{"id":960,"date":"2018-08-03T08:08:23","date_gmt":"2018-08-03T08:08:23","guid":{"rendered":"http:\/\/health.arunachal.gov.in\/?page_id=960"},"modified":"2018-08-03T10:42:11","modified_gmt":"2018-08-03T10:42:11","slug":"public-private-partnership-ppp","status":"publish","type":"page","link":"https:\/\/health.arunachal.gov.in\/?page_id=960","title":{"rendered":"Public Private Partnership (PPP)"},"content":{"rendered":"

The Government of Arunachal Pradesh<\/strong>, 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<\/strong> implemented Public Private Partnership (PPP)<\/strong> in 2005 in which one Primary Health Centre (PHC)\/Community Health Centre (CHC)<\/strong> in the State is managed and operated through a selected Non Government Organization (NGO)<\/strong>; and the project is successfully sustaining till date.\u00a0 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)<\/strong> and other National programs including IEC<\/strong> activities, and promotion of community based disaster preparedness. Under the project, the management of 16 Health Facilities is handed over to\u00a0 selected 5 Non Government Organization (NGO)<\/strong>\u00a0 for a period of 1 (one) year and extendable subject to the approval of Government of India.<\/p>\n

\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t
Sl. No.<\/th>Name of the NGO<\/th>No. of Health Facilities managed by the NGO<\/th>\n<\/tr>\n<\/thead>\n
1<\/td>Karuna Trust<\/td>11<\/td>\n<\/tr>\n
2<\/td>Future Generations Arunachal<\/td>2<\/td>\n<\/tr>\n
3<\/td>JAC Prayas<\/td>1<\/td>\n<\/tr>\n
4<\/td>N.N. Charitable Society<\/td>1<\/td>\n<\/tr>\n
5<\/td>M.M Charitable Trust<\/td>1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/p>\n
The funds made available per annum, to the Agency for operating and managing the PHC\/CHC would be as follows:
\nANNUAL BUDGET\u00a0 FOR MANAGEMENT OF ONE HEALTH FACILITY<\/strong><\/h5>\n

\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
 <\/th>Budget Head<\/th>Unit <\/th>Monthly Budget<\/th>Annual Budget<\/th>Head wise annual budget<\/th>\n<\/tr>\n<\/thead>\n
A<\/strong><\/td>Medicines, Healthcare consumables<\/strong><\/td>\n<\/tr>\n
1<\/td>Medicines<\/td>1<\/td>25000<\/td>300000<\/td><\/td>\n<\/tr>\n
2<\/td>Surgical Items<\/td>1<\/td>5000<\/td>60000<\/td>438000<\/td>\n<\/tr>\n
3<\/td>Laboratory Items & diagnostic kits<\/td>1<\/td>3500<\/td>42000<\/td>\n<\/tr>\n
4<\/td>Hospital Materials & supplies<\/td>1<\/td>3000<\/td>36000<\/td>\n<\/tr>\n
B<\/td>Maintenance, Furniture, equipments<\/strong><\/td>\n<\/tr>\n
1<\/td>Repairs & Maintenance of PHC\/SCs<\/td>1<\/td>5000<\/td>60000<\/td>120000<\/td>\n<\/tr>\n
2<\/td>Equipments & Furniture<\/td>1<\/td>5000<\/td>60000<\/td>\n<\/tr>\n
C<\/td>Administrative Expenses<\/strong><\/td>\n<\/tr>\n
1<\/td>Water & Electricity <\/td>1<\/td>2000<\/td>24000<\/td>\n<\/tr>\n
2<\/td>Talephone, internet, postage<\/td>1<\/td>1000<\/td>12000<\/td>\n<\/tr>\n
3<\/td>Vehicle Repairing<\/td>1<\/td>5000<\/td>60000<\/td>\n<\/tr>\n
4<\/td>Vehicle fuel<\/td>1<\/td>5000<\/td>60000<\/td>302000<\/td>\n<\/tr>\n
5<\/td>Travelling expenses<\/td>1<\/td>3000<\/td>36000<\/td>\n<\/tr>\n
6<\/td>Transportation cost<\/td>1<\/td>2500<\/td>30000<\/td>\n<\/tr>\n
7<\/td>Outreach Health camp expenses<\/td>1<\/td>2167<\/td>26000<\/td>\n<\/tr>\n
8<\/td>Printing, Stationeries & IEC<\/td>1<\/td>2500<\/td>30000<\/td>\n<\/tr>\n
9<\/td>Staff Training & orientation<\/td>1<\/td>2000<\/td>24000<\/td>\n<\/tr>\n
D<\/td>Personnel Cost<\/strong><\/td>\n<\/tr>\n
1<\/td>Medical Officer<\/td>2<\/td>39500<\/td>948000<\/td>\n<\/tr>\n
2<\/td>Pharmacist<\/td>1<\/td>16000<\/td>192000<\/td>\n<\/tr>\n
3<\/td>Staff Nurse<\/td>2<\/td>16000<\/td>384000<\/td>\n<\/tr>\n
4<\/td>Lab Tech<\/td>1<\/td>13000<\/td>156000<\/td>3720000<\/td>\n<\/tr>\n
5<\/td>ANM, (3 in SCs, 2 in PHC)<\/td>8<\/td>13000<\/td>1248000<\/td>\n<\/tr>\n
6<\/td>Health Assistant (male)<\/td>2<\/td>13000<\/td>312000<\/td>\n<\/tr>\n
7<\/td>Driver<\/td>1<\/td>8000<\/td>96000<\/td>\n<\/tr>\n
8<\/td>Group D(Including SCs)<\/td>4<\/td>8000<\/td>384000<\/td>\n<\/tr>\n
TOTAL<\/td>4580000<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/p>\n

