.0 0 Pharmacist/Storekeeper 1 1 0 146400. 151200.0 00 0 153600.0 0 Store Assistant (SDS) - - - - - - - DEO (State TB Cell) - - - - - - - DEO (IRL) - - - - - - - 234493. 237000.0 00 0 - 351 - - - PIP of Union Territory Health Mission, A&N Islands Driver 1 1 0 88679.0 90000.00 0 Medical Officer (DTC) 1 0 1 0 336000.0 0 336000.0 0 Sr. DOT Plus & TB-HIV Sup. 1 - 1 - - 180000.0 0 STS 3 3 0 480813. 490000.0 00 0 502200.0 0 STLS 3 3 0 479720. 490000.0 00 0 508800.0 0 Contractual LT 2 - 2 0 204000.0 0 204000.0 0 Under process TBHV (For DTC) 1 - - - - 96000.00 - DEO - - - - - - - Accountant (part time) - - - - - - - Driver (District Level) - - - - - - - Any other contractual post approved under RNTCP - - - - - - - TOTAL 352 93100.00 3996700. 00 Under process PIP of Union Territory Health Mission, A&N Islands 12. Printing: Rs.1,50,000/Activity Amoun t permissible as per the norms in the state Amoun t spent in the previous 4 quarters (a) (b) (c) (d) 92033.0 0 150000.0 0 150000.00 - - - Printing-State 150000. level:* 00 Printing of Training Modules, Lab Module, Lab forms, Registers etc Printing- Distt. Level:* Expenditure (in Rs) planned for current FY Justification/ remarks (Rs.) Total 13. Estimated Exp. for the next financial year for which plan is being submitted 150000.00 Research and Studies (excluding OR in Medical Colleges): Any Operational Research projects planned (Yes/No)________________________ Estimated Total Budget ____________________________________________ 14. Medical Colleges – Nil 15. Procurement of Vehicles: Rs.8,00,000/- 353 (e) - PIP of Union Territory Health Mission, A&N Islands Type of Vehicle No. actually present in the state No. planned for procurement this year (only if permissible as per norms) Estimated Expenditure for the next FY for which plan is being submitted (Rs.) Justification/ remarks (a) (b) (c) 4wheeler ** 1 1 650000.00 The same was approved during the last FY and approved for Rs.4.30 Lakhs. As the DGS&D rate of the vehicle is more than the approved rate, vehicle could not be purchased. However, if the additional proposed amount approved, we may procure the vehicle on DGS&D rate contract. 2wheeler 3 3 150000.00 The existing two wheelers are procured during June 2006. As per the RNTCP norms, vehicle can be replaced after using 6 years / running 100000 KMS, whichever is earlier. (d) Total: 800000.00 ** Only if authorized in writing by the Central TB Division 354 PIP of Union Territory Health Mission, A&N Islands 16. Procurement of Equipment: Rs.90,000/Name of Equipment No. actually present in the state No. planned for this year (only as per norms) (a) (b) (c) (d) 1 set 1 No. 85000.00 - 5000.00 - 90000.00 - Office Equipment (Computer, modem, Fax, printer, UPS, Xerox etc.) Estimated Justification/ Expenditure remarks for the next financial year for which plan is being submitted (Rs.) Xerox Machine Office Furniture - Total: 17. Plan related to MDR : Rs.90,000/Activity Amount permissible as per the norms in the state Amount spent in the previous 4 quarters Expenditure (in Rs) planned for current financial year Estimated Expenditure for the next financial year for which plan is being submitted Justification/ remarks (Rs.) Plan related to MDR - - - 20000.00 Courier cost for initial sputum to C&DST lab for all MDR suspects - - - 50000.00 Transport cost to DPS for 3 times, for all MDR patients - - - 20000.00 Courier cost for follow up sputum examination for MDR patients Total: 355 90000.00 PIP of Union Territory Health Mission, A&N Islands Section D: Summary of proposed budget for the State. Category of Expenditure 1. Civil works 2. Laboratory materials 3. Honorarium 4. IEC/ Publicity 5. Equipment maintenance 6. Training 7. Vehicle maintenance 8. Vehicle hiring 9. NGO/PP support 10. Miscellaneous 11. Contractual services 12. Printing 13. Research and studies 14. Medical Colleges 15. Procurement –vehicles 16. Procurement – equipment 17. MDR Total: 356 Budget estimate for the coming FY 2012 - 20013 (To be based on the planned activities and expenditure in Section C) 1075000.00 150000.00 20000.00 842250.00 62500.00 555000.00 225000.00 180000.00 30000.00 154000.00 3996700.00 150000.00 0.00 0.00 800000.00 90000.00 90000.00 8420450.00 PIP of Union Territory Health Mission, A&N Islands Revised National Tuberculosis Control Programme (2012-13) Sl. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Activities Proposed Civil works Laboratory materials Honorarium (DOTS Provider) IEC/ Publicity Equipment maintenance Training Vehicle maintenance Vehicle hiring NGO/PP support Miscellaneous Contractual services Printing Research and studies Medical Colleges Procurement –vehicles Procurement – equipment MDR Incentive Scheme for TB Patients State South Andaman N&M Andaman Nicobar 10.750 1.500 0.100 7.822 0.625 5.550 2.050 1.800 0.300 1.540 31.963 1.500 0.000 0.000 8.000 0.900 0.900 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.050 0.300 0.000 0.000 0.100 0.000 0.000 0.000 3.312 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.050 0.300 0.000 0.000 0.100 0.000 0.000 0.000 4.692 0.000 0.000 0.000 0.000 0.000 0.000 10.750 1.500 0.200 8.422 0.625 5.550 2.250 1.800 0.300 1.540 39.967 1.500 0.000 0.000 8.000 0.900 0.900 5.000 0.000 0.000 0.000 5.000 Committed unspent balance Total Fund Proposed for the FY 12-13 Total in lacs 75.300 0.000 3.762 5.142 Less: Unspent Balance as on 01.04.2012 Actual Budget Required 357 89.204 2.830 86.374 PIP of Union Territory Health Mission, A&N Islands D. 3. NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB) A) The Objective of the Programme: a) b) c) d) e) f) To reduce the backlog of blindness through identification and treatment. To develop comprehensive Eye Care facility in every district To develop human resource to providing Eye care services. To improve quality of service delivery To secure participation of voluntary Organizations/private practitioners in eye care. To enhance community awareness on eye care. B) Administrative Information: a) b) c) d) State Health Society-NPCB UT Health Mission, Port Blair District Health Society-NPCB South Andaman District Health Society-NCPB N & M Andaman District Health Society-NPCB Nicobar RECURRING GRANT IN AID: C) School Eye Screening & Free Spectacles: (Fund Proposed: Rs.108000/-) Sl No 01 F) Sl. No 01 02 Requirements StateNPCB Free spectacles to stu- 108000.00 dents with refractive errors and post-operated cataract patients, BPL patients). Total: 108000.00 N&M A Nicobar Total --- South Andaman --- --- 108000.00 --- --- --- 108000.00 Management of State Health Society & District Health Society Remuneration (Salary, Review Meeting, hiring of vehicle and other activities and contingency (@ RS.14 lakh / Rs.7 lakh depending on the size of State. (Fund Proposed: Rs. 2,80,000/-) Requirements Organising Review Meeting Vehicle Hiring (Hiring of vehicle for office work, school eye screening programme, StateNPCB 20000.00 N&M A 100000.00 358 Nicobar Total --- South Andaman --- --- 20000.00 -- --- --- 100000.00 PIP of Union Territory Health Mission, A&N Islands 03 04 05 eye screening camp, transportation of patients, etc.) Stationery/Postage/ Courier etc. Maintenance & Procurement of Office Equipments TA/DA to PO, PMU & Others staffs Total: 60000.00 -- -- -- 60000.00 50000.00 --- --- --- 50000.00 50000.00 -- -- -- 50000.00 280000.00 -- -- -- 280000.00 J. Training (Fund Proposed: Rs.3,30,500/-) Sl. No Category 1 National As per norms Level Training for Ophthalmic Personnel / Conference 3 Days Honorarium to trainee Training to @ Rs.200/10 MO’s Honorarium to trainers @ Rs.400/Course materials @ Rs.100/Orgs expenses Rs.1500/Lunch and Refreshment @ Rs.150/TA as per actual Rs.10000/- (approx) 1 Day Train- Honorarium to trainee ing for 100 @ Rs.100/teachers for Honorarium to trainers School Eye @ Rs.400/Screening Course materials @ Programme Rs.50/Orgs expenses Rs.1500/Lunch and Refreshment @ Rs.150/TA as per actual Rs.5000/- (approx) 1 Day Ori- Honorarium to trainee entation @ Rs.100/Training Honorarium to trainers Health @ Rs.400/Worker, Course materials @ ASHA, Rs.50/ICDS work- Orgs expenses 2 3 4 Norms 359 StateNPCB N&M A Nicobar --- South Andaman --- 100000. 00 Total --- 100000. 00 30000.0 0 --- --- --- 30000.0 0 37500.0 0 --- --- --- 37500.0 0 34000.0 0 17000 --- 17000 68000.0 0 PIP of Union Territory Health Mission, A&N Islands 5 6 er State-100 Persons N&M-50 Persons State-50 Persons State-50 Persons 5 Days training for Ophthalmic Assistants One month Training for Staff Nurses in Ophthalmic Procedure Rs.1500/Lunch and Refreshment @ Rs.150/TA as per actual Rs.10000/- (approx) Honorarium to trainee @ Rs.170/Honorarium to trainers @ Rs.400/Course materials @ Rs.100/Orgs expenses Rs.1500/Lunch and Refreshment @ Rs.150/TA as per actual Rs.15000/- (approx) Honorarium to trainee Rs.170/- per day + Rs.2000/Honorarium to trainers @ Rs.1000/Course materials @ Rs.300/Orgs expenses Rs.2000/TA as per actual Rs.2000/- (approx) Total: 360 70000.0 0 --- --- --- 70000.0 0 25000.0 0 --- --- --- 25000.0 0 296500. 00 17000.0 0 --- 17000.0 0 330500. 00 PIP of Union Territory Health Mission, A&N Islands K. IEC, Eye Donation Fortnight, World Sight Day & Awareness Programme in State & District etc. (Fund Proposed: Rs.17,25,000/-) Sl. No Requirements 01 Electronic Media 800000.00 (Engaging local cable network and AIR, Doordharsan for disseminating Eye care messages) Print Media 350000.00 --(Press release advertisement in newspaper, publications of messages and replication of IEC printed materials in regional languages supplied by NPCB) Out door Publicity 200000.00 10000.00 and Outreach Camps. Observance of World 150000.00 65000.00 Sight Day, National Eye Donation Fortnight, World Glucoma Day, etc. Total: 1500000.00 75000.00 02 03 04 StateNPCB N&M Andaman --- South Andaman Nicobar Total --- --- 800000.00 --- --- 350000.00 10000.00 10000.0 0 230000.00 65000.00 65000.0 0 1695000.00 75000.00 75000.00 1725000.00 Procurement of Medicines / Drugs & Minor Instrument: Rs.15,00,000/Sl No 01 Requirements StateNPCB Procurements of 1500000.00 Drugs/ Medicine (Including Mass Drug Administration) & Ophthalmic Instrument. Total: 1500000.00 361 N&M Andaman --- --- South Nicobar Total Andaman ----1500000.00 --- --- 1500000.00 PIP of Union Territory Health Mission, A&N Islands Incentives to ASHA: Rs.15,000/Incentives to ASHA workers are to be provide @ Rs. 175/- per cataract operated case and other eye diseases. Sl. No 01 Requirements Incentives to ASHA workers Total: StateNPCB N&M A Nicobar Total 5000.00 South Andaman 5000.00 --- 5000.00 15000.00 --- 5000.00 5000.00 5000.00 15000.00 Mass Drug Administration: Rs. 212500/To meet the expenditure in connection with 2nd round of Mass Drug Administration on Trachoma in Nicobar District: Sl. No Activities 1 Incentives to drugs providers 80000.00 Honorarium to Ophthalmologist @ Rs.1000/Honorarium to Medical Officer @ Rs.750/Honorarium to HEO @ Rs.700/Honorarium to Ophth. Assistants @ Rs.400/Honorarium to Health Workers @ Rs.300/Honorarium to ASHA/ICDS Workers @ Rs.200/Incentives for Helper @ Rs.150/Traveling Expenses for team 16000.00 Ophthalmologist - Rs.6,500/HEO - Rs.6500/Ophth. Assistants - Rs.3000/Fooding & lodging expenses for team 25500.00 Ophthalmologist - Rs.4000/HEO - Rs.4000/Ophth. Assistants - Rs.17500/Organizing Meeting with villages captains, teachers & other link workers 5000.00 1 day training for survey team member 3000.00 Other Contingencies Expenses. 3000.00 Vehicle Hiring Charges 80000.00 Total: 212500.00 2 3 4 5 6 7 State- NPCB 362 PIP of Union Territory Health Mission, A&N Islands NON RECURRING GRANT IN AID: CONTRACTUAL MANPOWER: (Fund Proposed: Rs. 7,56,000/-) Sl No C) Head Eye Donation Counselor @ Rs10000 (+ 5% Increment) StateNPCB 756000.00 363 Funds Requested N&M A South Nicobar Total And 756000.00 PIP of Union Territory Health Mission, A&N Islands Consolidated Fund Requirement for the year 2012-13 RECURRING GRANT IN AID: S. Head No. C) Free spectacles to students with refractive error and post operated cataract patients and BPL patients F) Management of State Health Society & District Health Society Remuneration (Review Meeting, hiring of vehicle and other activities and contingency (@ Rs.14 lakh / Rs.7 lakh depending on the size of State. J) Training of PMOA K) Physical Target 1540 case Meeting with DPMs Hiring of vehicle for 5 months for SES Transportation of patients IEC, Eye Donation Fortnight, World Sight Day & Awareness Programme in State & District etc. OA at Mainland – 3 Nos. MO – 10 Nos. Teachers – 100 Nos. HW/ASHA/ICDS – 250 Nos. Ophthalmic Asstt.– 26 Staff Nurse – 3 Nos. Dissemination of eye care messages through electronic and print media throughout the financial year. Out door publicity and eye screening camp cum awareness programme. Observance of Eye Donation Fortnight, World Sight Day, Glaucoma Day, Diabetic Day etc Procurement of Medicine / Drug Procurement of Medicine / Drug and instrument and instrument Incentive to ASHA Incentive to be provided to 85 ASHAs Mass Drug Administration TA / DA and other miscellaneous expenses for 3rd Round of Mass Drug Administration on Trachoma Total: 364 Fund Proposed 108000.00 280000.00 330500.00 1725000.00 1500000.00 15000.00 212500.00 4171000.00 PIP of Union Territory Health Mission, A&N Islands NON RECURRING GRANT IN AID: CONTRACTUAL MANPOWER: S. Head Physical No. Target C. Eye Donation Coun06 selor @ Rs10000 + 5% Increment Fund Proposed 756000.00 Total: 756000.00 Remarks Increment projected from July 2012 for one year as per the norms being followed under NRHM in A&N Islands. Details of Committed Funds & Expenditures Head Streng. Of DH (GBPH&BJRH) Streng. Of DH (RPHM) Total: Head Streng. Of DH (GBPH) GIA for eye donation centre Total: Amount Committed (2010-11) Amount Utilized (2011-12) 18.62 17.83 17.1 35.72 8.25 26.08 0.79 8.85 9.64 Amount Approved (2011-12) 20 Amount Utilized (2011-12) 0 Amount Committed (2012-13) 20 18.99 0.12 38.99 0.12 Balance Committed 18.87 38.87 Total Committed Unspent Balance of 2010-11 - Rs.9.64 Total Committed Expenditure of 2011-12 - Rs.38.87 Total Committed Expenditure - Rs.48.51 Total budget during 2012-13 - Rs.53.27 Total Fund Proposed during 2012-13 - Rs.101.78 Lacs 365 PIP of Union Territory Health Mission, A&N Islands National Programme for Control of Blindness 2012-13 Sl.N o Activities Proposed State South Andaman N&M Andaman Nicobar Total in lacs 1 2 Honorarium Procurement of Medicines / Drugs & Instrument 0.000 0.000 0.000 0.000 0.000 15.000 0.000 0.000 0.000 15.000 3 Management of State Health Society (Meeting, Hiring vehicle, salary etc.) 2.800 0.000 0.000 0.000 2.800 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.000 0.000 0.000 0.000 2.000 15.000 3.960 0.750 0.000 0.750 0.170 0.750 0.170 17.250 4.300 0.000 0.000 0.000 0.000 0.000 0.000 0.150 0.000 0.000 0.150 4 5 11 Hiring of vehicle Maintenance of Ophthlamic Equipments Maintenance of Teleophthalmology Equipments etc School Eye Screening & Free Spectacles IEC / Publicity Training GIA for Strengthening of District Hospital Incentive to ASHA Workers 12 Eye Donation Centre 0.000 0.000 0.000 0.000 0.000 13 Mass Drug Administration 2.235 0.000 0.000 0.000 2.235 14 Contractual Manpower for Eye Donation Centre 7.560 0.000 0.000 0.000 7.560 6 7 8 9 10 Committed unspent balance Total Fund Proposed for the FY 2012-13 48.555 0.900 0.920 38.870 0.920 90.165 Less: Unspent Balance as on 01.04.2012 1.880 Actual Budget Required 88.285 366 PIP of Union Territory Health Mission, A&N Islands D. 4. NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP) Situational Analysis This UT of Andaman and Nicobar islands has achieved the level of elimination i.e P.R. below 1/10000 population well before the target date of 31st December 2005 i.e in the month of Feb.2004. The Level of elimination has not only been sustained but it is also brought down which is as follows: I. Performance under NLEP S Indicators l 1. No. of new cases detected (ANCDR/100,000) 2. No. of cases on record at year end (PR/10,000) 3. No. of Grade II disability among new cases (%) 4. Treatment Completion Rate 5. Reconstructive Surgery conducted Total 2006-07 2007-08 2008-09 2009-10 2010-11 35 (8.53) 18 (4.28) 25 (5.80) 15 (3.404) 26 (5.76) 0.56 0.57 0.53 0.34 0.52 2.86 5.55 8.00 - 5.00 81.25 % 70.83% 92.30% 91.30% NIL NIL NIL NIL 93.10 % NIL There may be a lot of hidden cases among the community as well as there are good number of migrant population continuously coming from West Bengal, Orissa, Bihar, & Jharkhand in form of labourers and other small scale workers and they are settling in this UT’s. so the chances of new cases coming out from these communities are more. There should be prioritized attention given to all level s of the community specially the population of fishermen, construction labourers, labourers of palm and rubber plantations. More attention will be given by way of IEC activities and other related activities to this community to detect hidden cases. The Ranchi and Bengali community migrated from mainland at the time of settlement in these islands are also a major factor for concern as their community are located in dense part of forests and the probability to get leprosy among them is more as they are less frequently visiting their local medical institutions for treatment. 367 PIP of Union Territory Health Mission, A&N Islands The Identifying mechanism of Andaman & Nicobar Islands is to be made a bit different as these islands are scattered in their demographic positions and it is very difficult to make the IEC activates like other states. B) Existing Infrastructure: Present Status Sl Name Regular Staffs Designation I State Leprosy Cell Contractual Staffs No. 1. SLO 01 2. Sr. PMS 01 3. Lep. Health Educator 01 4. Statistical Assistant 01 5. HGC 01 6. Driver 01 7. Peon 01 II SSAU 1.PMW 04 III ULC 1.ULW 03 1.NMS 01 2. PMW 01 1.PMW 01 2. NMS 01 1.NMS 2. PMW District HQ IV 1) South Andaman District Nucleus V 2) North & Middle Andaman District Nucleus 3) Nicobar District NuVI cleus 1. Designation No. Admn. Asst 00 Driver 01 Driver 00 Driver 00 01 Driver 00 02 0 0 Improved early case detection ASHA’s or Accredited Social Health Activist are trained to work as an interface between the community and the public health system There are a total number of 407 ASHA,s in these Islands i.e South Andaman 135, North & Middle Andaman 219 and Nicobar 53. The ASHA’s are keeping a proper track record of her village by Maintenance of Village Health Register, Co-ordination 368 PIP of Union Territory Health Mission, A&N Islands with SHG Groups if any, Meeting with ANM, Monthly meetings at PHC level etc. As the urban population is having the basic information for diagnose and cure of leprosy due to the mass Advt. and publicity in local media the village level ASHA plays a vital role in identifying the leprosy effected patients and their proper cure. In this regard the ASHA,s should be timely trained and compensated in form of incentives for their work Performance based incentive to ASHA and sensitisation to new ASHA Sl 1 2 No. of ASHA activity Number Honorarium/Sensitization to ASHA Incentive to ASHA Total: 1.1. 407 Unit Cost per person (Rs.) 100 MB PB 500 300 Total (Rs.) 40,700.00 3,000.00 1,800.00 45,500.00 Special activities in high endemic districts where ANCDR is more than 10 per 100,000 population. The Andaman & Nicobar Islands comes under low endemic state as the ANCDR is less than 10 per 100,000 population i.e 5.76 (2010-11). 369 PIP of Union Territory Health Mission, A&N Islands 2. Improved case management Activities to be planned areDPMR services – To be calculated for each district 2.1. Sl Item No. required Persons with insensitive feet X 2 pairs Unit cost (Rs) 300 Total (Rs) 60,000.00 1. MCR footwear 2. Aids & appliances 24,000 24,000.00 3. Welfare allowances for RCS patient 5,000 5,000.00 Total 89,000.00 2.2. Urban Leprosy Control Calculated based on identified urban areas located. S.No 1 Category of urban area Township Number Unit cost (Rupees) 1 1,14,000.00 Total amount (Rupees) 1,14,000.00 Total: 1,14,000.00 2.3. MDT Supply To be supplied to the States/UTs by the centre, so it is not budgeted by State/UT. 2.4. Materials and supplies To be calculated for State/UT according to the number of districts Sl 1. 3. 2.5. Item No. of Unit cost Total (Rs) districts per district (Rs) Supportive Drugs & dress50,000.00 100,000.00 ings 03 Printing works 20,000.00 60,000.00 Total 80,000.00 1,60,000.00 NGO Services 370 PIP of Union Territory Health Mission, A&N Islands To be calculated at State level on the basis of NGO involved through SET Schemes. No. of NGO unUnit cost per NGO Amount (Rupees) der SET Scheme (Rupees) NIL 800,000.00 NIL There is no NGO organization involved through SET schemes in these Islands 3. Stigma reduced Sl 1. 2. 3. 4. Medium No. of districts Mass Media(TV, Radio Press) Outdoor Media Rural Media Advocacy meeting 03 Total Unit cost per district (Rs) 28,000.00 Total (Rs) 28,000.00 39,000.00 5,000.00 1,00,000.00 84,000.00 117,000.00 15,000.00 300,000.00 84,000.00 4. Development of Leprosy Expertise sustained The training plan will be prepared at the district level based on actual need per year. Need assessment will first be done so that annual plan can be developed as belowA. Calculated for each district –(As per RCH-II guidelines for conducting training) Sl 1. 2. Type of training No. to be trained in the District Medical Officer 30 Doc( 2 days) tors Health Super- 90 visor/ Health Health Worker (2 workers days) No. of course for 30 persons Unit cost per course (Rs.) Amount (In Rs.) 01 190,900.00 190,900.00 03 78,200.00 234,600.00 Total 4,25,500.00 A. Calculation for State/UT–(As per RCH-II guidelines for conducting training) Sl Type of train- No. to be ing trained in 371 No. of course Unit cost per Total amount PIP of Union Territory Health Mission, A&N Islands 1. the District Management 06 nos Training for District District Nucleus nucleus Teams staffs Total for 06 persons course (Rs.) (in Rs.) 01 26,680.00 26,680.00 26,680.00 5. POL/Vehicle Hiring and Operations: Sl 1 2 Particulars Purchase of HSD oil for NLEP office vehicle Repairing and other operational expences Amount 60,000.00 80,000.00 Total: 140,000.00 6. Monitoring, Supervision and Evaluation Sl 1. 2. Activity District Travel cost for contractual persons at State level State level Review meetings (Quarterly) 3 Districts Unit cost(Rs) Total (Rs) 40,000.00 40,000.00 40,000.00 40,000.00 Total: 80,000.00 7. Increased participation of persons affected by Leprosy in Society One member from the local leprosy Disabled Persons Organisations (DPO) will be included to encourage increased participation of persons affected by leprosy in planning as well as in programme implementation. Programme Management ensured 7.1. Sl 1. 2. Contractual staff at State level – as per existing strength Category No. of posts 1 1 2 Administrative Assistant Driver Total: 7.2. Unit cost per Cost per month year (Rs) 16,000.00 1,92,000.00 11,000.00 1,32,000.00 27,000.00 3,24,000.00 District Leprosy Societies Few contractual posts for the high endemic districts proposed in 12 th Plan. States may plan indicating their need for this purpose subject to final approval. The Andaman & Nicobar Islands comes under low endemic state as the ANCDR is less than 10 per 100,000 population i.e 5.76 (2010-11). 372 PIP of Union Territory Health Mission, A&N Islands 7.3. Special Provision for selected States/UTs No special provision planned under Andaman & Nicobar Islands as this UT comes under low endemic state. 7.4. High endemic Blocks No special provision needed for leprosy supervision, monitoring and programme implementation in low endemic blocks of Andaman & Nicobar Islands. II. Additionality in Annual Plan 1. NRHM NIL 2. WHO, ILEP, ICMR and Other Organizations NIL 373 PIP of Union Territory Health Mission, A&N Islands National Leprosy Eradication Programme(NLEP) (2012-13) Sl No 1 1.1 Activities Proposed South Andaman State N&M Andaman Nicobar Activities of ASHA - Honorium/Sensitization of ASHA 1.2 Incentive to ASHA 2 POL - Vehicle Operation 3 Improved case management Total in lacs 0.000 0.135 0.219 0.053 0.048 0.000 0.000 0.000 1.400 0.000 0.000 0.000 0.407 0.048 1.400 - DPMR Plan (Disability pre3.1 vention and medical rehabilation) 0.890 0.000 0.000 0.000 3.2 Urban Leprosy Control 1.140 0.000 0.000 0.000 3.3 Material and supplies 1.600 0.000 0.000 0.000 3.4 NGO 0.000 0.000 0.000 0.000 4 Stigma Reduction 2.310 0.230 0.230 0.230 5 Training 4.522 0.000 0.000 0.000 6 Monitoring and Supervision 0.800 0.000 0.000 0.000 7 Programme Mangement 3.240 0.000 0.000 0.000 Committed unspent balance Total Fund Proposed for the FY 12-13 15.950 0.365 0.449 0.283 Less: Unspent Balance as on 01.04.2012 Actual Budget Required 374 0.890 1.140 1.600 3.000 4.522 0.800 3.240 0.740 17.787 0.720 17.067 PIP of Union Territory Health Mission, A&N Islands D. 5. NATIONAL IODINE DEFICIENCY CONTROL PROGRAMME (NIDDCP) Global Iodine Deficiency Disorder Prevention Day – 2011 was observed in the UT of Andaman and Nicobar Islands in a befitted Manner involving Department of Civil Supplies, Education, ICDS, Chamber of Commerce and Industry, Traders Association, PRI Members, NGOs, Print and Electronic Media persons, NGOs etc. On the occasion of Global IDD Prevention Day – 2010, Inter-School Competition on Essay Writing, Slogan Writing and Speech Competition was held and cash prizes and Certificates were distributed to winners of first, second, third and consolation places. Banners were displayed in important places. broadcasted on AIR. Jingles were Health messages were telecasted through Doordarshan and displayed on Electronic Display Board at Prime area of Port Blair.Group Meetings were conducted in Anganwadi Centers, Community Halls and Handbills in different languages were distributed to create awareness among community about importance of consumption of iodated salt. Advertisement and Message of Hon’ble Lt. Governor was published in the local dailies. A UT Level function was organised at G.B. Pant Hospital Auditorium in a befitted manner. Also same function was organised in all health centres in successful manner. HOUSE-HOLD SURVEY SALT SAMPLES TESTED UPTO DECEMBER 2011 1. No. of Salt Samples tested 241 2. No. of Salt Sample found with Nil Iodine 11 3. No. of Salt Sample with below 15 ppm 13 4. No. of Salt sample with above 15 ppm 217 KEY ISSUES FOR IMPLEMENTATION OF NIDDC PROGRAMME 1. IDD survey has not been done till date and it is proposed to conduct IDD survey in 3 Districts. 