Budget Estimates for 2008-09 - National Portal of India

Programme 

Implementation Plan 

2008-09 

NATIONAL RURAL HEALTH MISSION 

UNION TERRITORY, CHANDIGARH 


(Physical Activities and Financial Work Plan) 

Department of Health and Family Welfare 

Chandigarh Administration 

Chandigarh 

1

CONTENTS 

S.No. Name of the Component Page No. 

1. Executive Summary 6 

2. NRHM Vision & Mission Statement 7 

3. Objectives 8 

4. Situation Analysis 9 

Part – A Reproductive and Child Health 12 

Technical Component 

Budget Detail 

16 

1. Maternal Health 29 

2. Janani Suraksha Yojna 29 

3. Child Health & IMNCI 29 

4. Family Planning 29 

5. ARSH 29 

6. Urban RCH 29 

7. Health Services for SCs and Weaker Sections 29 

8. PNDT & Sex Ratio 30 

9. Innovations/ PPP/ NGO 30 

10. Infrastructure 30 

11. Human Resource Development 30 

12. Logistics Management 30 

13. Quality Assurance and Infection Control Programme 30 

14. Training 30 

15. Behaviour Change Communication (BCC) 31 

16. Procurement 31 

17. Programme Management Units 31 

18. RCH – II Budget Summary (2007-08) 32 

Part – B New NRHM Initiatives 33 

New NRHM initiatives & Budget required 34-39 

Part – C Immunization 40 

Immunization & Budget required 

Part – D National Disease Control Programme 

41-54 

1. RNTCP – Tuberculosis 55-77 

2. National Vector Borne Disease Control Programme – 

78-91 

Malaria 

3. NLEP – Leprosy 92-99 

4. National Blindness Control Programme 100-104 

5. Integrated Disease Surveillance Programme (IDSP) 105-109 

6. National Iodine Deficiencies Control Programme 110-115 

7. National Tobacco Control Programme 116-118 

8. National Programme for Prevention and Control of 

119-121 

Deafness 

Part – E Inter Sectoral Convergence 

1. Inter – Sectoral Convergence 122 

Consolidated Budget 123 

2

LIST OF ABBREVIATIONS 

ACR Annual Confidential Report 

AD Assistant Director 

ADD Acute Diarrhoeal Disease 

AFP Acute Flaccid Paralysis 

AIDS Acquired Immuno Deficiency Syndrome 

AIR All India Radio 

ANC Antenatal Care 

ANM Auxiliary Nurse Midwife 

APC Advanced Paediatric Centre 

AWW Anganwadi Worker 

BCC Behaviour Change Communication 

BCG Bacillus Calmittee Guerin 

BEOC Basic Emergency Obstetric Care 

BPL Below Poverty Line 

C.R.No. Central Registration Number 

CBO Community Based Organization 

CBR Crude Birth Rate 

CD Civil Dispensary 

CDR Crude Death Rate 

CEOC Comprehensive Emergency Obstetric Care 

CHC Community Health Centre 

CI Confidence Interval 

CMR Child Mortality Rate 

CPR Couple Protection Rate 

CRI Central Research Institute 

CTU Chandigarh Transport Undertaking 

DC Deputy Commissioner 

DD Deputy Director 

DEO Data Entry Operator 

DFWO District Family Welfare Officer 

DHS Director Health Services 

DIO District Immunization Officer 

DMS Deputy Medical Superintendent 

DOTS Directly Observed Treatment Short course 

DP Donor Programme 

DPT Diphtheria Pertussis Tetanus 

DWCD Department of Women and Child Development 

ENC Essential New Born Care 

ESIS Employee State Insurance Scheme 

FOGSI Federation of Obstetricians and Gynecologists Society of India 

FWB Family Welfare Bureau 

GH General Hospital 

GMCH Government Medical College and Hospital 

GOI Government of India 

HCMS Haryana Civil Medical Services 

HMIS Health Management Information System 

HRD Human Resource Development 

HRP High Risk Pregnancy 

HS (M) Health Supervisor (Male) 

I/C Incharge 

IAP Indian Academy Of Paediatrics 

ICDS Integrated Child Development Services Scheme 

IEC Information Education and Communication 

IFA Iron Folic Acid 

ILR Ice Lined Refrigerator 

IMA Indian Medical Association 

IMR Infant Mortality Rate 

IPHA Indian Public Health Association 

3

IPPI Intensive Pulse Polio Immunization 

ITBP Indo Tibetan Border Police 

IUD Intra Uterine Devices 

LB Live Births 

LBW Low Birth Weight 

LHV Lady Health Visitor 

LV Link Volunteer 

MCH Maternal And Child Health 

MM Mahila Mandal 

MMR Maternal Mortality Rate 

MO Medical Officer 

MOHFW Ministry of Health and Family Welfare 

MOV Method of Verification 

MPW Multipurpose Worker 

MTP Medical Termination of Pregnancy 

MYP Mid Year Population 

N.A. Not Available 

NACO National Aids Control Organization 

NBCP National Blindness Control Programme 

NFHS National Family Health Survey 

NGO Non Government Organization 

NLEP National Leprosy Elimination Programme 

NMR Neonatal Mortality Rate 

NPP National Population Policy 

NSDP Net State Domestic Product 

NSV Non Scalpel Vasectomy 

NYK Nehru Yuvak Kendra 

OPV Oral Polio Vaccine 

ORS Oral Rehydration Solution 

OT Operation Theatre 

OVI Objectively Verifiable Indicators 

PC Poly Clinic 

PCMS Punjab Civil Medical Services 

PGIMER Post Graduate Institute of Medical Education and Research 

PHC Primary Health Centre 

PHE Public Health Engineering 

PHN Public Health Nurse 

PIH Pregnancy Induced Hypertension 

PMU Programme Management Unit 

PNC Post Natal Checkup 

PNDT Prenatal Diagnostic Technique 

PO Programme Officer 

PPH Post Partum Haemorrhage 

PPP Public Private Partnership 

PWD Public Works Department 

RCH Reproductive and Child Health 

RHS Rapid Household Survey 

RNTCP Revised National Tuberculosis Control Programme 

RTI/ STI Reproductive Tract Infection/ Sexually Transmitted Infections 

S/C Sub Centre 

SACS State AIDS Control Society 

SC Schedule Caste 

SCOVA State Committee of Voluntary Association 

SDM Sub Divisional Magistrate 

SMO Senior Medical Officer 

SOSVA Society for Service to Voluntary Agencies 

SRS Sample Registration System 

TBA Trained Birth Attendant 

TFR Total Fertility Rate 

TI Targeted intervention 

4

TT Tetanus Toxoid 

TV Television 

UH Urban Health 

UHC Urban Health Centre 

UHPO Urban Health Programme Officer 

UNICEF United Nations Children’s Fund 

UP Uttar Pradesh 

UT Union Territory 

VPD Vaccine Preventable Disease 

WHO World Health Organization 

5

Executive Summary 

Union Territory, Chandigarh is one of the most architecturally planned city 

in the country. It is the capital of both Punjab and Haryana States along with the status 

of U.T in itself. The city plan was conceived by the famous French Architect Le 

Corbusier. In fact, the modern Chandigarh is the creation of Le Corbusier. At present, 

impact indicators are MMR of 57/lac, IMR of 19/1000 LB, and TFR 2.1 related to RCH in 

Chandigarh. Our goal is to reduce MMR to less than 50/lac live births, IMR to less than 

15/1000 live births, NMR to 11/1000 live births and TFR to be maintained at 2.1 by 

2010. As per the Base Line Survey conducted by School of Public Health, Deptt.of 

Community Medicine, PGIMER around 93% deliveries in urban area, 79% in rural and 

32% in slums with an average of 60% are institutional and the goal is to increase it to 

95% by the end of 11th Five Year Plan. 2010. Around 80% of deliveries are safe and 

goal is to improve it to 100%. At present around 81% of pregnant women get 3 ANC 

checkups, 91% get TT prophylaxis and only 83.4% got 100 tablets of IFA, goal is to 

increase all these to 100%. Only half (56.5%) of mothers get post natal check ups. Goal 

is again to attain 100% level. 80% of children are weighed within 2 days where as it is to 

make it 100%. Only 68% of newborns got breast feeding on the same day whereas goal 

is to gradually increase to 95% by 2010. The impact indicators for RCH II (IMR, MMR, 

TFR, NMR) in Chandigarh are already at levels, which the entire nation is aspiring to 

achieve by 2010. However, CPR is at lower levels for Chandigarh, whereas the goal is 

to achieve it to 65% by 2010. 

The city has been conceived as a living organism with close parallelism of 

functions. The Administrative area in the north comprising of the Secretariat, High 

Court and Assembly Chamber is the head, the Educational Centres in the north-east 

are limbs, the Chief Commercial and Civic Centre is the heart where the residential 

areas are analogous to the trunk of the organism. The network of roads and footpaths 

through which the circulation of traffic and population takes place is circulatory system. 

The spacious parks, green belts and other open spaces act as lungs of the city. 

The basic planning unit of the city is a sector and initial plan provides for 

47 sectors. Each sector spreads in an area of 246 acres and has been so planned that 

all the facilities like shopping centres, schools, hospitals, places of worship, recreational 

centres, play grounds, plenty of open spaces etc. are available in each sector for its 

residents. The development of the third phase sectors has been taken up which is fast 

coming up. 

Chandigarh became a Union Territory in 1966 when the erstwhile State of 

Punjab faced a three fold division. Haryana was carved out on one side. The hilly 

areas went to Himachal Pradesh and the remaining areas continued as the State of 

Punjab. Chandigarh was also declared the Capital of Punjab and Haryana, besides the 

seat of Chandigarh Administration. 

Chandigarh is considered as one district administratively. It is divided in 3 

sub divisions Central, East and South. A Sub-Divisional Magistrate (SDM) heads each 

6

sub division. This city has a municipal corporation with 21 wards. A Mayor heads 

Municipal Corporation with 3 Deputy Mayors assisting her. Each Municipal Corporation 

ward has an elected representative called Councilor. Municipal Corporation has the 

post of Medical Officer of Health, who looks after public health and environmental 

sanitation in the city. Urban slums are also under Municipal Corporation. Each slum 

has President representing different political parties. Total population of Chandigarh 

according to Census 2001 is 9,00,635. Out of this, 90% population resides in urban 

area and 10% in rural area. Rural area has 22 villages around the city. Literacy rate of 

Chandigarh is 82%. Chandigarh has decadal growth of 40% in the last two decades. 

At present (till September, 2004), there are 5800 families below poverty line. Slums 

have been identified having a population of approximately 3,17,053. 

NRHM VISION STATEMENT & MISSION STATEMENT 

The vision is to bring about outcomes as envisioned in the National 

Population Policy (NPP 2000), the Tenth Plan Document. The National Health Policy 

2002 and vision 2020 India, minimizing the regional variations in areas of Reproductive 

and Child Health and Population Stabilization through an integrated, focused, 

participatory programme meeting the unmet demands of the target population and 

provision of assured equitable, responsive quality services, by adopting a mission 

mode. 

The main thrust areas for adequate coverage of the migratory population 

comprising of urban poors in slums are health and education of pre-school children 

under Reproductive Child Health programme by bringing into mainstream the pro-poor 

strategies, improvement in Health Management Information System (HMIS) and quality 

of service, linkage and participation of private sector, good referral system and intersectoral 

coordination. Health insurance policy has been worked out and is soon going 

to be implemented for the urban areas. 

BACKGROUND 

Sustained efforts have been made by the Chandigarh Administration to 

improve life expectancy at birth, reduction in infant and maternal mortality, population 

stabilization and enforcing gender and demographic balance. Due to continuous 

migration in the urban slum/ colonies/ villages, continuously strengthening of the 

primary level of health care and providing the RCH/ Immunization services at FRUs/ 

CHCs for promoting 100% institutional delivery are required to improve the monitorable 

indicators. 

There is an urgent need to improve the health services delivery system by 

involving private sector health care units by adopting holistic approach. Thereby the 

Health Department, Union Territory, Chandigarh has taken various steps to implement 

the NRHM as per guidelines of Government of India. 

7

THE OBJECTIVES OF THE MISSION 

� Universal access to public services for food and nutrition, sanitation and hygiene 

and universal access to public health care services with emphasis on services 

addressing health of women and children, universal immunization and reduction 

of child and maternal morality. 

� To undertake architectural corrections of the health system so as to promote 

policies for strengthening the public health management and service delivery 

system in Union Territory, Chandigarh. 

� Prevention and control of communicable and non-communicable diseases, 

including locally endemic diseases. 

� To revitalize local health traditions and main stream AYUSH into the public health 

system. 

� To achieve population stabilization, gender and demographic balance. 

8

Situational Analysis 

National Rural Health Mission has been made effective in U.T., 

Chandigarh w.e.f. April 2005. The organogramme of Mission Directorate has been 

finalized and submitted with Govt. of India. The State Health Society, Union Territory, 

Chandigarh has been registered. All existing societies under various programmes have 

been merged in State Health Society, U.T., Chandigarh under the umbrella of NRHM. 

Memorandum of Understanding has been signed and submitted with Govt. of India. 

2 CHCs have been identified for up-gradation as per the Indian Public 

Health Standards (IPHS). Funds have been released to the Engineering Department, 

U.T., Chandigarh for the up-gradation of CHC-22 and the work is in progress. The Poly 

Clinic, Sector-45 is being up-graded to CHC in the year 2008-09. 

As per approved PIP, 80 numbers of ANMs, 13 number of MPHWs, 4 

LHVs and 6 Laboratory Technicians have been engaged in addition to the sanctioned 

strength under NRHM for strengthening the Primary Level of Health Care under NRHM. 

Union Territory, Chandigarh has already achieved the goals set for 11 th 

Plan by Govt.of India as to monitorable indicators in respect of IMR, MMR, TFR. 

However on the basis of the survey conducted Anemia is prevalent among the women 

and children of slum/ colonies in U.T., Chandigarh for which corrective measures have 

been taken. The monitorable indicators for Chandigarh are as below: 

S.No Indicator Current 

level in 

U.T. 

9 

11 th Plan Goal Remarks 

1. Infant Mortality Rate (IMR) 19 10* - 

2. Maternal Mortality Rate (MMR) 57 Achieved 

already 

Current National 

level to be 

achieve is 100 

3. Total Fertility Rate (TFR) 2.1 Achieved Present National 

already level is 3.2 

4. Sex Ratio 0-6 years 845 852* - 

* Source: Fixed by Planning Commission for 11 th Five Year Plan 

The National Rural Health Mission is managed in U.T., Chandigarh 

through Director Health and Family Welfare cum Mission Director, and is assisted by 

DIO cum Nodal Officer NRHM. 

Chandigarh being well planned city and is being managed by the 

independent departments through professionals as to safe drinking water, sanitation 

etc. and its integration under NRHM will be done in a phased manner. However the 

Rogi Kalyan Samitis being formed at district hospital and CHC level involving the 

members from the various departments of public health, sanitation. 

There are 6 numbers of Ayurvedic dispensaries and 4 number of 

Homeopathic dispensaries in U.T., Chandigarh. The availability of AYUSH services has 

been done at the CHC level in sector-22 and Manimajra at first instance. An Ayurvedic 

doctor is made available in CHC-22 and Homeopathy doctor at CHC-Manimajra. 

Consequent upon the approval of the Programme Implementation Plan. Contractual 

doctors for AYUSH are being engaged for both the streams the advertisement of which

has been placed and the staff nurses are being engaged to strengthen the CHCs as per 

IPHS along with generic medicines for common ailments and their availability will be on 

priority in CHCs/ Poly Clinic-45/ dispensaries of thickly populated area. 

There is no PHC in Chandigarh at present. However the same is being 

planned to upgrade the Rural Health Centre in village Maloya to PHC as per IPHS. 

There are 13 sub-centres in U.T., Chandigarh. All sub-centres have been 

given untied fund of Rs.10,000/- recoupable annually. The account of which is jointly 

handled by the ANM and the Sarpanch to be used for the miscellaneous works/ material 

as per guidelines. Out of these 13 Sub-Centres, 7 number of Sub-Centres are being relocated 

on the basis of the Urban Slum/ Colonies wherein the re-habilitation has been 

done and 3 new Sub-Centres had been planned out of which one has been made 

operational during the year 2007-08. 

The Janani Suraksha Yojna has been implemented in U.T., Chandigarh. 

All the three hospitals namely PGI, GMSH-32, GMSH-16 and CHCs Sector-22, 

Manimajra have been allocated the funds under JSY. The procedure for BPL 

certification for the payment of JSY has been simplified further to release the money 

under the scheme more effectively. 

The effective mechanism has been made for providing the benefits for 

which extensive IEC activity has been done effectively w.e.f.July 2007 and 1125 

number of cases have been provided the benefit of cash assistance and Rs.1.5 Lakh 

was budgeted however Rs.50000/- was kept for Home deliveries keeping in view the 

judgment of Supreme Court for providing the assistance judiciously. However the data 

of Home Delivery is not available. The State Initiative as to Cash Assistance for the 

anganwari worker from the registration of the pregnancy till delivery at the rate of 

Rs.300/- along with referral transportation money, availability of free drug kit at the time 

of delivery etc. has kept the target of 100% institutional delivery in U.T., Chandigarh. 

