Financial Management under NRHM




State Institute of Health & Family Welfare, Jaipur
Financial Management NRHM
          Rajasthan

 • Coordination,
 • Establishment of new procedures of
   accounting
 • Ens...
Accounting?


Process of recording the financial transaction
of a business in a systematic manner and
preparing summarized...
Accounting process

•   Identification of Transaction
•   Recording the Transaction
•   Classifying the transaction
•   Su...
Fundamentals of Accounting
 Ø Personal Accounts
   • Debit-Receiver
   • Credit-Giver
 Ø Real Accounts
   • Debit- What co...
Accounting tools
Ø Ledger:
     • Summarized statement of all the transaction relating
       to Persons, Assets, Income &...
•   Purchase Book /Purchase return Book
•   Sales Book/Sales return books
•   Bills receivable
•   Bills Payable
•   Trial...
Genesis of FMG
Ø Weak Financial Management in WB/DFID
  funded RCH-I (1997-2004):
   • Release and Utilization tracked by ...
FMG under NRHM

Ø FMG expanded to cover NRHM.
Ø Key features are:
   • Concept of flexi pool
   • Single nodal point for r...
Functions of FMG

• Reforms in the area of financial processes
• Financial Management studies of States
• Fund releases un...
Importance of financial management
  • Two Way Process: Top-down, Bottom-up
  • Flow of funds at each level (Top-down)
  •...
Fund flow under NRHM
Ø Fund Flow to States under 2 routes:
Ø Treasury Route: primarily salary component.
  • Salaries of t...
Financial Guidelines under NRHM
  Ø Funds available for various interventions
    under NRHM
     • RCH Phase-II Program
 ...
Financial Guidelines under NRHM
• National Disease Control Programs
• Inter-sectoral convergence with drinking water,
  sa...
Financial Accounting & Reporting
            at NRHM
  Ø State Level
        • Cash Balance Certificate
        • Treatmen...
Financial Accounting & Reporting
            at NRHM
       • District Program Management
         Support Unit-wise ledge...
Financial Accounting & Reporting at
              NRHM
  ØStock Register for:
    • Machinery & Equipment
    • Furniture ...
Fund Flow & Reporting
                          MoHFW

                       State NRHM



     District NRHM            ...
GOI Funds                               Parts of the State PIP
  •Managed
  centrally by FMG                              ...
N       R       H   M

  A. RCH          B. NRHM                    C. Immu.                  D.NDCP




                 ...
FMR Format


     RCH             NRHM
                                                                  SRI
  Flexi Pool ...
Reporting Requirements
1. Financial Monitoring Report (FMR) – Within a month
   after the close of quarter
2. Statement of...
Reporting

• Certificate by State (funds transferred to Districts
  within 15 days)
• Monthly FMR from DHS to SHS
• Quarte...
Monitoring
Ø DHS–Monthly SoEs/Bills/ Vouchers from Block
  PHCs
Ø At State - monthly FMR from Districts
Ø At Centre –Quart...
e-transfer of funds
Intended outcome:
Ø Send funds electronically to the lowest possible level.
    • 100% of funds going ...
Fund flow through e-transfer

                             GOI


     e-Transfer (State Health Society, Rajasthan)

      ...
Unification of Financial, Accounting,
   Auditing & Banking processes
 Intended outcome:
 • Synergise the manpower and oth...
Accounting Policies & Reporting
        requirements
• Accounting Centers
  – SHS
  – DHS
  – Block CHC/PHC (provided the ...
Movement of Records

• SHS Level
• DHS Level & Block CHC/PHC level:
• All transactions records to be kept at
  concerned i...
Treatment of G-I-A
• Funds transferred from GoI but not received shall
  be entered on the income side of the income and
 ...
Recognition of Expenditure
• Releases to Public Health Institutions: shall not
  be treated as expenditure unless they are...
Releases to VHSCs:
• Untied Fund to VHSCs @ of Rs 10,000/ per
  annum shall be deemed to be treated as
  expenditure provi...
• Expenditure Reporting Basis
• From DHS: Based on FMR/SoE. (certification
  that expenditure made for the approved items
...
Reporting from RMRS
• For Monthly/Quarterly FMRs: monthly Statement
  of Expenditure (SoE) to the controlling Block
  CHC/...
• Treatment of Fixed Assets
• Assets that are to be capitalized: to B/S while
  sending Utilization Certificates (UCs), th...
Financial Reports from SHS to
                Centre
    Report Basis and Checks for                          Date on whic...
4 Statement     1. This should include the interest                       Six Monthly.
  of Interest   earned on all the b...
Synchronization Demo

