NATIONAL RURAL HEALTH MISSION, N.C.HILLS 1 District Health Society N.C.Hills. Assam
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 1
District Health Society
N.C.Hills. Assam
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 2
Chapter (1) Executive Summery:
The National Rural Health Mission seeks to provide accessible, affordable and quality health
care to the rural population especially the vulnerable sections and with a view to providing it to the
rural mass, the National Rural Health Mission (NRHM) was launched on 12th April,2005 through out
the country with special focus on 18 states including 8 Empowered Action Group (EAG) states, the
NE states, J&K, Himachal Pradesh.
Goals of the Mission
� Reduction in Infant Mortality Rate and Maternal Mortality Rate.
� Universalize access to public health services for Women’s health, Child health, water, hygiene,
sanitation, food & nutrition and universal immunization.
� Prevention and control of communicable and non-communicable diseases, including locally
endemic diseases.
� Access to integrated comprehensive primary health care.
� Population stabilization, gender and Demographic balance.
� Revitalize local health traditions and mainstream AYUSH (Indian System of Medicine).
� Integration of existing vertical health Programmes.
� Promotion of healthy life styles.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 3
Outcomes of the Mission
� Reduction in child and maternal mortality. � Universal access to the public services for food and nutrition, sanitation and hygiene and
universal access to the public health care services with emphasis on services addressing
women’s and children’s health and universal immunization.
� Preventing and control of communicable and non-communicable diseases, including locally
endemic disease.
� Access to integrate comprehensive primary health care.
� Population stabilization, gender and demographic balance.
� Revitalize local health traditions and mainstream AYUSH.
� Promotion of the healthy life styles.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 4
Chapter (2) Background :
N.C. Hills District Map :-
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 5
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 6
District at a glance :- NAME OF DISTRICT:- NORTH CACHAR HILLS.
GEOGRAPHICAL LOCATION :
Longitudes :- 92037-93017 E
Latitudes :- 25030-25047 N
GEOGRAPHIC AREA :- 4,890 Sq. Km BOUNDARIES OF THE DISTRICT :-
East :- Nagaland & Manipur.
West :- Meghalaya & Part of Karbi
Anglong.
North :- Nagaon District.
South :- Cachar & Karimganj District.
DEMOGRAPHIC PROFILE :-
Total Population (2001 census) :- 1,88,079
Urban Population :- 59,435
Rural Population :- 1,28,644 ( 68.40%)
Projected Population (upto 2010) :- 2,18,215
Density :-38 per sq.km
Sex ratio :- 884 per 1000 male
Tribal Population :- 1,57,398
Non-Tribal population :- 51,546
B.P.L. Population :- 1,08,580
B. P. L. Families :- 21,716
No. of Tea Garden :- 2
Tea Garden Population :- 812
Total No. of Villages :- 859
No. of dwelling Houses :- 49,337
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 7
TYPE OF FOREST AND ITS AREATYPE OF FOREST AND ITS AREATYPE OF FOREST AND ITS AREATYPE OF FOREST AND ITS AREA----
1. Langting Mupa Reserve Forest :- 497.55 Sq Km.
2. Krungming Reserve Forest :- 124.42 Sq Km.
3. Barail Reserve Forest :- 89.83 Sq Km.
4. Hatikhali Manderdisa proposed
Reserve Forest :- 18.06 Sq Km.
5. Panimoor Proposed Reserve
Forest :- 28.70 Sq Km.
6. Borail Proposed Reserve Forest :- 17.60 Sq Km.
7. Unclosed State Forest :- 3854.00 Sq Km.
TRIBES OF N.C. HILLS :-
Dimasa, Zeme Naga, Hmar, Kuki, Karbi, Biete, Jayantia, Hrangkhol, Khelma & Vaipheri
ADMINISTRATIVE STRUCTURE (Under Autonomous Council) :-
Council :- 1
Sub-Division :- 2
Police Station :- 4
Development Block :- 5
Mouza :- 29
Village :- 859
Major Findings :-
- Most of the area of the district is covered by hills (about 95%)
- Most of the area is also covered by forest
- 2/3 of the population is tribal population
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 8
Chapter (3)
Process for plan preparation: 3.1 The Approaches :-
NRHM gives emphasis in community participation and need based service delivery with an improved
out reach to disadvantage and vulnerable communities with a view to ensuring that the DHAP represents
the voices of the comities needs; a process of committee involvement right from the village level to
district level is encouraged.
3.2 Introductory Workshop :-
4 days workshop at SIHFW Guwahati from 10th to 13th Nov,09 (state level) for the preparation of the DHAP. Following members of the District Planning Team were present in the workshop.. •CMO(CD) •DPM •DME
•DDM
•Dpty M&EO.
Formation of District Planning Team :-
With a view to prepare the DHAP, the district planning team was formed with the following members. These members were oriented on preparation of DHAP in the District level Workshop held in district office conducted by District Health Society, dated 30th Nov,09 at the office of the joint director, Haflong.
Joint Director of Health Services, N.C. Hills - Addl. C.M. & H.O. (FW), N.C. Hills - Superintendent, Haflong Civil Hospital, N.C. Hills - District Leprosy Officer, N.C. Hills - District Malaria Officer, N.C. Hills - Dist. Programme Officer, Blindness Control Programme,N.C. Hills - Programme Officer, NTCP, N.C. Hills - District Social Welfare Officer, ICDS, N.C. Hills - All Medical Officer i/c, Block PHC, N.C. Hills - District Programme Manager, DPMSU, N.C. Hills - District Media Expert, DPMSU, N.C. Hills - District Accounts Manager, DPMSU, N.C. Hills - District Data Manager, DPMSU, N.C. Hills - Block Programme Managers, BPMSU, N.C. Hills - Block Accounts Managers, BPMSU, N.C. Hills
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 9
Chapter (4)
Situation Analysis of the District –
4.1 Profile of the District :-
Template – 1
Sl. No
Background Characteristics
District State
Number % to total Number
1 Geographic Area (in Sq. Kms)
4,890 Sq. Km 6.23% 78,438 Sq. Km
2 No. of Blocks 5 1.47% 339
3 Size of Villages (2001 census) 859 0.03% 26,247
4 No. of Towns 1
5
Total Population (2001) 1,88,079 0.71% 2,66,55,528
- Urban 59,435 13%
- Rural 1,28,644 (68.40%) 87%
6 Sex Ratio 884 935
7 Density – Per Sq. Km. 38 339
8 Literacy Rate - Male - Female
67.62 % 75.67 % 58.39 %
63.25 % 71.28% 54.61 %
9
% SC Population 1.78% 6.86%
% ST Population 68.28% 12.41%
No. of Schools 900
10 % of villages having access to safe drinking water facility
584
11 % of households having sanitation facility 12,307
12 % of population below poverty line 57%
13 No. of Primary Schools 695
14 AWW 232
Source of Data :- Census, 2001
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 10
4 .2 Public Health Infrastructure :-
Source of Data :- Office of the Joint Director of Health Services, N.C. Hills
STRUCTURE OF HEALTH INSTITUTIONS : -
1) 1 No. of District Hospital : Haflong Civil Hospital.
2) 2 Nos. of C.H.C. : i) Umrangshu Rural Hospital
ii) Maibang Rural Hospital
3) 3 Nos. of Block P.H.C. : i) Mahur P.H.C
ii) Langting P.H.C.
iii) Gunjung P.H.C
4) The PH Duty and the Urban Health Centre : Functioning as an independent reporting unit covering 6
nos. of sub centres.
5) 2 Nos. other PHC : i) Harangajao P.H.C.
ii) Diyungmukh P.H.C.
6) 2 Nos. of State Dispensary : i) Jatinga State Dispensary
ii) Dihangi State Dispensary
7) 3 Nos. of Subsidiary Health Centre : i) Laisong SHC
Template – 2
Health Facility
Number
Government Building Rented
District Hospital 1
Medical College Hospital Nil
AYUSH Colleges & Hospitals Nil
Sub District Nil
Rural Hospitals 2
UFWC Nil
CHC including Identified FRUs 2
BPHC 3
Sector PHC (other PHC) 2
Sub centre 48 17
Ayurvedic Dispensary Nil
Homeopathic Dispensary Nil
State Dispensary 2
Subsidiary Health Centre 3
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 11
ii) Boro Arkap SHC
iii) Hajaidisa SHC
7) 65 Nos. of Sub-centers :
Name of BPHC
NAME OF PHC Sl. No
NAME OF SUB CENTRE
Mahur BPHC (32 Nos.)
MAHUR PHC (19 Nos)
1 Mahur PHC FW SC
2 Lasang FW SC
3 Pangmoul FW SC
4 Toulpi FW SC
5 Borowapu FW SC
6 Asalu FW SC
7 Boroleikek FW SC
8 P. Leikul FW SC
9 Dautahaja FW SC
10 N.Sangkai FW SC
11 Hangrum FW SC
12 Hereilo FW SC
13 Tungje FW SC
14 Laisong Bagan FW SC
15 Vongzol FW SC
16 Khanglum FW SC
17 Lodikuki FW SC
18 Leiri FW SC
19 Khangnam FW SC
PH DUTY (6 Nos)
1 Digrik FW SC
2 Samparidisa FW SC
3 Riachi Bangloo FW SC
4 Borohenam FW SC
5 Songpijang FW SC
6 Bongkhung FW SC
HARANGJAO MPHC (7 Nos)
1 Dittockchera FW SC
2 Boro Moulkoi FW SC
3 Kapurchara FW SC
4 Khobak FW SC
5 Mouldam FW SC
6 Pura FW SC
7 Retzawl FW SC
Gunjung BPHC (15 Nos.)
UMRANGSU CHC (5 Nos)
1 3 km FW SC
2 Lobang FW SC
3 Langku FW SC
4 N.Sanbar FW SC
5 Thingdol FW SC
GUNJUNG PHC (5 Nos)
1 Chotowapu FW SC
2 Thanalambra FW SC
3 Amrudisa FW SC
4 Dimadaowapu FW SC
5 Baigao FW SC
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 12
DIYUANGMUKH MPHC (5 Nos)
1 Digandu FW SC
2 Diyuangmukh FW SC
3 Thaijuwari Med SC
4 Langkula FW SC
5 Diuyangbra Med SC
Langting BPHC (18 Nos)
LANGTING PHC (7 Nos)
1 Manderdisa FW SC
2 Thaijudisabra FW SC
3 Mupa FW SC
4 Maibangdisabra FW SC
5 Borolalbong FW SC
6 Hatikhali Med SC
7 Mailu FW SC
MAIBANG CHC (11 Nos)
1 Warendisa FW SC
2 Natundisa FW SC
3 Kalachand Med SC
4 Khepre Med SC
5 Thingvom FW SC
6 Pedik FW SC
7 Simtuiluong FW SC
8 Bongkai FW SC
9 Semkher FW SC
10 Noblaidisa FW SC
11 Wajao FW SC
Reporting structure :- Sl. No.
Name of Block PHC Name of PHC / CHC Name of SD / SHC
1 Gunjung BPHC
Gunjung PHC Dehangi SD
Diyungmukh PHC
Umrangso CHC
2 Mahur BPHC Mahur PHC Boro-Arkap SHC, Laisong SHC
Harangajao PHC Jatinga SD
3 Langting BPHC Langting PHC
Maibang CHC Hajaidisha SHC
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 13
Manpower :- Human Resources in the District – Template – 3
Human Resources in the District :-
UNDER JT.DHS ESTABLISHMENTUNDER JT.DHS ESTABLISHMENTUNDER JT.DHS ESTABLISHMENTUNDER JT.DHS ESTABLISHMENT
Sl
No
Name of post In position Vacant Remar
ks1 Joint Director 1 Nil
2 CM & HO (CD) 1 0
3 Superintendent 0 1 Inchar
4 SDM & HO 9 7
5 Sr.M & HO 10 12
6 M & HO-I 11 6
7 M.O. (A) 9 2
8 Homeo
Physians
4 0
9 Pharmacist
10 LHV 3 2
11 GNM 30 11
12 ANM 24 0
13 SI(PH) 4 2
14 HE 7 0
15 RHI 4 0
16 HA 7 0
17 Vacc. 12 3
18 BCG(Tech) 6 0
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 14
NRHM staff:
UNDER ADDL.C.M.& H.O ESTABLISHMENT
Sl No Name of post In
positio
n
Vacant Remarks
1 Addl.C.M.& H.O. 0 1 Incharge
2 Sr.M & HO 1 2
3 M & HO-I 2 0
4 DEMO 1 0
5 Dy.E & M.O. 2 0
6 DPHN 1 0
7 S.I. 1 0
8 BEE 3 0
9 LHV 3 3
10 ANM 69 2
11 SW 2 0
12 FW 1 0
13 Lab.Tech. 1 0
14 Projectionist 1 0
15 Computor 2 1
UNDER D.L.O ESTABLISHMENT
Sl Name of post In Vacant Remar
1 D.L.O. 0 1 Inchar
2 N.M.S. 2 0
3 H.E. 1 1
4 N.M.A. 9 0
5 L.I. 6 0
6 Physio (Tech) 1 0
7 Pharmacist 1 0
8 Lab.Tech. 1 0
UNDER MALARIA ESTABLISHMENT
Sl Name of post In Vacant Remar
1 D.M.O. 1 0
2 A.M.O. 1 0
3 S.M.I. 1 0
4 M.I. 3 0
5 S.I. 3 4
6 S.W. 23 2
7 S.F.W. 2 0
8 MPW 9 (Cont)
9 Lab.Tech. 11 2
## Field Worker 4 1
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 15
Source of Data :- Office of the Joint Director of Health Services, N.C. Hills and Office of the Addl. Chief
Medical & Health Officer, N.C. Hills
Major Findings :- i) The district is lacking of man-power in regards to Medical Officers, specially
Allopathic. ii) Also shortage of GNM / ANM
Sl
No
Name of post In
positio
n
Vacant Remar
ks
1 D.P.M 1 0
2 Specialist 1 0
3 Consultant 1 0
4 M.O.(A) 5 0
5 D.M.E 1 0
6 D.A.M. 1 0
7 D.D.M 1 0
8 B.P.M. 4 0
9 Accountant
cum ABPM
4 1
10 B.A.M. 3 1
11 D.D.S.M 1 0
12 Pharmacist 3 0
13 R.H.P. 4 0
14 GNM 12 0
15 ANM 34 0
16 ASHA 187 0
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 16
4.3 Functionality of Health Facilities in terms of Critical Staff :- Template – 4
Sl. No
Critical staff Sanctioned In
Position Vacancy
District Hospital : Haflong Civil Hospital
1 Ob & Gy Specialties 1 1 0
2 Pediatrician 2 2 0
3 Anesthesist 1 1 0
4 Specialist in RTI / STI 1 1 0
5 Pathologist 1 1 0
6 Surgeon 2 2 0
7 General Duty Doctors (Male) 5 5 0
8 General Duty Doctors (Female) 5 5 0
PHC : All the 5 PHCs having one medical officer each. Only Mahur PHC has one no of MBBS Doctors, others having Ayurbedic Physicians.
SC : 65 Nos.
No. of ANM No. of SC Remarks
12 One 34
13 Two 31 One from NRHM
each
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 17
4.4 Logistics :- Template - 5
Logistics Elements Description
Availability of a dedicated District warehouse for health department
Rented warehouse
Stock outs any vital supplies in last year
Indenting Systems (from peripheral facilities to districts)
The district is following indenting system for supply of medicines & other items. The PHC / CHC give indent to the DMS and DMS use to supply items accordingly.
Existence of a functional system for assessing Quality of Vaccine
(i)General :
Features Yes No Steps to be taken
District has storage problem L Need new building as store
Supplies received from National Health Programmes (NHPs), RCH & other state resources are stored separately
L
Separate stock registers maintained for all supplies
L
Need to recognize the logistics function in the district to streamline storage of supplies (General)
L
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 18
ii) Cold Chain System : (at District) –
Features Yes No Steps to be taken
Facilities availability (ILR, Deep-freezer, Cold box, Vaccine, Carrier)
L
Supply of vaccines to periphripherals
L
Vaccine van available. L Available, but not suitable for hills
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 19
Analysis of activities ANC Coverage :-
Name of the
Institution
Target of
Pregnant
Women
ANC 1st trimester 3 rd ANC
Cumula
tive %
Cumu
lative %
Cumu
lative %
Mahur PHC 925 242 26.16 % 121 50 % 64 26.44 %
Harangajao
MPHC
657 211 32.12 % 30 14.21 % 19 9 %
Mahur BPHC
Total
1582 453 28.63 % 151 33.33 % 83 18.32 %
Gunjung PHC 535 96 17.94 % 16 16.67 % 46 47.92 %
Diyungmukh
MPHC
846 209 24.7 % 115 55.02 % 75 35.88 %
Umrangso CHC 892 329 36.88 % 33 10.03 % 78 23.7 %
Gunjung BPHC
Total
2273 634 27.89 % 164 25.86 % 199 31.38 %
Langting PHC 579 189 32.64 % 41 21.69 % 64 33.86 %
Maibang CHC 1013 220 21.72 % 88 40 % 11 5 %
Langting BPHC
Total
1592 409 25.69 % 129 31.54 % 75 18.77 %
Haflong Civil
Hospital
800 394 49.25 % 174 44.16 % 233 59.13 %
PH Duty 429 203 47.32 % 66 32.51 % 38 18.71 %
Grand Total 6676 2093 31.4 % 684 32.68 % 628 30%
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 20
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 21
Institutional Delivery
Name of the
BPHC
Name of the
Institution
2007- 08 2008 - 09 2009- 10 (Upto
Sept'09)
Haflong Civil Hospital
908 815 392
PH Duty
2 0 0
Mahur BPHC Mahur PHC 185 225 121
Harangajao PHC
(Including Jatinga SD)
156 193 131
Gunjung BPHC Gunjung PHC 48 0 0
Diyungmukh PHC 79 72 51
Umrangsu CHC 356 323 160
Langting BPHC Langting PHC 74 118 73
Maibang CHC 126 120 61
District Total = 1934 1866 989
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 22
JSY
Name of
the BPHC
Name of the
Institution 2007- 08 2008 - 09 2009 - 10
Haflong Civil Hospital 791 733 349
PH Duty 26 0 0
Mahur
BPHC
Mahur PHC 224 225 121
Harangajao
PHC 126 166 121
Jatinga
SD 34 26 10
Gunjung
BPHC
Gunjung
PHC 40 0 0
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 23
Diyungmukh
PHC 82 72 48
Umrangsu
CHC 398 313 152
Langting
BPHC
Langting
PHC 85 118 73
Maibang
CHC 228 117 45
District Total 2,034 1,770 919
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 24
STATUS OF DISTRICT DRUG WARE HOUSE
1. District Drugs Store Manager : Yes
2. Office Assistance cum Data Entry Operator : Yes
3. Desktop PC received from Amtron : Yes
4. 500 V A Office UPS received from Amtron : Yes
5. Barcode Printer received from Amtron : Yes
6. Barcode Scanner received from Amtron : No
7. Laser Printer received from Amtron : Yes
8. Computer Table received from Amtron : Yes
9. Computer Operetor Chair received from Amtron : Yes
10. Steel Almirah received from Amtron : Yes
11. Online Data Entry in Intergrated Drug
Management system started : No
12. Rented Drug Ware House : Yes
13. Racks for storing Medicine : Not Adequate.
14. Government Vehicle for transportation of Medicine : Yes
Requirement of Furniture & Fixers for newly rented Drug Ware House :-
1. Cup Board : 5 nos.
2. Godrej Almirah : 4 nos.
3. Racks ( 8 ft) : 50 nos
4. Ladder : 2 nos
5. I.L.R : 2 nos
6. New Building for District Drug Ware House ( DDWH) ( Rented House for Ware House as specified
by Government Norms not available).
________________________________
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 25
Training Infrastructure
ANM Training Centre :-
Template - 6
Input Features Yes Steps to be taken
Physical Infrastructure
ANM Training Centre -
* Lecture halls L
* Place for training facility L
* Residential accommodation for trainers
L
* Dinning hall L
* Furniture’s L
* Safe drinking water L
* Electricity L
Sanctioned In-Position
Faculty
* PNO 1 1
* Sister Tutor 1 2
* PHN 3 2
Teaching aids * Availability of Teaching aids L
Needs teaching aids, Audio visual aids, Computer
etc. * Computer L
4.5 BCC Infrastructure :- Template - 7
Human Resources for BCC :-
* District Media Officer Available
* Dy. Media Officer Available
* District Media Expert (NRHM) Available
Training in Media Planning or material development
a) IPC training of Dist. Media Officer & District Media Expert (NRHM) in Dec'06 in Guwahati
b) TOT on BCC & IPC for (NRHM) in Feb'07
Mass Media Audio Visual Aids
* Available Digital Camera, LCD Projector
* Not available Video Camera, VCD / DVD Player / TV
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 26
4.6 Private Health Facility in the District:-
Template – 8
Private Services Facilities Number and location in case of
sub district facilities
Multi-Specialty Nursing Homes
Nil
Solo Qualified Practitioners
Practitioners from AYUSH
Approved MTP centers in Private Sector
RMPs (Less than formal qualified practitioner)
Number of nursing homes with facilities for comprehensive emergency obstetric care
Accredited centers for sterilization service
Accredited centers for IUD Services
The district is not having up to-date Private Health facilities.