\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t
 <\/th>Budget Summary<\/th> <\/th>\n<\/tr>\n<\/thead>\n
A<\/td>Medicines & Healthcare consumables<\/td>Rs. 438000<\/td>\n<\/tr>\n
B<\/td>Maintenance, Furniture<\/td>Rs. 120000<\/td>\n<\/tr>\n
C<\/td>Administrative Expenses<\/td>Rs. 302000<\/td>\n<\/tr>\n
D <\/td>Personal Cost<\/td>Rs. 3720000<\/td>\n<\/tr>\n
TOTAL <\/td>Rs. 4580000<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/p>\n

Rupees Forty Five lakhs Eighty Thousand only per health facility per annum. <\/em><\/strong>The Agency will contribute 10 percent from its own sources towards the project cost.<\/p>\n

Health facilities Managed under PPP:<\/strong><\/h5>\n\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
NGO<\/th>Name of the district<\/th>Name of the PHC\/CHCs<\/th>Sub Centres under the PHC<\/th> <\/th> <\/th> <\/th> <\/th>\n<\/tr>\n<\/thead>\n
<\/td>Anjaw <\/td>PHC Walong<\/td>Yasong<\/td>Kibitho<\/td><\/td><\/td><\/td>\n<\/tr>\n
Changlang<\/td>PHC Khimiyong<\/td>Yanam<\/td>Jongi Havi<\/td><\/td><\/td><\/td>\n<\/tr>\n
Dibang Valley<\/td>PHC Etalin<\/td>Arzoo<\/td>Anelih<\/td><\/td><\/td><\/td>\n<\/tr>\n
Kurung Kumey<\/td>CHC Sangram<\/td>Pagba<\/td>Leel<\/td>0 Point<\/td><\/td><\/td>\n<\/tr>\n
Tawang<\/td>PHC Dungdugarh<\/td><\/td>Phongleng<\/td><\/td><\/td><\/td>\n<\/tr>\n
Papum Pare<\/td>PHC Tarrasso<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
Karuna Trust <\/td>Upper Siang<\/td>PHC Jeying<\/td>Bine<\/td>Sibuk<\/td>Pongging<\/td><\/td><\/td>\n<\/tr>\n
Papum Pare<\/td>PHC Mengio<\/td>Kamrung<\/td>Nyopang<\/td>Pilla<\/td><\/td><\/td>\n<\/tr>\n
Tirap<\/td>PHC Wakka<\/td>Nginu<\/td>Khanu<\/td><\/td><\/td><\/td>\n<\/tr>\n
East Kameng<\/td>PHC Bameng <\/td>Lada<\/td>Paksa camp<\/td>Marjingla<\/td>Pakke<\/td><\/td>\n<\/tr>\n
Lower Dibang Valley<\/td>PHC Anpum<\/td>Keba<\/td>Paglam<\/td>Bizari<\/td><\/td><\/td>\n<\/tr>\n
Future Generations, AP <\/td>East Siang<\/td>PHC Sille<\/td>Sika-Bamin<\/td>Mangnang<\/td><\/td><\/td><\/td>\n<\/tr>\n
West Kameng<\/td>PHC Thrizino<\/td>Palizi <\/td>Subu <\/td><\/td><\/td><\/td>\n<\/tr>\n
J.A.C PRAYAS <\/td>Lohit <\/td>PHC Wakro <\/td>SC Medo<\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
N.N Charitable Society <\/td>Lower Subansiri <\/td>PHC DEED Neelam <\/td>SC Dem<\/td>SC Miya<\/td>SC Sito<\/td>SC Pania<\/td><\/td>\n<\/tr>\n
M.M. Charitable Trust <\/td>Upper Subansiri <\/td>PHC Siyum <\/td>Page Nalloh<\/td>Bogia Siyum<\/td>Eru<\/td>Laklam<\/td>Jingba rai <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n
MEMORANDUM OF UNDERSTANDING (MoU)<\/strong><\/h5>\n

This Memorandum of Understanding (MoU) is signed between on this______ day\u00a0 of _________2016 Governor of Arunachal Pradesh (hereinafter referred to as \u201cState Government\u201d 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 \u201cAgency\u201d) represented Mr.\/Ms.\/Dr.___________________________(which expression shall include his \/ her assigns, successors and administrators) on the other.<\/p>\n

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) \u00a0for 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:<\/p>\n

    \n
  1. \n
    Number and location of PHCs\/CHCs<\/h5>\n

    The \u201cAgency\u201d shall operate\/manage the PHCs\/<\/strong>CHCs as per details in Schedule \u2018A\u2019<\/strong> 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.<\/li>\n

  2. \n
    Modalities of Implementation
    \n<\/strong><\/h5>\n

    2.1.<\/strong>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.<\/li>\n<\/ol>\n

    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.\u00a0 The Agency would preserve these records carefully and hand over the same to the State Government at the time of exiting from the project.<\/p>\n

    2.2.<\/strong>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.<\/p>\n

    2.3.<\/strong> The Agency shall be responsible to provide, interalia, the following services<\/h5>\n
      \n
    1. 24 hours Emergency\/Casualty Services,.<\/li>\n
    2. 6 days OPD service.<\/li>\n
    3. 4 to 6 functional beds.<\/li>\n
    4. Ante-natal care and Post natal care.<\/li>\n
    5. 24 hrs labour Room and Essential Obstetrics facility both normal and assisted.<\/li>\n
    6. Early and safe abortion services (including MVA).<\/li>\n
    7. Prevention and management of RTIs\/STIs.<\/li>\n
    8. Essential New Born Care.<\/li>\n
    9. Routine immunization services<\/li>\n
    10. Family Planning services.<\/li>\n
    11. Adolescence Reproductive and Sexual Health Services<\/li>\n
    12. Essential laboratory services.<\/li>\n
    13. 24 hrs Ambulance Facility, referral for emergencies.<\/li>\n
    14. Essential medicines as per Schedule D<\/strong> 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.<\/li>\n
    15. Participation in and implementation of National and State Programs of Health & Family Welfare including, inter alia, NRHM, RNTCP, NVBDCP, NACP etc.<\/li>\n
    16. Outreach camps<\/li>\n<\/ol>\n