 NRHM Accounting Software
Steps for Synchronization DEMO
• Step 1 : Install (DHS) NRHM Acc. SW
• Step 2 : Configure District for Synchronization
• S...
The highlights of Accounting
             Software
§ Simple, efficient and cost effective mechanism.
§ Simple installation...
Guidelines for use of SC funds
• SC untied fund - Rs.10, 000
• Joint bank account of the ANM and the Sarpanch
• Decisions ...
Guidelines for use of SC funds

•   Transport of samples during epidemics.
•   Purchase of consumables
•   Purchase of ble...
Management of funds at the SC
            level
• Expected Funds Inflow: Sub-Centres to
  receive funds under the followin...
• Banking System:
  – A bank account, signatories - ANM and
    Sarpanch
• Records:
  – separate register for each of the ...
Submission of SoE:
• Quarterly, within 5 days of the end of the
  quarter to MO/IC (ANM)
• Reconcilation with bank (ANM).
...
Guidelines for use of funds at PHC

• PHC untied grant Rs. 25,000/- p.a., Annual
  Maintenance Grant of Rs.50,000/-.
• A s...
Fund Management by BCMO and
       MO/IC - CHC/PHC
• JSY
• Untied Grants/annual maintenance grants to Sub-
  Centres and V...
Fund Management by BCMO and
      MO/IC - CHC/PHC

  •   Training of ANM, PHN, Staff Nurses etc
  •   Support for School H...
Program implementation plans
Planning Process
  State Program Implementation Plan



34 District Program Implementation Plans



237 Block Program Impl...
Distribution of PIP Share
   State PIP= 1010 Crores

            54 %
             Of
          State PIP

Total District ...
NRHM Projected Expenditure in
               2009-10          Expenditure
                                                ...
Division Wise Distribution of PIP
                        160
                                                            ...
District wise PIPs                                    Rs. In Lacs
6000

5000

4000

3000

2000

1000

  0




            ...
Resource Envelope for District PIans
                                                                          Rs. In Lacs...
Expenditure through District PIPs
  Addition   R.I.
   alities   2%
   33%




                                    RCH II
...
NRHM – Rajasthan State Health
          Society
 Roles & Responsibilities
 • Consolidation of District PIPs and
   finaliz...
NRHM Rajasthan– DHS
Roles & Responsibilities
• Finalization of District PIPs
• Release of funds to district functionaries ...
NRHM Rajasthan – Sub District Level
        (Block Level)
    Primary Roles & Responsibilities
    • Preparation of Block ...
Total Accounts Under NRHM
12889 Bank Accounts             1. All Bank Accounts operational.

   2 Bank A/c                ...
Thank You
For more details log on to
www. sihfwrajasthan.com
             or
 contact : Director-SIHFW
            on