The 2 CHCs are being made fully operationalized to argument to existing 

facility as to institutional delivery to reduce the work load in PGIMER/ GMCH-32/ 

GMSH-16 Hospitals. The manpower Medical/ Paramedical has been sought over and 

above the sanctioned manpower under IPHS keeping in view the work load for these 

CHC working for 24 x 7. 

The IEC will be taken up to make the facility used by the vulnerable 

section and the referral is to be taken by the anganwari worker/ ANMs in these CHCs. 

The blood storage facility will be added in the year 2008-09, however the 

same will be used from the existing blood banks till then. 

The 7 sub-centres are to be relocated as they have been developed into 

Civil Dispensaries and 3 new sub-centres targeted in the year 2007-08 out of which one 

has been established thereby 9 new sub-centres are being established in the areas on 

the basis of priority of the facility in under served areas those requiring high demand. 

The Union Territory plans to put the terms of reference as to assess the 

beneficiaries under JSY in their survey to be conducted in the year 2008-09 and 

extensive IEC activity to be done for improving implementation of JSY. 

10

The Deptt.of Family Welfare is being strengthened in terms of ministerial/ 

technical manpower in order to ensure the effective implementation of RCH-II 

Kit-A and Kit-B have been made available with all essential medicines at 

the level of ANMs at all sub-centres/ health centres etc to effectively distribute among 

the beneficiaries residing in the urban slums/ colonies/ villages by associating with the 

services of anganwari workers. 

2 numbers of melas have been organized in U.T., Chandigarh during the 

year 2007-08. All specialties were made available in the said mela for diagnosis and 

treatment of the patients. Free medicines were made available. These melas were 

organized in thickly populated areas with special emphasis on under privileged. 

The immunization status of U.T., Chandigarh has been assessed as 83% 

in urban, 75% in rural and 53.9% complete in slums upto one year as per the Base Line 

Survey conducted by U.T., Chandigarh. All sub-centres/ centres near slums/ colonies 

have been strengthened to conduct the survey and immunize the children. However the 

coverage of city during the pulse polio campaigns for 0-5 years remained satisfactory as 

observed by independent observers. Auto disable syringes are being provided for 

immunization. The immunization certificate has been made compulsory for admission to 

the schools in order to mobilize and bring awareness among the parents as to 

immunization. 

10 doctors (On Contract) along with para-medical staff, vehicles have 

been deputed exclusively for the anganwaris under the supervisions of 2 Medical 

Officers for examination of children and women in anganwaris for improving the 

monitorable indicators. 

All dispensaries/ CHCs have been outsourced as to laboratory 

investigations to be done by the private entrepreneurship at the Govt. rates as an added 

facility to the beneficiaries. 

All public grievances concerning the health of the citizen in U.T., 

Chandigarh by way of print/ electronic media or complaints received is attended on top 

priority in order to rectify the same for smooth delivery of health care. 

The quality Assurance Committee has already been set up and meets at 

regular interval to assess the sterilization cases. 

11

PART – A 

REPRODUCTIVE AND CHILD HEALTH 

12

Summary 

Chandigarh is considered as one district administratively. It is divided in 3 

subdivisions Central, East and South. A Sub Divisional Magistrate (SDM) heads each 

subdivision. This city has a municipal corporation with 21 wards. A Mayor heads 

Municipal Corporation with 3 Deputy Mayors assisting her. Each Municipal Corporation 

ward has an elected representative called Councilor. Municipal Corporation has the 

post of Medical Officer of Heath who looks after public health and environmental 

sanitation in the city. Urban slums are also under Municipal Corporation. Each slum has 

a President representing different political parties. Total population of Chandigarh 

according to Census 2001 is 9,00,635 and presently is approximately 11 lakh. Out of 

this, 60% population resides in urban area, 30% in urban slum and 10% in rural area. 

Rural area has 22 villages around the city. Literacy rate of Chandigarh is 82%. 

Chandigarh has decadal growth of 40% in the last two decades. At present (till Sept. 

2004) there are 5800 families below poverty line. A total of 41 slums were identified 

having a population of approximately 3,17,053. 

Vision Statement 

Chandigarh Administration is committed to further improve the monitorable indicators to 

bring far below the target set at the National Level during the 11th Five Year Plan. At 

present, impact indicators are MMR of 57/lac, IMR of 19/1000 LB, and TFR 2.1 related 

to RCH in Chandigarh. Our goal is to reduce MMR to less than 50/lac live births, IMR to 

less than 15/1000 live births, NMR to 11/1000 live births and TFR to be maintained at 

2.1 by 2010. As per the Base Line Survey conducted by School of Public Health, 

Deptt.of Community Medicine, PGIMER around 93% deliveries in urban area, 79% in 

rural and 32% in slums with an average of 60% are institutional and the goal is to 

increase it to 95% by the end of 11th Five Year Plan. 2010. Around 80% of deliveries 

are safe and goal is to improve it to 100%. At present around 81% of pregnant women 

get 3 ANC checkups, 91% get TT prophylaxis and only 83.4% got 100 tablets of IFA, 

goal is to increase all these to 100%. Only half (56.5%) of mothers get post natal check 

ups. Goal is again to attain 100% level. 80% of children are weighed within 2 days 

where as it is to make it 100%. Only 68% of newborns got breast feeding on the same 

day whereas goal is to gradually increase to 95% by 2010. The impact indicators for 

RCH II (IMR, MMR, TFR, NMR) in Chandigarh are already at levels, which the entire 

nation is aspiring to achieve by 2010. However, CPR is at lower levels for Chandigarh, 

whereas the goal is to achieve it to 65% by 2010. The main thrust areas are adequate 

coverage of urban poor in slums under RCH programme by mainstreaming pro poor 

strategies, improvement in HMIS and quality of service, linkage and participation of 

private sector, good referral system and intersectoral coordination. 

13

Key strategies 

Programme Management Arrangements 

Programme management support structure under RCH will be further 

strengthened by filling the left over posts approved in the previous PIP through 

contractual engagement of key skilled professionals like Management Experts, Public 

Health Expert, MIS Specialists, IEC Expert, Maternal and Child Health Expert and 

Financial Expert. Adviser to U.T. Administrator is the chairman of the State Health 

Society. 

Baseline survey 

The indicators and RCH outcomes are based on Base Line Survey conducted by 

School of Public Health, Deptt.of Community Medicine, PGIMER, Chandigarh by multiindicator 

cluster sampling in the year 2006. 

Minimum quality standards 

Minimum quality standards are being introduced in all the health facilities as per 

the manual guidelines issued under National Rural Health Mission, Ministry of Health 

and Family Welfare, Govt.of India, New Delhi. 

HRD 

Union Territory, Chandigarh is also a capital of Punjab and Haryana and as per 

the reorganization act apart from U.T. cadre the remaining posts in group A & B are 

filled on deputation from State of Punjab and Haryana in 60 – 40 Ratio. The post falling 

vacant are being subject to screening committee approval wherein 1/3rd posts are 

abolished and the remaining posts are allowed to be filled up on regular/ contractual/ 

outsource modes. For implementation of the programme in urban slums, additional 

ANMs/ LHVs have been hired on contractual basis. Suitably trained, motivated and 

responsible staff is being recruited according to needs. A pro poor focus is identified 

and implemented in HRD policy. 

Logistics 

A standard procurement protocol, stock management system, warehousing 

system has been approved by the committee under State Health Society with Mission 

Director as Chairman. 

MIES 

Information related to RCH is being received monthly in the monitoring format 

from all health facilities and is complied at the level of District Family Welfare Officer 

which is evaluated by the Mission Director on Monthly basis and thereafter the same is 

sent to Govt.of India. The strengthening of civil registration system through 

computerization is proposed at the level of State Head Quarter i.e DFWO Office. 

14

Capacity building 

Expected processes and outcomes are linked to the capacities available in the 

city. The different agencies involved in the implementation, management and monitoring 

would need training on different aspects at different phases of the project to handle the 

additional responsibilities and also enhance skills to work towards the desired impact. 

Technical training of MOs, ANMs, LHVs, and NGO workers will be provided at District 

Family Welfare Bureau, Chandigarh and SIHFW, Panchkula. Training regarding 

programme coordination, monitoring, HMIS and computerization to MOs and ANMs 

shall be imparted. Training of link volunteers and NGO workers, MM representatives will 

be done by NGO for the city regarding all aspects i.e. Technical training, HMIS, BCC 

activities etc. Training regarding programme sustainability (institutional, financial, 

process) shall also be provided to Link Volunteers, NGO workers and UHC 

Coordination Forum through specialized NGO with sustainability perspective. 

Monitoring and Evaluation 

Monitoring will be an ongoing process at all levels, including six-monthly in-depth 

review of the programme. The Programme Management Unit in the office of DFWO will 

monitor and evaluate programme on a quarterly basis. The baseline survey will serve as 

the benchmark against which the progress will be evaluated and will also provide 

directions to program interventions. The review surveys will be conducted by a 

professionally competent independent agency during the year 2008-09. 

Sustainability 

Sustainability will be ensured through user charges with cross subsidy for BPL 

families, higher allocation in state budget and taking steps to place family welfare in the 

community’s agenda. The first tier will be following a community health promotion 

strategy, implemented in the form of building linkages and community ownership of the 

program through the link volunteers/ anganwari workers and community based 

organizations promoted at the slum level. Capacity of the Chandigarh Administration 

Municipal Corporation Chandigarh and the NGOs will be built through the course of the 

programme to access funds from other sources, such as, accessing additional 

resources (in kind or cash) from charitable organizations or other agencies, encouraging 

community groups or Mahila Mandals to generate and manage slum health funds and 

use them as required for meeting gaps in supplies and emergency health needs of the 

community, cost sharing of activities by different stakeholders such as Municipal 

Corporation, MPLAD Fund etc. and improving collaboration with the private (non profit) 

sector. 

15

Technical Strengthening 

Chandigarh is providing health care at tertiary level through PGIMER and 

GMCH-32 and in order to maintain the referral status of these hospitals and to reduce 

the load thereof the secondary and primary level of health care is to be strengthened for 

which the Community Health Centre Sector-22 and Community Health Centre 

Manimajra are being upgraded as per the IPHS and the existing Poly Clinic Sector 45 is 

being upgraded to the level of Community Health Centre in the year 2008-09. The sub 

centres are proposed for urban slums/ colonies in order to reduce the distance of health 

facility for providing the basic health services as to RCH/ Immunization to further 

improve the RCH indicators keeping in view the migratory population. 

Maternal Health 

Chandigarh Administration has declared all institutional deliveries free for all 

beneficiaries residing in urban slums/ colonies/ villages by simplifying the criteria for 

declaring the patient belonging to Below Poverty Line category for the purpose of health 

care. Further the Administration has proposed to engage the services of doctors/ 

paramedical staff to provide RCH/ Immunization facility at anganwaris level with special 

reference to urban slums/ colonies in order to improve the status of pregnant women/ 

children. Further the proposal is being examined by the Administration for strengthening 

of health related services for improving the monitorable indicators 

Sex Ratio 

To improve sex ratio, reduction of female foeticide by strict implementation of 

PNDT act and regular BCC campaign along with IEC activities to bring the behaviour 

change and change in mind set of the public. 

RTI/STI 

For this, key strategy is to improve access for diagnosis and management of 

RTIs and STIs in public and private sector. Primary and Secondary RTI/STIs, services 

are being made available at all second tier institution and on all days. In UHCs of slums 

and rural dispensaries this facility shall also be provided at least once a week. Tertiary 

care will be provided in convergence with SACS U.T., Chandigarh to provide such 

services through their targeted intervention and IEC projects. 

Child Health 

Both Community Health Centres i.e Sector-22 and Manimajra are providing 

maternal and child health services for 24 x 7, which will be further strengthened by 

engaging the services of Anesthetists, Pediatricians and Gynecologists on contract 

basis in order to ensure round the clock coverage for emergencies/ indoor patients. This 

will boost the institutional deliveries and thus the child health. 

16

Family Planning 

For improved family planning efforts will be on reducing unmet need for spacing 

as well as terminal method of family planning. This will be achieved by ensuring 

availability of spacing methods by social marketing and by exploring the possibility of 

adding more contraceptive like emergency contraceptive and quality of terminal 

methods of FP, sterilization facility is already made available at all 2nd tier institutions 3 

days a week and in GMSH-16, PGIMDER and GMCH-32 on all days. For improving use 

of vasectomy/ NSV and demand for FP services, NGOs will be identified at each urban 

slums to conduct periodic BCC campaigns. 

Adolescent Health 

Key strategy for improving adolescent health in Chandigarh is through 

strengthening of School Health Services. Clinical psychologist, dental hygienist, 

ophthalmic assistant shall be included on part time basis in the school health team. 

Reproductive health will be included in school curriculum. Adolescent health counseling 

services for out of school and married adolescents will be made available through 

NGOs, professional bodies (IPHA, IAP, FOGSI) or other self help groups. Their services 

will be quarterly reviewed by an independent agency. Supplementary nutrition for 

adolescent girls weighing less than 35 kg and pregnant women less than 40 kg shall be 

given through ICDS in rural areas. 

Cost 

The total budget allocated for the financial year 2007-08 is Rs.98.00 lakh and will 

be utilized as per the various components like Technical, institutional strengthening, 

programme management, training and BCC activities. 

Fund flow and Audit mechanism 

Financial expert would be responsible for maintaining accounts related to RCH, 

proper utilization of funds and smooth flow of funds from central to state. Regular funds 

will be available at all the 2nd tier institution per annum. Release of funds will be 

performance based. Computerized accounting will be done and accounting manual will 

be framed and till then the financial transactions will be as per existing Govt. of India 

instructions. Auditing to be done by the external agencies hired from time to time. 

17

Chapter 1: Background and Current Status 

Current Organization Structure 

The Department’s various programmes are implemented coordinated and supervised by 

the Director Health and Family Welfare-cum-Principal Medical Officer. He is assisted by 

various Programme Officers. 

Management positions in the District Family Welfare Bureau 

There is one post of DFWO who is Programme Officer for RCH. One post of District 

Immunization Officer who is Programme Officer Immunization. 

Trainings 

Training regarding RCH in Chandigarh are conducted for ANMs, Para medics, LHVs, 

MOs in Directorate of Family Welfare, U.T., Chandigarh. 

Guest faculty/ Resource persons: 

In house (District Family Welfare Bureau) - 60% of resource persons. 

From PGIMER/ GMC/ Private Practitioners - 40% of resource persons. 

Equipment 

The equipment will be purchased during the financial year 2008-09 in order to equip the 

officers with regard to Lap Tops, Multi-Media, Digital Cameras, Office PCs, and other 

exhibition display systems. 

Logistics 

The material is received in kind is stocked in the Stores of Family Welfare Bureau and 

the same is distributed through central indent and the stocks are made available at 

every sub health centres/ health centres/ Poly Clinic/ CHC/ Hospitals for a minimum 

period of 3 months or as per the supplies received. 

Funds 

The flow of funds of RCH Project is through State Health Society, U.T., Chandigarh 

(NRHM) and through a joint account in ICICI Bank. 

Health management information system (HMIS) 

Information regarding RCH is collected at the grass root level by ANM. ANM posted at 

each health facility (S/C, CD, CHC, PC) collects the data related to RCH (maternal 

health, child health, family planning, immunization, consumption of drugs and vaccines) 

in a form No.7 and each month sends it to the District Family Welfare Bureau on the last 

working day of the month manually. Data is then compiled at District level and by 25th 

of the next month State level report is made in Form No.9 and sent to centre. 

Health management information system for RCH related Monthly report 

18

Monthly 

through 

ANMs 

Written feedback 

- Incomplete report 

., Chandigarh 

- Correctness of 

report 

Public Health Infrastructure 

Public health infrastructure in U.T., Chandigarh is summarized below. The city has a 

extensive network of primary, secondary and tertiary health care institution. 

Public Health Infrastructure in U.T., Chandigarh. 

Health Description of health care facility 

care level 

Primary 

Secondary 

Tertiary 

S/C CD CHC PC-22, 45 GH-16 

DISTRICT FAMILY 

WELFARE BUREAU 

National 

Informatics 

Centre, Delhi 

19 

E-mail 

Number 

of units 

Civil dispensaries 25 - 

Rural dispensaries 9 - 

Ayurvedic dispensaries 7 - 

Homeopathic 5 - 

Dispensaries of other organizations 12 - 

Mini Family Welfare centres 5 - 

Sub-centres 14 - 

General Hospital, Sector-16 1 500 

CHC-Manimajra 1 50 

CHC-22 1 30 

ESIS Ind. Area, PH:II, Ram darbar 1 50 

ITBP Hospital, Behlana 1 50 

Police Hospital-26 1 10 

Poly clinic-45 1 - 

GMCH, Sector-32 1 500 

PGIMER, Sector-12 1 1104 

Number of beds available in public health infrastructure 2314 

Number of 

beds 

available

Operational Status of health facilities 

Fully operational hospitals for maternal health, child health, contraceptive use and 

adolescent health are PGI-12, GMCH-32, GH-16, ESIH-Ramdarbar. Fully 

operationalized means availability of trained staff, functional equipment, round the clock 

emergency essential obstetric care, basic comprehensive obstetric care and essential 

new born care with facility of new born corners, availability of blood storage/ bank and 

transportation facility. ESIH-Ramdarbar hospital is functional upto 80% for RCH 

services. CHC-Manimajra and Poly clinic-22 is 70% operational for RCH services. Poly 

clinic-45 and other dispensaries in Chandigarh are operational upto 33% for RCH 

services as shown below. Adolescent health is available in 5 centres only PGI-APC, 

PGI Department of Community medicine, CD-38, CD-19, GMSH-16, GMCH-32. 

