The Government of Arunachal Pradesh, in order to overcome the shortcomings in the health care delivery system in the remote health facilities in the state and to further improve the health facilities, the Government of Arunachal Pradesh implemented Public Private Partnership (PPP) in 2005 in which one Primary Health Centre (PHC)/Community Health Centre (CHC) in the State is managed and operated through a selected Non Government Organization (NGO); and the project is successfully sustaining till date. The strategic objective of the project is to provide quality clinical and preventive health services to the people residing in the Primary Health Centre area and at the same time effectively implementing National Rural Health Mission (NRHM) and other National programs including IEC activities, and promotion of community based disaster preparedness. Under the project, the management of 16 Health Facilities is handed over to selected 5 Non Government Organization (NGO) for a period of 1 (one) year and extendable subject to the approval of Government of India.
|Sl. No.||Name of the NGO||No. of Health Facilities managed by the NGO|
|2||Future Generations Arunachal||2|
|4||N.N. Charitable Society||1|
|5||M.M Charitable Trust||1|
The funds made available per annum, to the Agency for operating and managing the PHC/CHC would be as follows:
ANNUAL BUDGET FOR MANAGEMENT OF ONE HEALTH FACILITY
|Budget Head||Unit||Monthly Budget||Annual Budget||Head wise annual budget|
|A||Medicines, Healthcare consumables|
|3||Laboratory Items & diagnostic kits||1||3500||42000|
|4||Hospital Materials & supplies||1||3000||36000|
|B||Maintenance, Furniture, equipments|
|1||Repairs & Maintenance of PHC/SCs||1||5000||60000||120000|
|2||Equipments & Furniture||1||5000||60000|
|1||Water & Electricity||1||2000||24000|
|2||Talephone, internet, postage||1||1000||12000|
|7||Outreach Health camp expenses||1||2167||26000|
|8||Printing, Stationeries & IEC||1||2500||30000|
|9||Staff Training & orientation||1||2000||24000|
|5||ANM, (3 in SCs, 2 in PHC)||8||13000||1248000|
|6||Health Assistant (male)||2||13000||312000|
|8||Group D(Including SCs)||4||8000||384000|
|A||Medicines & Healthcare consumables||Rs. 438000|
|B||Maintenance, Furniture||Rs. 120000|
|C||Administrative Expenses||Rs. 302000|
|D||Personal Cost||Rs. 3720000|
Rupees Forty Five lakhs Eighty Thousand only per health facility per annum. The Agency will contribute 10 percent from its own sources towards the project cost.
Health facilities Managed under PPP:
|NGO||Name of the district||Name of the PHC/CHCs||Sub Centres under the PHC|
|Changlang||PHC Khimiyong||Yanam||Jongi Havi|
|Dibang Valley||PHC Etalin||Arzoo||Anelih|
|Kurung Kumey||CHC Sangram||Pagba||Leel||0 Point|
|Papum Pare||PHC Tarrasso|
|Karuna Trust||Upper Siang||PHC Jeying||Bine||Sibuk||Pongging|
|Papum Pare||PHC Mengio||Kamrung||Nyopang||Pilla|
|East Kameng||PHC Bameng||Lada||Paksa camp||Marjingla||Pakke|
|Lower Dibang Valley||PHC Anpum||Keba||Paglam||Bizari|
|Future Generations, AP||East Siang||PHC Sille||Sika-Bamin||Mangnang|
|West Kameng||PHC Thrizino||Palizi||Subu|
|J.A.C PRAYAS||Lohit||PHC Wakro||SC Medo|
|N.N Charitable Society||Lower Subansiri||PHC DEED Neelam||SC Dem||SC Miya||SC Sito||SC Pania|
|M.M. Charitable Trust||Upper Subansiri||PHC Siyum||Page Nalloh||Bogia Siyum||Eru||Laklam||Jingba rai|
MEMORANDUM OF UNDERSTANDING (MoU)
This Memorandum of Understanding (MoU) is signed between on this______ day of _________2016 Governor of Arunachal Pradesh (hereinafter referred to as “State Government” represented by the Director of Health Services/Mission Director (NHM), (which expression shall include his successors, assigns and administrators) on the one part and NGO______________________________ (hereinafter referred to as “Agency”) represented Mr./Ms./Dr.___________________________(which expression shall include his / her assigns, successors and administrators) on the other.