4.7 ICDS Programme :-
No. of AWW : 232
Previously active participation of ICDS workers were not observed in the Programmes implemented by Department of Health & Family Welfare. But gradually, the % of involvement is increasing specially in IPPI and Immunization Weeks. Also AWW are participating in organizing Health Day.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 27
Template – 9
Sl. No
Name of the block with ICDS Programme
No. of AWCs CDPOs & ACDPOs
Supervisors AWWs AW Helpers
S F S IP S IP S IP S IP
1 Jatinga Valley ICDS Project, Mahur
84 84 1 Nil 4 4 84 84 84 84
2 Diyung Valley ICDS Project, Maibong
64 64 1 Nil 3 3 64 64 64 64
3 Diyungbra ICDS Project, Diyungbra
66 66 1 Nil 3 3 66 66 66 66
4 New Sangbar ICDS Project, New Sangbar
18 18 1 1 1 1 18 18 18 18
4.8 Elected Representative of PRIs :-
Major Findings :-
N.C.Hills district is under the Autonomous Council. The system of PRI is not available in the district.
Hence for public participation, the Goan-Burha’s of the concerned villages are involved.
4.9 NGOs & CBOs :- Template – 10 Major Findings :-
Names of MNGO Key Activities in Health / Nutrition / Community
organization F NGOs under MNGO
Gharoa MNGO
Health Care & Nutrition Family Planning , RCH activities
1. Rural area development agency. 2. Bosco reach out. 3. Paribesh Suraksha Samitty 4. Backward area development society.
Health Camp
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 28
4.10 Locally Endemic Diseases in the District :- Prevalence of Diarrhea in majority of the area in the district. Template – 11
Locally endemic disease Name of affected Blocks
Diarrhea, Malaria, RTI/ ARI, Skin Infection
Mahur, Langting, Diyangmukh, Umrangsu, Gunjung, Harangajao, Maibang
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 29
Chapter (5)
Progress made during 2005 to 2009 :
34 Nos. of ANM posted during 2006 to 2009.
• 12 Nos. of GNM posted in 2006 to 2009.
• 5 Nos.of MO ( Ayur) posted in 2007-09.
• 2 Nos.of specialist doctors posted during 2007- 09.
• Total 13 Nos. of Ambulances (8 from govt + 5 from NRHM )
• Both the CHCs for upgradation to IPHS ( going on ) during 2008-09
• Rural Health Block pooling complex at Maibang CHC going on.(2008-09)
• Construction of doctor qrt & nurse qrt at Umrangsu CHC, & Mahur PHC going on.(08-09)
• Construction of of doctor qrt & nurse qrt at Jatinga SD & Gunjung PHC going on.(08-09)
• 10 Nos. of new Sub centres constructed those were in rented house.
• Construction of 5 labour room in Gunjung PHC, Dehangi SD, Harangajao PHC completed in 2008
• and Hajaidisa in the year of 2009.
• Repairing and renovation works going on in the ANM training centre (2008-09).
• Construction of new GNM school at Haflong started.
• Gharoa as MNGO for the district selected in 2007-08.
• Health mela organized at Diyangmukh in April,07, at Hatikhali in April,08 at Umrangshu in Dec.09.
• Quarter repairing in 5PHC & in 2 CHC in 2008-09.
* Four RHP joined in 2009-10.
* Two MBBS doctors (1yr) joined in 2009-10.
* PPP for Holy Spirit Hospital, Haflong.
FUND STATUS FROM 2005FUND STATUS FROM 2005FUND STATUS FROM 2005FUND STATUS FROM 2005----09:09:09:09:
Year Fund Received Fund Utilized
2005 – 06 1,16,28,712.00 9,32,650.00
2006 – 07 2,23,36,200.00 1,28,69,852.50
2007 – 08 3,50,40,748.00 3,91,88,907.50 (Including previous
year unspent balance)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 30
2008 – 09 4,88,45,091.76 2,55,81,236.31
2009 –10 4,37,88656.00 2,26,962,67.00 (up to 31st
December’2009 including Vertical
Programme & Bank Interest)
Family Welfare Performance:
Total of the district Target Achievement
Institutional Deliveries
1934 (07-08)
1549 (08 –09 upto Dec’08)
JSY Beneficiaries
2034 (07-08)
1453 (08 –09 upto Dec’08)
Sterilization 800 49 ((08-09 Upto Dec’08)
I.U.D. Insertion 440 257 (08-09 Upto Dec’08)
C.C. Users 300 231 ((08-09 Upto Dec’08)
O.P. Users 400 371 ((08-09 Upto Dec’08)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 31
Chapter (6)
Indicative Format for current status & target :
4.10 4.10 4.10 4.10 Maternal Health Maternal Health Maternal Health Maternal Health ::::---- Template – 11
Indicators Performance
1998 – 99 2002 – 04
ANC 32.4 % 29.4 %
Full ANC 4.7 % 17.1 %
Institutional Delivery 7.8 % 7.9 %
Safe Delivery 19.4 % 13.9 %
* Source : RCH – RHS for 1998 -99 & 2002 - 04
4.11 4.11 4.11 4.11 Family Planning Family Planning Family Planning Family Planning ::::---- Template – 12
Indicators Performance
1998 – 99 2002 – 04
Unmet need 40.3 % 49.8 %
Permanent Sterilization 22 %
(2005 – 06) 14 %
(2006 – 07)
Contraceptive use 55 %
(2005 – 06) 49 %
(2006 – 07)
* Source : RCH – RHS for 1998 -99 & 2002 – 04 and Addl. CM & HO, N.C. Hills.
4.12 4.12 4.12 4.12 Child HealthChild HealthChild HealthChild Health ::::----
Template – 13
Indicators Performance
1998 – 99 2002 – 04
Full vaccination 6.9 % 1.1 %
No vaccination* 1.6 % 16.2 %
% of planned Immunization held 100% 100% Source : RCH – RHS for 1998 -99 & 2002 – 04 and Addl. CM & HO, N.C. Hills.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 32
4.13 4.13 4.13 4.13 Disease Control ProgrammeDisease Control ProgrammeDisease Control ProgrammeDisease Control Programme ::::----
RNTCP, NVBDCP, NPCB, IDSP, NLEP, NIDDCP :RNTCP, NVBDCP, NPCB, IDSP, NLEP, NIDDCP :RNTCP, NVBDCP, NPCB, IDSP, NLEP, NIDDCP :RNTCP, NVBDCP, NPCB, IDSP, NLEP, NIDDCP :----
Major Findings :- (Programme wise)
� Malaria Programme :-
Indicators Year wise Prevalence (%) Inference
API for Malaria
2004 - 12.56 %
2005 - 12.63 %
2006 – 14.91 %
Comparative shows the
increasing rate of API; i.e. more
malaria cases.
SPR :-
Slide (+)ve Rate
2004 - 10.45 %
2005 - 10.69 %
2006 – 11.39 %
It also increasing
Plasmodium Falcipaums Rate
(PFR)
2004 - 18.98 %
2005 - 19.67 %
2006 – 24.99 %
PFR is more important factors as
it is highly increasing in the
district.
Blood slide collection &
Examined
2004 - 24,408
2005 - 24,195
2006 – 27,350
Figures shows that the coverage
is increasing to meet the
treatment.
No. of FTDs Total upto Feb'07 474 against
774 villages Yet to form FTD in every villages
* Source : Office of the District Malaria Officer, N.C. Hills.
� T.B. Programme :-
Indicators Year wise Prevalence (%) Inference
%of TB suspects examined out of
the total out patients
2003 – 1.98%
2004- 1.81%
2005 – 1.63%
2006 – 1.86%
Analyzed New smear positive
(NSP) case detection Rate
2003 – 42%
2004- 44.5%
2005 – 31%
2006 – 56%
Analyzed total case detection
Rate
2003 – 83.33%
2005 – 96%
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 33
Treatment success Rate
2003 – Nil
2004 – 85.89
2005 – 86.69
2006 - 8.56
* Source : DTC, N.C. Hills.
� Blindness Control Programme :-
Programmes Target (Annual)
Achievement Quantity
NBCP (Blindness control)
1000 Cases
of Cataract
Total Cataract cases Operated (06 – 07)
No. of Teachers imparted Training (upto
Feb’07)
Total No. of Student Screened (upto
Feb’07)
Cumulative cases (1996 – 2006)
106
75
109
378
* Source : Office of the Joint Director of Health services, N.C. Hills.
� Leprosy Control : -
Indicators Prevalence Rate Inference
PR/ 10,000
2003 - 04 : 17 2004 - 05 : 12 2005 - 06 : 20 2006 – 07 : 0.72 2007 – 08 : 0.48 (upto Dec’07)
ANCDR
2003 - 04 : 0.88 % 2004 - 05 : 0.62 % 2005 - 06 : 0.51 % 2006 – 07 : 0.96 % 2007 – 08 : 0.48 % (upto Dec’07)
It is decreasing.
New Case Detection 2003 - 04 : 17 2004 - 05 : 12 2005 - 06 : 10
It is also decreasing.
New Case Detection with deformity
2003 - 04 : 3 2004 - 05 : 1 2005 - 06 : 4
NCD is reducing, but deformity case rising.
RFT
2003 - 04 : 24 2004 - 05 : 8 2005 - 06 : 17 2006 – 07 : 14 2007 – 08 : 15 (upto Dec’07)
It is also reducing.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 34
Cure Rate for per 1000
M.B.:- 2003 - 04 : 0.07 % 2004 - 05 : 0.05 % 2005 - 06 : 0.03% 2006 – 07 : 0.04 % 2007 – 08 : 0.029 % (upto Dec’07) P.B.:- 2003 - 04 : 0.01 % 2004 - 05 : 0.005 % 2005 - 06 : 0.07%
* Source : Office of the District Leprosy Officer, N.C. Hills.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 35
Components of NRHMComponents of NRHMComponents of NRHMComponents of NRHM
Components included in the District Health Action Plan:-
a) RCH II / FW
b) New Intervention under NRHM
c) Immunization
d) Disease Control / Surveillance Programmes
e) Intersectoral Convergence
PART A: RCH II
Goal : To reduce maternal mortality rate.
Objectives: To increase full ANCs coverage from 30% (HMIS) to 70%.
Strategies:
To provide quality antenatal care to all pregnant woman by increasing the access through existing
Govt. facilities.
Activities:
1)Regular ANC services at SC level including VHND.
2) Tracking of missed/left out cases by ASHA.
3) To promote ANC through MAMONI scheme.
4) SBA training for ANMs.
5) Monitoring activity to be geared up.
Strategies :To provide quality antenatal care to all pregnant woman in inaccessible
and uncovered areas.
Activities:
1.The uncovered and inaccessible areas to be identified exactly to provide ANC
coverage regularly for conducting outreach sessions.
2. ANC through MMU.
Strategies - Quality improvement of the ANC.
Activities:
1.Training of ANMs/ LHVs and Doctors and GNM on Skilled Birth Attendance (SBA)
will be done.
2. Performance to be reviewed in monthly basis.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 36
Strategies - To increase awareness amongst the mothers and communities about
the need of ANC.
Activities:
1.IEC activities for Mamoni Scheme.
2. ASHA to be involved as motivator.
3. VHND to be strengthened by monitoring.
Objectives: To increase institutional delivery to 70% from 40% (HMIS).
Strategies – Strengthening the govt.facilities.
Activities:
a). 1 BPHC, 3 SHC and 1 SD to be upgraded for 24x7 services.
b). Micro birth planning to be emphasized.
c). Posting of MBBS Doctors and staff nurses (GNM).
d). Repairing or Renovation in 3 SHC including the quarters.
Strategies - Social mobilization for institutional deliveries (Janani Suraksha Yojana)
Activities:
a. Janani Suraksha Yojana, will be continued wherein the entire pregnant woman will be given
incentives for institutional deliveries.
The payment structure will be in line to GoI guidelines, which is as follows:
b. The ASHA accompanying the pregnant woman for hospital delivery will also be given monetary
incentive under this Scheme as per GoI guidelines.
Strategies - Referral of obstetric emergencies
Activities:
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 37
a. Ambulance services with POL money to be maintained in all institutions.
b. The mothers and communities to be made aware about danger signs of pregnancy
and labour and need for referral by IEC/BCC.
Objective - To strengthen the Comprehensive obstetric care.
Strategies - To improve the comprehensive EmOC delivery in the
PHC, CHC and DH.
Activities:
a. All 5 PHC to be upgraded as per IPHS.
b. Requirement for Specialist (O&G, Pad, An,
Surgeon, Rad etc) to be fulfilled at 2 CHC and at least for
the 3 BPHC.
c. Multi skillig training of MO in Anesthesia &
EmOC to be done.
d. Maibang CHC to be upgraded to functional FRU
Objective: Ensuring safe home delivery through TBA.
Strategy: Ensuring clean delivery in home.
Activities: 1.Training of TBA in selected uncovered/inaccessible areas.
2.IEC/BCC activities for safe delivery.
Objective: To promote RTI/STI facilities.
Strategy1: Operationalize service for diagnosis & treatment at PHC,CHC & DH.
Activities: 1. To provide facilities for diagnosis & treatment at PHC,CHC & DH.
2. Laboratories to be made fully functional.
3. Training for ANM/Doctors & LT.
4. IEC/BCC for awareness about RTI/STI.
Objective: To improve safe abortion facilities & reduce unsafe abortion.
Strategy: Increase the access to safe abortion in govt.facilities.
Activities: 1. Institutions to be provided with requisite kits to provide safe MTP.
2.The doctors to be trained for MTP/MVA.
Child Health:
Goal: To reduce infant mortality rate.
Objectives: To improve new born care.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 38
Strategies: Strengthening of health institutions.
Activities:
1. New born care units to be made functional.
2. SBA training for ANM/GNM to be completed.
3. Implementing IMNCI.
Strategy 2: To increase coverage of immunization from 40% to 70%(HMIS)
Activities:-
1.Training for micro planning at SC level.
2.Registration of all birth at SC level.
3.Fixed day services at SC level.
4.Strengthening cold chain.
5.Training for ANM/vaccine holders.
6.Conducting out reach sessions.
7.Strengthening monitoring activities.
Objective : To increase the use of ORS for mgt. of diarrhea.
Strategy 1. Communication strategy by IEC/BCC.
Activities: 1.Making posters,banners etc.
2.Health talk in VHND.
Strategy 2. Making ORS & Zinc tablets available in remote areas through depot holders (ASHA).
Activities: 1.Selection of depots.
2.Regular supply of ORS.
3.ORT corners to be made functional in the PHCs & CHCs.
4.Communication strategy through IEC/BCC.
Strategy 3: Training of health functionaries.
Activities: ORS uses under IMNCI training.
Objectives - Promote early breast-feeding and exclusive breast-feeding till 6 months.
Strategies -To increase awareness amongst mothers on benefits of breast-feeding upto 6 months
and need of complementary feeding from 6 month onwards.
Activities:
1) Communication activities will be developed laying emphasis on early feeding of colostrums,
exclusive breast-feeding of 6 months and importance and preparation of complementary feeding from
6 months onwards.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 39
2) District Media Experts will have to conduct KAP studies (Knowledge, Attitude and Practice) of
the lactating mothers of the Home Delivery cases in the areas where Exclusive Breast feeding
percentage is low. After identifying the harmful practices necessary BCC activities are to be planned.
3) While attending Health Day DMEs will have to conduct counseling session with the pregnant
women and lactating mothers to promote exclusive breast feeding.
4) Village Health and Sanitation Committees may also be involved for motivating pregnant women
and lactating mothers to promote exclusive breast feeding.
5) During Health Day pregnant women and lactating mothers are to be motivated for exclusive
breast feeding
Objectives – To reduce prevalence of anemia (6-35 months) .
Strategies – : To prevent and treat anemia in children.
Activities:
a) The pregnant women and mothers will be counseled by ASHA/AWW/ANM about importance of
exclusive breast-feeding upto 6 months, importance of complementary feeding from 6 months
onwards and preparation of iron rich food. Under the present Assam Sarva Siksha Abhijan Mission
regular deworming of pre-school and school going children is being done.
b) Regular supply of IFA (s) tablets will be ensured to treat anemia.
c) Children below 6 months to 60 months will be given 20 mg. elemental iron and100 gm of
folic acid in liquid formulation.
d) Children 6-10 year old will be provided 30 mg elemental iron and 250 mcg folic acid per day
for 100 days in a year.
FAMILY PLANNING
Objectives – To meet the unmet need of contraception and increase Couple Protection Rate.
Strategies:
To raise awareness amongst the couples and communities about the
advantage of contraceptives and small family.
Activities:
Communication activities will be developed with help of AWW, ASHA, & FNGOs as per
need of the locality.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 40
Family planning counseling will be ensured by ASHA & ANMs during home visits and
VHND and also at the sub center during visit of the women for immunization, care of the children etc. to
meet the unmet need of contraception and also need of small family
Strategies - Increase the number of service delivery points.
Activities
1. ASHA and AWW will act as depot holders. All the depot holders will be
provided with wider basket of choice (OCP, ECP, and Nirodh).
• 2.The ANMs will be trained for IUCD.
• 3. Fixed day for family planning counseling at the PHC, CHC, & DH will be done during
Antenatal and Post natal Clinic day, as fixed by the respective institutions.
Strategies - Improve the service delivery to provide quality male and female sterilization.
Activities:
The DH where trained laparoscopic gynecologist is working will be considered as training centres
for laparoscopic training
Fixed day sterilization (Thursday) in the facilities once in every week in the District Hospitals.
ADOLESCENT HEALTH
Objective:
To introduce a comprehensive health initiative for adolescent.
To ensure the reproductive health and nutrition needs.
To reduce prevalence of anemia in adolescents.
Strategies:
1. Community awareness by BCC.
2. To educate and raise awareness amongst the adolescent boys and girls about human physiology,
RTI, STI, HIV/AIDS, EC and safe sex.
3. To assess service delivery by identifying institutions and also identifying counselors.
4. Required models, charts of human anatomy as teaching aids to be used.
5. A booklet will be developed on adolescent health including all the components preferably in local
languages.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 41
6. Ensure service delivery and infrastructure facility
• To prevent and treat anemia in adolescents.
• Activities:
1. Communication activities will be developed laying emphasis on normal physiology, menstrual
hygiene, use of CC, OC, EC, unwanted pregnancy, safe abortion, child marriage, various risk of
teenage pregnancy etc. to be included under IEC/BCC plan.
2. Identification of adolescent groups and numbers of organized and drop out sectors through school
health programmes and at the village level during regular home visit by ANMs by maintaining a
register.
3. Counseling sessions have to be held at regular intervals at fixed sites for both adolescent boys
and girls separately. Counseling will be provided on the health days.
4. Alolescents will be supplemented with 30 mg elemental iron and 250 mcg folic acid per day for
100 days in a year
5. Special counseling and on the spot provision of IFA tablets to adolescent girls in order to prevent
anaemia.
6. Identification of counselors- Councelors will be taken taken up from either from existing health
personnel or from NGOs
7. Arrangement of training for counselors at district level.
8. A Nodal Officer at the district level preferably be identified- preferably SDM&HO School Health
may be entrusted the job.
9. Making functional Adolescent Clinic in 3 BPHCs and 2 CHCs.
10. Training of Schoolteachers on the basic knowledge of adolescent health.
11. Adolescent Health may be combined with school health.
• URBAN RCH
For rendering services to the urban uncovered areas :
Due to scattered population pattern & hilly terrain, there is a need for urban RCH centre. Though service
delivery is going on as PH Duty including the Urban health & FW centre near the office of the Jt.DHS,
Haflong, but no financial grant is coming to the institution. It covers a huge area including slum in lower
Haflong area. All FW programmes including Immunization is going on in the centre.So the unit should be
treated as a PHC.
Objective:
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 42
· To improve the Health status of urban poor community by provision of quality integrated primary
health care services.
• Strategies - Institution strengthening through creation of health posts.
• Activities:
• 1. Creation of health posts in rented house in the urban area. These health posts will be run
by a contractual ANM. This urban post will be similar to sub centre and the work plan of the SC to
be followed by the ANM.
2. Provision for hiring vehicle for monitoring sub centres.
3. Providing maintenance and untied fund to the institution
Part B: NRHM Additionalities
Objective : To provide quality health care services to the rural population
Strategies – Strengthening Village Health and Sanitation Committees (VHSC).
Activities:
1. VHSCs have been formed (180)
2. An untied fund of Rs 10000 to be provided to all the VHSC as annual grant.
3. Also to conduct health camps so as to render the services under NRHM and to
create awareness in the community to utilize the services of ASHA. Under their
supervision and co-operation Health Day to be conducted in each AWC monthly.
Strategies – Facilitating Involvement of ASHAs:
Activities:
1. Selection and training (phase I) of ASHA has already been
completed.
2. The 1st phase of 2nd, 3rd, & 4th & 5th modules of training have been completed.
3. Also refresher training to be imparted to all ASHAs.
4. Additional ASHAs (30) to be selected.
5. Incentive for ASHAs (FII,JSY etc.) to be continued.
Objective - : To strengthen the health institutions in terms of physical infrastructure
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 43
and manpower.
Strategies - Strengthening the Sub Centers by improving the physical infrastructure,
providing maintenance fund & by providing Addl. ANMs .
Activities:
1. Untied fund of Rs.10,000.00 is to be provided to 65 SC
2. Apart from untied fund, an annual maintenance grant of Rupees 10,000 will also be
available to every SC.
3. For this year new SC are proposed to construct which are at present functioning
at the rented houses..
4. Posting of one additional ANMs (41) in each sub-centre for better service coverage .
Strategies – Strengthening the PHCs by improving the physical infrastructure, providing maintenance & untied fund & by providing Addl. Manpower.