      2.4.<\/strong>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.
      \nThe Agency will engage personnel with requisite qualifications appropriate for the job description. The said qualification would be as per Government norms.<\/p>\n\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
      Sl No<\/th>Category of staff<\/th>No of posts<\/th>\n<\/tr>\n<\/thead>\n
      1<\/td>Medical Officer <\/td>2<\/td>\n<\/tr>\n
      2<\/td>Pharmacist <\/td>1<\/td>\n<\/tr>\n
      3<\/td>Staff Nurse <\/td>2<\/td>\n<\/tr>\n
      4<\/td>Lab Tech <\/td>1<\/td>\n<\/tr>\n
      5<\/td>ANM **<\/td>2 (PHC \/CHC )<\/td>\n<\/tr>\n
      5 (SCs) *<\/td>\n<\/tr>\n
      6<\/td>Health Worker (male)<\/td>3<\/td>\n<\/tr>\n
      7<\/td>Driver <\/td>1<\/td>\n<\/tr>\n
      8<\/td>Group D(Including SCs) <\/td>4<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n

      * The number of ANMs would be decided on the basis of Sub Centres under the jurisdiction of the PHC\/CHC.<\/p>\n

      ** Experienced and adequately trained ANM may be considered.<\/p>\n

      2.5.\u00a0 \u00a0The 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.\u00a0 The personnel should also be suitably trained for the jobs they are expected to perform.\u00a0 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.<\/p>\n

      2.6.\u00a0 \u00a0The existing Sub Centres, under the jurisdiction of the PHCs\/CHCs, would \u00a0also 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.<\/p>\n

      2.7.\u00a0 \u00a0The Agency will provide the Laboratory test facilities at the PHC\/CHC level as described in Schedule B<\/strong> to the MoU.<\/p>\n

      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.<\/p>\n

      2.9 The Agency shall strive to provide quality services and\u00a0 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.<\/p>\n

        \n
      1. Project commencement and duration<\/strong><\/li>\n<\/ol>\n

        The duration of the project will be 1(one) year.\u00a0 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.<\/p>\n

          \n
        1. Review and monitoring structure<\/strong><\/li>\n<\/ol>\n

          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.<\/p>\n

          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.\u00a0 The committee shall address local issues and problems as are normally expected from such a Committee.<\/p>\n

          4.2.\u00a0 \u00a0At 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.\u00a0 This State level Steering Committee will meet at least once, every 6(six) months.\u00a0 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.<\/p>\n

            \n
          1. Records & Reporting<\/strong><\/li>\n<\/ol>\n

            5.1\u00a0 \u00a0The Agency would be expected to maintain records and to furnish reports, in time, as normally expected from any PHC\/CHC in the Government system.\u00a0 The reports will be furnished on monthly basis to the DMO \/ DRCHO with a copy to MD (NRHM) in the format at Schedule C<\/strong>, Any other reports required by the Government, from time to time, will be intimated to the Agency in writing.<\/p>\n

            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.<\/p>\n

            5.2.\u00a0 \u00a0 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.<\/p>\n

              \n
            1. Standards of hygiene and health safety.<\/strong><\/li>\n<\/ol>\n

              6.1.\u00a0 \u00a0The Agency shall maintain and run the PHC\/CHC in a hygienic manner conforming to the standard norms of health safety.\u00a0 Auto destructive syringes will be used for immunization and autoclaved glass syringes with disposable needles will be permitted for other injections.\u00a0\u00a0 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.<\/p>\n

                \n
              1. Purchase of drugs and consumables<\/strong><\/li>\n<\/ol>\n

                The procurement of drugs\/consumables from the funds allotted by the Government will be made in a transparent and economical manner.\u00a0 Only Government approved quality drugs of generic nature will be procured as per the list at Schedule D.<\/strong>\u00a0 Proprietary\/branded drugs may be procured, only in exceptional cases, and with the prior consent of the State Government.\u00a0 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.\u00a0 Care shall be taken by the Agency to use the drugs\/consumables within the relevant expiry dates.<\/p>\n

                  \n
                1. Diet for inpatients, scale and quality<\/strong><\/li>\n<\/ol>\n

                  The diet for inpatients in terms of quality and scale should not be less than the standards set in Government run PHCs\/CHC.<\/p>\n

                    \n
                  1. Asset Creation<\/strong><\/li>\n<\/ol>\n

                    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, \u00a0after the project duration is over.\u00a0 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.<\/p>\n

                      \n
                    1. National and State Programs.<\/strong><\/li>\n<\/ol>\n

                      The Agency will be a part of the Health Delivery System of the State.\u00a0 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.<\/p>\n

                      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.<\/p>\n

                        \n
                      1. Specialized expensive treatment<\/strong><\/li>\n<\/ol>\n

                        Patients requiring expensive and specialized treatment not normally expected at the PHC\/CHC level will be referred to the District Hospital\/General Hospital.<\/p>\n

                          \n
                        1. Medico legal cases and Post mortem examination.<\/strong><\/li>\n<\/ol>\n

                          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.<\/p>\n

                            \n
                          1. Funding<\/strong><\/li>\n<\/ol>\n

                            13.1.\u00a0 \u00a0The 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<\/strong> to this MoU.<\/p>\n

