1. NRHM PIP for 2008-09 -Health Department -Government of Bihar

2. IMPLEMENTATION OF 2007-08 PIP

3. Janani Evam Bal Suraksha Yojna

4. Family Planning

5. Recruitment of Staff

6. Immunization Programme Muskan…Ek Abhiyan User Friendly Attractive

7. Muskan … Structure • Convergence with ICDS for better Immunization service delivery. • Anganwadi Center to act as the “service delivery unit” for immunization and as Headquarters from where AWW and ASHA operate • ANM to be ‘Team Leader’ for 6 – 8 AWCs • Each AWC area divided equally between AWW and ASHA for identification, survey and mobilization • Small & manageable target for every health worker; assigned approx. 100 families

8. Muskan … Structure • District Level - Muskan Campaign shall be under control of District Health Society (DHS) • Block Level – A steering committee to be formed at block level to facilitate and oversee implementation, comprising of: • Medical officer In-charge • CDPO • 1 Senior MO at block level • Health Manager • Field Level – ANM to be team leader for 6 – 8 AWCs (AWW + ASHA)

9. Implementation of Muskan • Newborn and Pregnancy tracking registers completed by November 2007 • Actual Operation of Muskan Ek Abhiyan started in December 2007 • Twice weekly immunization sessions being held: • Wednesdays on Sub-center • Fridays on AWCs • Alternate vaccine delivery through paid couriers for all immunization sites have been ensured • Organization of Village Health Day on every 3rd Friday of month to assess vaccination status of participating Children 0-2 years and pregnant women.

10. Incentives for Health Workers- AWW and ASHA • For Initial Survey - Rs 200/- each for AWW and ASHA (One time) • Achievement of Monthly Immunization Target (PW and Infants) • >90%: Rs 200/- each for AWW and ASHA • 80% - 90%: Rs 100/- each for AWW and ASHA • 60% - 80%: No incentive • <60%: AWW and ASHA liable for punitive action

11. Incentives for ANM • Achievement of Monthly Immunization Target (PW and Infants) • >90%: Rs 150/- per AWC • 80% - 90%: Rs 75/- per AWC • 60% - 80%: No incentive • <60%: ANM liable for punitive action

12. Incentives for PHC • Achievement of Monthly Immunization Target (PW and Infants) • >90% RI plus >90% attendance plus >90% family planning achievements – 50,000/- per month per PHC • 80% of above achievements – 35,000/- per PHC per month • 60:40 division of incentive between MOs, Other staff & Specialists

13. Monitoring and Evaluation • 3rd party evaluation of Muskan on a quarterly basis. • Formative Research and Development, New Delhi has been selected for undertaking 3rd party evaluation

14. Activities added to Muskan • ANM to carry IFA tablets to Anganwadi centres during her visit for pregnant mothers • ANM to ensure stock of ORS packets at each Anganwadi centres.

15. Training

16. Asha Training • Round 2,3 and 4 Training being conducted through the PHE Department • Training module finalized and Rs. 10 crore released to PHE Department • All training to be completed by October.

17. Operantionalization of Blood Storage Units • 21 Blood Storage Units are already in operation • Rate Contract for various equipments for Blood Storage units finalized and Fund released for 76 Blood Storage Units • Agency has been selected for running the blood storage units

18. MNGO Scheme • 12 MNGO Selected for Managing PHCs, agreement finalized and funds released to districts. • Each MNGO given 4 PHCs for operationalization. • 46 PHCs will be operationalized through the selected NGO.

19. Bio-Medical Waste Management • One Bio-Medical Waste Management Unit is in operation in Patna. The unit will cater the health facilities in Patna division. • For operationalization of 4 more Bio-Medical Waste Management units EoI has been taken out. Bids have been received

20. Last Vitamin A round conducted in November 2007 Total No. of Children supplemented with Vitamin-A. : 1.37 Crore Total Coverage : 97% Vitamin-A Rounds

21. School Health Camp • Students of all 15000 Middle School of State will be examined. • Health Card will be provided to all students. • Health Camp will be done by NGOs. • Advertisement for inviting NGOs has been published by State Health Society, Bihar.

22. Rogi Kalyan Samiti • Total registered : 388 • Fund sent to districts : 4.19 Crore

23. Infrastructure • Special Purpose Vehicle (A corporation ) has been created under PWD(Building) construction Department. • Tenders for Supervision Consultants and Project Management Consultants shall be taken out within this month.

24. Some innovations and PPPs • 102 Dial an Ambulance • 1911 Dial a Doctor • Higher end diagnostics in Medical Colleges and Regional Diagnostic Centres under PPP. • Generic Drug shops under PPP.

25. Resource Planning for 2008-09 PIP • Allocation for RCH Flexipool - Rs. 213 crores • Allocation for Mission Flexipool - Rs. 186 crores • Part C of NRHM - Rs. 71 crores • Likely uncommitted unspent Balance - Rs. 150 crores • State Government contribution - Rs. 120 crores Total Rs. 740 crores 15 % overplanning Rs. 100 crores Total PIP Rs. 840 crores

26. BUDGET 2008-09 SUMMARY OF BUDGET

27. NRHM PART A : RCH II

28. Innovations – Muskan Programme • Incentives to AWW @ Rs. 200 per month • Incentive to ANM @ Rs. 150 per month • Monitoring of Muskan Programme through data centre Total Cost : Rs. 16.09 crore

29. Upgradation of FRUs • 25 FRUs upgradation to be taken up • Civil Work for setting up of SNCUs in 17 Districts • Total projected cost : Rs. 20 crores.

30. Training • EmOC training of 34 doctors • SBA training 1346 staff nurses, ANMs • Anaesthesia training for 58 doctors • IMNCI training for 450 doctors, 1500 AWWs • Training for care of severely malnourished children for Medical officers. Total Cost : Rs. 15.34 crores.

31. Procurement • Establishment of SNCUs in 13 districts • Provision of equipment for newborn care for all 533 PHCs. • Procurement of drug kits.

32. NRHM PART B : NRHM Additionalities

35. Thank You