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JS AS for SFT orientation 4th Feb 2008

This programme implementation plan (PIP) for the National Rural Health Mission (NRHM) reflects district-specific priorities, addresses human resource issues, and outlines plans for procurement and infrastructure management. The plan also focuses on capacity development through training, involvement of PRIs and RKS, and monitoring of outputs and performance. It covers various health programmes and emphasizes the importance of decentralized management and service guarantees.

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JS AS for SFT orientation 4th Feb 2008

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  1. JS AS for SFT orientation 4th Feb 2008

  2. What is a State PIP ? Programme Implementation Plan – NRHM Reflects all priorities and answers ‘how’ Reflects district specificities Addresses human resource issues Communitization and capacity development plan-training,PRIs,RKS Plan for procurement and infrastructure Management structure and M&E Plan

  3. Situation Analysis SRS/NSSO/NFHS-III/DLHS-II Progress on last PIP – a few outputs Human resource issues – Nurses, Specialists, Doctors, Para Medics Financial Management/Reporting Rational deployment of human resources Tracking of outputs – OP/IP/Institutional Delivery/Family Planning Services/ Diagnostics/Drug availability

  4. Situation Analysis - II Have all templates of all programmes been taken note of – Planning Framework Analysis of key indicators Human Resource Plan – any progress? Filling up of State Government vacancies 15% State share; State’s health expenditure trend Institution specific performance monitoring

  5. Human Resource Issues ASHAs and their training, drug kit, support. Contract recruitment of ANMs based on local criteria; filling up of MPW (M) posts Functioning of ANMTCs and other training Centres for nurses and para medics Skill/Multi skill training of Nurses,Doctors and Para Medics Partnerships to meet human resource shortages – accreditation, PPP, etc.

  6. Streamlining Procurement TNMSC model and its operationalization Progress on establishment of warehouses at district and state level. E-Procurement and transparency Linking procurement and logisitics Generic drugs, rational drug use, essential drug list, standard treatment protocol Procurement audit and third party assessments – use of IT

  7. Infrastructure Plan Selection of construction agency Third Party assessment of quality Hospital designs Asset management systems Supervision of works Involvement of RKS/PRI Sub Centres through PRIs??

  8. Communitization Plan Have VH & SCs been set up – account opened – powers and functions PRIs and their involvement at various levels – HSC/PHC/CHC, etc. Block and District Health Mission – District Planning Committee approval mandatory. Delegation of administrative and financial powers – making decentralization work Effectiveness of RKS in utilizing untied funds

  9. Monitoring against IPHS Service guarantees defined at all levels. Inputs must translate into defined level of service guarantees – outputs. Institution specific performance monitoring Facility survey as base line performance Identifying gaps and proposing activities Decentralized management of health facilities m- autonomy and flexibility

  10. Programme Activities All except Cancer, Mental Health and NACO covered under NRHM Every programme to define service guarantees at each level – village health day, Sub Centre, PHC, CHC, Sub Divisional and District Hospital RCH-II, NVBDCP, RNTCP, IDSP, NPCB, Immunization Meeting area specific morbidities

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