Whereas the Government of Arunachal Pradesh, in order to further improve the health services in the State, has decided to continue with the project, which was earlier taken up on pilot basis, wherein few Primary Health Centres (PHC)/ Community Health Centres in the State shall be managed and operated through a selected Non Government Organization (NGO) for a period of 1 (one) year and extendable subject to the approval of Government of India. Now, therefore, it is agreed by and between the parties as follows:
Number and location of PHCs/CHCs
The “Agency” shall operate/manage the PHCs/CHCs as per details in Schedule ‘A’ to the MoU and management of Sub Centres under the jurisdiction of the PHC/CHC would also be the responsibility of the Agency. The Government may, in public interest, change the PHC/CHC being run by the Agency provided, however, any such change will be within the same district and with prior consultation with the Agency.
Modalities of Implementation
2.1.The building and physical infrastructure of the PHC(s) /CHC shall be handed over to the Agency along with the existing equipment, furniture, etc. and an inventory of the same would be made jointly by the State Government and the Agency. The condition of the building/equipment handed over will be duly recorded. The Agency shall maintain the said building/equipment with due care as would be reasonably expected.
The existing records such as medical data / statistics, case records etc available with the PHC/CHC shall also be handed over to the Agency so as to maintain continuity. The Agency would preserve these records carefully and hand over the same to the State Government at the time of exiting from the project.
2.2.The Agency shall provide all the critical determinants of a facility being a 24 hour functioning Primary Health Centre as per clause 3.3, to the local population residing in the geographical area under the jurisdiction of the said PHC(s) /CHC. The Agency will engage its own Medical/Paramedical/other staff for providing these services and will ensure that these personnel are always available at the pre-decided timings. The said personnel would also reside locally. In case of leave or absence of any personnel, the Agency would be duty bound to provide an alternative so that the PHC/CHC does not, at any point in time, become non functional due to the lack of the required personnel.
2.3. The Agency shall be responsible to provide, interalia, the following services
- 24 hours Emergency/Casualty Services,.
- 6 days OPD service.
- 4 to 6 functional beds.
- Ante-natal care and Post natal care.
- 24 hrs labour Room and Essential Obstetrics facility both normal and assisted.
- Early and safe abortion services (including MVA).
- Prevention and management of RTIs/STIs.
- Essential New Born Care.
- Routine immunization services
- Family Planning services.
- Adolescence Reproductive and Sexual Health Services
- Essential laboratory services.
- 24 hrs Ambulance Facility, referral for emergencies.
- Essential medicines as per Schedule D to the MoU and the Agency would be encouraged to keep in stock such additional medicines as are found necessary after assessing the field situation.
- Participation in and implementation of National and State Programs of Health & Family Welfare including, inter alia, NRHM, RNTCP, NVBDCP, NACP etc.
- Outreach camps
2.4.To provide the services as described in Para 3.3 above, the minimum staff deployed would be as under. Any changes in the above pattern would be effected only with the approval of the State Government.
The Agency will engage personnel with requisite qualifications appropriate for the job description. The said qualification would be as per Government norms.
|Sl No||Category of staff||No of posts|
|5||ANM **||2 (PHC /CHC )|
|5 (SCs) *|
|6||Health Worker (male)||3|
|8||Group D(Including SCs)||4|
* The number of ANMs would be decided on the basis of Sub Centres under the jurisdiction of the PHC/CHC.
** Experienced and adequately trained ANM may be considered.
2.5. The personnel engaged by the Agency will not be paid at rates exceeding those envisaged in the funding pattern to this MoU and any change in the rates, if necessary, may be effected only with the approval of the State Government. The personnel should also be suitably trained for the jobs they are expected to perform. Personnel engaged by the Agency will be the sole responsibility of the Agency and would have no claim at any time whatsoever, by virtue of their contract with the Agency or for any other reason, for being absorbed into Government service at a later date.
2.6. The existing Sub Centres, under the jurisdiction of the PHCs/CHCs, would also be similarly run by the said Agency. The services provided by and through the Sub Centres will be as per the GoI guidelines. The Agency shall similarly run any additional Sub-Centres which may be notified by the Government within the geographical jurisdiction of the PHC/CHC.
