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This proposal outlines the proposed activities and budget for the year 2008-09 for the National Rural Health Mission in Uttarakhand, focusing on health indicators, maternal and child health, family planning, infrastructure, training, and program management.
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National Rural Health MissionANNUAL ACTION PLANFOR2008-09 Proposed Activities and Budget UTTARAKHAND
Status of Health Indicators Institutional Births Maternal Mortality
Contd… Contraceptive Use (Modern Methods) Total Fertility Rate (TFR)
Contd… Infant Mortality Rate (IMR) Child Immunization (Full)
Constraints • Geographical terrain • Low density of population in the hill districts • Shortage of Manpower – ANMs, Staff Nurses, GDMOs and Specialists (especially for up-grading health centers to FRUs and 24 X 7 units) • Near absence of private providers in the hill districts
PROPOSAL FOR THE YEAR 2008-09
Training Activities (Other than M&CH and FP) 8.79% of RCH AAP
Activities proposed to be continued from the un-spent funds of NRHM available at State Level(Rs. In Lakhs)
Approved activities in 2007-08 not implemented and to be dropped(Rs. in Lakhs)
State contribution to NRHM activities(AAP for RCH+Mission flex, as presented to GOI=52.38 crores)
Issues • Rs. 3 crores required in RCH flexipool to cover all program liabilities as of 31/3/08. • State has increased its spending many times in 2008-09. The allocation for next year should be increased to provide adequately for proposed activities. • JSY beneficiaries have gone up to 55000 in 2008-09. Additional funds will be required next year for JSY (about 10 crores). • Sterilization compensation money earmarked for 2008-09 is Rs. 2 Cr. With enhanced compensation rates, extra allocation of about 3 crores would be required. • Family Planning division has to issue the consent for new subcenters under 11th plan (as per 2001 census).