375 PIP of Union Territory Health Mission, A&N Islands 2. Delay in getting of fund under NIDDC Programme. Funds as per the approved budget is coming under treasury route hence advance amount is not available for conducting programmes and appointment of staffs under NIDDCP. 3. Non-availability of fund for payment of staff in the IDD Monitoring Cell. National Iodine Deficiency Disorder Control Programme (2012-13) Sl No 1 2 3 4 Activities Proposed State Establishment of IDD Control Cell Amount in lacs 10.000 10.000 Establishment of IDD Monitoring Lab 3.000 3.000 Health Education & Publicity (IEC activity) 8.000 8.000 IDD Surveys 3.000 3.000 Committed unspent balance - Total Fund Proposed for the FY 2012-13 24.000 Less: Unspent Balance on 01.04.2012 0.000 Actual Budget Required 24.000 376 PIP of Union Territory Health Mission, A&N Islands D. 6. INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) The Government of India is initiating a decentralized, state based Integrated Disease Surveillance Project (IDSP) in the country in response to a long felt need expressed by various expert committees. The project would be able to detect early warning signals of impending outbreaks and help initiate an effective response in a timely manner. It is also expected to provide essential data to monitor progress of on going disease control programs and help allocate health resources more optimally. Objectives The project development objective is to improve the information available to the government health services and private health care providers on a set of highpriority diseases and risk factors, with a view to improving the on-the-ground responses to such diseases and risk factors. Specifically, The Projects aim: To establish a de-centralized state based system of surveillance for communicable and non-communicable diseases, so that timely and effective public health actions can be initiated in response to health challenges in the country at the state and national level. To improve the efficiency of the existing surveillance activities of disease control programs and facilitate sharing of relevant information with the health administration, community and other stakeholders so as to detect disease trends over time and evaluate control strategies. The project will assist the Government of India and the states and territories to: Surveil a limited number of health conditions and risk factors; Strengthen data quality, analysis and links to action; Improve laboratory support; Train stakeholders in disease surveillance and action; Coordinate and decentralize surveillance activities; 377 PIP of Union Territory Health Mission, A&N Islands Integrate disease surveillance at the state and district levels, and involve communities and other stakeholders, particularly the private sector. COMPONENTS Component I. lance Unit. Establish and Operate a Central-level Disease Surveil- Under this component, Ministry of Health and Family Welfare (MOHFW) will establish a new Disease Surveillance Unit at the central level to help coordinate and decentralize disease surveillance activities. The new unit will support and complement the states' disease surveillance efforts. The unit will be staffed by existing permanent staff reassigned from within the MOHFW. This component will address the constraints of lack of coordination despite central control of surveillance activities and the need for changing the diseases included in the system. Effective coordination (as compared to control) of disease surveillance activities depends on establishing the appropriate processes and institutional arrangements at the central level. This will be done through the creation of a small disease surveillance unit to support the states disease surveillance efforts. Component II. Integrate and strengthen disease surveillance at the state and district levels. This component addresses the constraints imposed by lack of coordination at the sub-national levels, the limited use of modern technology and data management techniques, the inability of the system to act on information and the need for inclusion of other stakeholders. It will integrate and strengthen disease surveillance at the state and district levels, and involve communities and other stakeholders, in particular, the private sector. 378 PIP of Union Territory Health Mission, A&N Islands Component III. Improve laboratory support. This component will consist of: (i) Upgrading laboratories at the state level, in order to improve laboratory support for surveillance activities. Adequate laboratory support is essential for providing on-time and reliable confirmation of suspected cases; monitoring drug resistance; and monitoring changes in disease agents. (ii) Introducing a quality assurance system for assessing and improving the quality of laboratory data. Component IV. Training for disease surveillance and action. The changes envisaged under the first three components will require a large and coordinated training effort to reorient health staff to an integrated surveillance system and provide the new skills needed. Training programs will include representatives from the private sector, NGOs and community groups. Project Highlights It will monitor a limited number of conditions based on state perceptions including 13 core and 5 state priority conditions for which pubic health response is available. District, State & Central Surveillance units will be set up so that the program is able to respond in a timely manner to surveillance challenges in the country including emerging epidemics. It will integrate surveillance activities in the country under various programs and use existing infrastructure for its function. Private practitioners / Private hospitals / Private laboratories will be inducted into the program as sentinel units. Active participation of medical colleges in the surveillance activities. The project will ensure uniform high quality surveillance activities at all levels by 1. Limiting the total number of diseases under surveillance and reducing overload at the periphery. 379 PIP of Union Territory Health Mission, A&N Islands 2. Developing standard case definitions. 3. Developing formats for reporting. 4. Developing user friendly manuals. 5. Providing training to all essential personnel. 6. Setting a system of regular feed back to the participants on the quality of surveillance activity. District Public Health Laboratory will be strengthened to enhance capacity for diagnosis and Investigations of epidemics and confirmation of disease conditions. Use of information technology for communication, data entry, analysis, reporting, feedback and actions. A national level surveillance network will be established up to the district level. DISEASES CONDITIONS UNDER THE SURVEILLANCE PROGRAM I. Regular Surveillance 1. 2. Vector Borne Disease Water Borne Disease 3. 4. 5. 6. Respiratory Diseases Vaccine Preventable Diseases Diseases under eradication Other Conditions (Linkup with police computers) Other International commitments Unusual clinical syndromes 7. 8. Malaria Acute Diarrhoeal Disease (Cholera), Typhoid Tuberculosis Measles Polio Road Traffic Accidents Plague Meningoencephalitis/Respiratory (Causing death/hospitalization) Distress Hemorragic fevers, other undiagnosed conditions II. Sentinel Surveillance 1. 2. Sexually transmitted es/Blood borne Other Conditions diseas- HIV/HBV, HCV Water Quality, Outdoor Air Quality (Large Urban centers) III. Regular periodic surveys: 1. NCD Risk Factors Anthropometry, Physical activity, Blood, Pressure, Tobacco, Nutrition, Blindness 380 PIP of Union Territory Health Mission, A&N Islands Data Collection: At Sub Center: • • ANM fills in the S - Form data from her SC register and Diary. Takes the S-Form herself or sends through mail to PHC At PHC: • PHC Medical Officer generate a P Form from the OPD record in his register, Pharmacist register and or the OPD registration counters records • PHC Medical Officer also collects S Form from all 5-6 SC under it, makes an analysis and sends along the bunch of P and S form to CHC. At CHC: • MO i/c collects all P forms from MOs in the CHC/PHC • MO i/c collects all P forms from all MOs in different PHCs • MO i/c collects all S forms sent by the PHCs • MO i/c supervise the filling in of L form by the Lab Tech/Attendant. • MO i/c compiles the S and P forms for the area, generate a report and along the Bunch all and send to the DSU. At District Surveillance Unit IDSP nodal officer will generate a report with the assistance of Data Manager and Data Entry Operator. The Form data are entered in Central Data Center through Internet by Data Entry operator. 381 PIP of Union Territory Health Mission, A&N Islands MANAGEMENT STRUCTURE TO DELIVER THE PROGRAMME. State Surveillance Unit, DHS (Andaman District) North & Middle Andaman Dist. Nicobar district South Andaman Dist. RPH, Mayabunder Mayabunder Dist BJRH, Car Nicobar Nicobar Dist. GB Pant Hospital (Referral Hospital) CHC’ s (Two) CHC’s (One) UHC’s (Five) PHC’s (Six) PHC’s (four) CHC ‘s (One) PHC’s (Ten) 382 PIP of Union Territory Health Mission, A&N Islands Proposed Budget Plan for the year 2011-12 Physical plan 1. Training Sl.No. Particulars No of Participants 1. One day training of Medi- 40(20 cal Officers nos. 2. One day training of 40(20 Pharmacists / Nurses nos. 3. One day training of Medi- NIL cal College Doctors 4. One day orientation train- NIL ing of Data Entry and analysis training for Block Health Team One day training of Data 03 Nos. Manager and Data Entry 02 Nos. data Operator Entry Operators 02 Nos. Data Managers 5. 383 Remarks each) Helpful to generate information to their subordinate about communicable and non – communicable diseases. each) Helpful to give the appropriate data reporting. Helpful to give appropriate data information to the Ministry of Health and Family welfare. NOTE:- Since only 04 nos. of Data Manager & Data Entry Operators are presently working in IDSP. So, it is not possible to conduct training for them. PIP of Union Territory Health Mission, A&N Islands 2. Human Resources Sl.No . Sanctioned Posts No. of posts Existing Post 1 Epidemiologist 3 Nos. Nil 2. Microbiologists 2 Nos. 02 Nos. 3. Entomologists 1 No. Nil 4. Veterinary Consultant 1No. One additional contractual post added. 4. Consultant (Finance) 1 No. Nil 5. Consultant (Training) 1 No. 01 No. 384 Vaccant Post Remarks 03 Nos. As no desirable candidates are available, This year it is proposed to hire the retired GDMOs for this post. Nil 01 No. No desirable candidates are available as per the educational qualification under IDSP guidelines. The post will be advertised shortly as per the guidelines of IDSP. 01 No. Nil PIP of Union Territory Health Mission, A&N Islands 6. Data Managers 3 Nos. 02 No. 01 Nos. 7 Data Entry Operators 3 Nos. 01 No. 02 Nos. Under Process Activities are taken to fill up the post. Activities are taken to fill up the post. Proposal for Additional Post (Proposal for Manpower is to appoint for State Health Society – IDSP, Port Blair) 1. Administrative Assis- 1 No. tant Helper 1 No. 2. - - Proposal is for additional post. 3. Operational Cost Sl.No 1 . Particulars Remarks Transport: Hiring of vehicle for mobility support. 2 Office Expenses Printing of reporting forms, Broadband Expenses, Stationery, Office consumable items, telephone charges, and maintenance and minor repairs of ICT equipments, Contingencies, Collection and transportation of samples during outbreaks, Purchased of Office furniture and fixtures. 385 PIP of Union Territory Health Mission, A&N Islands 4. a. Laboratory Support for State (State Surveillance Laboratory, GB Pant Hospital, Port Blair):- Sl.No . 1. a. b. c. d. e. 2. 3. CODE No. PER PACK Disposable face mask - - QUANTITY REQUIRED 200 No Sterile gloves - - 200 nos. Tissue paper role - - 20 nos - 2.nos Particulars Consumables and kits Adhesive tape - Aluminium foil - - 10 nos. Diagnostic Kits Glass ware Nil Nil Nil Nil Nil Nil b. Laboratory Support for District, Dr. R.P.Hospital, Mayabunder: i. Consumables and kits for Priority district labs Sl.No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Item Name Manufacture Name Brushes for bottle washing 40 cm Cotton wool - non absorbent roll Aluminum foil Food rapper plastic foil Pasteur Pipettes (1 ml Plastic) Sterile glows Disposable mask Tissue paper roll Detergent Powder (Sabena) Hand wash (Savlon/Dettol) Ca hypochloride /cresol Glass Marking Pen Adhesive tape Sterial Sample Container for Stool,Urine and 386 Qty 10 6 10 nos 10 nos 100 200 nos 200 nos 20 nos 1kg 1000ml 5L 1 nos 2 nos 600 nos PIP of Union Territory Health Mission, A&N Islands Sputum ii. Culture-media & reagents: Sl. No. 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. 34. 35. 36. 37. Item Name Nutrient Agar MacConkey agar Triple sugar iron agar Cetrimide Agar Base Deoxycholate Citrate Agar Xylose Lysine Desoxycholate Agar(XLD Agar) Nagler’s medium Stuart’s medium Robertson’s Cooked Meat medium Selenite F Broth (Twin Pack) Simmon’s Citrate medium Brain heart infusion broth Glucose Phosphate broth Dextrose Broth(For Antibiotic sensitivity) Coagulase plasma ( for Coagulase test) Mueller Hinton Agar(Susceptibility of microorganisms to antimicrobial agents.) Antibiotic Discs(ALL IN ONE) Agar(Bacteriological) Peptone Yeast Extact Meat Extract Ab:ethanol Acid fusion Alph –naphthol Acetone Bromothymol blue con:HCL Glucose Gentian violet H2O2 (3%) Potassium hydroxide Lactose MgSo4 Na OH Nacl Extra pure Para-di-methyl amino benzaldehyde Phenol red 387 Manufacture Name HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA Qty HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA 200g 200g 500g 100g 500g 200g 200g HIMEDIA 500g 500g 500g 100g 100g 500g 100g 100g HIMEDIA 500g HIMEDIA HIMEDIA 1 nos 500kg 1kg 500g 500g 1L 100g 100g 1L 100g 5L 25g 100g 1L 500g 500g 500g 500g 1kg 25g 100g PIP of Union Territory Health Mission, A&N Islands Potasium Di –Hydrogen phosphate Sodium citrate Sodium di –Hydrogen phosphate Sodium Thiosulphate Sucrose Xylene Formaldehyde 38. 39. 40. 41. 42. 43. 44. 500g 250g 500g 250g 25g 1L 1l iii. Glass Ware: After use, the glassware in microbiology laboratories requires intense decontamination, cleaning and sterilization prior to reuse. The cleaning and preparation of the glassware for reuse may take more than a day. Some of the glassware, such as culture tubes and petri-dishes, may become available for use again only after a week. Adequate stocks of glassware are necessary in a microbiology laboratory for uninterrupted operations. The glassware required for a microbiology laboratory is listed below. Sl.No 1. 2. 3. Items with specifications Test tubes without rim borosilicate, 18 X Product ture name code Qty BOROSIL 9820U06 400 BOROSIL 9820U12 800 BOROSIL 9820U03 800 BOROSIL 9901006 100 BOROSIL 9910005 150 150 mm Test tubes without rim borosilicate, 16 X 100 mm Test tubes without rim borosilicate, 12 X 100 mm Test tubes with Round Bottom,with 4. Manufac- Screw Cap and Rubber Liner,BOROSIL,16X125 5. Culture tube ,flat bottom, with Screw cap and rubber Liner,BOROSIL,16X50mm 6. Measuring cylinders graduated, 10 ml BOROSIL 3021006 2 7. Measuring cylinders graduated, 100ml BOROSIL 3021016 2 8. Measuring cylinders graduated, 500 ml BOROSIL 3021024 2 9. Measuring cylinders graduated, 1000 ml BOROSIL 3021029 2 10. Petri dishes, 80 X 15 mm BOROSIL 3165072 300 11. Petri dishes,80X17mm BOROSIL 3160072 400 388 PIP of Union Territory Health Mission, A&N Islands 12. Petri dishes,100X17mm BOROSIL 3160077 13. Blood culture bottle 100ml BOROSIL 14. Reagent,amber,wide mouth ,with Screw BOROSIL 1519021 100 Cap, Graduated and Pouring ring 250 ml 15. Reagent,,Amber,Tooled Neck 250 ml BOROSIL 1589021 16. Centrifuge tube ,Conical Bot- BOROSIL 8080007 tom,Graduated 17. McCartney bottles, 28 ml BOROSIL 18. Funnels glass, diameter 50 mm, Plain BOROSIL 6140065 19. Beakers, With Spout, Double Graduated BOROSIL 1000D29 BOROSIL 1000D24 BOROSIL 1000D21 BOROSIL 4980009 BOROSIL 4980016 BOROSIL 4980024 BOROSIL 4980029 BOROSIL 4980030 Beakers, With Spout, Double Graduated, 500 ml 21. Beakers, With Spout, Double Graduated 250 ml, 22. Conical flasks (Erlenmeyer),Graduated,25ml 23. Conical flasks (Erlenmeyer),Graduated,100 ml 24. Conical flasks (Erlenmeyer),Graduated,500 ml 25. Conical flasks (Erlenmeyer),Graduated,1000 ml 26. Conical flasks (Erlenmeyer),Graduated,2000 ml 27. Volumetric Flasks 100ml,class A BOROSIL 5648016 28. Pipettes, 1ml with 0.1 ml graduations - BOROSIL 7079P11 Grade A 389 10 10 10 50 1000 ml 20. 200 2 2 10 10 10 10 10 5 2 2 5 PIP of Union Territory Health Mission, A&N Islands 29. Pipettes, 2 ml with 0.02 ml graduations - BOROSIL 7079P02 BOROSIL 7079P05 BOROSIL 7079P06 5 Grade A 30. Pipettes, 5 ml with 0.05 graduations - 10 Grade A 31. Pipettes, 10 ml with 1 ml graduations - 10 Grade A 32. Durham tubes 50 X 7.5 mm 100 33. Glass slide 75X25mm 500 nos 34. Cavity slide 10 nos 35. Cover slip (standard size) 200 nos 36. Glass rod 10 37. Reagent dropper bottle 100ml (plastic) 5 nos 38. Waste bin with lid 3 nos 39. Table mate large 3 nos iv. Equipments :-(as per guidelines it is to be procured through NRHM - Mission Flexi Pool) Sl.No. 1. Specifications Use ELISA reader and washer For the Identification of IgM from patient Serum 2. UPS for ELISA reader,Numeric Power System Uninterrupted power supply ,Rating 1.0KVA,DCV 60,(Numeric 1000) 3. for ELISA Reader Lamina hood, width 1 metre, with HEPA filter sys- Working aseptic condition tem 230V, 50-60Hz 2 year warranty, user manu- (handling of infectious patient al, installation instruction manual 4. sample) Deep Freezer capacity 200 liter. minimum tem- Storage of positive control perature - 18 oC, 230V, 50-60Hz. 2 year warranty strains, reagents..etc 5. Incubators ambient to 70 oC, microprocessor Providing optimum temperacontrolled, capacity 200 liter, 230V, 50-60Hz. ture for bacterial culture Calibration certificate, 2 year warranty, user manual, installation instruction manual 6. Hot air ovean Max 300 oC, capacity 200 liter, Drying of washed glass wares 230V, 50-60Hz. 2 year warranty, user manual, /Sterilization 390 PIP of Union Territory Health Mission, A&N Islands installation instruction manual 7. BOROSILWATER DISTILLATION SYSTEM,All Double distilled water for reGlass, Double, with Built-in-heater, Horizontal agent and media preparation Type, BOROSIL, Output 4 liter / hr. Product (daily requirement 5-6L/day) Code 3262 Also supply: One additional heating element, user manual, installation instructions, Two year warranty Quartz new type heater B-50 Distillation Appartus Power Supply (DAPS) 8. Dark field Microscope 10 – 40 X Identification of T.pallidum (wet film preparation) 9. pH meter working range 0-14 with temperature For checking reagent pH control and electrodes, 230V, 50-60Hz., user manual, installation 2 - instruction year Extra pH electrode manual warranty for above - Buffer sachets pH 4, 7 and 9 for above 10. Refrigerators capacity 250 liter, 230V, 50-60Hz. 2 Storage of patient positive year warranty, user manual, installation instruc- sample…etc tion manual,double door 11. Autoclave for decontamination (vertical) Auto- For decontamina- clave capacity 60-80 litres, high precision, with tion/sterilization of Culture digital display, microprocessor controlled, togeth- media er with baskets /shelves, 230V, 50-60Hz. Sterilization indicator tapes 3 rolls Calibration certificate, 2 year warranty, user manual, installation instruction manual 12. Electronic balance, semi-micro analytical 100g, Reagent preparation readability 0.001 g, 230V, 50-60Hz. Calibration certificate, 2 year warranty, user manual, installation instruction manual 13. Water bath capacity 8-10 liter, with lid, 230V, 50- Reagent preparation 60Hz. 2 year warranty, user manual, installation analytical procedure 391 and PIP of Union Territory Health Mission, A&N Islands instruction manual 14. Colony counter with bulb and magnifier lens, Counting bacterial colony 230V, 50-60Hz. user manual, installation instruc- from culture media tion manual 15. Anaerobic System Mark V Supplied with trans- Artificial anaerobic environ- parent, unbreakable Polycarbonate jar of 1.5 litre ment for the cultivation of ancapacity with sturdy, aluminium lid clamp and aerobic bacteria sealing ring with built-in safety features 16. Media dispenser / syringe to deliver 1ml to 10 ml For deliver accurate volumes, with autoclavable delivery tubes, man- media ual to sterile culture plate(avoiding contamination) Mechanical instrument used 17. VDRL Shaker for screening of SYPHILIS (RPR /VDRL TEST) 18. Magnetic stirrer with magnetic beads Proper mixing of reagent and media Tool for Measuring inhibition 19. Antibiotic Zonescale HIMEDIA zone size of Antibiotic Sensitivity Discs 200 x 95 mm 20. Eppendorf type pipettor adjustable maximum ca- Dispensing accurate amount pacity 0. 2-10 µl, user manual, 2 year warranty 21. Eppendorf type pipettor adjustable maximum ca- Dispensing accurate amount pacity 20-200 µl, user manual, 2 year warranty 22. of sample or reagent Eppendorf of sample or reagent type pipettor adjustable maximum Dispensing accurate amount capacity 100-1000 µl, user manual, 2 year war- of sample or reagent ranty 23. Eppendorf type pipettor stand for pipettor safety 24. Wire baskets, autoclavable, 25 cm X 25 cm [10 For autoclaving glass ware No] 25. 26. For heating reagents/culture Tripod stands media Wire gauze with asbestos sheet for tripod stands 392 For heating reagents/culture media PIP of Union Territory Health Mission, A&N Islands 27. Burners to be used with liquid petroleum gas For heating reagents/culture media 28. Gloves (heat resistant), for use with autoclave Handling of hot glass wares 29. Thermometers 0 to 100 oC, divisions 1oC Quality control (Incubator and water bath ) 30. Thermometers 0 to 100 oC, divisions 0.1oC 31. Stainless steel spatula, flat ends 200 mm Reagent preparation 32. Stainless steel scissors, 300 mm Cutting 33. Stainless steel forceps, 200 mm Anti microbial Sensitivity test 34. Stainless steel scalpels, 200 mm Sample handling 35. Test tube racks stainless steel for 16 mm x 1/50 For holding test tube " tubes (10 x 4 holes) Test tube racks sainless steel for 12mm Test tube racks sainless steel for 20mm 36. sterilizaPetridish sterilizing cans, aluminium (102 outer For tion/decontamination of perdiameter) tridish in Autoclave 37. Pipette sterilizing cans, aluminium For sterilization/decontamination of glass pipette in Autoclave Hand lens 100 mm diameter (magnifying glass) Morphological identification of bacteria colony (Form, elevation and margin) 38. 39. Handles for inoculating loops for microbiological Bacterial inoculation use, metal 40. Nickel chromium wire to make inoculating loops 1 To make inoculating loops metre length 41. Enamel trays 200 mm x 300 mm For decontamination of slides 42. Table lamp (angle poise) Proper vision of culture plate 43. Staining Rack Holding glass slide(smear) for staining 44. Timer with Alarm ,Mechanical For proper staining of bacterial smear Computer with printer,UPS For maintain Lab data (Patient information, lab test result report..etc ) 45. 393 PIP of Union Territory Health Mission, A&N Islands Financial Plan 1. TRAINING 1.1. Sl.No. 1. 2. 3. 4. One day training to medical officers. Particulars Costing DA to Medical officers Honorarium to Resource Persons Working Lunch 20 Participants @ 700 x 2 batches 2 RP’s @ 1000 x 2 batches 25 persons @ 200 x 2 batches 20 Participants @ 250 x 2 batches 20 Participants @ 2000 x 2 batches @ 15% of Rs.1,32,000.00 Incidental Expenditure TA to Medical Officers Institutional overheads for use of Institutional facilities 5. 6. Grand Total (A) 1.2. Sl.No. 1. 2. 3. 4. 5. Total amount 28,000.00 4,000.00 10,000.00 10,000.00 80,000.00 19,800.00 1,51,800.00 One day training to Pharmacists / Nurses / Lab Technicians and Lab Assistants. Particulars Costing DA to Participants 20 Participants @ 400 x 2 batches Honorarium to Re- 2 RP’s @ 1000 source Persons x 2 batches Working Lunch 25 persons @ 200 x 2 batches Incidental Expendi- 20 Participants ture @ 250 x 2 batches TA to Participants 20 Participants @ 800 x 2 394 Total amount 16,000.00 4,000.00 10,000.00 10,000.00 32,000.00 PIP of Union Territory Health Mission, A&N Islands 6.0 batches Institutional over- @ 15% of heads for use of Rs.72,000.00 Institutional facilities Grand Total (B) 10,800.00 82,800.00 The Total Proposed Budget under Training (A + B): Particulars Proposed Budget One day training of Medical Officer 1,51,800.00 One day training of Pharmacist / Nurses 82,800.00 One day training of Medical College Doctors Nil One day orientation training of Data Entry and analysis training for Block Health Team Nil One day training of Data Manager and Data Entry Operator NIL Grand Total 2,34,600.00 395 PIP of Union Territory Health Mission, A&N Islands 2. HUMAN RESOURCES Sl.No. Posts No. of Sanctioned posts 1 Epidemiologist 3 Nos. 2. Microbiologists 2 Nos. 3. Entomologists 1 No. 4. 5. Veterinary Consultant Consultants (Training) 1 No. 1 No. 6. Data Managers 3 Nos. 7 Data Entry Operators 3 Nos. Proposed Revised Budget (P.M) Rs.40,000.0 0 Rs.25,000.0 0 Rs.14,000.0 0 Rs.40,000.0 0 Rs.15,000.0 0 Costing Total Proposed Budget Rs.40,000 x 3 x 6 months 7,20,000.00 Rs.25,000 x 2 x 12 months 6,00,000.00 Rs.14,000 x 1 x 6 months 84,000.00 Rs.40,000 x 1 x 6 months 2,40,000.00 Rs.15,000 x 1 x 12 months Rs.14,000.0 Rs.14,000 x 2 x 12 0 months Rs.14,000 x 1 x 6 months Rs.8,500 x 1 x 12 months Rs.8,500.00 Rs.8,500 x 2 x 6 months Total 1,80,000.00 3,36,000.00 84,000.00 1,02,000.00 1,02,000.00 24,48,000.00 Proposal for Additional Post (Proposal for Manpower is to appoint through NRHM Mission Flexi Pool for State Health Society – IDSP, Port Blair) Administrative 1. 1 No. Rs.7,000.00 Rs.7,000 x 1 x 06 months 42,000.00 Assistant 2. Helper 1 No. Rs.4,500.00 Rs.4500 x 1 x 06 months Grand Total 396 27,000.00 69,000.00 PIP of Union Territory Health Mission, A&N Islands 3. OPERATIONAL EXPENSES Sl.No. Particulars 1 Transport 2 Office Expenses Grand Total Proposed Budget 50,000.00 1,00,000.00 1,50,000.00 Note: North & Middle Andaman District and Car Nicobar District, as these areas is far flung and connected via sea route , so the upper slab of Rs.1000 may be removed from Mobility Support under transport and may be provided on as actual amount incurred. 