Operational status of health facilities of U.T. Chandigarh 

Health 

facility 

Facilities available 

Maternal Health Child Health 

ANC 

IFA 

TT 

BCOC ECOC Essenti 

al 

newbor 

n care 

Imm. 

facility 

20 

Contrac 

eptive 

use 

facility 

Blood 

bank/ 

storage 

facility 

Transport 

Facility 

Adolesce 

nt health 

PGIMER � � � � � � � � � Fully 

GMCH-32 � � � � � � � � � Fully 

GH-16 � � � � � � � � � Fully 

ESIS, 

Ramdarbar 

CHC- 

Manimajra 

Operational 

Status 

� � � � � � X � X 77% 

� � � X � � X � X 66% 

CHC-22 � � � X � � X � � 66% 

PC-45 � X X X � � X X X 33% 

CDs � X X X � � X X X 33% 

Private and NGO health services/ infrastructure 

NGOs have been identified by the Chandigarh Administration in the past on the basis of 

their performance and have been enlisted for various activities under health. Apart from 

the NGOs enlisted there are other NGOs who are working in the field for the upliftment 

of RCH/ Immunization activities as well as for other national programmes. 

The department is proposing to enlist the various NGOs by advertising in the local 

vernaculars during the year 2008-09 and on the basis of their creditability they will be 

empanelled so that the various stores as to RCH/ Immunization/ other programmes can 

be issued to reach the beneficiary. Special preference will be given to the NGOs serving 

the community in urban slums/ colonies/ villages.

Private/ NGO infrastructure in Chandigarh 

Private health services Total 

Nursing homes 17 

Pediatricians 28 

Obstetricians & Gynecologists 33 

MTP centers 28 

NGOs working on RCH 

- IPPI 

- Indian Red Cross Society 

- Others 

Trust hospitals (CMC, BD Hospital) 2 

Almost all the private health facilities and NGOs are working in urban city, except two 

NGOs working in the rural area (Servants of people society and Indian council of social 

welfare both working under mother NGO, SOSVA). 

RCH Outcomes and indicators 

Impact indicators of Chandigarh. 

OUTCOMES CHANDIGARH 

Current status Source 

MMR (/lac LB) 56.5 Estimated from local data 

(PGIMER, GMCH-32, GMSH-16) 

IMR (/1000LB)* 19 SRS 06 

TFR* 2.1 SRS 06 

*Based on small sample size 

Maternal Health 

Chandigarh Administration is committed to improve the maternal health by ensuring 

100% registration, immunization and institutional delivery of pregnant women. 

Child Health 

Kit A and Kit B are made available with the ANMs for ensuring their availability to the 

children through anganwari centres throughout the year. Essential medicines as per the 

directive issued by Govt.of India from time to time will be made available at all subcentres/ 

centres. 

21 

14 

11 

1 

2

Chapter 2: SITUATION ANALYSIS 

Maternal & Child Health 

Chandigarh Administration has launched the project Vision 2012 for improving 

Monitorable Reproductive and Child Health Indicators in U.T., Chandigarh for vulnerable 

population identified after a special survey in 41 slums/ resettlement colonies in 

Chandigarh with a population of 3,17,053. 

Strategy: 

The specific strategy has been evolved to achieve the objective of the project, wherein 

it is desired to reduce Neonatal, Infant and Maternal Mortality, prevalence of anemia 

among women and children, under Nutrition in Chandigarh below three years of age 

and the unmet need of Family Planning with the strategies, to increase demand for 

services by social mobilization and also by offering financial incentives and by providing 

services at no cost to the clients along with a strong monitoring and evaluation system 

which will include maternal and neo-natal death audit and surveys by independent 

agency such as PGIMER, Chandigarh. 

Promotion of 100% Institutional deliveries, incentives and motivation for institutional 

delivery especially in slum areas, effective implementation of Janani Suraksha Yojna 

and additional incentives for institutional delivery, performance based incentives to link 

volunteers (AWW) for increasing health service utilization in slums, Operationalisation of 

two Community Health Centres and Poly Clinic, Sector 45 to provide basic Emergency 

Obstetric care, creation of a lifeline for mother and children by providing drug kits/ 

vouchers for mother and sick children reporting to hospitals, identification and referral of 

severely malnourished children by link volunteers, management of severely 

malnourished children with provision of day care nutrition centers, improve 

immunization coverage especially for measles, introduction of Hib vaccine for slum 

children, strengthening of school health programme by medical examination at least 

once a year along with de-worming and iron prophylaxis, health check-up of under-five 

children, nutritional surveillance, de-worming, iron and Vitamin – A prophylaxis 

The main target population for improvement of Maternal and Child Health – under the 

11th Five Year Plan 2007-2012 would be the slum population wherein the RCH 

Indicators are worse than the urban average. The Administration in an endeavor to 

improve the goals and objectives of RCH-II among the vulnerable population by 

ensuring accessibility and availability of quality primary health care and Family Welfare 

Services to them and to bring them at par in this respect with rest of the population and 

thus improving the aggregate indicators towards achieving the expected results set 

under RCH Phase-II by the end of 2010. 

22

80 ANMs have been engaged in the previous year for improving the RCH services and 

another 50 will be engaged during the year 2008-09. Moreover the anganwari workers 

are being given Rs.300/- for 3 Antenatal/ institutional delivery/ Post Natal visits. Hence 

the PNC Coverage is expected to improve in the year 2008-09. 

Facilities Operationalized 

Blood Banks are available in PGIMER/ Govt. Medical College Sector-32, Govt.Multi 

Speciality Hospital Sector-16 and Blood Bank run by NGOs at present in U.T., 

Chandigarh. The 2 CHCs are at present are being made available to utilize the services 

from these blood banks. However the blood storage facility will be taken up during the 

year 2008-09. The doctors have been trained for the same and have been posted in the 

respective CHCs 

The U.T. Administration has formed a committee under the chairmanship of Adviser to 

Administrator (Chief Commissioner) wherein all the Directors and Medical 

Superintendents of 3 Institutions (PGIMER, GMCH-32, GMSH-16) have been meeting 

frequently to formulate a final policy regarding synchronization of health services 

including referral policy. 

Antenatal Care and Postnatal Care 

The infrastructure/ manpower is being updated/ engaged to strengthen both the CHCs. 

However it is pertinent to mention that keeping in view the work load for 24 x 7 CHCs 

the manpower i.e. Medical/ Paramedical is required to be increased over and above the 

norms of IPHS. 

All vital/ essential drugs are made available to the health facilities under Health 

Department, Chandigarh Administration. However both CHCs will be made fully 

equipped as to the equipments required. 

The Monitoring is done at the level of Mission Director at present. 

Institutional Delivery & Janani Suraksha Yojna 

The emphasis on quality of services at institutions will be adhered to. The expenditure 

incurred during the last year 2006-07 is Rs.1400/- however the figure is required to be 

re-appropriated. The JSY beneficiaries have increased during the year 2007-08 due to 

streamlining the previous system with the present. Hence 1125 number of JSY 

beneficiaries are on record till date during the year 2007-08 after the streamlining of the 

system w.e.f.July 2007. 

The project report submitted by the PGIMER School of Public Health for Improving 

Monitorable Indicators in U.T., Chandigarh in the vulnerable population under the State 

initiatives has targeted 7500 deliveries which are to be budgeted under Janani 

Suraksha Yojna. 

Instructions are being issued for 2 days stay at the institutions post delivery. 

23

Emphasis has been made as to Micro Birth Planning by making the anganwari workers/ 

Helpers/ ANMs/ LHVs issued with a Hindi Booklet Karya Marg Darshika wherein the 

referral flow chat / Map has been illustrated according to the area. 

Re-appropriation is being done to remove the mismatch if any in JSY beneficiaries and 

funds spent. However the money is disbursed in cash to each beneficiary immediately 

by the respective institution. 

Control of Diarrhoeal Diseases 

ORS has been procured and has been made available at all sub-centres/ health 

facilities/ anganwaris especially in the urban slum/ colonies/ villages in U.T., Chandigarh 

during the year 2007-08 and the same is being ensured to be maintained during the 

next year in order to reduce morbidity and mortality. 

Breast Feeding 

The ANMs are being trained to ensure the post natal care with special emphasis as to 

breast-feeding. The motivation for 100% institutional delivery will ensure the increase in 

breast feeding rate. The IEC will be further enhanced through print and electronic media 

during the year 2008-09. 

MTP 

The MTP centres are in the hospitals/ CHCs. These are provided with the necessary 

equipment/ medicines/ manpower out of the hospital protocol in order to avoid the 

duplicacy. However the funds if required for injectables / medicines will be met out the 

RCH Flexipool. Since the staff engaged is fully qualified no such training is required to 

be budgeted. 

Outreach Services 

Since Chandigarh is well established with health care facility / delivery. The institutional 

deliveries are promoted by way of free services at the facility, availability of JSY money 

to the beneficiary, referral transportation and incentive for anganwari worker take ample 

care and the target to promote institutional delivery to 100% is in the State Agenda. Last 

Friday of every month is fixed for VHNDs and is budgeted. 

Referral Transport 

The referral transport has been incorporated in the State Strategy. Rs.150/- in cash will 

be paid by the AWW to the beneficiary out of the Imprest money made available in 

advance irrespective of the mode of transportation 

24

Maternal Health Training 

Since facilities are made available in the hospitals / CHCs wherein duly qualified 

manpower Medical/ Para-medical is engaged hence the other trainings are not required. 

Procurement 

A provision of Rs.30.00 Lakh be budgeted for equipment/ drugs during the year 08-09. 

Family Planning 

Unmet need of contraceptive need is high. Couple protection rate of 61.1% (RHS 1998) 

is quite low. 


Adolescent health clinics are under utilized. Counseling sessions for adolescence are 

not being held except in community based clinics. Poor monitoring of adolescent health 

clinic. However the staff is being trained providing the adolescent friendly services for 

ARSH. 

District/sub-district variations 

There is lot of variations as there is plenty for city and poor service delivery for urban 

poor living in slums. 

Inequity/gender 

Sex Ratio in U.T., Chandigarh has improved as per the surveys conducted by the 

department as to urban slum, village/ sector. The sex ratio as per the Base Line Survey 

conducted in the year 2006 shows the sex ratio 940. However the efforts are being 

made to further improve the sex ratio. 

Logistics 

Demand driven supply is not there. 

HMIES 

� Information related to RCH is being received monthly in the monitoring format 

from all health units and is complied at the level of District Family Welfare Officer 

which is evaluated by the Mission Director on Monthly basis and thereafter the 

same is sent to Govt.of India. The strengthening of civil registration system 

25

through computerization is proposed at the level of State Head Quarter i.e 

DFWO Office. 

� Data is transferred manually. There is no computerized system yet. 

� There is poor linkage with hospital, other public health organization and private 

sector. 

There is need to strengthen HMIES and computerized HMIES could be introduced in 

phased manner first at Directorate Family Welfare followed by 2nd tier and dispensaries 

with cross linkage. 

Others 

� Referral transport facility is poor. 

� Lack of behavior change communication activities. 

26

Chapter 3: RCH II PROGRAMME OBJECTIVES AND STRATEGIES 

Vision Statement 

The impact indicators for RCH II (IMR, MMR, TFR, NMR) in Chandigarh are already at 

levels, which the entire nation is aspiring to achieve by 2010. However still there is lot of 

scope for improvement so that our indicators are comparable to the indicators of a 

developed nation. The main thrust area is adequate coverage of urban poor in slums, 

improvement in HMIS, quality of service, linkage and participation of private sector, 

good referral system and intersectoral coordination. Now, in Chandigarh the focus 

should be on the slums and migrating population. It is envisaged that pro poor 

strategies should be formulated to provide equitable distribution of heath care facilities. 

Previously, although IEC activities were conducted in relation to RCH programme but 

now the emphasis should be laid more on behaviour change communication activities in 

all aspects related to RCH. Referral system from slums and peripheries of Chandigarh 

needs to be strengthened for decreasing maternal, neonatal, and infant and child 

mortality. A referral policy needs to be generated in this connection. Health 

management information system needs to be strengthened so that timely corrective 

actions can be taken. There is scope for private participation due to the large number of 

private practitioners and intersectoral coordination because of multiple stakeholders. 

Technical Objectives, Strategies (or interventions) and Activities 

Maternal Health (including MMR, RTI) 

Objectives 

1. Improved use of skilled care for delivery and early neonatal care 

2. Increased access to Basic and Comprehensive Emergency Obstetric Care with 

focus on the poorest 

3. Improved access to quality antenatal services especially among the poorest 

4. Improved access to post-partum care 

5. Reduced unsafe abortions 

6. Improve sex ratio 

7. Improve access to quality , women friendly and responsive RTI and STI services 

Strategies 

1. To Increase proportion of deliveries by skilled birth attendants and in institutions 

2. To increase ' Basic Emergency Obstetric Care facilities especially among the 

poorest. 

3. To increase the facilities of CEOC in 2nd tier institutions. 

4. To promote referral of the clients for obstetric care services at all 2nd tier 

institutions. 

5. All pregnant women to receive antenatal care with special efforts for reaching out 

to the poor in the slums. 

6. To improve coverage of postpartum care among the poorest 

7. Reduce female foeticide. 

8. Improved access for diagnosis and management of RTIs and STIs in public and 

private sectors 

27

Activities 

1. Recruiting RCH link volunteers (LV) for referral for ANC /PNC/spacing/ 

immunization in slum areas. 

2. A sum of Rs.250/- monthly has been kept in budget for support to each Mahila 

Mandal. 

3. Operationalize CHC sec 22, CHC Manimajra to provide 24 hours delivery, 

comprehensive emergency obstetric care and essential newborn care. 

4. Increase the number of ANMs/LHVs as per the norms of urban health centre. 

5. Fixed day ANC clinics by ANMs at each slum/ urban area; 

6. Make special efforts to reach the poor and the marginalized by community 

mobilization and outreach camps. 

7. Training of all ANMs/LHVs in providing quality antenatal services. 

8. Post-partum contacts by AWW / Link volunteers according to a recommended 

schedule for care of the mother and the baby 

9. Provide quality MTP services at 2nd tier institutions and in the private sector. 

10. Operationalize and implementation of PNDT Act under constant vigilance. 

11. BCC activities 

12. To check MTP centres not approved by Appropriate Authority. 

13. Operationalize diagnostic and treatment services for RTI/STI services at all 2nd 

tier institutions. 

14. To define clear role of SACS, U.T. and RCH programme in RTI/ STI services. 

Child Health (including IMR, NMR) 

Objectives 

1. Reduce neonatal morbidity and mortality 

2. Improve care of the sick neonates, infants and children 

3. Improve facility based care of neonates and children. 

4. Promote breast feeding and complimentary feeding. 

5. Improve quality and coverage of routine immunization services 

Strategies 

1. To provide essential newborn care to all newborns 

2. To provide emergency newborn care in all 2nd tier institutions. 

3. To promote referrals from slums and villages. 

4. To provide basic care for diarrhoea and ARI in the slums 

5. Improve coverage and quality of facility based care of neonates and children. 

6. Develop innovative schemes to protect poor and promote private sector 

participation in provision of health care 

7. Promote exclusive breastfeeding. 

8. Promote complimentary feeding 

9. Achieve 100% coverage of primary immunization for children and antenatal 

mothers with full coverage for TT. 

10. Reduce BCG to measles drop out to zero levels. 

11. To increase access to injection safety and reduce AEFI 

12. To evaluate the immunization status by an external agency 

13. To cover all the children living in rural and slum areas for Hepatitis B and MMR 

vaccine. 

Activities 

1. To strengthen emergency newborn care in all 2nd tier institutions. 

2. Ensure home visits by ANM/LHV/link volunteers in slums according to schedule. 

3. Birth weight of all neonates to be recorded. 

4. To ensure aseptic measures to be followed during delivery and while handling 

the newborn. 

5. All obstetricians, pediatricians and nurses should be certified in management of 

birth asphyxia. 

6. Special well equipped ambulance with facility for resuscitation should be made 

available for transport of sick neonates. It should be manned by two nurses with 

certification in management of birth asphyxia. Total 3 drivers and 10 nurses are 

required for 1 such 24 hour ambulance in Chandigarh. 

28

7. Quality indicators for newborn care shall be decided with consultation with local 

pediatricians. 

8. Evaluation of neonatal services shall be done by an independent agency. 

9. Early referral of all sick neonates, infants and children by link volunteers / AWW / 

ANM 

10. A payment of Rs.25/- to be made to the family whose sick child and neonates is 

being referred for transportation to the 2nd tier facility. 

