1. Project Implementation Plan National Rural Health Mission (NRHM) Orissa 2008-09

4. Human Resource 162 Radiographer 801 Laboratory Technician 1551 Health Supervisor (Female) 7121 Health Worker (Female) 4911 Health Worker (Male) 1551 Health Supervisor (Male) 2039 Pharmacist 2244 Staff Nurse 2629 Assistant Surgeon 824 Specialist 762 Medical Officers Number Category of post

5. * Sources NFHS - 3 State Goals 80 75 39%* Institutional deliveries 80 65 61* Full ANC 2010 2008-09 2005-06 2.1 2.2 2.4 SRS TFR 50 60 73- SRS /65* IMR 250 275 358 SRS MMR 85 70 44 ( 52%)* Full immunization 65 58 47 CPR 90 85 46.4 Deliveries with SBA

6. Important State Initiatives

9. Additional incentive for regular doctors ( Boudh, Phulbani & Gajapati) FOR KBK & 3 backward districts Rs. 8000 Rs. 5000 PHC/CHC/Area Hospitals/ PHC (New) Rs. 4000 Rs. 2000 DHH/SDH Revised Existing Level

11. State Budget Rs. in lakhs 100400.03 80191.81 69607.46 Total 50.00 50.00 50.00 Central Sponsored Plan 17046.05 14982.05 13231.75 Central Plan 25.3 64719.48 15119.50 2008-09 15.21 55658.20 9501.56 2007-08 51388.67 4937.04 2006-07 % increase Non-Plan State Plan Financial Year

12. NRHM State PIP 2008-09

15. Operationalisation of Facilities

17. Impact of Janani Surakhya Yojana (JSY)

18. Impact of Janani Surakhya Yojana (JSY)

19. Janani Surakhya Yojana (JSY)

21. Operationalisation of FRUs Strategy - Anaesthesia (Short Term Course) -18x2 batches - 36 - Already trained - 18 - In service PG & others - 4 - Private Medical College - 6 - Total - 64

26. BUDGET SUMMARY OF MATERNAL HEALTH FOR THE YEAR 2008- 09 Rs. in Lakhs 13,818.82 953.65 14,772.47 Total of Maternal Health 11,051.25 800.00 11,851.25 JSY 2,767.57 153.65 2,921.22 Sub-Total 0.54 Other 245.16 Incentive for Institutional delivery 9.60 Matru Smriti Yojana 30.00 Orientation of SHG to support VHND 1,147.26 Janani Suraksha Yojana (Other strategies) 434.89 Integrated outreach RCH services 37.20 Operationalise RTI/STI services at health facilities 15.78 Operationalise MTP services at health facilities 231.04 Referral Transport (Janani Express) 578.70 Operationalise PHCs to provide 24-hour services 191.05 Operationalise Block PHCs/CHCs/ SDHs/DHs as FRUs Balance proposed in 2008-09 PIP Unspent balance of previous year Total Budget Programme

31. BUDGET SUMMARY OF CHILD HEALTH FOR THE YEAR 2008- 09 869.84 95.86 965.70 Total 53.50 Addl Support for Immunization 115.64 Support for Prustikar Divas 34.10 Care of Sick Children and Severe Malnutrition at FRUs 352.40 School Health Programme 410.06 Facility Based Newborn Care/FBNC Balance proposed in 2008-09 PIP Unspent balance of previous year Total Budget Programme Rs. in Lakhs

36. BUDGET SUMMARY OF FAMILY PLANNING FOR THE YEAR 2008- 09 Balance proposed in 2008-09 PIP Unspent balance of previous year Total Budget Programme Rs. in Lakhs 213.53 4.70 218.23 Total 13.60 Other 15.00 Quality Assurance committee meeting expenditure 10.20 Advisory committee meetings expenses for district 1.00 Incentive to MO achieving Highest Sterilization 20.00 Compensation for IUD Acceptance 2.78 Mobility at the State & District Level 19.70 Condom Vending machine & Recurring cost 62.91 Spacing Methods 73.04 Terminal/Limiting Methods

64. RCH –II Budget Summary 08-09 Rs in lakhs 11051.25 1760.00 22617.44 JSY Compensation for Sterilization NSV Acceptance TOTAL 46.59 GIS & Public Health 14 567.13 Programme Management 13 189.26 Procurement 12 210.35 BCC/IEC 11 632.96 Training 10 943.94 Institutional Strengthening 9 1679.86 Infrastructure and Human Resource 8 730.59 Innovation/PPP/NGO 7 284.29 Tribal Health 6 324.00 Urban RCH 5 42.30 Adolescent Health 4 213.53 Family Planning 3 869.84 Child Health 2 2767.57 Maternal Health 1