4. a. Laboratory Support for State (State Surveillance Laboratory, GB Pant Hospital, Port Blair):Sl.No. Particulars CODE No. PER PACK Qty Estimated Cost 1. Consumables and a. b. Disposable face kits Sterile gloves mask - - 200 No 200 nos. 240.00 600.00 c. d. Tissue paper role Adhesive tape - - 20 nos 2.nos 600.00 40.00 e. Aluminium foil - - 10 nos. 850.00 Nil Nil Nil Nil 2. 3. Diagnostic Kits Glass ware Nil Nil TOTAL 2,330.00 b. Laboratory Support for District, Dr. R.P.Hospital, Mayabunder: i. Consumables and kits Sl.No. Item Name Manufacture Qty Name 15. Brushes for bottle wash- Estimated Cost 10 250 ing 40 cm 16. Cotton wool - non absor- 6 bent roll 1550 17. Aluminum foil 10 nos 850 18. Food rapper plastic foil 10 nos 850 19. Pasteur Pipettes (1 ml 100 245 397 PIP of Union Territory Health Mission, A&N Islands Plastic) 20. Sterile glows 200 nos 600 21. Disposable mask 200 nos 240 22. Tissue paper roll 20 nos 600 23. Detergent Powder (Sa- 1kg bena) 24. Hand wash (Sav- 1000ml lon/Dettol) 25. Ca hypochloride /cresol 26. 50 150 5L 800 Glass Marking Pen 1 nos 150 27. Adhesive tape 2 nos 40 28. Sterial Sample Container 1750 for Stool,Urine and Spu- 600 nos tum TOTAL 8,125.00 ii. Culture-media & reagents: Sl. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Item Name Nutrient Agar MacConkey agar Triple sugar iron agar Cetrimide Agar Base Deoxycholate Citrate Agar Xylose Lysine Desoxycholate Agar(XLD Agar) Nagler’s medium Stuart’s medium Robertson’s Cooked Meat medium Selenite F Broth (Twin Pack) Simmon’s Citrate medium Brain heart infusion broth Glucose Phosphate broth Dextrose Broth(For Antibiotic sensitivity) Coagulase plasma ( for Coagulase test) Mueller Hinton Agar(Susceptibility of microorganisms to antimicrobial agents.) Antibiotic Discs(ALL IN ONE) Agar(Bacteriological) 398 Manufacturer Name HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA Qty HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA HIMEDIA 200g 200g 500g 100g 500g 200g 200g HIMEDIA 500g 500g 500g 100g 100g 500g 100g 100g HIMEDIA Estimated Cost 4635 4750 4230 900 684 4815 1455 3500 4240 1500 3800 2100 1600 1890 1500 4650 500g HIMEDIA HIMEDIA 1 nos 500kg 1400 3245 PIP of Union Territory Health Mission, A&N Islands 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. Peptone Yeast Extact Meat Extract Ab:ethanol Acid fusion Alph –naphthol Acetone Bromothymol blue con:HCL Glucose Gentian violet H2O2 (3%) Potassium hydroxide Lactose MgSo4 Na OH Nacl Extra pure Para-di-methyl amino benzaldehyde Phenol red Potasium Di –Hydrogen phosphate Sodium citrate Sodium di –Hydrogen phosphate Sodium Thiosulphate Sucrose Xylene Formaldehyde 1kg 500g 500g 1L 100g 100g 1L 100g 5L 25g 100g 1L 500g 500g 500g 500g 1kg 25g 100g 500g 250g 500g 250g 25g 1L 1l TOTAL 840 640 580 455 650 650 340 1600 1850 840 370 420 780 650 420 240 640 840 560 480 300 480 340 680 420 285 67,244.00 iii. Glass Ware: After use, the glassware in microbiology laboratories requires intense decontamination, cleaning and sterilization prior to reuse. The cleaning and preparation of the glassware for reuse may take more than a day. Some of the glassware, such as culture tubes and petri-dishes, may become available for use again only after a week. Adequate stocks of glassware are necessary in a microbiology laboratory for uninterrupted operations. The glassware required for a microbiology laboratory is listed below. Sl.No. Items with specifications 1. 2. Test tubes without rim borosilicate, 18 X 150 mm Test tubes without rim borosili- Manufacture name BOROSIL Product code 9820U06 BOROSIL 9820U12 399 400 Estimated cost 4800 800 7920 Qty PIP of Union Territory Health Mission, A&N Islands 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. cate, 16 X 100 mm Test tubes without rim borosilicate, 12 X 100 mm Test tubes with Round Bottom,with Screw Cap and Rubber Liner,BOROSIL,16X125 Culture tube ,flat bottom,with Screw cap and rubber Liner,BOROSIL,16X50mm Measuring cylinders graduated, 10 ml Measuring cylinders graduated, 100ml Measuring cylinders graduated, 500 ml Measuring cylinders graduated, 1000 ml Petri dishes, 80 X 15 mm Petri dishes,80X17mm Petri dishes,100X17mm Blood culture bottle 100ml Reagent,amber,wide mouth ,with Screw Cap, Graduated and Pouring ring 250 ml Reagent,,Amber,Tooled Neck 250 ml Centrifuge tube ,Conical Bottom,Graduated McCartney bottles, 28 ml Funnels glass, diameter 50 mm, Plain Beakers, With Spout, Double Graduated 1000 ml Beakers, With Spout, Double Graduated, 500 ml Beakers, With Spout, Double Graduated 250 ml, BOROSIL 9820U03 800 5400 BOROSIL 9901006 100 8500 BOROSIL 9910005 150 4500 BOROSIL 3021006 2 760 BOROSIL 3021016 2 1200 BOROSIL 3021024 2 2490 BOROSIL 3021029 2 3070 BOROSIL BOROSIL BOROSIL BOROSIL BOROSIL 3165072 3160072 3160077 300 400 200 100 1800 6400 3800 2000 4100 1519021 10 BOROSIL 1589021 BOROSIL 8080007 BOROSIL BOROSIL 6140065 BOROSIL 1000D29 BOROSIL 1000D24 BOROSIL 1000D21 400 10 10 50 2 2 10 10 4250 850 850 140 390 970 600 PIP of Union Territory Health Mission, A&N Islands 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. Conical flasks (Erlenmeyer),Graduated,25ml Conical flasks (Erlenmeyer),Graduated,100 ml Conical flasks (Erlenmeyer),Graduated,500 ml Conical flasks (Erlenmeyer),Graduated,1000 ml Conical flasks (Erlenmeyer),Graduated,2000 ml Volumetric Flasks 100ml,class A Pipettes, 1ml with 0.1 ml graduations - Grade A Pipettes, 2 ml with 0.02 ml graduations - Grade A Pipettes, 5 ml with 0.05 graduations - Grade A Pipettes, 10 ml with 1 ml graduations - Grade A Durham tubes 50 X 7.5 mm BOROSIL 4980009 BOROSIL 4980016 BOROSIL 4980024 BOROSIL 4980029 BOROSIL 4980030 BOROSIL BOROSIL 5648016 7079P11 BOROSIL 7079P02 BOROSIL 7079P05 BOROSIL 7079P06 600 10 600 10 1300 10 1125 5 780 2 2 1170 1250 5 1385 5 3250 10 3450 10 100 500 nos 10 nos 200 nos 10 Glass slide 75X25mm Cavity slide Cover slip (standard size) Glass rod Reagent dropper bottle 100ml (plastic) 38. Waste bin with lid 39. Table mate large Total 36. 37. 1000 1250 150 650 200 350 5 nos 3 nos 3 nos 840 800 84940.00 1. Total Proposed Budget under Laboratory Support Particulars State (SSU, District (N & G.B.Pant M Andaman) Hospital) Consumables and kits 2330.00 8125.00 2. Culture-media & reagents Nil 67,244.00 3. Diagnostic Kits Nil Nil 4. Glass ware Nil 84,940.00 2330.00 1,60,309.00 Sl.No . Total Grand Total for State & District 401 1,62,639.00 PIP of Union Territory Health Mission, A&N Islands 5. Equipments (to be procured through Mission Flexi Pool)for District Lab, Dr.R.P.Hospital, Mayabunder S.No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Estimated cost Specifications Qty ELISA reader and washer UPS for ELISA reader,Numeric Power System ,Rating 1.0KVA,DCV 60,(Numeric 1000) Lamina hood, width 1 metre, with HEPA filter system 230V, 50-60Hz 2 year warranty, user manual, installation instruction manual Deep Freezer capacity 200 liter. minimum temperature - 18 oC, 230V, 50-60Hz. 2 year warranty Incubators ambient to 70 oC, microprocessor controlled, capacity 200 liter, 230V, 50-60Hz. Calibration certificate, 2 year warranty, user manual, installation instruction manual Hot air ovean Max 300 oC, capacity 200 liter, 230V, 50-60Hz. 2 year warranty, user manual, installation instruction manual BOROSILWATER DISTILLATION SYSTEM,All Glass, Double, with Built-in-heater, Horizontal Type, BOROSIL, Output 4 liter / hr. Product Code 3262 Also supply: One additional heating element, user manual, installation instructions, 2 year warranty Quartz new type heater B-50 Distillation Appartus Power Supply (DAPS) Dark field Microscope 10 – 40 X pH meter working range 0-14 with temperature control and electrodes, 230V, 50-60Hz., user manual, installation instruction manual 2 year warranty - Extra pH electrode for above - Buffer sachets pH 4, 7 and 9 for above Refrigerators capacity 250 liter, 230V, 50-60Hz. 2 year warranty, user manual, installation instruction manual,double door Autoclave for decontamination (vertical) Autoclave capacity 60-80 litres, high precision, with digital display, microprocessor controlled, together with baskets /shelves, 230V, 50-60Hz. Sterilization indicator tapes 3 rolls Calibration certificate, 2 year warranty, user manual, installation instruction manual Electronic balance, semi-micro analytical 100g, readability 0.001 g, 230V, 50-60Hz. Calibration certificate, 2 year warranty, user manual, installation instruction manual 402 1 1 350000 45000 1 185000 1 60000 2 44000 1 44000 1 67225 1 1 1 1 43875 20000 2 4sets 2 32000 2 90000 8500 1 PIP of Union Territory Health Mission, A&N Islands 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. Water bath capacity 8-10 liter, with lid, 230V, 5060Hz. 2 year warranty, user manual, installation instruction manual Colony counter with bulb and magnifier lens, 230V, 50-60Hz. user manual, installation instruction manual Anaerobic System Mark V Supplied with transparent, unbreakable Polycarbonate jar of 1.5 litre capacity with sturdy, aluminium lid clamp and sealing ring with built-in safety features Media dispenser / syringe to deliver 1ml to 10 ml volumes, with autoclavable delivery tubes, manual VDRL Shaker Magnetic stirrer with magnetic beads Antibiotic Zonescale HIMEDIA Eppendorf type pipettor adjustable maximum capacity 0. 2-10 µl, user manual, 2 year warranty Eppendorf type pipettor adjustable maximum capacity 20-200 µl, user manual, 2 year warranty Eppendorf type pipettor adjustable maximum capacity 100-1000 µl, user manual, 2 year warranty Eppendorf type pipettor stand Autoclavable pipette tips for 10 µl pipettor Autoclavable pipette tips for 200 µl pipettor Autoclavable pipette tips for 1000 µl pipettor Wire baskets, autoclavable, 25 cm X 25 cm [10 No] Tripod stands Wire gauze with asbestos sheet for tripod stands Burners to be used with liquid petroleum gas 1 18000 1 7650 12350 1 1 1 1 3nos 1 2 1 1 5 boxes 5 boxes 5 boxes 3 2 5 2 Gloves (heat resistant), for use with autoclave 1 Thermometers 0 to 100 oC, divisions 1oC 2 Thermometers 0 to 100 oC, divisions 0.1oC 2 Stainless steel spatula, flat ends 200 mm 10 Stainless steel scissors, 300 mm 2 Stainless steel forceps, 200 mm 2 Stainless steel scalpels, 200 mm 5 403 22000 5300 11500 4890 8000 15000 8600 300 2250 2250 2250 2400 550 200 600 250 500 650 240 600 300 340 PIP of Union Territory Health Mission, A&N Islands 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. Test tube racks stainless steel for 16 mm x 1/50 tubes (10 x 4 holes) Test tube racks sainless steel for 12mm Test tube racks sainless steel for 20mm 5 5 3 Petridish sterilizing cans, aluminium (102 outer diameter) 3 Pipette sterilizing cans, aluminium 2 Hand lens 100 mm diameter (magnifying glass) 1 2450 3 Nickel chromium wire to make inoculating loops 1 metre length 1 Enamel trays 200 mm x 300 mm 3 Table lamp (angle poise) 1 Staining Rack 1 Timer with Alarm ,Mechanical 2 Computer with printer,UPS 1 Total 404 800 200 450 Handles for inoculating loops for microbiological use, metal 49. 2850 2850 1800 160 600 450 240 700 45000 11,75,120.00 PIP of Union Territory Health Mission, A&N Islands Executive Summary 1. Fund Budgeted under IDSP Programme (in Rs.) Sl.No. Budgetory Head 1. Training 2. Human Resources 3. Additional Manpower proposed this year Operational Expenses Laboratory Support Grand Total 4. 5. Expenditure as on 31st December 2011 Proposed Budget for the financial year 2012-2013 - Expected Expenditure from st 1 January 2012 to 31st March 2012 1,00,000.00 5,49,538.00 3,00,000.00 24,48,000.00 - - 69,000.00 44,876.00 3,00,000.00 1,50,000.00 5,94,414.00 7,00,000.00 1,62,639.00 30,64,239.00 405 2,34,600.00 PIP of Union Territory Health Mission, A&N Islands 2. Fund Budgeted to include under Mission Flexi Pool for IDSP Programme (in Rs.) Sl.No. Budgetary Head Financial Requirement for the year 2012-13 1. Laboratory Support for District Lab, Dr.R.P.Hospital, Mayabunder Grand Total 11,75,120.00 11,75,120.00 PIP approved for the financial year 2011-12 is Rs.32.04 lakhs Expected Committed Expenditure from 1st January 2012 to 31st March 2012 is Rs.7.00 lakhs Expected unspent balance for the financial year 2011-12 is Rs.10.89 lakhs Total budget proposed for the financial year 2012-13 is Rs.30.64 lakhs 406 PIP of Union Territory Health Mission, A&N Islands 2011-12 Financial Activity 1. Operational Cost Physical Amount approved Expenditure 7.40 0.45 Expected Out put 1. Mobility Support 2. Formats & Reports other costs- Broadband, Collection transport of outbreak specimens. 3. Field Visits 4. Review Meetings 5. Lab consumables Achievements 1. Mobility support is used for Surveillance activities. 2. Printed S,P,L Formats and distributed to entire CHCs/PHCs and Subcenters. 3. Conducted review meetings for the staff of IDSP. 4. Supply order was placed for the procurement of Lab Consumables. 2. Human Resources 23.64 5.50 1. Remuneration of Epidemiologists 2. Remuneration of Microbiologist 3. Remuneration of Entomologists 407 Staff salary has been disbursed and action taken for filling up of vacant posts. PIP of Union Territory Health Mission, A&N Islands 4. Consultant – Finance 5. Consultant – Training 6. Data Managers 7. Data Entry Operators Training 1.00 Nil Training of Medical Officers 408 Proposed to be conducted in the month of March. PIP of Union Territory Health Mission, A&N Islands Integrated Disease Surveillance Project (2012-13) Sl No. Activities Proposed 1 Training 2 Human Resources 3 Operational Expenditure 4 Laboratory Support State 2.350 2.350 25.170 25.170 1.500 1.500 1.630 1.630 Committed unspent balance Total Fund Proposed for the FY 12-13 Less: Unspent Balance as on 01.04.2012 Actual Budget Required 409 Total in lacs 2.000 32.650 15.890 16.760 PIP of Union Territory Health Mission, A&N Islands D. 9. NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF DEAFNESS (NPPCD) Hearing loss is the most common sensory deficit in humans today. As per WHO estimates in India, there are approximately 63 million people, who are suffering from Significant Auditory Impairment; this places the estimated prevalence at 6.3% in Indian population. As per NSSO survey, currently there are 291 persons per one lakh population who are suffering from severe to profound hearing loss (NSSO, 2001). Of these, a large percentage is children between the ages of 0 to 14 years. With such a large number of hearing impaired young Indians, it amounts to a severe loss of productivity, both physical and economic. An even larger percentage of our population suffers from milder degrees of hearing loss and unilateral (one sided) hearing loss. OBJECTIVES OF THE PROGRAMME 1. To prevent the avoidable hearing loss on account of disease or injury. 2. Early identification, diagnosis and treatment of ear problems responsible for hearing loss and deafness. 3. To medically rehabilitate persons of all age groups, suffering with deafness. 4. To strengthen the existing inter-sectoral linkages for continuity of the rehabilitation programme, for persons with deafness. 5. To develop institutional capacity for ear care services by providing support for equipment and material and training personnel. Components of the Programme: 1) MANPOWER TRAINING & DEVELOPMENT – For prevention, early identification and management of hearing impaired and deafness cases, training would be provided from medical college level specialists (ENT and Audiology) to grass root level workers. 410 PIP of Union Territory Health Mission, A&N Islands 2) CAPACITY BUILDING – for the district hospital, CHC and PHC in respect of ENT/Audiology infrastructure. 3) SERVICE PROVISION INCLUDING REHABILITATION – Screening camps for early detection of hearing impairment and deafness, management of hearing and speech impaired cases and rehabilitation (including provision of hearing aids ), at different levels of health care delivery system. 4) AWARENESS GENERATION THROUGH IEC ACTIVITIES – for early identification of hearing impaired, especially children so that timely management of such cases is possible aid to remove the stigma attached to deafness. EXPECTED BENEFITS OF THE PROGRAMME The programme is expected to generate the following benefits in the short as well as in the long run. i. Large scale direct benefit of various services like prevention, early identification, treatment, referral, rehabilitation etc. for hearing impairment and deafness as the primary health center / community health centers / district hospitals largely cater to their need. ii. Decrease in the magnitude of hearing impaired persons. iii. Decrease in the severity/ extent of ear morbidity or hearing impairment in large number of cases. iv. Improved service network for the persons with ear morbidity/hearing impairment in the states and districts covered under the project. v. Awareness creation among the health workers/grassroot level workers through the primary health centre medical officers and district officers which will percolate to the lowest level as the lower level health workers function within the community. 411 PIP of Union Territory Health Mission, A&N Islands vi. Larger community participation to prevent hearing loss through panchyati raj institutions, mahila mandals, village bodies and also creation of a collective responsibility framework in the broad spectrum of the society. vii. Leadership building in the primary health centre medical officers to help create better sensitization in the grassroots level which will ultimately ensure better implementation of the programme. viii. Capacity building at the district hospitals to ensure better care. ix. State of the art department of ENT at the medical colleges in the state/union territory under the project. Audio logical Assessment in 2009 (A&N Islands) 412 PIP of Union Territory Health Mission, A&N Islands 413 PIP of Union Territory Health Mission, A&N Islands 414 PIP of Union Territory Health Mission, A&N Islands CONDUCTING SCREENING CAMPS TO BE HELD IN THE DISTRICTS: A. OBJECTIVES OF THE CAMPS: During each camp, it should be our aim to: Identify all persons with ear diseases that are or can be the cause of hearing loss (or any other complication) in the affected person, such as: i. ii. iii. iv. v. vi. Wax Secretory Otitis media Suppurative Otitis media Otomycosis/otitis externa Exposure to Noise Presbyacusis Treat or initiate treatment wherever possible, ie for: i. Wax: removal by probing/syringing etc to be done, if possible. Wherever this is not possible, suitable treatment for wax softening and removal must be initiated. ii. Initiate medical treatment for Secretory Otitis media iii. Initiate medical treatment for Suppurative Otitis media iv. Initiate medical treatment for Otomycosis/otitis externa Refer for further management wherever this is indicated. This may be: i Follow up for the medical treatment advised. ii Surgical treatment iii Audiological assessment or work up iv Specialised diagnostic work up (x-rays, CT scan etc) Provide suitable guidance and advice to the patient and/or the family members regarding: i Prevention of hearing loss ii Need for surgical treatment iii Need for rehabilitation therapy iv Proper use of hearing aids. B. PREPARATION FOR THE CAMP: 415 PIP of Union Territory Health Mission, A&N Islands The camps must be carried out in different parts of the district every month. An NGO be identified as per the guidelines provided for identification of the NGO. A suitable day of the month may be fixed for the purpose of carrying out the camps in consultation with the Programme assistant, the NGO and the technical resource persons eg: First Saturday or first Sunday of every month. This day should be on the weekend, in order to facilitate the attendance by working persons and school going children. For the initial part of the programme, the camps should be held in the Community Health Centres. Following this, when all the CHCs have been covered, the camps may subsequently be held in the PHCs or a suitable venue near a PHC. Each camp must be preceded by creation of awareness in the given area regarding the camp. Notices regarding the camp must be pasted at the CHC, PHCs, subcentres, Anganwadis as well as the Panchayat and any other common area of the village. The IEC material regarding Deafness prevention (as made available under the programme) should preferably be displayed alongside the notice in order to facilitate the awareness creation. (However, if the same is not available, the camp must not be held up due to its non-availability). Suitability of the venue must be ensured prior to the camp. If the Centre is not suitable, any other venue in the vicinity, such as a field, panchayat house or school hall/ground etc be identified, depending on the weather and the availability. C. INFRASTRUCTURE AND MANPOWER REQUIREMENT FOR THE CAMP: For the camp, the following persons must be available: o 2 Doctors: At least one of them must be an ENT surgeon (District level ENT doctor or from Medical College in the vicinity). The other doctor may be an ENT surgeon, if fea416 PIP of Union Territory Health Mission, A&N Islands sible or else may be an MBBS doctor who has undergone training under the programme. o At least one and preferably two Audiologists or Audiological assistants should be there to facilitate the camp process. One of them ought to be the Programme assistant at the district level. However, till such a time as the Programme assistant post is not filled at the District hospital, any other person trained as an Audiologist or Audiological assistant may be recruited for the camp. o 2 Camp organizers or one organizer and one assistant, for the camp who should be from the identified NGO. o Equipment required: 1 Head light (available at the PHCs) 2 Otoscopes (1 is available at the PHC/CHC. The other may be brought along by the ENT doctor.) Tuning forks (available at the PHC/CHC) 2 or more aural probes (for wax removal) Syringe, cannula, saline etc for wax removal by syringing. D. FUNCTIONING OF THE CAMP: At the time of the camp, it is proposed that the following may be the methodology: The patient/s who arrives at the camp will be reporting to the camp organizer / assistant first. The camp organizer will record the name of the patient and on the referral slip (as provided under the programme). The patient will then carry the slip to the doctor. The doctor will assess the patient and provide suitable treatment, guidance, and referral. Wherever, assessment of hearing is required, he/she can refer the patient to the audiologist/audiological assistant who will perform the informal hearing tests (voice tests) or tuning fork tests on the patient and send back to doctor or, wherever possible, take the necessary action on his/her own. On the referral slip the diagnosis and advice would be noted. On the way out, the patient must show the slip to the camp assistant who will make the 417 PIP of Union Territory Health Mission, A&N Islands necessary entry in the register regarding the patient’s diagnosis and action taken so that a suitable record be maintained. The format for this record is: S.No. Patient’s name Age /Sex Diagnosis (including normal) Action taken Whether referred. If yes, place of referral (District/Medical College) Once the camp has been completed, the camp organizer (NGO representative) will ensure that the data pertaining to the number of persons visiting the camps etc are compiled as per the format given below and the necessary information is sent ( in the proforma provided) to the District nodal officer as well as to the Programme assistant at the District hospital. Budget S.No. Requirements 1. Screening camps( 23 camps for Rs.10,000) 2. Training of Manpower at District hospitals/CHCs/PHCs including School Teachers & ASHAs 4. 5. 6. 7. 8. 