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Sikkim PIP (2012-13)
Background/Infrastructure
Geographic area-7096 sq Km
Total Population – 6.07 (Census 2011)
District-4
District Hospitals – 4
PHC – 26 (including 2 new)
Sub- Center - 147
Health Indicator
Sl. No. Health Indicator       Sikkim

1       Maternal Mortality     22 (absolute
                               number)

2       Infant Mortality       30 (SRS 2010)

3       Birth Rate             17.8(SRS 2010)
3       Total Fertility Rate   2.0 (NFHS-3)
Part. A. RCH Flexipool
Maternal Health
     Activities                            Amount Proposed   Remark
                                           (in lakhs)

• Operationalise Safe abortion services
•Consumables and supplies for RTI/STI
 clinics(PHCs)
• Monitor quality of service delivery
 and utilization including through field   143.04


 visits
• Monthly village health sanitation &
nutrition day
• JSY
• Maternal Death Audit
•JSSK- Janani Shishu Surakhsha
Child Health
     Activities                     Amount Proposed (in   Remark
                                    lakhs)



• Operational cost for existing 2
 SNCU & 4NBSU
• Infant and Young Child
  Feeding/IYCF                         33.10
•Management of Diarrhea, ARI
 and Micronutrient
 malnutrition
Family Planning
    Activities                          Amount Proposed   Remark
                                        (in lakhs)
•Review meetings

•Sterilization camp & Compensation

                                           19.66
• procurement (NSV/IUD kit)

•Printing of the IUCD card

•Workshop on F.P for North East, West
Bengal & Orissa
ARSH
    Activities                     Amount Proposed (in   Remark
                                   lakhs)

Establishment of new clinics and   3.2
operating expenses for existing
clinics
IFA supplementation &              6.81
Deworming
Review of ARSH Counsellors.        0.50

School health programme            12.82
•Joint Supervision & monitoring
•Procurement of Drugs for Health
Check up
Urban RCH
     Activities                  Amount Proposed (in   Remark
                                 lakhs)


•Strengthening of urban health   7.20
posts and urban health centers




•Incidental expenditure          1.44
Tribal RCH
     Activities                 Amount Proposed (in   Remark
                                lakhs)




•Implementation of Tribal RCH   9.50
activities
PNDT Activities
     Activities             Amount Proposed (in   Remark
                            lakhs)
• Support to PNDT cell
• Orientation
• Review meeting
• Incidental expenditure
                                3.72
 for check list, internal
 audit format etc
• Computer System, One
  Set
Training
    Activities                          Amount Proposed (in   Remark
                                        lakhs)

Strengthening training center.          6.5
Maternal health- SBA, BEmOC, EmOC,      20.77
LSAS, Safe abortion, Blood storage,
Quality Assurance.
Child Health – IMNCI,F-IMNCI,NSSK,      18.52
orientation on MCP Card, Orientation
on IYCF
Family Planning- Laparoscopic            7.80
sterilization ,NSV, IUD insertion & ARSH
Programme Management - CME              12.00
Human Resources
     Activities                        Amount Proposed   Remark
                                       (in lakhs)
Salary of Specialist & MO              307.12
Salary of LT/Store keeper/OT ,ECG,X-ray 85.78
tech & Pharmacist
School Health and ARSH (Counsellors,   15.72
Co-ordinators, School Health Office
Assistant,)
PCPNDT Cell-DEO cum Office assistant
Salary of staff under Urban RCH –      24.45
MO,ANM,MPHW & DEO.
IMEP- incinator Operaters.             6.85
Immunization-Cold chain officer&       12.92
Technician, Computer assistant
Cont. Human Resources
      Activities                      Amount Proposed (in   Remark
                                      lakhs)

Salary of SPMU staff                  19.14

Salary of DPMU staff                  29.38


Salary of BPMU staff                  77.78


Salary of AYUSH staff                 45.18

Salary of Dental Surgeon &            34.58
Technician
Salary of Call Center for 108 staff   12.00
NRHM ADDITIONALITIES
ASHA
Activities                            Amount Proposed   Remark
                                      (in lakhs)
•Monthly ASHA Divas