                            13.2\u00a0 \u00a0The 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.<\/p>\n

                            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.<\/p>\n

                              \n
                            1. Audit and<\/strong> Accounting<\/strong><\/li>\n<\/ol>\n

                              14.1.\u00a0 \u00a0Each 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.\u00a0 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<\/sup> October and for the months October-March, by 30th<\/sup> 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<\/sup> May of the succeeding year.<\/p>\n

                              14.2\u00a0 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.<\/p>\n

                                \n
                              1. Performance Monitoring and Standards of Service<\/strong><\/li>\n<\/ol>\n

                                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<\/strong> 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.<\/p>\n

                                15.2.\u00a0 \u00a0The indicators and standards specified in this MoU for the health delivery expected from the Agency are as per GoI guidelines.\u00a0 The Agency shall endeavour \u00a0to serve as a role model and to provide services at a much higher standard.<\/p>\n

                                  \n
                                1. Evaluation <\/strong><\/li>\n<\/ol>\n

                                  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 \u00a0the 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.<\/p>\n

                                    \n
                                  1. Dispute Resolution and Court jurisdiction<\/strong><\/li>\n<\/ol>\n

                                    17.1\u00a0 \u00a0Any dispute or differences of interpretation between the Government and the Agency vis-\u00e0-vis this MoU will be taken up before the Commissioner \/ Secretary (Health), Government of Arunachal Pradesh for resolution.\u00a0 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.<\/p>\n

                                    17.2\u00a0 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.<\/p>\n

                                      \n
                                    1. Extension of the NGOs under the Project<\/strong><\/li>\n<\/ol>\n

                                      18.1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 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.
                                      \n18.2 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.<\/p>\n

                                        \n
                                      1. Miscellaneous<\/strong><\/li>\n<\/ol>\n

                                        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.<\/p>\n

                                        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.<\/p>\n

                                        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.
                                        \n19.4 The Agency will be duty bound to assist the Government for controlling any epidemic or medical emergency in the area.<\/p>\n

                                          \n
                                        1. Saving<\/strong><\/li>\n<\/ol>\n

                                          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\u00a0 due course, after mutual discussion between the Government and the Agency.<\/p>\n

                                            \n
                                          1. A G R E E M E N T<\/u><\/strong><\/li>\n<\/ol>\n

                                            This MOU is signed on this ___________ day of ___________ 2015 at __________________India.<\/p>\n

                                            Name:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name:<\/p>\n

                                            Designation:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Designation:<\/p>\n

                                            For and on behalf of the Governor\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Company<\/p>\n

                                            of Arunachal Pradesh<\/p>\n

                                            In witness whereof, the parties hereto have signed this MOU on this ________________ day of _________________, 2015 at ____________________<\/p>\n

                                            Witness:<\/strong><\/p>\n

                                              \n
                                            1. Name:\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a02.Name<\/li>\n<\/ol>\n

                                              Address\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Address<\/p>\n

                                              SCHEDULE – A<\/h5>\n
                                              Assignment of Health Facilities to NGO
                                              \n(CLAUSE 2)<\/h5>\n
                                              <\/h5>\n
                                                \n
                                              1. NGO name \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/li>\n<\/ol>\n

                                                Numbers of Health Facilities\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 :<\/p>\n\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
                                                Sl.No.<\/th>DISTRICT<\/th>Selected Health Facility<\/th>\n<\/tr>\n<\/thead>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n
                                                <\/td><\/td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n
                                                SCHEDULE – B<\/strong><\/h5>\n
                                                Lab tests facilities to be provided<\/u><\/strong><\/h5>\n
                                                  \n
                                                1. Blood routine examination ( Hb%, TLC, DLC, ESR)<\/li>\n
                                                2. Blood grouping and Rh typing.<\/li>\n
                                                3. Blood for MP test, widal test.<\/li>\n
                                                4. Stool routine examination (Physical, chemical and microscopic).<\/li>\n
                                                5. Urine routine examination (Physical, chemical and microscopic).<\/li>\n
                                                6. Urine for pregnancy test.<\/li>\n
                                                7. Sputum for AFB.<\/li>\n
                                                8. Blood sugar.<\/li>\n
                                                9. Blood for VDRL.<\/li>\n
                                                10. Rapid tests for pregnancy<\/li>\n
                                                11. Any other test recommended\/in place through other programmes<\/li>\n<\/ol>\n
                                                  SCHEDULE – C<\/strong><\/h5>\n
                                                    \n
                                                  1. M&E Monthly report for PHC\/CHC\/SC: – <\/strong>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.<\/li>\n
                                                  2. MCTS: – <\/strong>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<\/li>\n
                                                  3. Monthly Personnel Availability:- <\/strong>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).\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
                                                    Category<\/th>Nos. appointed<\/th>Nos of days on duty<\/th>\n<\/tr>\n<\/thead>\n
                                                    Medical Officer<\/td><\/td><\/td>\n<\/tr>\n
                                                    Pharmacist<\/td><\/td><\/td>\n<\/tr>\n
                                                    Staff Nurse<\/td><\/td><\/td>\n<\/tr>\n
                                                    ANM<\/td><\/td><\/td>\n<\/tr>\n
                                                    Sub Centre I<\/td><\/td><\/td>\n<\/tr>\n
                                                    Sub Centre II<\/td><\/td><\/td>\n<\/tr>\n
                                                    Sub Centre III<\/td><\/td><\/td>\n<\/tr>\n
                                                    LHV<\/td><\/td><\/td>\n<\/tr>\n
                                                    Lab Technician<\/td><\/td><\/td>\n<\/tr>\n
                                                    Driver<\/td><\/td><\/td>\n<\/tr>\n
                                                    Health Assistant (HW Male)<\/td><\/td><\/td>\n<\/tr>\n
                                                    Group D (detail)<\/td><\/td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/li>\n
                                                  4. \n
                                                    \u00a0<\/strong>The NGOs will submit any other reports not mentioned above, as and when required by the MD (NRHM)\/District Health Society.<\/h5>\n
                                                    Schedule D<\/strong><\/h5>\n
                                                    Purchase of drugs and consumables <\/strong>\u00a0<\/strong><\/h5>\n
                                                    Essential Drug List <\/strong>\/ surgical items \/ Laboratory items for PHC<\/strong><\/h5>\n