  s...
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Financial Management

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Financial Management

  1. 1. Financial Management under NRHM State Institute of Health & Family Welfare, Jaipur
  2. 2. Financial Management NRHM Rajasthan • Coordination, • Establishment of new procedures of accounting • Ensuring that institutions function in accordance with Financial Management Group (FMG) guidelines SIHFW: an ISO 9001: 2008 certified Institution 2
  3. 3. Accounting? Process of recording the financial transaction of a business in a systematic manner and preparing summarized financial statement. SIHFW: an ISO 9001: 2008 certified Institution 3
  4. 4. Accounting process • Identification of Transaction • Recording the Transaction • Classifying the transaction • Summarizing • Analyzing and Interpretation • Presentation or reporting SIHFW: an ISO 9001: 2008 certified Institution 4
  5. 5. Fundamentals of Accounting Ø Personal Accounts • Debit-Receiver • Credit-Giver Ø Real Accounts • Debit- What comes in • Credit-What goes out Ø Nominal Account • Debit-All Expenses and Losses • Credit-All Income and Gains SIHFW: an ISO 9001: 2008 certified Institution 5
  6. 6. Accounting tools Ø Ledger: • Summarized statement of all the transaction relating to Persons, Assets, Income & expenditure Ø Cash Book: • All the transaction in cash or cheque; Receipt of Debit Side and Payment on Credit side Ø Types of Cash Book • Simple Cash book • Cash book with discount • Cash book with Discount and Bank • Bank Cash Book • Petty Cash Book SIHFW: an ISO 9001: 2008 certified Institution 6
  7. 7. • Purchase Book /Purchase return Book • Sales Book/Sales return books • Bills receivable • Bills Payable • Trial Balance • Statement of total of all ledger accounts. Prepared at given time. Method checking arithmetical accuracy SIHFW: an ISO 9001: 2008 certified Institution 7
  8. 8. Genesis of FMG Ø Weak Financial Management in WB/DFID funded RCH-I (1997-2004): • Release and Utilization tracked by each Program Division separately. • Disjointed picture of the program (even for Exp. Monitoring) • Fin. Mgt. confined to mere collection of UCs • Multiple interface for States and Development partners Ø FMG, 2004, Director (RCH-Fin) only to look after RCH-II SIHFW: an ISO 9001: 2008 certified Institution 8
  9. 9. FMG under NRHM Ø FMG expanded to cover NRHM. Ø Key features are: • Concept of flexi pool • Single nodal point for release, accounting, tracking of utilization and audit reports. • Single Window interface for all stake-holders • Holistic picture of the program SIHFW: an ISO 9001: 2008 certified Institution 9
  10. 10. Functions of FMG • Reforms in the area of financial processes • Financial Management studies of States • Fund releases under Mission • Monitoring of FMR & UCs, etc. • Audit arrangements • Analysis of financial data and generation of FMIS. • Skill up gradation of PMU staff at State, District and Block levels. SIHFW: an ISO 9001: 2008 certified Institution 10
  11. 11. Importance of financial management • Two Way Process: Top-down, Bottom-up • Flow of funds at each level (Top-down) • Clear purpose, adequacy, timely and sufficient guidance to spend • Centre>States>Districts>Blocks (BMOs)>Other CHCs/PHCs>SHCs>VHSCs • Reporting of Expenditure through reports & returns • VHSCs>SHCs>PHCs/CHCs>Blocks (BMOs)>Districts>State>Centre SIHFW: an ISO 9001: 2008 certified Institution 11
  12. 12. Fund flow under NRHM Ø Fund Flow to States under 2 routes: Ø Treasury Route: primarily salary component. • Salaries of the posts of ANMs & LHVs • Training of ANMs. • Support to Family Welfare Bureau at State and District levels. Ø Society Route: • For program implementation • Salaries for the contractual employees hired under the Mission SIHFW: an ISO 9001: 2008 certified Institution 12
  13. 13. Financial Guidelines under NRHM Ø Funds available for various interventions under NRHM • RCH Phase-II Program • Additionalities under NRHM • Routine Immunization § Village § SC § PHC § CHC § District SIHFW: an ISO 9001: 2008 certified Institution 13
  14. 14. Financial Guidelines under NRHM • National Disease Control Programs • Inter-sectoral convergence with drinking water, sanitation, AYUSH, WCD, PRI • Issues related to untied funds at SCs, PHCs, CHCs, FRUs & District Levels • Problems relating to fund release, disbursement, SoEs, UCs at Facility Level • Mechanism for optimal utilization of funds • Importance of monitoring of Financial Mgt. • Format for monitoring fund flow SIHFW: an ISO 9001: 2008 certified Institution 14