9. Cost Rs. 2,30,000 Target 23 Nos Rs. 3,00,000 Recruitment of Manpower (Audiologist) Training of paramedical staff at AIISH, Mysore Hearing Aids (100 hearing aids) office infrastructure Rs.1.0 lacs office expenses Rs.0.25lacs Rs. 2,50,000 20 Nos. Training (Each Batch 50 Nos. participants) for teacher 01 No. Rs. 3,00,000 04 Nos. Rs. 2,50,000 (100 hearing aids) School Health Programme IEC activities TOTAL Rs. 1,00,000 12 Nos. School Rs. 3,00,000 Rs.18,55,000 - 418 Rs. 1,25,000 PIP of Union Territory Health Mission, A&N Islands National Programme For Prevention & Control of Deafness (2012-13) Sl No. 1 2 3 4 5 6 7 8 Activities Proposed State Training of Manpower at District Hospitals/CHCs/PHCs 3.000 Screening camps (23 camps for Rs.10,000) 2.300 Hearing Aids (100 Hearing Aids) 2.500 Training of Paramedical Staff at AIISH, Mysore 3.000 School Health Programme 1.000 IEC/BCC activities 3.000 Recruitment of Manpower (Audiologist) 2.500 Total in lacs 3.000 2.300 2.500 3.000 1.000 3.000 2.500 1.250 Management costs 1.250 Committed unspent balance Total Fund Proposed for the FY 12-13 Less: Unspent Balance as on 01.04.2012 Actual Budget Required 419 14.000 32.550 45.000 -12.450 PIP of Union Territory Health Mission, A&N Islands CONSOLIDATED BUDGET SHEET OF NATIONAL DISEASE CONTROL PROGRAMME Sl. No. Total Budget Programme Unspent Balance as on 01.04.12 State Share Contn. Fund proposed in PIP 2012-13 (in Lakh) Revised National TB Control Programme 89.20 2.83 13.38 72.99 2 National Programme for Control of Blindness 90.17 1.88 13.52 74.76 3 National Leprosy Eradication Programme 17.79 0.72 2.67 14.40 4 Integrated Disease Surveillance Project 32.65 15.89 4.90 11.86 5 National Vector Borne Disease Control Programme 719.10 0.00 107.87 611.24 6 National Iodine Deficiency Disorder Control Programme 24.00 0.00 3.60 20.40 7 National Programme for Prevention and Control of Deafness 32.55 45.00 4.88 -17.33 202.56 0.00 30.38 172.18 1208.02 66.32 181.20 960.49 1 8 AYUSH TOTAL (DISEASE CONTROL PROG.): 420 PIP of Union Territory Health Mission, A&N Islands INTER SECTORAL CONVERGENCE E.1 Mainstreaming AYUSH under NRHM As per the guidelines of NRHM the Indian system of medicine is to be provided at each of the health facility and among the Indian systems of medicine Homoeopathy & Ayurveda are very much popular and opted by the people of Andaman & Nicobar Islands. The NRHM seeks to revitalize local health traditions and mainstream AYUSH (including manpower and drugs) to strengthen the Public Health System at all levels. Mainstreaming of AYUSH system of medicines in the (NRHM) with the aim to introduce either of Ayurveda, Yoga & Naturopathy and Homoeopathy at all the PHC, CHC, District Hospital level as per the local Demand of the area for the Promotion of AYUSH System of medicines and to achieve the healthy life in Natural way. The NRHM seeks to revitalize local health traditions and mainstream AYUSH (including manpower and drugs), to strengthen the Public Health System at all levels. As decided, AYUSH components shall be included in the drug kit of ASHA, The additional supply of generic drugs for common ailments at SC/PHC/CHC levels shall also include AYUSH formulations. As per the Indian Public Health Standards (IPHS) model at the CHC level two rooms shall be provided for AYUSH practitioner and pharmacist and at the PHC level one of the AYUSH practitioner shall be placed such that the common people gets the option for his/her treatment. Mainstreaming of AYUSH system of medicines in the (NRHM) with the aim to introduce either of Ayurveda, Yoga&Naturopathy, Unani, Siddha, Homeopathy (AYUSH) at all the PHC, CHC, District Hospital level as per the local Demand of the area for the Promotion of AYUSH System of medicines and achieve the healthy life in Natural way. At present in Andaman & Nicobar Islands one 30 bedded multidisciplinary AYUSH Hospital Consisting of Ayurveda, Yoga & Naturopathy, Homoeopathy, Panchakarma, Physiotherapy, Pathology Lab is functioning effectively as well as in all the District Hospitals & Community Health Centres(CHCs) either of these components are present. As per the guidelines of NRHM, the State Health Society (A&N Islands) has recruited 10 Homoeopathic Doctors alongwith 09 Homoeopathic Pharmacists for PHC Garacharma, PHC Man421 PIP of Union Territory Health Mission, A&N Islands glutan, PHC Ferrargunj, PHC Havelock, PHC R.K Pur, PHC Kadamtala, PHC Tugapur, PHC Radhanagar, PHC Long Island & CHC Nancowry. Similarly, 09 Ayurvedic Doctors for PHC Tushnabad, PHC Wimberlygunj, PHC Neil Island, PHC Hutbay, PHC Baratang, PHC Billyground, PHC Kalighat, PHC Katchal & PHC Teressa. All these AYUSH doctors will also be involved in all National level Programme health care such as in the areas of IMR, MMR, JSY, TB, Malaria Control, Filaria, and other communicable diseases etc. which would improve the service delivery in these Islands. In addition to this, 03 Yoga Instructors were also recruited under NRHM and posted to AYUSH Hospital (Port Blair), Dr.R.P Hospital (Mayabunder) & at BJR Hospital (Car Nicobar). AYUSH MANPOWER No. of AYUSH facilities co-located (system wise) in DHs/CHCs/PHCs after the launch of NRHM and the doctors and para-medical staff posted (both contractual and regular) I. South Andaman District: Sl. No. 1 Name of Isolated / co-located facility 30 Bedded isolated AYUSH Hospital, Port Blair. Isolated / Colocated facility Ayurveda Unit Homoeo Unit AYUSH Manpower Collocated No of Posts Remarks MO (Ayurveda) 01 (Regular) Pharmacist (Ayurveda) 02 (Regular) Panchakarma Asst. Panchakarma Attendant 01 (Male) Regular 01 (Male) Regular 1 filled on regular basis under A & N Administration 1 filled on regular basis and 1 is vacant under A & N Administration Vacant Panchakarma Attendant 01 (Female) Contract 02 (Regular) MO (Homoeo) Sr. Pharmacist (Homoeo) 01 (Regular) Pharmacist (Homoeo) 02 (Regular) 422 Filled on regular basis under A & N Administration Filled on contract basis under NRHM 02 filled on contract basis under A & N Administration Filled on regular basis under A & N Administration 01 filled on regular basis and 01 vacant due to promotion under A & N Administration. PIP of Union Territory Health Mission, A&N Islands Yoga Unit Pharmacy Asst. (Homoeo) 01 (Regular) Dresser (Homoeo) Yoga Physician 01 (Regular) 01 (Regular) Yoga Instructor Yoga Instructor Unani Unit Siddha Unit MO (Unani) Pharmacist (Unani) MO (Siddha) Pharmacist (Siddha) Nursing Sister Others Staff Nurse (AYUSH) Lab Technician Lab Assistant Physiotherapist Cook Assistant Cook Ward Attendant Ayah Safaiwala 423 Filled on regular basis under A & N Administration -do- Filled on contract basis under A & N Administration 01 (Male) Filled on contract basis (Contract) under NRHM 01 (FeFilled on contract basis male) under MDNIY Contract 01 (Regular) Vacant 01 (Regular) Vacant 01 (Regular) Vacant 01 (Regular) Vacant 01 Filled on regular basis (Regular) under A & N Administration 08 7 filled on regular basis (Regular) and 1 post is vacant under A & N Administration. 01 Filled on regular basis (Regular) under A & N Administration 01 -do(Regular) 01 -do(Regular) 01 -do(Regular) 01 (Regular) 04 4 filled on regular basis (Regular) under A & N Administration 04 Filled on regular basis (Regular) under A & N Administration. 04 1 filled on regular basis (Regular) and 3 posts are vacant under A & N Administration. PIP of Union Territory Health Mission, A&N Islands 2 Govt. Gurunanak Gurudwara Ayurveda Dispensary Ayurveda Dispensary MO (Ayurveda) 01 (Regular) Filled on contract basis under A & N Administration and posted at AYUSH Hospital on diverted capacity due overload of patient. 3 CHC, Bambooflat Homoeo MO (Homoeo) Dispensary 01 (Regular) 1 Filled on contract basis under A & N Administration Filled on regular basis under A & N Administration Filled on contract basis under A & N Administration Filled on regular basis under A & N Administration Filled on contract basis under NRHM -do- 1 -do- 1 -do- 1 -do- 1 1 Vacant due to nonavailability of candidate Filled on contract basis under NRHM -do- 1 -do- 1 -do- 1 -do- 1 -do- 1 -do- 1 Vacant due to nonavailability of candidate Filled on contract basis under NRHM Vacant due to nonavailability of candidate Pharmacist (Homoeo) 4 UHC Junglighat Homoeo MO (Homoeo) Dispensary Pharmacist (Homoeo) 5 6 7 8 9 10 11 12 PHC Garacharma PHC Manglutan PHC Tusnabad PHC Ferrargunj PHC Wimberlygunj PHC Havelock Island PHC Neil Island PHC Hut Bay, Little Andaman Homoeo GDMO (HoDispensary moeo) Homoeo Pharmacist Homoeo GDMO (HoDispensary moeo) Homoeo Pharmacist Ayurveda GDMO (AyurDispensary veda) Ayurveda Pharmacist Homoeo GDMO (HoDispensary moeo) Homoeo Pharmacist Ayurveda GDMO (AyurDispensary veda) Ayurveda Pharmacist Homoeo GDMO (HoDispensary moeo) Homoeo Pharmacist Ayurveda GDMO (AyurDispensary veda) Ayurveda Pharmacist Ayurveda GDMO (AyurDispensary veda) Ayurveda Pharmacist 424 01 (Regular) 01 (Regular) 01 (Regular) 1 1 1 1 PIP of Union Territory Health Mission, A&N Islands 13 PHC R.K.Pur, Little Andaman Homoeo GDMO (HoDispensary moeo) Homoeo Pharmacist 1 Filled on contract basis under NRHM -do- 1 Middle & North Andaman District: S.No. 1 Name of the DH/CHC/PHC PHC Baratang, Middle Andaman Colocated facility Ayurveda Dispensary AYUSH Manpower Collocated GDMO (Ayurveda) 3 4 5 6 PHC Kadamtala, Middle Andaman PHC Long Island, Middle Andaman PHC Billiground, Middle Andaman PHC Tugapur, North Andaman DR.R.P Hospital Mayabunder (District Hospital), North Andaman Homoeo GDMO (Homoeo) Dispensary 1 Homoeo Pharmacist Homoeo GDMO (Homoeo) Dispensary Homoeo Pharmacist Ayurveda GDMO (Ayurveda) Dispensary Ayurveda Pharmacist 1 1 1 -do-do- 1 1 Homoeo GDMO (Homoeo) Dispensary 1 Homoeo Pharmacist 1 -doVacant due to non-availability of candidate Filled on contract basis under NRHM -do- Homoeo Dispensary MO (Homoeo) Yoga Unit 7 CHC, Rangat Pharmacist (Homoeo) Yoga Instructor Homoeo Dispensary MO (Homoeo) Pharmacist (Homoeo) 8 CHC, Diglipur Homoeo Dispensary MO (Homoeo) 425 1 Remarks Filled on contract basis under NRHM Vacant due to non-availability of candidate Filled on contract basis under NRHM -do- Ayurveda Pharmacist 2 No of Posts 1 1 Filled on con(Regular) tract basis under A & N Administration 1 Filled on regular (Regular basis under A & N Administration 1 Filled on contract basis under NRHM 1 Filled on con(Regular) tract basis under A & N Administration 1 Filled on regular (Regular) basis under A & N Administration 1 Filled on con(Regular) tract basis under A & N Administration PIP of Union Territory Health Mission, A&N Islands 9 PHC Kalighat, Diglipur, North Andaman Ayurveda Dispensary Pharmacist (Homoeo) GDMO (Ayurveda) Ayurveda Pharmacist 10 PHC Radha Nagar, Diglipur, North Andaman Homoeo GDMO (Homoeo) Dispensary Homoeo Pharmacist 1 Filled on regular (Regular) basis under A & N Administration 1 Filled on contract basis under NRHM 1 Vacant due to non-availability of candidate 1 Filled on contract basis under NRHM 1 Vacant due to non-availability of candidate Nicobar District: Sl. No. Name of the DH/CHC/PHC 1 BJR Hospital, Car Nicobar, (District Hospital) Co-located facility Homoeo Dispensary MO (Homoeo) Pharmacist (Homoeo) Yoga Unit 2 CHC Nancowrie AYUSH Manpower Collocated Homoeo Dispensary Yoga Instructor MO (Homoeo) Pharmacist (Homoeo) GDMO (Homoeo) 3 PHC Teressa Ayurveda Dispensary GDMO (Ayurveda) Ayurveda Pharmacist 4 PHC Katchal Island Ayurveda Dispensary GDMO (Ayurveda) Ayurveda Pharmacist 5 PHC, Campbell Bay Homoeo Dispensary MO (Homoeo) 426 No of Posts Remarks Vacant due to 1 resignation (Regular) 1 Filled on regular (Regular) basis under A & N Administration 1 Filled on contract basis under NRHM 1 Filled on contract (Regular) basis under A & N Admn. and posted at AYUSH Hospital on diverted capacity due to heavy patient load. 1 Filled on regular (Regular) basis under A & N Administration 1 Filled on contract basis under NRHM 1 -do1 Vacant due to non-availability of candidate 1 Filled on contract basis under NRHM 1 Vacant due to non-availability of candidate 1 Filled on contract (Regular) basis under A & PIP of Union Territory Health Mission, A&N Islands Pharmacist (Homoeo) N Admn. 1 Vacant under A & (Regular) N Administration Co-located Manpower (Ayurveda) in 9 PHCs 1 2 PHC Wimberlygunj 3 PHC Neil Island 4 5 6 7 8 9 10 PHC Tusnabad PHC Hut Bay, Little Andaman PHC Baratang, Middle Andaman PHC Billiground, Middle Andaman PHC Kalighat, Diglipur, North Andaman PHC Teressa PHC Katchal Island General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist 1 General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist 1 General Duty Medical Officer (Ayurveda) Ayurveda Pharmacist Total Number of Manpower hired Co-located Manpower (Homoeo) in 9 PHCs and 1 CHC PHC Garacharma General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist 427 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 18 1 1 PIP of Union Territory Health Mission, A&N Islands 11 12 13 PHC Manglutan PHC Ferrargunj PHC Havelock Island 14 PHC R.K.Pur, Little Andaman 15 PHC Kadamtala, Middle Andaman 16 PHC Long Island, Middle Andaman 17 PHC Tugapur, North Andaman 18 PHC Radha Nagar, Diglipur, North Andaman 19 CHC Nancowerie General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist 1 General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist General Duty Medical Officer (Homoeopathy) Homoeo Pharmacist 1 General Duty Medical Officer (Homoeopathy) Total Number of Manpower hired 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 19 Co-located Manpower (Yoga) in 2 District Hospitals 19 20 DR.R.P Hospital Mayabunder Yoga Instructor (District Hospital), North Andaman BJR Hospital, Car Nicobar, (DisYoga Instructor trict Hospital) Total Number of Manpower hired 1 1 2 Manpower hired (Yoga & Panchakarma) at AYUSH Hospital, Port Blair. 21 AYUSH Hospital, Port Yoga Instructor Blair Panchakarma Attendant (Female) Total Number of Manpower hired for AYUSH Hospital New Manpower proposed this year: AYUSH Hospital 428 1 1 2 PIP of Union Territory Health Mission, A&N Islands Sl. No. Name of the facility AYUSH facility proposed to be colocated in the year 2011-12 Name of Post No. of Post required under Mission Flexipool 2012-13 1 Dr.R.P District Hospital, Mayabunder Ayurveda Unit with Panchakarma facilities GDMO (Ayurveda) 02 Pharmacist (Ayurveda) 01 Panchakarma Assistant Panchakarma Attendant Data Entry 02 (1 Male &1 Female 02 (1 Male & 1 Female 01 Operator 2 3 4 5 6 District Hospital, Car Nicobar Ayurveda Dispensary GDMO (Ayurveda) 01 Pharmacist (Ayurveda) 01 CHC, Bambooflat Ayurveda Dispensary GDMO (Ayurveda) 01 Pharmacist (Ayurveda) 01 Ayurveda Dispensary GDMO (Ayurveda) 01 Pharmacist (Ayurveda) 01 Ayurveda Dispensary GDMO (Ayurveda) 01 Pharmacist (Ayurveda) 01 Ayurveda Dispensary GDMO (Ayurveda) 01 Pharmacist (Ayur- 01 CHC, Rangat CHC, Diglipur PHC, Gandhi Nagar 429 PIP of Union Territory Health Mission, A&N Islands veda) 7 UHC, Haddo Ayurveda Dispensary GDMO (Ayurveda) 01 Pharmacist (Ayurveda) 01 For District Hospitals: Currently, no Ayurvedic Dispensary is co-located in any of the 2 DHs; though, Homoeopathic Dispensaries are co-located in both the DHs in Andaman & Nicobar Islands. Dr. R.P. Hospital, Mayabunder is situated at densely populated Northern part of the Islands approximately 250 Kms away from AYUSH Hospital, Port Blair. Apart from the NRHM Guidelines, there is also constant public demand for Ayurveda Unit at this District Hospital. Therefore, a Panchakarma Unit with 2 GDMO (Ayurveda) and supporting staff is justified to be co-located at Dr. R.P. Hospital, Mayabunder. Another District Hospital i.e. BJR (Bishop John Richardson Hospital) is situated at remote island Car Nicobar in southern part of the Union Territory, approximately 300 kms away from AYUSH Hospital Port Blair. There is also a demand of the local Nicobari tribal community for an Ayurvedic Dispensary at BJR Hospital. Hence, New Ayurveda Dispensary is proposed for this hospital. For Community Health Centres: Currently, though Homoeopathic dispensaries are co-located in all the 4 CHCs in Andaman & Nicobar Islands, no Ayurvedic Dispensary is co-located in any of the 4 CHCs. CHC, Diglipur and CHC, Rangat are situated at remote and densely populated northern area of the Islands. There is also a public demand for new Ayurveda Dispensaries in these areas. There is also need and public demand to start new Ayurveda Dispensary at CHC, Bambooflat situated in South Andaman District. Hence, it is proposed to co-locate 3 new Ayurvedic Dispensaries at CHC, Bambooflat, CHC Rangat and CHC Diglipur for the benefit of general public. For Primary Health Centres: There are 2 PHCs situated in the Campbell Bay area (i.e. Great Nicobar 430 PIP of Union Territory Health Mission, A&N Islands Block). Currently a Homoeopathy Dispensary is co-located at PHC, Campbell Bay and is having good response. However, no AYUSH dispensary has been colocated at PHC Gandhi Nagar, Campbell Bay area. This area is the southernmost and remotest part of the territory resided by the settlers from various region of the Country. Patients use to travel (approximately 350 Kms by sea route) to Port Blair for Ayurvedic treatment. Hence, there is need and public demand for Ayurvedic Dispensary at PHC, Gandhi Nagar, Campbell Bay. For Urban Health Centre: For allopathic stream apart from the tertiary care G.B. Pant Hospital, Port Blair there are 5 Urban Health Centres in various parts of Port Blair City (i.e. UHC Junglighat, UHC Delanipur, UHC Haddo, UHC Dairy Farm & UHC Shadipur). Though, a Homoeopathy Dispensary is co-located at UHC, Junglighat, No Ayurvedic Dispensary is co-located in any of the Urban Health Centres. Hence, for the benefit of general public, a new Ayurvedic Dispensary is proposed to be co-located at UHC, Haddo. (The proposal for these new units is attached in the respective prescribed formats i.e. 1(a), 1(b), 1(c)). Upgradation of AYUSH Hospitals other than PHCs/CHCs & DHs: 30 bedded AYUSH Hospital is the only referral Hospital in the Union Territory of Andaman & Nicobar Islands for AYUSH systems. This Hospital was started in March 2005 and is having Ayurveda, Homoeopathy, Yoga & Physiotherapy Units functional. Though the Unani & Siddha Units are also sanctioned, they are non-functional due to un-availability of technical staff. The average number of patients attending the daily OPD is around 400 and this number is increasing day by day. Currently there is 1 regular and 1 diverted post of Homoeo Medical Officer; 1 regular and 1 diverted post of Ayurveda Medical Officer and other supporting staff for this Hospital. Considering the large number patients attending daily OPD (450 per day), this manpower is not adequate to run the OPD, IPD & Panchakarma Unit smoothly. Panchakarma Unit is not fully functional due to the shortage of Doctors and supporting staff. Hence, there is an urgent need to post additional manpower for this Hospital as follows. 431 PIP of Union Territory Health Mission, A&N Islands Sl. No. Name of the facility Units functional Name of Post No. of Post required under Mission Flexipool 2012-13 1 30 Bedded AYUSH Hospital, Port Blair, South Andaman IPD, OPD, Ayurveda Unit with Panchakarma facilities, Homoeo Unit, Yoga Unit & Physiotherapy Unit GDMO (Ayurveda) 02 GDMO (Homoeo) 01 Pharmacist 01 (Ayurveda) Pharmacy Asst. (Ayurveda) 01 Panchakarma 03 (1 Male & 2 Female Assistant Data Entry Operator 03 (2 for OPD Registration & 1 for Panchakarma Unit) Yoga Instructor 02 (1 Male & 1 Female) Multipurpose Worker 04 (1-Homoeo Store & Pharmacy, 1 Ayurveda Store & Pharmacy, 1 Yoga Unit & 1 for OPD) 2 District Hospital, Mayabunder Homoeo Dispensary Multipurpose Worker 01 3 CHC, Bambooflat Homoeo Dispensary Multipurpose Worker 01 4 CHC, Rangat Homoeo Dispensary Multipurpose Worker 01 5 CHC, Diglipur Homoeo Dispensary Multipurpose Worker 01 6 CHC, Nancowrie Homoeo Dispensary Multipurpose Worker 01 432 PIP of Union Territory Health Mission, A&N Islands 7 PHC, Billiground Ayurveda Dispensary Multipurpose Worker 01 8 PHC, Radha Nagar Homoeo Dispensary Multipurpose Worker 01 Up-gradation of AYUSH Hospitals other than PHCs/CHCs & DHs: 30 bedded AYUSH Hospital is the only referral Hospital in the Union Territory of Andaman & Nicobar Islands for AYUSH systems. This Hospital was started in March 2005 and is having Ayurveda, Homoeopathy, Yoga & Physiotherapy Units functional. Though the Unani & Siddha Units are also sanctioned, they are non-functional due to un-availability of technical staff. The average number of patients attending the daily OPD is around 400 and this number is increasing day by day. Currently there is 1 regular and 1 diverted post of Homoeo Medical Officer; 1 regular and 1 diverted post of Ayurveda Medical Officer and other supporting staff for this Hospital. Considering the large number patients attending daily OPD (400 per day), this manpower is not adequate to run the OPD, IPD & Panchakarma Unit smoothly. Panchakarma Unit is not fully functional due to the shortage of Doctors and supporting staff. Also there is no sanctioned post of Data Entry Operator for OPD Registration. Hence, there is an urgent need to post additional manpower for this Hospital as proposed in the AYUSH PIP 2011-12 and the fund for the same is being proposed under Mission-Flexipool Budget for the year 2012-13. Up-gradation of existing AYUSH Dispensaries: Apart from the 30 Bedded Isolated AYUSH Hospital, currently there are 26 AYUSH Dispensaries {10 Ayurveda (9 co-located, 1 isolated) & 17 co-located Homoeo} at 2 DHs, 4 CHCs, 19 PHCs and 1 UHC of the Territory. Most of these co- located AYUSH Dispensaries are situated in the remote or hard area covered by the thick tropical rainforests. Though these Dispensaries are getting good response from the general public, it is difficult to run these dispensaries smoothly due to the lack of adequate manpower. 433 PIP of Union Territory Health Mission, A&N Islands Hence, there is a genuine need to upgrade these Dispensaries with the addition of the above mentioned manpower which has been proposed in the AYUSH PIP 2011-12 so that the people of these remote areas may be more benefited by the AYUSH systems. The fund for this manpower is being proposed under the Mission-Flexipool Budget for the year 2012-13. Supply of essential Drugs for AYUSH Hospitals and Dispensaries: At present, the Essential AYUSH Medicines (Ayurveda & Homeopathy) required in the AYUSH units are purchased through Open Tender and through Govt. undertaking firms from the five year plan fund separately kept by A & N Administration for purchase of AYUSH Medicines. Essential AYUSH medicines are adequately available and are regularly supplied to all the co-located AYUSH Units under NRHM. Hence, no support is sought under CCS for the purchase of AYUSH Essential Medicines. One 30 bedded multidisciplinary AYUSH Hospital Consisting of Ayurveda, Yoga, Naturopathy, Unani, Siddha, Homeopathy, Panchakarma, Physiotherapy, Pathology Lab. with in Patients and out Patients facilities are available and a central medical store (Homeopathy) at Port Blair. 434 PIP of Union Territory Health Mission, A&N Islands Strategies proposed: Provision of AYUSH formulation in ASHA Drug Kits Integrate and mainstream AYUSH in health care delivery system. Strengthening the Drug Standardization and Research Activities on AYUSH. Develop Advocacy for AYUSH. Objectives: Mainstreaming of AYUSH in the health care service delivery system to strengthen the existing public health system. Activities to be carried out: Positioning of required manpower at all PHCs/CHCs/District Hospitals Integration of the AYUSH treatment facilities at all levels. Strengthening of AYUSH Dispensaries with provision of storage equipments. Making provision for AYUSH Drugs at all levels. AYUSH doctors to be involved in all National level Programme health care such as in the areas of IMR, MMR, JSY, TB, Malaria Control, Filaria, and other communicable diseases etc. Training of AYUSH doctors in Primary Health Care and National Disease Control Programmes. All AYUSH institutions will be strengthened with necessary infrastructure like building, equipment, manpower etc. School Health Programmes being proposed to be carried out by the NGOs are to be involved with YOGA component for physical & mental health of the students. Drug Procurements for AYUSH: Since the all the required drugs of Ayush are being supplied by the State Budget, therefore under NRHM this year the provision is not kept for the Drug Procurement. 435 PIP of Union Territory Health Mission, A&N Islands YEAR 2009-10 Sl No. 1 Activity Proposed Mainstreaming of AYUSH Amount (In Lacs) Proposed Approved 1.1 Salary of 9 GDMO (Ayurveda) 41.490 41.490 1.2 Salary of 9 Pharmacists (Ayurveda) 17.960 17.960 1.3 Salary of 10 GDMO (Homoeo) 55.620 55.620 1.4 1.5 Salary of 9 Pharmacists (Homoeo) Yoga Instructors – 3 17.665 4.794 17.665 4.794 1.6 Panchakarma Attendant(Female)–1 0.960 0.960 1.7 Training of AYUSH Personnel 1.100 1.100 139.589 139.589 Total YEAR 2010-11 Sl No. 1 Activity Proposed Mainstreaming of AYUSH Amount (In Lacs) Proposed Approved 1.1 Salary of 9 GDMO (Ayurveda) 52.310 52.310 1.2 Salary of 9 Pharmacists (Ayurveda) 18.020 18.020 1.3 Salary of 10 GDMO (Homoeo) 57.640 57.640 1.4 Salary of 9 Pharmacists (Homoeo) 18.310 18.310 1.5 Salary of 3 Yoga Instructors 5.090 5.090 1.6 Salary of 1 Panchakarma Attendant (Female) 1.000 1.000 1.7 Training of AYUSH Personnel 2.500 Total 154.870 436 1.000 (Approved as modified) 153.335 PIP of Union Territory Health Mission, A&N Islands IEC/BCC under NRHM for mainstreaming of AYUSH S. No. Name of activities Cost per units (in lacs) No. of units Financial (in lacs) 1. Advertisements, Organizing Health fairs & Health Camps 1.00 1 1.00 2. Revival of LHT 2.00 1 2.00 Total: 3.00 437 PIP of Union Territory Health Mission, A&N Islands COMPONENT OF AYUSH PIP 12-13 CHAPTER – 1 1. Profile of AYUSH in the Union Territory: 1.1 Background: The Union Territory of Andaman and Nicobar Islands comprising 572 Islands, islets & rocks, is situated between 60 and 140 North latitudes and 920 and 940 east longitudes having an area of 8249 Sq. Kms, (urban Area is 16.64 sq. kms and Rural Area 8232.36 sq kms). The Union Territory consists of two groups of Islands, viz. Andaman group and Nicobar group, separated by the ‘ten degree channel’. The Andaman group stretches over 464 kms in length with maximum breadth of 51 kms and it is much closer to Myanmar (Burma). The Nicobar group of Islands, also known as southern group of Islands stretches over 236 Kms in length. There are three districts as South Andaman District, North & Middle Andaman District and Nicobar District. The Capital city of Andaman & Nicobar Islands is Port Blair, situated in south Andaman district; and is 1255 kms & 1195 kms away from Kolkata and Chennai respectively. There are 67 Panchayats, and 504 inhabited villages out of which 201 are the revenue villages. Port Blair city is the only Municipality. There are two Zilla Parishads and seven Block samities. The present projected population is nearly 5 lakhs and is distributed in 38 inhabited islands stretching over a length of 700 kms in Bay of Bengal from southern tip of Myanmar (Burma) to Northern tip of Indonesia. The southernmost tip of this territory as well as of India viz. Indira Point is only about 90 nautical miles from the northern tip of Indonesia. The Islands of the territory are separated from each other by vast stretches of sea and presents a unique challenge to the health care providers of this territory. The UT Administration is giving special emphasis for strengthening AYUSH, as the systems are practiced both conventionally and unconventionally in almost all parts of the Islands. People of different parts of India are settled here who have adopted their traditional medical practices and also ex438 PIP of Union Territory Health Mission, A&N Islands changed knowledge of these practices. Apart from the settlers communities like Bengalis, Tamil, Keralian, Telugu, and Ranchi & Karen Tribes, there are ancient ethnic tribes of these Islands like Great Andamanese, Nicobaries, Onge, Shompen, Jarwas and Sentineles living in the territory. These tribes are using their own ethno-medical practices to prevent as well as cure the ailments on large extent. The Homoeopathy system of medicines has deep roots in these Islands since the days of colonial rules and is the first line of treatment among the decedents of Pre-1942 era penal settlements and Bengali settlers brought by Govt. under the repatriation scheme during post Independence. Similarly, the Malayalee community settled in different parts of these islands prefers Ayurveda as the first line of treatment and also have certain other ethno-medical practices. 1.2. Profile of Health Centres and Hospitals in the Health Department: There are 114 Sub-Centres, 5 Urban Health Centres, 21 PHCs, 4 CHCs, 2 District Hospitals and 1 Tertiary Care Referral Hospital (i.e. G.B. Pant Hospital) under the Health Department of Andaman & Nicobar Administration. 