Activities:
1. All 5 PHCs is to be provided an amount of Rs.25,000.00 per PHC as an untied fund. These untied funds will be utilized for any local health activity for which there is a demand, for example, disinfection of water, buying medicines if there is a need in times of epidemics, and other minor works. These untied fund is released to the Hospital Management Committee (HMC), being operated by the member secretary (i/c PHC) of the HMC. These funds have been utilized for the following purposes:
i. Minor repair, whitewash of the hospital building
ii. Display of logo of NRHM
iii. Cleanliness & maintenance of toilets.
iv. Water supply etc. consumables of the hospital like gloves, regents, disinfectants etc.
2. In addition an annual maintenance grant of Rupees 50,000 will be available to 5 PHCs . Provision for water, toilets, their use and their maintenance, etc, has to be priorities. This fund is released to the Hospital Management Committee (HMC), being operated by the member secretary (i/c PHC) of the HMC. These funds have been utilized for the following purposes:
i. Facelift of the hospital building
ii. Minor repairing where ever required with approval of the management committee.
iii. Hospital consumables like gloves, regents, disinfectants. Chemicals for laboratory etc.
iv. The society engaged 1 (one) sweeper @ Rs 1000.00 for the cleanliness of labour room
and hospital premises.
v. Maintenance of running water supply and toilets.
vi. Maintenance of the generator and its POL.
3. additional quarters (one for MO and three for GNMs) for PHCs which are taken up 24X7 services @ 28.80 lakh per unit
4. Provision of three GNM in each PHC.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 44
Strategies -: Strengthening the CHCs by improving the physical infrastructure, providing maintenance & untied fund &
by providing Addl. Manpower.
Activities:
1. Both the CHCs will be provided an amount of Rs.50,000.00 per CHC as an untied fund. These untied funds will be utilized for any local health activity for which there is a demand, for example, disinfection of water, buying medicines if there is a need in times of epidemics, and other minor works.
2. In addition an annual maintenance grant of Rs.1lakh will be available to 2 CHCs. Provision for water, toilets, their use and their maintenance, etc, has to be priorities
3. Physical infrastructures of CHC already under process.
4. Block pooling of quarters for medical officers. 1Cr. each for the Maibang CHC.
5. Contractual GNM required in both theCHCs, 4 GNMs per CHC (including one
PHN) @ Rs 7000.00 per month.
Strategies – Strengthening the District Hospitals by improving the physical
infrastructure.
Activities:
Physical infrastructure of the Haflong Civil Hospital should be improved by improving it to 200 bedded hospital.
Specialist doctors to be provided @ Rs 38000.00 per month.
Contractual GNM required in DH @ Rs 7000.00 per month.
Strategies - Strengthening the Rogi Kalyan Samitis / Hospital Management
Committees (HMS) by providing additional fund.
Activities:
HMC Will be provided additional fund as--
· District Hospital : 5 lakh
· 2 CHCs : 2X1 lakh= 2 lakhs.
· 5 PHCs : 5 X 1 lakh=5 lakhs
Strategies -: Organizing Health Melas
Activities:
1. These melas aim at providing quality services, with converging and integrated delivery of services for all segments of population.
2. Publicity- at least from 15 days before the start of mela through leaflets, hoarding, posters, wall writings, banners, film slides, video-vans, advertisements in newspapers.
3. Health cards to be printed locally.
4. Duty Chart of Doctors and other staff.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 45
5. An enquiry office, with duty chart of doctors and other staff with layout map should be functional at least from 3 days before start of the mela.
6.Registration counters should be in more nos. so that the crowd is spread.
Strategies - : Support to Mobile Medical Units
(MMU)/ Health Camps
Activities:
For taking the health services to the doorstep, MMU is the best approach; thereby it will be possible to reach those unserved and uncovered areas. These MMU with specialized facilities like USG, X-ray etc. to be made operational in the districts
Objective: To strengthen the health institutions in terms of waste disposal.
Strategy: Ensuring waste disposal system in the health facilities.
Activities: 1.Training to all health staff completed 2.Fund to be provided. 3. Providing materials to the Institutions 4.Monitoring & reporting to be strengthened.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 46
PART C: IMMUNIZATION
Goal : To reduce infant mortality rate.
Objectives: To increase the routine immunization coverage 40% to 70%(HMIS)
Strategy 1 :- To provide routine Immunization and Vitamin A supplementation to
all children by increasing the access to the existing govt. facilities.
Activities:
i) Registration of all birth sub centers wise to be ensured.
ii) Fixed day on every week in PHC / CHC/ Urban center and fixed day
immunization in all S/C .
iii) All the Health facilities will be provided with necessary logistic.
iv) Micro plan from SC level to District level to be prepared properly.
v) Monitoring activities to be strengthened.
vi) Training for micro planning at SC level.
Strategy 2 – Conducting immunization services session in uncovered areas.
Activities i)For all uncovered areas, additional ANM to be taken on contractual basis to provide immunization.
ii) Plan to be prepared with all logistics and fund.
Strategy 3 – To increase awareness amongst mothers & communities about
immunization & vitamin A supplement.
Activities - BCC activities will be development to raise amongst mother & communities
about need & importance of vaccines & its scheduled doses
Strategy 4 - Strengthening cold chain equipments and increase vaccine depot.
Activities
i) 3 Nos. of health centers (SHC) to be provided with Solar energy and small
refrigerator for storage of vaccine.
ii) Cold chain handler of all the Vaccine depot to be trained.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 47
DISTRICT PROFILE :
Sourch of data: adl.CM & HO ofifce
INFRASTRUCTURE & STAFFING LEVELS :
Health Staff :
Position Sanctioned Posts
In-Position Proposed Addition
Trained in last 3 - years
Medical Officers 3 1 y
LHV (Female Multi-purpose Health Supervisor)
6 3 y
Male Multi-purpose Health Supervisor
3 3 y
ANM
(Female Multi-purpose Health Supervisor)
71 71 y
Male Multi-purpose Health Supervisor
y
Contractual ANM 27 y
Contractual GNM 8
Total Population (2001) 1,88,079
Projected Population (2007) 2,09,000
Rural % 68.40%
Urban % 31.60%
Infant Mortality Rate (IMR)
Below Poverty Line (BPL) 57%
Crude Birth Rate (CBR) 20.6%
Infant / year (2007) 4,849
Pregnancies / year 5768
Sub-Divisions 2
Block 5
Gram Panchayat Nil
Villages 859
Towns / Urban Areas 1
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 48
Dedicated Immunization Staff :
Position Sanctioned Posts In Position
Proposed Addition
Trained in last
3 - years
Dist. Immunization Officer 0 0 1 To be trained (newly joined)
District Statistical Investigator 1 1 1 To be trained on RIMS
Cold Chain Mechanic 0 0 1 To be trained on non CFC
Driver (dedicated to UIP vehicles)
8 8
Cold Chain Storage Points :
Cold Storage Point Total Number
Proposed Expansion
Proposed Replacement
District Store 1 1
ILR Storage Point 12 77
Total ILR 48 9
Total Deep Freezer 32 10
SERVICE DELIVERY IMPROVEMENTS :
Outreach and Mobile Services for Uncovered Slum Areas of N.C.Hills : Government of Assam is totally committed in building healthy people, not only by making available medical facilities at the door step of every citizen in the remotest corner of the State, but also by providing medical facilities of the highest order. Partnership with other agencies / organization (e.g ICDS, etc.) UIP related training conducted in the last 3 years :
Building Sanctioned Number
Functioning
With Functional Cold Chain Equipment
Sub-Center 65 65 V.C
Add’l PHC
or PHC(N)
PHC 5 5 ILR / D.F
Block PHC 3 3 ILR / D.F
CHC 2 2 ILR / D.F
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 49
Position Numbers
DIO (Mid Level Manager) 0
Mos
LHVs 6
ANMs 121
Others
.
As per guideline laid down, outline action points for implementing delivery scheme at Dist / Block level, justifying Dist. specific deviation from the establishment norms.
Total Projected Population : 2,18,215 1-2 years = 5019
Pregnant Women Target : 6314 2-5 years = 5281
Infant Target : 5598 5 – 10 years= 5324
Vaccination Sites : 410
Sub - Centers : 65
Village ; 790
ANM / MPHW : 93
Addl. ANM : 34
SERVICE DELIVERY IMPROVEMENT:
Mobilization of Children by ASHA: For every 410 sites we have got one ASHA/Link Worker per site. Invitation Cards (IPC Slip) to be printed and distributed to ASHA/Link Worker Missed children/ drop-out children are to be mobilized /invited by ASHA/Link Worker to reduce the drop-out. Tickler Pockets are also used to identify the missed infants. Payment of honorariums (Rs. 150 / month /site). Underserved Area: Planned for immunization sessions in urban slum areas / underserved areas of 118 sites by deputing ANM/ hired ANM. Rs.300/-as Honorarium and Rs. 50/- as contingency are to be paid to ANM for holding the session. In addition Rs.500/- per site to be provided for Alternate Delivery of Vaccine/Mobility of vaccinators.. Hard to Reach Area/ Unreached area :Difficult & hard to reach areas will be covered by Mobile-Team.. (i) Rs. 1000/- per site pm is to be provided for Alternate Delivery of Vaccine and mobility of Team.(ii) Rs. 300/- to be provided to Vaccinator and Rs. 50/- as organizational cost.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 50
RECENT PERFORMANCE : YEAR : 2006- 07
ANTIGEN TARGET ACHIEVEMENT %
BCG 6267 4498 72%
DPT-1 6267 4690 75%
DPT-2 6267 4226 68%
DPT-3 6267 4003 64%
OPV-1 6267 4690 75%
OPV-2 6267 4226 68%
OPV-3 6267 4003 64%
Measles 6267 3849 61%
Fully Immunized 6267 4565 73%
TT-1 6893 3195 46%
TT-2+ Booster 6893 3112 45%
Session planned/Held 3132 2937 94%
YEAR : 2007- 08
ANTIGEN TARGET ACHIEVEMENT %
BCG 4849 4259 88%
DPT-1 4849 4140 85%
DPT-2 4849 4126 85%
DPT-3 4849 3969 82%
OPV-1 4849 4140 85%
OPV-2 4849 4126 85%
OPV-3 4849 3969 82%
Measles 4849 4103 85%
Fully Immunized 4849 3803 78%
TT-1 5768 4397 76%
TT-2+ Booster 5768 4392 76%
Session planned/Held 3132 2443 78%
YEAR : 2008-09
ANTIGEN TARGET ACHIEVEMENT %
BCG 4945 5470 111%
DPT-1 4945 5396 109%
DPT-2 4945 5240 106%
DPT-3 4945 5095 103%
OPV-1 4945 5396 109%
OPV-2 4945 5240 106%
OPV-3 4945 5095 103%
Measles 4945 4360 88%
Fully Immunized 4945 4069 82%
TT-1 5884 4238 72%
TT-2+ Booster 5884 4465 76%
Session planned/Held 3636 3058 84%
14
YEAR : 2009-10(April’09TO June’09)
ANTIGEN TARGET ACHIEVEMENT %
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 51
BCG 5598 902 16%
DPT-1 5598 817 15%
DPT-2 5598 829 15%
DPT-3 5598 791 14%
OPV-1 5598 817 15%
OPV-2 5598 829 15%
OPV-3 5598 791 14%
Measles 5598 638 11%
Fully Immunized 5598 619 11%
TT-1 6314 859 14%
TT-2+ Booster 6314 770 12%
Session planned/Held 4920 909 18%
FULLY IMMUNIZATION PERFORMANCE FOR THREE YEARS (2006-07, 2007-08
, 2008-09,2009-10 (UP TO JUNE’09)
Sl.
No INSTITUTIONS
FULLY IMMUNIZATION PERFOMANCE
2006-07 2007-08 2008-09
2009-10
(Upto
June’09)
1 URBAN CENTRE 762 676 669 133
2. MAHUR PHC 863 729 656 73 3. CIVIL HOSPITAL 146 164 184 28 4. LANGTING PHC 439 423 354 73 5. MAIBANG CHC 646 602 632 74 6. GUNJUNG PHC 315 485 260 22 7. DIYUNGMUKH PHC 470 447 336 61
8. UMRANGSO CHC 473 388 480 57 TOTAL
4114 3914 3571 521
BCC/IEC Action Plan for the 2010-11
District Level Activities:
1) Training Programme: Quarterly awareness training on general diseases with special emphasis on Family
Planning Immunization to imparted to the HE, BEE & LHV for two days at the HQ of the district- Resource
Person: DMO. DME & DyEMO, Joint Director of Health services. Rs.10,000/- per training x 3= Rs.30,000/-
Block Level Activities: HE, BEE & LHV alongwith NGO to disseminate health related messages in the Health
Awareness Camp where health services will be providing to the mass in the villages and audio visual through LCD
projector will be shown to the public.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 52
A).The HE,BEE & LHV will visit schools on School Health Days of the block first on Friday were health
awareness topic will be imparted to the pupil accordinglyJ primary section J ME, J High School topic will be
selected according to section nature of diseases prevailing in the district or local area. Audio Visual will be shown
to the students through LCD projector on health on Adolescent Health Routine Immunization, Safe Drinking
Water, Sanitation and leaflet will be distributed on the same topic.
Per Block HE will maintain records Rs. 2000/-will be utilized to perform the task.3x2000=6000 per
B). ANM, ASHA & BPM will conduct Health camps sensitize the villagers with Audio visual Aid on health.twice
a month on Wednesday.2x12=24No’s @300x24=Rs.7200/-
Budget for both Dist. & block Training Rs.43,200/-
3). Micking: Micking will be done a twice a month at the block market on general health or diseases pro to district
i.e, Malaria, Diarrhoea & JSY& Immunization local dialect. Per block Rs.500x2=Rs.1000/- will be utilized, BEE
will maintain register for holding the same.
Budget for Micking@3000x12=Rs.36,000/-
4). IEC Fare: IEC fare will be done once a year held at the block in the between September to
Nonember.Rs.70,000 x3=21,0000 will be spent.
Budget forIEC fare70,000 x3=Rs.2,10,000/-
5).). Information Board: Information Board 2x4sq ft printed on flex Family Planning at each Health Centre/Sub
Centre, Railway Stations, Bus Stand and Schools 30 per block.
30x3=90 Nos @2500=Rs225000/-
Budget for Information Board @2500x90=Rs.2,25,000/-
6). Hoardings: Hoardings 5x10sq ft. has to erected at the near the village bus stand an local dialect
BPM will take responsibility. 5 hoardings for each block.@ 12,000/- x5= Rs.60,000x3=Rs1,80,000/-
Budget for Hoardings 60,000x3=Rs.1,80,000/-
7) Drama& Street: On Tribal festival occasion drama will be conducted where on health related issue drama will
be played especially JSY,Immunization, Malaria,Diarrhoea, Family Planning.
Block level village of different Ethnic tribe of the district- 3 per block x3= 9 No’s.
@20,000 per blockx3=Rs.60,000/
Budget for Drama& Street @20,000x3=Rs.60,000/-
8). Airing on health awareness: Folklore to relayed form AIR Station Haflong in traditional Dialect having a
separate chunk in the programme schedule at least twice a week between 6pm to 9pm or awareness of on health in
programme schedule of in local Dialect. 2x12=24 times.@ 1,000x10=Rs.10,000/-.
Budget for airing and recording of artist per artist @1,000x10=Rs.10,000/-
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 53
9). Leaflet & broacher: Leaflet on JSY, Immunization, Malaria,Diarrhoea, Family Planning and information
broacher on facilities available in the District Hospital, PHC,CHC, SD.SHC and SC and other facilities in
connection to malaria, DOTS and other vector borne diseases. @30,000per block x 3= Rs.90,000/-
Budget for leaflet& 10). Documentation of Health related activities: All health related activities will be document in print and
electronic. BPM will be asked to document the activities at the block level. For which fund will be provided @
30,000/- per block x 3= Rs. 90,000/-.
11). News letter: News letter quarterly from the district @30,000x3=Rs.90,000/-
IEC/BCC Grant Total Budget for the year 2009-2010 is Rs.9,0000/-(Nine Lakhs only)
Supervision and Monitoring : ..
At Dist. Level Addl.CM&HO, DIO and other Dist.level Officers will monitor the Immunization Programme.. At Block PHC level Sr.Medical Officer will look after the Immm.programme and supervise the activity. In addition LHV, BEE, Multi-purpose Worker wii supervise the activity in 4 sites per month. VACCINE DELIVERY Dist. To PHC : As per Vaccine distribution route map, Vaccine will distribute from Dist.to PHC/CHC level cold-chain pt. by vehicle covering 3 PHCs per trip for one month.. For our District which is a hilly district we need 4 four wheel drive vaccine Van (TATA Mobile) . Also these Health Institutions viz.Laisong SHC,Boro-Arkap SHC & Hajadisa SHC Have no electric power supply hence for storage of vaccine and proper maintenance of cold chain Solar system fridge is required. Review Meeting District Level: Quarterly Review Meeting for MOs, ICDS, CDPO, BPM to be organized at District Level. The proposed fund provision is Rs. 100/- per participant.
PHC Level:
For quarterly feedback from ASHA and ANM, PHC level meeting to be organized quarterly..50/- per participants and Rs.25 for refreshment.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 54
PART D : NDCP & Surveillance : - The following vertical programmes are implemented through National Disease Control
Programme -
1. Revised National Tuberculosis Control Programme (RNTCP)
2. National Vector Borne Diseases Control Programme (NVBDCP)
3. National Leprosy Eradication Programme (NLEP)
4. National Blindness Control Programme (NBCP)
5. National Iodine Deficiency Disorder Control Programme (NIDDCP)
6. Integrated Disease Surveillance Project (IDSP)
7. HIV / AIDS
1.National Vector Borne Diseases Contro Programme (NVBDCP)
DISTRICT BOUNDARY= EAST: NAGALAND & MANIPUR
WEST: MEGHALAYA & PART OF
KARBI ANGLONG.
NORTH:- NAGAON DISTRICT.
SOUTH:- CACHAR 7 KARIMGANJ
DISTRICT.
DENSITY:- (A) POPULATION (PER SQ. K.M.) :- 38
(B) NUMBER OF SUB-DIVISION :- 2
© NUMBER OF POLICE STATION :- 4
(d) NUMBER OF DEVELOPMENT BLOCK :- 5
TYPE OF FOREST AND ITS AREA:-
1. Langting Mupa Reserve Forest.:- 497.55 Sq K.M.
2. Krungming Reserve Forest :-124.42 ,,
3. Barail Reserve Forest :- 89.83 ,,
4. Hatikhali, Manderdisa :- 18.06 ,,
5. Panimur propose reserve :- 28.70 ,,
6. Brail propose Resrve Forest :- 17,60 ,,
7. Unclassed state Foresr:- :- 3,854.00 ,,
GEOGRAPHICAL LOCATION OF DISTRICT:-92æ%37 - 93æ% 17 E Longitudes & 25æ%30 - 25æ% 47 N Latitudes.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 55
TRIBE OF DISTRICT:- (1) Dimasa, (2) Zeme Naga, (3) Hmar,
(4) Hrangkhol (5) Kuki, (6) Biete, (7) Jayangtia,
(8) Khelma (9) Karbi (10) Vaiphei.
BASIC INFORMATION:- 1. DISTRICT POPULATION:-
1. District Population :- 2,23,554.
2. Total Villages :- 792.
3. Total No.of Dwelling House :- 54,912.
4. Total No.of TEA Garden :- 2
5. TEA Garden Population :- 930
6. Tribal Population :- 1,64,095
7. Total No.of BPL Population :- 1,15,220
8 Total No.of BPL Families :- 23,684
9. Total No.of High Risk Population:- 1,92,326.
2. PUBLIC PRIVATE PARTNERSHIP:-
1. ARMY :- 1 (One)
2. C.R.P.F. :- 1 (One)
3. Assam Rifles :- 1 (One)
4. NGOs District level :- 2 (Two)
5. No.of Development Block :- 5 (Five)
6. No.of F.B.O :- 1 (One)
7. No.of Council M.A.C. :- 26
3. HEALTH INFRASTRUCTURE:-
1. Medical College :- Nil
2. Civil Hospital :- 1 (One)
3. Community Health Centre :- 2 (Two)
4. Total No.of P.H.C. :- 5 (Five)
5. Total No.of S. H. C :- 3 (Three)
6. No. of Mini P.H.C. :- Nil
7. No.of State Dispensary :- 2 (Two)
8. No.of F.W. Sub-Centre :- 65 (Sixty five)
1. MEDICAL OFFICER (STATE):-
1. Medical Officer State :- 35
2. Medical Officer (Others) :- 8
3. Medical Officer (A) :- 11
4. Homeopatic M.O :- 4
5. District Malaria Officer :- 1 (One)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 56
6. Para Medical :- 1 (One)
7. Lab. Technician (Trained) :- 16
8. Lab.Technician (Un Trained) :- 10
9. Non Govt. Technician :- Nil.
5. NO. OF FEVER TREATMENT DEPOT CENTRE:-
1. No.of F.T.D Functioning :- 474 Centre
2. No.of F.T.D. Projected :- 375 ,,
3. No.of F.T.D. in remote and
inacessable areas :- 225 ,,
4. No. of A.S.H.A= :- 187 Nos.
STAFF POSITION OF DISTRICT MALARIA ERADICATION OFFICE,
HAFLONG/2009.
Sl Name of Post Sanctioned Position Vacant.