11. Have well defined referral policy in place. 

12. Networking of institutions shall be done to make available beds for each sick 

newborn. 

13. Ensure telephonic contact with 2nd tier at all times. 

14. Provision for contractual transport at UHC levels and using designated funds 

15. BCC activities. 

16. Adequate stock with ANMs for treatment of diarrhoea and ARI illnesses 

17. Ensure ORS by establishing depots with all the link volunteers in the slums and 

private doctors in the villages. 

18. Operationalize all 2nd tier institutions for care of the sick newborn by establishing 

newborn care corners having numbered beds for sick newborn. All CHC to have 

4 beds initially to be increased to 10 by 2010. 

19. Implement innovative schemes to ensure access to private sector care for the 

sick neonates especially from urban slums and S/C 

20. Home visits by providers. 

21. Reinforcing the message through BCC campaigns. 

22. Observing the breastfeeding week every year. 

23. Colostrum is good for babies and should not be discarded. 

24. Breastfeeding should begin within an hour of birth. 

25. Exclusive breastfeeding is optimum nutrition upto 6 months of age. 

26. Regular quality immunization sessions are planned and held. 

27. Planning for additional sessions for slums 

28. Twice daily monitoring of cold chain. 

29. All cold chain equipment to be CFC free. 

30. Ensure hotline for electricity in all 2nd tier institutions 

31. Private practitioners to be involved in vaccination campaigns. 

32. Carry out BCC campaigns; involve local leaders and community elders in 

immunization. 

33. All vaccines to be delivered by auto disposable syringes. 

34. To implement standard operating procedures for vaccination and waste disposal 

35. To establish and improve the system of AEFI reporting 

36. To undertake prompt action for AEFI report. 

37. CES to be conducted by an independent agency 

38. Introduction of Hepatitis B and MMR in routine Immunization 

Family Planning (TFR) 

Objectives 

1. Reduce the unmet need for spacing 

2. Reduce the unmet need for terminal methods of FP 

Strategies 

1. Ensure a wider choice of spacing methods. 

2. Ensure improved availability of spacing methods through community based 

distributors, social marketing and social franchising. 

3. Ensure improved use of spacing methods by promoting positive attitude among 

users. 

4. Increase the availability and quality of sterilization services in private and public 

sector in slums and villages 

5. Improved use of NSV by promoting positive attitude among users and demand 

side financing 

29

Activities 

1. Exploring the possibility of adding more contraceptives/ emergency 

contraceptives 

2. Identifying underserved groups (BPL/SC) and develops innovative approaches for 

reaching FP services. 

3. All ANMs to be trained in Cu T insertion and this to be made available at all UHCs 

4. Link workers to be made depot holders for condoms. Expansion of services 

through social marketing initiated through collaboration with social marketing 

organization. 

5. Social marketing strategies to be used in collaboration with SACS. 

6. Feasilibility of making ATMS of selective banks to be made depots for condoms to 

be explored. 

7. Regular BCC campaigns to increase demand for FP services 

8. General hospital-16 to offer sterilization services round the year 

9. All 2nd tier institutions to offer sterilization on at least three days per week. 

10. Accreditation of private practitioners to offer FP services 

11. Male participation in fertility control and provisions of non-scalpel vasectomy. 


Objectives 

1. Improve reproductive health and nutrition of adolescents especially those who 

are married or are out of school 

Strategies 

1. Ensure that reproductive health and nutrition needs of adolescents are met. 

2. To strengthen school health services 

Activities 

1. Adolescent health counseling services for out of school and married adolescents 

through NGOs, Professional bodies (IPHA,IAP, FOGSI) or other self help groups. 

2. Adolescent hotline, (hospital and 2nd tier institution based, website, newspaper 

columns) 

3. To start district partnership for adolescent health through the health deptt. 

education, social welfare, ICDS, NGOs and local chapters of IPHA, IAP, FOGSI. 

4. To strengthen school health programme clinical psychologist (1), dental hygienist 

(1), ophthalmic assistant (1) will be provided. 

5. Training of teachers regarding school health services for promotion of activities 

related to school health. 

30

BUDGET 

State Health/RCH Society/SCOVA UNION TERRITORY, CHANDIGARH 

Financial Year 2008-09 

S.NO STRATEGY/ACTIVITIES BUDGET 08-09 

A RCH - TECHNICAL STRATEGIES & ACTIVITIES 

(RCH Flexible Pool) 

A.1 MATERNAL HEALTH 

A.1.1 Operationalise facilities (only dissemination, monitoring, and quality) 0.00 

A.1.1.1 Operationalise FRUs 0.00 

A.1.1.2 Operationalise 24x7 PHCs 0.00 

A.1.1.3 MTP services at health facilities 0.00 

A.1.1.4 RTI/STI services at health facilities 0.00 

A.1.1.5 Operationalise Sub-centres 0.00 

A.1.2 Referral Transport 0.00 

A.1.3 Integrated outreach RCH services 

A.1.3.1 RCH Outreach Camps 20000.00 

A.1.3.2 Monthly Village Health and Nutrition Days 150000.00 

A.1.4 Janani Suraksha Yojana / JSY 

A.1.4.1 Home Deliveries 50000.00 

A.1.4.2 Institutional Deliveries 5000000.00 

A.1.5 Other strategies/activities 50000.00 

Total 5270000.00 

A.2 CHILD HEALTH 

A.2.1 IMNCI 100000.00 

A.2.2 Facility Based Newborn Care/FBNC 200000.00 

A.2.3 Home Based Newborn Care/HBNC 0.00 

A.2.4 School Health Programme 0.00 

A.2.5 Infant and Young Child Feeding/IYCF 100000.00 

A.2.6 Care of Sick Children and Severe Malnutrition 50000.00 

A.2.7 Management of Diarrhoea, ARI and Micronutrient Malnutrition 1200000.00 


Total 1700000.00 

A.3 FAMILY PLANNING 

A.3.1 Terminal/Limiting Methods 

A.3.1.1 Dissemination of manuals on sterilisation standards & quality assurance of 

sterilisation services 

10000.00 

A.3.1.2 Female Sterilisation camps 0.00 

A.3.1.3 NSV camps 100000.00 

A.3.1.4 Compensation for female sterilisation 1000000.00 

A.3.1.5 Compensation for male sterilisation 200000.00 

A.3.1.6 Accreditation of private providers for sterilisation services 10000.00 

A.3.2 Spacing Methods 

A.3.2.1 IUD camps 0.00 

A.3.2.2 IUD services at health facilities 100000.00 

A.3.2.3 Accreditation of private providers for IUD insertion services 0.00 

A.3.2.4 Social Marketing of contraceptives 0.00 

A.3.2.5 Contraceptive Update seminars 100000.00 


Total 1530000.00 

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH 

A.4.1 Adolescent services at health facilities. 100000.00 


Total 170000.00 

A.5 URBAN RCH 3000000.00 

31 

Total 3000000.00 

A.6 TRIBAL RCH 0.00 

Total 0.00 

A.7 VULNERABLE GROUPS 278000.00 

Total 278000.00

A.8 INNOVATIONS/ PPP/ NGO 

A.8.1 PNDT and Sex Ratio 200000.00 

A.8.2 Public Private Partnerships 50000.00 

A.8.3 NGO Programme 50000.00 

A.8.4 Other innovations (if any) 50000.00 

Total 350000.00 

A.9 INFRASTRUCTURE & HUMAN RESOURCES 

A.9.1 Contractual Staff & Services 

A.9.1.1 ANMs/ MPHWs – 93 (93 x 5850/- PM) and LHVs – 10 (10 x 6200/- PM) 7272600.00 

A.9.1.2 Laboratory Technicians – 6 (Rs.6572/- PM) 473184.00 

A.9.1.3 Staff Nurses (19 x 9600/- PM) 2188800.00 

A.9.1.4 Specialists (Anesthetists, Pediatricians, Ob/Gyn, Surgeons, Physicians) 3000000.00 

A.9.1.5 Others (specify) Acctt.Clerk (89040), Statistical Assistant (101760), Computer 1472000.00 

Asstt. (127200), RCH Consultant – 3 (954000) and Contingency (200000) 

A.9.2 Major civil works (New constructions/ extensions/additions) 

A.9.2.1 Major civil works for operationalisation of FRUS 0.00 

A.9.2.2 Major civil works for operationalisation of 24 hour services at PHCs 0.00 

A.9.3 Minor civil works 

A.9.3.1 Minor civil works for operationalisation of FRUs 0.00 

A.9.3.2 Minor civil works for operationalisation of 24 hour services at PHCs 0.00 

A.9.4 Operationalise Infection Management & Environment Plan at health facilities 100000.00 

A.9.5 Other activities (pl. specify) 187600.00 

Total 14694184.00 

A.10 INSTITUTIONAL STRENGTHENING 

A.10.1 Human Resources Development 0.00 

A.10.2 Logistics management/ improvement 1000000.00 

A.10.3 Monitoring & Evaluation / HMIS 150000.00 

Total 1150000.00 

A.11 TRAINING 

A.11.1 Strengthening of Training Institutions 100000.00 

A.11.2 Development of training packages 20000.00 

A.11.3 Maternal Health Training 

A.11.3.1 Skilled Birth Attendance / SBA 258750.00 

A.11.3.2 EmOC Training 0.00 

A.11.3.3 Life saving Anesthesia skills training 0.00 

A.11.3.4 MTP training 0.00 

A.11.3.5 RTI / STI Training 107080.00 

A.11.3.6 Dai Training 0.00 

A.11.3.7 Other MH Training (pl. specify) 0.00 

A.11.4 IMEP Training 0.00 

A.11.5 Child Health Training 

A.11.5.1 IMNCI 0.00 

A.11.5.2 Facility Based Newborn Care 0.00 

A.11.5.3 Home Based Newborn Care 0.00 

A.11.5.4 Care of Sick Children and severe malnutrition 25000.00 

A.11.5.5 Other CH Training (pl. specify) 0.00 

A.11.6 Family Planning Training 

A.11.6.1 Laparoscopic Sterilisation Training 0.00 

A.11.6.2 Minilap Training 0.00 

A.11.6.3 NSV Training 19550.00 

A.11.6.4 IUD Insertion Training 262350.00 

A.11.6.5 Contraceptive Update/ISD Training 77796.00 

A.11.6.6 Other FP Training (pl. specify) 0.00 

A.11.7 ARSH Training 50000.00 

A.11.8 Programme Management Training 

A.11.8.1 SPMU Training 100000.00 

A.11.8.2 DPMU Training 0.00 

A.11.9 Other training (pl. specify) 0.00 

Total 1020526.00 

32

A.12 BCC / IEC 

A.12.1 Strengthening of BCC/IEC Bureaus (state and district levels) 100000.00 

A.12.2 Development of State BCC/IEC strategy 100000.00 

A.12.3 Implementation of BCC/IEC strategy 

A.12.3.1 BCC/IEC activities for MH 100000.00 

A.12.3.2 BCC/IEC activities for CH 100000.00 

A.12.3.3 BCC/IEC activities for FP 100000.00 

A.12.3.4 BCC/IEC activities for ARSH 100000.00 

A.12.4 Other activities (please specify) – Contingency 37000.00 

Total 637000.00 

A.13 PROCUREMENT 

A.13.1 Procurement of Equipment 

A.13.1.1 Procurement of equipment: MH 2000000.00 

A.13.1.2 Procurement of equipment: CH 50000.00 

A.13.1.3 Procurement of equipment: FP 3000000.00 

A.13.1.4 Procurement of equipment: IMEP 0.00 

A.13.2 Procurement of Drugs and supplies 

A.13.2.1 Drugs & supplies for MH 1000000.00 

A.13.2.2 Drugs & supplies for CH 500000.00 

A.13.2.3 Drugs & supplies for FP 1000000.00 

A.13.2.4 Supplies for IMEP 0.00 

A.13.2.5 General drugs & supplies for health facilities 500000.00 

Total 8050000.00 

A.14 PROGRAMME MANAGEMENT 

A.14.1 Strengthening of State society/State Programme Management Support Unit .00 

A.14.2 Strengthening of District society/District Programme Management Support 

Unit 

0.00 

A.14.3 Strengthening of Financial Management systems 0.00 

A.14.4 Other activities (please specify) 0.00 

Total 0.00 

TOTAL A 37849710.00 

33

PART – B 

NEW NRHM INITIATIVES AND BUDGET REQUIRED 

34

Untied fund for Sub-Centres Rs.160000.00 

Union Territory has 13 sub-centres. To support sub-centre level health and sanitation 

activities, untied fund for sub-centres @ Rs.10000/- have been provisioned for the year 

2008-09. The existing 7 number of subcentres will be re-located keeping in view the 

rehabilitation of urban slum/ colonies by the Chandigarh Administration. The fund 

allocated will be used as per the guidelines. 

Out of three new subcentres proposed during the year 2007-08 only one could be 

established. The remaining two will be established during the year 2008-09. 

Up gradation of CHCs to IPHS Rs.5000000.00 

Provision of Rs.50,00,000/- for 2 CHCs i.e. CHC-22 and CHC-Manimajra. It will be used 

for New Construction, Renovation, Equipment, Furniture, Drugs and Contingency etc. 

after following the laid down procedure. 

District Action Plan Rs.100000.00 

Provision of Rs.1,00,000/- has been made to prepare Action Plan for the year 08-09. 

Setting up of State Programme Management Unit 

The State Programme Management unit will be set up in the office of Mission Director 

Chandigarh Administration with professionals and skilled persons to achieve the targets 

of the NRHM. The budget is required under the following heads: 

A. Personnel Head 

B. Institutional Development Head 

C. Travel Head 

D. Office Equipments 

A. Personnel Head: Rs.11,12,400/- 

The requirements of staff and funds are as under: 

S.No Personnel 

1 Financial Consultant/Controller 

2 Management and M&E Consultant 

3 Statistical Assistant 

4 Computer Assistant 

5 Accounts Manager 

6 Accountant 

7 Data Entry Operator 

8 Two Clerks 

9 Two Helpers 

Total cost involved for this is rupees 11,12,400 . 

35

B. Institutional head Rs 4,50,000/- 

The budget requirement is as under 

S.No Item/Equipments 

1. Telephone/Fax/Mobile Phones etc. 

2 Furniture and Fixtures 

3 Internet cable 

4 Computer Stationary 

Total 

Total cost involved for this is rupees 4,50,000 . 

C. Travel Head Rs 5,00,000/- 

Under this head rupees five lakhs are required for State Programme Management Unit 

to visit with in the state and outside state. The Total requirement is rupees five Lakhs. 

D. Office Equipments 

S.No Item/Equipments Cost Involved 

1. Computers, Laptops etc. 2,00,000.00 

Monitoring and Evaluation Cell Rs.6,00,000/- 

For the achievements of NRHM there is a need to monitoring the programme National 

Programmes both internally as well as externally and do the situational analysis. The 

cost involve for this is as under: 


1. Printing of Manuals and questionnaires 

2 Training of All level of staff in use of Database on plan indicators(For 2 days) 

3 Establishing external mechanism for monitoring institutional level services 

Total cost involved for this is rupees 6,00,000/- . 

Hospital Management Information System Rs.3,72,300/- 

The Hospital Management Information System will be set up and strengthened at by 

cable/Internet connectivity with the IDSP Department Chandigarh administration. The 

IDSP in Chandigarh have the already well established cable/Internet connectivity with 

all the hospital and dispensaries and collecting the data reports on daily, weekly and 

monthly basis and sending this data to mission director and GOI. And this is also 

advised in the appraisal report of GOI to do this type of arrangements. 

36

For this the requirement is as under 


1. One photocopier 

2 Computer Stationary 

3 Printing of reporting Formats 

4 Training of Staff 

5 Digital Camera 

6 Contingency 2 % 

Total cost = Rs 3,72,300 

Corpus Grant to HMS/RKS Rs.700000.00 

Provision of Rs.7,00,000/- for Rogi Kalyan Samitis being formed at district hospital i.e 

Govt. Multi-Speciality Hospital, sector -16 and 2 CHCs involving of the members from 

the various departments of public health, sanitation etc. 

Mobile Medical Units Rs.2800000.00 

Medical Mobile Units as envisaged under NRHM has been approved as per the PIP 

2007-08. The funds have been released. The procurement of the said unit is in process 

and the same will be made functional during the year 2008-09. 

Apart from providing health care to the far flung areas and the areas where desirable 

quality services could not be provided, these mobile units would be the visible face of 

the Mission. With an objective to take health care to the door steps of the public in the 

urban slum/ colonies/ villages/ rural areas especially in the areas where there is no 

adjoining health facilities, mobile medical unit will be introduced to provide the services 

uniformly in a roster under NRHM. 

Untied Grant for CHC Rs.100000.00 

Provision of Rs.50,000/- per CHC for 2 CHCs i.e. CHC-22 and CHC-Manimajra. It will 

be used for mother and child care and to maintain maximum patient facilitation as to 

Drugs/ Contingency etc. after following the laid down procedure. 