2.7. The Agency will provide the Laboratory test facilities at the PHC/CHC level as described in Schedule B to the MoU.
2.8. The Agency will provide all services free of cost. However, if recommended by the PHC/CHC Management Committee and approved by the Government, user charges could be considered. Any such charges collected would be used only for the improvement of the PHC/CHC and for meeting the cost of referral services.
2.9 The Agency shall strive to provide quality services and keep the PHC/CHC and its immediate environment clean. Agency shall also display a sign board at a prominent place informing about OPD timings, services provided by the PHC /CHC / SC (Citizens charter), and referral facility. A waiting area for patients / relatives, drinking water, toilet facility, suggestion box, clean linen in the ward and such other infrastructure / facilities as would be normally expected would be made available at the PHC/CHC.
- Project commencement and duration
The duration of the project will be 1(one) year. However, in the event the State Government or the Agency desire to terminate the project before the expiry of the said period, a notice period of 3 (three) months will be given to the other Party. The period of one year will be calculated from the date on which, the immediately preceding MoU for the PHC/CHC between the State Government and the Agency expired. The term of the project can be extended further subject to mutual consent for the same between the State Government and the Agency.
- Review and monitoring structure
4.1. A PHC/CHC Management Committee which will also function as a Rogi Kalyan Samiti (RKS) would be constituted for the PHC/CHC.The said committee will include the Agency representatives, District Medical Officer, District RCH Officer, Deputy Commissioner or his nominee (not below the level of SDO), Zilla Parishad Member, two representatives from Anchal Samiti and two each from each Gram Panchayat in the area served by the PHC/CHC. The names of these PRI members will be communicated through the Deputy Commissioner. At least one of the two nominees from the Anchal Samiti and from each Gram Panchayat would be a lady. The local MLA of the area would be a permanent Special Invitee to the PHC/CHC Management Committee. Such other officers, in addition to those already included in the RKS, as required and necessary (for example, Child Development Project Officer, Assistant/ Junior Engineer from Works Department) can also be special invitees to the said Committee.
The PHC/CHC Management Committee / RKS would meet at least once in every two months and will be responsible for guiding/monitoring the project as per guidelines issued by GoI / State Government. The committee shall address local issues and problems as are normally expected from such a Committee.
4.2. At the State level, a Steering Committee chaired by the Commissioner & Secretary (Health) along with suitable representation from all stake holders including the Agencies in the 16 districts, State Government Departments and Central Government will be formed. This State level Steering Committee will meet at least once, every 6(six) months. It will review the work done at the PHCs/CHC, suggest suitable improvements and midcourse corrections, and resolve the difficulties faced by the Agencies in running of the PHCs/CHC.
- Records & Reporting
5.1 The Agency would be expected to maintain records and to furnish reports, in time, as normally expected from any PHC/CHC in the Government system. The reports will be furnished on monthly basis to the DMO / DRCHO with a copy to MD (NRHM) in the format at Schedule C, Any other reports required by the Government, from time to time, will be intimated to the Agency in writing.
The Agency will maintain register at the PHC/CHC and SC for all activities performed pertaining to Maternal health (ANC, PNC, Delivery, Maternal death), Child Health including Routine Immunization, Family planning, JSY, OPD, IPD, Outreach camps, Medico-legal case, Injections, Stock Register and other registers as specified by the Government from time to time.
5.2. The Agency shall maintain a record of proceedings of the meetings of the PHC /CHC Management Committee / RKS.The Agency shall also maintain a Visitor Book where authorized Government functionaries can record their views/suggestions after conducting an inspection.
- Standards of hygiene and health safety.
6.1. The Agency shall maintain and run the PHC/CHC in a hygienic manner conforming to the standard norms of health safety. Auto destructive syringes will be used for immunization and autoclaved glass syringes with disposable needles will be permitted for other injections. The hospital waste shall be disposed of in conformity with the recognized and acceptable norms as specified by the State Pollution Control Board from time to time.
- Purchase of drugs and consumables
The procurement of drugs/consumables from the funds allotted by the Government will be made in a transparent and economical manner. Only Government approved quality drugs of generic nature will be procured as per the list at Schedule D. Proprietary/branded drugs may be procured, only in exceptional cases, and with the prior consent of the State Government. Normally the price of procurement for the Agency for any drug/ consumable by the Agency should not exceed the price at which the same drug is procured by the State Government. Care shall be taken by the Agency to use the drugs/consumables within the relevant expiry dates.