1.3. Profile of AYUSH under Health Department: AYUSH in A & N Islands is under administrative control of the Direc- torate of Health Services. The Programme Officer (AYUSH) assists the Director of Health Services in implementing the AYUSH programmes. Before the launch of NRHM in 2009, there were eight co-located Homoeo Dispensaries {at 2 DHs, 4 CHCs, 1 PHC & 1 UHC), one stand alone Urban Ayurveda Dispensary (currently non-functional due to unavailability of Medical Officer & Pharmacist) and one stand alone 30 Bedded AYUSH Hospital in the Union Territory. Homoeopathy, Ayurveda, Panchakarma, Yoga & Physiotherapy Units are functional in the AYUSH Hospital, Port Blair and average daily OPD of the hospital is around 450. Eight Homoeopathic Medical Officers and one Ayurvedic Medical Officer were working on contract basis under Directorate of Health Services, Andaman & Nicobar Administration; and 439 PIP of Union Territory Health Mission, A&N Islands a regular Medical Officer (Ayurveda) has been appointed through UPSC in December 2010. Since the launch of NRHM, 10 new Homoeopathy Dispensaries & 09 new Ayurveda Dispensaries and 2 Yoga Units are co-located in 18 PHC’s, 1 CHC and 2 DHs under the mainstreaming of AYUSH. There is a constant public demand and need to co-locate new Ayurvedic Units at two District Hospitals, three CHCs, one remote PHC (i.e. Campbell Bay) and one UHC in the Union Territory. There is also a need of separate Programme Management Unit to ensure timely implementation and reporting of AYUSH related schemes in the Union Territory. CHAPTER – 2 2. Number of co-located AYUSH facilities before the launch of NRHM: 2.1. Co-located & Isolated Institutions: The Profile of AYUSH Facilities Co-located in Referral Hospitals, District Hospitals, Community Health Centres, Primary Health Centres and Urban Health Centres in the UT of A & N Islands before the Launch of NRHM is given below:Sl No Location FRU-(G.B. 1 Pant Hospital, Port Blair) 2 30 bedded AYUSH Hospital, Port Blair District 3 Hospitals CHCs 4 PHCs 5 No. of Allopathic Hospitals / Dispensaries AYUSH co-location Before NRHM Homoeo Dispensaries / Unit Ayurveda Dispensary / Unit 1 Nil Nil Stand alone AYUSH Hospital other than DH / CHC/ PHC having Ayurveda, Panchakarma, Homoeopathy, Yoga & Physiotherapy Units functional. 2 2 Nil 4 21 4 1 Nil Nil 440 PIP of Union Territory Health Mission, A&N Islands 6 7 2.2. UHCs Urban Dispensary 5 -- 1 -- Nil 1, stand alone (Govt. Gurunanak Ayurveda Dispensary) The manpower (Doctors and Supporting staff) posted at co-located dispensaries and AYUSH Hospital before NRHM (both contractual and regular): II. South Andaman District: Sl. No. 1 Facility 30 Bedded isolated AYUSH Hospital, Port Blair. Isolated / Colocated facility Ayurveda Unit (daily OPD 150) AYUSH Manpower Collocated No of Posts Remarks MO (Ayurveda) 01 (Regular) 02 (Regular) 1 filled on regular basis under A & N Administration 1 filled on regular basis and 1 is vacant under A & N Administration Vacant Pharmacist (Ayurveda) Panchakarma Asst. Panchakarma Attendant Homoeo Unit (daily OPD 250) MO (Homoeo) Sr. Pharmacist (Homoeo) Pharmacist (Homoeo) Yoga Unit Pharmacy Asst. (Homoeo) Dresser (Homoeo) Yoga Physician Yoga Instructor (daily OPD 50) Unani Unit Siddha Unit MO (Unani) Pharmacist (Unani) MO (Siddha) Pharmacist (Siddha) Nursing Sister Others 441 01 (Male) Regular 01 Filled on regular basis un(Male) der A & N Administration Regular 02 02 filled on contract basis (Regular) under A & N Administration 01 Filled on regular basis un(Regular) der A & N Administration 02 01 filled on regular basis (Regular) and 01 vacant due to promotion under A & N Administration. 01 Filled on regular basis un(Regular) der A & N Administration 01 -do(Regular) 01 Filled on contract basis un(Regular) der A & N Administration 01 (Fe- Filled on contract basis unmale) der MDNIY Contract 01 (Regular) 01 (Regular) 01 (Regular) 01 (Regular) 01 (Regular) Vacant Vacant Vacant Vacant Filled on regular basis under A & N Administration PIP of Union Territory Health Mission, A&N Islands Staff Nurse (AYUSH) Lab Technician Lab Assistant Physiotherapist Cook Assistant Cook Ward Attendant Ayah Safaiwala 2 3 Govt. Gurunanak Gurudwara Ayurveda Dispensary Ayurveda Dispensary MO (Ayurveda) CHC, Bambooflat Homoeo MO (Homoeo) Dispensary 4 UHC Junglighat Homoeo Pharmacist (Homoeo) MO (Homoeo) Dispensary Pharmacist (Homoeo) 08 7 filled on regular basis and (Regular) 1 post is vacant under A & N Administration. 01 Filled on regular basis un(Regular) der A & N Administration 01 -do(Regular) 01 -do(Regular) 01 -do(Regular) 01 (Regular) 04 4 filled on regular basis un(Regular) der A & N Administration 04 Filled on regular basis un(Regular) der A & N Administration. 04 1 filled on regular basis and (Regular) 3 posts are vacant under A &N Administration. 01 Filled on contract basis un(Regular) der A & N Administration and posted at AYUSH Hospital on diverted capacity due overload of patient. 01 Filled on contract basis un(Regular) der A & N Administration 01 Filled on regular basis un(Regular) der A & N Administration 01 Filled on contract basis un(Regular) der A & N Administration 01 Filled on regular basis un(Regular) der A & N Administration III. Middle & North Andaman District: S.No. 1 Name of the DH/CHC/PHC Co-located facility AYUSH Manpower Collocated DR.R.P Hospital Mayabunder (District Hospital), North Andaman Homoeo Dispensary MO (Homoeo) Yoga Unit Pharmacist (Homoeo) Yoga Instructor No of Posts Remarks 1 Filled on contract (Regular) basis under A & N Administration 1 Filled on regular (Regular basis under A & N Administration Filled on contract 1 basis under NRHM 2 CHC, Rangat Homoeo Dispensary MO (Homoeo) Pharmacist (Homoeo) 442 1 Filled on contract (Regular) basis under A & N Administration 1 Filled on regular (Regular) basis under A & N Administration PIP of Union Territory Health Mission, A&N Islands 3 CHC, Diglipur Homoeo Dispensary MO (Homoeo) Pharmacist (Homoeo) 1 Filled on contract (Regular) basis under A & N Administration 1 Filled on regular (Regular) basis under A & N Administration IV. Nicobar District: Sl. No. Name of the DH/CHC/PHC 1 BJR Hospital, Car Nicobar, (District Hospital) Co-located facility Homoeo Dispensary Yoga Unit 2 CHC Nancowrie 3 PHC, Campbell Bay Homoeo Dispensary Homoeo Dispensary AYUSH Manpower Collocated MO (Homoeo) No of Posts Pharmacist (Homoeo) 1 (Regular) 1 (Regular) Yoga Instructor 1 MO (Homoeo) 1 (Regular) Pharmacist (Homoeo) 1 (Regular) MO (Homoeo) 1 (Regular) Pharmacist (Homoeo) 1 (Regular) Remarks Vacant due to resignation Filled on regular basis under A & N Administration Filled on contract basis under NRHM Filled on contract basis under A & N Admn. and posted at AYUSH Hospital on diverted capacity due to heavy patient load. Filled on regular basis under A & N Administration Filled on contract basis under A & N Admn. Vacant under A & N Administration CHAPTER – 3 3. Progress of implementation of mainstreaming of AYUSH during last 2 years: 3.1. Proposal submitted and approved components. Total proposed for contractual hiring (to be sought from NRHM Mission Flexi pool for mainstreaming) (including recurring cost for contractual manpower hired during the year 2010-11 and 2011-12). 443 PIP of Union Territory Health Mission, A&N Islands I. YEAR 2010-11 Sl No. 1 Activity Proposed Amount (In Lacs) Mainstreaming of AYUSH Proposed Approved 1.1 Salary of 9 GDMO (Ayurveda) 52.310 52.310 1.2 Salary of 9 Pharmacists (Ayurveda) 18.020 18.020 1.3 Salary of 10 GDMO (Homoeo) 57.640 57.640 1.4 Salary of 9 Pharmacists (Homoeo) 18.310 18.310 1.5 Salary of 3 Yoga Instructors 5.090 5.090 1.6 Salary of 1 Panchakarma Attendant (Female) 1.000 1.7 Training of AYUSH Personnel 2.500 Total 1.000 1.000 (Approved as modified) 154.870 153.335 II. YEAR 2011-12 EMR Code Name of Post Physical Target (Activity) Amount proposed Amount approved (No. of Post) B9.1.a Salary of 9 GDMO (Ayurveda) 09 55.35 55.35 B9.1.b Salary of 10 GDMO (Homoeo) 10 59.67 59.67 B9.2 Other Staff Nurse / Supervisory Nurses (for AYUSH) --- --- B9.2.a Salary of 9 Pharmacist (Homoeo) 09 19.39 19.39 B9.2.b Salary of 3 Yoga Instructors 03 5.37 5.37 B9.2.c Salary of one Panchakarma Attendant 01 1.05 1.05 B9.3 Activities other than HR --- B9.3.a Training of AYUSH Personnel Salary of 9 Ayurveda Pharmacists 09 444 --- --- --- 1.50 1.50 19.39 Not approved; the request has been sent PIP of Union Territory Health Mission, A&N Islands to the Ministry to reconsider the proposal as it was approved in last year. 3.2. No. of AYUSH facilities co-located (system wise) in DHs/CHCs/PHCs after the launch of NRHM and the doctors and para-medical staff posted (both contractual and regular) I. South Andaman District: Sl. No. 1 Facility Isolated / Colocated facility 30 Bedded Stand alone AYUSH Hospital, Port Blair. AYUSH Manpower Collocated No of Posts Remarks Panchakarma Attendant 01 (Female) Contract Filled on contract basis under NRHM 01 (Male) (Contract) 1 Filled on contract basis under NRHM Yoga Unit Yoga Instructor (daily OPD 50) 2 PHC Garacharma 3 PHC Manglutan 4 PHC Tusnabad 5 6 7 8 PHC Ferrargunj PHC Wimberlygunj PHC Havelock Island PHC Neil Island Homoeo Dispensary Homoeo Dispensary Ayurveda Dispensary Homoeo Dispensary Ayurveda Dispensary Homoeo Dispensary Ayurveda Dispensary GDMO (Homoeo) Homoeo Pharmacist GDMO (Homoeo) Homoeo Pharmacist GDMO (Ayurveda) Ayurveda Pharmacist GDMO (Homoeo) 1 Filled on contract basis under NRHM -do- 1 1 -do-do- 1 -do- 1 Vacant Homoeo Pharmacist GDMO (Ayurveda) Ayurveda Pharmacist GDMO (Homoeo) Homoeo Pharmacist GDMO (Ayurveda) Ayurveda Pharmacist 1 445 1 Filled on contract basis under NRHM -do- 1 -do- 1 -do- 1 1 -do- 1 -do- 1 Vacant -do- PIP of Union Territory Health Mission, A&N Islands 9 10 PHC Hut Bay, Little Andaman PHC R.K.Pur, Little Andaman Ayurveda Dispensary Homoeo Dispensary GDMO (Ayurveda) Ayurveda Pharmacist GDMO (Homoeo) 1 Homoeo Pharmacist 1 Filled on contract basis under NRHM Vacant 1 1 Filled on contract basis under NRHM -do- II. Middle & North Andaman District: S.No. 1 2 3 4 5 6 7 8 Name of the DH/CHC/PHC PHC Baratang, Middle Andaman PHC Kadamtala, Middle Andaman PHC Long Island, Middle Andaman PHC Billiground, Middle Andaman PHC Tugapur, North Andaman DR.R.P Hospital Mayabunder (District Hospital), North Andaman PHC Kalighat, Diglipur, North Andaman PHC Radha Nagar, Diglipur, North Andaman Co-located facility Ayurveda Dispensary AYUSH Manpower Collocated GDMO (Ayurveda) No of Posts 1 Remarks Filled on contract basis under NRHM Vacant Filled on contract basis under NRHM Ayurveda Pharmacist GDMO (Homoeo) 1 1 Homoeo Dispensary Homoeo Pharmacist GDMO (Homoeo) Homoeo Pharmacist 1 1 1 -do-do-do- Ayurveda Dispensary GDMO (Ayurveda) Ayurveda Pharmacist 1 1 Vacant Homoeo Dispensary GDMO (Homoeo) 1 Filled on contract basis under NRHM 1 -do- 1 Filled on contract basis under NRHM Homoeo Dispensary Homoeo Pharmacist Yoga Unit Ayurveda Dispensary Homoeo Dispensary Yoga Instructor GDMO (Ayurveda) 1 Ayurveda Pharmacist GDMO (Homoeo) 1 1 Homoeo Pharmacist 1 -do- Filled on contract basis under NRHM Vacant Filled on contract basis under NRHM Vacant III. Nicobar District: Sl. No. Name of the DH/CHC/PHC 1 BJR Hospital, Car Nicobar, (District Hospital) Co-located facility AYUSH Manpower Collocated Yoga Unit Yoga Instructor 446 No of Posts 1 Remarks Filled on contract basis under NRHM PIP of Union Territory Health Mission, A&N Islands 2 CHC Nancowrie 3 PHC Teressa Homoeo Dispensary Ayurveda Dispensary 4 PHC Katchal Island Ayurveda Dispensary 5 PHC, Campbell Bay Homoeo Dispensary 3.3. GDMO (Homoeo) 1 GDMO (Ayurveda) Ayurveda Pharmacist 1 1 1 GDMO (Ayurveda) Filled on contract basis under NRHM -doVacant Ayurveda Pharmacist MO (Homoeo) 1 1 (Regular) Pharmacist (Homoeo) 1 (Regular) Filled on contract basis under NRHM Vacant Filled on contract basis under A & N Admn. Vacant under A & N Administration Availability of AYUSH medicines in the Co-located facilities: During the last two years, the Essential AYUSH Medicines (Ayurveda & Homeopathy) required in the AYUSH units were purchased through Open Tender and through Govt. undertaking firms from the fund separately kept by A & N Administration for purchase of AYUSH Medicines under Five Year Plan. Essential AYUSH medicines were adequately available and were regularly supplied to all the co-located AYUSH Units under NRHM. Hence, no support was sought under CCS for the purchase of AYUSH Essential Medicines during these years. 3.4. Training provided to AYUSH Doctors in last three years under Mainstreaming of AYUSH (Year-wise): Sl. No. 1 2 National Programme Year No. of AYUSH Doctors trained Topic RNTCP 200910 --- --- 201011 08 Dots & Dots Plus 201112 07 Dots & Dots Plus 200910 --- 201011 10 RCH – II 2011- 447 --IUCD training and NSSK training PIP of Union Territory Health Mission, A&N Islands 12 3 4 5 6 7 8 NBCB NLEP IDSP NVBDCP NPPCD Immunization 200910 --- 201011 05 Eye Care Management 201112 05 Eye Care Management 200910 --- --- 201011 --- --- 201112 05 Leprosy 200910 --- --- 201011 10 Communicable and Non-communicable diseases 201112 10 (Doctors) & 5 (Paramedics) Diseases under IDSP & reporting 200910 --- --- 201011 13 Vector Born diseases like Malaria Chikungunea, Dengue. 201112 17 200910 --- --- 201011 --- --- 201112 12 Prevention & Control of Deafness 200910 --- --- 448 --- PIP of Union Territory Health Mission, A&N Islands 9 Mission Flexpool (AYUSH) 3.5. 201011 --- --- 201112 10 Immunization 200910 32 Mainstreaming of AYUSH 201011 26 -do- 201112 28 (scheduled on 6th & 7th March 2012) ROTP of Medical Officers on Ayurveda & Homoeopathy Number of ASHA’s trained under Mainstreaming of AYUSH: No ASHA’s were particularly trained under Mainstreaming of AYUSH during the last 2 years. However, they were trained during the Module – I to V Training Programmes under NRHM. Also the concerned AYUSH Doctors regularly instruct / train the ASHA’s regarding AYUSH Programmes. 3.6. Innovative strategy adopted for Mainstreaming of AYUSH: In the Union Territory the AYUSH Doctors are not permitted to practice Allopathic system and are encouraged to prescribe only AYUSH medicine practices thus increasing their confidence and experience in the concerned systems. Also apart from the essential AYUSH medicines included in the Mainstreaming of AYUSH under NRHM, the Units are also supplied with proprietary Ayurvedic and Homoeopathy medicines purchased from State Fund. This has resulted in increased patient response to the peripheral AYUSH Dispensaries. 449 PIP of Union Territory Health Mission, A&N Islands CHAPTER – 4 4. Utilization status of earlier grant received under CCS: Till date, no funds have been availed under the Centrally Sponsored Scheme. The grant received under the other heads is accordingly utilized and the Utilization Certificates are also submitted time to time. The grant received under the other heads is accordingly utilized and the utilization certificates are also submitted time to time. 450 PIP of Union Territory Health Mission, A&N Islands CHAPTER – 5 Proposal for the Year 2012-13: 5.1. Number of new AYUSH facilities to be undertaken for co-location (system wise) at DHs/CHCs & PHCs respectively: Seven New Ayurveda Dispensaries need to be undertaken for co-location at 02 DHs, 03 CHCs, 01 PHC and 01 UHC under Mainstreaming of AYUSH under NRHM. Sl. No. Name of the facility District Hospital, Maya1 bunder AYUSH facility to be co-located Ayurveda Unit with Panchakarma facilities manpower proposed for the new Unit GDMO (Ayurveda) – 2, Pharmacist Ayurveda – 1 Panchakarma Asst.-2 (1 Male & 1 Female) Panchakarma Attendant -2 (1 Male & 1 Female) Data Entry Operator – 1 2 3 District Hospital, Car Nicobar CHC, Bambooflat Ayurveda Dispensary Ayurveda Dispensary 451 GDMO (Ayurveda) –1 Pharmacist Ayurveda – 1 GDMO (Ayurveda) –1 Pharmacist Ayurveda – 1 PIP of Union Territory Health Mission, A&N Islands 4 5 6 CHC, Rangat CHC, Diglipur UHC, Haddo Ayurveda Dispensary Ayurveda Dispensary Ayurveda Dispensary GDMO (Ayurveda) –1 Pharmacist Ayurveda – 1 GDMO (Ayurveda) –1 Pharmacist Ayurveda – 1 GDMO (Ayurveda) –1 Pharmacist Ayurveda – 1 7 PHC, Gandhi Nagar, Campbell Bay Ayurveda Dispensary GDMO (Ayurveda) –1 Pharmacist Ayurveda – 1 Justification for co-location of 7 new AYUSH Dispensaries: I. For District Hospitals: Currently, no Ayurvedic Dispensary is co-located in any of the 2 DHs; though, Homoeopathic Dispensaries are co-located in both the DHs in Andaman & Nicobar Islands. Dr. R.P. Hospital, Mayabunder is situated at densely populated Northern part of the Islands approximately 250 Kms away from AYUSH Hospital, Port Blair. Apart from the NRHM Guidelines, there is also constant public demand for Ayurveda Unit at this District Hospital. Therefore, a Panchakarma Unit with 2 GDMO (Ayurveda) and supporting staff is justified to be co-located at Dr. R.P. Hospital, Mayabunder. 452 PIP of Union Territory Health Mission, A&N Islands Another District Hospital i.e. BJR (Bishop John Richardson Hospital) is situated at remote island Car Nicobar in southern part of the Union Territory, approximately 300 kms away from AYUSH Hospital Port Blair. There is also a demand of the local Nicobari tribal community for an Ayurvedic Dispensary at BJR Hospital. Hence, New Ayurveda Dispensary is proposed for this hospital. II. For Community Health Centres: Currently, though Homoeopathic dispensaries are co-located in all the 4 CHCs in Andaman & Nicobar Islands, no Ayurvedic Dispensary is colocated in any of the 4 CHCs. CHC, Diglipur and CHC, Rangat are situated at remote and densely populated northern area of the Islands. There is also a public demand for new Ayurveda Dispensaries in these areas. There is also need and public demand to start new Ayurveda Dispensary at CHC, Bambooflat situated in South Andaman District. Hence, it is proposed to co-locate 3 new Ayurvedic Dispensaries at CHC, Bambooflat, CHC Rangat and CHC Diglipur for the benefit of general public. III. For Primary Health Centres: There are 2 PHCs situated in the Campbell Bay area (i.e. Great Nicobar Block). Currently a Homoeopathy Dispensary is co-located at PHC, Campbell Bay and is having good response. However, no AYUSH dispensary has been co-located at PHC Gandhi Nagar, Campbell Bay area. This area is the southern-most and remotest part of the territory resided by the settlers from various region of the Country. Patients use to travel (approximately 350 Kms by sea route) to Port Blair for Ayurvedic treatment. Hence, there is need and public demand for Ayurvedic Dispensary at PHC, Gandhi Nagar, Campbell Bay. IV. For Urban Health Centre: For allopathic stream apart from the tertiary care G.B. Pant Hospital, Port Blair there are 5 Urban Health Centres in various parts of Port Blair City (i.e. UHC Junglighat, UHC Delanipur, UHC Haddo, UHC Dairy Farm 453 PIP of Union Territory Health Mission, A&N Islands & UHC Shadipur). Though, a Homoeopathy Dispensary is co-located at UHC, Junglighat, No Ayurvedic Dispensary is co-located in any of the Urban Health Centres. Hence, for the benefit of general public, a new Ayurvedic Dispensary is proposed to be co-located at UHC, Haddo. (The proposal for these new units is attached in the respective prescribed formats i.e. 1(a), 1(b), 1(c)). 5.2. Up-gradation of AYUSH Hospitals other than PHCs/CHCs & DHs: 30 bedded AYUSH Hospital is the only referral Hospital in the Union Territory of Andaman & Nicobar Islands for AYUSH systems. This Hospital was started in March 2005 and is having Ayurveda, Homoeopathy, Yoga & Physiotherapy Units functional. Though the Unani & Siddha Units are also sanctioned, they are non-functional due to un-availability of technical staff. The average number of patients attending the daily OPD is around 400 and this number is increasing day by day. Currently there is 1 regular and 1 diverted post of Homoeo Medical Officer; 1 regular and 1 diverted post of Ayurveda Medical Officer and other supporting staff for this Hospital. Considering the large number patients attending daily OPD (450 per day), this manpower is not adequate to run the OPD, IPD & Panchakarma Unit smoothly. Panchakarma Unit is not fully functional due to the shortage of Doctors and supporting staff. Hence, there is an urgent need to post additional manpower for this Hospital as follows. Sl. No. Name of the existing AYUSH facility Units functional Name of Post No. of Post required under Mission Flexi-pool 2012-13 1 30 Bedded IPD, OPD, GDMO (Ayurveda) AYUSH Hospital, Ayurveda Unit for Panchakarma Port Blair, South with Pan- Unit Andaman chakarma facil- 02 GDMO (Homoeo) 01 Pharmacist (Ayur- 01 ities, Homoeo Unit, Yoga Unit & Physiothera- 454 veda) PIP of Union Territory Health Mission, A&N Islands py Unit Pharmacy Asst. 01 (Ayurveda) Panchakarma Assistant Data Entry Operator Multipurpose Worker 03 (1 Male & 2 Female 03 (2 for OPD Registration & 1 for Panchakarma Unit) 04 (1-Homoeo Store & Pharmacy, 1 Ayurveda Store & Pharmacy, 1 Yoga Unit & 1 for OPD) {The fund for the manpower required is projected in the Mission Flexi-pool head of NRHM PIP 2012-13}. There is a lack of adequate infrastructure, certain equipments & furniture for Yoga, Physiotherapy, Laboratory, IPD, OPD, Library, Office and Medicine Stores of AYUSH Hospital. Hence, the proposal contains the requirement for the mentioned furniture & equipments for the up-gradation of this Hospital. (The proposal is attached in the prescribed Format – 2) 5.3. Up-gradation of existing 27 AYUSH Dispensaries: Apart from the 30 Bedded stand alone AYUSH Hospital, currently there are 27 AYUSH Dispensaries {10 Ayurveda (9 co-located, 1 stand alone) & 17 co-located Homoeo} at 2 DHs, 4 CHCs, 19 PHCs and 1 UHC of the Territory. Most of these co-located AYUSH Dispensaries are situated in the remote or hard area covered by the thick tropical rainforests. Though these Dispensaries are getting good response from the general public, it is difficult to run these dispensaries smoothly due to the lack of adequate manpower and infrastructure. In contrast to the guidelines of the Department of AYUSH under 455 PIP of Union Territory Health Mission, A&N Islands Centrally Sponsored Scheme, no Attendant (i.e. Multi-purpose Worker) have been sanctioned or appointed at any of the AYUSH Dispensary. Hence, there is a genuine need to upgrade these Dispensaries with the addition of the proposed manpower (i.e. 8 Multipurpose Workers / Attendants, 1 each for two DHs, four CHCs & two PHCs – Wimberlygunj & Billiground) and infrastructure, so that the people of these remote areas may be more benefited by the AYUSH systems. {Proposal of up-gradation of these Dispensaries is attached in the respective prescribed formats i.e. 1(a), 1(b), 1(c)}. 5.4. Supply of essential Drugs for AYUSH Hospitals and Dispensaries: At present, the Essential AYUSH Medicines (Ayurveda & Homeopathy) required in the AYUSH units are purchased through Open Tender and through Govt. undertaking firms from the five year plan fund of A & N Administration. Essential AYUSH medicines required for existing as well as newly proposed AYUSH Dispensaries and Hospitals will be procured from the State Fund kept in the State Five Year Plan 2012-17. 5.5. Setting up of State Programme Management Unit (AYUSH): Presently there is no separate Programme Management Unit for AYUSH. The Programme is managed by the Office of the Programme Officer (AYUSH) under Directorate of Health Services and the Programme Management Unit of NRHM under State Health Society. Looking at the considerable number of AYUSH Dispensaries and Hospitals and burden of the clinical as well as the Administrative works at office of the Programme Officer (AYUSH), it will be worth to establish a new Programme Management Unit for AYUSH. It will help to speed up the process of mainstreaming of AYUSH and also to send the periodic progress reports regarding the same. (Proposal for the AYUSH Programme Management Unit is attached in the Prescribed Format-4). 456 PIP of Union Territory Health Mission, A&N Islands CHAPTER – 6 6. Proposed time frame for implementation of activities and expected outcomes: Sl. No. Activity Time frame Expected outcome 1 New AYUSH facilities to be undertaken for colocation. 02 Years Availability of accessible, affordable and quality AYUSH Health Care to the rural and tribal population of these remote Islands. Speeding up of the process of Mainstreaming of AYUSH and revitalization of local health traditions in the Territory. Prevention & control of communicable & non-communicable diseases including locally endemic diseases through the healthy life style and diet pattern recommended by various AYUSH systems. Developed capacities for preventive health care at all levels for promoting healthy lifestyle, reduction in consumption of tobacco, alcohol etc. Decrease in the lifestyle related disorders and stress related psycho-somatic disorders in the Territory with the use of Ayurveda & Yoga. 2 Strengthening of the existing AYUSH Dispensaries 02 Years Flourishing of concerned AYUSH Systems in the region. Strengthening of these Dispensaries to achieve the public health goals. Increased participation and contribution of AYUSH manpower in various National Health Programmes. 457 PIP of Union Territory Health Mission, A&N Islands 3 Strengthening of isolated AYUSH Hospital 02 Years Improved specialty care like Panchakarma, Yoga, Geriatric care, Mother & Child Care, Lab investigations etc at the only referral AYUSH Hospital. 4 New PMU Unit for AYUSH 01 Year Speeding up of the process of Mainstreaming of AYUSH and revitalization of local health traditions in the Territory through full time management personnel. Increased efficiency of the AYUSH human resource. Strengthened capacity for data collection, assessment and review for evidence based planning, monitoring and supervision. Timely planning, implementation & reporting of the various AYUSH Programmes. CHAPTER – 7 7. AYUSH Manpower in-position and proposed under Mission Flexi-pool 2012-13: Component Manpower Engaged upto (2011-12) Institution Number PHCs MO (Ayurveda) – 09 MO (Ayurveda) – 01 MO (Homoeo) – 10 - MO (Ayurveda) Nil 458 Amount (Rs. In Lakhs) Proposed during 2012-13 under Mission Flexi-pool Number MO (Ayurveda) – 01 Amount (Rs. In Lakhs) PIP of Union Territory Health Mission, A&N Islands UHCs CHCs AYUSH Doctors DHs 30 bedded AYUSH Hospital ParaMedical Staff (AYUSH) MO (Homoeo) – Nil MO (Ayurveda) Nil ----MO (Ayurveda) - 03 MO (Homoeo) – 01 ----- MO (Ayurveda) MO (Ayurveda) - 03 Nil MO (Homoeo) – Nil ---- MO (Ayurveda) MO (Ayurveda) - 02 Nil MO (Homoeo) – Nil MO (Homoeo) 01 Pharmacist (Ayurveda) -09 Pharmacist Ayurveda – 01 Pharmacist (Homoeo) - 09 ---- Multipurpose Worker – Nil Multipurpose Worker – 02 UHCs Nil Pharmacist Ayurveda – 01 CHCs Nil Pharmacist Ayurveda – 01 PHCs Multipurpose Worker - 04 Pharmacist Ayurveda – 01 Panchakarma Assistant.