65. NRHM Initiative -ASHA 99% 100% 21521 12730 Achieved 21594 12730 Target 2006-07 2005-06 ASHA

69. Rogi Kalyan Samiti 531 1162 PHC(N) 4 391 403 PHC/CHC 3 22 22 SDH 2 32 32 DHH /Capital Hospital & RGH-Rourkela 1 Achieved Target Institution S.N.

70. Rogi Kalyan Samiti Rs. 288.28lakhs Expenditure Purchase and repair of equipment, minor repair / modification, maintenance, wage for sweeper & others, water purifier, generators, emergency lights, security services etc. Major activities taken up Rs.1036.65 lakhs Funds released 913nos. (G.B. –403 and E.B.- 510) No. of Meetings

80. Proposed Budget for Disease Control 08-09 20.00 IDD 6 6529.05 TOTAL 2840.39 NVBDCP 5 1694.75 NPCB 4 190.99 IDSP 3 522.06 NLEP 2 1260.87 RNTCP 1 Amount in lakhs PROGRAMME Sl NO

81. SUMMARY BUDGET FOR 2008-09 Rs. in lakhs 6923.95 39235.67 46159.61 7496.21 53655.83 Total 979.36 5549.69 6529.05 55.82 6584.87 NDCPs 5 2320.79 13151.14 15471.193 5798.87 21270.80 NRHM Initiative 4 63.85 361.81 425.66 92.34 518.00 IPPI 3 161.33 948.21 1115.54 1115.54 Immunization 2 3392.62 19224.82 22617.44 1549.18 24166.62 RCH-II 1 15% State matching Share 85% GOI share Balance proposed in o8-09 Unspent Balance of Previous years Total Budget Programme Sl No

82. RCH-II Budget The original budget proposed for RCH-II including JSY, Compensation for Sterilization and NSV was Rs.26577.00 lakhs which was reduced to Rs.22617.44 lakhs subsequently. The allocation suggested by GOI and the budget proposed for RCH-II is as follows: Rs. in lakhs 5.39 1213.98 23732.98 22519.00 Total 59.36 415.54 1115.54 700.00 Immunization 4 (1.68) (30.00) 1760.00 1790.00 Compensation for Sterilization & NSV 3 (4.23) (488.75) 11051.25 11540.00 JSY 2 15.52 1317.18 9806.18 8489.00 RCH Flexible pool 1 % Amount Increase Amount proposed in the PIP Amount allocated by GOI Particular Sl No.

83. Mission Flexible Pool Budget Rs. in lakhs 28.68 4740.93 21270.80 16529.87 Total 79.64 985.93 2223.93 1238.00 15 % extra for Innovation and New activities 4 87.39 1082.00 2320.00 1238.00 15 % state Share 3 32.38 2673.00 10928.00 8255.00 Mission Flexible pool 2 - - 5798.87 5798.87 Likely unspent balance as on 01.04.08 1 % Amount Increase Amount proposed in the PIP Amount allocated by GOI Particular Sl No.

84. (Rs. in Crores) Financial Progress under NRHM 144.65 256.35 2007-08 (Till Feb’08) 94.17 154.95 2006-07 35.34 114.64 2005-06 Expenditure Receipt Year

85. Statement Showing Programme wise Fund Position under NRHM for the year 2007-08 (upto 29.02.08) Rs. in lakhs 25,661.29 14,465.36 28064.39 40,126.65 25,635.21 14,491.45 Total 1,081.71 1,688.37 2383.07 2,770.08 2,117.95 652.14 NDCPs 5 15,972.57 3,441.41 11253.37 19,413.98 10,382.20 9,031.78 NRHM Initiative 4 135.60 557.79 601.05 693.39 659.85 33.54 IPPI 3 492.54 391.41 773.06 883.95 546.26 337.69 Immunization 2 7,978.88 8,386.37 13053.84 16,365.25 11,928.95 4,436.30 RCH-II 1 Balance Expenditure incurred from 01.04.07 to 29.02.08 Fund released to executing agencies till 29.02.08 Total fund available Funds received including GOO share Opening Balance as on 01.04.07 Components Sl No

86. Thank You