                                                    \n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
                                                    Sl No<\/th>Name of Drugs<\/th>Sl No<\/th>Name of Drugs<\/th>\n<\/tr>\n<\/thead>\n
                                                    1<\/td>Acetylsalicylic acid tab-75 mg, 300 mg<\/td>93<\/td>Norfloxacin 400 mg<\/td>\n<\/tr>\n
                                                    2<\/td>Albendazole tab 400 mg<\/td>94<\/td>Nitrofuragene oint<\/td>\n<\/tr>\n
                                                    3<\/td>Albendazole Suspension<\/td>95<\/td>ORS<\/td>\n<\/tr>\n
                                                    4<\/td>Amoxycillin tab 250mg, 500 mg<\/td>96<\/td>Oxygen<\/td>\n<\/tr>\n
                                                    5<\/td>Amoxycillin Susp<\/td>97<\/td>Oxytocin Inj<\/td>\n<\/tr>\n
                                                    6<\/td>Ampicillin cap 250mg,500 mg<\/td>98<\/td>Paracetamol tab 500 mg<\/td>\n<\/tr>\n
                                                    7<\/td>Ampicillin Powder for susp.<\/td>99<\/td>Paracetamol syp<\/td>\n<\/tr>\n
                                                    8<\/td>Ampicillin Inj<\/td>100<\/td>Pantaprazole 40 mg tab<\/td>\n<\/tr>\n
                                                    9<\/td>Aminophylline Inj<\/td>101<\/td>Povidone Iodine Sol & oint<\/td>\n<\/tr>\n
                                                    10<\/td>Alprazolam tab 0.25 mg<\/td>102<\/td>Phenytoin Sodium tabs-100mg<\/td>\n<\/tr>\n
                                                    11<\/td>Artesunate tab<\/td>103<\/td>Promethazine Sodium tab 25 mg<\/td>\n<\/tr>\n
                                                    12<\/td>Artether inj<\/td>104<\/td>Primaquine tab 7.5 mg & 2.5 mg<\/td>\n<\/tr>\n
                                                    13<\/td>Adrenaline Bitartrate inj<\/td>105<\/td>Prednisolone 5 mg tab<\/td>\n<\/tr>\n
                                                    14<\/td>Aciclovir 200 mg tab<\/td>106<\/td>Quinine tab<\/td>\n<\/tr>\n
                                                    15<\/td>Amlodipin tab 5 mg<\/td>107<\/td>Quinine inj<\/td>\n<\/tr>\n
                                                    16<\/td>Avil inj<\/td>108<\/td>Ranitidine tab<\/td>\n<\/tr>\n
                                                    17<\/td>Atropine sulphate inj<\/td>109<\/td>Ranitidine inj<\/td>\n<\/tr>\n
                                                    18<\/td>Ascorbic acid tab 100mg<\/td>110<\/td>Salbutamol tabs-4mg<\/td>\n<\/tr>\n
                                                    19<\/td>Acriflavin+Glycerin lotion<\/td>111<\/td>Silver sulphadiazine oint<\/td>\n<\/tr>\n
                                                    20<\/td>Atenelol tabs-50mg<\/td>112<\/td>Tetracycline hydrochloride eye oint<\/td>\n<\/tr>\n
                                                    21<\/td>Anti rabies Vaccine (OARB)<\/td>113<\/td> Vit K inj<\/td>\n<\/tr>\n
                                                    22<\/td>Anti Sanke venom Serum<\/td>114<\/td>Vitamine A cap<\/td>\n<\/tr>\n
                                                    23<\/td>Buscpan inj<\/td>115<\/td>Water for inj 5\/10ml<\/td>\n<\/tr>\n
                                                    24<\/td>Betamethosone tab<\/td>116<\/td>Xylocaine inj 2 %<\/td>\n<\/tr>\n
                                                    25<\/td>Betamethasone valerate oint<\/td>117<\/td>Xylocaine oint<\/td>\n<\/tr>\n
                                                    26<\/td>Betamethosone inj<\/td>Fluids<\/td><\/td>\n<\/tr>\n
                                                    27<\/td>B complex inj<\/td>1<\/td>DNS<\/td>\n<\/tr>\n
                                                    28<\/td>B complex tab<\/td>2<\/td>Dextrose 5%<\/td>\n<\/tr>\n
                                                    29<\/td>Benzathine penicillin Inj<\/td>3<\/td>Ringer Lactate<\/td>\n<\/tr>\n
                                                    30<\/td>Benzyle Penicillin Inj<\/td>4<\/td>Normal saline<\/td>\n<\/tr>\n
                                                    31<\/td>Bisacodyle tab<\/td>\u00a0Surgical items<\/td><\/td>\n<\/tr>\n
                                                    32<\/td>Benzoic acid + Salicylic oint<\/td>1<\/td>Glass van Syringes- 2ml\/5ml\/10ml<\/td>\n<\/tr>\n
                                                    33<\/td>Benzyle benzoate lotion 25 %<\/td>2<\/td>Disposable Needle- 21\/22\/23\/24<\/td>\n<\/tr>\n
                                                    34<\/td>Bleaching powder<\/td>3<\/td>I.V Canula no-18<\/td>\n<\/tr>\n
                                                    35<\/td>Cetirizine tabs<\/td>4<\/td>Ryles Tube- Paed\/Adult (No 8,10&16)<\/td>\n<\/tr>\n
                                                    36<\/td>Ciprofloxacin Hydrochloride tab- 250 & 500 mg<\/td>5<\/td>Vasofix-20G,22g & 26g<\/td>\n<\/tr>\n
                                                    37<\/td>Ciprofloxacin Hydrochloride eye drops 0.3%<\/td>6<\/td>Drip-set- Macro\/Micro<\/td>\n<\/tr>\n
                                                    38<\/td>Ciprofloxacin ear\/ eye drops<\/td>7<\/td>Surgical Gloves - 6, 6 \u00bd,7, 7 \u00bd, 8, 8 \u00bd,<\/td>\n<\/tr>\n
                                                    39<\/td>Ciprofloxacin syrup<\/td>8<\/td>Cotton \u2013500gm<\/td>\n<\/tr>\n
                                                    40<\/td>Chloramphenicol cap 250 mg, 500 mg<\/td>9<\/td>Bandage Roll- Big\/Small<\/td>\n<\/tr>\n
                                                    41<\/td>Chloramphenicol eye drop\/oint<\/td>10<\/td>Phenyle-4.5 ltrs<\/td>\n<\/tr>\n
                                                    42<\/td>Chloropheneramine maleate tab 4 mg & inj<\/td>11<\/td>Hydrogen Peroxide-100ml\/200ml<\/td>\n<\/tr>\n
                                                    43<\/td>Cotrimoxazole hydrochloride tab(80+400mg)<\/td>12<\/td>Surgical Blade- No-11,22 &24<\/td>\n<\/tr>\n
                                                    44<\/td>Cotrimoxazole syrup<\/td>13<\/td>Surgical Spirit-400ml<\/td>\n<\/tr>\n
                                                    45<\/td>Calsium lactate tab<\/td>14<\/td>Suture Thread with gauze<\/td>\n<\/tr>\n