- 02 DHs Panchakarma Attendant-01 Data Entry Operator -01 Multipurpose Worker -02 30 bedded AYUSH Hospital Pharmacist Ayurveda – 01 Pharmacy Asst Ayurveda - 01 459 PIP of Union Territory Health Mission, A&N Islands Panchakarma Asst. - 03 Data Entry Operator – 03 Multipurpose Worker – 04 Yoga Instructor – 01 Panchakarma Attendant – 01 7.1. Training of AYUSH Manpower: Proposed in the Year 2012-13 Sl. No. 1 Manpower Training load (Approx.) 45 AYUSH Medical Officers Financial (Rs. in Lakh) 4.00 2 AYUSH Paramedics 80 2.00 6.00 7.2. Support from Department of AYUSH for PIP 2012-13 (excluding the Mission Flexi-pool Budget: I. Sl. No. Co-location under NRHM Centre One time assistance No. of Units Recurring Assistance Amount New Old New Unit Old Unit New Unit Old Unit Cumulative (7+8) 1 2 3 4 5 6 7 8 9 1 PHC 1 19 118600.00 25000.0 0 CHC 3 4 190800.00 3 DH 2 2 490800.00 719200.00 475000.0 0 100000.0 0 80000.00 500000.00 2 10517315.0 0 560700.00 4 UHC 1 1 118600.00 129000.00 25000.00 50000.00 Total 7 26 918800.00 11926215.0 0 680000.0 0 730000.00 460 25000.0 0 50000.0 0 Total Amount (5+6+9) 10 11135915.00 100000.00 851500.00 80000.00 1290000.00 297600.00 13575015.00 PIP of Union Territory Health Mission, A&N Islands II. Sl. No . Centre Up-gradation of existing AYUSH Hospital: One time assistance No. of Units Ne Old w Recurring Assistance Amount New Unit Old Unit New Unit Old Unit Cumulative (7+8) 9 1 2 3 4 5 6 7 8 1 30 Bedded AYUSH Hospital, Port Blair -- 1 -- 3179000.00 -- 70000.00 III. Sl. No. 1 2 3 70000.00 10 3249000.00 Establishment of Programme Management Unit (AYUSH): Unit Programme Management Unit (AYUSH) for UT of A & N Islands Rogi Kalyan Samiti for 30 Bedded AYUSH Hospital Revitalization of local health traditions IV. Total Amount (5+6+9) One time Grant Recurring assistance 1347700.00 1484000.00 Total Amount 1484000.00 300000.00 --- 300000.00 100000.00 Nil 100000.00 Grand Total = 3031700.00 Procurement of Essential Drugs for AYUSH Hospitals and Dispensaries: NIL. 461 PIP of Union Territory Health Mission, A&N Islands Enclosures: Annexure – I Annexure – II Annexure – III Annexure – IV Prescribed formats for new AYUSH facilities to be undertaken for co-location (2 DHs, 3 CHCs, 1 PHC & 1 UHC). Prescribed format for up-gradation of existing AYUSH Hospital other than PHCs, CHCs & DHs. Prescribed formats for up-gradation of existing AYUSH Dispensaries (2 DHs, 4 CHCs, 19 PHCs & 1 UHC). Prescribed format for AYUSH Programme Management Unit. 462 PIP of Union Territory Health Mission, A&N Islands 463 PIP of Union Territory Health Mission, A&N Islands Format 1(C) New Ayurveda Dispensary at BJR Hospital, Car Nicobar (District Hospital) UT of Andaman & Nicobar Islands Sl. No. Location Block Nicobar Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds DISTRICT: NICOBAR IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff North & Car Nicobar 1 1 2 DH, Car Nicobar 3 To be established Facilities available 4 Homoeo Dispensary exists & new Ayurveda Dispensary to be established 5 NA 6 NA 7 NA Infrastructure/ Equipment/ Furniture MO Supporting 8 Nil 9 Nil 10 The Dispensary may be accommodated into the newly constructed existing building Support required Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 11 1 GDMO (Ayurveda) & 1 Pharmacist (Ayurveda)…………… …………….. 12 Fund for Manpower is projected in Mission Flexipool 201213 13 Equipments & Furnitures 14 63600.00 Total assistance required for Equipment & Furniture = Rs.63600.00 * Details of the equipments and furniture 1 2 3 4 5 6 Executive Table - 1 Executive Chair - 1 Pharmacist Table - 1 Pharmacist Chair -1 Ornate Chair -2 Wooden Stool -2 6000.00 4000.00 3000.00 2000.00 3000.00 600.00 7 8 9 10 11 12 464 Steel Rack -2 Almirah Big -01 Almirah small -02 Patient Examination Table - 1 BP Apparatus - 2 Stethoscope - 2 10000.00 7000.00 8000.00 15000.00 3000.00 2000.00 Medicine Drug Recurring Grant 15 Nil PIP of Union Territory Health Mission, A&N Islands Total = 465 63600.00 PIP of Union Territory Health Mission, A&N Islands Format 1(C) New Ayurveda Unit with Panchakarma facility at Dr. R.P. Hospital, Mayabunder (District Hospital) UT of Andaman & Nicobar Islands Sl. No. Location Block Mayabunder Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff North & Middle 1 1 2 DH, Mayabunder 3 To be established 4 Homoeo Dispensary exists & Ayurveda Unit with Panchakarma facility to be established 5 NA 6 NA 7 NA DISTRICT: NORTH & MIDDLE ANDAMAN Support required Facilities available Infrastructure/ Equipment/ Furniture MO Supporting 8 Nil 9 Nil 10 The Dispensary may be accommodated into the newly constructed existing building Infrastructure Physical Financial Physical Financial (Appr) 11 2 GDMO (Ayurveda), 1 Pharmacist (Ayurveda), 2 Panchakarma Assistant, 2 Panchakarma Attendant, 1 Data Entry Operator & 2 Multipurpose Worker………….. Construction works 12 Fund for Manpower is projected in Mission Flexipool 201213 ……………… ……………… ……………… …………....... .. Fund projected in state Annual Plan 13 Equipments & Furniture (List attached in next page) 14 427200.00 Total assistance required for Equipment & Furniture = Rs.427200.00 466 Equipment / Furniture (one time Grant) Medicine Drug Recurring Grant 15 Nil PIP of Union Territory Health Mission, A&N Islands * Details of the equipments and furniture required for District Hospital, Mayabunder 1 2 3 4 5 6 7 8 Executive Table - 2 Executive Chair - 2 Pharmacist Table - 1 Pharmacist Chair -1 Ornate Chair -4 Wooden Stool -4 Steel Rack -4 Computer Table -1 12000.00 8000.00 3000.00 2000.00 6000.00 1200.00 20000.00 5000.00 9 10 11 12 13 14 Computer Chair -1 Almirah Big -02 5000.00 14000.00 15000.00 15000.00 16000.00 35000.00 15 16 17 18 19 20 21 Vaccum Cleaner - 2 Electric Geyser - 1 Almirah small -04 Computer with all accessories Printer with Fax (all in one) Patient Examination Table -2 BP Apparatus - 4 Stethoscope - 4 Wheel Chair -1 Xerox Machine -1 Water Cooler - 1 Total = 467 10000.00 30000.00 6000.00 4000.00 20000.00 150000.00 50000.00 427200.00 PIP of Union Territory Health Mission, A&N Islands Format 1(b) New Ayurveda Dispensary at CHC Bambooflat UT of Andaman & Nicobar Islands Sl. No. Location Block F/Gunj Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff South DISTRICT: SOUTH ANDAMAN Support required Facilities available Infrastructure/ Equipment/ Furniture MO Supporting 8 Nil 9 Nil Infrastructure Physical Equipment / Furniture (one time Grant) Financial Physical 12 Fund for Manpower is projected in Mission Flexi-pool 2012-13 13 Equipments & Furnitures Andaman 1 1 2 CHC Bambooflat 3 To be established 4 Homoeo Dispensary exists & Ayurveda Dispensary to be established 5 NA 6 NA 7 NA 10 Currently the Dispensary may be accommodated into the existing building 11 1 GDMO (Ayurveda) & 1 Pharmacist (Ayurveda) …………………… …Construction work Total assistance required for Equipment & Furniture = Rs.63600.00 …………… * Details of the equipments and furniture 1 2 3 4 5 6 Executive Table - 1 Executive Chair - 1 Pharmacist Table - 1 Pharmacist Chair -1 Ornate Chair -2 Wooden Stool -2 6000.00 4000.00 3000.00 2000.00 3000.00 600.00 7 8 9 10 11 12 468 Steel Rack -2 Almirah Big -01 Almirah small -02 Patient Examination Table - 1 BP Apparatus - 2 Stethoscope - 2 Total = 10000.00 7000.00 8000.00 15000.00 3000.00 2000.00 63600.00 Medicine Drug Recurring Grant Financial (Appr) 14 63600.00 15 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(b) New Ayurveda Dispensary at CHC Diglipur UT of Andaman & Nicobar Islands Sl. No. Location Block Diglipur Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff North & Middle DISTRICT: North & Middle ANDAMAN Support required Facilities available Infrastructure/ Equipment/ Furniture MO Supporting 8 Nil 9 Nil Infrastructure Physical Equipment / Furniture (one time Grant) Financial Physical 12 Fund for Manpower is projected in Mission Flexi-pool 2012-13 ……………... 13 Equipment & Furniture Medicine Drug Recurring Grant Financial (Appr) Andaman 1 1 2 CHC Diglipur 3 To be established 4 Homoeo Dispensary exists & Ayurveda Dispensary to be established 5 NA 1 2 3 4 5 6 6 NA 7 NA 11 1 GDMO (Ayurveda) & 1 Pharmacist (Ayurveda) …………………… …………………… Construction work Total assistance required for Equipment & Furniture = Rs.63600.00 Executive Table - 1 Executive Chair - 1 Pharmacist Table - 1 Pharmacist Chair -1 Ornate Chair -2 Wooden Stool -2 6000.00 4000.00 3000.00 2000.00 3000.00 600.00 10 Currently the Dispensary may be accommodated into the existing building 7 8 9 10 11 12 469 Steel Rack -2 Almirah Big -01 Almirah small -02 Patient Examination Table - 1 BP Apparatus - 2 Stethoscope - 2 Total = 10000.00 7000.00 8000.00 15000.00 3000.00 2000.00 63600.00 14 63600.00 15 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(b) New Ayurveda Dispensary at CHC Rangat UT of Andaman & Nicobar Islands Sl. No. Location Block Rangat Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff North & Middle DISTRICT: North & Middle ANDAMAN Support required Facilities available Infrastructure/ Equipment/ Furniture MO Supporting 8 Nil 9 Nil Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical 11 1 GDMO (Ayurveda) & 1 Pharmacist (Ayurveda) 12 Fund for Manpower is projected in Mission Flexi-pool 2012-13... Projected in State Five year Plan 13 Equipment & Furniture Medicine Drug Recurring Grant Financial (Appr) Andaman 1 1 2 CHC Rangat 3 To be established 4 Homoeo Dispensary exists & Ayurveda Dispensary to be established 5 NA 6 NA 7 NA 10 Currently the Dispensary may be accommodated into the existing building Construction work Total assistance required for Equipment & Furniture = Rs.63600.00 * Details of the equipments and furniture 1 2 3 4 5 6 Executive Table - 1 Executive Chair - 1 Pharmacist Table - 1 Pharmacist Chair -1 Ornate Chair -2 Wooden Stool -2 6000.00 4000.00 3000.00 2000.00 3000.00 600.00 7 8 9 10 11 12 470 Steel Rack -2 Almirah Big -01 Almirah small -02 Patient Examination Table - 1 BP Apparatus - 2 Stethoscope - 2 10000.00 7000.00 8000.00 15000.00 3000.00 2000.00 14 63600.00 15 Nil PIP of Union Territory Health Mission, A&N Islands Total = 63600.00 Format 1(a) New Ayurveda Dispensary at PHC Gandhi Nagar, Campbell Bay UT of Andaman & Nicobar Islands Sl. No. Location Block Great Nicobar DISTRICT: NICOBAR Co-location of AYUSH System Year Average Daily OPD Attendance Stream (Ayur/Hom/Unani/Siddha) Staff District Car Nicobar 1 1 2 PHC Gandhi Nagar, Campbell Bay 3 To be established Facilities available 4 Ayurveda Dispensary to be established 5 NA Support required Infrastructure/Equipment/Furniture MO Supporting 6 Nil 7 Nil Infrastructure Physical 8 The Dispensary may be accommodated into the existing building Financial 9 1 GDMO (Ayurveda) & 1 Pharmacist (Ayurveda) Equipment / Furniture (one time Grant) Physical 10 11 Fund for Equipments Manpower & Furis projected nitures in Mission Flexi-pool 2012-13 Total assistance required for Equipment & Furniture = Rs.118600.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.143600.00 * Details of the equipments and furniture 1 2 3 4 5 Executive Table - 1 Executive Chair - 1 Pharmacist Table - 1 Pharmacist Chair -1 Ornate Chair -2 6000.00 4000.00 3000.00 2000.00 3000.00 11 12 13 14 15 471 Almirah small -02 Computer with all accessories Printer with Fax (all in one) Patient Examination Table - 1 BP Apparatus - 2 8000.00 35000.00 10000.00 15000.00 3000.00 Medicine Drug Recurring Grant Financial (Appr) 12 118600.00 13 Nil PIP of Union Territory Health Mission, A&N Islands 6 7 8 9 10 Wooden Stool -2 Steel Rack -2 Computer Table -1 Computer Chair -1 Almirah Big -01 600.00 10000.00 5000.00 5000.00 7000.00 16 Stethoscope - 2 Total = 2000.00 118600.00 Format 1(a) New Ayurveda Dispensary at UHC, Haddo UT of Andaman & Nicobar Islands Sl. No. Location Block Port Blair Co-location of AYUSH System Year DISTRICT: SOUTH ANDAMAN Average Daily OPD Attendance Stream (Ayur/Hom/Unani/Siddha) Staff District South Andaman 1 1 2 UHC Haddo 3 To be established Facilities available 4 Ayurveda Dispensary to be established 5 NA MO Supporting 6 Nil 7 Nil Infrastructure/Equipment/Furniture Support required Infrastructure Physical 8 The Dispensary may be accommodated into the existing building Physical 10 11 Fund for Equipments Manpower & Furis projected nitures in Mission Flexi-pool 2012-13 Total assistance required for Equipment & Furniture = Rs.118600.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.143600.00 472 9 1 GDMO (Ayurveda) & 1 Pharmacist (Ayurveda) Financial Equipment / Furniture (one time Grant) Medicine Drug Recurring Grant Financial (Appr) 12 118600.00 13 Nil PIP of Union Territory Health Mission, A&N Islands * Details of the equipments and furniture 1 2 3 4 5 6 7 8 9 10 Executive Table - 1 Executive Chair - 1 Pharmacist Table - 1 Pharmacist Chair -1 Ornate Chair -2 Wooden Stool -2 Steel Rack -2 Computer Table -1 Computer Chair -1 Almirah Big -01 6000.00 4000.00 3000.00 2000.00 3000.00 600.00 10000.00 5000.00 5000.00 7000.00 11 12 13 14 15 16 Almirah small -02 Computer with all accessories Printer with Fax (all in one) Patient Examination Table - 1 BP Apparatus - 2 Stethoscope - 2 Total = 8000.00 35000.00 10000.00 15000.00 3000.00 2000.00 118600.00 Format 1(C) Strengthening of Homoeo Dispensary at Dr. R.P. Hospital, Mayabunder (DH) UT of Andaman & Nicobar Islands Sl. No. Location Block Mayabunder Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff North & Middle 1 2 3 4 5 6 7 DISTRICT: NORTH & MIDDLE ANDAMAN Support required Facilities available Infrastructure/ Equipment/ Furniture MO Supporting 8 9 10 473 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 11 12 13 14 Medicine Drug Recurring Grant 15 PIP of Union Territory Health Mission, A&N Islands 1 DH, Mayabunder 1999 Homoeo Dispensary & Yoga Unit 25 Nil NA MO (Homoeo ) - 01 Homoeo Pharmacist - 01, Yoga Instructor 01 Infrastructure: Room for doctor & pharmacy and some furniture provided by the Hospital Multipurpose Worker - 1 Fund projected in Mission Flexi-pool 2012-13 Equipments & Furniture (List attached in next page) Total assistance required for Equipment & Furniture = Rs.320200.00 + Lumpsum Contingency per year Rs.50000.00 Grand Total = Rs.370200.00 474 320200.00 Nil PIP of Union Territory Health Mission, A&N Islands Details of Furniture & Equipments required at DH Mayabunder Sl. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Particulars Quantity Executive Chair 01 Table 02 Ornate Chair 04 Steel Almirah (Big Size) 02 Steel Almirah (Small Size) 02 Wooden Stool 04 BP Apparatus 02 Stethoscope 02 Weighing Machine 02 Height measuring Device 01 Otoscope 01 Water Filter 02 Computer with all accessories 01 Printer with Fax (all in one) 01 Computer Table 01 Computer Chair 01 Books & CDs and other Training materials -for Library (Homoeopathy & Yoga) Projector for IEC / BCC activities 01 Yoga related materials and equipments like Dhari, Yoga Mat, Kriya Kit, Enema Cane (Plastic), Neti Pot (Plastic), Eye Wash cup, Sutra neti Tube (Catheter-05 and 07 Nos.), Weighting Machine, Height scale, Acupressure Mat, Acupressure Vibrator, Hip Twister, Viparathakarani Mat, Matsasanna Mat, Vajrasana Mat, Feed back form, Yoga Chart, Yoga Rope, Yoga CD, Shoe stand (Big size), Bamboo Shadder. Total Rs. = 475 Amount (Approx.) 6000.00 20000.00 6000.00 14000.00 8000.00 1200.00 3000.00 2000.00 3000.00 1000.00 2000.00 4000.00 35000.00 10000.00 5000.00 5000.00 20000.00 25000.00 150000.00 320200.00 PIP of Union Territory Health Mission, A&N Islands Format 1(b) Strengthening of Homoeo Dispensary at CHC, Rangat UT of Andaman & Nicobar Islands Sl. No. Location Block Rangat Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff North & Middle DISTRICT: North & Middle ANDAMAN Support required Facilities available Infrastructure/ Equipment/ Furniture MO Supporting 8 MO (Homoeo ) - 01 9 Pharmacist (Homoeo) - 01 Infrastructure Physical Financial 11 Multipurpose Worker -1 12 Fund projected in Mission Flexi-pool 2012-13 Equipment / Furniture (one time Grant) Physical Medicine Drug Recurring Grant Financial (Appr) Andaman 1 1 2 CHC Rangat 3 1999 4 Homoeo Dispensary 5 35 6 Nil 7 NA 13 14 Computer with all accessories 35000.00 Printer with Fax -1 10000.00 Steel Rack - 4 20000.00 Signboard - 1 10000.00 AYUSH Medical Kits for ASHA 25000.00 Development of Medicinal Plant Garden 50000.00 Total Rs.= 150000.00 Total assistance required for Equipment & Furniture = Rs.150000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.175000.00 476 10 Infrastructure: A single room as doctors chamber cum pharmacy and some furniture provided by the Hospital 15 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Baratang UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Rangat Year Average Daily OPD Attendance 1 1 2 PHC Baratang 3 2009 Facilities available Stream (Ayur/Hom/Unani/ Siddha) Staff District North & Middle Andaman 4 Ayurveda Dispensary 5 20 DISTRICT: NORTH & MIDDLE ANDAMAN Support required MO Supporting 6 MO (Ayurveda)01 7 1 Pharmacist Ayurveda Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC Infrastructure Physical Financial 9 Pharmacy Room 10 Equipment / Furniture (one time Grant) Physical Financial (Appr) 11 12 Computer with all acces500000.00 sories – 01 No. 35000.00 Printer with Fax – 01 10000.00 Examination Table – 01 15000.00 Computer Table – 01 5000.00 Computer Chair – 01 5000.00 Table - 01 5000.00 Ornate Chair – 02. 3000.00 Almirah (Big) – 01 No. 10000.00 Almirah (Small) – 02 10000.00 Sign Board including AYUSH facilities 25000.00 Total (Rs.)= 123000.00 Total assistance required for Infrastructure = Rs.500000.00 + Equipment & Furniture = Rs.123000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.648000.00 477 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(a) Strengthening of Homoeo Dispensary at PHC, Kadamtala UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Rangat Year Average Daily OPD Attendance 1 1 2 PHC Kadamtala 3 2009 Facilities available Stream (Ayur/Hom/Unani/ Siddha) Staff District North & Middle Andaman 4 Homoeo Dispensary 5 25 DISTRICT: NORTH & MIDDLE ANDAMAN Support required MO Supporting 6 MO (Homoeo)01 7 1 Pharmacist Homoeo Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC Infrastructure Physical Financial 9 Pharmacy room + Shelf + Tiling + Attach Bath in MO Room 10 Equipment / Furniture (one time Grant) Physical Financial (Appr) 11 12 Computer with all acces602089.00 sories – 01 No. 35000.00 Printer with Fax – 01 10000.00 Examination Table – 01 15000.00 Computer Table – 01 5000.00 Computer Chair – 01 5000.00 Table - 01 5000.00 Ornate Chair – 02. 3000.00 Almirah (Big) – 01 No. 10000.00 Almirah (Small) – 02 10000.00 Sign Board including AYUSH facilities 25000.00 Total (Rs.)= 123000.00 Total assistance required for Infrastructure = Rs.602089.00+ Total assistance required for Equipment & furniture = Rs.123000.000 + Lumpsum Contingency per year Rs.25000.00 478 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Grand Total = Rs.750089.00 Format 1(a) Strengthening of Homoeo Dispensary at PHC, Long Island UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Rangat Year Average Daily OPD Attendance 1 1 2 PHC Long Island 3 2009 Facilities available Stream (Ayur/Hom/Una ni/Siddha) Staff District North & Middle Andaman 4 Homoeo Dispensary 5 04 (Population 850) DISTRICT: NORTH & MIDDLE ANDAMAN Support required MO Supporting 6 MO Homoeo01 7 1 Pharmacist Homoeo Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC 479 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 10 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities BP Apparatus-01 ........Total (Rs.)= 12 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 25000.00 1500.00 124500.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Total assistance required for Total assistance required for Equipment & furniture = Rs.124500.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.149500.00 Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Billiground UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Mayabunder Year Average Daily OPD Attendance 1 1 2 PHC Billiground 3 2009 Facilities available Stream (Ayur/Hom/Una ni/Siddha) Staff District North & Middle Andaman 4 Ayurveda Dispensary 5 45 DISTRICT: NORTH & MIDDLE ANDAMAN Support required MO Supporting 6 MO Ayurveda 01 7 1 Pharmacist Ayurveda (vacant) Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC Infrastructure Physical Financial Physical Financial (Appr) 9 Pharmacy room + Shelf + Tiling + Attach Bath in MO Room 10 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities Weighing Machine-01 12 Multipurpose Worker -1 480 Equipment / Furniture (one time Grant) 800000.00 Fund for manpower is projected in the Mission flexpool 2012-13 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 25000.00 1500.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Total (Rs.)= 124500.00 Total assistance required for Infrastructure = Rs.800000.00 + Total assistance required for Equipment & Furniture = Rs.124500.00 + Lumpsum Contingency fund = 25000.00 tal = Rs.949500.00 Grand To- Format 1(a) Strengthening of Homoeo Dispensary at PHC, Tugapur UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Mayabunder Year Average Daily OPD Attendance Stream (Ayur/Hom/Una ni/Siddha) Staff District North & Middle Andaman 1 1 2 PHC Tugapur 3 2009 4 Homoeo Dispensary 5 30 DISTRICT: NORTH & MIDDLE ANDAMAN Support required Facilities available MO Supporting 6 MO Homoeo 01 7 Pharmacist Homoeo 01 Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC 481 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 Pharmacy Room & Toilet facility 10 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 12 800000.00 35000.00 10000.00 15000.00 5000.00 5000.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Table - 01 5000.00 Ornate Chair – 02. 3000.00 Almirah (Big) – 01 No. 10000.00 Almirah (Small) – 02 10000.00 Sign Board including AYUSH facilities 25000.00 Total (Rs.)= 123000.00 Total assistance required for Infrastructure = Rs.800000.00 + Total assistance required for Equipment & Furniture = Rs.123000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.948000.00 Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Kalighat UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Diglipur Year Average Daily OPD Attendance Stream (Ayur/Hom/Una ni/Siddha) Staff District North & Middle Andaman 1 1 2 PHC Kalighat 3 2009 4 Ayurveda Dispensary 5 30 DISTRICT: NORTH & MIDDLE ANDAMAN Support required Facilities available MO Supporting 6 MO Ayurveda 01 7 Pharmacist Ayurveda 01 Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC 482 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 Attach bathroom with MO Chamber & Pharmacy Room 10 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. 12 800000.00 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities Total (Rs.)= 10000.00 10000.00 25000.00 123000.00 Total assistance required for Infrastructure = Rs.800000.00 + Total assistance required for Equipment & Furniture = Rs.123000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.948000.00 Format 1(a) Strengthening of Homoeo Dispensary at PHC, Radha Nagar UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH SysNo. tem Block Diglipur Year Average Daily OPD Attendance Stream (Ayur/Hom/Un ani/Siddha) Staff District North & Middle Andaman 1 1 2 PHC Radha Nagar 3 2009 4 Homoeo Dispensary 5 30 DISTRICT: NORTH & MIDDLE ANDAMAN Support required Facilities available MO Supporting 6 MO Homoeo 01 7 Pharmacist Homoeo – 01 Infrastructure/Equipment / Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC 483 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 Pharmacy Room & Toilet facility 10 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. 12 Multipurpose Worker - 1 800000.00 Fund for manpower is projected in the 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Mission flexpool 2012-13 Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities Total (Rs.)= 10000.00 10000.00 25000.00 123000.00 Total assistance required for Infrastructure = Rs.800000.00 + Total assistance required for Equipment & Furniture = Rs.123000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.948000.00 Format 1(b) New Ayurveda Dispensary at CHC Diglipur UT of Andaman & Nicobar Islands Sl. No. Location Block Diglipur Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff North & Middle DISTRICT: North & Middle ANDAMAN Support required Facilities available Infrastructure/ Equipment/ Furniture MO Supporting 8 MO (Homoeo ) - 01 9 Pharmacist - 01 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 11 Multipurpose Worker 1 12 Fund for Manpower is projected in Mission Flexipool 201213 ……………... 13 Computer with all accessories Printer with Fax -1 Steel Rack - 4 Signboard - 1 AYUSH Medical Kits for ASHA Total (Rs.) = 14 Medicine Drug Recurring Grant Andaman 1 1 2 CHC Diglipur 3 1999 4 Homoeo Dispensary 5 40 6 Nil 7 NA 484 10 Infrastructure: MO Chamber, Homoeo Pharmacy and some furniture provided by the Hospital 35000.00 10000.00 20000.00 10000.00 25000.00 100000.00 15 Nil PIP of Union Territory Health Mission, A&N Islands Total assistance required for Equipment & Furniture = Rs.100000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.125000.00 Format 1(a) Strengthening of Ayurveda Dispensary at PHC Neil Island UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH SysNo. tem Block Little Andaman Year Average Daily OPD Attendance Stream (Ayur/Hom/Un ani/Siddha) Staff District South Andaman 1 1 2 PHC Neil Island 3 2009 4 Ayurveda Dispensary 5 20 DISTRICT: SOUTH ANDAMAN Support required Facilities available MO Supporting 6 MO Ayurveda 01 7 Pharmacist Ayurveda – 01 Infrastructure/Equipment / Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC Infrastructure Equipment / Furniture (one time Grant) Physical Financial 9 MO Chamber & Pharmacy cum store Room 10 Physical Medicine Drug Recurring Grant Financial (Appr) 11 12 13 Computer with all accesNil 600000.00 sories – 01 No. 35000.00 Printer with Fax – 01 10000.00 Examination Table – 01 15000.00 Computer Table – 01 5000.00 Computer Chair – 01 5000.00 Table - 01 5000.00 Ornate Chair – 02. 