1 District Malaria Officer 1 1 Nil
2. Assistant Malaria Officer 1 1 -
3 Accountant 1 1 -
4. Uper Division Assistant 1 1 -
5. Store Keeper 1 1 -
6. Senior Malaria Inspector 1 1
7. Malaria Inspector 3 3 -
8. Surveillance Inspector 7 4 3
9. Surveillance Worker 26 26 -
10. Mechanic 1 1 -
11 Laboratory Technician 13 12 1
12 Driver 2 2 -
13 Superior Field Worker 2 2 -
14. Field Worker 5 4 1
15. Office Peon 2 2 -
16. Van Cleaner 2 1 1
17. Chowkidar 2 2 -
18 Sweeper 1 1 -
Note= Necessary required for:-
1. 1 (One) post create of L.D.Assistant (Technical)
2. 1 (One) post of Computer Assistant.
3. Increasing of Surveillance Worker existing 26 S.W is not sufficient due to
increasing of population day by day.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 57
ANNUAL REQUIREMENT OF ANTI MALARIAL DRUG-2010-11.
Sl Name of Drugs Requirement.
1 Tab. Chloroquine 5,00,000 Tabs
2 ,, Paracetamol 4,00,000 ,,
3 ,, Primaquine 7.5 Mg 3,00,000 ,,
4 -do- 2.5 mg 2,00,000 ,,
5 ,, Quinine Sulphate 50,000 ,,
6 Syp. Chloroquine 5,000 Bottles
7 ,, Paracetamol 5,000 ,,
8 ,, Quinine Sulphate 3,000 ,,
9 Inj. Quinine Dihydrochloride 2 ml 5,000 Amles
10 ,, E-Mal- 2 ml 4,000 ,,
11 ,, Diclofenic Sodium 2,000 ,,
12 ,, D.N.S Syline 5,000 Bottles
13 ,, P.D. 5% Syline 5,000 ,,
14 I.V Sets 10,000 Nos
15 Cotton 1,000 Rolls
16 Microscope 13 Nos
17 Sprit Swap 3,00,000 ,,
18 Pricking Needle 3,00,000 ,,
19 Liquid Parafin 100 Bottles
20 Slide Box (Plastic) 5,000 Boxes.
21 Hand Compression Pump 50 Nos
22 Stirup Pump 20 ,,
23 Bucket 50 ,,
24 Mug 100 ,,
25 Fogging Machine 3 ,,
26 K.Othrine 1,000 Bottles
27 R.D.Kit 5,000 Nos
28 Malathion 30 Litres.
29 J.S.B. – I & II 2,000 Bottles
30 Disposable Syringe 5ml 1,00,000 Nos.
REQUIREMENT OF I.E.C. MATERIALS.
A. Requirement of Malaria Poster In different local language:-
1. Poster 10,000 Nos @ Rs.3/- =Rs.30, 000.00
B. Leaflet in Local Dfferents languages as follows:- 1. Dimasa Language 20000 copies @ Rs.1.00= Rs.20,000.00
2. Zeme Naga ,, 10000 ,, ,, =Rs.10,000.00
3. Hmar ,, 10000 ,, ,, =Rs.10,000.00
4. Kuki ,, 10000 ,, ,, =Rs.10,000.00
5. Hrangkhol ,, 5000 ,, ,, =Rs. 5,000.00
6. Biete ,, 10000 ,, ,, =Rs.10,000.00
7. Khasia ,, 5000 ,, ,, =Rs. 5,000.00
8. Karbi ,, 5000 ,, ,, =Rs. 5,000.00
9. English ,, 30000 ,, ,, =Rs.30,000.00
Total:- =Rs.1,05,000.00
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 58
C. Booklet in Local different languages as follows:-
1. Dimasa ,, 20000 Copies @ Rs.15/- =Rs.3,00,000.00
2. Zeme Naga 20000 -do- =Rs.3,00,000.00
3. Hmar ,, 10000 -do- =Rs.1,50,000.00
4. Kuki ,, 10000 -do- =Rs. 1,50,000.00
5. Hrangkhol 5000 -do- =Rs. 75,000.00
6. Biete ,, 10000 -do- =Rs.1,50,000.00
7. Khasia ,, 5000 -do- =Rs. 75,000.00
8. Karbi ,, 5000 -do- =Rs. 75,000.00
9. English ,, 30000 -do- =Rs.4,50,000.00
Tota l:- Rs.17,25,000.00
D. F.T.D Sign Board size 1x1½ (including wooden Frame) @ Rs.500/-
No.of required 500 Numbers =Rs .2,50,000.00
E. Hoarding size 20x10 @ Rs.29,100/-, Nos of Required 50 Nos.
=Rs,14,55,000.00
F. Wall Writing size 6x4 @ Rs.700/-, Nos of required 500 Nos.=Rs. 3,50,000.00
G. Advertisement for local daily news =Rs. 15,000.00
Total:- =Rs.20,70,000.00
Grand Total:- Rs.39,30,000.00
TRAINING
A. Training on Malaria for NGOs/Club/ASHA/AWW= 40 Nos. Training Camp Per Camp 30
participants for 2 days.
1. T.A. for Trainers (Lumsum) =Rs. 16,000.00
2. D.A for trainers per Head Rs.100/- for 2 days =Rs. 6,000.00
3. Honorium for Resource person 3x200 per day =Rs. 1,200.00
4. Helper 2 person x 100 =200 x 2 days =Rs. 400.00
5. Refreshment per members Rs.65x 40x 2 days =Rs. 5,200.00 (Including TEA, Lunch etc).
6. Cost of Pen ,Note Book =Rs. 1,200.00
7. Training Materials i.e Banner,Marker Pen etc =Rs. 1,000.00
8. POL Money (Lumsum) =Rs. 3,000.00
Total:- Rs.34,000.00
Grand Total Rs. 34,000/- Per camp X 40 Training Camp = Rs.13,60,000.00
B. Training of Health worker Male & Female 3 Camps of 30 perticipants
for 2 days= Fund required as above mention Rs.34,000/-x 3 camps =
Rs.1,02,000.00
(Total Fund required for 43 training camps Rs.14,62,000.00)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 59
MALATHION FOGGING OPERATION AS FOLLOWS:-
1.Place of Operation:-1, Haflong Town, 2. Maibong,
3. Umrangso.
(A) Haflong Town Area. (I) Malathion require :- 20 litres.
(II) Disel Oil 400 litre for fogging machine
@ Rs. 36/- per litre =Rs. 14,400.00
(III) Petrol Oil 100 litres for fogging
machine starting @ Rs.55/- =Rs. 5,500.00
(IV) Tourch Cell Battery Rs. 800.00
(VI Cost of Plastic Gallon 10 litre
capacity @ Rs.100/-per No .=Rs. 200.00
(VI) Disel Oil for Vehicle used
300 litres @ Rs.36/- per litre = Rs. 10,800.00
(VII) Labour charges = Rs. 5,000.00
(VIII) Miselaneous expences if any required
at fogging time= Rs. 10,000.00
Total:- Rs. 46,700.00
Maibong Town area .
(I). Requirement of Malathion 10 litres
(II). Disel Oil 200 litres for Fogging Machine @ Rs.36/- per litre:-Rs. 7,200.00
(III). Petrol Oil 50 litres for fogging starting @ Rs.55/- per litre= Rs. 2,750.00
(IV). Tourch Cell BAttery:- Rs. 500.00
(V). Disel Oil 150 litres for Vehicle @ Rs.36/- per litre:- Rs. 5,400.00
(VI) Labour charges:- Rs. 3,000.00
(VII). Hire of Vehicle charges @ Rs.1500/- per for 10 days:- Rs 15,000.00
(VIII). Cost of material for fogging operation time:- Rs. 5,000.00
Total:- Rs.38,850.00
3. Umrangso Town Area.
(I). Requirement of Malathion 10 litres
(II). Disel Oil 200 litres for Fogging Machine @ Rs.36/- per litre Rs. 7,200.00
(III). Petrol Oil 50 litres for fogging starting @ Rs.55/- per litre= Rs. 2,750..00
(IV). Tourch Cell BAttery:- Rs. 500.00
(V). Disel Oil 150 litres for Vehicle @ Rs.36/- per litre:- Rs. 5,400.00
(VI) Labour charges:- Rs. 3,000.00
(VII). Hire of Vehicle charges @ Rs.1500/- per for 10 days:- Rs. 15,000.00
(VIII). Cost of material for fogging operation time:- Rs. 5,000.00
Total:- Rs.38,850.00
(Grand Total Rs. 1,24,300/- Ruppes One Lakh twenty four thausand three hundred) only.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 60
1st ROUND D.D.T. SPRAYING COMPLETION REPORT OF N.C.HILLS DISTRICT
FOR THE YEAR 2009.
Sl.
No.
Name of
PHC
Populatio
n
Date of
Village
Town
Population
Commence
ment
Completion Tar
gete
d
Co
ver
ed
Tar
get
ed
Co
ver
ed
Targete
d
Attemp
t
Target
Covered
%
1. Mahur 33,729 15/02/2009 30/04/2009 126 39 - - 33,729 33,729 8,780 25%
2. Langting 55,121 15/02/2009 30/04/2009 229 68 1 1 55,121 55,121 20717 38%
3. Gunjung 11,803 15/02/2009 30/04/2009 59 42 - - 11,803 11,803 9172 78%
4. Harangajao 68,951 15/02/2009 30/04/2009 208 121 1 1 68,951 68,951 41432 60%
5. Diyungmuk
h
53,950 15/02/2009 30/04/2009 170 69 - - 53,950 53,950 23101 43%
District:- 2,23,554 15/02/2009 30/04/2009 792 339 2 2 223554 223554 103202 46%
Human dwelling Room D.D.T.
50%
Consumed
Per
Capita
consumed
in grams
Number of
squad
No. of
days
consumed. Targe
ted
Attempt
Target
Cover
ed
%
Targeted Attempt
Target
Covered
%
Sanc
tione
d
utili
sed
7937 7,937 1,757 22% 12,781 12,781 4146 32% 673 Kgs. 76.75
grams
1
1
450 days
13545 13545 3,547 26% 25,065 25,065 9,122 36% 1557 Kgs 75.15
Grams
2
2
900 days
3520 3520 2,705 77% 5,347 5,347 4,156 78% 690 Kgs 75.22
Grams
1
1
450 days
14547 14547 11603 80% 42,994 42,994 27,995 65% 3123 Kgs 75.37
Grams
4
4
1,800
days
15366 15366 7,412 48% 30,672 30,672 11,471 37% 1744 Kgs 75.49
Grams
2
2
900 days
54915 54915 27024 49% 1,16,859 1,16,859 56,890 49% 7,787 Kgs 75.45
Grams
10
10
4500 days
N.B.:- 1. Insecticide Balance in Hand before starting of Spray :- 7,392 Kgs.
2. Insecticide received during 1st Round :- 30,000 Kgs.
3. Expenditure during 1st round :- 7,787 Kgs.
4. Balance in Hand :- 29,605 Kgs.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 61
2nd
ROUND D.D.T. SPRAYING COMPLETION REPORT OF N.C.HILLS DISTRICT FOR
THE YEAR 2009.
Sl.
No.
Name of
PHC
Populatio
n
Date of
Village
Town
Population
Commenc
ement
Completio
n
Targe
ted
Cover
ed
Tar
get
ed
Co
ver
ed
Targeted Attempt
Target
Covered
%
1. Mahur 33,729 18-05-09 31-07-09 126 38 - - 33,729 33,729 11,586 34%
2. Langting 55,121 18-05-09 31-07-09 229 63 1 1 55,121 55,121 24,347 44%
3. Gunjung 11,803 18-05-09 31-07-09 59 39 -- -- 11,803 11,803 7,869 67%
4. Haranga
jao
68,951 18-05-09 31-07-09 208 89 1 1 68,951 68,951 46,857 68%
5. Diyungm
ukh
53,950 18-05-09 31-07-09 170 88 -- -- 53,950 53,950 23,469 43%
District:- 2,23,554 18-05-09 31-07-09 792 317 2 2 2,23,554 2,23,554 1,14,128 51%
Human dwelling Room D.D.T.
50%
Consumed
Per
Capita
consu
med in
grams
Number of
squad
No. of
days
consumed. Targeted Attempt
Target
Covered
%
Targeted Attempt
Target
Covered
%
Sanc
tione
d
utili
sed
7,937 7,937 2,083 26% 12,781 12,781 4,512 35% 881
Kgs.
76 gm 1 1 450 days
13,545 13,545 5,055 37% 25,065 25,065 11,890 47% 1844 Kgs 75.73 2 2 900 days
3,520 3,520 2,515 71% 5,347 5,347 3,736 70% 598 Kgs 75.99
Grams
1 1 450 days
14,547 14,547 10,196 70% 42,994 42,994 28,516 66% 3544 Kgs 75.63
Grams
4 4 1,800
days
15,366 15,366 6,578 43% 30,672 30,672 9,673 31% 1779 Kgs 75.80
Grams
2 2 900 days
54,915 54,915 26,427 48% 1,16,859 1,16,859 58,327 50% 8646 Kgs 75.75
Grams
10 10 4500 days
N.B.:- 1. Insecticide Balance in Hand before starting of Spray :- 29,605 Kgs.
2. Insecticide received during 2nd
Round :- NIL
3. Expenditure during 2nd
round :- 8646 Kgs.
4. Balance in Hand :- 20,959 Kgs.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 62
P R O F O R M A-B
PLAN OF SPRAY OPERATION FOR THE YEAR-2008-09 BASED ON STRATIFICATION OF AREAS BASED ON
SECTION-WISE API GROUPING
SPECIAL EPIDEMIOLOGICAL STATUS & GEOGRPHICAL LOCATION AS PER (MPO).
1. Name of District:-N.C.Hills 2.Total Population of the district as per 2008 NVBDCP Census=2, 19,361 Area:-Under East while attack/Consolidation & maintenance phase.
Total
No.of Phc
in the
District
No.of
PHC,s
involved
in DDT
spray.
Total
No.of
Section of
the
District.
Total No.of
Population of the
district as per 2006
NVBDCP
Surveillance
Census.
Nos of population of the District on the basis of API grouping (as was prepared earlier).
API below-2 API 2-9 API 10-19 API 20 & above.
Sub-
Centre
Populatio
n
Sub-
Centre
Populatio
n
Sub-
Centre
Populatio
n
Sub-
Centre
Population
5 5 26 2,19,361 7 17973 37 107832 23 41902 10 51654
Nos.of Sub-Centre wise & Population targeted for DDT spray 2008-09 in the basis of Section wise
API grouping special Epidemiological status & geographical. Requirement of spray squads for 2010-11 spray
API Below -2 API 10-19 API 20 above Total target for 2010 At the rate of 52
squads per million
population (SFW-
52) FW-260 per
million population.
Actual
requirement
based on out
put per local
need.
Sub-
Centre
Populati
on
Sub-
Centre
Population Sub-
Centre
Populati
on
Sub-
Centre
Populati
on
Sub-
Centre
Populati
on
7 17973 37 1078342 23 41902 10 51654 70 201388 10 Squad 20 Squad
Requirement of DDT spray Pumps etc.for 2010 -11. spray. Position of stirrup & H.C. Pumps.
Requirement of
DDT 50% @ 150
M.T per million
population for two
round
Stock balance in
hand as on 31-10-
09 (in Kgs) i.e
carried over to
2010.
Consignment due
to received against
alloted for 2009-
10.
Further
requirement
DDT
(Excluding
balance Stock)
Requirement of
Stirup @ 2 H.C
@ 3 per squad.
No.of
Serviceable.
No.of
reparrable.
Further
requirement
30 MT
20959 Kgs.
Nil
10 M.T
ST
H.C
S.T
H.C
S.T
H.C
S.T
H.C
-
60
-
36
-
87
-
50
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 63
Sub-Centre wise API from 2007 to 2008 Indicated
the highest
API Sub-
Centre for
2007-08
Sub-Centre wise API from 2007 to 2008 Indicated the
highest API
Sub-Centre
for 2007-08
Sl Name of Sub-Centre 2007 2008 Sl Name of Sub-
Centre
2007 2008
1.
2.
3.
4.
5.
6.
7
8
9.
10.
11.
12.
13.
14.
151
6
Kapurchera
Boro Muolkoi
Muoldam
Khobak
Ditokchera
Harangajao PHC
Songpijang
Digrik
Rachibanglo
Buangkung
Boro Chenam,
Sampharidisa
Haflong Urban Pura,
Retzol
Jatinga S.D.
08.55
08.32
06.35
05.13
05.75
46.49
02.00
06.47
03.26
10.22
05.18
02.15
12.80
09.52
04.44
04.65
01.22
08.76
09.16
08.67
10.70
18.05
02.51
03.21
03.63
10.76
11.25
03.80
06.69
11.62
06.18
02.37
08.55
08.76
09.16
08.67
10.70
18.05
02.51
06.47
03.63
10.76
11.25
03.80
12.80
11.62
06.18
04.65
1
2
3
4
5
6
7
Choto Wapu
Thanalambra
Gunjung PHC
Dimadao Wapu
Dihangi
Baigao
Amrudisa
05.25
16.26
30.65
11.08
20.23
04.63
11.78
02.60
04.08
02.45
05.41
05.34
04.56
03.42
05.25
16.26
30.65
11.08
20.23
04.63
11.78
1
2
3
4
5
6
7
8
9
10
11
Digendu
Langkula
Thaijuari
Diyungmukh PHC
3 Kilo
Umrangso CHC
Longku
Lobang
DiyungmukhF.W
New Sangbar
Thingdol
07.66
03.32
01.00
64.79
26.72
19.78
04.80
16.70
05.02
05.16
10.83
34.11
18.67
34.97
62.88
28.94
28.93
20.49
26.69
29.66
02.33
05.94
34.11
18.67
34.97
64.79
28.94
28.93
20.49
26.69
29.66
05.16
10.83
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Laisong Bagan
Tungje
Hangrum
Tualpui
Dautohaja
Vongzol
Khonglung
Boro Leike
P.Leikul
Lasang
Asalu
Pangmual
Boro Wapu
Khangnam
Hereilo
Lodi Kuki
N. Songkai
Leiri
Boro Arkap
Mahur PHC
Mahur FW
Laisong SHC
05.25
32.63
01.17
03.92
04.12
-
00.75
25.00
38.56
32.09
32.09
43.66
20.03
09.70
02.11
04.95
06.76
06.60
06.50
10.63
39.85
03.61
06.88
13.16
03.12
05.77
04.99
06.47
03.71
17.97
16.30
13.52
04.47
19.27
15.31
09.61
10.41
11.43
11.64
08.85
09.98
13.31
17.85
06.63
06.88
32.63
03.12
05.77
04.99
06.47
03.71
25.00
38.56
32.09
32.09
43.66
20.03
09.61
10.41
11.43
11.64
08.85
09.98
13.31
39.85
06.63
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Lalbong
Thaijudisabra
Mailu
Langting
Landerdisa
Hatikhali
Maibongdisabra
Mupa
Wajao
Thingvom
Wadrendisa
Noblaidisa
Pidik
Notundisa
Maibong CHC
Bongkhai
Simtuilung
Semkhor
Khepre
Kalachand
Hazadisa
20.90
12.53
04.90
17.83
08.57
02.54
13.78
06.21
01.77
03.36
01.52
01.14
03.93
03.52
05.06
04.11
03.13
01.52
03.66
11.29
01.44
13.43
11.46
05.22
26.58
09.17
02.87
12.06
06.11
00.81
04.38
01.49
01.13
03.86
02.89
03.61
02.68
03.07
01.50
03.55
01.01
01.14
20.43
12.53
05.22
26.58
09.17
02.87
13.78
06.21
01.77
04.38
01.52
01.14
03.93
03.52
05.06
04.11
03.13
01.52
03.66
11.29
01.44
District Malaria Officer,
N.C.Hills, Haflong.
Sl
Name of Sub-Centre API
Above 30
API Above 30
Population
Sl Name of Sub-Centre Api Above 2-10
Population
1
2
3
4
Diyungmukh FW
Digendu
Thaijuari
Diyungmukh PHC
3085
2995
6147
5026
16
17
18
19
20
21
BoroMualkoi
Khobak
Retzol
Jatinga
Choto Wapu
Thanalambra
1483
807
1155
5054
1919
2051 Sl Name of Sub-Centre Api Above 19-30
Population
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 64
1
2
3
4
5
6
Pangmual
Longku
3 Kilo
Lobang
Umrangso CHC
Langting PHC
467
2537
4318
824
19973
6282
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
Thingdol
Amrudisa
Dimadao Wapu
Baigao
Sangbar
Dihangi
Gunjung PHC
Mailu
Manderdisa
Hatikhali
Mupa
Khepre
Bongkhai
Pidik
Thingvom
Simtuilung
Notundisa
Maibong CHC
841
1168
923
1095
2145
1684
3264
2873
1526
5573
1144
1407
745
1036
913
975
1725
10796
Sl Name of Sub-Centre API 9-20
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Lasang
Boro Wapu
Boro Leike
P.Leikul
P. Songkai
Hereilo
Tungje
Lodi Kuki
Khangnam
Mahur FW
Mahur PHC
Boro Chenam
Buangkung
Ditokchera
Mualdam
Pura
Harangajao PHC
Langkula
1849
653
445
736
601
480
436
612
520
560
11262
800
650
3830
982
448
8639
3480
Sl
Name of Sub-Centre
API 0-2
Population
1
2
3
4
5
6
7
Kapurchera
Wajao
Noblaidisa
Hazadisa
Kalachand
Wadrendisa
Semkhor
1222
1161
3518
3480
3926
2675
1991 Sl Name of Sub-Centre API 2-10
Population
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Tualpui
Asalu
Dautohaja
Hangrum
Laisong (Bagan)
Vongzol
Khonglung
Leiri
Laisong SHC
Boro Arkap
Songpijang
Digrik
Sampharidisa
Rachibanglo
Haflong Urban
1559
1340
2201
2565
1162
927
1347
462
1958
1402
3579
3729
2628
2201
30421
1
PHC WISE EPIDEMIOLOGICAL INFORMATION 2005 TO 2008.