                                                    46<\/td>Ceftrioxone 250 inj, 500 mg, 1 gm<\/td>15<\/td>Adhesive Plaster-small\/Big<\/td>\n<\/tr>\n
                                                    47<\/td>Chloroquine Phosphate tabs 250<\/td>16<\/td>Formaldehyde-4.5ltrs\/100ml<\/td>\n<\/tr>\n
                                                    48<\/td>Chloroquine Phosphate syrup<\/td>17<\/td>Rubber Sheet-50mts\/20mts\/10mts<\/td>\n<\/tr>\n
                                                    49<\/td>Chloroquine inj<\/td>18<\/td>Gloves powder<\/td>\n<\/tr>\n
                                                    50<\/td>Cifotaxim inj 250, 500, 1 gm<\/td>19<\/td>Pot.Permanganate\u2014250gms<\/td>\n<\/tr>\n
                                                    51<\/td>Calcium Gluconate inj 10 ml<\/td>20<\/td>Suturing needle- Cutting\/Round Body<\/td>\n<\/tr>\n
                                                    52<\/td>Diazepam tabs-5mg<\/td>21<\/td>Gloves Powder<\/td>\n<\/tr>\n
                                                    53<\/td>Diazepam Injection<\/td>\u00a0 Laboratory Items<\/td><\/td>\n<\/tr>\n
                                                    54<\/td>Doxycycline Hydro-tab-100mg<\/td>1<\/td>Acetone<\/td>\n<\/tr>\n
                                                    55<\/td>Digoxin tabs & inj<\/td>2<\/td>Ammonium sol.<\/td>\n<\/tr>\n
                                                    56<\/td>Dicyclomine HCL tab<\/td>3<\/td>Acetic acid<\/td>\n<\/tr>\n
                                                    57<\/td>Dicyclomine Hydrochloride Inj<\/td>4<\/td>Ammonium sulph.<\/td>\n<\/tr>\n
                                                    58<\/td>Dexamethasone sodium phosphate inj<\/td>5<\/td>Benedicts sol<\/td>\n<\/tr>\n
                                                    59<\/td>Diclofinac tab 50 mg<\/td>6<\/td>Benzidine sol<\/td>\n<\/tr>\n
                                                    60<\/td>Diclofenac inj 25mg\/5 ml<\/td>7<\/td>Benzidine powder<\/td>\n<\/tr>\n
                                                    61<\/td>Duvadilan tab<\/td>8<\/td>Ba-Chloride sol.<\/td>\n<\/tr>\n
                                                    62<\/td>Etophylline + Theophylline - Inj<\/td>9<\/td>Cotton roll<\/td>\n<\/tr>\n
                                                    63<\/td>Etophylline + Theophylline tab<\/td>10<\/td>Distilled water<\/td>\n<\/tr>\n
                                                    64<\/td>Etamsylate inj<\/td>11<\/td>EDTA sol.\/Crystals<\/td>\n<\/tr>\n
                                                    65<\/td>Etamsylate oint<\/td>12<\/td>Eosinophil diluting fluid<\/td>\n<\/tr>\n
                                                    66<\/td>Ethambutal hydro 400\/800mg tab<\/td>13<\/td>Erlichs aldehyde<\/td>\n<\/tr>\n
                                                    67<\/td>Framycetine Sulphate cream<\/td>14<\/td>Fouchest reagent<\/td>\n<\/tr>\n
                                                    68<\/td>Fortified procaine penicillin inj<\/td>15<\/td>Gentian violet<\/td>\n<\/tr>\n
                                                    69<\/td>Furazoladine tabs<\/td>16<\/td>Grams iodine<\/td>\n<\/tr>\n
                                                    70<\/td>Frusemide inj<\/td>17<\/td>Hydrochloric acid N\/10<\/td>\n<\/tr>\n
                                                    71<\/td>Famotidine tab 20 mg<\/td>18<\/td>JSB stain-I<\/td>\n<\/tr>\n
                                                    72<\/td>Gama benzene lotion<\/td>19<\/td>JSB stain-II<\/td>\n<\/tr>\n
                                                    73<\/td>Gentamycin inj<\/td>20<\/td>Lugols iodine<\/td>\n<\/tr>\n
                                                    74<\/td>Gentamycin eye\/ ear drops<\/td>21<\/td>Lysol<\/td>\n<\/tr>\n
                                                    75<\/td>Hydrocortisone Succinate inj<\/td>22<\/td>Leishman\u2019s stain<\/td>\n<\/tr>\n
                                                    76<\/td>Hydrogen peroxide<\/td>23<\/td>Liquid paraffin<\/td>\n<\/tr>\n
                                                    77<\/td>Hydralazine tab<\/td>24<\/td>Methylene Blue<\/td>\n<\/tr>\n
                                                    78<\/td>Iron folic acid tab small<\/td>25<\/td>Methyl violet<\/td>\n<\/tr>\n
                                                    79<\/td>Iron folic acid tab big<\/td>26<\/td>Nitric acid<\/td>\n<\/tr>\n
                                                    80<\/td>Iron Sucrose Inj<\/td>27<\/td>RBC \/ WBC diluting fluid<\/td>\n<\/tr>\n
                                                    81<\/td>Ibuprofen tab 200, 400 mg<\/td>28<\/td>Sulphasalicylic acid<\/td>\n<\/tr>\n
                                                    82<\/td>Metronidazole \u2013 Syrup<\/td>29<\/td>Sodium chloride<\/td>\n<\/tr>\n
                                                    83<\/td>Metronidazole tab 400 mg<\/td>30<\/td>Surgical spirit<\/td>\n<\/tr>\n
                                                    84<\/td>Metformine tabs<\/td>31<\/td>Sulphuric acid (Conc)<\/td>\n<\/tr>\n
                                                    85<\/td>Methyl ergometine tab 125 mg<\/td>32<\/td>Sulphur powder<\/td>\n<\/tr>\n
                                                    86<\/td>Methyl ergometine inj<\/td>33<\/td>Sodium nitropruside<\/td>\n<\/tr>\n
                                                    87<\/td>Miconazole Ointment<\/td>34<\/td>Sodium metabisulphate<\/td>\n<\/tr>\n
                                                    88<\/td>Misoprostol tab<\/td>35<\/td>Platelet diluting fluid<\/td>\n<\/tr>\n
                                                    89<\/td>Metchlopromide tabs-10mg<\/td>36<\/td>Test tube (Glass)<\/td>\n<\/tr>\n
                                                    90<\/td>Metchlopromide HCL inj<\/td>37<\/td>Micropippetes<\/td>\n<\/tr>\n
                                                    91<\/td>Metron infusion<\/td>38<\/td>Cover slip<\/td>\n<\/tr>\n
                                                    92<\/td>Multi vitamin cap<\/td>39<\/td>Lancet\/Needles<\/td>\n<\/tr>\n
                                                    <\/td><\/td>40<\/td>Filter paper<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
                                                    \n\u00a0<\/strong><\/p>\n