  15. 15. Financial Accounting & Reporting at NRHM Ø State Level • Cash Balance Certificate • Treatment of interest earned in the bank account • Preparation of cheques • Cash Book with cash & bank columns • Petty Cash Book • Serial Numbering of vouchers • Ledger SIHFW: an ISO 9001: 2008 certified Institution 15
  16. 16. Financial Accounting & Reporting at NRHM • District Program Management Support Unit-wise ledgers • Journal • Register of investments • Registers for temporary advances: § Advance to staff § Advances to Contractors / NGOs § TA/DA Advance SIHFW: an ISO 9001: 2008 certified Institution 16
  17. 17. Financial Accounting & Reporting at NRHM ØStock Register for: • Machinery & Equipment • Furniture & other non-consumable articles • Register for drugs, medicines & consumable articles • Dead Stock Register (machinery & equipments, other non-consumable articles) • Receipts & Payments Statement ØAnnual audited accounts to GoI SIHFW: an ISO 9001: 2008 certified Institution 17
  18. 18. Fund Flow & Reporting MoHFW State NRHM District NRHM PWD MNGOs NRHM Sub District NGOs Fund Flow Level (Block) Reporting CHC/PHC/SC/VHSC SIHFW: an ISO 9001: 2008 certified Institution 18
  19. 19. GOI Funds Parts of the State PIP •Managed centrally by FMG A– RCH •PAO issuing cheques and B– Add. Under NRHM passing them on to FMG C– Immunization Fund Flow Fund Flow D– NDCPs for e-transfer for entire NRHM Parts - A, B, C Parts - D Main Bank State Health D1 D2 ... •Managed centrally Account Society by FMG, State For Parts- A,B,C PM SU • issuing Cheques on Joint Signatories: sanctioned issued by •MD/ED •State A/cs Mngr/ State Finance Different Prog. Divs. Manager/State Prog. Manager •State Prog. Officer Main Bank •Managed centrally Distt. Health D1 D2 … Account by FMG, Distt. For Parts – A, B, C Society Bank accounts for NDCPs (For Part-D) PMSU •issuing Cheques on sancts. issued by Different Prog. Joint Signatories: Divs. •CMO •DistA/cs Mngr/ Distt. Prog. Mngr Block CHC/PHC •Programme Officer SIHFW: an ISO 9001: 2008 certified Institution 19 Fund Flow Reporting back of Expenditure
  20. 20. N R H M A. RCH B. NRHM C. Immu. D.NDCP FMG/ NRHM- Finance Div. Funds SPMU-SHS District Health Society FMR UC Audit Report DPMU N R H M RCH NRHM IMMU. TB Malaria Blindness SIHFW: an ISO 9001: 2008 certified Institution 20
  21. 21. FMR Format RCH NRHM SRI Flexi Pool Flexi Pool 14 Main Heads 28 Activities 3 Heads SIHFW: an ISO 9001: 2008 certified Institution 21
  22. 22. Reporting Requirements 1. Financial Monitoring Report (FMR) – Within a month after the close of quarter 2. Statement of Fund Position (SFP) – Within a month after the close of quarter to be sent along with FMR 3. Monthly Bank Balance Statement – (within 10th of the following month) 4. Audit Report: annually by 31st July of the following year – A consolidated audit report for the integrated Society (including all programs under NRHM) from 2006-07 onwards. 5. Utilization Certificates: – Final UCs along with Audit Report – Provisional UCs along with March, 07 FMR SIHFW: an ISO 9001: 2008 certified Institution 22
  23. 23. Reporting • Certificate by State (funds transferred to Districts within 15 days) • Monthly FMR from DHS to SHS • Quarterly FMR from SHS to GOI • Statement of fund positions • Monthly statement of bank balances • Annual UCs in form GFR-19A along with audited statements • Annual audited accounts to GOI SIHFW: an ISO 9001: 2008 certified Institution 23
  24. 24. Monitoring Ø DHS–Monthly SoEs/Bills/ Vouchers from Block PHCs Ø At State - monthly FMR from Districts Ø At Centre –Quarterly FMR from States Ø Finance & Accounts Manual clearly indicates dates of all monthly, quarterly & annual reports with responsibility matrix Ø E-Banking: • To evaluate the program implementation status independently • Shows red-alert districts • Allows mid-term corrections SIHFW: an ISO 9001: 2008 certified Institution 24
  25. 25. e-transfer of funds Intended outcome: Ø Send funds electronically to the lowest possible level. • 100% of funds going to States/UTs electronically. • Delay in DDs reaching and loss in transit a thing of past. • In the last 3 years not even a single complain. • In many states funds are transferred to Districts electronically too. Trigger: Ø FMG study showed that it took 1-3 months for the funds to just reach the society. Ø Reporting of utilization taking undue time through multifarious levels. SIHFW: an ISO 9001: 2008 certified Institution 25