- Diet for inpatients, scale and quality
The diet for inpatients in terms of quality and scale should not be less than the standards set in Government run PHCs/CHC.
- Asset Creation
Any assets created at the PHC/CHC from the funds of this project or from funds collected from the community will be the property of the State Government/community and will be handed back to the Government, after the project duration is over. Moveable assets created by the Agency from its own funds (that is funds beyond the 10% share to be provided by the Agency) will remain the property of the Agency and can be disposed of by the Agency after the expiry of the Project, as per its own policy.
- National and State Programs.
The Agency will be a part of the Health Delivery System of the State. Accordingly, the various National Disease Control Programs or other State Government programs planned for the PHC/CHC area will be implemented by the Agency in coordination with the existing field staff, if any, specifically appointed by the State Government for implementing such programs. Apart from implementing all National Programs and campaigns (such as Pulse Polio Immunization, Cancer detection, Immunization camps etc) the Agency will also undertake outreach activities by conducting camps, VHND involving ASHA etc.
Any drugs/equipment/vaccine made available by the Central Government under any National Programme for use at PHCs/CHC / SCs will also be provided to the Agency run PHC/CHC / SCs at par with other Government run PHCs/CHC / SCs.
- Specialized expensive treatment
Patients requiring expensive and specialized treatment not normally expected at the PHC/CHC level will be referred to the District Hospital/General Hospital.
- Medico legal cases and Post mortem examination.
The doctors engaged by the Agency at the PHC/CHC would attend to Medico legal cases and may also be required to conduct Post Mortem examination.
13.1. The Agency will receive funds from the Government, towards meeting the cost of Personnel, Drugs (Medicines), Reagents, Surgical Material, Health Care Consumables, Administrative Charges, Civil Works, Furniture, Equipment (including Surgical Equipment), to the extent and as per details at Schedule E to this MoU.
13.2 The Agency would meet from its own sources not less than 10% of the Project cost, as reflected in the Statement of Expenditure and submit Accounts duly certified by a Chartered Accountant.
13.3. The disbursement/release of funds by the State Government to the Agency would be in two installments every year that is by June and November. However in the current financial year, the funds will be released as per mutually agreed schedule after signing of the MoU.
- Audit and Accounting
14.1. Each PHC/CHC (which also includes the Sub Centres under its jurisdiction) shall be treated as an independent and separate entity for accounting purposes. Accordingly, separate Accounts shall be maintained for each PHC/CHC. A Statement of Expenditure (SOE) and Utilization Certificate (UC) duly certified by a Chartered Accountant will be furnished by the Agency to the State Government on half yearly basis. For the months April-September, the SOE/UC will be given by 31st October and for the months October-March, by 30th of April every year. In addition, annual audit of the PHC/CHC accounts would be undertaken through a qualified Chartered Accountant and the audit report and accounts for the year would be furnished to the Government by 31st May of the succeeding year.
14.2 The State Government reserves its right to get a special audit conducted of the accounts of the PHC/CHC after giving at least 30 days notice to the Agency.
- Performance Monitoring and Standards of Service
15.1. The performance of the Agency shall be monitored largely on the basis of output based indicators, a list (not exhaustive) of which is at Schedule F to this MoU. These indicators and performance standards can be suitably expanded and/or modified after mutual consultation and in the interest of better service delivery to the general public.
15.2. The indicators and standards specified in this MoU for the health delivery expected from the Agency are as per GoI guidelines. The Agency shall endeavour to serve as a role model and to provide services at a much higher standard.
The Government would evaluate the success of the project in providing improved health services to the people. Evaluation will also facilitate identification of intervention areas for removal of difficulties. For this purpose, external evaluation can be done after a period of 6 months from the commencement of the project. Concurrent evaluation would also be permissible after completion of one year of the project life. The Agency will also be encouraged to undertake internal evaluation.
- Dispute Resolution and Court jurisdiction
17.1 Any dispute or differences of interpretation between the Government and the Agency vis-à-vis this MoU will be taken up before the Commissioner / Secretary (Health), Government of Arunachal Pradesh for resolution. In case the resolution is not possible amicably between the parties, this will be taken up before the Chief Secretary, Government of Arunachal Pradesh whose decision shall be final and binding on both the parties.
17.2 In case of any legal dispute arising out of this MoU, the parties shall be under jurisdiction of the courts in Arunachal Pradesh and the laws as applicable in the state.