•ASHA MENTORING
 GROUP
                                         66.72
•ASHA Ghar

•STATE ASHA
 SAMMELAN (2012)

•ASHA SUPPORT SYSTEM (Sling Bag,
Aluminuim Drug Kit, Diary)


Home Based Newborn Care/HBNC            156.28
UNTIED FUNDS
Activities               Amount Proposed   Remark
                         (in lakhs)


Untied Fund for 26 PHC   6.50              @25,000/-



Untied Fund for 147      14.70             @10,000/-
PHSCs


Untied Fund for 641      64.10             @10,000/-
VHSC
ANNUAL MAINTENANCE GRANTS
Activities          Amount Proposed   Remark
                    (in lakhs)




AMG for 26 PHCs     13.00             @50,000/-




AMG for 139 PHSCs   13.90             @10,000/-
Hospital Strengthening, Upgradation of
                   CHCs, PHCs & DHs to IPHS
Activities                          Amount         Remark
                                    Proposed (in
                                    lakhs)
Equipment for Bl. Storage           5.45           at DH Singtam and
                                                   upcoming Jorethang CHC
Horizontal Autoclave for Major OT   60.00          at Namchi Hospital& DH
                                                   Singtam
Procurement of X-Ray Machine        35.00          Tashiding ,
                                                   Soreng,Sombaria in West
                                                   & Melli PHC in South.
Procurement of digital X-Ray       50.00
Machine (MA 500)for DH,
Gyalshing
Endoscope (computerized) for Dist. 4.00
Hospital Namchi
Sub Centre Rent and                 2.16
Contingency
Logistic management/improvement

Activities                Amount Proposed   Remarks
                          (in lakhs)

•Training

•Printing and computer,      3.60
stationeries
New Construction/Renovation and Setting up
Activities                                      Amount Proposed Remarks
                                                (in lakhs)
Construction of residential class II qtr for    747.60
MO at DH & PHC
Construction of residential class III qtr for   60.90
staff nurses
Augmentation of training centre at District     24.58
Hospital Gyalshing, West Sikkim
External water supply to Health Centres         20.06

Proving footpath to the PHSC Duga and           8.00
Nandok
Installation of Fire Safety equipments          40.00
Rewiring of class II &III residential qtr       29.01
Construction of protective wall and box         3.04
drain at Phadamchen PHSC
Corpus Grants to RKS
Activities          Amount Proposed (in    Remarks
                    lakhs)


District Hospital   20.00                  @5,00,000/-




PHCs                26.00                  @1,00,000/-
Cont.
Activities                     Amount         Remarks
                               Proposed (in
                               lakhs)

District Action Plans          10.00
(including block, village)

Panchayati Raj initiative  17.25
(training of VHSC members)

Mainstreaming of AYUSH         1.90
(excluding human resource)
Cont.
Activities                                 Amount         Remarks
                                           Proposed (in
                                           lakhs)
IEC- Health Mela, Awareness of various     71.78
health issue through various medium ,IEC
exhibition, Production of Calendar &
News letter.
MMU-Printing & Stationeries, Medicines,    142.82
Consumables & Lab Kits, DA for MMU
staffs, servicing,

NGO programme                              50.00



Community Monitoring                       48.94
Activities                       Amount Proposed Remarks
                                 (in lakhs)



Monitoring and Evaluation


Workshop /training, Internet     43.88
connectivity, Development of
website, printing of forms,
register, Review meeting of
M&E/MCTS activities & mobility
support.
Cont.
Activities             Amount           Remarks
                       Proposed (in
                       lakhs)

Procurement of         57.00            Procurement of Furniture &
Equipment                               basic instrument for Ante Natal
                                        ward & Labour room.