Name of PHC
Year
Population
BSC/BSE
ABER
Total
Malaria
case
PF
Cases
API
SPR
SFR
Death due
to malaria
Mahur PHC
2005 29,725 3196 10.75 373 339 12.54 11.67 10.60 NIL
2006 30,435 3271 10.74 321 280 10.54 9.81 8.56 NIL
2007 32,855 4201 12.78 355 315 10.80 8.45 7.49 NIL
2008 33,544 4964 14.79 338 291 10.07 6.80 5.86 2
Langting PHC
2005 52,554 8802 16.74 503 499 9.57 5.71 5.66 NIL
2006 53,425 7729 14.46 566 565 10.59 7.32 7.31 1
2007 53,943 8386 15.54 307 304 5.69 3.66 3.66 NIL
2008 54,721 7090 12.95 339 334 6.19 4.78 4.71 NIL
2005 14,471 722 4.98 21 20 1.45 2.90 2.77 NIL
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 65
Gunjung PHC
2006 14,761 1205 8.16 258 256 17.47 21.24 21.24 NIL
2007 14,875 803 5.39 165 165 11.09 20.54 20.54 NIL
2008 15,083 766 5.07 56 55 3.71 7.31 7.18 NIL
Harangajao PHC
2005 62,225 5061 8.13 984 526 15.81 19.44 10.39 NIL
2006 63,418 5309 8.37 740 445 11.66 13.96 8.38 NIL
2007 65,352 5978 9.14 888 588 13.58 14.85 9.83 NIL
2008 67,628 5090 7.52 511 358 7.55 10.03 7.03 NIL
Diyungmukh PHC
2005 45,816 6414 13.99 706 583 15.40 11.00 9.08 NIL
2006 46,905 9836 20.97 1231 953 26.24 12.51 9.68 NIL
2007 47,479 7631 16.07 1023 698 21.54 13.40 9.14 NIL
2008 48,385 10175 21.02 1598 1331 33.02 15.70 13.08 NIL
District Total
2005 2,04,791 24,195 11.81 2587 1962 12.63 10.69 8.10 NIL
2006 2,08,944 27,350 13.08 3116 2499 14.91 11.39 9.13 1
2007 2,14,504 26,999 12.58 2738 1989 12.76 10.14 10.14 NIL
2008 2,19,361 28,085 12.80 2842 2369 12.95 10.11 10.11 2
C-2
HIGH RISK AREAS BASED ON THE EPIDEMIOLOGICAL DATA
Sl.
No.
Name of PHC No. of High risk
Sub-centre
No. Of High risk
Village
High risk
Population
Tribal
Population
1.
GUNJUNG
9
68
14,947
14,594
2.
DIYUNGMUKH
9
158
48,183
34,364
3.
LANGTING
17
222
52,091
43,643
4.
HARANGAJAO
16
206
64,271
44,122
5.
MAHUR
22
124
32,216
27,372
DISTRICT TOTAL:-
73
778
2,11,708
1,64,096
C-3
SUB-CENTRE WISE EPIDEMIOLOGICAL INFORMATION 2007-2008.
Name of
PHC
Name of
Sub-Centre
Year
Population
BSC/BSE
ABER
Total
Malaria
Case
PF
Cases
API
SPR
SFR
MA
HU
R P
HC
Lasang
2007 1153 120 10.4 37 33 32.09 30.83 27.5
2008 1849 135 7.30 25 20 13.52 18.51 14.81
Taulpui
2007 1527 51 3.33 6 6 3.92 11.76 11.76
2008 1559 102 6.54 9 8 5.77 8.82 7.84
Borowapu
2007 599 130 21.7 12 12 20.03 9.23 9.23
2008 653 136 20.80 10 10 15.31 7.35 7.35
Asalu
2007 1318 129 9.78 31 28 23.52 24.03 21.70
2008 1340 77 5.74 6 5 4.47 7.79 6.49
Boro leikek
2007 440 50 11.36 11 11 25 22 22
2008 445 65 14.60 8 8 17.97 12.30 12.30
P.Leikul
2007 726 93 12.8 28 23 38.56 30.1 24.73
2008 736 82 11.14 12 10 16.30 14.63 12.19
Dautohaja
2007 2184 134 6.13 9 8 4.12 6.71 5.97
2008 2211 145 6.58 11 10 4.99 7.58 6.89
P.Songkai
2007 589 63 10.69 4 4 6.79 6.34 6.34
2008 601 65 10.81 7 7 11.64 10.76 10.76
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 66
Hangrum
2007 2559 104 4.06 3 3 1.17 2.88 2.88
2008 2565 128 5.00 8 8 3.12 6.25 6.25
Hereilo
2007 472 13 2.75 1 1 2.11 7.69 7.69
2008 480 37 7.70 5 5 10.41 13.51 13.51
Tunje
2007 429 53 12.35 14 14 32.63 26.41 26.41
2008 436 42 9.63 6 6 13.16 14.28 14.28
Laisong Bagan
2007 1142 45 3.94 6 6 5.25 3.33 3.33
2008 1162 107 9.20 8 8 6.88 7.47 7.47
Vongzawl
2007 916 32 3.49 - - - - -
2008 927 101 65 6 6 6.47 9.23 9.23
Khongloung
2007 1329 87 6.54 1 1 0.75 1.14 1.14
2008 1347 112 8.31 5 5 3.71 4.46 4.46
Lodi kuki
2007 605 61 10.08 3 3 4.95 4.91 4.91
2008 612 82 13.39 7 7 11.43 8.53 8.53
Leiri
2007 454 60 13.21 3 3 6.6 5 5
2008 462 49 10.60 4 4 8.85 8.16 8.16
Khangnam
2007 515 78 15.14 5 5 9.7 6.41 6.41
2008 520 53 10.19 5 5 9.61 9.43 9.43
Mahur FW SC
2007 552 86 15.57 22 19 39.85 25.58 25.58
2008 560 50 8.92 10 9 17.85 20.00 20.00
SUB-CENTRE WISE EPIDEMIOLOGICAL INFORMATION 2007-2008.
Name of
PHC
Name of
Sub-Centre
Year
Population
BSC/BSE
ABER
Total
Malaria
Case
PF
Cases
API
SPR
SFR
M
AH
UR
PH
C
Laisong SHC
2007 1937 40 2.06 7 7 3.61 17.5 17.5
2008 1958 142 7.25 13 12 6.63 9.15 8.45
Boro Arkap
2007 1383 489 35.35 9 8 6.5 1.84 1.63
2008 1402 544 38.80 14 12 9.98 2.57 2.20
Pangmoul
2007 458 108 23.58 20 18 43.66 18.51 16.66
2008 467 62 13.27 9 8 19.27 14.51 12.90
Mahur PHC
2007 11568 2175 18.8 123 102 10.63 5.65 4.68
2008 11262 2684 23.83 150 118 13.31 5.58 4.39
PHC Total
2007 32854 4201 12.78 355 315 10.8 8.45 7.49
2008 33544 4964 14.79 338 291 10.07 6.80 5.86
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 67
SUB-CENTRE WISE EPIDEMIOLOGICAL INFORMATION 2007-2008.
Name of
PHC
Name of
Sub-Centre
Year
Population
BSC/BSE
ABER
Total
Malaria
Case
PF
Cases
API
SPR
SFR
H
AR
AN
GA
JA
O P
HC
Songpijang
2007 3498 41 1.17 7 6 2 17.07 14.63
2008 3579 92 2.57 9 9 2.51 9.78 9.78
Digrik
2007 3600 129 3.58 7 7 1.94 5.42 5.42
2008 3729 120 3.21 12 12 3.21 10 10
Samphardisa
2007 2325 86 3.69 5 4 2.15 5.81 4.65
2008 2628 95 3.61 10 10 3.80 10.52 10.52
Rachibanglo
2007 2144 36 2.84 5 5 3.26 11.47 11.47
2008 2201 52 2.36 8 8 3.63 15.38 15.38
Haflong Urban
2007 29752 2352 6.99 381 378 12.00 17.25 16.07
2008 30421 2163 7.58 191 189 6.69 8.83 8.73
Boro Chenam
2007 772 32 4.14 4 4 5.18 12.5 12.5
2008 800 61 7.62 9 9 11.25 14.75 14.75
Baungkung
2007 587 93 15.84 6 6 10.22 6.45 6.45
2008 650 72 11.07 7 7 10.76 9.72 9.72
D. Hokehera
2007 3477 336 9.66 20 9 5.75 5.95 2.67
2008 3830 476 12.42 41 19 10.70 8.61 3.99
Boro Moulkoi
2007 1442 131 9.08 12 6 8.32 9.16 4.58
2008 1483 122 8.22 13 7 8.76 10.65 5.73
Kapurcherra
2007 1169 120 10.26 10 2 8.55 8.33 1.66
2008 1222 105 8.59 15 8 1.22 14.28 7.61
Khobak
2007 779 38 4.87 4 2 5.13 10.52 5.26
2008 807 46 5.70 7 4 8.67 15.21 18.69
Mouldam
2007 944 66 6.99 6 1 6.35 9.09 1.51
2008 982 78 7.94 9 5 9.16 11.5 36.41
Pura
2007 428 43 10.04 4 3 9.34 9.3 6.97
2008 448 45 10.46 5 5 11.62 11.11 11.11
Retzol
2007 1124 120 10.67 5 2 4.44 4.16 1.66
2008 1155 106 9.36 7 7 6.18 6.60 6.60
Jatinga S.D.
2007 4944 563 11.38 23 7 465 4.08 1.24
2008 5054 364 7.20 12 7 2.37 3.29 1.92
Harangajao PHC 2007 8367 1792 21.41 389 65 46.49 21.7 3.62
2008 8639 1103 12.76 156 52 18.05 14.14 4.71
PHC Total:-
2007 65352 5978 9.14 888 507 13.58 14.85 8.48
2008 67628 5090 7.52 511 358 7.55 10.03 7.03
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 68
SUB-CENTRE WISE EPIDEMIOLOGICAL INFORMATION 2007-2008.
Name of
PHC
Name of
Sub-Centre
Year
Population
BSC/BSE
ABER
Total
Malaria
Case
PF
Cases
API
SPR
SFR
GU
NJU
NG
PH
C
Choto wapu
2007 1902 52 2.73 10 10 5.25 19.23 19.23
2008 1919 35 1.82 5 5 2.60 14.28 14.28
Thanalambra
2007 2009 151 7.51 25 25 12.44 16.55 16.55
2008 2051 187 9.11 10 10 4.87 5.34 5.34
Thingdol Boulmuol 2007 831 49 5.89 9 9 10.83 18.36 18.36
2008 841 32 3.80 5 5 5.94 15.62 15.62
Amrudisa
2007 1150 62 4.26 9 9 7.82 14.51 14.51
2008 1168 28 2.39 4 4 3.42 14.28 14.28
Dimadao wapu
2007 902 70 7.76 10 10 11.08 14.28 14.28
2008 923 30 3.25 5 5 5.41 16.66 16.66
Baigao
2007 1078 25 2.31 5 5 4.63 20 20
2008 1095 70 6.39 5 5 4.56 7.14 7.14
N.Sangbar
2007 2128 50 2.34 11 11 5.16 22 22
2008 2145 76 3.54 5 5 2.33 6.57 6.57
Dehangi SD
2007 1657 126 7.6 29 29 17.5 23.01 23.01
2008 1684 146 8.66 9 9 5.34 6.16 6.16
Gunjung PHC
2007 3218 218 6.77 57 57 17.71 26.14 26.14
2008 3264 162 4.96 8 7 2.45 4.93 4.32
PHC Total
2007 14875 803 5.39 165 165 11.09 20.54 20.54
2008 15090 766 5.07 56 55 3.71 7.31 7.18
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 69
SUB-CENTRE WISE EPIDEMIOLOGICAL INFORMATION 2007-2008.
Name of
PHC
Name of
Sub-Centre
Year
Population
BSC/BSE
ABER
Total
Malaria
Case
PF
Cases
API
SPR
SFR
D
IYU
NG
MU
KH
PH
C
Diyungmukh
FWSC
2007 2987 109 3.64 15 9 5.02 13.76 8.25
2008 3085 292 9.73 89 76 29.66 30.47 26.02
Digandu
2007 3000 116 3.86 23 10 7.66 19.82 8.62
2008 2995 232 7.75 102 93 34.11 43.96 40.08
Langku
2007 2499 85 3.4 12 7 4.8 14.11 8.23
2008 2537 195 7.68 52 40 20.49 26.66 20.51
Langkula
2007 3311 75 2.26 11 6 3.32 14.66 8
2008 3480 202 5.80 65 47 18.67 32.17 23.26
Thaijuwari
2007 5960 82 1.37 6 6 1 7.31 7.31
2008 6147 552 8.97 215 197 34.97 38.94 35.68
3 Kilo
2007 4228 1538 36.37 113 87 26.72 7.34 5.65
2008 4318 402 9.30 125 103 28.94 31.09 25.62
Lobang
2007 808 370 45.79 135 127 16.7 36.48 34.32
2008 824 87 10.55 22 15 26.69 25.28 17.24
Umrangso CHC
Area
2007 19809 2985 15.06 392 286 19.78 13.13 9.58
2008 19973 4858 24.32 578 530 28.93 11.09 10.90
Diyungmukh
PHC Area
2007 4877 2271 46.56 316 160 6.47 13.91 7.04
2008 5026 3355 60.27 350 230 62.88 10.43 6.85
PHC Total
2007 47479 7631 16.07 1023 698 21.54 13.4 9.14
2008 48385 10175 21.02 1598 1331 33.02 15.70 13.08
SUB-CENTRE WISE EPIDEMIOLOGICAL INFORMATION 2007-2008.
Name of
PHC
Name of
Sub-Centre
Year
Population
BSC/BSE
ABER
Total
Malaria
Case
PF
Cases
API
SPR
SFR
L
AN
GT
ING
PH
C
Lalbong
2007 1244 119 9.56 26 26 10.8 8.45 21.84
2008 1265 125 9.98 17 17 13.43 13.06 13.6
Thaijudisabra
2007 1037 112 10.8 13 13 12.53 11.6 11.60
2008 1047 119 11.36 12 12 11.46 10.08 10.08
Mailu
2007 2852 102 3.57 14 14 4.9 13.72 13.72
2008 2873 115 4.00 15 15 5.22 13.04 13.04
Manderdisa
2007 1516 202 13.32 13 13 8.57 6.43 6.43
2008 1526 217 14.22 14 14 9.17 6.45 6.45
Hatikhali
2007 5497 200 3.63 14 14 2.55 7 7
2008 5573 265 4.75 16 16 2.87 6.03 6.03
Mupa
2007 1127 80 7.1 7 7 6.21 8.75 8.75
2008 1144 92 8.04 7 7 6.11 7.60 7.60
Maibongdisabra
2007 653 91 13.93 9 9 13.78 9.1 9.1
2008 663 102 15.38 8 8 12.06 7.84 7.84
Langting PHC
2007 6169 1519 24.63 110 110 17.83 7.24 7.24
2008 6282 1484 23.62 167 167 26.58 11.25 11.25
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 70
SUB-CENTRE WISE EPIDEMIOLOGICAL INFORMATION 2007-2008.
Name of
PHC
Name of
Sub-Centre
Year
Population
BSC/BSE
ABER
Total
Malaria
Case
PF
Cases
API
SPR
SFR
L
AN
GT
ING
PH
C
Khepre
2007 1366 95 6.95 5 5 3.66 5.26 5.26
2008 1407 100 7.10 5 5 3.55 5 5
Bongkhai
2007 730 72 9.86 3 3 3.66 5.26 5.26
2008 745 74 9.93 2 2 2.68 2.70 2.70
Pedik
2007 1016 62 6.1 4 4 3.93 6.45 6.45
2008 1036 70 6.75 4 4 3.86 5.71 5.71
Thingvom
2007 892 58 6.5 3 3 3.36 5.17 5.17
2008 913 65 7.11 4 4 4.38 6.15 6.15
Wajao
2007 1126 52 4.61 2 2 1.77 3.84 3.84
2008 1161 49 2.00 2 2 .81 4.08 4.08
Noblaidisa
2007 3493 76 2.17 4 4 1.14 5.26 5.26
2008 3518 80 2.27 4 4 1.13 5 5
Hajadisa
2007 3472 86 2.47 5 5 1.14 5.81 5.81
2008 3480 90 2.56 4 4 1.14 4.44 4.44
Simtuilong
2007 956 72 7.53 3 3 3.13 4.16 4.16
2008 975 82 8.41 3 3 3.07 3.65 3.65
Notundisa
2007 1702 116 6.81 6 6 3.52 5.17 5.17
2008 1725 120 6.95 5 5 2.89 4.16 4.16
Kalachand
2007 3858 91 2.35 5 5 11.29 5.49 5.49
2008 3926 102 2.59 4 4 1.01 3.92 3.92
Wadrengdisa
2007 2622 102 3.89 4 4 1.52 3.92 3.92
2008 2675 107 4 4 4 1.49 3.73 3.73
Semkhor
2007 1964 50 2.54 3 3 1.52 6 6
2008 1991 55 2.76 3 3 1.50 5.45 5.45
Maibong CHC
2007 10651 5029 47.21 54 51 5.06 1.07 1.07
2008 10796 3577 33.13 39 34 3.16 1.09 1.09
PHC Total
2007 53943 8386 15.54 307 304 5.69 3.66 3.66
2008 54721 7090 12.95 339 334 6.19 4.78 4.71
� DISTRICT
TOTAL
� 2007 � 2,14,504 � 26,999 � 12.58 � 2738 � 1989
� 2008 � 2,19,361 � 28,085 � 12.80 � 2842 � 2369
C-4 CLASSIFICATION OF AREAS AS PER API RANGES
Sl.
No
Name of PHC
API
No. of PHC
No. of Sub-
centre
No. of
Village
Population % population of
District
1.
Harangajao
<1 1 2 8 1384 2.04%
1-2 1 1 3 3927 5.80%
2-5 1 5 27 16752 24.77%
5-10 1 16 70 27930 41.29%
>10 NIL 11 100 17635 26.07%
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 71
2.
Langting
<1 1 11 46 10312 18.84%
1-2 1 2 2 1037 1.89%
2-5 1 15 82 23704 43.31%
5-10 1 16 64 10342 22.55%
>10 NIL 6 35 7326 13.38%
3.
Diyungmukh
<1 NIL NIL NIL NIL NIL
1-2 NIL NIL NIL NIL NIL
2-5 NIL NIL NIL NIL NIL
5-10 1 2 4 1306 2.69%
>10 1 9 155 47079 97.30%
4.
Mahur
<1 1 1 1 158 0.47%
1-2 1 2 2 1328 3.95%
2-5 1 7 13 7530 22.44%
5-10 1 11 47 14176 42.26%
>10 1 12 63 10352 30.86%
5.
Gunjung
<1 1 8 22 3435 22.77%
1-2 1 1 1 706 4.68%
2-5 NIL 7 17 5967 39.56%
5-10 NIL 9 30 4975 32.98%
>10 NIL NIL NIL NIL NIL
E
OUTBREAK :- YES/NO if yes ---------------- NO.
o No. of Outbreaks.
o Area Affected
o Period of Outbreak.
o No. of death reported during outbreak.
o Reasons for outbreak.
o Containment measures taken.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 72
MONTH WISE EPIDEMIOLOGICAL REPORT FOR THE YEAR 2009.
Month
BSC/BSE
No. of
total
positive
No. of
Pf
No. of
Pv
SPR
SFR
MBER
RT
Given
Death due
to Malaria
January 962 76 65 11 7.90 6.75 0.43 74 Nil
February 1198 75 65 10 6.26 5.42 0.53 75 Nil
March 1706 154 140 14 9.02 8.20 0.76 149 Nil
April 2055 209 179 30 10.17 8.71 0.91 201 Nil
May 2577 340 280 60 13.19 10.86 1.15 333 Nil
June 4569 510 450 60 11.16 9.84 2.04 497 1
July 5962 657 571 86 11.01 9.57 2.66 652 Nil
August 4875 471 400 71 9.66 8.20 2.18 469 Nil
September 3761 308 271 37 8.18 7.20 1.68 307 Nil
Progressive
upto Sept. 09
27665
2800
2421
379
10.12
8.75
12.37
2757
1
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 73
2.Annual Plan for Programme Performance & Budget for the year for RNTCP
1st April _10__ to 31
st March__11__
District North Cachar Hills State Assam
This action plan and budget have been approved by the DTCS.
Signature of the DTO _________________________________________
Name DR. SHIL BHADRA HAGJER______________ Designation ____DTO_____
Section-A – General Information about the District
1 Population (in lakh) please give projected population (as on July 1st) 2.06 lakhs
2 Urban population 0.53 lakhs
3 Tribal population 1.53 lakhs
4 Hilly population 1.53 lakhs
5 Any other known groups of special population for specific interventions
(e.g. nomadic, migrant, industrial workers, urban slums)
Nil
(These population statistics may be obtained from Census data /District Statistical Office)
Does the district have a DTC______Yes____________________
Organization of services in the district:
S.
No.
Name of the TU Population
(in Lakhs)
Please indicate if the TU
is-
No. of MCs
Govt NGO Govt NGO Private
1 North Cachar Hills 2.06 lakhs 1 0 4 0 0
Total 2.06 lakhs 1 0 4 0 0
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 74
RNTCP performance indicators:
Important: Please give the performance for the last 4 quarters i.e. October _06__ to September _07__
Name of the TU
(also indicate if it is
predominantly urban
/ rural / hilly /
special group
Total
number of
patients
put on
treatment
Annualised
total case
detection
rate
(per lakh
pop.)