- Extension of the NGOs under the Project
18.1 Extension of the NGOs under the Project PPP shall be subject to recommendation by the concern District Health Societies and on the basis of the Physical and Financial performance which shall be reviewed half yearly by the State Health Society.
18.2 The extension of the Project as whole shall be subject to the approval of the Project by the Ministry of Health and Family Welfare, Govt. of India.
19.1The Agency shall not indulge in, promote or encourage any religious or political activity and shall be sensitive to the local sensibilities and the tribal culture.
19.2.The Agency will not be permitted to further sub-contract or engage other NGO(s)/ Organization(s) for performing in full or in part any of the activities expected from the Agency as per this MoU.
19.3. The Government reserves their right to give directions to the Agency, in Public interest, regarding the management and operation of the PHC/CHC or for any other matter related to the PHC/CHC.
19.4 The Agency will be duty bound to assist the Government for controlling any epidemic or medical emergency in the area.
Any changes in any clause(s) of this MoU can be carried out by the Government, in public interest, after due consultation with the Agency. Further, if any aspect of the arrangement between the Government and the Agency as also the obligations of the Government/Agency has been left out in this MoU, the same can be included, in due course, after mutual discussion between the Government and the Agency.
- A G R E E M E N T
This MOU is signed on this ___________ day of ___________ 2015 at __________________India.
For and on behalf of the Governor Company
of Arunachal Pradesh
In witness whereof, the parties hereto have signed this MOU on this ________________ day of _________________, 2015 at ____________________
- Name: 2.Name
SCHEDULE – A
Assignment of Health Facilities to NGO
- NGO name :
Numbers of Health Facilities :
|Sl.No.||DISTRICT||Selected Health Facility|
SCHEDULE – B
Lab tests facilities to be provided
- Blood routine examination ( Hb%, TLC, DLC, ESR)
- Blood grouping and Rh typing.
- Blood for MP test, widal test.
- Stool routine examination (Physical, chemical and microscopic).
- Urine routine examination (Physical, chemical and microscopic).
- Urine for pregnancy test.
- Sputum for AFB.
- Blood sugar.
- Blood for VDRL.
- Rapid tests for pregnancy
- Any other test recommended/in place through other programmes
SCHEDULE – C
- M&E Monthly report for PHC/CHC/SC: – The NGOs will submit regularly the Monthly M&E Reports in the prescribed formats of the GoI. The reports shall be submitted to the concern District Health Society.
- MCTS: – The NGOs will submit the MCTS reports regularly in the prescribed MCTS formats. The reports shall be submitted to the concern District Health Society. Regular tracking of Mother and Child will be ensured with provision of services
- Monthly Personnel Availability:- The NGOs will submit monthly attendance sheet of the Personnel available during the month in the Health Facility as per the below mentioned format. This will be submitted to the MD (NRHM).
Category Nos. appointed Nos of days on duty Medical Officer Pharmacist Staff Nurse ANM Sub Centre I Sub Centre II Sub Centre III LHV Lab Technician Driver Health Assistant (HW Male) Group D (detail)
The NGOs will submit any other reports not mentioned above, as and when required by the MD (NRHM)/District Health Society.