Maintenance Grant to Sub Center Rs.1000000.00 

Provision of Rs.10,00,000/- is required for hiring re-located/ new Sub-Centres to be 

established during the year 2008-09 in the new areas of Urban Slum/ Colonies/ Villages 

Re-habilitated Colonies. The expenditure will be made on hiring/ Electricity/ Water Bills/ 

Renovation/ Procurement of Equipment/ Furniture/ Drugs and Contingency etc. 

37

Setting up of three sub Centers and Two Primary health Centers - Rs 20,00,000 + 

80,00000 

To meet the targets of NRHM in Chandigarh in urban slums and southern sector of 

Chandigarh which has no primary health facilities, there is a need for setting up of 

health centres. 

The requirements of funds for this are as 


1. Building 

2 Staff quarters 

3 Furniture 

Equipments 

Total cost= Rs.20,00,000/- 

These centres will be set up in the border areas of Chandigarh which has maximum 

population of slums, colonies and villages. Initially funds required for this are 

Rs.20,00,000/- 

Orientations and Training of all community leaders of Village, Sub centers, CHC, 

District Hospital and State Hospital Committees for NRHM and its objectives – 

Rs 4,00,000/- 

There is a need to orientate all the PRIs about NRHM and their role to achieve the 

objective of NRMH. The Training of there all community leaders of Village, Sub centres, 

CHC, District Hospital and State Hospital Committees is proposed for this a sum of 

rupees 4 lakhs is required. 

Staff training Institutes/ State level resource centres Rs.50,00,000/- 

As at present there is no such institute in Chandigarh there is a urgent need to setup a 

State level Resource centre in Chandigarh A sum of rupees 4.50 Cores are required. Its 

need the finances under the following head. For infrastructure including Teaching 

blocks, teaching faculty rooms, hostel bock etc and to start this process initially a sum of 

rupees 50 lakhs are required. 

Strengthening of Nursing College GMSH 16 Chandigarh and Collaboration with 

Govt. Medical College and Hospital, Chandigarh Rs 20,00,000/- 

For imparting the skilled trainings to get the trained ANMs SBA, TBA, AWW, the nursing 

college of Chandigarh of Chandigarh Administration is required to be strengthened by 

the skilled staff and infrastructure. For this a sum of rupees ten lakhs are required. 

Similarly there is a need to trained GD Medical Officers and Nursing Staff in the 

emergency Obstetrics care, emergency anesthetic skill, emergency Neonatal, infant and 

child treatment skills and routine emergency pediatrics. For this collaboration with 

GMCH College will be done so sum of rupees 10 lakhs are required so total under this 

head required is 20 lakhs. 

Additional ANM for the Sub-Center 1296000.00 

7 sub-Centres are being re-located in addition to 3 new-Sub-Centres out of which one 

has already established. 7 Sub-Centres have attained the status of Health Centres. In 

view of the above 18 ANMs are required to be engaged on Contract basis during the 

year 2008-09 

38

Health Mela 500000.00 

Provision of Rs.5,00,000/- has been made to organize the health mela in U.T., 

Chandigarh during the year 2008-09. All specialties will make available in the said 

melas for diagnosis, treatment of the patients. Free medicines will be made available. 

These melas will be organized in thickly populated areas with special emphasis on 

under privileged. The said funds will be utilized for meeting the expenditure on 

infrastructure of mela, stationary, furniture, medicines, refreshment of staff etc. 

Additional Staff Nurses 

37 staff nurses are being engaged as per the IPHS in 2 CHCs and provision has been 

made for the Poly Clinic being up-graded to CHC during the year 2008-09. 

Workshops for National, State and district Level Mission teams Rs.5,00,000/- 

There is a urget need to update the govt functionaries, Health providers and contractual 

personals with new skill for effective implementation of NRHM and to interact with the 

adjoining States as the Chandigarh is major Health treatment attraction for adjoining 

States due to well developed nursery, Primary and Community Health Centres. There is 

a need to hold one national level workshop @ 5 lakh and two state level workshops @ 

2,50000 each. 

Mobility Support to the Mission Director NRHM Rs.3,00,000/- 

The Mission Director has to supervise the all institutes of Health of Chandigarh to 

achieve the targets of NRHM and a sum of rupees Twenty five thousand are required 

per month for this activity. 

Warehouse for storing the drugs of the NRHM Rs.25,00,000/- 

There is a urgent need to set up a one modern warehouse in Chandigarh for string the 

various items for drugs and equipments etc and to start with initially a sum of rupees 25 

lakhs are required. 

Mainstreaming of AYUSH 3312000.00 

AYUSH covers Ayurveda and Homeopathy streams in U.T., Chandigarh. These 

systems are popular in U.T. During this year all CHCs and Poly Clinic will be 

quipped with AYUSH doctors and services will be provided at the CHC/ Poly Clinic 

level. 

(A) Mainstreaming/Integration of AYUSH under NRHM 

The AYUSH Department, Chandigarh is providing preventive, promotive and 

curative health care to the community. Ayush system of medicines and its 

practices are well accepted by the Community. With this background, it will be 

more useful for the mainstreaming/Integration of AYUSH systems with Health 

Care Delivery system under “National Rural Health Mission”. 

(B) Broad Objective/Present Status. 

Ayurvedic and Homoeopathic system of medicine has proven strength for 

treating common and chronic diseases. People have now felt that Ayurvedic and 

Homoeopathic system of Medicines are more useful in present day life of stress 

and strain. Ayurvedic and Homoeopathic System of medicines are harmless 

even when taken over for a long time and are obtained from natural resources 

like plants and minerals. The current infrastructure of AYUSH system of 

Medicines includes: 

Type of Institution Number of Institutions 

Govt. Ayurvedic Dispensaries 06 

Govt. Homoeopathic Dispensaries 05 

39

Further, in order to popularize and propagate the benefits of Ayurvedic and 

Homoeopathic system of medicines to the general public of the City Beautiful and 

the surrounding rural population, there is a need to establish Ayurvedic and 

Homoeopathic facilities in the existing allopathic centers/dispensaries. In this 

connection a meeting was held in the UT Guest House with the representative of 

the Govt. of India and it has been decided that the AYUSH centers may be 

opened in the existing allopathic centers. Accordingly, Director (AYUSH) 

alongwith Deputy Director (Ayurvda) visited the various Allopathic dispensaries 

and it has been decided that the Ayush Centre may be opened in the following 

Allopathic dispensaries:- 

1. Civil Dispensary, Secto-19, Chandigarh. 







8. Civil Dispensary, Dhanas, Chandigarh. 

9. Civil Dispensary, CHC-Secto-22, Chandigarh. 

10. Civil Dispensary, CHC-Manimajra, Chandigarh. 

In nutshell the broad objectives of the project will be as under:- 

� Promotion of Ayurvedic and Homoeopathic system of medicine and cost 

effective treatment to community. 

� Dispelling wrong notions and giving accurate information about Ayurvedic 

and Homoeopathic System of Medicines. 

� Educating people about prevention of various life style related ailments 

through Ayurvedic and Homoeopathic Principles. 

(C) Project Proposal 

In order to meet the above said objectives, it is proposed:- 

(1) Opening of Ayurvedic and Homoeopathic Centers in the following exiting 

allopathic dispensaries/institutions:- 

So far as CHC, Sector 22, Chandigarh is concerned, we have already reallocated 

one of our Ayurvedic dispensaries in the said centre and in the 

CHC, Manimajra we have already re-allocated one of our Homoeopathic 

Dispensary in the said centre and this scheme is required to be 

forwarded/continued for the next PIP for the year 2008-2009. In addition to 

above, the AYUSH dispensaries are required to be opened in the following 

existing allopathic dispensaries for the year 2008-2009. 

(i) Civil Dispensary, Secto-19, Chandigarh. 

(ii) Civil Dispensary, Secto-20, Chandigarh. 

(iii) Civil Dispensary, Secto-35, Chandigarh. 

(iv) Civil Dispensary, Secto-42, Chandigarh. 

(v) Civil Dispensary, Secto-23, Chandigarh. 

(vi) Civil Dispensary, Secto-8, Chandigarh. 

(vii) Civil Dispensary, Secto-45, Chandigarh. 

(viii) Civil Dispensary, Dhanas, Chandigarh. 

(ix) Civil Dispensary, CHC-Secto-22, Chandigarh. 

(x) Civil Dispensary, CHC-Manimajra, Chandigarh. 

(D) Services to be provided 

(i) At Ayurvedic Wing/Homoeopathic Wings proposed to be setup in allopathic 

centers/dispensaries. 

Under the supervision of qualified and experienced Ayurvedic/Homoeopathic 

physicians the proper treatment of various life style diseases and health 

promotive and preventive aspects on Ayurvedic principles will be provided. 

40

(E) Staff Requirement 

(i) At Ayurvedic wing proposed to be setup in allopathic centres/dispensaries 

1. Ayurvedic Medical Officers including 5 

Unani Medical Officer. 

2. Ayurvedic Dispensers 5 

(ii) At Homoeopathic wing proposed to be setup in allopathic centres/dispensaries 

1. Homoeopathic Medical Officers 5 

2. Pharmacist (Homoeopathy) 5 

(F) Budget for the Project 

(a) At Ayurvedic/Homoeopathic wing proposed to be setup in allopathic 

centres/dispensaries 

Sr. No. Name of the post Number 

of the 

1. Ayurvedic and Homoeopathic 

Medical Officer including 

2. 

Unani Medical Officer. 

Ayurvedic and Homoeopathic 

Pharmacist 

41 

Unit Cost / Amount 

Approximately 

posts 

8+4=12 15000 21,60,000 

8+4=12 8000 11,52,000 

TOTAL 33,12,000 

The Medicines will be provided out of the existing budget available in the 

Directorate of AYUSH, Chandigarh Administration. 

Mainstreaming of Ayush (Yoga System, Sidha System and Unani System)- Rs 

10,00,000/- 

The AYUSH has already set up the ayurvedic and homeopathic centers in Chandigarh. 

In the current years the new streams of AYUSH namely Yoga system, Sidha System 

and Yunani Systems are planed to be started. Meeting are held with yoga departments 

chandigarh and some medical practitioners of Yunani amd Sidha system. At a initial 

stem a sum of rupeess 10 LAKHS be provided to integrate these activities and achieve 

the target of NRHM 

Other additional activities as notified by Ministry may be listed Computerization, 

Mobile/ Telephone Reimbursement, Recruitment of additional Contractual staff 

LHVs/ANMs/MPHWs Rs.4791000.00 

The approval has been accorded as per the PIP 2007-08, however the works approved 

could not be taken up and the same will be completed in the year 2008-09 

A. Computerization Rs.2000000.00 

• State Head Quarter is being computerized under allocation made for Rs.10.00 

Lakh during the year 2007-08. 

• All hospitals i.e. PGIMER, GMCH-32, GMSH-16, CHC-22, CHC-Manimajra, Poly 

Clinic- 45 and dispensary will be computerized along with networking to be done 

to the State Head Quarter in the office of DFWO and to prepare the software for 

receiving data in respect of various programmes including RCH/ Immunization 

the project will be impelented by the Programme Officers RCH/ Immunization 

during the year 2008-09 along with the Laptops for Programme Officers of RCH/ 

Immunization.

B. Tele-Medicine Project e-Health Initiatives Rs.2599000.00 

• Level I Project is proposed wherein CHC-Manimajra and CHC-22 will be 

connected with Govt.Multi-Speciality Hospital, Sector-16 in Ist phase during the 

year 2008-09. 

• Level M Mobile Telemedicine will be incorporated to include 22 villages and 43 

slums in 2nd Phase. 

C. Communication Rs.96000.00 

Medical/ paramedical staff engaged as to management of immunization in 

Chandigarh at state head quarter will be reimbursed a sum of Rs.800/- PM per 

mobile phone for medical personnel and Rs.500/- PM for non-professionals in 

order to communicate freely for organizing the functional requirement and to 

meet any exigency during the year. However the amount sanctioned during the 

year 2007-08 @ Rs.500/- PM per Official/ Officer will be reimbursed on the rates 

approved during the pervious year as per the PIP. 

The field staff can call on the said Numbers to inform the exigency/ emergency 

as to any component of immunization/ RCH/ Programmes under NRHM. 

Rs.800/- x 10 = Rs.8000/- x 12 = Rs.96000/- 

� Reimbursement to field staff Rs.96000.00 

A sum of Rs.50/- is proposed per month per ANM/ LHV/ MPHW for making the 

call with the official/ officers at state head quarter for the requirement/ exigency/ 

emergency arising thereof the expenditure of which will be done by the RCH 

Programme. 

Rs.160 x 50 x 12 = Rs.96000/- 

D. Infrastructure & Manpower 

In addition to dedicated staff under RCH/ Immunization Multipurpose Worker 

(Male and Female) along with LHVs are required to strengthen the existing 

manpower apart from these workers will be responsible for coordinating and 

implementing the various other National Programmes in U.T., Chandigarh 

including required under Sub-Centre the engagement of which will be done by 

the Officer of RCH Programme. 

Health Staff (Contractual) 

Position Sanctioned Posts In Position Proposed Addition 

Male Multi Purpose 

Health Worker 

13 13 10 

Contractual ANM 80 80 50 

Contractual LHV 15 4 10 

Modular offices will be provided in the existing office of District Family Welfare 

Bureau in order to accommodate the ministerial staff and those being engaged 

under RCH/ Immunization. The supporting staff of other programme officers is 

proposed to be shifted in a phased manner along with infrastructure available in 

the office of District Family Welfare Bureau in order to strengthened the NRHM 

office base and for smooth delivery of programmes in U.T., Chandigarh 

42

B TIME LINE ACTIVITIES - Additionalties under NRHM 

(Mission Flexible Pool) 

43 


B.1 Selection & Training of ASHA 0.00 

B.2 Untied fund for Sub-Centres 160000.00 

B.3 Up gradation of CHCs to IPHS 5000000.00 

B.4 District Action Plan + SPMU / M-E/ HIS 3647700.00 

B.5 Corpus Grant to HMS/RKS 700000.00 

B.6 Procurement of ASHA Drug Kit 0.00 

B.7 Mobile Medical Units 2800000.00 

B.8 Untied fund for Village Health & Sanitation Committee 0.00 

B.9 Untied Grant for PHC 0.00 

B.10 Untied Grant for CHC 100000.00 

B.11 Maintenance Grant to Sub Center 1000000.00 

B.12 Maintenance Grant to PHC 0.00 

B.13 Maintenance Grant to CHC 0.00 

B.14 Construction of Sub-Centers 2000000.00 

B.15 Constitution and Orientation of Community leader of 

400000.00 

VHSC,SHC,PHC,CHC etc 

B.16 State Health System Resource Center 5000000.00 

B.17 Strengthening of Nursing / ANM/ Other Training Institution 2000000.00 

B.18 Mainstreaming of AYUSH 4312000.00 

B.19 Strengthening of District and Su-divisional Hospitals 0.00 

B.20 Funds for Community Monitoring 500000.00 

B.21 Streamlining during procurement & Logistics/ warehouse 2500000.00 

B.22 Additional ANM for the Sub-Center 1296000.00 

B.23 Health Mela 500000.00 

B.24 Additional Staff Nurses 0.00 

B.25 Up gradation of PHCs to IPHS (New PHC) 8000000.00 

B.26 Other additional activities as notified by Ministry may be listed 

Computerization, Mobile/ Telephone Reimbursement, Recruitment of 

additional Contractual staff LHVs/ANMs/MPHWs 

4791000.00 

TOTAL B 44706700.00

PART – C 

IMMUNIZATION 

44

1. Background 

UIP PLAN TEMPLATE 

CHANDIGARH 


Chandigarh is a fully grown town of most modern architectural 

splendor. It has acquired the enviable reputation of being the city beautiful. The 

basic planning unit of the city is a sector and has at present 56 sectors. Each 

sector is spread in an area of approximately 246 acres and has been so planned 

that all the facilities are available in each sector for its residents. The 

development of 3 rd phase sectors has been taken up which is fast coming up. 

Stretching over an area of 114 Sq. kms, the union territory of Chandigarh has 22 

villages around the city with 10 rehabilitated colonies and 7 slums. 

Chandigarh Administration is committed to provide 100% 

immunization coverage to the children under Universal Immunization Programme 

with special emphasis on urban slum/ colonies, villages, as a result of which 

there has been a sustained improvement in the evaluated coverage report. 

Keeping in view the evaluated complete coverage of immunization, the Union 

Territory, Chandigarh becomes eligible for introducing Hepatitis 'B' vaccination in 

Chandigarh as has been done by Govt. of India in case of Punjab and some other 

States. 

Chandigarh Administration has introduced the compulsory 

“Immunization Certificate” for children seeking admission in the Govt./ Private 

Schools in order to bring awareness as well as to increase the coverage of 

immunization and further this administration is likely to introduce the 

requirement of immunization certificate for children for new/ renewal of Ration 

Cards in U.T., Chandigarh. 