No of new
smear
positive
cases put
on
treatment
Annualised
New smear
positive case
detection
rate (per
lakh pop)
Cure rate
for cases
detected in
the last 4
correspondi
ng quarters
Plan for the next year
Annualized
NSP case
detection
rate
Cure rate
N.C. Hills
TU 1 4th Qtr. 06 54 105 22 43 93% 70% 85%
TU 2 1st Qtr.07 84 163 33 64 86% 70% 85%
TU 3 2nd Qtr.07 63 122 28 54 84% 70% 85%
TU 4 3rd Qtr.07 57 111 21 41 86% 70% 85%
TU 5
TU 6
TU 7
TU 8
District (total) 258 125 104 51 87% 70% 85%
Section B – List Priority areas for achieving the objectives planned:
Sl.
No.
Priority areas Activity planned under each priority area
1 Whole district is hilly & backward with poor
road and telecommunication. People are
poor, tribal and live in not easily accessible
places.
1 a) More effort in IEC and community meetings.
Training of more community volunteers in the
programme.
1 b)
1 c)
2 2 a)
2 b)
3 3 a)
3 b)
4 4 a)
4 b)
4 c)
5 5 a)
5 b)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 75
Section C – Plan for Performance and Expenditure under each head:
Civil Works
Activity No.
required
as per
the
norms in
the
district
No.
actually
present
in the
district
No.
planned
for this
year
Pl provide justification if an
increase is planned (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)
DTC
upgradation 1 1 Nil Does not arise 4500/- 1
st Qtr
No. of TUs
upgraded 1 1 Nil Does not arise 1300/- ’’
No. of MCs
upgraded 4 4 0 Does not arise 4000/- ’’
TOTAL Rs.9800/-
Laboratory Materials
Activity Amount
permissible
as per the
norms in
the district
Amount
actually
spent in
the last 4
quarters
Procurement
planned
during the
current
financial
year (in
Rupees)
Estimated
Expenditure for
the next financial
year for which
plan is being
submitted
(Rs.)
Justification/ Remarks
for (d)
(a) (b) (c) (d) (e)
Purchase of
Lab
Materials
Rs.40170/- Rs.29915 Rs.10,000 Rs.41000 As per norms
Honorarium
Activity Amount
permissible
as per the
norms in the
district
Amount
actually
spent in
the last 4
quarters
Expenditure
(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)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 76
(a) (b) (c) (d) (e)
Honorarium Rs.68.000/- Rs.27250 Rs.20,000 Rs.68,000 As per norms
No. presently involved in RNTCP Additional enrolment proposed for the next fin.
Year
Community volunteers 53 50
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 77
IEC/Publicity: Permissible budget as per Norms: Rs.19,500/-
Budget for next financial year proposed as per action plan detailed below:
Target
Group/
Objective
Activities Planned at District Level
Total
activit
ies
propo
sed
durin
g next
fin.
year
Estimated
Cost per
activity
unit
Total
expenditur
e for the
activity
during the
next fin.
year
Activity
(All activities to
be planned as
per local needs,
catering to the
target groups
specified)
No. of
activitie
s held in
last 4
quarters
No of activities proposed in
the next financial year, quarter
wise
Apr-
Jun
July-
Sep
Oct-
Dec
Jan-
Mar
Patients
and
General
public /
for
awarenes
s
generatio
n and
social
mobilizat
ion
Outdoors:
- wall paintings
- Hoardings
- Tin plates
- Banners
10
4
1
4
4
1
4
4
1
4
4
1
4
4
4
16
Rs.500/-
Rs.2000/-
Rs.500/-
Rs.8000
Rs.8000
Rs.8000
- others
Outreach
activities:
- Patient
provider
interaction
meetings
- Community
meetings
- Mike
publicity
- Others
8
14
6
12
6
12
6
12
24
48
Rs.200
Rs.700
Rs.4800
Rs.33600
Puppet shows/
street plays/etc.
Nil Nil Nil Nil Nil Nil Nil
School activities Nil Nil Nil Nil Nil Nil Nil
Print publicity
- Posters
- Pamphlet
s
- Others
600
4000
200
500
200
500
200
500
200
500
800
2000
Rs.8
Rs.0.70
Rs.64,00
Rs.14,00
Media activities
on Cable/local
channels
Radio
0 2 2 2 2 8 Rs.500 Rs.4000
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 78
Any other
activity 0 Nil Nil Nil Nil Nil Nil Nil
Opinion
leaders/N
GOs for
advocacy
Sensitization
meetings 1 1 1 1 1 4 Rs.700 Rs.2800
Media activities 0 1 1 1 1 4 Rs.1000 Rs.4,000
Power point
Presentations /
one to one
interaction
Nil Nil Nil Nil Nil Nil Nil Nil
Information
Booklets/
brochures
Nil Nil Nil Nil Nil Nil Nil Nil
World TB Day
activities 1 1 1 Rs.20,000 Rs.20,000
Any other public
event
Nil Nil Nil Nil Nil Nil Nil Nil
Health
Care
providers
– public
and
private
- CMEs
- Interactio
n
meetings
- one to
one
interactio
n
meetings
Nil Nil Nil Nil Nil Nil Nil Nil
- Informati
on
Booklets
- Any
other
Nil Nil Nil Nil Nil Nil Nil Nil
Any
Other
Activities
proposed
Nil Nil Nil Nil Nil Nil Nil
Nil Nil Nil Nil Nil Nil Nil
Total Budget Rs.101000
Equipment Maintenance:
Item No.
actually
present
in the
district
Amount
actually
spent in the
last 4
quarters
Amount
Proposed for
Maintenance
during
current
financial yr.
Estimated
Expenditure for
the next financial
year for which
plan is being
submitted
(Rs.)
Justification/
Remarks for (d)
(a) (b) (c) (d) (e)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 79
Computer
(maintenance includes AMC,
software and hardware upgrades,
Printer Cartridges and Internet
expenses)
1 33650 10,000
Rs.46800
As per norm Photocopier
(includes AMC, toner etc.)
1 2890 10,000
Fax Nil 0
OHP 1 0
Binocular Microscopes 5 0 3000
TOTAL 46,800
Training: Activity No. in
the
district
No.
already
trained
in
RNTCP
No. planned to be
trained in RNTCP
during each quarter
of next FY
(c)
Expenditure
(in Rs)
planned for
current
financial
year
Estimated
Expenditure
for the next
financial
year for
which plan
is being
submitted
(Rs.)
Justification/
remarks
Q1 Q2 Q3 Q4
(a) (b) (d) (e) (f)
Training of MOs 57 49 Nil Nil Nil Nil
Rs.16,000/- Nil Nil
Training of LTs of DMCs-
Govt + Non Govt
4 4 Nil Nil Nil Nil
Nil Nil Nil
Training of MPWs 182 161 Nil Nil Nil Nil
Rs.12,000 Nil Nil
Training of MPHS,
pharmacists, nursing staff,
BEO etc
37 31 Rs.6000 Nil Nil
Training of Comm
Volunteers
53 4 10 10 10 10 Rs.10,000 Nil Nil
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 80
Training of Pvt Practitioners 1 1 Nil Nil Nil Nil
Nil Nil Nil
Other trainings # Nil
Re- training of MOs 57 49 Nil Nil Nil Nil
Nil Rs.20,000 Nil
Re- Training of LTs of DMCs 4 4 Nil Nil Nil Nil
Nil Nil Nil
Re- Training of MPWs 182 161 Nil Nil Nil Nil
Rs. 5,000 Rs.10,000 Nil
Re- Training of MPHS,
pharmacists, nursing staff,
BEO
37 31 Nil Nil Nil Nil
Rs.5,000 Rs.10,000 Nil
Re- Training of CVs 53 4 Nil Nil Nil Nil
Nil Nil
Re-training of Pvt
Practitioners
1 1 Nil Nil Nil Nil
Nil Nil Nil
Nil
TB/HIV Training of MOs 0 0
Nil
TB/HIV Training of STLS,
LTs , MPWs, MPHS, Nursing
Staff, Community Volunteers
etc
0 0 Nil Nil Nil Nil
Nil Nil Nil
TB/HIV Training of STS 1 1 Nil Nil Nil Nil
Nil Nil Nil
Provision for Update
Training at Various Levels
Nil
Nil
Nil
Nil
Nil Nil Nil Nil
Nil
Nil
Nil
Any Other Training Activity
#
Nil Nil Nil Nil
# Please specify TOTALRs.40,000
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 81
Vehicle Maintenance:
Type of Vehicle Number
permissible
as per the
norms in
the district
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
(Rs.)
Justification/
remarks
(a) (b) (c) (d) (e) (f)
Four Wheelers 1 1 Rs.137988/- Rs75000/- Rs.227500/- As per norm
Two Wheelers 1 1 Rs.6802/-
TOTAL Rs. 227500/-
Vehicle Hiring:
Hiring of
Four
Wheeler
Number
permissible
as per the
norms in the
district
Number
actually
present
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
(Rs.)
Justification/
remarks
(a) (b) (c) (d) (e) (f)
For DTO Nil Nil Nil Nil Nil
RNTCP
vehicle
present
For MO-TC 1 1 Rs. 16700 Nil Nil No vehicle
for MOTC
TOTAL
NGO/ PP Support:
Activity No. of
currently
involved
in
RNTCP
in the
district
Additional
enrolment
planned
for this
year
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
(Rs.)
Justification/
remarks
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 82
(a) (b) (c) (d) (e) (f)
NGOs involvement
scheme 1 2 5000
NGOs involvement
scheme 2
NGOs involvement
scheme 3
NGOs involvement
scheme 4 Rs.11800/- Rs.15,000/-
NGOs involvement
scheme 5
NGOs involvement
unsigned
Private practitioners
scheme 1 1
Private practitioners
scheme 2A
Private practitioners
scheme 2B
Private practitioners
scheme 3
Private practitioners
scheme 4
TOTAL Rs.15,000
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 83
Miscellaneous:
Activity* Amount
permissibl
e as per
the norms
in the
district
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
(Rs.)
Justification/ remarks
(a) (b) (c) (d) (e)
Main
activities
TA/DA
Rs.39,000 Rs.97037 Rs. 60,000 Rs.100000 Inflation, Tribal &
hilly & backward
area, costs high
TOTAL Rs.100000
* Please mention the main activities proposed to be met out through this head
Contractual Services:
Activity No. required
as per the
norms in the
district
No.
actually
present
in the
district
No.
planned to
be
additionall
y hired
during this
year
Amount
spent in
the
previous
4
quarters
Expendit
ure (in
Rs)
planned
for
current
financial
year
Estimated
Expenditur
e for the
next
financial
year for
which plan
is being
submitted
(Rs.)
Justificatio
n/ remarks
(a) (b) (c) (d) (e)
Medical
Officer-DTC
Not to be
filled
0 0 0 0
STS 1 1 0 107100 55800 111600 Payment
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 84
STLS 1 1 0 107100 55800 111600 of
TBHV 1 1 0 75600 39600 79200 5%
DEO 1 1 0 75600 39600 79200 increment
Accountant –
part time
1 1 0 25200 13200 26300
Contractual LT Not to be
filled
1 0 94500 49200 98400
TOTAL Rs.506300
Printing:
Activity Amount
permissible
as per the
norms in the
district
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
(Rs.)
Justification
/ remarks
(a) (b) (c) (d) (e)
Printing*
Rs.40170/- Rs.19640/
-
Rs.20,000/- Rs.41000 As per norm
* Please specify items to be printed
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 85
Research and Studies:
Any Operational Research project planned (Yes/No) _____________No_________________________
(If yes, enclose annexure providing details of the Topic of the Study, Investigators and Other details)
Whether submitted for approval/ already approved? (Yes/No) ________Does not arise_________________
Estimated Budget (to be approved by STCS).__________Does not arise____________
Medical Colleges
Activity Amount
permissible as
per norms
Estimated Expenditure
for the next financial
year(Rs.)
Justification/
remarks
(a) (b) (c)
Contractual Staff:
� MO (In place: Yes/No)
� STLS (In place: Yes/No)
� LT (In place: Yes/No)
� TBHV (In place: Yes/No)
Does not arise
Does not arise
Does not arise
Research and Studies:
� Thesis of PG Student
� Operations Research*
Does not arise Does not arise Does not arise
Travel Expenses for attending
STF/ZTF meetings
IEC: Meetings and CME planned
* Expenditure on OR can only be incurred after due approvals of STF/ STCS/ZTF/CTD (as applicable)
Procurement of Vehicles:
Equipment No.
actually
present in
the district
No.
planned
for this
year
Estimated Expenditure for the
next financial year for which
plan is being submitted (Rs.)
Justification/
remarks
(a) (b) (c) (d)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 86
4-wheeler ** Nil Nil Nil Nil
2-wheeler Nil Nil Nil Nil
** Only if authorized in writing by the Central TB Division
Procurement of Equipment:
Equipment No. actually
present in the
district
No.
planned
for this
year
Estimated
Expenditure for the
next financial year
for which plan is
being submitted (Rs.)
Justification/
remarks
(a) (b) (c) (d)
Computer Nil Nil Nil Nil
Photocopier Nil Nil Nil Nil
OHP Nil Nil Nil Nil
Any Other Nil Nil Nil Nil
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 87
Section D: Summary of proposed budget for the district –
Category of Expenditure Budget estimate for the coming FY 2009
(To be based on the planned activities and
expenditure in Section C)
1. Civil works Rs.9800.00
2. Laboratory materials Rs.41000.00
3. Honorarium Rs.68000.00
4. IEC/ Publicity Rs.10100.00
5. Equipment maintenance Rs.46800.00
6. Training Rs.40,000.00
7. Vehicle maintenance Rs.227500.00
8. Vehicle hiring Nil
9. NGO/PP support Rs.15000.00
10. Miscellaneous Rs.10,0000.00
11. Contractual services Rs.506300.00
12. Printing Rs.41,000.00
13. Research and studies Nil
14. Medical Colleges Nil
15. Salaries of regular staff** Nil
16. Procurement – drugs Nil
17. Procurement –vehicles Nil
18. Procurement – equipment Nil
** Only if authorized in writing by the Central TB Division
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 88
3. Action Plan for National Leprosy Eradication Programme (NLEP), N.C. Hills
Introuduction
The District, N.C.Hills is Switzerland of Assam is Lies approximately
between Latitudes 24054 and 26042/ N and Longitudes 92053/ E covering about
4888 Sq. KM. It is Surrounded in the North Nagaon District, in the East by
Nagaland Manipur and parts of Karbi Along and West by Megalaya and South
Cachar. Haflong the District Head Quarter. The District is inherited by group
of Tribes with mutually which exclusive Tribal Social systes. The main Hills
tribes living in this District are the Dimasas, Zeme Nagags, Kukuis, Hmars,
Karbies, Khasis, Biates, Hrangkhals, & Vaipheis Assamese, Napalies,
Bangolies. The density of the population is 38 persons per Sq.Km.The North
Cachar Hills was the most Backward District in Assam. Even today it
continuous to be the most backward district in the state. The reasons are nor
far to seek. The villages in the N.C.Hills are spread through the length and
breath of the mountainous regions, which are unreachable due to absence of
motorable roads, Interior villages thus remain cut-off from its Head Quarter
for long period of time.
Situation Analysis.
As NLEP has been integrated with GHC, Drugs for the treatment(MDT) are
available at PHC’s MO’s are diagnosing leprosy cases who have come
voluntarily and Pharmacists are distributing MDT to them. NLEP staff is
assisting GHC staff at every level as per need.
Now, NLEP is also integrated with NRHM and involvement of ASHA’s to
ensured for regular treatment. In addition, Monitoring and Supervision will
become more effective.
As there are no survey activities, we have to initiate regular IEC
activities in the community detect more cases as well as to increase
awareness, detection more cases, decrease system as well as discrimination in
the society.
As attempt was made to analyze the programme component by SWOT analysis
as under.
Strengths.
i) Trained District Nucleus staff.
ii) Trained and Motivated GHC staff.
iii) Availability of Guidelines from the state time to time. iv) Good Co-ordination with Jt. Director of Health Services(Leprosy)Assam
and department level.
v) Review and monitoring is being does regularly.
vi) Amble funds are available for activities.
Weakness:-
i) NLEP & GHS staff at all level are engaged more in other activities.
ii) Inadequate mobility at PHC level as well as non availability of TA/DA
leads to poor monitoring and supervision.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 89
iii) Low female coverage as stigma still persists. iv) Inadequate integration at District Hospitals and other Urban
Hospitals.
v) Awareness of RCS services in patients is low.
vi) Hilly District, so high cost of all side. Cost of living is very
high. Due to poor compilation.
Opportunities:-
i) Integration of NLEP with GHS staff.
ii) Support of ILEP and WHO is available.
iii) Good support of Ngo’s and Non Govt. Hospitals.
Threats:-
i) Poor Priority to NLEP at all levels.
ii) Shortage of NLEP staff and staff posted improperly.
iii) Involvement of NLEP staff in other programs. iv) No proper arrangements for sitting and keeping records in some PHC’s
& CHC’s .
v) Frequent transfer of staff.
On the basics of situation analysis and SWOT, the following problems
have been identified in running the NLEP programme of N.C.Hills.
Reaction Management and other DPMR servos are yet to be streamlined.
Objectives (Re Results to be achieved) identified:-
Objective / Results:-
i) DPMR services improved.
ii) Drugs management Improved.
iii) Programme management Insured. iv) DN/GHS staff performance improved.
v) Supervision system improved.
vi) IEC decreased discrimination of patients and family.
vii) IEC increased awareness of treatment and disease. viii) IEC increased attention by decision makers to Leprosy.
ix) TA/DA of DN/NLEP staff insured.
x) Leprosy services established under NRHM.
District Profile and Staff Position.
1) Name of District :- North Cachar
Hills.
2) Total population in project area :- 213573.
3) Density of population :- 38/Sq Km.
4) Total no of village :- 793(Review
Non review)
5) Sub-Division :- 2 Nos
6) Nos of Town :- 4 nos
7) No of Civil Hospital :- 1 Nos
8) No of PHC :- 2 nos.
9) No of CHC :- 2 Nos
10) No of BPHC :- 3 Nos.
11) No of SHC :- 3 Nos.
12) No of State Dispensary :- 2 Nos
13) No of FWSC :- 60 Nos.
14) No of Med. SC :- 5 Nos.
15) No of Block :- 5 Nos.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 90
Staff Position. Sl
No.
Name of Post In Position Vacant Remarks
1 Joint Director 1 Nil
2 CM&HO (CD) 1 Nil
3 Superintendent 0 1
4 SDM&HO 9 7
5 Sr.M.&H.O 10 12
6 M.&H.O. 11 6
7 M.O(A) 11 9
8 Hemo Physians 4 0
9 Pharmacist 22 4
10 GNM 30 0
11 ANM 24 0
12 SI (PH) 4 0
13 H.E 7 0
14 RHI 4 0
15 HA 7 0
16 Vacc. 15 0
17 BCG(Tech) 6 0
Under ADDL.C.M.& HO Establishment.
1 AddL.C.M.&H.O. 0 1 In Charge
2 Sr. M.&H.O 1 2
3 M.&H.O-1 2 0
4 DEMO 1 0
5 Dy.E&MO 2 0
6 DPHN 1 0
7 SI 1 0
8 BEE 3 0
9 LHV 3 3
10 ANM 9 2
11 SW 2 0
12 FW 2 0
13 Lab.Tech 1 0
Under DLO Establishment.
1 DLO 0 1 In Charge
2 Sr.M&HO 1 1
3 M&HO 1 0
4 NMS 2 0
5 HE 1 1
6 NMA 1 1
7 LI 10 1
8 Phy.Tech. 6 2
9 Pharmacist 1 0
10 Lab.Tech. 2 0
Under Malaria Establishment
1 DMO 1 0
2 AMO 1 0
3 SMI 1 0
4 MI 3 0
5 SI 3 4
6 SW 25 0
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 91
7 SFW 2 0
8 MPW 9 0
9 Field Worker 5 0
Under NRHM Establishment
1 DPM 1 0
2 Specialist 2 0
3 MO(A) 5 0
4 DME 1 0
5 DAM 1 0
6 DDM 1 0
7 BPM 5 0
8 PHARMACIST 3 0
9 RHP 4 0
10 GNM 12 0
11 ANM 34 0
12 ASHA 187 0
13 Health Supervisor 27 0
14 HW 298 0
Under IDSP Establishment
1 DSO 1 0
2 DDM 1 0
3 Accountant 1 0
4 Administrative
Assistant
1 0
5 DEO 0 1
BEDGET BREAKUP AND ACTIVITY PLAN FOR THE
YEAR 2010-11,NLEP,N.C.HILLS. Sl.No
.
Activities Responsib
le
Duration &
date
Expenditure Details Total
cost
Result---- 1 DPMR Services Improved
A
4 day
training of
56
untrained
MO on DPMR
& Leprosy
Management.
DN 4 days
June/2010
Stationary =56Nos x 60=
Lunch& tea=56x80x4=
TA/DA=56x300x4=
Trainers=3x300x4=
M/S=
3360.00
17920.00
67200.00
3600.00
2000.00
94080.00
4 days
training of
77 nos. of
HW&
supervisor
on DPMR &
Leprosy
Management
DN 4 days
June/2010
Stationary = 77 x 60
TA/DA=77x200x4
Lunch & Tea=85x80x4
Trainers=3x300x4
MIS
=
4620.00
=61600.0
0
=27240.0
0
=3600.00
=2000.00
95460.00
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 92
B
1 day
orientation
training of
30 nos of
MO on DPMR
& Leprosy
Management.