  26. 26. Fund flow through e-transfer GOI e-Transfer (State Health Society, Rajasthan) e-Transfer (District Health Societies) e-Transfer in 200 Blocks DD/Cheque in 37 Blocks DD Cheque in all CHC/PHC/SHS SIHFW: an ISO 9001: 2008 certified Institution 26
  27. 27. Unification of Financial, Accounting, Auditing & Banking processes Intended outcome: • Synergise the manpower and other related resources scattered earlier under different societies under NRHM. • Provide the Mission with unified financial and accounting processes for fund flow and reporting back of utilization. • For the first time provided a framework for unification of NDCPs with other components of NRHM. Trigger: • NRHM fund flow scattered and reporting of utilization disjointed. • At any given time financial position of NRHM not available at a single point either at District, State or Centre. • Financial and accounting manpower artificially segregated under different NRHM components like RCH, NDCPs, etc. SIHFW: an ISO 9001: 2008 certified Institution 27
  28. 28. Accounting Policies & Reporting requirements • Accounting Centers – SHS – DHS – Block CHC/PHC (provided the Block Accountant has been posted; else DHS should be the Accounting Centre). – RKS of PHC/CHC/Rural Hospitals/Sub- district Hospitals SIHFW: an ISO 9001: 2008 certified Institution 28
  29. 29. Movement of Records • SHS Level • DHS Level & Block CHC/PHC level: • All transactions records to be kept at concerned institutions itself. • Records will not be moved from these institutions • Furnish SoE/FMRs to next higher institution SIHFW: an ISO 9001: 2008 certified Institution 29
  30. 30. Treatment of G-I-A • Funds transferred from GoI but not received shall be entered on the income side of the income and expenditure account under the heading "Grants- in- Aids” and taken in the balance sheet on the assets side under the heading “Funds in Transit" below Current Assets (Cash and Bank Balance). • G-i-A is reflected in the Income & Expenditure accounts as income to the extent of fund utilization against it. • The Grant-in-Aid to the extent of unutilized at the end of the financial year is shown as liability in the Balance Sheet. SIHFW: an ISO 9001: 2008 certified Institution 30
  31. 31. Recognition of Expenditure • Releases to Public Health Institutions: shall not be treated as expenditure unless they are reported back as expenditure • Advance to NGOs: NO • Advances for Civil Works: treated as advance at the time of release. On receipt of certificate of stage of completion and part bill from PWD or Contractor, it is booked as expense to the extent it is certified by the PWD as per the terms of the agreement. SIHFW: an ISO 9001: 2008 certified Institution 31
  32. 32. Releases to VHSCs: • Untied Fund to VHSCs @ of Rs 10,000/ per annum shall be deemed to be treated as expenditure provided the Untied Funds have been credited in the Bank Account of VHSC. Commodity Grants: • Not reflected in the financial statements of the Society. However, they • Should be appearing in the Notes on Accounts and Disclosure of the Audit Report. SIHFW: an ISO 9001: 2008 certified Institution 32
  33. 33. • Expenditure Reporting Basis • From DHS: Based on FMR/SoE. (certification that expenditure made for the approved items and vouchers retained at the District level. • From Block CHC/PHC: Based on FMR/SoE. However, FMR or SoE must carry a certification • From PHC, SHC: Based on actual receipt of vouchers and supporting documents. • From Rajasthan Medical Relief Societies at various levels: Based on Monthly and Quarterly SoEs. SIHFW: an ISO 9001: 2008 certified Institution 33
  34. 34. Reporting from RMRS • For Monthly/Quarterly FMRs: monthly Statement of Expenditure (SoE) to the controlling Block CHC/PHC or DHS. • For Annual Audit of DHS/SHS: • SHS and DHS should ensure that Audit of all the RKS is complete within 2 months of the closure of financial year • However, if the Audit can not be completed then, Audit Report of the DHS be finalized (without delay) based on monthly SoEs for the last month (i.e. March) showing monthly and cumulative expenditure for the financial year. • Differences can be adjusted during next year audit correspondingly. SIHFW: an ISO 9001: 2008 certified Institution 34
