1. Workshop for District level
Managers on RCH planning
Team -West Bengal

2. Maternal Health
GOAL:
• To reduce MMR from existing 145 to 135 by
2013
OBJECTIVES:
• To increase institutional delivery from 69.5 %
to 75% by 2013 in Purulia.
• To provide skilled care at birth from existing
75% of total delivery to 85% by 2013
• To increase Full ANC visits from existing
17.4% to 25% by 2013

3. To increase institutional delivery
from 69.5 % to 75% by 2013.
Strategy :
• Enhance Coverage of Facilities for Institutional
Deliveries and Emergency Obstetric Care (EmOC)
• Provide Skilled Care to Pregnant Women by Skilled
Birth Attendant (SBA) at facility level.
• Strengthen Facility for providing quality MCH services
• Strengthen Referral chain network
• Accreditation of Private health facilities for providing
quality services.
• Ensure implementation of schemes
• Behaviour Change Communication

4. Indicators
• Proportion of identified CEmOC center conducting CS
• Proportion of CEmOC having functional BSU/Blood Bank
• Proportion of facilities having at least 4 SBA trained
• Proportion of facilities having at least 2 BEmOC trained
MO
• Proportion of PW delivered at Home by SBA
• Proportion of MO trained in BEmOC
• Proportion of SN/ANM trained in SBA
• Proportion of functional BEmoC center
• Proportion of PW get registered under MCTS
• Proportion of facility maintaining partograph
• Proportion of facility having SBA protocol poster in
appropriate place

5. Indicators
• Proportion of Blocks having at least 7 “Matri Yan”
• Proportion of PW benefited through Accredited Pvt. Health
Facility
• Proportion of PW received JSY benefit within 48 hrs at
institution.
• Proportion of PW carried by Matri Yan under JSSK scheme.
• Proportion of health facilities having signage on JSSK.
• Proportion of PW aware of safe Institutional delivery
• Proportion of PW attain institutional delivery.
• Proportion of ASHA ,ANM trained on BP & CR, ANC ,INC
related counseling.

6. Activities
• R&R of Infrastructure
• Engagement of Specialists,MO and Staff Nurse
• Procurement of equipments, Drugs and other
consumables
• Training of Workers
• Tracking of PW
• JSY
• JSSK
• Monitoring and supervision
• IEC/BCC

7. R& R of Infrastructure
Remarks Proposed Q-1 Q-2 Q-3 Q-4
Number Where Who
Operationalise facilities
Infrastructure-CEmOC
Renovation needed OT(Minor) 4 SDH, Bansgarh
CHC, Manbazar Dist.en
Renovation needed LR (Minor) CHC, Kotshila g.cell
4 CHC
Renovation needed -
Blood bank/BSU (Minor) BSU-1 Manbazar CHC
Renovation needed - Blood Blood Raghunathpur
bank / BSU (Major) Bank-1 SDH x
Infrastructure - BEmOC
Renovation needed OT(Minor) Dist.eng
8PHC x .cell
Renovetion needed LR Major) dist.eng.
8PHC x cell
Renovetion needed Female dist.eng.
/Maernity Ward (Minor) 9PHC cell

8. R&R of Infrastructure
Unit Cost Fund
Remarks (Rs. In Proposed Proposed
Lakhs) Number (Rs.in Lakhs)
Operationalise facilities
Infrastructure-CEmOC 24.5
Renovation needed OT(Minor) 2 4 8
Renovation needed LR (Minor) 1 4 4
Renovation needed - Blood bank/BSU
(Minor) 2.5 1 2.5
Renovation needed - Blood bank / BSU
(Major) 10 1 10
Infrastructure - BEmOC 21
Renovation needed OT(Minor) 1 8 8
Renovation needed LR Major) .50 8 4
Renovation needed Female /Maternity
Ward (Minor) 1 9 9

9. Human Resource
Human Resource -
CEmOC No Where Q-1 Q-2 Q-3 Q-4 Who
CHC HR
No of G&O Required
3 level Cell
No of Aneasthetist CHC HR
required 2 level Cell
No of paediatrician CHC HR
required 3 level Cell
CHC HR
No of GDMO required
15 level Cell
No of MO/IC-Blood SD, HR
bank/BSU required 2 CHC Cell
No of LT- Blood SD,CH HR
bank/BSU required 2 C Cell
CHC,S HR
No of SN required
23 D Cell
Human Resource-
BEmOC
HR
No of GDMO required Cell
25 PHC

10. Human Resource
Unit Cost
Category (Rs. in Propose Proposed Budget
Lakhs) d No. (Rs. In Lakhs)
Human Resource - CEmOC
194.4
G&O Specialist 6 3 18
Anaesthetist 6 2 12
Paediatrician 6 3 18
GDMO 4.8 15 72
MO-BSU 4.8 2 9.6
LT- Blood bank 4.8 2 9.6
SN 2.4 23 55
Human Resource- BEmOC
120
GDMO
4.8 25 120

11. Procurement of equipments
Labour Room Where 1 2 3 Who
Delivery
38
Labour Table points
New Born Resuscitation Kit 16 PHC
Radiant Warmer 20 CHC,PHC
Oxygen concentrator ( dual port) 10 CHC,PHC
RTI/STI Service
Domestic Refrigerator 10 CHC
Micro Pippette (Multi Channel) 10 CHC
Centrifuge 4 Tube 19 CHC
ILR/per district (for r buffer HIV Rapid
District WB
Test Kit storage purpose for further 1
Store MSC
distribution as per requirement)
VDRL Shaker 19 CHC
BSU Equipment
Centrifuge 1 CHC
Binocular Microscope 1 CHC
Blood Bank Refrigerator 1 CHC
Autoclave (Vertical) 1 CHC
Rh-View Box 1 CHC
Incubator 1 CHC
AC 1