DN
1 day
June/2010
Stationary=30x60
TA/DA=30x300
Lunch & tea=38x80
Trainers=3x300
MIS
=1800.00
=9000.00
=3040.00
=
900.00
=
600.00
15340.00
1 day
orientation
training of
248 nos of
HW x
Supervisor
on DPMR &
Leprosy
Management
DN
1 day
(1+1+1)Ju
ne/2010
Stationary 50 x 298
TA/DA=200 x 298
Lunch&Tea=80x110
Trainers 300x314
MIS
=14900.0
0
=56600.0
0
=
8800.00
=
3600.00
=
2400.00
86300.00
C
Procurement
of MCR
DN July/2010 From 2002 to award 36
nos of
patients=36x@300/-
=10800.0
0
10800.00
D
Patients
welfare
DN As per
need of
patient
Blankets = 36x@400/- 14400 14400
E
Mobilizatio
n of
disabled
Leprosy
cases
affected
persons for
disability
assessment
refill to
Hospital
for
treatment
and
investigati
on (RCS)
DN Aug/20102
Sep/2010
Convvance
Lunch & Tea
TA / DA for (5 members)
Lunch for 5 members
Mis
1600/-
2000/-
1000/-
1800/-
600/-
7000/
F
Procurement
of
Supporting
Medicines
DN May &
June /
2010
For Leprosy patients 20,000/- 20,000/
Result & Drug management
Improved
Stationary 26x60=
Lunch & Tea 32x80=
TS / DA = 26x200=
Trainées @ 2 x 300
Mis
1560
2560
5200
600
500
10420
A
One day
training of
Pharmacist
26 nos
DN May/2010
B
MDT Delivery
services &
Follo up
DN As per
situation
As per allotment 15000/- 15000/
Result – 3 Programme Management Improved
A Review DN Every 3000x4 12000 12000
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 93
Meeting
quarterly
quantum
B
Honorarium
to
Accountant
DN Per month 400x12 7200 7200
C
Honorarium
to Driver TA
/DA
DN Per month 5000x12
500x12
60000
6000
66000
D Honorarium
to swapper
DN Per month 500x12 6000 6000
Result – 4 DN /GHC Staff performance Improved
Sl Activities Responsib
le staff
Duration
Date
Expenditure details Total
cost
A
Printing of
formats &
registers
etc.
DN April,
2010
L.F. – 01
LF – 04
Others case register
50x@80
register for ASHA
Patients card for NLEP,
GHC & ASHA
10000
4000
1500
2500
18000
B
Capacity
Building and
training of
clinical
skill of GHC
& DN
DN Routine - - -
C
On Job
Training
during
Supervision
DN Routine - - -
Result – 5 Supervision system Improved
A
Monthly
meeting of
NLEP staff
25 nos
DN 6th of
every
month
30x80x12
File & pen etc. 25x15x12
TA / DA= 25x200x12
28000
4500
60000
93400
B
Increase
supervision
of health
facilities
DN Routine Visit per month - -
C
Ensure
submission
0f ATP &Tour
diary
DN Regular - - -
D
Use of check
list in
supervision
DN Regular Printing formats 10000 10000
E
Office
maintainace
DN Regular Telephone bill =700x12
Buy Fax machine 1x15000
2 Computer 2x 30000
Stationary
Internet
8400
15000
60000
35000
10000
1284000
F Vehicle
operation &
DN Routine - 200000 200000
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 94
Hiring of
vehicle
Result – 6 IEC Decreased discrimination of patients and family
A
Making
patients /
worker Human
chain at
Block level
& District
Level
DN 4 Oct/ 2010 2000x4 80000 8000
B
Distribution
of snakes /
fruits to
leprosy
patients on
special
occasions
DN In meeting & camp - 7000 7000
C
Consoling of
LAPs family
& villages &
community
during
healthy
contacts
DN During healthy
contact
examination
- - -
Result – 7 IEC increased awareness of treatment and disease
A
Rallies (i)
Anti leprosy
day
DN 30th January 2011 10000 x 1
Arrangement for
sweet, fruit for
student & others
10000 10000
B
School Quiz
- 10 nos
DN Aug/sep/oct/Nov/2
010
1 no HSS school
Haflong
1 no HSS School
Maibang
High School= 3
nos
ME school=3 nos
LP school=2nos
1st prize = 500/-
2nd prize 300/-
3rd prize 200/- =
1000/-
Total 10 nos of
Quiz 1000x10
Refreshment &
Question paper
10000
9000
19000
C
Hoarding at
PHC /CHC and
Other public
places – 10
wall
painting –
50 nos
Flock show –
50 nos
Streets
Drama- 10
DN Dec / 2010
Jan / 2011
Feb / 2011
Hoarding 10x
10000
Wall painting
=50x400
Flock
show=50x4000
Streets drama =
10x 2000
100000/
-
20000/-
200000/
-
20008/-
520000/
-
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 95
nos
D Printing of
posters
DN Aug/2010 1500@60/ 9000 9000
E Health Mela DN Dec/2010 5000x1 5000 5000
F
IPC work
shop of no&
HW-02
DN Oct &Nov/2010 6000x2 12000 12000
G
Orientation
camp for
NGOs-02
DN Oct&Nov/2010 6000x2 12000 12000
Result-8 IEC increased attention by decision maker to Leprosy
A
Public
opinion
lead work
shop-10
DN Nov/2010 to Feb
2011
3000x10 30000 30000
B
Quarterly
meeting of
DHS headed
by DM
DN Each Quarter 15 members x 60/-
x 4Q
3600
3600
Result-9 TA/DA of DN & NLEP staff Insured
A
TA/DA for DN
& NLEP Staff
DN Per month DN staff=2400x12
NLEP 20 nos
20x300x12
28800
7200
36000
Result-10 Leprosy Services established under NRHM
A
One day
Training of
ASHA
DN Every Month TA/DA100x187=
Refreshment@40x19
3=
Stationary=15x187
=
Trainers =1x300=
18700
7720
2805
300
29525
B Incentives
for ASHA
DN As information MB cases-15x500
PBcases=10,10x300
7500
3000
10500
TOTAL
GANNT CHART FOR ACTIVITIES IN 2010-2011
SL.No Activity April May June Aug Sep Oct Nov Dec Jan Feb March
1
4 days training
of 56 MO on
DPMR & Leprosy
Magement
4 days training
of-77 nos of
Health
worker/Health
Supervisor on
DPMR & Leprosy
Magement
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 96
One day
orientation
training of 30
nos of MO on
DPMR&Leprosy
management
One day
orientation
training of 248
nos of H/W on
DPMR& Leprosy
management
Procurement of
MCR
Patients
Welfare
Mobilization of
disabled
Leprosy office
person for
disability
assessment
Procurement of
supporting
medicine
2
One day
training of
Pharmacies
MDT delivery
services &
follow up
3 Review meeting
Quarterly
4
Printing
formats &
register
5
Monthly meeting
of NLEP staff-
25
Increase
supervision of
Health
facilities.
Ensure
submission of
ATP & tom Diam
Use of check-
list in
supervision
Office
maintains
Vehicle
operation &
Hiring of
Vehicle
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 97
6
Making
patients/worker
human chain at
Block & Dist.
Level
Distribution of
sweets/ fruits
to leprosy
patients on
special
occasion
Counseling of
LAPS family in
villages and
community
during Healthy
contacts
7
Rallies 30th
jan / 2011 Anti
Leprosy
School Quiz –
10
Hoarding at PHC
/ CHC etc
Wall painting
Folcia show,
streth Drama
Pasting of
poster in Govt.
Office
Health Mela –
01
IPC work shop
of Mo & HS/HW
Orientation
camp for NGOS
8
Public opinion
leader work
shop
Meeting of DHS
headed by DM
9 TA / DA for DN
& NLEP staff
10
One day
training of
ASHA
Incentive of
ASHA
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 98
4. Action Plan for National Blindness Control Programme (NBCP), N.C. Hills
Action to be taken – Identification – Sl. No
Activity 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
1 IOL Camp 4 Nos. 4 Nos. 6 Nos. 6 Nos.
2 Teaching Training 12 Nos. 6 Nos. 12 Nos. 6 Nos.
3 School student scanning
24 Nos. 24 Nos. 24 Nos. 24 Nos.
4 Spectacle given to the school children
10 Nos. 10 Nos. 10 Nos. 10 Nos.
5 IEC
a) Leaflets distributed to periphery
10,000 copies
10,000 copies
10,000 copies
10,000 copies
b) Poster distributed to periphery
3,000 copies
3,000 copies
3,000 copies
3,000 copies
c) Hording 10 Nos.
5. Action Plan for Integrated Disease Surveillance Project (IDSP)
N.C. Hills INTRODUCTION OF IDSP:
Integrated Disease Surveillance Project (IDSP) is a decentralized, state
based surveillance programme in the country. It is intended 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 programmes and help allocate
health resources more efficiently.
DISTRICT INTROUDUCTION:
The District, N.C.Hills is Lies approximately between Latitudes 24054
and 26042/ N and Longitudes 92053/ E covering about 4888 Sq. KM. It is
Surrounded in the North Nagaon District, in the East by Nagaland Manipur and
parts of Karbi Along and West by Megalaya and South Cachar. Haflong the
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 99
District Head Quarter. The District is inherited by group of Tribes with
mutually which exclusive Tribal Social systes. The main Hills tribes living
in this District are the Dimasas, Zeme Nagags, Kukuis, Hmars, Karbies,
Khasis, Biates, Hrangkhals, & Vaipheis Assamese, Napalies, Bangolies. The
density of the population is 38 persons per Sq. Km. The North Cachar Hills
was the most Backward District in Assam. Even today it continuous to be the
most backward district in the state. The reasons are nor far to seek. The
villages in the N.C.Hills are spread through the length and breath of the
mountainous regions, which are unreachable due to absence of motorable roads,
Interior villages thus remain cut-off from its Head Quarter for long period
of time.
STRENGTHS:
vii) Trained District Nucleus staff. viii) Availability of Guidelines from the state time to time.
ix) Good Co-ordination with Jt. Director of Health Services & NRHM, N. C.
Hills, Assam and department level.
x) Review and monitoring is being does regularly.
CONSTRAINS:
vii) No office building for IDSP’s contractual staffs. Already, the
estimate of Office building submitted to Mission Director, NRHM,
Assam, for his approval. The estimated amount is Rupees Ten Lac
Seventy thousand only.
viii) No Officials furniture for DSO in the Office. ix) Hilly District, so high cost of all side. Cost of living is very
high.
x) No furniture of conference hall, like round table, chair etc.
DISTRICT PROFILE AND STAFF POSITION:
1) Name of District :- North Cachar
Hills.
2) Total population in project area :- 213573.
3) Density of population :- 38/Sq Km.
4) Total no of village :- 793(Review Non
review)
5) Sub-Division :- 2 Nos
6) Nos of Town :- 4 nos
7) No of Civil Hospital :- 1 Nos
8) No of PHC :- 2 nos.
9) No of CHC :- 2 Nos
10)No of BPHC :- 3 Nos.
11)No of SHC :- 3 Nos.
12)No of State Dispensary :- 2 Nos
13)No of FWSC :- 60 Nos.
14)No of Med. SC :- 5 Nos.
15)No of Block :- 5 Nos.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 100
STAFF POSITION. (IDSP):
Sl
No.
Name of Post In Position Vacant Remarks
1 DSO 1 0
2 DDM 1 0
3 Accountant 1 0
4 Administrative
Assistant
1 0
5 Data Entry Operator 0 1
BEDGET BREAKUP AND ACTIVITY PLAN FOR THE
YEAR 20010-2011, IDSP, N.C.HILLS.
SALARY:
Sl No
Designation Monthly Salary Total
1 DSO
2 DM @ Rs.13,500 x 12 months Rs 1,62,000.00/-
3 Accountant @ RS. 9,500 x 12 months Rs 1, 14,000.00/-
4 Data Entry
Operator
@ Rs. 85000 x 12 months Rs 1,02000.00/-
5 Administrative
Assistant
@ Rs. 7000 x 12 months Rs 84,000.00/-
TOTAL Rs 4,62,000.00/-
BUDGET OF NEW OFFICE BUILDING OF IDSP
BUILDING:
Sl No Subject Estimated Amount Remarks
1 Abstract cost of new
office building
(construction of 2 (two)
rooms with R.C.C.
attached to IDSP.
Rs. 10,75,000.00/- The Official
letter &
estimate are
already
submitted to
Mission
Director, NRHM,
Assam for his
approval.
TOTAL Rs 10,75,000.00/-
OFFICIALS EQUIPMENTS:
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 101
Sl No Description Rate Amount
1 One digital Xerox
machine
@ Rs.1,75,000.00/- Rs. 1,75,000.00/-
2 One AC(Split)
machine for
conference hall
@ Rs. 65,000.00/- Rs. 65,000.00/-
3 Furniture of
conference hall
@ Rs. 1,20,000.00 Rs. 1,20,000.00/-
4 Furniture of DSO @ Rs. 12,000.00 Rs. 12,000.00/-
TOTAL Rs 3,72,000.00/-
TRAINING PURPOSE (REMAINING):
Sl No
Description Rate Amount
1 Medical Officers & SPP
(12 nos)
Rs.30,000.00 Rs. 30,000.00/-
2 Laboratory Technicians 30
nos)
Rs.35,550.00 Rs 35,550.00/-
3 Health Workers (161 nos) Rs.1,24,775.00 Rs. 1,24,775.00 TOTAL Rs 1,90,325.00/-
OTHER:
Sl No Description Rate Amount
1 Renovation of District
Labs and DSU
Rs. 1,40,000/- Rs. 1,40,000/-
2 Estimated Costs for
Laboratories and
Surveillance Unit
Rs. 60,000/- Rs. 60,000/-
3
Information, Education & Communication
(i) Organization of
sensitization workshops
Rs. 30,000/- Rs. 30,000/-
(ii) Review meeting of
District Committee
Rs. 10,000/- Rs. 10,000/-
(iii) Press Advertisements Rs. 20,000/- Rs. 20,000/-
(iv)Print media Rs. 20,000/- Rs. 20,000/-
(v) Others including
indigenous methods
Rs. 20,000/- Rs. 20,000/-
TOTAL Rs. 300000.00/-
OPERATIONAL COST:-
Sl No Description Rate Rs. Amount
1
Travel Cost, POL,
maintenance or hiring of
vehicle
Rs.40,000 Rs. 40,000.00
2 Office expenses on
telephone, fax,
electricity etc.
Rs. 20,000 Rs. 20,000.00
3 Office stationery and
other consumable items
Rs. 20,000 Rs. 20,000.00
4 DA of officers / staff
engaged under IDSP
Rs. 30,000 Rs. 30,000.00
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 102
5 Miscellaneous including
contingencies
Rs. 20,000 Rs. 20,000.00
TOTAL Rs. 130,000.00
Total Amount : Rs. 25,25,325.00
Rupees Twenty Five Lakh Twenty Five Thousand Three Hundred and Twenty Five Only.
*******
6. Action Plan for HIV / AIDS Control , N.C. Hills
The District HIV / AIDS control activities was started in the year 1998 by the department of Health
& Family Welfare under direct supervision & help of Assam State AIDS Control Society, Guwahati. In the initial stage only Awareness campaign for prevention of AIDS was launched.
Later on, the Under mentioned mandatory infrastructure have been developed in the District Hospital, at Haflong, N.C. Hills –
1. Blood Bank 2. Sexually Transmitted Diseases Clinic (STD Clinic) 3. Voluntary Counseling & Testing Centre (VCTC)
Plan of Action : Priority is to be given to establish a fully functional District AIDS Control Cell.
Activities to be taken :-
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 103
A) BCC / IEC & training activities :-
i. Training of Staffs ( Medical & Non-Medical) ii. Organizing awareness meeting at District & PHC level. iii. Distribution of leaflets, posters. iv. Hoardings and wall writings.
B) Human resources :- Required man-power specially Female Councilor in VCTC, Lab-Technicians in VCTC.
Part E : Convergence :-
As the indicators of Health depend as much on drinking water, nutrition, sanitation, female literacy, women’s empowerment as they do on functional health facilities, NRHM seeks to adopt a convergent approach for interventions under the umbrella of the district plan which seeks to integrate all the related initiative at the village, block and district levels. Priorities :
Convergence of programme for combating / preventing HIV / AIDS, chronic diseases, malnutrition, providing safe drinking water etc. with community support. Constrains :
• Vertical implementation of programme
• Only curative care
• Inadequate service delivery
• Non-involvement of community Action to overcome constrains :
• Convergence of programme
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 104
• Preventive care
• Health & Education
• Empowering communities
• Providing functional health facility (SHC), PHC (CHC) for effective intervention.
While substantial spending in each of these sectors would be from the concerned departments,
the district plan would provide for some catalytic resources through untied grants for convergent action.
Chapter (8)
Monitoring and Evaluation Monitoring and Evaluation Monitoring and Evaluation Monitoring and Evaluation
District has to monitor the following inputs, process and out put indicators to evaluate the desired result in different programmes. Input indicators
• Number of additional ANMs positions filled against required
• Number of ASHAs selected and trained
• Number of SC’s strengthened against proposed
• % of ASHAs in position
• Number of VH &SC constituted and grants given (proposed vs actual)
• Number of RKS registered/established against proposed
• Number of CHCs upgraded as per IPHS
• Number of PHCs strengthened to provide 24 * 7 services (No. proposed and actual functioning)
• % of upgraded CHCs providing EmOC services ((No. proposed and actual functioning)
• Number of static facilities offering sterilization services (Male and Female)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 105
• Number of DH/SDH/CHC/Block PHC providing sterilization services
- Male – NSV
- Female – Minilap / Laparo. Ster.
• Number of CHC/PHC/SC providing IUD services
• Frequency of provision of service at different places (DH/SDH/CHC/PHC/SC) – fixed day or not
• Number of trained and certified trainers and providers available for NSV/ minilap/ laparo / IUD
• Number of CHCs / PHCs providing RTI services (% of the total)
• Number of PHCs / CHCs providing ARSH services
• % of health facilities (CHCs / PHCs) not having at least one month stock of anti-TB drugs,
measles vaccine, OCP and gloves
• % of outreach sessions where AD syringe and safe disposal needles are used (Total outreach
session is the base)
Process Indicators Maternal Health
� ANC registration during the first trimester (Separately for vulnerable groups and others)
� Total ANC Coverage for different ANC services (Separately for vulnerable groups and
others)
� Number of eligible pregnant woman receiving complete ANC package (Base 7-9 months
pregnant woman) (Separately for vulnerable groups and others)
� % of pregnant woman with obstetric complications identified and treated (Separately for
vulnerable groups and others)
� % of deliveries with skilled attendance including institutional deliveries (Separately for
vulnerable groups and others)
� % of C-section deliveries and institution break-up of C-sections (Separately for vulnerable
groups and others)
� Coverage of eligible pregnant woman covered under JSY (Separately for vulnerable groups
and others)
� Number of woman receiving post-partum care within two weeks of delivery (Separately for
vulnerable groups and others)
� % of pregnant woman having 4 or more living children
� Number of maternal deaths by weeks after births (by caste) (Separately for vulnerable
groups and others)
� Number and percent of 24 hour PHCs conducting minimum of 10 deliveries per month
� Number and percent of FRUs, CHCs and 24 hrs. PHCs reporting having conducted at least
10 wet mount test in the months
Child Health
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 106
� Number of live births by sex and caste
� % of live births weighed
� % of infants under weighed
� Number of infant/child deaths
� Number of infants (0-11months) by vaccination status-by sex and caste
� Number of 9-36 month old given Vit A-by sex and caste
� Number of children severely malnourished children (<6 yrs by sex and caste) referred to
institutions
� Number of children who suffered from diarrhea/ARI and % who sought treatment
Family Planning
Number of female and male sterilization operations performed during the month
Number of new and continuing spacing method users
Parity of sterilization acceptor
Mean age of sterilization acceptor
% deaths, failures, complications reported
% compensated through National FP Insurance Scheme
% of correctness of Sterilizations and IUDs reports
Release of compensation money as against number of cases done
% of ELAs covered
NVBDCP
NVBDCP should be considered with the following input and programme output indicators. Input
- Percentage of PHCs having functional laboratory for malaria microscopy
- Percentage of DDCs/FTDs/ASHA/AWW reporting stock out of anti-malarial drugs/anti kalaazar
drug (endemic PHCs only) during last three month
- Percentage of PHCs /CHCs with facilities for treatment of Acute Encephalitis syndrome (JE
endemic areas)
- Percentage of PHCs/CHCs having facilities for detection and treatment of Kala-azar cases
Programme Output Indicator
Percentage of target population screened for malaria parasite
Percentage of positive malaria causes radically treated within 72 hours of blood smear collection
Number of severe cases of malaria treated at the PHCs/CHCs Number of cases of Acute Encephalitis Syndrome manage at PHCs/CHCs (in JE endemic district)
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 107
Number of hydrocele operations conducted at PHCs/CHCs (in Filaria endemic district)
Number of Kala-azar patients completely treated at the PHCs/CHCs
API for MP
Annual blood examination rate for MP increased (over 10 % of all OPD cases)
Slide Positivity Rate
No. of death due to malaria
RNTCP should be considered with the following indicators
Percentage of PHC/CHC having RNTCP DMC with functional BM ( Binocular Microscope) and
trained lab technician
Percentage of TB suspects examined out of the total outpatients
Annualized New Smear Positive (NSP) case detection rate per 100,000 populations
Annualized Total case detection rate per 100,000 populations
Treatment success rate
NLEP should be considered with the following indicators.