Purchase of drugs and consumables
Essential Drug List / surgical items / Laboratory items for PHC
Sl No Name of Drugs Sl No Name of Drugs 1 Acetylsalicylic acid tab-75 mg, 300 mg 93 Norfloxacin 400 mg 2 Albendazole tab 400 mg 94 Nitrofuragene oint 3 Albendazole Suspension 95 ORS 4 Amoxycillin tab 250mg, 500 mg 96 Oxygen 5 Amoxycillin Susp 97 Oxytocin Inj 6 Ampicillin cap 250mg,500 mg 98 Paracetamol tab 500 mg 7 Ampicillin Powder for susp. 99 Paracetamol syp 8 Ampicillin Inj 100 Pantaprazole 40 mg tab 9 Aminophylline Inj 101 Povidone Iodine Sol & oint 10 Alprazolam tab 0.25 mg 102 Phenytoin Sodium tabs-100mg 11 Artesunate tab 103 Promethazine Sodium tab 25 mg 12 Artether inj 104 Primaquine tab 7.5 mg & 2.5 mg 13 Adrenaline Bitartrate inj 105 Prednisolone 5 mg tab 14 Aciclovir 200 mg tab 106 Quinine tab 15 Amlodipin tab 5 mg 107 Quinine inj 16 Avil inj 108 Ranitidine tab 17 Atropine sulphate inj 109 Ranitidine inj 18 Ascorbic acid tab 100mg 110 Salbutamol tabs-4mg 19 Acriflavin+Glycerin lotion 111 Silver sulphadiazine oint 20 Atenelol tabs-50mg 112 Tetracycline hydrochloride eye oint 21 Anti rabies Vaccine (OARB) 113 Vit K inj 22 Anti Sanke venom Serum 114 Vitamine A cap 23 Buscpan inj 115 Water for inj 5/10ml 24 Betamethosone tab 116 Xylocaine inj 2 % 25 Betamethasone valerate oint 117 Xylocaine oint 26 Betamethosone inj Fluids 27 B complex inj 1 DNS 28 B complex tab 2 Dextrose 5% 29 Benzathine penicillin Inj 3 Ringer Lactate 30 Benzyle Penicillin Inj 4 Normal saline 31 Bisacodyle tab Surgical items 32 Benzoic acid + Salicylic oint 1 Glass van Syringes- 2ml/5ml/10ml 33 Benzyle benzoate lotion 25 % 2 Disposable Needle- 21/22/23/24 34 Bleaching powder 3 I.V Canula no-18 35 Cetirizine tabs 4 Ryles Tube- Paed/Adult (No 8,10&16) 36 Ciprofloxacin Hydrochloride tab- 250 & 500 mg 5 Vasofix-20G,22g & 26g 37 Ciprofloxacin Hydrochloride eye drops 0.3% 6 Drip-set- Macro/Micro 38 Ciprofloxacin ear/ eye drops 7 Surgical Gloves - 6, 6 ½,7, 7 ½, 8, 8 ½, 39 Ciprofloxacin syrup 8 Cotton –500gm 40 Chloramphenicol cap 250 mg, 500 mg 9 Bandage Roll- Big/Small 41 Chloramphenicol eye drop/oint 10 Phenyle-4.5 ltrs 42 Chloropheneramine maleate tab 4 mg & inj 11 Hydrogen Peroxide-100ml/200ml 43 Cotrimoxazole hydrochloride tab(80+400mg) 12 Surgical Blade- No-11,22 &24 44 Cotrimoxazole syrup 13 Surgical Spirit-400ml 45 Calsium lactate tab 14 Suture Thread with gauze 46 Ceftrioxone 250 inj, 500 mg, 1 gm 15 Adhesive Plaster-small/Big 47 Chloroquine Phosphate tabs 250 16 Formaldehyde-4.5ltrs/100ml 48 Chloroquine Phosphate syrup 17 Rubber Sheet-50mts/20mts/10mts 49 Chloroquine inj 18 Gloves powder 50 Cifotaxim inj 250, 500, 1 gm 19 Pot.Permanganate—250gms 51 Calcium Gluconate inj 10 ml 20 Suturing needle- Cutting/Round Body 52 Diazepam tabs-5mg 21 Gloves Powder 53 Diazepam Injection Laboratory Items 54 Doxycycline Hydro-tab-100mg 1 Acetone 55 Digoxin tabs & inj 2 Ammonium sol. 56 Dicyclomine HCL tab 3 Acetic acid 57 Dicyclomine Hydrochloride Inj 4 Ammonium sulph. 58 Dexamethasone sodium phosphate inj 5 Benedicts sol 59 Diclofinac tab 50 mg 6 Benzidine sol 60 Diclofenac inj 25mg/5 ml 7 Benzidine powder 61 Duvadilan tab 8 Ba-Chloride sol. 62 Etophylline + Theophylline - Inj 9 Cotton roll 63 Etophylline + Theophylline tab 10 Distilled water 64 Etamsylate inj 11 EDTA sol./Crystals 65 Etamsylate oint 12 Eosinophil diluting fluid 66 Ethambutal hydro 400/800mg tab 13 Erlichs aldehyde 67 Framycetine Sulphate cream 14 Fouchest reagent 68 Fortified procaine penicillin inj 15 Gentian violet 69 