Procurement of Drugs & 65.00            PROCUREMENT OF ESSENTIAL
Supplies                                DRUGS FOR DISTRICT HOSPITAL
                                        & PHC including Vit. A and IFA-
                                        large.
New Initiatives/Strategic Interventions
Activities                   Amount Proposed Remarks
                             (in lakhs)
Rural Dental Services        21.92
Emergency Medical Services   112.76

Disability scheme            22.31

Mental Health Programme      81.20

Tobacco Control Programme    10.00


Health Mechanical Workshop   13.93

IMEP                         50.02
Activities                           Amount Proposed (in   Remarks
                                     lakhs)
Incentives to Doctors, GNMs, ANMs,
Paramedical etc.
For Difficult Areas                  13.22


For Most Difficult Areas             13.92


For Inaccessible Areas               11.21


Research, Studies &Analysis

Impact assessment of NRHM and        33.00
Various Component
IMMUNIZATION
                                                     Amount Proposed in
                    Activities
                                                          Lakhs


RI Strengthening Project (Review Meeting, Mobility
                                                           25.77
Support, Outreach Services, etc.)

Training Under Immunization                                 6.70

Cold Chain Maintenance                                      1.00

ASHA Incentive for full Immunization                       16.50


Pulse Polio Operational Cost                               25.00


Total                                                      74.97
National Disease Control
      Programme
NVBDCP
Activities                                 Amount Proposed   Remarks

IEC (Malaria, Kala Azar & Filaria)

Training (Malaria, Kala Azar & Filaria)

Spray Wages (Focal Spray)                      37.33

Contractual Staff

Purchase of Computer, Laptop, Microscope
& Spray Machine for NVBDCP Office

Maintenance SHS & Establishment (DHS)
RNTCP
Activities                             Amount Proposed (in   Remarks
                                       lakhs)
•Civil works

•Honorarium/Contractual services

•IEC
                                           203.93
•Equipment Maintenance

•Training

•Vehicle Maintenance/hiring

•NGO/PP support

•Medical Colleges

•Printing & Miscellaneous
NPCB
Activities                                    Amount Proposed   Remarks
                                              (in lakhs)
•Cataract Operations, Screening & Camps

•Contractual Manpower

•School Eye Screening Programme @ 200/ pair
of spectacles
                                                 208.56
•IEC/BCC

•Maintenance of Ophthalmic Equipments,
Mobile Ophthalmic Unit Van

•Honorarium

•Training

•Non-Recurring Grant-in-aid
NLEP
Activities                               Amount Proposed
                                         (in lakhs)
•Incentive to ASHA

•IEC/BCC

•Capacity Building
                                             58.72
•Supervision, Monitoring & Review

• Contractual Services

•Office Expenses & Consumables

•POL/Vehicle operation & hiring
NIDDCP
Activities                                             Amount Proposed
                                                       (in lakhs)

•IDD Cell, H.Q.(Salary of l Staff & Office Expenses)

•IDD Monitoring Laboratory (Salary Lab. Tech. &
 lab. Assistant & Lab material and chemicals)
                                                         31.56
•IEC/BCC

•IDD re-survey in North District
IDSP
Activities                                     Amount Proposed (in
                                               lakhs)
•Surveillance preparedness

•Contractual services
                                                   68.42
•Operational cost (office expenses, mobility
support, Prepaid Voucher for SSO)

•Unforeseen natural calamities/disaster

•Outbreak Investigation and Response

•Up gradation of microbiology lab
NPPCD
Activities                                    Amount Proposed (in lakhs)


•Training

•IEC/BCC
                                                     16.58
•Manpower

•Screening Camps/Hearing Aid

•Maintenance of Central Cell at State Level
Budget Proposed for 2012-13
Sl. No.           Programme            Amount Proposed
                                          (In lakhs)
1                 RCH –II                  1251.83
2                 NRHM                     2353.57
3                 Immunization & PPI        74.97
                  Operation Cost
4                 NIDDCP                    31.56
5                 IDSP                      68.42
6                 NVBDCP                    37.33
7                 NLEP                      58.72
8                 NPCB                     208.56
9                 RNTCP                    203.93