  35. 35. • Treatment of Fixed Assets • Assets that are to be capitalized: to B/S while sending Utilization Certificates (UCs), the expenditure shown in UCs should include the expenditure as per Income & Expenditure Account plus the amount of such Capitalized Assets. • Assets not to be capitalized: in Income & Exp Statement. SIHFW: an ISO 9001: 2008 certified Institution 35
  36. 36. Financial Reports from SHS to Centre Report Basis and Checks for Date on which to be sending the Report sent 1. FMR To be prepared from the Quarterly books of accounts. (within a month of end of the quarter). 2 SFP Along with FMR & duly Quarterly reconciled with FMR and Within a month of books of accounts. end of the quarter. 3 Bank On the basis of bank Monthly. Balance Statement of the Bank By 10th of the Report Accounts of DHS & SHS. following month. This should be tallying the SFP for the quarter ending months. SIHFW: an ISO 9001: 2008 certified Institution 36
  37. 37. 4 Statement 1. This should include the interest Six Monthly. of Interest earned on all the bank account of all First Report – earned by DHS and SHS. By 10th DHS & SHS. 2. Interest earned at State and District October level should be shown separately. Second Report 3. The interest earned on different bank – by 10th April. accounts (for various programmes) should be shown separately. 5 Audited As per the Audit Format provided. Annually. Statement By 31st July of Accounts of the following and Audit year reports of SCOVA 6 Utilisation 1. UCs should be sanction wise. By 31st July Certificate 2. UCs should be as per Form 19 A. along with the 3. UC should be as per the Audited expenditures certified in the Audit statements Report. SIHFW: an ISO 9001: 2008 certified Institution 37
  38. 38. Synchronization Demo NRHM Accounting Software
  39. 39. Steps for Synchronization DEMO • Step 1 : Install (DHS) NRHM Acc. SW • Step 2 : Configure District for Synchronization • Step 3 : Install Accounting SW on the Block /CHC/PHC side in a Separate Folder • Step 4: Configure Block->CHC/PHC for Synchronization • Step 5 : Create Sync Rule on Block- >CHC/PHC • Step 6 : Handshake Process from Block- >CHC/PHC STEP 5 : Activate/Enable Sync Rule on District SIHFW: an ISO 9001: 2008 certified Institution 39
  40. 40. The highlights of Accounting Software § Simple, efficient and cost effective mechanism. § Simple installation and set-up. § Simultaneous updating of data at District and Blocks. § Single click for updating data. § Synchronization using SW network environment. § Synchronization over the Internet using a low bandwidth dial-up connection. § Adaptable to an occasionally connected environment. SIHFW: an ISO 9001: 2008 certified Institution 40
  41. 41. Guidelines for use of SC funds • SC untied fund - Rs.10, 000 • Joint bank account of the ANM and the Sarpanch • Decisions approved by the VHSC , administered by the ANM. • Untied Funds - used only for the common good, except for referral and transport in emergency. • Untied Funds may be used for: – Minor modifications to sub center- – Curtains to ensure privacy, – Repair of taps, – Installation bulbs, – Other minor repairs, – Cleaning up sub center, especially after childbirth. SIHFW: an ISO 9001: 2008 certified Institution 41
  42. 42. Guidelines for use of SC funds • Transport of samples during epidemics. • Purchase of consumables • Purchase of bleaching powder and disinfectants • Labor and supplies for environmental sanitation • Payment/reward to ASHA for identified activities • Not for salaries, vehicle purchase, and recurring expenditures SIHFW: an ISO 9001: 2008 certified Institution 42
  43. 43. Management of funds at the SC level • Expected Funds Inflow: Sub-Centres to receive funds under the following heads: • Permanent Advance for performance related incentive to ASHA • Annual Maintenance Grant of Rs 10,000/- • Untied grant of Rs 10,000/- every year. • JSY SIHFW: an ISO 9001: 2008 certified Institution 43
  44. 44. • Banking System: – A bank account, signatories - ANM and Sarpanch • Records: – separate register for each of the activities – receipts and expenditure (ANM) – Verification (Sarpanch) SIHFW: an ISO 9001: 2008 certified Institution 44
  45. 45. Submission of SoE: • Quarterly, within 5 days of the end of the quarter to MO/IC (ANM) • Reconcilation with bank (ANM). • SoE on the simple format on plain paper for Untied Grant, Annual Maintenance Grant, JSY, separately SIHFW: an ISO 9001: 2008 certified Institution 45