Objective 

Overall performance under the immunization programme is good in 

Chandigarh and the focus is now to cover children in the urban slums/ colonies, 

upcoming peri-urban inhabitation, isolated populations/ hamlets. The Chandigarh 

PIP has been prepared accordingly and details are as under: 

1.1 State Profile 

Total Population (2001) 9,00,635 (2001 census) 

Rural 92120 

Urban 808515 

Infant Mortality Rate (IMR) 19 

Below Poverty Line 5800 BPL families 

Crude Birth Rate 14.6 (SRS 2002) 

Infants/Year 14795 

Pregnancies 18589 

Divisions 1 

Districts 1 

45

Blocks 1 

Gram Panchayats 18 

Villages 22 # 

Towns/ Urban Areas 1 

# 4 villages are within the jurisdiction of Municipal Corporation, Chd. 

Recent Performance 

1.1.1 Reported and evaluation coverage 

Comparison of reported and evaluated %age coverage between 2004-05 to 

2006-07 is as below:- 

Reported Coverage (%)* 

Antigen 2004-05 2005-06 2006-07 2007-08 

(upto 

Dec.07) 

Fully Vaccinated 

BCG 187.90 164.80 157.9 108.9 

DPT-3 109.20 112.30 107.0 71.3 

Measles 106.90 117.50 105.5 80 

Drop-out BCG-Measles 22.6 28.6 34.4 28 

TT2+ B 106.06 107.40 93.0 71 

* as per the target and actual children vaccinated. 

The ambiguity as to coverage remains due to the fact that the patients/ 

pregnant women of the adjoining states i.e Punjab, Haryana, Himachal 

Pradesh etc. prefer to get treated in the tertiary and secondary hospitals of 

Chandigarh i.e PGI, GMCH-32 and GMSH-16 and after delivery move back 

to their state with initial doses of immunization. 

Similarly in case of urban slums/ colonies the migrant labour take the 

benefit of getting the delivery done in Chandigarh due to “Free Services” 

and leave back for their home town thereafter after having the initial doses 

of immunization, and the only head of the family stays back for his 

earnings. 

1.1.2 Prevalence of Vaccine preventable diseases 

Antigen 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 

(upto 

Dec.07) 

Measles 22 13 12 9 5 - 

Diphtheria 2 - - - - - 

Pertussis - - - - - - 

Neonatal 

Tetanus 

2 

- - - - - 

Polio 1 

Nil Nil Nil 1 - 

46

1.1.3 Outbreaks reported and outbreaks investigated in the year 2006-07. 

There has been no outbreak in Union Territory, Chandigarh during 2006-07 

of any of the above mentioned vaccine preventable diseases, hence no 

outbreak is investigated. 

1.1.4 Infrastructure & Staffing levels 

In addition to dedicated staff of immunization and cold storage points, 

please indicate all areas of planned expansion under RCH II as this will effect 

budget calculations for immunization trainings and supply inputs. 

Health Staff 

Position Sanctioned In Proposed Trained in 

Posts Position Addition last 3 Years 

Senior Medical Officer 

28 28 Nil Nil 

Medical Officer 

119 119 Nil Nil 

AMO on direct contract 

AMO School Health Scheme 

(Service Provider) 

11 11 Nil Nil 

Dentist 

13 

9 Nil Nil 

Allopathic/ AYUSH Doctors 

LHV 

(Female Multi-purpose 

Health Supervisor) 

ANM 

(Female Multipurpose 

Health Worker) 

Male Multi Purpose 

Health Worker 

6 

6 Nil Nil 

10 10 Nil Nil 

49* 49 Nil Nil 

7 7 Nil Nil 

Contractual ANM 30 30 Nil Nil 

Contractual LHV 6 4 Nil Nil 

* The sanctioned post of LHV/ ANM are collectively counted with respect to 

various heads / departments under which the sanction is given. 

Detailed Immunization Staff 

Position Sanctioned In position Proposed 

Addition 

47 

Trained in 

last 3 years 

State Immunization Officer 1 1 No 1 

State Statistical Officer/ 

Assistant Director, 

Statistics 

Nil Nil 1 N.A. 

State Cold Chain Officer Nil Nil Nil Nil 

Cold Chain Mechanic 1 1 

(Outsourced) 

1 N.A 

Driver 

(dedicated to UIP Vehicle) 

One driver is dedicated to only UIP with vehicle 

Public Health Infrastructure 

Building Sanctioned No. 

Functioning 

With 

Functional 

Cold Chain 

Equipment 

Proposed 

Expansion 

(No. of 

Facilities) 

Sub-Centre 20 20 20 3 

Health Centres 24 24 24 Nil 

Poly Clinic 1 1 1 Nil 

CHC 2 2 2 Nil 

Hospitals# 5 5 5 Nil 

NGOs and others 2 2 2 Nil

* The Cold Chain is being fully maintained by way of Vaccine carriers/ Cold 

boxes up to the consumer / village level in all the sub centres. 

** The Cold chain will be made available in all the newly added CHCs as 

and when they are established. 

# Hospitals include PGI, GMCH-32, GMSH-16, Police Hospital, ESI Hospital, 

Ram Darbar 

Cold Chain Storage Points: 

Cold Storage Point Total Number Proposed Expansion 

State Store 1 - 

Health Centre/ Subcentres stores/ Others 48 10 

S.No. Equipment Total Working Under Beyond Remarks 

supplied 

repair Repair 

1. ILR 140 L 51 49 2 - - 

2. Deep Freezer 140 L 24 21 - 3 Auctioned 3 

3. Deep Freezer 300 L 12 11 - 1 Auctioned 1 

4. ILR 300 L 14 14 - - - 

Total 101 95 2 4 - 

* 35 Deep Freezer of 140 L capacity are required to strengthen the existing 

centres to complete the sets with existing ILRs. 

1.2 Summary of recent initiatives 

1.2.1 Service Delivery improvements 

� Special Immunization Campaign has been planned in Union 

Territory, Chandigarh. All Left out children in general and children in 

the slum areas will be covered with emphasis on measles coverage. 

Follow up with booster doses will also be undertaken. 

� The Health Secretary and Director Health Services reviews the 

performance as to immunization coverage every month. 

� Immunization certificate has been made compulsory for seeking 

admission to Government/ Private Schools. 

� The days of immunization services have been increased from 2 days 

to 6 days a week at all subcentres/ centres/ poly clinics/ CHCs. 

1.2.2 Partnerships with other agencies/organizations (e.g. ICDS, IAP etc.) 

Coordination has been strengthened with the Department of Director 

Social Welfare so as to bring the cooperation among the ANMs and 

Anganwari Workers for delivery of immunization as well as 10 

doctors and 10 ANMs are being engaged exclusively to provide 

coverage to 370 anganwaris in U.T., Chandigarh, wherein camps will 

be organized jurisdiction wise wherein the children and mothers will 

be examined and the schedule of immunization can be covered in 

order to ensure 100% immunization coverage. 

48

1.2.3 IST Training of Health Providers which includes UIP related trainings 

conducted in the last 4 years 

Position No. 

DIO 3 including DIO 

MOs 2 

LHVs 9 

ANMs 50 

Other 5 

1.3 Assessment of critical bottlenecks for full coverage 

1.3.1 Availability 

Describe the main problems in the supply and distribution of 

vaccines and related supplies. 

� No Shortage of POL funds was felt in the last financial year for 

supply of vaccines etc. due to release of funds under the Head of 

Family Welfare and strengthening of immunization. 

1.3.2 Accessibility 

Describe the main problems in ensuring regular immunization 

sessions for all villages/ urban slums 

� Lack of infrastructure and no sanctioned manpower as to delivery of 

services in urban slums, inhabited by migratory population. Under 

the NRHM support, the slum dweller will have the access to the 

immunization programme services. 

1.3.3 Utilization/ Adequate Coverage 

Describe the main problems in ensuring high attendance (full 

coverage) in immunization session. 

� Sustained awareness on Immunization is required for 100% 

utilization of the immunization services. 

� Due to migration of the population particularly from Bihar, Uttar 

Pradesh, which is very high and frequent, The achievements of 

complete immunization suffer, in spite of the fact that Chandigarh is 

a well planned city with all basic infrastructure in place. 

1.3.4 Effective Coverage/ Quality 

Describe the main problems in ensuring safe injections. 

� With the availability of AD syringes and vaccine and maintenance of 

cold chain there is no problem as to the delivery of ensuring safe 

injections. 

49

� The retired ANMs/ LHVs/ Pharmacists are planned to be hired during 

Immunization Strengthening Project implementation to provide 

coverage to urban/ peri urban slums for holding special sessions to 

cover all un-immunized children. 

RIMS 

The data has been updated in respect of U.T., Chandigarh till January 2008 

AEFI 

The AEFI committee has been constituted as per the norms under the 

chairmanship of Mission Director for U.T., Chandigarh. The committee met 

at frequent intervals. The training of the ANMs / LHVs/ MPHWs has been 

conducted for immunization with special reference to AEFI. However the 

trainings as to other functionaries are being planned as per the protocol 

under the Subject Training. 

2. Objective 

The overall goal is to increase immunization coverage and ensure 100% 

coverage. Based on review of past performance, assessment of critical 

bottlenecks and planned activities indicate below 2005-06, 2006-07 and 

expected performance during 2007-08. 

Immunization Coverage Targets 

Indicator 2005-06 2006-07 2007-08 Planned 

(Upto 

Dec.07) 


BCG Coverage (%) 165% 157.9% 108.9% 100% 

DPT-3 Coverage (%) 112% 107% 71.3% 100% 

Districts with over 80% DPT-3 

Coverage –No.(%) 

1 (100%) 1 (100%) 0% 100% 

Measles Coverage (%) 117.5% 105% 80% 100% 

Vit-A Coverage (% 2 doses) 61% 16.5%* 63.8% 100% 

Districts with over 70% Vit-A 

Coverage-No (%) 

Nil Nil Nil 100% 

Drop Out Rate BCG-Measles (%) 28.6% 34.4% 28% 100% 

Districts with under 15% BCG 

Measles Drop Out-No.(%) 

Nil Nil Nil 100% 

Children fully vaccinated by 12 

months of age (%) 

117.5% 105.7% 80% 100% 

* Due to non availability of Vit-A solution for a long period. 

** Chandigarh is considered as equallent to one District only 

50

2.1 Improve Vaccine/ Supply Logistics 

2.1.1 Key Performance Indicators 

Indicator 

Unit with any antigen stock out more than 1 

month in the last 12 months - No. (%) 

Unit with AD syringes stock out more than 

1 month in the last 12 months - No (%) 

2006-07 2007-08 

(Upto 

Dec.07) 

2.2 Expand Cold Chain Reach and Improve Performance 

2.2.1 Key Performance Indicators 

51 

NIL NIL NIL 

NIL NIL NIL 

Planned 

2008/09 

Indicator Current Planned 

2006-07 2008-09 

Cold Chain assessment done within last 3 years Satisfactory -do- 

(exact year done or planned) 

(Continuou 

s process) 

Proportion of ILR registered 

(not condemned) non functional (%) 

0% 0% 

# Except for 2 under repair Cold Chain Equipment, rest of the ILRs and DFs are 

functional, replacement for 3 small DFs and 1 Large DF is under consideration. 

2.3 Ensure all children in all villages/ towns covered with regular (monthly/ 

quarterly) immunization session according to village size 

2.3.1. Key Performance indicators 

With GOI support under the Multi Year Plan as per the State PIP all the 

villages and urban slums will be fully covered for immunization. Mobile 

Immunization teams will visit the isolated hamlets/ populations to ensure 

100% availability, accessibility and utilization of immunization services 

along with Monthly health days held in each village regularly. 

2.4 Improve Injection safety by introducing AD syringes 

2.4.1 Key Performance indicators 

Indicator Current 2007-08 Planned 2008-09 

All subcentres/ Centres/ Poly 

Clinics/ CHCs/ Hospital 

i) Using AD syringes for all 

immunizations and 

100% 

100% 

ii) appropriate waste disposal in 

place (%) 

100% 

100%

2.5 Ensure accurate record keeping/ monitoring with improved supervision 


Indicator Current 2006-07 Planned 2008-09 

Gap between reported and evaluated 

full immunization coverage (%) 

Training of Immunization Staff 


52 

Evaluation based 

on Base Line 

Survey 

conducted in 

2006. 

Evaluation to be 

done by 

independent 

agency 

Indicator 2005-06 Current Planned 


ANMs having received refresher training in 50 Nos 

immunization within that last 3 years (%) (one 

session in Integrated Skill Training (IST) 

under RCH) 

NIL 100% 

DIOs having participated in mid level 1 NIL 100% 

managers (MLM) training within that last three 

years (%) (In various sessions DIOs have 

taken the Immunization training Programme 

under Immunization Project from NICD, Delhi) 

3. Action Plan 

3.1 Mobilization of Children by Anganwari Workers, Anganwari Helper etc. 

� ASHA States (Not Applicable) 

Outline plans for ASHA involvement in States with provision for ASHA 

under 

� Non ASHA States 

Outline social mobilization plans using AWW or other link worker within the 

prescribed funds 

� The AWWs will be paid Rs.25/- per session for four sessions per month for 

mobilizing the children to the immunization session site as per GOI 

guidelines (Details in the Budget Annexure) 

� 

3.2 Slums and Underserved areas 

52 ANMs and 13 MPHWs have been recruited in the year 2007-08 who will 

undertake regular immunization programme in the year 2008-09. 

3.3 Strengthening, Monitoring, Supervision and surveillance 

To strengthen Monitoring and Supervision in the U.T., Chandigarh, the 

requirement of support is as under:

� The Base Line Survey was conducted during the year 2006 by School 

of Public Health, PGIMER, Deptt.of Community Medicine wherein the 

existing status of immunization in U.T., Chandigarh was elaborated 

with reference to urban/ rural/ slum. The same is required to be reassessed 

as to the impact after the strengthening of the same system 

wherein more number of ANMs have been engaged to provide the 

coverage of Immunization. The mandatory introduction of 

Immunization Certificate at the time of admission/ fresh/ renewal of 

ration card. A sum of Rs.50000/- is to be provided to the Independent 

Agency i.e. School of Public Health, PGIMER, Deptt.of Community 

Medicine, wherein support is to be provided by GOI @ Rs.50,000/- per 

year for making the assessment and to report as to Monitoring and 

Supervision made by them during the year. 

3.4 Computer Assistant to DIO 

Computer Assistants is provided to the DIO (District level Immunization 

Programme Officers) as per GOI guidelines under the existing scheme for 

strengthening of Immunization Programme. 

3.5 Review Meetings 

Six monthly review meetings (2 meetings a year) at the level of the Director 

Health Services cum Mission Director with DIO and MO/ SMO will be held at 

the State HQ and Rs.1250/- per participant for 3 participants for 2 meetings 

in a year 

3.6 Provision for additional support 

3.6.1 Cold Chain Strengthening 

Complete the cold chain equipment to summarize the overall requirement 

for the coming year. Below provide justification/ explanation of the 

proposed activity. 

� Replacement of non functional (beyond repair) equipment 

Estimate and explain number of equipments that may need to be replaced 

in 2008-09 in the annex, also estimate the percent of equipment that will 

require replacement in the subsequent years. 

Three Numbers of Deep Freezers are to be condemned for which 

replacement is required. 

53

� Expansion of cold chain storage points 

Explain needs and plans depending on the setting-up of New PHC and/or 

special needs (e.g. extremely remote area). 

7 sub Centres are being relocated and 3 new sub-centres are being opened 

out of which one has been made operational 10 number of ILR and 10 of 

Deep Freezer are required. 

3.7.3 Cold chain maintenance 

o Cold chain technicians 

Provision can be made for 1 cold chain technician per district. Indicate if 

technicians already in place or will be newly recruited. 

� Chandigarh being equivalent to one district, one post of cold chain 

technicians/refrigeration mechanics is sanctioned by GOI and the same post 

has been sanctioned to be filled up by outsourcing on the orders of the 

screening committee after the retirement of permanent employee. As such he 

is entitled for Basic + DA and the said post will be filled up on contact basis 

through service provider failing which by Direct Contract from year to year 

basis. The pay of the same will be drawn out the budget grant made available 

by GoI. 

o Maintenance fund 

A total of Rs.500/- per ILR/ Deep Freezer should be budgeted for repair/ spares 

and other maintenance requirements. 

ILR small/ large + Deep Freezer small/large @ Rs.500/- X 101 = Rs.50500/- 

3.7.4 AD Syringes 

The total AD syringe requirement should be outlined in vaccine supply format 

provided 

� No. of AD syringes are being regularly supplied by GOI since 18.8.2005 in 

accordance with the targeted beneficiaries and wastage factor. 

3.7.5 Printing & dissemination of tally sheets 

o Supply mother child/vaccination card 

Total requirement should be indicated in vaccine supply requirement – as 

these will be printed and supplied by the Central Govt. 

� Printing of 20000 vaccination cards along with important messages on 

immunization @ Rs.3/- each, totaling Rs.60,000/-. 

54

3.7.6 Training of ANMs/ LHVs 

A provision is made for 2 days training to all newly recruited ANMs and 

MPHWs, Total 65 in number. The training will be in 2 batches. 

Particular In Rs. 