10                NPPCD                     16.58

          TOTAL                           5742.63
Financial Progress Report 2011-12 as on 29.2.2012
Sl.   Name of Opening Budget        Grant Received    Total      Expendi Unspen
No.   Program balance approved                        fund       ture as t
      me                            GoI      State    availabl   on      balance
                                             Share    e          29.02.2
                                                                 012
1     RCH –II   361.07    1097.46   516.00   100.00   977.07     580.27   396.80
      Flexi
      pool
2     Mission   931.52    950.66    652.00   100.00   1683.52 729.60      953
      Flexi
      pool
3     Strength 15.10      31.83     21.00    0.00     36.10      14.51    21.59
      ening of
      RI
4     Pulse     0.00      0.00      21.37    0.00     21.37      3.84     17.53
      Polio
      Program
      me
      Grand     1307.69   2079.95   1210.37 200.00    2718.06 1328.22 1389.84
      Total
Thank You

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Sikkim pip (2012 13)

  • 2. Background/Infrastructure Geographic area-7096 sq Km Total Population – 6.07 (Census 2011) District-4 District Hospitals – 4 PHC – 26 (including 2 new) Sub- Center - 147
  • 3. Health Indicator Sl. No. Health Indicator Sikkim 1 Maternal Mortality 22 (absolute number) 2 Infant Mortality 30 (SRS 2010) 3 Birth Rate 17.8(SRS 2010) 3 Total Fertility Rate 2.0 (NFHS-3)
  • 4. Part. A. RCH Flexipool
  • 5. Maternal Health Activities Amount Proposed Remark (in lakhs) • Operationalise Safe abortion services •Consumables and supplies for RTI/STI clinics(PHCs) • Monitor quality of service delivery and utilization including through field 143.04 visits • Monthly village health sanitation & nutrition day • JSY • Maternal Death Audit •JSSK- Janani Shishu Surakhsha
  • 6. Child Health Activities Amount Proposed (in Remark lakhs) • Operational cost for existing 2 SNCU & 4NBSU • Infant and Young Child Feeding/IYCF 33.10 •Management of Diarrhea, ARI and Micronutrient malnutrition
  • 7. Family Planning Activities Amount Proposed Remark (in lakhs) •Review meetings •Sterilization camp & Compensation 19.66 • procurement (NSV/IUD kit) •Printing of the IUCD card •Workshop on F.P for North East, West Bengal & Orissa
  • 8. ARSH Activities Amount Proposed (in Remark lakhs) Establishment of new clinics and 3.2 operating expenses for existing clinics IFA supplementation & 6.81 Deworming Review of ARSH Counsellors. 0.50 School health programme 12.82 •Joint Supervision & monitoring •Procurement of Drugs for Health Check up
  • 9. Urban RCH Activities Amount Proposed (in Remark lakhs) •Strengthening of urban health 7.20 posts and urban health centers •Incidental expenditure 1.44
  • 10. Tribal RCH Activities Amount Proposed (in Remark lakhs) •Implementation of Tribal RCH 9.50 activities
  • 11. PNDT Activities Activities Amount Proposed (in Remark lakhs) • Support to PNDT cell • Orientation • Review meeting • Incidental expenditure 3.72 for check list, internal audit format etc • Computer System, One Set
  • 12. Training Activities Amount Proposed (in Remark lakhs) Strengthening training center. 6.5 Maternal health- SBA, BEmOC, EmOC, 20.77 LSAS, Safe abortion, Blood storage, Quality Assurance. Child Health – IMNCI,F-IMNCI,NSSK, 18.52 orientation on MCP Card, Orientation on IYCF Family Planning- Laparoscopic 7.80 sterilization ,NSV, IUD insertion & ARSH Programme Management - CME 12.00