3000.00 Almirah (Big) – 01 No. 10000.00 Almirah (Small) – 02 10000.00 Sign Board including AYUSH facilities Weigh25000.00 ing Machine-01 1500.00 BP Apparatus - 01 Steth1500.00 oscope-01 1000.00 Total (Rs.)= 127000.00 Total assistance required for Infrastructure = Rs.600000.00 + Total assistance required for Equipment & Furniture = Rs.127000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = 485 PIP of Union Territory Health Mission, A&N Islands Rs.752000.00 Format 1(a) Strengthening of Homoeo Dispensary at UHC Junglighat UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH SysNo. tem Block Port Blair Year Average Daily OPD Attendance Stream (Ayur/Hom/Un ani/Siddha) Staff District South Andaman 1 1 2 UHC Junglighat 3 1976 4 Homoeo Dispensary 5 40 DISTRICT: SOUTH ANDAMAN Support required Facilities available MO Supporting 6 MO Homoeo 01 7 Pharmacist Homoeo – 01 Infrastructure/Equipment / Furniture 8 OPD Room -01 No. and Pharmacy Room - 01 Infrastructure Equipment / Furniture (one time Grant) Physical Financial 9 10 Physical 11 Computer with all accessories – 01 No. ----Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities Weighing Machine-01 BP Apparatus - 01 Stethoscope-01 X-Ray Viewer -.01 Total (Rs.)= Total assistance required for Equipment & Furniture = Rs.129000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.154000.00 486 Medicine Drug Recurring Grant Financial (Appr) 12 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 25000.00 1500.00 1500.00 1000.00 2000.00 129000.00 13 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Hut Bay UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH SysNo. tem Block Little Andaman Year Average Daily OPD Attendance 1 1 2 PHC Hut Bay 3 2009 Facilities available Stream (Ayur/Hom/Un ani/Siddha) Staff District South Andaman 4 Ayurveda Dispensary 5 40 DISTRICT: SOUTH ANDAMAN Support required MO Supporting 6 MO Ayurveda 01 7 Pharmacist Ayurveda – 01 Infrastructure/Equipment / Furniture 8 OPD Room -01 No. and Pharmacy Room - 01 Infrastructure Equipment / Furniture (one time Grant) Physical Financial 9 10 Physical 11 Computer with all acces--sories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities Weighing Machine-01 BP Apparatus - 01 Stethoscope-01 X-Ray Viewer -.01 Total (Rs.)= Total assistance required for Equipment & Furniture = Rs.129000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.154000.00 487 Medicine Drug Recurring Grant Financial (Appr) 12 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 25000.00 1500.00 1500.00 1000.00 2000.00 129000.00 13 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(a) Strengthening of Homoeo Dispensary at PHC, Havelock UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH SysNo. tem Block Rangat Year Average Daily OPD Attendance 1 1 2 PHC Havelock 3 2009 Facilities available Stream (Ayur/Hom/Un ani/Siddha) Staff District North & Middle Andaman 4 Homoeo Dispensary 5 20 DISTRICT: NORTH & MIDDLE ANDAMAN Support required MO Supporting 6 MO Homoeo 01 7 Pharmacist Homoeo – 01 Infrastructure/Equipment / Furniture 8 OPD Room & Pharmacy Rooms Infrastructure Equipment / Furniture (one time Grant) Physical Financial 9 10 Physical 11 Computer with all acces--sories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities Weighing Machine-01 BP Apparatus - 01 Stethoscope-01 X-Ray Viewer -.01 Total (Rs.)= Total assistance required for Equipment & Furniture = Rs.129000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.154000.00 488 Medicine Drug Recurring Grant Financial (Appr) 12 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 25000.00 1500.00 1500.00 1000.00 2000.00 129000.00 13 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(a) Strengthening of Homoeo Dispensary at PHC, R.K. Pur UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH SysNo. tem Block Little Andaman Year Average Daily OPD Attendance 1 1 2 PHC R.K. Pur 3 2009 Facilities available Stream (Ayur/Hom/Un ani/Siddha) Staff District South Andaman 4 Homoeo Dispensary 5 40 DISTRICT: SOUTH ANDAMAN Support required MO Supporting 6 MO Homoeo 01 7 Pharmacist Homoeo – 01 Infrastructure/Equipment / Furniture 8 OPD Room -01 No. and Pharmacy Room - 01 Infrastructure Equipment / Furniture (one time Grant) Physical Financial 9 10 Physical 11 Computer with all acces--sories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities Weighing Machine-01 BP Apparatus - 01 Stethoscope-01 X-Ray Viewer -.01 Total (Rs.)= Total assistance required for Equipment & Furniture = Rs.129000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.154000.00 489 Medicine Drug Recurring Grant Financial (Appr) 12 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 25000.00 1500.00 1500.00 1000.00 2000.00 129000.00 13 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(a) Strengthening of Homoeo Dispensary at PHC, Manglutan UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Ferrargunj Year Average Daily OPD Attendance Stream (Ayur/Hom/Unani/ Siddha) Staff District South Andaman 1 1 2 PHC Manglutan 3 2009 4 Homoeo Dispensary 5 40 DISTRICT: SOUTH ANDAMAN Support required Facilities available MO Supporting 6 MO (Homoeo )- 01 7 1 Pharmacist Homoeo Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC 490 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 MO Chamber & Pharmacy cum store Room 10 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including AYUSH facilities Weighing Machine-01 BP Apparatus - 01 Stethoscope-01 Total (Rs.)= 12 750000.00 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 25000.00 1500.00 1500.00 1000.00 127000.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Total assistance required for Infrastructure = Rs.750000.00 + Total assistance required for Equipment & Furniture = Rs.127000.00 + Lumpsum & Contingency per year Rs.25000.00 Grand Total = Rs.902000.00 Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Tushnabad UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Ferrargunj Year Average Daily OPD Attendance 1 1 2 PHC Tushnabad 3 2009 Facilities available Stream (Ayur/Hom/Unani/ Siddha) Staff District South Andaman 4 Ayurveda Dispensary 5 40 DISTRICT: SOUTH ANDAMAN Support required MO Supporting 6 MO (Ayurveda)01 7 1 Pharmacist Ayurveda Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC Infrastructure Physical Financial 9 MO Chamber & Pharmacy cum store Room 10 Equipment / Furniture (one time Grant) Physical Financial (Appr) 11 12 Computer with all acces774226.00 sories – 01 No. 35000.00 Printer with Fax – 01 10000.00 Examination Table – 01 15000.00 Computer Table – 01 5000.00 Computer Chair – 01 5000.00 Table - 01 5000.00 Ornate Chair – 02. 3000.00 Almirah (Big) – 01 No. 10000.00 Almirah (Small) – 02 10000.00 Sign Board including AYUSH facilities Weigh25000.00 ing Machine-01 1500.00 Total (Rs.)= 124500.00 Total assistance required for Infrastructure = Rs.774226.00 + Total assistance required for Equipment & Furniture = Rs.124500.00 + Lumpsum contingency per year Rs.25000.00 Grand Total = Rs.923726.00 491 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(a) Strengthening of Homoeo Dispensary at PHC, Ferrargunj UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Ferrargunj Year Average Daily OPD Attendance Stream (Ayur/Hom/Unani/ Siddha) Staff District South Andaman 1 1 2 PHC Ferrargunj 3 2009 4 Homoeo Dispensary 5 25 DISTRICT: SOUTH ANDAMAN Support required Facilities available MO Supporting 6 MO (Homoeo)01 7 1 Pharmacist Homoeo Infrastructure/Equipment/ Furniture 8 Currently sharing room with (Allopathy LMO's Chamber) Infrastructure Physical Financial 9 MO Chamber & Pharmacy cum store Room 10 Equipment / Furniture (one time Grant) Physical Financial (Appr) 11 12 Computer with all acces800000.00 sories – 01 No. 35000.00 Printer with Fax – 01 10000.00 Examination Table – 01 15000.00 Computer Table – 01 5000.00 Computer Chair – 01 5000.00 Table - 01 5000.00 Ornate Chair – 02. 3000.00 Almirah (Big) – 01 No. 10000.00 Almirah (Small) – 02 10000.00 Sign Board including AYUSH facilities 25000.00 Total (Rs.)= 123000.00 Total assistance required for Infrastructure = Rs.800000.00 + Total assistance required for Equipment & Furniture = Rs.123000.00 + Lumpsum contingency per year Rs.25000.00 Grand Total = Rs.948000.00 492 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(a) Strengthening of Homoeo Dispensary at PHC, Garacharma UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Garacharma Year Average Daily OPD Attendance Stream (Ayur/Hom/Unani/ Siddha) Staff District South Andaman 1 1 2 PHC Garacharma 3 2009 4 Homoeo Dispensary 5 25 DISTRICT: SOUTH ANDAMAN Support required Facilities available MO Supporting 6 MO (Homoeo)01 7 1 Pharmacist Homoeo Infrastructure/Equipment/ Furniture 8 Sharing consulation room & pharmacy with Allopathic facility and some furniture provided by the PHC Infrastructure Physical Financial 9 MO Chamber & Pharmacy cum store Room 10 Equipment / Furniture (one time Grant) Physical Medicine Drug Recurring Grant Financial (Appr) 11 12 13 Computer with all accesNil 800000.00 sories – 01 No. 35000.00 Printer with Fax – 01 10000.00 Examination Table – 01 15000.00 Computer Table – 01 5000.00 Computer Chair – 01 5000.00 Table - 01 5000.00 Ornate Chair – 02. 3000.00 Almirah (Big) – 01 No. 10000.00 Almirah (Small) – 02 10000.00 Sign Board including AYUSH facilities Weigh25000.00 ing Machine-01 1500.00 BP Apparatus - 01 Steth1500.00 oscope-01 1000.00 X-Ray Viewer -.01 2000.00 Total (Rs.)= 129000.00 Total assistance required for Infrastructure = Rs.800000.00 + Total assistance required for Equipment & Furniture = Rs.129000.00 + Lumpsum contingency per year Rs.25000.00 Grand Total = Rs.954000.00 493 PIP of Union Territory Health Mission, A&N Islands Format 1(b) Strengthening of Homoeo Dispensary at CHC, Bambooflat UT of Andaman & Nicobar Islands Sl. No. Location Block Ferrargunj Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff District North & South Andaman 1 1 2 CHC Bambooflat 3 1998 4 Homoeo Dispensary 5 50 6 Nil 7 NA DISTRICT: SOUTH ANDAMAN Support required Facilities available Infrastructure/ Equipment/ Furniture MO Supporting 8 MO (Homoeo ) - 01 9 Pharmacist - 01 494 10 Infrastructure: MO Chamber, Homoeo Pharmacy and some furniture provided by the Hospital Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 11 Multipurpose Worker 1 12 Fund for Manpower is projected in Mission Flexipool 2012-13 ……………. .. 13 Computer with accessories – 01 Printer with Fax-1 Vaccum Cleaner – 2 Curtain – 150 m Weighing Machine-1 Wooden Stool – 4 Almirah (Big) -01 Amirah (Small) – 01 Water Cooler Steel Rack – 04 Table – 02 Ornate Chair -04 BP Apparatus -02 Stethoscope – 02 14 35000.00 10000.00 15000.00 10000.00 1500.00 1200.00 10000.00 6000.00 50000.00 20000.00 25000.00 4000.00 3000.00 2000.00 Medicine Drug Recurring Grant 15 Nil PIP of Union Territory Health Mission, A&N Islands X – Ray Viewer – 01 Total (Rs) = 2000.00 194700.00 Total assistance required for Equipment & Furniture = Rs.194700.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.219700.00 Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Wimberlygunj UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Garacharma Year Average Daily OPD Attendance Stream (Ayur/Hom/Unani/ Siddha) Staff District South Andaman 1 1 2 PHC Wimberlygunj 3 2009 4 Ayurveda Dispensary 5 30 DISTRICT: SOUTH ANDAMAN Support required Facilities available MO Supporting 6 MO (Ayurveda)01 7 1 Pharmacist Ayurveda Infrastructure/Equipment/ Furniture 8 A common room for doctor & pharmacy and some furniture provided by the PHC 495 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 Multipurpose Worker - 1 10 Fund for manpower projected in Mission Flexipool 2012-13 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. 12 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Almirah (Big) – 01 No. 10000.00 Almirah (Small) – 02 10000.00 Sign Board including AYUSH facilities Weigh25000.00 ing Machine-01 1500.00 BP Apparatus - 01 Steth1500.00 oscope-01 1000.00 Total (Rs.)= 127000.00 Total assistance required for Total assistance required for Equipment & Furniture = Rs.127000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.152000.00 496 PIP of Union Territory Health Mission, A&N Islands Format - 2 1 1 5 No. of IPD Beds 6 30 IPD (average Bed occupancy ) during Previous year District South Andaman 2 3 4 AYUSH 2005 Ayur Hospital, vePort Blair da, Homoe o, Una ni, Siddha & Yoga Average OPD attendance Location AYUSH Hospital System of Medicine (Stream) Sl . N o. Year of Establishment Upgradation of AYUSH Hospital other than PHCs/CHCs/DHs at the District / Sub District Level Facilities available Staff Infrastructure / Equipment/ Furniture MO Supporting Staff Support Required Infrastructure Infrastructure/ Equipment/ Furniture Physical 7 15 Financial Physical Financial 8 9 10 11 13 14 450 MO Ayur-2 (1 33 2 Storied HospiMO Ayur-2 (for Fund for List at- 3179000.00 Sanctioned & (List at- tal Building havPanchakarma manpower tached 1 Diverted tached ing IPD & OPD Unit), MO Hoprojected in below from Urban below) (Homoeo, Ayur- moeo-1, PharmaMission Disp.), MO veda & Yoga cist Ayur-1, Flexi-pool Homoeo-2 (1 Units) PanPharmacy Asst. 2012-13 sanctioned & chakarma, Ayur-1, Pan1 Diverted Pharmacies, chakarma Asst.-3 from CHC, Stores, Physio(1 M & 2 F), Data Nancowrie), therapy, Lab, Entry Operator-3 MO Siddha-1 Conference Hall, (2 OPD Regist. & (vacant), MO Office, Dressing 1 Pancharma Unani-1 (varoom, Kitchen, Unit), Multipurcant), Yoga 30 bedded pose Worker-4 Physician -1 wards Total assistance required for Equipment & Furniture = Rs.3179000.00 + Lumpsum Contingency Rs.70000.00 = Rs.3249000.00 497 Medicine / Drug / Contingency 15 Nil PIP of Union Territory Health Mission, A&N Islands Details of the infrastructure / equipments / furniture support required for 30 Bedded AYUSH Hospital at Port Blair Sl. No. 1 2 3 4 5 6 7 8 9 Infrastructure / Equipment / Furniture Computers with all accessories Xerox Machine Water coolers Qty Vaccum Cleaner Electric Geyser (for male ward, female ward & Panchakarma Unit) Curtain 17 18 19 20 Trolley / stretcher Wheel chair Ambulance (for Hospital & Medical Camps) Invertors with Battery Books (AYUSH) & software Digitalized Auto Traction Unit Muscle Stimulator Ultra sound Therapy unit ( 1 & 3 MHZ) Short wave Diathermy (500 walts) Supinator & Prenator Unit Wrist Cicumductor Shoulder Abuctor Ladder Elbow Crutch (Pair) Axillary Crutch (Pair) 21 Walker Adult 10 11 12 13 14 15 16 Amount 3 1,50,000/- Sl. No. 22 1 4 1,50,000/2,00,000/- 23 24 4 3 30,000/45,000/- 200 mtr. 2 2 1 Infrastructure / Equipment / Furniture Walker Toddler Qty Amount 1 2,000/- 1 1 24,000/13,000/- 25 26 Treadmill – Electrical /Digital Peg Board various shapes and sizes Static cycle Bolesters various sizes 1 1 9,000/8,000/- 40,000/- 27 Micropippette 100 UL 2 6,000/- 40,000/40,000/8,00,000/- 28 29 30 Micropippette 1000 UL Micropippette 50 UL Micropippette 10 UL 2 2 2 6,000/6,000/6,000/- 1 1,00,000/3,00,000/- 31 32 1 1 10,000/24,000/- 1 18,000/- 33 Electric Centrifuge Binocular Microscope (Electric) Labex Micro Tips stand for 1000 UL 5 5,000/- 1 1 13,000/29,000/- 34 35 Micro Tips stand for 1000 UL Dhari ( 10’ x 15’) (Good Quality) 5 20 5,000/99,000/- 1 50,000/- 36 Yoga Mat (Good Quality) 100 90,000/- 1 5,000/- 37 Kriya Kit 200 50,000/- 1 1 1 1 5,000/8,000/2,000/2,000/- 38 39 40 41 - 4 1000 2000 1000 500 90,000/1,00,000/20,000/15,000/- 1 2,000/- 42 Enema Cane (Plastic) Nethi Pot (Plastic) Eye Wash Cup (Plastic) Sutra Neti Tube (Catheter Nos) Sutra Neti Tube (Catheter Nos) - 5 500 17,000/- 498 PIP of Union Territory Health Mission, A&N Islands 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 67 Candle Stands (Brass) Washing Tub (50 Litre) Bucket (100 Litre) Bucket (25 litre) Water jug (Big size) Steel Glass (Medium Size) Steel Mug (1 litre) (Salem Steel) Plastic Jar (for salt storage) 20 litre Heater Big Size (Comforts) Heater Small Size (Comforts) Weighing Machine (Electronic) Height Scale Accupressure Mat Accupressure Vibrator Hip Twister (Aftron) Viparathakarani Mat Matsasana Mat Vajrasana Mat BP Apparatus (Mercury type) (Diamond) Air conditioner – (2 for Library & 1 for VIP Patient Room). Screen (Big Size) (Good Quality) Stethoscope Telephone with Broad connection for Library Notice Boards (1 for office, 1 for Library, 1 for Yoga Hall, 1 at Hospital Entrance) 6 5 6 6 10 20 4,000/1,000/5,000/2,000/1,000/1,000/- 20 9,000/- 2 1,000/- 3 1,000/- 3 1,000/- 3 6,000/- 2 10 2 2 10 10 20 8 2,000/7,000/39,000/17,000/20,000/7,000/13,000/12,000/- 3 3,00,000/- 20 mtr. 5,000/- 8 1 8,000/3,000/- 4 80,000/- Total= Rs.31,79,000.00/- 499 PIP of Union Territory Health Mission, A&N Islands Format 1(b) Strengthening of Homoeo Dispensary at CHC, Nancowrie UT of Andaman & Nicobar Islands Sl. No. Location Block Nancowrie Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds DISTRICT: NICOBAR IPD (Average Bed Occupancy) Stream (Ayur/Hom/ Unani/ Siddha) Staff District Nicobar 1 1 2 CHC Nancowrie 3 1999 Facilities available 4 Homoeo Dispensary 5 10 6 Nil 7 NA Infrastructure/ Equipment/ Furniture MO Supporting 8 MO (Homoeo ) - 01 9 Pharmacist Homoeo 01 Support required Infrastructure Physical 11 Multipurpose Worker 1 Physical Medicine Drug Recurring Grant Financial (Appr) 12 13 14 Fund for Tables -02 , 20000.00 ManExecurive Chair-01 4000.00 power is Almirah Big-02 20000.00 projectWater Cooler -01 50000.00 ed in Xray Viewer -01 2000.00 Mission Signboard -01 20000.00 FlexiTotal (Rs.) = 116000.00 pool 2012-13 ……………. .. Total assistance required for Equipment & Furniture = Rs.116000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.141000.00 500 10 Infrastructure: MO Chamber, Homoeo Pharmacy and some furniture provided by the Hospital Financial Equipment / Furniture (one time Grant) 15 Nil PIP of Union Territory Health Mission, A&N Islands Format 1(C) Strengthening of Homoeo Dispensary at BJR Hospital, Car Nicobar (DH) UT of Andaman & Nicobar Islands Sl. N o. Location Block Nicobar Co-location of AYUSH System Year Average Daily OPD Attendance No. of IPD Beds IPD Average Bed Occupa ncy Stream (Ayur/Ho m/ Unani/ Siddha) Staff North & Car Nicobar 1 1 2 DH, Car Nicobar 3 1998 4 Homoeo Dispensary & Yoga Unit DISTRICT: NICOBAR Facilities available 5 20 6 Nil 7 NA Infrastructure/ Equipment/ Furniture MO Supporting 8 MO (Homoeo)- 01 temporarily vacacnt due to resignation 9 Homoeo Pharmacist - 01; Yoga Insttructor01 501 10 Infrastructure: rooms for doctor & pharmacy and some furniture provided by the Hospital Support required Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical 11 Multipurpose Worker 1 12 Fund for manpower projected in Mission Flexipool 2012-13 13 Execurive Chair-01 Almirah Big-2 Medicine Racks-04 Water Cooler -01 Xray Viewer -01 Signboard -01 Computer with all accessories -1 sets Printer With Fax Stethoscope2, Purchase of Yoga Equipments Wheel Chair-1, Patient Troley - 1 BP Apparatus -2 Weighing Machine-2 Medicine Drug Recurring Grant Financial (Appr) 14 4000.00 14000.00 20000.00 50000.00 2000.00 20000.00 4545000.00 10000.00 2000.00 150000.00 20000.00 20000.00 3000.00 15 Nil PIP of Union Territory Health Mission, A&N Islands Examination Tables -2 Ornate Chair -4 Total (Rs.)= 3000.00 30000.00 6000.00 399000.00 Total assistance required for Equipment & Furniture = Rs.399000.00 + Lumpsum Contingency grant per year Rs.25000.00 Grand Total = Rs.424000.00 Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Katchal UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Nancowrie Year Average Daily OPD Attendance Stream (Ayur/Hom/Unani/ Siddha) Staff District Nicobar 1 1 2 PHC Katchal 3 2009 4 Ayurveda Dispensary 5 15 DISTRICT: NICOBAR Support required Facilities available MO Supporting 6 MO (Ayurveda)01 7 1 Pharmacist Ayurveda currently vacant Infrastructure/Equipment/ Furniture 8 Small OPD Room and some furniture provided by PHC 502 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 Modification of OPD Room + new Pharmacy room 10 Projected in State Five Year Plan 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 12 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Sign Board including AYUSH facilities Weighing Machine-01 BP Apparatus - 01 Stethoscope-01 X-Ray Viewer -.01 Water cooler -01. Total (Rs.)= Total assistance required for Equipment & Furniture = Rs.179000.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.204000.00 25000.00 1500.00 1500.00 1000.00 2000.00 50000.00 179000.00 Format 1(a) Strengthening of Ayurveda Dispensary at PHC, Teressa UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Nancowrie Year Average Daily OPD Attendance Stream (Ayur/Hom/Unani/ Siddha) Staff District Nicobar 1 1 2 PHC Katchal 3 2009 4 Ayurveda Dispensary 5 5 DISTRICT: NICOBAR Support required Facilities available MO Supporting 6 MO (Ayurveda)01 7 1 Pharmacist Ayurveda currently vacant Infrastructure/Equipment/ Furniture 8 Currently sharing room with Allopathy facility 503 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 OPD Room with Pharmacy room 10 Projected in State Five Year Plan 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 12 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands Sign Board including AYUSH facilities Weighing Machine-01 Water Cooler-01 Total (Rs.)= 25000.00 1500.00 50000.00 174500.00 Total assistance required for Equipment & Furniture = Rs.174500.00 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.199500.00 Format 1(a) Strengthening of Homoeo Dispensary at PHC, Campbell Bay UT of Andaman & Nicobar Islands Sl. Location Co-location of AYUSH System No. Block Great Nicobar Year Average Daily OPD Attendance Stream (Ayur/Hom/Unani/ Siddha) Staff District Nicobar 1 1 2 PHC Campbell Bay 3 1999 4 Homoeo Dispensary 5 30 DISTRICT: NICOBAR Support required Facilities available MO Supporting 6 MO (Homoeo)01 7 1 Homoeo Pharmacist Infrastructure/Equipment/ Furniture 8 Doctor room 01 & Pharmacist room – 01 504 Infrastructure Equipment / Furniture (one time Grant) Physical Financial Physical Financial (Appr) 9 10 12 -- -- 11 Computer with all accessories – 01 No. Printer with Fax – 01 Examination Table – 01 Computer Table – 01 Computer Chair – 01 Table - 01 Ornate Chair – 02. Almirah (Big) – 01 No. Almirah (Small) – 02 Sign Board including 35000.00 10000.00 15000.00 5000.00 5000.00 5000.00 3000.00 10000.00 10000.00 Medicine Drug Recurring Grant 13 Nil PIP of Union Territory Health Mission, A&N Islands AYUSH facilities Weighing Machine-01 BP Apparatus - 01 Stethoscope-01 X-Ray Viewer -.01 Total (Rs.)= Total assistance required for Equipment & Furniture = 129000 + Lumpsum Contingency per year Rs.25000.00 Grand Total = Rs.154000.00 505 25000.00 1500.00 1500.00 1000.00 2000.00 129000.00 PIP of Union Territory Health Mission, A&N Islands Format – 4 Proposal for creating supporting AYUSH facilities in the State: 1. Facility to be established: PMU (Programme Management Unit – AYUSH) 2. Location of the Unit: 3. Infrastructure support required for Unit: AYUSH Hospital Complex, Atlanta Point, Port Blair, South Andaman – 744104. -Manpower: Sl. No. 1 Name of the Post Programme Manager No. of Posts 01 Monthly Salary Rs.35000.00 2 Finance Manager 01 Rs.25000.00 3 Accountant 01 Rs.21000.00 4 Data Assistant 01 Rs.18000.00 5 Office Attendant 01 Rs.8000.00 Grand Total of Salaries for one year = PIP of 2012-13 Document 506 Salary Per Annum Rs.420000.0 0 Rs.300000.0 0 Rs.252000.0 0 Rs.216000.0 0 Rs.96000.00 Rs.1284000. 00 PIP of Union Territory Health Mission, A&N Islands Equipments / Instruments: Sl. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 Specification Qty Chairs (Good Quality) Ornate Chair Computer Table Tables (Good Quality) Almirah (Big Size) Almirah (Small Size) Cupboard Curtain Cloth Wooden Stool Water Filter Notice Board Name Board Structural modifications & Fixtures 02 08 04 02 02 02 02 10 Mtr. 02 01 01 01 Total Amount = Furniture etc. Sl. No. 1 2 3 4 5 6 Specification Qty Computers with all accessories Xerox Machine Telephone with Broad Band connection Wall Clock Calling Bell Fax Machine Amount Rs.8000.00 Rs.12000.00 Rs.40000.00 Rs.20000.00 Rs.30000.00 Rs.16000.00 Rs.20000.00 Rs.2000.00 Rs.1000.00 Rs.3500.00 Rs.25000.00 Rs.2000.00 Rs.700000.00 (Approx.) Rs.879500.00 Amount 04 Rs.300000.00 01 01 Rs.150000.00 Rs.3000.00 02 02 01 Rs.1200.00 Rs.1000.00 13000.00 Total Amount = Rs.468200.00 Yearly recurring grant for training of manpower = Rs.1:00 Lakh. Yearly recurring grant for maintenance & Contingencies = Rs.1:00 Lakh Total financial implication per year: One time grant for Instruments, Equipments, Furniture & Fixtures etc. = Rs.1347700.00 Yearly recurring Grant (salary, maintenance & contingency) including initial year = Rs.1484000.00 PIP of 2012-13 Document 507 PIP of Union Territory Health Mission, A&N Islands Ayurveda, Yoga & Naturopathy, Unani, Siddha & Homoeopathy(AYUSH) - (2012-13) Sl No. Activities Proposed 1 Manpower requirement projected under Mission Flexi Pool for co-locating AYUSH Component in all the health facilities of A&N Islands 2 Collocation under NRHM 2.1 One time assistance for 2 DH, 3 CHC, 19 PHC &1 UHC 2.2 Recurring assistance for 2 DH, 3 CHC, 19 PHC &1 UHC 3 Up-gradation of existing AYUSH Hospital (30 Bedded AYUSH Hospital, Port Blair) 4 Establishment of Programme Management Unit 4.1 One time assistance 4.2 Recurring assistance Total Amount (in lacs) 128.45 7.30 32.49 13.48 14.84 5 Rogi Kalyan Samiti for 30 Bedded AYUSH Hospital 6 Revival of LHT 5.00 1.00 Committed unspent balance Total Fund Proposed for the FY 2012-13 Less : Unspent Balance as on 01.04.2012 Actual Budget Required PIP of 2012-13 Document 508 - 202.56 202.56 PIP of Union Territory Health Mission, A&N Islands CHAPTER – 5 MONITORING AND EVALUATION Health Management Information System: • HMIS implemented in A&N Islands from April 2009 onwards. • With the implementation of Web Based HMIS Portal throughout the Country, its implementation was done in A&N Islands by notifying the Nodal Officers (State and District level) and by means of monthly HMIS reports. • The data gets compiled and District level and gets uploaded, which the State in turn verifies and forwards it to the centre. • Organized Web Based Health Management Information System for SPMU & DPMU staffs i.e. for District Level Programme Managers, State Finance Manager, District Accounts Manager, Data Managers (IDSP), Accountants, IEC Personnel, Data Entry Operators of State Health Society and vertical programmes. • All earlier reports of RCH & Immn. Cancelled and one single form covering all programmes introduced for monthly reporting. • By means of HMIS data gets uploaded in MOHFW, GOI website directly. • Data from private sector are also planned to be tapped from this year onwards. • An HMIS Core Committee has been constituted to check the consistency and validity of data. • Facility masters with respect to the data of Demographic Indicators, Health Institutions, Population and jurisdiction has been populated in the HMIS Web Portal. Maternal & Child Health Tracking System under NRHM: (Name Based Tracking) • Instructions alongwith guidelines issued to all the District Health Societies with the directions to sensitize the MS & MO i/c of DHs/CHCs/PHCs in order to implement the Name Based Tracking System of Pregnant Women & Children. • District level sensitization done / being done. PIP of 2012-13 Document 509 PIP of Union Territory Health Mission, A&N Islands • State Programme Manager (SPM) has been identified as Nodal Officer for State Level & District Programme Manager (DPM) has been identified as Nodal Officer for District Level for implementation, reporting & monitoring of MCTS. • Data entry started and database is being maintained at the respective health institutions. • Constituted State and District level e-mission teams for MCTS. • Whole database of Andaman & Nicobar Islands with respect to the health facilities have been populated in the MCTS web portal. • Pace of registration of pregnant women and children is high and it will be maintained the same way thereby having sustainability. Notification of Nodal M&E Officers for HMIS Level Nos. Required Nos. Present Remarks State 1 1 - District 3 3 - Notification of Nodal Officers for MCTS Level Nos. Required Nos. Present Remarks State 1 1 - District 3 3 - National Common Review Mission & State Review Mission: • To evaluate the programmes being implemented under NRHM and for the analysis and to suggest measure for under taking mid-course corrections in the programme, alike National Common Review Mission, from the next Financial year a State Review Mission is also planned. PIP of 2012-13 Document 510 PIP of Union Territory Health Mission, A&N Islands CHAPTER – 6 FINANCIAL MANAGEMENT 1. Budgeting for various activities. The Budget of the SPIP for various programme and activities under NRHM for the financial year 2012-13, has been prepared in accordance with the Financial Monitoring Report for proper analysis of the progressive utilization of and funds. All components of budgeting are given as instructed by the FMG, MOHFW, GOI. Further, the programme management cost has been kept within the ceiling of 6% and also the proposals for construction works being proposed under MFP is under the ceiling of 25%. 