Honorarium to participants (125) for 2 125x2x125/- = 31250/days 

at the rate of Rs.125/- per day 

Contingency 

participant) 

(Rs.100 to each 125 x 100/- = 12500/- 

Honorarium to faculty for 8 batches 

In One batch 

Guest Faculty = 2 x 300 = 600/- 

Indoor Faculty = 4 x 200 = 800/- 

Total for one batch = 1400/- 

1400/- x 8 = 11200/- 

Total Rs.54950/- 

Institutional Charges 15% Rs.8242 

Grand Total Rs.63192/- 

3.8 State specific strategies for the year 2008-09 onwards (with GOI support) 

Outline other plans at State level, including those that are funded by State 

resources as well as those schemes where central funding support is 

requested. 

3.8.a Computer literate manpower 

� E-capability of the State Immunization officer. There should be continuous 

flow of funds for the salary of the computer operator and office 

contingency. 

� Salary of 1 computer literate at @ Rs. 10600/- p.m. = 127200/- 

The Computer Assistant engaged @ Rs.10000/- per month during the year 

2008-09 in view of the services rendered in continuity and outstanding 

performance. 

3.8b Waste Disposal Plan at Sub-Centre/ Health Centres/ Poly Clinic/ CHC level 

� At present the Bio Medical waste disposal facility is present in all the 

centres. Making the availability of colour coded plastic bags with dustbins 

in all the centres for the disposal of biomedical waste as per the 

Biomedical Waste Management Rules for which a provision of Rs.1.50 lakh 

is required to be made during the year 2008-09. 

55

3.8.1 Funded by the State Budget 

Outline UIP activities that are being funded with State budgetary support. 

� All the UIP activities are funded under the head 2211 – Govt.of India, 

District Family Welfare Bureau and under State Health Society as to 

strengthening of Immunization. Monthly review of the immunization 

coverage is undertaken by the Director Health Services cum Mission 

Director and the report is submitted with the Secretary Health cum vice 

Chairman of the State Health Society. 

Feed back on budget: 

An expenditure of 1,19,540/- has been done till February 2008 and an 

estimated expenditure of 8,88,413/- will be done by 31 st March 2008. 

Support from other sources 

All support, technical, logistical or financial is being met by the Govt.of 

India. The U.T. has made the provision of Rs.200/- for anganwari workers 

on successful completion of immunization upto the age of One year in their 

project launched for improving Monitorable Indicators during the year 

Aug.2007. 

The NGOs are made to strictly adhere to the guidelines for holding the 

camps in U.T., Chandigarh in order to eliminate the unscrupulous 

elements. Only one camp has been held by the NGO for MMR. 

56

DETAILS OF BUDGET FOR CONTINUATION OF EXISTING SUPPORT UNDER UIP 

Mobilization of children through AWH 

Objective Details of Calculation Annual 

budget 

requirement 

The children will be mobilized to the 

immunization site by the Anganwari 

Helper 

Rs.25/- per session per month will 

be paid to the AWW for mobilizing 

children i.e. 370 x 4 x 25 x 12 

57 

(in Rs.) 

4,44,000/- 

Sub Total 4,44,000/- 

Strengthening, Monitoring and Supervision and Surveillance 

The monitoring, supervision and Rs.50000/- per year for mobility 

50000/evaluation 

is proposed to be done by 

an independent agency i.e School of 

Public Health, PGIMER, Deptt.of 

Community Medicine. 

support 

Sub Total 

Cold Chain Maintenance 

50000/- 

Maintenance of 101 ILRs and DFs @ Rs.500/- each i.e.500x101 50500/- 

Sub Total 

Review Meetings 

50500/- 

2 meetings in a year at the level of Rs.1250/- per participant (for 3 

7500/- 

Mission Director with DIO and 

MO/SMO at the State Head Quarter 

participant) for 2 meetings 

Sub Total 7500/- 

Printing of Vaccination Cards & Reporting Formats 

Printing of 20000 vaccination cards 

along with important messages on 

immunization 

@Rs.3/- each card i.e. 3 x 20000 60000/- 

Sub Total 

Training of ANMs/ MPHWs 

60000/- 

A provision is made for 2 days � Honorarium to participants (125) 63192/training 

to all newly recruited ANMs for 2 days at the rate of Rs.125/and 

MPHWs, Total 125 in number. 

The training will be in 8 batches. 

per day i.e.(125x2x125=31250/-) 

� Contingency(Rs.100 to each 

participant) i.e.(100x125=12500/-) 

� Honorarium to faculty for 8 

batches i.e. (1400x8=11200/-) 

� 15% Institutional Charges (31250 

+ 12500 + 11200 = 54950 x 15% 

= 8242 

Sub Total 

Computer literate manpower 

63192/- 

Computer literate manpower Salary of one Computer Literate @ 

Rs.10600/- per month 

127200/- 

Sub Total 

Waste Disposal Plan 

127200/- 

Colour coded plastic bags with 

dustbins along with cost of collection 

of waste by the contractor through 

specially designed vehicle under Bio 

Medical Waste Management Rules 

150000/- 

Sub Total 150000/- 

Grand Total 952392/-

PART – D 

NATIONAL TUBERCULOSIS CONTROL PROGRAMME 

58

Annual Plan for Programme Performance & Budget for the year 

Ist April 2008 to 31 st March 2009 

State/District: Chandigarh 

Objectives: 

(i) In order to accomplish Chandigarh as a Model State under RNTCP, efforts shall 

be made to achieve the targets laid in the millennium development Goal for the 

year 2015. 

(ii)The cure rate of at least 85% or more among newly detected infectious new 

sputum smear positive cases. 

(iii) To achieve and maintain detection of more than 70% of such cases in the 

population. 

Section-A – General Information about the State 

1 State Population (in lakh) please give projected population for next 10.37 Lac 

year 

2 Number of districts in the State 1 

3 Urban population 6 Lac 

4 Rural 1.37 Lac 

5 Hilly population - 

6 Any other known groups of special population for specific 

3 Lac 

interventions 

(e.g. nomadic, migrant, industrial workers, urban slums, etc.) Urban 

Slums 

(These population statistics may be obtained from Census data /State Statistical Dept/ District plans) 

No. of districts without DTC: Nil 

No. of districts that submitted annual action plans, which have been consolidated in this 

state plan: 

Organization of services in the state: 

S. 

No. 

Name of the District Projected 

Population 

(in Lakhs) 

59 

Please indicate 

number of TUs of 

each type 

Govt NGO Public 

Sector* 

Please indicate no. of 

DMCs of each type in the 

district 

NGO Private 

Sector^ 

1 Chandigarh 10.37 lac 2 - 15 Nil Nil 

Chandigarh 10.37 lac 2 - 15 Nil Nil 

*Public Sector includes Medical Colleges, Govt. health department, other Govt. department and PSUs i.e. as defined in 

PMR report 

^ Similarly, Private Sector includes Private Medical College, Private Practitioners, Private Clinics/Nursing Homes and 

Corporate sector

RNTCP performance indicators: 

Important: Please give the performance for the last 4 quarters i.e. Oct2006 to 

September 2007 

Name of the 

District (also 

indicate if it is 

notified hilly or 

tribal district 

Total 

number 

of 

patients 

put on 

treatment 

* 

Annualised 

total case 

detection 

rate 

(per lakh 

pop.) 

No of 

new 

smear 

positive 

cases 

put on 

treatment 

* 

60 

Annualised 

New 

smear 

positive 

case 

detection 

rate (per 

lakh pop) 

Cure rate 

for cases 

detected 

in the last 

4 

correspon 

ding 

quarters 

Plan for the next 

year 

Annualize 

d NSP 

case 

detection 

rate 

4 th Qtr.2006 523 209 /lac 171 68.4/lac 89% 

1 st Qtr. 2007 502 200/ lac 156 62.4/lac 82% 

2 nd Qtr. 2007 701 280 /lac 203 81/lac 90% 95/lac 

3rd Qtr. 2007 668 267/ lac 205 82/lac 85.2% 

* Patients put on treatment under DOTS regimens only are to be included. 

Section B – List Priority areas at the State level for achieving the objectives 

planned: 

Cure 

rate 

90% 

S.No 

. 

Priority areas Activity planned under each priority area 

1. Improve Programme 

Increase case detection by improving training 

Effectiveness 

of staff at all levels and implementing various 

interventions under the programme. The 

patient management shall be further improved 

by decentralization DOTS & by making 

Treatment Observation more convenient to the 

patients. Regular induction training and update 

training at all levels shall be conducted. EQA 

system shall be effectively implemented and 

reviewed regularly. 

2. Optimum Interventions in Slums More than 60% Tuberculosis patients reside 

in urban slum areas and the population is 

approximately 35% of total population. There 

are 7 major slum areas which need to be 

extensively covered under one additional TU 

which has been proposed to be established at 

3 Establishment of one additional 

TU in CH- Manimajra ( slum 

area) 

4 Upgradation of Microscopy 

Centre of General Hospital-16 

CH-Manimjara. 

More Tuberculosis patients are detected in 

slum area of Chandigarh. Therefore one 

additional TU has been proposed to be 

established at CH- Manimajra so as to achieve 

better detection and cure rate . 

General Hospital, Sector-16 is 500- bedded 

hospital and the Microscopy Centre in General 

Hospital, Sector-16 needs to be upgraded as 

Microscopy Centre of the level of Medical 

College since the OPD is very heavy and Chest 

Symptomatics and related RNTCP activities 

could be managed under the Supervision of 

MO-MC at General Multi Speciality Hospital, 

Sector-16.

5 Maintain a higher priority for TB 

Control in NRHM 

6. Implementing Strategies for TB- 

HIV & MDR- TB 

6 Operational Research 

The RNTCP shall pro-actively support NRHM 

to improve the capacity building, address 

weaknesses in Health System and continue 

develop skills and performance of staff at all 

levels. 

(i) An effective TB-HIV technical group shall be 

established at State level to ensure scaling up 

of TB-HIV collaborative activities. 

(ii) The services of IRL shall be utilised and 

MDR-TB cases patients shall be managed 

based on international guidelines for diagnosis 

treatment and management. 

Operational Research activities shall be further 

enhanced through active involvement of 

Medical College & PGIMER. A number of 

projects are already underway. 

7 Scaling up of PPM Activities Private Practitioners and NGO’s shall be 

effectively brought under the ambit of RNTCP 

by imparting training, seminars and workshops. 

Pilot Project for GFATM Project for PPs shall 

be effectively followed. 

Priority Districts for Supervision and Monitoring by State during the next year N.A. 

S No 

District Reason for inclusion in priority list 

Section C – Consolidated Plan for Performance and Expenditure under each head, including 

estimates submitted by all districts, and the requirements at the State Level 

( Rs. in Lacs) 

61

1. Civil Works 

Activity 

No. 

required 

as per 

the 

norms 

in the 

state 

No. 

already 

upgraded/ 

present in 

the state 

No. 

planned 

to be 

upgraded 

during 

next 

financial 

year 

Pl provide 

justification if 

an increase is 

planned in 

excess of 

norms (use 

separate sheet 

if required) 

62 

Estimated 

Expenditure 

on the 

activity 

Quarter in which the 

planned activity 

expected to be completed 

(a) (b) (c) (d) (e) (f) 

STDC/IRL - - - - - - 

SDS - - - - - - 

DTC/STC 1 1 - - 10000/- 2 nd Quarter 2008-09 

TUs 2 2 1 - - - 

DMCs 13 14 1 - 30000/- 

14000/- 

Total Rs. 

54,000/- 

Furniture Items and other requirement-State TB Cell for Rs. 10,000/- 

2. Laboratory Materials 

Activity Amount Amount 

permissible actually 

as per the spent in 

norms in the last 

the state 4 

quarters 

Purchase of 

Lab. 

Materials by 

Districts 

Procurement 

planned 

during the 

current 

financial 

year (in 

Rupees) 

Estimated 

Expenditure 

for the next 

financial year 

for which plan 

is being 

submitted 

(Rs.) 

Ist Quarter 2008-09. 

The new DMC 

opened at ESI 

Hospital Ramdarbar 

and 14 other MCs 

needs maintenance. 

Justification/ Remarks for (d) 

(a) (b) (c) (d) (e) 

1.00 lac 3.32 

lacs 

4.27 lacs 5.73 lac � Specified as under. 

Lab. - - - - As Chandigarh has been 

Materials for 

attached with Punjab for 

EQA activity 

EQA and IRL tests. No 

at STDC 

funds are required. 

o Budgeted amount for the year 2008-09 is Rs. 5.73 lacs. The amount includes 

procurement of Lab Consumables for 15 Designated Microscopy Centres 

catering to the population of 10 lacs. Approximately 1 lac people from 

neighboring states come to Chandigarh. The Govt. Medical College and PGIMER 

are the two leading DMCs as per the performance. Consequently the chest 

symptomatic subjected to sputum examination are very large in number ( 

approx. 16000 Chest Symptomatic were examined in one year). The Chandigarh 

State is achieving more than 250% of the target allotted with the active 

involvement of all the DMCs. As indicated in the SAAP for the year 2008-2009, 

most of the patients are also referred from the neighboring states like Punjab, 

Haryana & Himachal Pradesh for sputum examination. 

As per the TBC India 2007 Report , 347 Chest Symptomatic per lac of population were examined 

in the Year 2006 as compared to 140 Chest Symptomatic per lac population at National level 

which is more than double the National figures.

Estimated Requirement of Lab. Consumables & Glassware for the Year 2008-09 

UT-Chandigarh 

S.no. Item Requirement Approx. Amount in Rs. 

1 Sputum Cups 75000 No.s 232500.00 

2 Slides 75000 No.s 63000.00 

3 Sulphuric Acid 112 Ltr. 7216.00 

4 Methylene Blue 224 gm. 573.44 

5 Basic Fuchsin 374 gm. 1525.92 

6 Phenol 1875 gm 963.75 

7 Spirit 224 Ltr. 9340.80 

8 Diamond pencil 300 No.s 6600.00 

9 Permanent Marker 300 No.s 4200.00 

10 Broom Sticks 85 Kg. 6545.00 

11 Surgical Gloves 4600 Pairs 17020.00 

Filter paper 

76 Packets 21204.00 

12 (Whatman) 

Lens paper (book of 1496 books 16456.00 

13 

20 paper) 

14 Immersion Oil 3800 ml. 31768.00 

15 Methanol 37 Ltr. 2838.64 

16 Cotton 185 Rolls x 500 gm 7585.00 

Match Box 220 No.s 220.00 

17 

18* Phenol (Disinfectant) 900 x 500 gm. 144000.00 

Total 573556.60 

* 500gm Phenol as Disinfectant costs Rs. 160/-. Total cost of Phenol as Disinfectant 

for the year 2008-09 comes to Rs. 1,44.000/-, which seems to be on higher side. 

Kindly approve to purchase the same. 

(b) As Chandigarh has been attached with Punjab for IRL activities, no funds are 

required.. 

3. Honorarium 

Activity Amount 

permissible 

as per the 

norms in 

the state 

Amount 

actually 

spent in 

the last 

4 

quarters 

Expenditure 

(in Rs) 

planned for 

current 

financial 

year 

63 

Estimated 

Expenditure for the 

next financial year 

for which plan is 

being submitted 

(Rs.) 

Justification/ 

Remarks for (d) 

(a) (b) (c) (d) (e) 

Honorarium 0.28 lacs 0.10 lacs 0.25 lacs 1.00 lacs Involvement of 

CHVs as DOT 

Providers. Rs.1.00 

lacs has been 

budgeted for the 

financial year 2008- 

09. Approx. 400 TB 

patients are 

estimated to be 

cured during the 

said financial year 

through DOT 

providers as per 

eligibility and CTD 

norms. 

Community Volunteers in all 

the districts* 

No. presently 

RNTCP 

170 

involved in 

Additional enrolment proposed for 

the next fin. year 

30 

� These community Volunteers are other than salaries employees of Central/Sales Government and are 

involved in provision of DOT e.g. Anganwari workers, trained dais, village health guides, ASHA, 

other volunteers, etc.

IEC/Publicity: 

Permissible budget for State and all Districts as per Norms: Rs. 5:35 lac( for small State) 

Estimated IEC budget for all Districts, as per action plans (please enclose consolidation 

summary): Estimated IEC activities and Budget at the State level (excluding districts) for the 

next financial year proposed as per action plan detailed below: Rs.5,35,000- 

Target 

Group/ 

Objective Activity 

(All activities to be 

planned as per local 

needs, catering to the 

target groups 

Patients 

and 

General 

public / for 

awarenes 

s 

generatio 

n and 

social 

mobilizati 

on 

Opinion 

leaders/ 

NGOs for 

advocacy 

Activities Planned at State Level 

specified) 

Outdoors: 

- Wall paintings 

- Hoardings 

- Tin plates 

- Banners 

- others 

Outreach activities: 

- Patient provider 

interaction 

meetings (DOT 

Providers) 

- Community 

meetings 

- Mike publicity 

- Others 

--Magic Shows 

-Nukkar Natak 

-School activities 

((Painting Competition 

in Schools) 

Debates 

Declamations, 

-Sensitization of 

Teachers etc.) 