  • 13. Human Resources Activities Amount Proposed Remark (in lakhs) Salary of Specialist & MO 307.12 Salary of LT/Store keeper/OT ,ECG,X-ray 85.78 tech & Pharmacist School Health and ARSH (Counsellors, 15.72 Co-ordinators, School Health Office Assistant,) PCPNDT Cell-DEO cum Office assistant Salary of staff under Urban RCH – 24.45 MO,ANM,MPHW & DEO. IMEP- incinator Operaters. 6.85 Immunization-Cold chain officer& 12.92 Technician, Computer assistant
  • 14. Cont. Human Resources Activities Amount Proposed (in Remark lakhs) Salary of SPMU staff 19.14 Salary of DPMU staff 29.38 Salary of BPMU staff 77.78 Salary of AYUSH staff 45.18 Salary of Dental Surgeon & 34.58 Technician Salary of Call Center for 108 staff 12.00
  • 16. ASHA Activities Amount Proposed Remark (in lakhs) •Monthly ASHA Divas •ASHA MENTORING GROUP 66.72 •ASHA Ghar •STATE ASHA SAMMELAN (2012) •ASHA SUPPORT SYSTEM (Sling Bag, Aluminuim Drug Kit, Diary) Home Based Newborn Care/HBNC 156.28
  • 17. UNTIED FUNDS Activities Amount Proposed Remark (in lakhs) Untied Fund for 26 PHC 6.50 @25,000/- Untied Fund for 147 14.70 @10,000/- PHSCs Untied Fund for 641 64.10 @10,000/- VHSC
  • 18. ANNUAL MAINTENANCE GRANTS Activities Amount Proposed Remark (in lakhs) AMG for 26 PHCs 13.00 @50,000/- AMG for 139 PHSCs 13.90 @10,000/-
  • 19. Hospital Strengthening, Upgradation of CHCs, PHCs & DHs to IPHS Activities Amount Remark Proposed (in lakhs) Equipment for Bl. Storage 5.45 at DH Singtam and upcoming Jorethang CHC Horizontal Autoclave for Major OT 60.00 at Namchi Hospital& DH Singtam Procurement of X-Ray Machine 35.00 Tashiding , Soreng,Sombaria in West & Melli PHC in South. Procurement of digital X-Ray 50.00 Machine (MA 500)for DH, Gyalshing Endoscope (computerized) for Dist. 4.00 Hospital Namchi Sub Centre Rent and 2.16 Contingency
  • 20. Logistic management/improvement Activities Amount Proposed Remarks (in lakhs) •Training •Printing and computer, 3.60 stationeries
  • 21. New Construction/Renovation and Setting up Activities Amount Proposed Remarks (in lakhs) Construction of residential class II qtr for 747.60 MO at DH & PHC Construction of residential class III qtr for 60.90 staff nurses Augmentation of training centre at District 24.58 Hospital Gyalshing, West Sikkim External water supply to Health Centres 20.06 Proving footpath to the PHSC Duga and 8.00 Nandok Installation of Fire Safety equipments 40.00 Rewiring of class II &III residential qtr 29.01 Construction of protective wall and box 3.04 drain at Phadamchen PHSC
  • 22. Corpus Grants to RKS Activities Amount Proposed (in Remarks lakhs) District Hospital 20.00 @5,00,000/- PHCs 26.00 @1,00,000/-
  • 23. Cont. Activities Amount Remarks Proposed (in lakhs) District Action Plans 10.00 (including block, village) Panchayati Raj initiative 17.25 (training of VHSC members) Mainstreaming of AYUSH 1.90 (excluding human resource)
  • 24. Cont. Activities Amount Remarks Proposed (in lakhs) IEC- Health Mela, Awareness of various 71.78 health issue through various medium ,IEC exhibition, Production of Calendar & News letter. MMU-Printing & Stationeries, Medicines, 142.82 Consumables & Lab Kits, DA for MMU staffs, servicing, NGO programme 50.00 Community Monitoring 48.94
  • 25. Activities Amount Proposed Remarks (in lakhs) Monitoring and Evaluation Workshop /training, Internet 43.88 connectivity, Development of website, printing of forms, register, Review meeting of M&E/MCTS activities & mobility support.
  • 26. Cont. Activities Amount Remarks Proposed (in lakhs) Procurement of 57.00 Procurement of Furniture & Equipment basic instrument for Ante Natal ward & Labour room. Procurement of Drugs & 65.00 PROCUREMENT OF ESSENTIAL Supplies DRUGS FOR DISTRICT HOSPITAL & PHC including Vit. A and IFA- large.