  46. 46. Guidelines for use of funds at PHC • PHC untied grant Rs. 25,000/- p.a., Annual Maintenance Grant of Rs.50,000/-. • A separate register indicating sources of funds • Bank account of the concerned RMRS • PHC - Panchayat level Committee/RMRS to undertake and supervise the work from Annual Maintenance Grant. • Expenditure monitored by RMRS. SIHFW: an ISO 9001: 2008 certified Institution 46
  47. 47. Fund Management by BCMO and MO/IC - CHC/PHC • JSY • Untied Grants/annual maintenance grants to Sub- Centres and VHSC • Workshops for Block Level Mission team Constitution & Orientation of all community leaders on PHC and CHC committees • Training of community health workers (ASHAs, AWW) • ASHA support/mentoring mechanism SIHFW: an ISO 9001: 2008 certified Institution 47
  48. 48. Fund Management by BCMO and MO/IC - CHC/PHC • Training of ANM, PHN, Staff Nurses etc • Support for School Health Programs. • Improving physical infrastructure • Ambulances for PHC/CHC • National Disease control Programs, • Health melas, RCH Camp, • Program Management, etc. SIHFW: an ISO 9001: 2008 certified Institution 48
  49. 49. Program implementation plans
  50. 50. Planning Process State Program Implementation Plan 34 District Program Implementation Plans 237 Block Program Implementation Plans 41000 Village Health Plans (physical progress) SIHFW: an ISO 9001: 2008 certified Institution 50
  51. 51. Distribution of PIP Share State PIP= 1010 Crores 54 % Of State PIP Total District PIPs= 545 Crores 80 % Of District PIP Total Block PIPs= 436 Crores SIHFW: an ISO 9001: 2008 certified Institution 51
  52. 52. NRHM Projected Expenditure in 2009-10 Expenditure through SHS Rs. 465 Crores Expenditure Expenditure through DHS through Blocks Rs. 109 Crores Rs. 436 Crores SIHFW: an ISO 9001: 2008 certified Institution 52
  53. 53. Division Wise Distribution of PIP 160 144 140 136 Allocation (Rs. in Crore) 120 111 100 92 80 73 73 60 56 40 20 0 Kota Bharatpur Bikaner Ajmer Jodhpur Udaipur Jaipur Division •Jaipur I & II DHS have a PIP size of Rs. 53 Crore •Udaipur District has a PIP Size of Rs. 42 Crore •Nagaur District has a PIP Size of Rs. 33 Crore SIHFW: an ISO 9001: 2008 certified Institution 53
  54. 54. District wise PIPs Rs. In Lacs 6000 5000 4000 3000 2000 1000 0 SIHFW: an ISO 9001: 2008 certified Institution 54
  55. 55. Resource Envelope for District PIans Rs. In Lacs 1218 15501 37814 RCH-II Additionalities R. Immunisation SIHFW: an ISO 9001: 2008 certified Institution 55
  56. 56. Expenditure through District PIPs Addition R.I. alities 2% 33% RCH II 65% SIHFW: an ISO 9001: 2008 certified Institution 56
  57. 57. NRHM – Rajasthan State Health Society Roles & Responsibilities • Consolidation of District PIPs and finalization of State PIP; • Timely release and transfer of funds to DHS; • Collection & compilation of SOEs, UCs, prepare reports & returns for monthly meetings and reporting to State Government & GoI; • Ensure timely completion of statutory audit SIHFW: an ISO 9001: 2008 certified Institution 57
  58. 58. NRHM Rajasthan– DHS Roles & Responsibilities • Finalization of District PIPs • Release of funds to district functionaries and blocks • Accounting for all programs, sending Financial Monitoring Reports, UCs and Audit reports to the State FMG. • Timely completion of audit • Liaison with the Block Program Office (BPO) and Block Accountant - expenditure reports and UCs on a fortnight / monthly basis SIHFW: an ISO 9001: 2008 certified Institution 58
  59. 59. NRHM Rajasthan – Sub District Level (Block Level) Primary Roles & Responsibilities • Preparation of Block PIPs • Consolidation of SoE from: • CHC • PHC • SC • VHSC • Submission of consolidated SoE to District Office. SIHFW: an ISO 9001: 2008 certified Institution 59
  60. 60. Total Accounts Under NRHM 12889 Bank Accounts 1. All Bank Accounts operational. 2 Bank A/c 2. E-transfer is functional at all SHS, Rajasthan districts and out of 237 Block 34 Bank A/c A/c 200 are covered through DHS E-transfer 237 Bank A/c Block 3. We are negotiating talks with 365 Bank A/c our Bankers to facilitate CHC E-transfer/ RTGS at Block & 1509 Bank A/c CHC level. PHC 10742 Bank A/c SHC SIHFW: an ISO 9001: 2008 certified Institution 60
  61. 61. Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in

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