                                                    Schedule E
                                                    \n<\/strong>Funding pattern
                                                    \n<\/strong>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)<\/p>\n

                                                    Public Private Partnership in Arunachal Pradesh
                                                    \nANNUAL BUDGET\u00a0 FOR MANAGEMENT OF ONE HEALTH FACILITY<\/strong><\/p>\n\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
                                                     <\/th>Budget Head<\/th>Unit <\/th>Monthly Budget<\/th>Annual Budget<\/th>Head wise annual budget<\/th>\n<\/tr>\n<\/thead>\n
                                                    A<\/td>Medicines, Healthcare consumables<\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    1<\/td>Medicines<\/td>1<\/td>25000<\/td>300000<\/td>438000<\/td>\n<\/tr>\n
                                                    2<\/td>Surgical Items<\/td>1<\/td>5000<\/td>60000<\/td><\/td>\n<\/tr>\n
                                                    3<\/td>Laboratory Items & diagnostic kits<\/td>1<\/td>3500<\/td>42000<\/td><\/td>\n<\/tr>\n
                                                    5<\/td>Hospital Materials & supplies<\/td>1<\/td>3000<\/td>36000<\/td><\/td>\n<\/tr>\n
                                                    B<\/td>Maintenance, Furniture, equipments<\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    1<\/td>Repairs & Maintenance of PHC\/SCs<\/td>1<\/td>5000<\/td>60000<\/td>120000<\/td>\n<\/tr>\n
                                                    2<\/td>Equipments & Furniture<\/td>1<\/td>5000<\/td>60000<\/td><\/td>\n<\/tr>\n
                                                    C<\/td>Administrative Expenses<\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    1<\/td>Water & Electricity <\/td>1<\/td>2000<\/td>24000<\/td>302000<\/td>\n<\/tr>\n
                                                    2<\/td>Talephone, internet, postage<\/td>1<\/td>1000<\/td>12000<\/td><\/td>\n<\/tr>\n
                                                    3<\/td>Vehicle Repairing<\/td>1<\/td>5000<\/td>60000<\/td><\/td>\n<\/tr>\n
                                                    4<\/td>Vehicle fuel<\/td>1<\/td>5000<\/td>60000<\/td><\/td>\n<\/tr>\n
                                                    5<\/td>Travelling expenses<\/td>1<\/td>3000<\/td>36000<\/td><\/td>\n<\/tr>\n
                                                    6<\/td>Transportation cost<\/td>1<\/td>2500<\/td>30000<\/td><\/td>\n<\/tr>\n
                                                    7<\/td>Outreach Health camp expenses<\/td>1<\/td>2167<\/td>26000<\/td><\/td>\n<\/tr>\n
                                                    8<\/td>Printing, Stationeries & IEC<\/td>1<\/td>2500<\/td>30000<\/td><\/td>\n<\/tr>\n
                                                    9<\/td>Staff Training & orientation<\/td>1<\/td>2000<\/td>24000<\/td><\/td>\n<\/tr>\n
                                                    D<\/td>Personnel Cost<\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    1<\/td>Medical Officer<\/td>2<\/td>35000<\/td>840000<\/td>2892000<\/td>\n<\/tr>\n
                                                    2<\/td>Pharmacist<\/td>1<\/td>12000<\/td>144000<\/td><\/td>\n<\/tr>\n
                                                    3<\/td>Staff Nurse<\/td>2<\/td>12000<\/td>288000<\/td><\/td>\n<\/tr>\n
                                                    4<\/td>Lab Tech<\/td>1<\/td>10000<\/td>120000<\/td><\/td>\n<\/tr>\n
                                                    5<\/td>ANM, (3 in SCs, 2 in PHC)<\/td>8<\/td>10000<\/td>960000<\/td><\/td>\n<\/tr>\n
                                                    6<\/td>Health Assistant (male)<\/td>2<\/td>10000<\/td>240000<\/td><\/td>\n<\/tr>\n
                                                    7<\/td>Driver<\/td>1<\/td>7000<\/td>84000<\/td><\/td>\n<\/tr>\n
                                                    8<\/td>Group D(Including SCs)<\/td>4<\/td>4500<\/td>216000<\/td><\/td>\n<\/tr>\n
                                                    TOTAL<\/td><\/td><\/td><\/td><\/td>3752000<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n