  • 27. New Initiatives/Strategic Interventions Activities Amount Proposed Remarks (in lakhs) Rural Dental Services 21.92 Emergency Medical Services 112.76 Disability scheme 22.31 Mental Health Programme 81.20 Tobacco Control Programme 10.00 Health Mechanical Workshop 13.93 IMEP 50.02
  • 28. Activities Amount Proposed (in Remarks lakhs) Incentives to Doctors, GNMs, ANMs, Paramedical etc. For Difficult Areas 13.22 For Most Difficult Areas 13.92 For Inaccessible Areas 11.21 Research, Studies &Analysis Impact assessment of NRHM and 33.00 Various Component
  • 29. IMMUNIZATION Amount Proposed in Activities Lakhs RI Strengthening Project (Review Meeting, Mobility 25.77 Support, Outreach Services, etc.) Training Under Immunization 6.70 Cold Chain Maintenance 1.00 ASHA Incentive for full Immunization 16.50 Pulse Polio Operational Cost 25.00 Total 74.97
  • 31. NVBDCP Activities Amount Proposed Remarks IEC (Malaria, Kala Azar & Filaria) Training (Malaria, Kala Azar & Filaria) Spray Wages (Focal Spray) 37.33 Contractual Staff Purchase of Computer, Laptop, Microscope & Spray Machine for NVBDCP Office Maintenance SHS & Establishment (DHS)
  • 32. RNTCP Activities Amount Proposed (in Remarks lakhs) •Civil works •Honorarium/Contractual services •IEC 203.93 •Equipment Maintenance •Training •Vehicle Maintenance/hiring •NGO/PP support •Medical Colleges •Printing & Miscellaneous
  • 33. NPCB Activities Amount Proposed Remarks (in lakhs) •Cataract Operations, Screening & Camps •Contractual Manpower •School Eye Screening Programme @ 200/ pair of spectacles 208.56 •IEC/BCC •Maintenance of Ophthalmic Equipments, Mobile Ophthalmic Unit Van •Honorarium •Training •Non-Recurring Grant-in-aid
  • 34. NLEP Activities Amount Proposed (in lakhs) •Incentive to ASHA •IEC/BCC •Capacity Building 58.72 •Supervision, Monitoring & Review • Contractual Services •Office Expenses & Consumables •POL/Vehicle operation & hiring
  • 35. NIDDCP Activities Amount Proposed (in lakhs) •IDD Cell, H.Q.(Salary of l Staff & Office Expenses) •IDD Monitoring Laboratory (Salary Lab. Tech. & lab. Assistant & Lab material and chemicals) 31.56 •IEC/BCC •IDD re-survey in North District
  • 36. IDSP Activities Amount Proposed (in lakhs) •Surveillance preparedness •Contractual services 68.42 •Operational cost (office expenses, mobility support, Prepaid Voucher for SSO) •Unforeseen natural calamities/disaster •Outbreak Investigation and Response •Up gradation of microbiology lab
  • 37. NPPCD Activities Amount Proposed (in lakhs) •Training •IEC/BCC 16.58 •Manpower •Screening Camps/Hearing Aid •Maintenance of Central Cell at State Level
  • 38. Budget Proposed for 2012-13 Sl. No. Programme Amount Proposed (In lakhs) 1 RCH –II 1251.83 2 NRHM 2353.57 3 Immunization & PPI 74.97 Operation Cost 4 NIDDCP 31.56 5 IDSP 68.42 6 NVBDCP 37.33 7 NLEP 58.72 8 NPCB 208.56 9 RNTCP 203.93 10 NPPCD 16.58 TOTAL 5742.63
  • 39. Financial Progress Report 2011-12 as on 29.2.2012 Sl. Name of Opening Budget Grant Received Total Expendi Unspen No. Program balance approved fund ture as t me GoI State availabl on balance Share e 29.02.2 012 1 RCH –II 361.07 1097.46 516.00 100.00 977.07 580.27 396.80 Flexi pool 2 Mission 931.52 950.66 652.00 100.00 1683.52 729.60 953 Flexi pool 3 Strength 15.10 31.83 21.00 0.00 36.10 14.51 21.59 ening of RI 4 Pulse 0.00 0.00 21.37 0.00 21.37 3.84 17.53 Polio Program me Grand 1307.69 2079.95 1210.37 200.00 2718.06 1328.22 1389.84 Total