2. Financial Management Staff All the financial management staffs as per the approved ROP at State & District are in place. During the FY 2010-11, the salary of all the staffs have been revised considering the 6th pay commission with the approval of Governing Body of State Health Society, A&N Islands. Status of Human Resource For Financial Management at State, District & Block level are as follows: Category of Staff Approved In Posi- Gap tion Deputation/ Contract State Level Staff State Finance Manager 01 01 00 Contract 06 06 00 Contract 03 03 00 Contract Accountant (District) 03 03 00 Contract Block Level 00 NA NA NA (SFM) Accountant (State) District Level Staff District Accounts Manager (DAM) PIP of 2012-13 Document 511 PIP of Union Territory Health Mission, A&N Islands 3. Statutory Audit The Statutory Audit Reports for the F.Y: 2010-11 has been completed and has been sent to FMG, NRHM, MOH&FW on stipulated time frame. After implementation of concurrent audit, computerized accounting system and regular review programme implementation, the internal control has been streamlined. The Audit report submitted by the State is as per the new audit format, with other forming parts and supportive financial statements. The Audit reports submitted includes the consolidated audit report as per the New Audit format, individual audit reports of all National Disease Control Programmes, UCs, Bank Reconciliation, Reconciliation of FMR and Audit Reports. 4. Concurrent Audit The Executive Summary Report of the concurrent audit for the F.Y:2010-11 has already been submitted to MOHFW and upto 3rd Quarter of 2011-12 will be submitted soon. 5. Implementation of Tally As suggested by FMG, MOHFW, GOI, the State Health Society (A&N Islands) has been procured 11 No. Tally ERP 09 (Customized version software) for State, 3 District Health Societies, 3 District Hospital and 4 Community Health Centres. Conducted 3 days training on Tally ERP 09 for the accounts personnels of State, DHS, DH, CHCs in associations with Tally Solutions Pvt Ltd, Bangalururu. Tally ERP 09 is being implemented upto CHC level and NRHM reports are generated from 2nd quarter onwards through Tally ERP 09. Note: Due to non availability of technical support at PHC level, Tally ERP 09 could not be implemented yet, however all possible efforts are being made to implement the same. PIP of 2012-13 Document 512 PIP of Union Territory Health Mission, A&N Islands 6. Mode of Fund Transfer E-Banking services of Axis Bank & State Bank of India is being utilized in State, District and most of the health institutions in the block level. Due to non availability of the core banking system in the remote islands, e-banking services are not available, which covered 6 PHCs where other mode of money transfer is being adopted. In A&N Islands, State Bank of India is only the identified lead bank to implement the rules and policies of the RBI in the other banks. 7. Uploading of FMRs on HMIS Portal Uploading of FMR in the HMIS Portal has started. 8. Financial reporting under NRHM FMRs are being timely sent to FMG, Ministry as per the stipulated time. State and Districts are regularly monitoring the utilization of funds of NRHM including NDCPs. FMR for the 3rd Qtr 2011 has already been sent to FMG, Ministry on time. PIP of 2012-13 Document 513 PIP of Union Territory Health Mission, A&N Islands 9. Statutory Audit The statutory audit for the FY 2010-11 has been conducted covering 100% at District Level and 50% at Block Level. Audit report for same has already been sent, which was confirmed by the FMG, MOHFW, GOI. 10. RCH-I Unspent Balance All the unspent balance of RCH-I have already been refunded and settled, which was confirmed by the FMG. PIP of 2012-13 Document 514 PIP of Union Territory Health Mission, A&N Islands Functional Head Wise Classification of the Budget Sl.No. Required fund under NRHM Activity Human Resources A RCH 1 Contractual Staff & Services 1 Contractual Staff & Services(ExcludingAYUSH) A.9.1 ANMs,Supervisory Nurses, LHVs, A.9.1.1 Laboratory Technicians,MPWs A.9.1.2 A.9.1.3 A.9.1.4 A.9.1.5 A.9.1.6 A.9.1.7 A.9.1.8 A.9.1.9 A.11 A.11.1 A.11.2 A.11.3 A.11.4 A.11.5 A.11.6 A.11.7 B B.9 B.9.1 B.9.2 C C.2 A) C.2 B) 0.00 0.00 344.32 7.54 Specialists (Anesthetists, Ob/Gyn, Surgeons, Physicians, DentalPediatricians,Surgeons, Radiologist, Sonologist,Pathologist,Specialist for CHC ) PHNs at CHC, PHC level Medical Officers at CHCs / PHCs Additional Allowances/ Incentives to M.O.s ofPHCs and CHCs Others - Computer Assistants/ BCC Coordinator etc Incentive/ Awards etc. to SN, ANMs etc. Human Resources Development (Other than above) Other Incentives Schemes (Pl.Specify) PROGRAMME / NRHM MANAGEMENT COSTS Strengthening of SHS /SPMU (Including HR,Management Cost, Mobility Support, Field Visits ) (under RCH-II) Strengthening of DHS/DPMU (Including HR, Management Cost, Mobilty Support, Field Visits ) (under NRHM Additionalities) Strengthening of Block PMU (Including HR, Management Cost, Mobilty Support, Field Visits ) Strengthening (Others) Audit Fees (under NRHM Additionalities) Concurrent Audit (under NRHM Additionalities) Mobility Support , Field Visits to BMO/MO/Others NRHM Additionalities Contractual Staff & Services(Only AYUSH) Staff/ Supervisory Nurses /Other Staffs for PHCs,CHCs Specilaists & Medical Officers at DH/CHCs/ PHCs Routine Immunisation Computer Assistants Salary Other HR Personnels(Technicians, Cold Mechanic) Other National Disease Control Programme PIP of 2012-13 Document 515 143.47 69.79 221.357 0.00 98.756 0.00 0.00 0.00 72.83 69.45 34.40 4.50 2.50 0.00 359.28 0.00 0.00 0.00 Chain 1.92 PIP of Union Territory Health Mission, A&N Islands Required fund under NRHM Sl.No. Activity D a) b) NVBDCP Remuneration to Contractual MPWs Contractual LTs Cash Assistance for salary of regular staffs under treasury route 600.00 b) c) NLEP Contractual Services (State SMO, BFO cum AO, Admn. Assistant, DEO) State Driver District Drivers 1.92 1.32 0 F a) b) c) d) NBCP Ophthalmic Surgeon Ophthalmic Assistant Eye Donation Counsellor & other staffs Honorarium 0.00 7.50 0 0 G) a) b) RNTCP Honorarium to DOT Providers Contractual Staff Payments H) a) b) c) d) e) f) g) h) i) IDSP Remuneration of Epidemiologists Remuneration of Microbiologists Remuneration of Entomologists Consultant-Finance Consultant-Training Data Managers Data Entry Operators Administrative Assistant Helper I) NIDDCP IDD Control CellTechnical Officer Statistical Assistant LDC Typist Other establishment and administrative cost IDD Monitoring Lab- c) E a) i) ii) iii) iv) 0.00 0.00 0.20 39.96 7.20 6.00 0.84 0 1.80 4.20 2.04 1.20 0.84 PIP of 2012-13 Document 516 0.00 2.40 2.16 3.84 1.60 PIP of Union Territory Health Mission, A&N Islands Sl.No. i) ii) Activity Lab Technician Lab. Assistant Required fund under NRHM 1.56 1.44 Training 1 A.10 A.10.1 A.10.2 A.10.3 A.10.3.1 A.10.3.2 A.10.3.3 A.10.3.4 A.10.3.5 A.10.3.6 A.10.3.7 A.10.4 RCH Flexible Pool TRAINING Strengthening of Training Institutions Development of training packages Maternal Health Training Skilled Birth Attendance / SBA EmOC Training Life saving Anesthesia skills training MTP training RTI / STI Training Dai Training Other MH Training (ISD Refresher ) IMEP Training Child Health Training A.10.5 A.10.5.1 IMNCI A.10.5.2 Facility Based Newborn Care A.10.5.3 Home Based Newborn Care A.10.5.4 Care of Sick Children and severe malnutrition A.10.5.5 Other CH Training (pl. specify)NSSK Training A.10.6 Family Planning Training A.10.6.1 Laparoscopic Sterilisation Training A.10.6.2 Minilap Training A.10.6.3 NSV Training A.10.6.4 IUD Insertion Training A.10.6.5 Contraceptive Update/ISD Training A.10.6.6 Other FP Training (pl. specify) A.10.7 ARSH Training A.10.8 Programme Management Training A.10.8.1 SPMU Training A.10.8.2 DPMU Training A.10.9 Other training (pl. specify) A.10.10 Training (Nursing) A.10.10.1 Strengthening of Existing Training Institutions/Nursing School A.10.10.2 New Training Institutions/School A.10.11 Training (Other Health Pesonnels) A.10.11.1 Promotional Trg of health workers females to lady health visitor etc. PIP of 2012-13 Document 517 50.00 22.00 36.60 6.00 3.00 2.00 3.50 0.00 0.00 1.00 39.80 0.00 12.40 3.50 8.75 2.00 3.00 0.00 6.80 4.00 0.00 22.80 6.00 5.50 0.00 12.00 0.00 5.00 PIP of Union Territory Health Mission, A&N Islands Sl.No. Activity A.10.11.2 Training of AMNs,Staff nurses,AWW,AWS A.10.11.3 Other training and capacity building programmes 2 Routine Immunisation Training for Cold Chain Handlers/refrigerator 2.1 mechanics 2.2 Training of M.O.s /Other Staffs on R.I. 2.3 Training for Computer Assistants Other National Disease Control Programme 3 NVBDCP 3.1 Training for MPWs 3.2 Training for ASHAs 3.3 Training for M.O.s 3.4 Training for para-medicals for MDA 3.5 Other Training & Capacity building programmes Required fund under NRHM 0.00 0.00 0.53 4.13 0.00 1.70 0.00 3.30 8.00 0.27 4 4.1 4.2 4.3 NLEP Training for Newly appointed medical and para medical staffs Training for existing medical and para medical staffs Other Training & Capacity building programmes 0.00 4.25 0.27 5 5.1 5.2 NBCP Training /Capacity Building for Health personnels Training of Teachers & Others 2.59 0.71 6 6.1 RNTCP Induction Training 7 7.1 IDSP Training for M.O.s,Nurses, Data Managers and DEO 0 0 8 NIDDCP 9 NPPCD Capacity building for three District Hospitals & CHC/PHC Training of Manpower at District hospitals/CHCs/PHCs NRHM Additionalities Training of Medical Officers & Paramedics on BMWM Training for Village Health Sanitation Committee 10 Training of Paramedical Staff in implementing the HMIS Monthly Formats reporting under NRHM PIP of 2012-13 Document 518 2.35 0.00 3.00 2.00 3.00 3.00 PIP of Union Territory Health Mission, A&N Islands Sl.No. Activity Training for SPMU and DPMU on General Administration, Convergence between departments Training of Paramedical Staff Training of AYUSH Personnel B B.4 B.4.1 B4.1.1 B4.1.2 B4.1.3 B4.1.4 B4.1.5 B 4.2 B.4.3 B.4.4 B5 B5.1 B5.2 B5.3 B5.4 B5.6 B.5.7 B.5.8 B.5.9 B6 B6.1 B6.2 E a) F a) Note: FMR Codes of NDCP's has not been given Civil Work NRHM Additionalities Hospital Strengthening Upgradation of CHCs, PHCs, Dist. Hospitals to IPHS) District Hospitals CHCs PHCs Sub Centers Others Strengthening of District,Sub-divisional Hospitals,CHCs, PHCs Sub Centre Rent and Contingencies Construction (Others) New Constructions/ Renovation and Settingup CHCs PHCs SHCs/Sub Centers Setting up Infrastructure wing for Civil works Construction of BHO, Facility improvement, civil work, BemOC and CemOC centers Major civil works for operationalisation of FRUS Major civil works for operationalisation of 24 hour services at PHCs Civil Works for Operationalise Infection Management & Environment Plan at health facilities Minor Civil Works Minor civil works for operationalisation of FRUs Minor civil works for operationalisation of 24 hour services at PHCs RNTCP Civil Works IDSP Civil Works Note: FMR Cod es of NDCP' has not been given PIP of 2012-13 Document 519 Required fund under NRHM 1.00 3.00 6.00 0.00 233.32 36.50 227.14 140.00 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 10.75 0.00 0.00 PIP of Union Territory Health Mission, A&N Islands Sl.No. B B.16.2 B.16.2.1 B.16.2.2 B.16.2.4 B.16.2.5 Activity Procurements-Drugs & Supplies NRHM Additionalities Procurement of Drugs and supplies Drugs & supplies for MH & CH Drugs & supplies for FP Supplies for IMEP General drugs & supplies for health facilities C Routine Immunisation Other National Disease Control Programme D a) NVBDCP Procurement of Drugs E NLEP Procurement of Supportive Drugs, Reagents, MCR Footware, Aids Appliances a) Required fund under NRHM 0.00 177.15 22.00 0.00 0.00 0.00 0.00 46.01 1.89 F a) NBCP Procurement of Drugs & Supplies G a) RNTCP Note Below 0.00 0.00 H IDSP 0.00 I NIDDCP 0.00 Note: B B.16.1 B16.1.1 B16.1.2 B16.1.3 B16.1.4 B16.1.5 15.00 In RNTCP, commodity grant for anti TB Drugs has been approved from Central Level procurements and specific Laboratory Equipments Procurements-Equipment & Maintenance NRHM Additionalities Procurement of Equipments Procurement under Maternal Health(under RCH-II) Procurement under Child Health (under RCH-II) Procurement under Family Planning Services Procurement under IMEP Procurement Others (under NRHM Additinalities -for SNCU) PIP of 2012-13 Document 520 0 40.50 34.76 15.00 0.00 0 PIP of Union Territory Health Mission, A&N Islands Sl.No. C Activity Required fund under NRHM Routine Immunisation Procurement – Equipments (ADS, Bags, Buckets etc.) 0.50 D a) b) NVBDCP Procurement -Kits (e.g. Elisa Kit, Chikengunia Kits ) Repairing of Fogging Machine 0.00 0.00 E NLEP Procurement of Equipments (Equipments related to RCS). Printing forms Other Procurements 0.60 0.00 a) b) F a) NBCP Maintenance of Equipments-Opthalmic Microscopes, Flash Auto claves etc. 0 G a) b) c) RNTCP Procurement of Equipments & Maintenance Procurement of Vehicle Equipments Maintenance 0.90 1.50 0 H IDSP Procurement of Equipements for Strengthening of Survillance Unit. Other Procurements 0.00 0.00 NIDDCP Procurement of Kits (Salt Testing Kits) 0.00 a) b) I J NPPCD Hearing Aids 0 0 IEC/BCC Works B B10 B.10 B.10.1 B.10.2 B.10.2.1 B.10.2.2 B.10.2.3 NRHM Additionlities IEC-BCC NRHM Strengthening of BCC/IEC Bureaus (state and district levels) Development of State BCC/IEC strategy Implementation of BCC/IEC strategy BCC/IEC activities for MH BCC/IEC activities for CH BCC/IEC activities for FP PIP of 2012-13 Document 521 0.00 27.50 2.00 0.00 30.0 30.0 30.0 PIP of Union Territory Health Mission, A&N Islands Sl.No. B.10.2.4 B.10.2.5 B.10.4 B.10.5 B.10.6 Activity BCC/IEC activities for ARSH Other activities (please specify) (RCH) Health Mela Creating awareness on declining sex ratio issue Other activities (MFP) Other NDCPs C) Routine Immunisation IEC-BCC Activities D E Required fund under NRHM 30.00 20.00 20.00 9.00 0 1.50 NVBDCP IEC-BCC Activities 8.50 NLEP IEC-BCC Activities 3.00 F a) b) c) d) NBCP IEC-BCC Activities Cataract Operations Eye Donation Camps Other Activities G RNTCP IEC/Publicity 17.02 1.08 0.23 0.00 8.42 H IDSP IEC-BCC Activites 0 0 I NIDDCP 0 Untied Funds B B.2 B2.1 B2.2 B2.3 B2.4 B.3 B4.1 B4.2 B4.3 NRHM Additionalities Untied Funds Untied Fund for CHCs Untied Fund for PHCs Untied Fund for Sub Centers Untied fund for VHSC Annual Maintenance Grants CHCs PHCs Sub Centres 4.00 5.5 11.9 27.50 4.00 11.0 11.90 PIP of 2012-13 Document 522 PIP of Union Territory Health Mission, A&N Islands Sl.No. B8 B8.1 B8.2 B8.3 Activity Panchayati Raj Initiative Constitution and Orientation of Community leader & of VHSC,SHC,PHC,CHC etc Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC Others Required fund under NRHM 3.00 20.50 0.00 ASHAs B B1 B1.1 B1.2 B1.3 B1.4 B1.5 B1.6 B1.7 B.1.8 B.1.9 C a) b) c) NRHM Additionalities ASHA Selection & Training of ASHA Procurement of ASHA Drug Kit Incentive to ASHAs under JSY Incentive under Family Planning Services Incentive under Child Health Incentive to ASHA's for motivating families for Sanitary Toilets/Other Incentives Awards to ASHA's/Link workers Observance of ASHA Day Equipping ASHAs with Support Materials Routine Immunisation Special ASHA Incentive under Immunisation Social Mobilization by ASHA / Link Workers ASHA Incentive on PPI Day (may be considered with the cost of PPI) 6.50 0.00 9.76 0.00 15.00 0.00 3.20 1.50 6.36 0.09 40.7 0.31 D a) NVBDCP Incentive to ASHAs 0.20 E a) b) NLEP Services through ASHAs Honorium to ASHAs, Sensitization through ASHAs 0.00 0.00 F a) NBCP ASHA Incentive 0.15 G RNTCP ASHA Incentive for DOTs 0.00 RKS/HMS 1.1 RCH PIP of 2012-13 Document 523 PIP of Union Territory Health Mission, A&N Islands Sl.No. 1.2 (i) B6.1 B6.2 B6.3 B6.4 Activity NRHM Additionalities Corpus Grants to HMS/RKS District Hospitals CHCs PHCs Other or if not bifurcated as above Required fund under NRHM 15.0 4.00 22.0 0.00 JSY 1.1 a) b) c) d) RCH Maternal Health Janani Suraksha Yojana / JSY Home Deliveries Institutional Deliveries 24 Hours Deliveries/ Others Operational Expenses Payment to Other Link Workers/AWW/AWS (Other than ASHA's) 0.60 6.80 0.00 0.00 Incentive for Sterilization 1 A.3 A.3.1 A.3.1.1 A.3.1.2 A.3.1.3 A.3.1.4 A.3.1.5 A.3.1.6 A.3.2.1 A.3.2.2 A.3.2.3 A.3.2.4 A.3.2.5 A.3.3 A.3.4 RCH FAMILY PLANNING Terminal/Limiting Methods Dissemination of manuals on sterilisation standards & quality assurance of sterilisation services Female Sterilisation camps NSV camps Compensation for female sterilisation Compensation for male sterilisation Accreditation of private providers for sterilisation services IUD camps IUD services at health facilities/compensation Accreditation of private providers for IUD insertion services Social Marketing of contraceptives Contraceptive Update seminars POL for Family Planning Repairs of Laparoscopes 0.00 5.00 6.00 0.00 16.00 0.60 3.00 0.00 1.00 0.12 10.00 1.00 2.00 1.00 Referral Transport 1.1 a) b) RCH Referral Transport Maternal Health 0.00 84.00 PIP of 2012-13 Document 524 PIP of Union Territory Health Mission, A&N Islands Sl.No. Activity Required fund under NRHM c) Other Programmes 0.00 1.2 a) b) c) NRHM Additionalities Referral Transport Ambulance /EMRI Operating Cost (POL) /EMRI 0.00 0.00 0.00 0.00 1.3 1.4 1.5 1.6 1.7 1.8 1.9 Routine Immunisation NVBDCP NLEP NBCP RNTCP IDSP NIDDCP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other RCH Activities 1 1.1 1.1.2 (i) (ii) (iii) (iv) (v) 1.1.3 (i) (ii) 1.1.4 (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) 1.1.5 a) b) 1.1.6 RCH Maternal Health 0.00 0.00 Operationalise facilities (only dissemination, monitoring, and quality) Operationalise FRUs Operationalise 24x7 PHCs MTP services at health facilities RTI/STI services at health facilities Operationalise Sub-centres Integrated outreach RCH services RCH Outreach Camps Monthly Village Health and Nutrition Days CHILD HEALTH IMNCI Facility Based Newborn Care/FBNC Home Based Newborn Care/HBNC School Health Programme Infant and Young Child Feeding/IYCF Care of Sick Children and Severe Malnutrition Management of Diarrohea, ARI and Micronutrient Malnutrition Other strategies/activities URBAN RCH Establishment of New Urban Centres Urban RCH Services ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / PIP of 2012-13 Document 525 2.40 0.90 3.20 5.20 4.80 4.00 4.80 10.40 76.85 26.20 272.00 25.60 26.80 10.00 4.30 0.00 38.40 PIP of Union Territory Health Mission, A&N Islands Sl.No. Activity Required fund under NRHM ARSH a) A A.6 a) b) A.7 Adolescent services at health facilities. Vulnerable Groups RCH TRIBAL RCH Organise Tribal Camps Other Tribal Activities VULNERABLE GROUPS 21.00 0.00 31.50 0.00 0.00 Other Mission Flexible Pool Activities B B7 B9 B10 B13 B15 B15.1 B15.1.1 B15.1.2 B15.1.3 B15.1.4 B15.2 B15.3 B15.3.1 B15.3.2 B15.3.3 B.15.3.4 B.20 B21 B.22 B23 B23.1 B23.2 B23.3 B23.4 B23.5 B23.6 NRHM Additionalities Other MFP activities District Health Action Plans (Including Block, Village) Mainstreaming of AYUSH Mobile Medical Units (Including recurring expenditures) School Health Programme Planning, Implementation and Monitoring Community Monitoring (Visioning workshops at state, Dist, Block level) State level District level Block level Other Quality Assurance Monitoring and Evaluation Monitoring & Evaluation / HMIS Computerization HMIS and e-governance, ehealth Other M & E Innovation: VSAT for Reporting and Monitoring (HMIS, MCTS etc.) Health Insurance Scheme Research, Studies, Analysis State level health resources center(SHSRC) Support Services Support Strengthening NPCB Support Strengthening Midwifery Services under medical services Support Strengthening NVBDCP Support Strengthening RNTCP Contingency support to Govt. dispensaries Other NDCP Support Programmes PIP of 2012-13 Document 526 0.00 0.00 359.282 0.00 21.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PIP of Union Territory Health Mission, A&N Islands Sl.No. B.24 Activity Other office Expenditures Required fund under NRHM 0.00 Other Immunization Activities a b c d e f g h Mobility Support Lab Consumables Review Meetings Field Visits Alternative Vaccine Delivery Office Expenditures, Formats and Reports Micro Plan Intensification of RI, Emergency INNOVATIONS/ PPP/ NGO NRHM Additionalities PPP/ NGOs Non governmental providers of health care RMPs/TBAs PNDT and Sex Ratio Public Private Partnerships NGO Programme/ Grant in Aid to NGO Other innovations( under RCH-II) 2.00 0.00 0.00 0.00 0.00 0.00 0.00 5.50 C Routine Immunization 0.00 D a) b) c) NLEP NGO Services NGOs Pvt. Sector 0.00 0.00 0.00 0.00 E a) b) c) NBCP Cataract Performance NGOs Pvt. Sector 0.00 0.00 0.00 0.00 F RNTCP NGO/PPP Support 0.30 G IDSP 0.00 H NIDDCP 0.00 B B14 B14.1 B14.2 B14.3 B14.4 B14.5 PIP of 2012-13 Document 527 0.00 0.00 0.00 0.00 0.00 0.00 0.20 PIP of Union Territory Health Mission, A&N Islands Sl.No. Activity Required fund under NRHM Operational & Other Cost Other NDCPs Activities E a) b) c) d) e) f) g) h) NVBDCP Mobility Support Lab Consumables/ Materials Review Meetings Field Visits Formats and Reports Communication facility to Staffs Repair of Laparoscopes & Fogging Machine Procurement of Long Lasting Insectiside Treated Nets (LLINs) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.00 F a) b) c) d) e) f) NLEP Mobility Support Lab Consumables Review Meetings Field Visits Cash Assistance Office Expenditures, Formats and Reports 1.40 0.00 1.14 0.80 0.00 0.00 G a) b) c) d) e) f) g) h) i) NBCP Mobility Support Lab Consumables Review Meetings Office Expenditures, Formats and Reports Field Visits Formats and Reports Strenghtning of District Hospital Eye Donation Centre School Screening 1.00 0.00 0.20 0.00 0.50 0.00 0.00 0.00 0.00 H a) b) c) d) f) g) RNTCP Mobility Support Lab Consumables Review Meetings Field Visits Formats and Reports Miscellanous 1.80 1.50 0.10 0.40 1.50 0.00 PIP of 2012-13 Document 528 PIP of Union Territory Health Mission, A&N Islands Sl.No. Activity Required fund under NRHM I a) b) c) d) f) g) h) IDSP Mobility Support Lab Consumables Review Meetings Field Visits Office Expenditures, Formats and Reports Miscellanous Formats and Reports I a) b) c) d) f) g) h) i) NIDDCP Establishment of IDD Control Cell Establishment of IDD Monitoring Lab IDD Survey Mobility Support Lab Consumables Review Meetings Field Visits Formats and Reports J NPPCD Screening camps Office Expenditures, Formats and Reports 2.30 1.25 Financial Aid /Grant to Institutions For All NDCPs………. Financial Aid /Grant to Medical Collages Financial Aid /Grant to Referral Institutions Financial Aid /Grant to Sentinel Sites Financial Aid /Grant to Medical Hopitals Financial Aid /Grant to Others (Pl. Specify) 0.00 0.50 1.30 0.00 0.00 i) ii) iii) iv) v) PIP of 2012-13 Document 529 0.50 1.63 0.00 0.00 0.00 10.00 3.00 3.00 0.00 0.00 0.00 0.00 0.00 PIP of Union Territory Health Mission, A&N Islands BUDGET SUMMARY OF NRHM FOR THE YEAR (2012-13) Sl. No. Programme A RCH-II B Immunization C Mission Flexi Pool Total Budget Unspent Balance as on 01.04.12 State Share Contn. Fund proposed in PIP 2012-13 (in Lakh) 2310.67 -437.00 346.60 2401.07 23.93 3.80 3.59 16.54 1937.67 137.53 290.65 1509.49 Revised National TB Control Programme 89.20 2.83 13.38 72.99 2 National Programme for Control of Blindness 90.17 1.88 13.52 74.76 3 National Leprosy Eradication Programme 17.79 0.72 2.67 14.40 4 Integrated Disease Surveillance Project 32.65 15.89 4.90 11.86 5 National Vector Borne Disease Control Programme 719.10 0.00 107.87 611.24 6 National Iodine Deficiency Disorder Control Programme 24.00 0.00 3.60 20.40 7 National Programme for Prevention and Control of Deafness 32.55 45.00 4.88 -17.33 D E 1 8 Information Education & Communication NATIONAL DISEASE CONTROL PROGRAMMES AYUSH TOTAL (DISEASE CONTROL PROG.): 202.56 0.00 30.38 172.18 1208.02 66.32 181.20 960.49 GRAND TOTAL: 5480.28 -229.35 822.04 4887.59 PIP of 2012-13 Document 530