                                                    \n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t
                                                    Budget Summary<\/th> <\/th>\n<\/tr>\n<\/thead>\n
                                                    Medicines & Healthcare consumables<\/td>438000<\/td>\n<\/tr>\n
                                                    Maintenance, Furniture<\/td>120000<\/td>\n<\/tr>\n
                                                    Administrative Expenses<\/td>302000<\/td>\n<\/tr>\n
                                                    Personal Cost<\/td>2892000<\/td>\n<\/tr>\n
                                                    TOTAL<\/td>3752000<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
                                                    \nRupees Thirty Seven lakhs Fifty Thousand only per health facility per annum.
                                                    \n<\/em><\/strong>Note:<\/strong>\u00a0\u00a0\u00a0 The Agency will contribute 10 percent from its own sources towards the project cost.<\/p>\n

                                                    Schedule F
                                                    \n<\/u><\/strong>Performance Monitoring and Standards of Service<\/strong><\/p>\n

                                                    Performance Indicators<\/strong><\/p>\n\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
                                                    Type of Service<\/th>No. of Days Functional<\/th>Average Attendance and \/ or Usage<\/th>\n<\/tr>\n<\/thead>\n
                                                    1. OPD<\/td><\/td><\/td>\n<\/tr>\n
                                                    2. IPD<\/td><\/td><\/td>\n<\/tr>\n
                                                    3. Minor OT<\/td><\/td><\/td>\n<\/tr>\n
                                                    4. Labour Room<\/td><\/td><\/td>\n<\/tr>\n
                                                    5. Casualty\/Emergency<\/td><\/td><\/td>\n<\/tr>\n
                                                    6. Ambulance<\/td><\/td><\/td>\n<\/tr>\n
                                                    7. Injection Room<\/td><\/td><\/td>\n<\/tr>\n
                                                    8. Clinical Lab \u2013 Hb%<\/td><\/td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n

                                                    Preventive \/ Promotive Indicators<\/strong>
                                                    \n\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
                                                     <\/th> <\/th> <\/th> <\/th> <\/th> <\/th> <\/th>\n<\/tr>\n<\/thead>\n
                                                    Sl. No.<\/td>Category<\/td>baseline<\/td>After 6 months<\/td><\/td>After 1 year<\/td><\/td>\n<\/tr>\n
                                                    <\/td><\/td><\/td>Nos<\/td>Rate<\/td>Nos<\/td>Rate<\/td>\n<\/tr>\n
                                                    1<\/td>Ante Natal Cases registered<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    2<\/td>Institutional Deliveries<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    3<\/td>Post Natal Cases<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    4<\/td>Full Immunization<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    5<\/td>Referral to higher centres<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    6<\/td>IUCDs inserted<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    7<\/td>OCPs distributed<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    8<\/td>Condoms distributed<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    9<\/td>VHNDs held<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    10<\/td>Nos of ASHA meeting\/day held<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    11<\/td>Nos of RKS meeting held<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    12<\/td>Citizen's charter in position<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    13<\/td>Monitoring by RKS<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    14<\/td>RKS fund used as per guidelines<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    15<\/td>RCH outreach sessions<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    16<\/td>Other camps organised<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    17<\/td>Number of Patients treated<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
                                                    18<\/td>Nos of cases not provided medicine<\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                                                    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…<\/p>\n","protected":false},"author":2,"featured_media":302,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page_full.php","meta":{"footnotes":""},"class_list":["post-960","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=\/wp\/v2\/pages\/960","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=960"}],"version-history":[{"count":20,"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=\/wp\/v2\/pages\/960\/revisions"}],"predecessor-version":[{"id":1042,"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=\/wp\/v2\/pages\/960\/revisions\/1042"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=\/wp\/v2\/media\/302"}],"wp:attachment":[{"href":"https:\/\/health.arunachal.gov.in\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}