12. Procurement of equipments
Total Physical Fund
Procurement under MH Unit cost
Target Proposed
Labour Room 28.79
Labour Table 30000 38 11.40
New Born Resuscitation Kit 2000 16 0.32
Radiant Warmer 32854 20 6.57
Oxygen concentrator ( dual port) 105000 10 10.50
RTI/STI Service 3.25
Domestic Refrigerator 10000 10 1.00
Micro Pippette (Multi Channel) 1400 10 0.14
Centrifuge 4 Tube 1000 19 0.19
ILR/per district (for r buffer HIV Rapid
Test Kit storage purpose for further 40000 1 0.40
distribution as per requirement)
VDRL Shaker 8000 19 1.52
BSU Equipment 2.46
Centrifuge 27000 1 0.27
Binocular Microscope 33000 1 0.33
Blood Bank Refrigerator 100000 1 1
Autoclave (Vertical) 40000 1 0.4
Rh-View Box 1500 1 0.015
Incubator 9000 1 0.09
AC 35000 1 0.35

13. Training of Health personnel
• BEmOC- 20 Mos to be trained –State Level
• SBA- 80 Staff Nurses to be trained (1-4th Qtr)
• Comprehensive Abortion Care – 8G&O, 10MO (2nd
– 3rd Qtr)
• RTI/STI- 19MO and 19SN by 3rd Qtr.
• CEmOC-2MO-State Level
• LSAS- 2MO- State Level
• Blood Storage transfusion and Management -2MO
and 2LT – State Level
• Refresher Training of DEO on MCTS- 1batches by
2nd Qtr.

14. MH-Training
Fund
Unit No of
Activities Proposed.
cost/Batch Batches
(Rs in Lakhs)
Maternal Health Training
Skilled Birth Attendance / SBA
SBA training for SN/2nd ANM 139890 10 13.99
EmOC Training
District level TOT for G& O specialist. 83070 1 0.83
Training of MOs and staff nurse on
Early and Safe Abortion Services 60140 5 3.01
RTI / STI Training
c. Training of Medical Officers 1 0.55
55,000.00
d. Training of SNs 1 0.40
40,000.00
MCTS
Training of DEO 50,000.00 1 0.50
Total Budget 19.28

15. Schemes under MH
Janani Suraksha Yojana / JSY Unit Fund Proposed
PW
Cost (Rs. In Lakhs)
Home Delivery (Rural) 500 6798 33.99
Home Delivery (Urban) 500 942 4.71
Institutional Deliveries. (Rural) 700 20397 142.78
Institutional Deliveries. (Urban) 600 2825 16.95
Other activities (JSY) 7.94
Total Budget -JSY 206.37
Janani Sishu Suraksha Karyakram-MH
Drug & Consumablesincluding
350 30709 107.48
investigation -Normal
Drug & Consumables including
1600 7677 122.83
investigation -CS
Diagnostics including USG 200 58428 116.86
Total Budget - JSSK 347.17

16. Monitoring and supervision at
Dist Level
Remarks
Activity
Monitoring of CEmOC facilities – 4man days/month by District Officers of
Dist Level all districts
Monitoring of BEmOC facilities- 3 visits/month by District or Sub District
Dist Level level Officers
Monitoring visit to the Sub Center No of visit : 8 visits/month /Block by
by Block officials Block Officials
Monitoring visit to the Sub Center
No of visit : 8visit/month by Dist. Officer
by Dist Officials

17. Monitoring and Supportive
Supervision
No of Fund Proposed
Activities Unit cost
Visit ( Rs. In Lakhs)
Monitoring of CEmOC facilities 1000 48 0.48
Monitoring of BEmOC facilities 700 180 1.26
Monitoring visit to the Sub Center
500 1920 9.6
by Block officials
Monitoring visit to the Sub Center
1000 96 0.96
by Dist Officials
Total Budget 12.30

18. BCC
• Conduction of formative research – IEC by 1st Qtr.
• Observation of Safe Motherhood day, April 2013.
• Distribution of booklets (1-4 th Qtr)
• Hording on JSSK signage , ( by 2nd Qtr)
• Printing of SBA protocol poster etc. (by 2nd Qtr)
• Printing of Flip book (by 2nd Qtr)
• Mass Media Campaign (1-4th Qtr)
• Training of Trainer ( by 2nd qtr)
• Training of ANM ( by 2nd Qtr)
• Monitoring of IEC activities (1-4th Qtr)

19. BCC
Proposed Fund Proposed
Activities Unit cost
No ( Rs. In Lakhs)
Conduction of Formative Research -
Agency Selection ,Preparation , 5
pretesting ,Report writing )
Observation of Safe Motherhood day
20000 1 1.26
at district level
Distribution of booklets (Mobility
5000 20 1
cost)
Hording on JSSK signage at GP 30000 170 51.0
Flex on JSSK signage at Health
600 600 3.6
facility
Mass Media Campaign 25000 4 1
TOT 30000 2 .6
Training of ANM 10000 17 1.7
Total Budget 65.16

20. Any Feedback… Go ahead…