Furazoladine tabs 16 Grams iodine 70 Frusemide inj 17 Hydrochloric acid N/10 71 Famotidine tab 20 mg 18 JSB stain-I 72 Gama benzene lotion 19 JSB stain-II 73 Gentamycin inj 20 Lugols iodine 74 Gentamycin eye/ ear drops 21 Lysol 75 Hydrocortisone Succinate inj 22 Leishman’s stain 76 Hydrogen peroxide 23 Liquid paraffin 77 Hydralazine tab 24 Methylene Blue 78 Iron folic acid tab small 25 Methyl violet 79 Iron folic acid tab big 26 Nitric acid 80 Iron Sucrose Inj 27 RBC / WBC diluting fluid 81 Ibuprofen tab 200, 400 mg 28 Sulphasalicylic acid 82 Metronidazole – Syrup 29 Sodium chloride 83 Metronidazole tab 400 mg 30 Surgical spirit 84 Metformine tabs 31 Sulphuric acid (Conc) 85 Methyl ergometine tab 125 mg 32 Sulphur powder 86 Methyl ergometine inj 33 Sodium nitropruside 87 Miconazole Ointment 34 Sodium metabisulphate 88 Misoprostol tab 35 Platelet diluting fluid 89 Metchlopromide tabs-10mg 36 Test tube (Glass) 90 Metchlopromide HCL inj 37 Micropippetes 91 Metron infusion 38 Cover slip 92 Multi vitamin cap 39 Lancet/Needles 40 Filter paper
The funds made available by the Government, per annum, to the Agency for operating and managing the PHC/CHC would be as follows (subject to change as per the RoP approval)
Public Private Partnership in Arunachal Pradesh
ANNUAL BUDGET FOR MANAGEMENT OF ONE HEALTH FACILITY
Budget Head Unit Monthly Budget Annual Budget Head wise annual budget A Medicines, Healthcare consumables 1 Medicines 1 25000 300000 438000 2 Surgical Items 1 5000 60000 3 Laboratory Items & diagnostic kits 1 3500 42000 5 Hospital Materials & supplies 1 3000 36000 B Maintenance, Furniture, equipments 1 Repairs & Maintenance of PHC/SCs 1 5000 60000 120000 2 Equipments & Furniture 1 5000 60000 C Administrative Expenses 1 Water & Electricity 1 2000 24000 302000 2 Talephone, internet, postage 1 1000 12000 3 Vehicle Repairing 1 5000 60000 4 Vehicle fuel 1 5000 60000 5 Travelling expenses 1 3000 36000 6 Transportation cost 1 2500 30000 7 Outreach Health camp expenses 1 2167 26000 8 Printing, Stationeries & IEC 1 2500 30000 9 Staff Training & orientation 1 2000 24000 D Personnel Cost 1 Medical Officer 2 35000 840000 2892000 2 Pharmacist 1 12000 144000 3 Staff Nurse 2 12000 288000 4 Lab Tech 1 10000 120000 5 ANM, (3 in SCs, 2 in PHC) 8 10000 960000 6 Health Assistant (male) 2 10000 240000 7 Driver 1 7000 84000 8 Group D(Including SCs) 4 4500 216000 TOTAL 3752000 Budget Summary Medicines & Healthcare consumables 438000 Maintenance, Furniture 120000 Administrative Expenses 302000 Personal Cost 2892000 TOTAL 3752000
Rupees Thirty Seven lakhs Fifty Thousand only per health facility per annum.
Note: The Agency will contribute 10 percent from its own sources towards the project cost.
Performance Monitoring and Standards of Service
Type of Service No. of Days Functional Average Attendance and / or Usage 1. OPD 2. IPD 3. Minor OT 4. Labour Room 5. Casualty/Emergency 6. Ambulance 7. Injection Room 8. Clinical Lab – Hb%
Preventive / Promotive Indicators
Sl. No. Category baseline After 6 months After 1 year Nos Rate Nos Rate 1 Ante Natal Cases registered 2 Institutional Deliveries 3 Post Natal Cases 4 Full Immunization 5 Referral to higher centres 6 IUCDs inserted 7 OCPs distributed 8 Condoms distributed 9 VHNDs held 10 Nos of ASHA meeting/day held 11 Nos of RKS meeting held 12 Citizen's charter in position 13 Monitoring by RKS 14 RKS fund used as per guidelines 15 RCH outreach sessions 16 Other camps organised 17 Number of Patients treated 18 Nos of cases not provided medicine