Pr
ANCDR
Proportion MB, Female, Child, ST, SC cases among the new cases detected
Proportion of Patients completed treatment
Cure rate for MB & PB cases separately – Periodic cohort analysis
National Blindness Control Programme
� Cataract surgery rate (450/100,000 population)
� % surgery with IOL (80%)
� % school Eye Screening
� Screening of school children for defection of refractive errors and providing 3.1 lakh free
spectacles to poor children
� Collection of 1.75 lakh donated eyes (after death) for transplantation in persons with corneal
blindness
� Setting up 2000 vision centres in rural areas at Primary Health Centres and NGO facilities for
providing basic services to rural population.
� Proving non-recurring to 50 voluntary organizations for strengthening/expanding eye care
services
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 108
Output Indicators through evaluation
� Contraceptive prevalence rate
� % eligible couples using any spacing method for more than 6 month
� % of eligible couples of higher order of births (3 & 3 +), accepted permanent method
� % of woman delivered during past one year who received 100 IFA tablets
� % of deliveries conducted by skilled providers (doctors, nurses or ANMs)
� % of 12-23 months children fully immunized
� % of mothers and new born children visited within 2 weeks of delivery by a trained community
level health provider/AWW or health stuff (ANM/Nurse/Doctor)
� % of children suffering from diarrhea during past 2 weeks received Oral Rehydration Solution
� Polio free status achieved
� Total number of percentage of vulnerable groups covered under the programme vis-à-vis others
In sum, information on these indicators will have to be gathered by SC, ST and others and wherever
applicable by male and female. The new monitoring format that is going to be introduced from the state
to national levels is being finalized and takes the above elements into consideration.
User of the Information (Who)
Action Based on Information (Why)
What Indicator (What) Data Source
(Inclusive of from whom)
How many times information is reviewed (When)
Any responsible officials from
Improving Maternal Health
% ANC registration Office register Monthly/yearly report
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 109
Health dept/NRHM officials etc.
% ANC coverage for different ANC services
Survey report Monthly Review meeting
% of pregnant women with Obstetric complication
Hospital document
% deliveries with skilled attendance
% institutional deliveries
% of C-section deliveries
% of JSY coverage
Improving Child Health
% of live birth Hospital document Monthly/yearly report
% of live birth weighed Office register
% of live birth underweight Survey report
% of infant /child death Review meeting
% of children given vaccination
% of children given Vit-A
% of malnourished children
% of ARI treatment
Population stabilization &
improved lifestyle through family
planning
% of male & female, sterilization operation performed
Hospital document Monthly/yearly report
% of user of family planning devices Office register
% death, failures, complications reported
Survey report
% compensated through National FP insurance scheme
Review meeting
% of correctness of sterilization & IUD reports
% of ELA covered
Controlling vector born diseases
through NVBDCP
% of target population screened for malaria parasite
Hospital records Monthly/Yearly report
% of malaria positive cases Office register
% of prevalence of acute encephalitis syndrome
Survey report
% of prevalence of kala-azar
Controlling TB through RNTCP
% of NSP case detection Hospital records Monthly/yearly report
% of Treatment success rate Office register
% of TB suspects examined out of total out patients
Survey report
% of PHC/CHC having RNTCP DMC with functional BM & trained lab technician
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 110
Chapter (9)
Work plan:
Strategy / Activity
Timeline
Responsibility 2010-11
Q1 Q2 Q3 Q4
MATERNAL HEALTH
.Operationalise facilities
a) Operationalise CHCs as FRUs
1. Organizing dissemination workshops for FRU guidelines
Addl. CM & HO
2. Prepare plan for operationalisation across districts (including staffing, infrastructure, training, equipment, drugs & supplies, etc.)
Addl. CM & HO
3. Monitor progress against plan; follow up with training, procurement, etc
Addl. CM & HO
4. Monitor quality of service delivery and utilisation including through field visits.
Addl. CM & HO
b) Operationalise PHCs to provide 24-hour services
1. Prepare plan for operationalisation across districts (including staffing, infrastructure, training, equipment, drugs & supplies, etc.)
Addl. CM & HO
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 111
2. Monitor progress against
plan; follow up with training,
procurement, etc
Addl. CM & HO
3. Monitor quality of service delivery and utilisation including through field visits.
Addl. CM & HO
c) Operationalise MTP services at health facilities
1. Prepare plan for operationalisation across districts (including training, equipment, drugs & supplies, etc.)
Addl. CM & HO
2. Monitor progress against plan; follow up with training, procurement, etc
Addl. CM & HO
3. Monitor quality of service delivery and utilisation including through field visits.
Addl. CM & HO
d) Operationalise RTI/STI services at health facilities
1. Prepare plan for operationalisation across districts (including training, equipment, drugs & supplies, etc.)
Addl. CM & HO
2. Monitor progress against plan; follow up with training, procurement, etc
Addl. CM & HO
3. Monitor quality of service delivery and utilisation including through field visits.
Addl. CM & HO
e) Operationalise sub-centres
1. Prepare plan for operationalising services at sub-centres (for a range of RCH services including antenatal care and post natal care)
Addl. CM & HO
2. Monitor quality of service delivery and utilisation including through field visits
Addl. CM & HO
Referral Transport
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 112
1. Prepare and disseminate guidelines for referral transport for pregnant women and sick newborns / children
Addl. CM & HO
2. Implementation by districts Addl. CM & HO
Integrated outreach RCH services
1. RCH Outreach Camps in un-served/ under-served areas
2. Implementation by districts of RCH Outreach Camps in un-served/ under-served areas
Addl. CM & HO
3. Monitor quality of services and utilisation.
Addl. CM & HO
4. Monthly Village Health and Nutrition Days at Anganwadi Centres
5. Implementation by districts of Monthly Village Health and Nutrition Days at Anganwadi Centres
Addl. CM & HO
6. Monitor quality of services and utilisation
Addl. CM & HO
Janani Suraksha Yojana/ JSY.
1. Dissemination of JSY guidelines to districts and sub-districts.
Addl. CM & HO
2. Implementation of JSY by districts.
Addl. CM & HO
3. Monitor quality and utilisation of services.
Addl. CM & HO
CHILD HEALTH
a) IMNCI.
1. Prepare detailed operational plan for IMNCI across districts (including training, BCC/IEC, drugs and supplies, etc.).
2. Implementation of IMNCI activities in districts
3. Monitor progress against plan; follow up with training, procurement, etc.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 113
b) Facility Based Newborn Care.
1. Prepare and disseminate guidelines for FBNC.
Addl. CM & HO
2. Prepare detailed operational plan for FBNC across districts (including training, BCC/IEC, drugs and supplies, etc.).
Addl. CM & HO
3. Implementation of FBNC activities in districts.
Addl. CM & HO
4. Monitor progress against plan; follow up with training, procurement, etc.
Addl. CM & HO
c) Home Based Newborn Care/HBNC.
1. Prepare and disseminate guidelines for HBNC.
Addl. CM & HO
2. Prepare detailed operational plan for HBNC across districts (including training, BCC/IEC, drugs and supplies, etc.).
Addl. CM & HO
3. Implementation of HBNC activities in districts.
Addl. CM & HO
4. Monitor progress against plan; follow up with training, procurement, etc.
Addl. CM & HO
School Health Programme
1. Prepare and disseminate guidelines for School Health Programme.
Addl. CM & HO
2. Prepare detailed operational plan for School Health Programme across districts.
Addl. CM & HO
3. Implementation of School Health Programme by districts.
Addl. CM & HO
4. Monitor progress and quality of services.
Addl. CM & HO
Infant and Young Child Feeding/IYCF.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 114
1. Prepare and disseminate guidelines for IYCF.
Addl. CM & HO
2. Prepare detailed operational plan for IYCF across districts (including training, BCC/IEC, drugs and supplies, etc.).
Addl. CM & HO
3. Implementation of IYCF activities in districts.
Addl. CM & HO
4. Monitor progress against plan; follow up with training, procurement, etc.
Addl. CM & HO
d) Management of Diarrhoea, ARI and Micronutrient malnutrition
Addl. CM & HO
FAMILY PLANNING
a) Terminal/Limiting Methods
1. Dissemination of manuals on sterilisation standards & quality assurance of sterilisation services.
Addl. CM & HO
2. Prepare operational plan for provision of sterilisation services across districts (including training, BCC/IEC, equipment, drugs and supplies, etc.).
Addl. CM & HO
3. Implementation of sterilisation services by districts
4. Provide female sterilisation services on fixed days at health facilities in districts
Addl. CM & HO
5. Provide NSV services on fixed days at health facilities in districts
Addl. CM & HO
6. Organise female sterilisation camps in districts.
Addl. CM & HO
7. Organise NSV camps in districts. Addl. CM & HO
8. Monitor progress, quality and audit of services through Quality Assurance Committees
Addl. CM & HO
b) Spacing Methods
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 115
1. Prepare operational plan for provision of spacing methods across district.
Addl. CM & HO
2. Implementation of IUD services by districts.
Addl. CM & HO
3. Provide IUD services at all health facilities in districts.
Addl. CM & HO
4. Organise IUD camps in districts. Addl. CM & HO
5. Social Marketing of contraceptives
Addl. CM & HO
Set up CBD Outlets
1. Organise Contraceptive Update seminars for health providers
Addl. CM & HO
2. Monitor progress, quality and utilisation of services.
Addl. CM & HO
c)Involvement of FNGO Addl. CM & HO
ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH
a) Adolescent friendly services
1. Disseminate ARSH guidelines. Addl. CM & HO
2. Prepare operational plan for ARSH services across districts (including training, BCC/IEC, equipment, drugs and supplies, etc.).
Addl. CM & HO
3. Implement ARSH services in districts.
4. Setting up of Adolescent Clinics at health facilities.
Addl. CM & HO
5. Monitor progress, quality and utilisation of services.
Addl. CM & HO
URBAN RCH
a) Urban RCH Services
1. Identification of urban areas / mapping of urban slums
Addl. CM & HO
2. Prepare operational plan for urban RCH (including infrastructure and human resources, training, BCC/IEC, equipment, drugs and supplies, etc.).
Addl. CM & HO
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 116
3. Implementation of Urban RCH plan/ activities
Addl. CM & HO
4. Recruitment and training of link workers for urban slums
Addl. CM & HO
5. Strengthening of urban health posts and urban health centres
Addl. CM & HO
6. Provide Maternal Health services
Addl. CM & HO
7. Provide Child Health services Addl. CM & HO
8. Provide Family Planning services
Addl. CM & HO
9. Provide ARSH services Addl. CM & HO
10. Monitor progress, quality and utilisation of services.
Addl. CM & HO
Major civil works (New constructions/ extensions/additions)
1.CHC up gradation to IPHS in Maibong & Umrangshu CHC.
Jt. DHS
2.Rural health block pooling at Maibong CHC. Jt. DHS
3.Construction of doctor & nurses Qurt. At Umrangshu,CHC,Mahur PHC,Jatinga SD & Gunjung PHC.
4. Repairing and renovation of ANM school. Jt. DHS
5.Construction of new GNM school. Jt. DHS
Monitoring & Evaluation / HMIS
1. Strengthening of M&E Cell
2. Operationalising the new MIES format
3. Review of existing registers Jt. DHS
4. Printing of new forms Jt. DHS
5. Training of staff Jt. DHS
BCC / IEC
1. Strengthening of BCC/IEC Bureaus
2. Development of BCC strategy DME
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 117
3. BCC/IEC activities/campaigns for maternal health
DME
4. BCC/IEC activities for maternal health interventions (except JSY)
DME
5. BCC/IEC activities for JSY DME
6. BCC/IEC activities/campaigns for child health
DME
7. BCC/IEC activities/campaigns for family planning
DME
8. BCC/IEC activities/campaigns for ARSH
DME
NRHM additionalities
1.VHSC to be strengthened by
providing capacity building
trainings.
2.Trainning and incentives to
ASHAs for motivation.
3.Organzing health melas .
4.Support to MMU/heath camps.
5.Upgrading the durg ware house
6.Ensuring waste disposal
system in heath facilities.
7. Capacity building at all level
along with training.
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 118
Chapter – (10) Budget
BUDGET SUMMARY FOR NRHM FOR 2010-11 (Rs. in crore)
Part Programme Budget estimate for 10-11 Remarks
A Reproductive and Child Health Programme
II 1.7028
B NRHM Additionalities 10.9192
C Universal Immunization Programme 0.4911
D National Disease Control Programmes 1.50187
E Intersectoral Convergence 0.065
TOTAL
14.67997
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 119
Part: A RCH II
Items Targts Amt.
( Rs.Cr.)
SC Repairing nil
Up gradation of CHC to FRU 2 0.03
Referral Transport 114 0.2052
Vehicle Repairing 20 0.05
Logistics 0.2
Outreach session 0.0036
JSY 3942 0.78
Sterilization 200 0.02
Hospital waste Mgt 0.05
DPMU 0.0972
ORT Corner 11 0.0275
Equipments for Labour Room 4 0.080
Adolescent Clinic 5 0.0125
A / V aids 0.01
Maint. of generator set at CHC / PHC 10 0.024
Monitoring & Supervision (Dist Level) 0.036
Monitoring & Supervision (Block Level) 5 0.048
Monitoring & Supervision ( LHV ) 0.0048
Hiring of Vehicle (DPMU) 0.024
Total = 1.7028
Part – B. NRHM additionalities: Sl. No.
Activity Current status Proposed in 2009-10
Amount Justification
1 Village level Activity
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 120
Untied grants to Village Health and Sanitation Committees (VHSC) @ Rs10000.00 per VHSC.
187 187X10000 0.187
Selection & Training of to be newly recruited ASHA. If reqd @ Rs. 5815 / per ASHA
187 Nos. 30 0.108 For 30 Nos. of ASHA
Apron & I-Card for ASHA @ Rs 230.00 (Rs. 200/- + Rs. 30/-for 187 Nos.
187 Nos. 217 0.0043
Ensuring Nutrition and health education programme for the women groups. One health day per month in each of the AWC.
187 Nos. 187 Nos. + 30 Nos.)
0.026
2 Sub Centre level activity
Untied Fund to SC 65 Nos. 65 Nos. X 10,000 0.065
Maintenance fund to SC 65 Nos. 65 Nos. X 10,000 0.065
Construction of sub-centre building (which are functioning at the rented houses).
17 Nos. 10 Nos. X 7.5 Lakh
0.75
Second ANM for SCs to be provided in all the SCs.
34 Nos. 10 0.264
3 PHC level activity
Untied Fund to PHCs 5 Nos. - 5 Nos. X Rs. 25,000/-
0.0075
Maintenance fund to PHCs 5 Nos 5 Nos. X Rs. 50,000/-
0.025
4 additional quarters (one for MO and three for GNMs) for 5 PHCs are taken up 24X7 services @ 28.80 lakh per unit (4 quarters).
3 Nos. X 28.80 Lakh
0.864
Homeo Medical Officer - -
Hiring of vehicle for supervision at the Block PHC level.
3 Nos. 1 0.006
New BPHC to be established as per the population norms in those areas where there is no PHC including civil constriction of building and quarters.
- -
GNM in 24x7 health facilities 6 10Nos. X @ Rs. 7000/- X 12
0.504 Also include salary for existing GNM
4 CHC level activity
Untied Fund to CHCs 2 Nos. 2 Nos. X 50,000 0.01
Maintenance fund to CHCs 2 Nos. 2 Nos. X 1,00,000 0.02
Physical infrastructures of CHC already under provision of IPHS.
2 0.80 Carry forward from 2008- 09
Block pooling of quarters for 2 CHC 2 Nos 2.00 Carry forward from 2008-09
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 121
New CHCs to be established - -
Contractual specialist in CHCs 1 2 Nos. X 3 @ Rs. 38,000/- X 12
0.2736
Contractual GNM in CHCs. 4 GNM including 1 PHN per CHC. Total 2 CHCs.
3 6 Nos. @ Rs. 7000/- x 12
0.0756 Salary for existing GNM
5 Maintenance, RKS and untied grant for 2 SD, 3 SHC & 1 urban centre.
6 @Rs.0.0175 0.105
6 District Hospital level activity
Rogi Kalyan Samitis
Fund for Rogi Kalyan Samitis / Hospital Management Committees
1 No. 1 0.05
For telephone connection in the Rs 2000.00 per PHC proposed and recurring expenses @ Rs 500.00 p.m
4 0.0032
GNM in Civil Hospital 4 6X@7000X12 0.084 Salary for existing GNM
Strengthening the Nursing Schools
For ANM training Schools (18) @ 25 lakhs (repair of class room, hostel, field practice areas book, furniture) for 17 schools. Already sanctioned for 17 schools.
1 Nos. @ Rs. 25 Lakh
0.25
For GNM schools 1 @ 2 Cr. For 1 schools.
1 No. 2.00
Special programme for the early detection of cancer
- -
7 Public Private Partnership
PPP with charitable hospital – Holy Spirit Hospital, Haflong
1 0.15
8 Others
Preparation of health action plans 1 DHAP + 3 BHAP
0.015
Organizing Health Melas(Block wise) 1 Nos. @ Rs. 5 Lakh
2 0.10
Support to Mobile Medical Units (MMU)/ Health Camps (recurring cost @ Rs11.73 lakhs per unit and manpower).
1 0.1173
9 Procurement
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 122
Drugs (IPHS)
SC @ Rs 18135.00 65 Nos. X 18135 0.1178
PHCs @ Rs.3 lakhs 5 Nos. X 3 Lakh 0.15
CHCs @ Rs 10 lakhs 2 Nos. X 10 Lakh
0.20
SDH @ Rs 10 lakhs -
DH @ Rs 30 lakhs 1 Nos. X 30 Lakh
0.30
10 Equipments & Kits
Equipments for CHCs (as per IPHS) along with AMC
Provision of 1 vehicles for district to ensure the regular supply of medicines/ vaccines etc
1 Nos. @ Rs. 15,000/-
0.018
Drug Warehouse for district. 1 Nos. @ Rs. 15,000/-
0.018
One Pharmacist (B.Pharma) for drug warehouse
1 Nos. @ Rs. 15,000/-
0.018
One Office Asstt for the Pharmacist (B.Pharma) of the drug warehouse
1 Rs. 7000/- 0.0084
To strengthen the health institutions in terms of proper waste disposal
0.25
11 HMIS/M & E
Mobilty for Monitoring & supervision 3
District @ Rs. 40000.00 0.048
Block 3 @Rs.25000 0.09
Sector level 5 @Rs.5000
0.03 Due to hilly terrain
Block level computers 3 For accountant
Software and AMC
Printing of formats 0.02
SC to PHC
PHC / BPHC to BPHC / District
District to State
Review Meetings (PHC/CHC ) 4 @ Rs. 1000.00 0.0048
BPHC level-monthly 4 @ Rs. 1000.00 0.0048
District level-monthly 1 @ Rs.2000 0.0024
12 IEC/BCC 0.09
13 New initiatives:
Incentives and rewards
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 123
Laboratoy Technician (Salary)
One Dental Surgeon (Salary)
Sensitization workshop for all SDH&MO, 2 days 3 BPHC, 2 CHCs). Per batch 30 participants will be there. Therefore 1 batch. Per batch Rs.45000.00
0.0045
Block Programme Management Unit 4 Nos. (3 Nos. + 1 No. Civil Hospital)
School Health Programme 0.03
TOTAL 10.9192
Part – C. UIP
SUMMARY BUDGET-UIP pt.C, 2010-11, ASSAM
MAJOR HEAD DIST.LEVEL A
1 POL& TRANS 50,400
2 ALT.VACC.DEL (normal) 2,89,200.00
(Underserved) 7,74.000.00
3 COMP.ASSTT./ RIMS 60,000
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 124
4 REV.MEETING 20,000
Block level 1,09,500.00
5 Mobility for SUPERVISION 7,48,800.00
6 SERVICE DELIVERY
Mob.of Ch.by ASHA 7,38,000.00
Underserved Area 1.54,000.00
7 REMOTE/UNREACHED AREA
8 COLD-CHAIN ITEM
9 COLD-CHAIN MAINTCE. 79,200
10 UP-GR.OF COLD-CHAIN ROOM
11 INJECTION SAFETY
12 TICKLER BOX / Data Logger
13 TRAINING
3-day TOT Mos TRG. ON RI
Reporting Format Trg.for CA,SI
Imm.Trg. For ANM 1,51,915.00
CCM trg.for Mos 8,000
Vacc.Handlers Trg. 12,600
Trg.on Micro-planning 19,500
3-day Mos Trg.on R.I 69,920
Bl.Data handlers Trg. On reporting. 10,650
14 CONTINGENCY 2,16,000.00
15 DIST.SPECIFIC; Incentive to ASHA 13,99,500.00
for Full Imm.
16 STATIONERY
17 PRINTING MATERIALS
TOTAL BUDGET-UIPpt.c (A+B) 49,11,185.00
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 125
Part – D.NDCP
NATIONAL RURAL HEALTH MISSION, N.C.HILLS 126
NATIONAL DISEASE CONTROL PROGRAMME ( NDCP )
Sl Programme Budget (Rs. in crore) For 2010-11
1 RNTCP 0.11937
2 IDSP 0.2525325
3 NLEP 0.15
4 NPCB 0.08
5 NVBDCP 0.90
Total 1.50187
N.C. Hills
Page 127 of 127
Part – E.Convergence
Sl. No
Items Amount ( In Cores)
1 Convergence Meeting 0.005
2 Convergence Workshop 0.01
3 Training 0.05
Total - 0.065