Print publicity 

- Posters 

- Pamphlets 

- Newsletter 

(Report Qtrly) 

- Handbills 

Media activities on 

Cable/local channels 

Radio (AIR) 

Documentary / film on 

RNTCP 

No. of 

activities 

held in 

last 4 

quarters 

50 

2 

- 

40 

40 

24 

- 

20 

- 

20 

30 

1000 

10000 

- 

1000 

One 

Subscript 

ion of 

Radio 

Jingle for 

Six 

months 

- 

No of activities proposed in the 

next financial year, quarter wise 

Apr-Jun July- 

Sep 

- 

- 

- 

10 

10 

3 

- 

- 

3 

1 

3 

- 

5000 

250 

1000 

For 

64 

- 

- 

- 

10 

10 

3 

- 

- 

3 

1 

3 

1000 

- 

250 

- 

Six 

Oct- 

Dec 

50 

2 

100 

10 

10 

3 

- 

3 

- 

1 

3 

- 

- 

250 

- 

mont 

hs 

Jan- 

Mar 

- 

- 

- 

10 

10 

3 

- 

3 

- 

1 

3 

- 

5000 

250 

- 

Total 

activities 

proposed 

during next 

fin. year 

50 

2 

100 

40 

40 

12 

- 

6 

6 

4 

12 

1000 

10000 

1000 

1000 

Six months 

Subscriptio 

n 

Estimate 

d Cost 

per 

activity 

unit 

300 

7500 

200 

200 

200 

500 

- 

1000 

1000 

2000 

500 

20.00 

2.00 

10.00 

1.00 

95000/- 

Total 

expenditur 

e for the 

activity 

during the 

next fin. 

Year 

15000 

15000 

20000 

8000 

8000 

6000 

- 

6000 

6000 

8000 

6000 

20000 

20000 

10000 

1000 

95000/- 

1 - - - 1 

70000 70000 

Sensitization meetings 4 1 1 1 1 4 2000 8000 

Media activities (News 

Paper Adds) 

Information Booklets/ 

brochures 

for NGOs 

World TB Day 

activities 

Any other public event 

(Workshop on 

advocacy for 

Municipal Councillors ) 

2 

500 

- - - 2 2 

25000 

(DAVP 

Rates) 

25000 

- - - 150 150 

20.00 

per copy 

3000 

1 - - -, 1 1 30000 30000 

1 - - - 1 1 10000 15000

Health 

Care 

providers 

– public 

and 

private 

Any Other 

Activities 

proposed 

- CMEs 

- Interaction 

meetings 

- one to one 

interaction 

meetings 

PPM IEC Material : 

- PPM KIT 

- PPM Diary 

- Plaque 

Wooden/fibre 

glass 

- 

Communication 

Facilitators (each for 

5-6 districts) 

Total Budget (Rs.) 

4 

250 

250 

1 

250 

250 

250 

* The Justification of IEC Action Plan is enclosed. 

65 

1 

- 

- 

- 

1 

- 

- 

- 

1 

- 

- 

- 

4 

250 

250 

250 

2500 

100.00 

200.00 

100.00 

- - - - - - - - 

A. Patients and General public / for awareness generation and social mobilization 

1. Out Doors: 

Visual out-door tools of mass communication comprising wall paintings, flexi 

boards, fibre glass boards, tin boards, hoardings and banners would be used during 

2007-2008 to generate awareness amongst general public and patients to enthuse 

them to get themselves diagnosed and treated for TB free of cost. Proposed 

expenditure on these activities shall be as under:- 

� Wall paintings 50 Rs15000/- 

� Banners 40 Rs.8000/- 

� Hoardings 2 Rs.15000/- 

� Tin plates 100 Rs.20000/- 

Total approx. expenditure : Rs.58,000/- 

2. Out reach activities 

There is constant interaction between Patients and DOT Providers .40 (10 per 

qtr) meetings have been planned during the year 2008-09. 

Community Meetings are regularly convened to interact with Opinion Leaders, 

Sarpanches & Panches, Religious Leaders, Social Activists, Private Practitioners etc. to 

answers their questions develop and promote faith and confidence in RNTCP. 

� Expenditure on patients provider Meetings (40) – Rs. 8,000/- 

� Expenditure on Community Meetings (12) – Rs. 6,000/- 

Total approx. expenditure: Rs.14000/- 

40000 

25000 

50000 

25000 

5,35,000/- 

lac

3. Puppet shows/Magic shows 

Magic shows and Nukkar Natak are effective media of mass communications. 

The audio-visual communications and has been developed on the theme of TB. 

It has been observed that people have liked these shows and be benefited from 

these shows. Magic shows and puppet shows have been organized in prominent 

public places, urban slum areas, slum colonies, villages which are located in the 

periphery of the city. 

� Expenditure on Magic shows (6) : 6000/- 

� Expenditure on Nukkar Natak (6) : 6000/- 

� Total approx. expenditure : 12000/- 

4. School Activities: 

School teachers are opinion maker and students are carriers of message. 

Students are sensitized about symptoms of TB, how it spreads and where the 

diagnosis and treatment is available. They are told that treatment of TB is free of 

cost but the patient has to take full course of treatment. The above message is 

given through magic shows, puppet shows and lectures to the assembled 

students. Students and teachers have interacted well by raising questions and 

queries which were answered. Their receptive attitude and response has 

enthused to organize debates, declamations and painting competitions during 

2007-08. Proposed expenditure has been estimated as:- 

� School activities: painting competition/declamation/debate on TB (4) : Rs.8000/- 

� Sensitisation of Teachers (12) : Rs.6000/- 

� Total approx. expenditure : Rs.14000/- 

5. Print Publicity 

During Community Meetings, Magic shows, seminars, workshops, CMEs, 

exhibitions, hand-bills and pamphlets are distributed to generate awareness. 

Expenditure on pamphlets during 2008-09 has been proposed as:- 

� Posters : Rs.20000/- 

� Pamphlets : Rs.20000/- 

� Newsletter (Report Qtrly) : Rs.10000/- 

� Handbills : Rs.1000/- 

� Total approx. expenditure : Rs. 51,000/- 

66

6. Media Activities on Cable/Local channel/Radio 

Radio is source of entertainment of common people including slum-dwellers, skilled 

and unskilled laborers. Radio jingles are being broadcasted and shall be continued 

during 2008-09. The expenditure shall be:- 

� Radio jingles on AIR (six months subscription) : Rs. 95000/- 

� Total approx. expenditure : Rs. 95000/- 

7. Documentary/film on TB under RNTCP 

A documentary/short film is also a medium of spreading awareness among masses and 

repeatedly can be broadcasted or displayed on local channels/cinema halls during 

break/public places/schools-colleges etc. It is a one time investment in the making of 

film and could be used for long in IEC promotion. It has been proposed in our meeting 

to shoot a documentary or short film on RNTCP in Chandigarh by some media agency. 

� An approximate expenditure on making a film/documentary: Rs.70,000/- 

� Total approx. expenditure : Rs.70,000/- 

B. Opinion Leaders/NGOs for advocacy 

1. Sensitization meetings: Four meetings /workshops has been proposed to be organized for NGO advocacy. 

Total approx. expenditure : Rs. 8000/- 

2. Media Activities (News Paper Advts): Two advertisements has been decided to publish in News Paper for 

awareness generation using print media in year 2008-09. 

Total approx. expenditure: : RS 25000/- 

3. Information Booklets/broucher for NGOs: It has been decided to print information booklets and 

broucher for NGOs for awareness generation and their involvement under RNTCP during year 2008-09. 

Total approx. expenditure: : Rs 3000/- 

4. World TB Day Celebration: For the celebration of World TB Day, several activities have been planned 

for the generation of awareness by involving people from every strata, young masses, NGOs, PPs, other 

sectors etc. An approx. expenditure of Rs 30,000 is required. 


5. Any other event (workshop for Municipal councilors): It has been proposed to convene a meeting of 

Municipal Councilors so as to sensitize them about various facets of RNTCP to enable them to further 

interact with people in their wards. As councilors are the opinion or popular leaders so they can better work 

for mass advocacy after sensitization. 


67

Item 

C. Health Care Providers- Public and Private: 

1. CMEs Interaction meetings, One to one Interaction meetings: Four meetings (CMEs and One to one ) 

have been planned for the year 2008-09 with an expenditure of Rs 40000/-. 

Total approx. expenditure : Rs 40000/- 

2. Printable PPM IEC material: It has been decided to gift PPs and NGOs with PPM Diary , PPM Kit, 

Wooden/Fibre Plaque, Paper weights, Table top paper holder containing the TB message as a token of 

memento for their contribution and further promotion of programme. Following things have been listed: 

� PPM Diary : Rs. 50000/- 

� PPM Kit : Rs.25,000/- 

� Wooden /Fibre Glass : Rs.25000/– 

� Total approx. expenditure: : Rs. 1,00,000/- 

5. Equipment Maintenance: 

Computer 

(Maintenance includes 

AMC, software and 

hardware upgrades, 

Printer Cartridges 

and Internet 

expenses) 

Photocopier (includes 

AMC, toner etc.) 

No. 

actually 

present 

in the 

state 

Amount 

actually 

spent in 

the last 4 

quarters 

Fax 1 - - 

OHP 1 - - 

Binocular 

Microscopes 

STDC/IRL 

Equipment 

Any Other (pl. 

Specify) 

Repair of LCD 

Projector 

Amount 

Proposed for 

Maintenance 

during 

current 

financial yr. 

68 

Estimated 

Expenditure 




is being 

submitted 

(a) (b) (c) (d) (e) 

Justification/ Remarks for 

(d) 

2 0.23 0.27 lacs 0.15 lacs The cost of Rs.0.15 

lacs includes- AMC 

(Comp)-0. 05 lacs 

Proc. Cart.- 0.11 lacs 

1 

0.10 0.75 0.15 lacs The cost includes 

AMC of photocopier, 

procurement of toner 

and copy cartridge as 

per CTD norms 

- 

The fax machine is in 

order but non- 

- 

functional due nonavailability 

of facility 

of STD on telephone. 

- 

21 0.16 0.22 0.32 Cost of AMC of BM’s 

1 0.12 - 

- 

Total 0.77 

- 

0.15 Cost of repair of LCD 

if occurs.

6. Training: 

Activity 

No. in the 

state 

No. 

already 

trained 

in 

RNTCP 

No. planned to be 

trained in RNTCP 

during each quarter 

of next FY (c) 

Q1 Q2 Q3 Q4 

69 

Expenditure 

(in Rs) 


current 

financial 

year 

Estimated 

Expenditure 


financial 

year 

(Rs.) 


remarks 

(a) (b) (d) (e) (f) 

Training of 1 1 - 1 - - 20000 0.20 Up date 

DTOs (at 

National level) 

Training 

continuous 

process 

Training of 2 2 - - 2 - 15000 0.20 Up date & 

MO-TCs 

Training to 

MO-STC 

(for TUs 

Training of 141+1000 141 6 - 6 - 62000 0.25 

proposed in 

the SAAP) 

12 MOs 

MOs (Govt + 

Non-Govt) 

+151 

training for 

5 days 

would cost 

Rs. 0.25 

lacs as per 

training 

norms. 

Training of LTs 13 13 6 - - - 15000 0.05 6 LTs 

of DMCs- Govt 

+ Non Govt 

training 

would cost 

Rs. 0.05 

lacs as per 

training 

norms. 

Training 

MPWs 

of 86 - - - - - - - - 

Training of 89 46 - 10 - - 10000 0.05 10 MPHs 

MPHS, 

pharmacists, 

nursing staff, 

BEO etc 


5 days 

would cost 

Rs. 0.05 

lacs as per 

training 

norms. 

Training 

Community 

Volunteers 

of 63 - - - - - - - - 

Training of Pvt 

Practitioners 

200 100 - - - - 57000 - -

Other trainings 

(EQA)) 

Up date 

training of MOs 

( Sensitization ) 

Up date - 

Training of LTs 

of DMCs 

(Sensitization) 

Up date- 

Training of 

MPWs 


Up date- 


MPHWS, 

pharmacists, 

nursing staff, 

BEO 


Up date- 


CVs 


Up datetraining 

of Pvt 

Practitioners 

(Sensitization 

) 

- 

- 

150 131 

14 - 

20 - - - 23000 0.20 2 days 

update 

EQA 


20 

participants 

would cost 

Rs. 0.20 

lacs as per 

training 

70 

norms. 

10 10 10 10 1,60,000 0.22 Retraining 


40 MOs 

consisting 

of 2batches 

of 10 each 

would cost 

Rs. 0.22 

- - - - - - 

lacs as per 

training 

norms. 

- 

86 - - 12 - 25000 0.13 12 MPWs 

will be 

imparted 

training 

course 

which 

would cost 

0.13 lacs as 

per training 

norms. 

89 46 - 6 6 - 10000 0.10 12 

participants 

will be 

63 - - - - - - - 

imparted 2 

days 

training 

which 

would cost 

0.10 lacs as 

per training 

norms 

- 

200 100 - 20 - - 15000 - -

TB/HIV 


MO-TCs and 

MOs 

TB/HIV 


STLS, LTs , 

MPWs, MPHS, 

Nursing Staff, 

Community 

Volunteers etc 

TB/HIV 

Training of STS 

Provision for 

Update 

Training at 

Various 

Levels # 

Review 

Meetings at 

State Level 

Any Other 

Training 

Activity 

243 223 - - 223 - 15,000 0.80 1 day 

training of 

223 

participants 

would cost 

Rs. 0.80 

500 - - - - - - - 

lacs as per 

training 

norms. 

- 

7. Vehicle Maintenance: 

Type of 

Vehicle 

Four 

Wheelers 

Two 

Wheelers 

Number 

permissible 

as per the 

norms in 

the state 

- - - - - - - - - 

Number 

actually 

present 

Amount 

spent on 

POL and 

Maintenance 

in the 

previous 4 

quarters 

Expenditure 

(in Rs) 


current 

financial 

year 

71 

4000 

4,79,000/- 

Estimated 

Expenditure 




is being 

submitted 

(Rs.) 

0.04 

(a) (b) (c) (d) (e) (f) 

1 Nil - - - 

2.24 lacs 

Quarterly 

review 

meeting @ 

1000/- 

each. 

Justification/ remarks 

The four wheeler of 

State Health Society 

RNTCP, Chandigarh 

has been condemned 

and auction has been 

made. 

2 +1* 2 0.16 0.45 0.50 Rs. 0.50 lacs has been 

budgeted on the basis 

of rise in prices of POL 

&Maintenance of two 

2 wheelers and reimbursement 

of POL 

Charges to STS/STLS

8. Vehicle Hiring*: 

Hiring of 

Four 

Wheeler 

For STC/ 

STDC 

Number 

permissible 

as per the 

norms in the 

state 

Number 

actually 

requiring 

hired 

vehicles 

Amount 

spent in 

the 

prev. 4 

qtrs 

72 

Expenditure 

(in Rs) 


current 


Estimated 




being submitted (Rs.) 

(a) (b) (c) (d) (e) (f) 

- 

- - - - - 


remarks 

For STO 1 1 2.02 2.10 lacs 2.10 lacs Hiring of 

1 vehicle 

for State 

TB Cell 

for 25 days 

in a month 

@ Rs. 

700/- per 

day would 

cost Rs. 

2.10 lacs 

for the 

year 2007- 

08 

For MO- 

TC 

2 2 1.03 1.17 lacs 1.17 lacs 

Total 3.27 lac 


another 

vehicle for 

2MOTCs 


each @ Rs. 

700/- per 

day i.e. 14 

days in a 

month 

would cost 

Rs. 1.17 

lacs for the 

year 2007- 

08.

9. NGO/ PP Support: 

Activity No. of 

currently 

involved 

in 

RNTCP 

in the 

state 

NGOs involvement 

scheme 1 


scheme 2 


scheme 3 


scheme 4 


scheme 5 


unsigned 

Private practitioners 

scheme 1 


scheme2 


scheme 3A 


scheme 3B 


scheme 4 

Additional 

enrolment 

planned 

for this 

year 

Amount 

spent in 

the 

previous 

4 

quarters 

73 

Expenditure 

(in Rs) 


current 

financial 

year 

Estimated 

Expenditure 


financial 

year 

(Rs.) 

(a) (b) (c) (d) (e) (f) 

8 - 


remarks 

10 15 0.09 0.10 0.12 50 TB 

patients 

are likely 

to 

cured 

be 

during the 

year 2008- 

09 

the 

under 

- - 

- 

scheme 2 

- 

- - - - 

- - - - 

- - - - 

- - - - 

? ? 0.60 0.58 0.63 250 TB 

patients 

are likely 

to be 

cured 

during the 

year 2008- 


Total 0.75 lac

10. Miscellaneous: 

Activity* 

e.g. TA/DA, 

Stationary, 

etc 

Amount 

permissib 

le as per 

the norms 

in the 

state 

Postage Not 

Budgete 

d 

Amount 

spent in 

the 

previous 4 

quarters 

Expenditure 

(in Rs) 


current 

financial 

year 

74 

Estimated 

Expenditure 



(Rs.) 

(a) (b) (c) (d) (e) 


0.22 0.22 0.25 Exp. is based on 

postage exp. to be 

incurred during 

the period. 

TA/DA -do- 0.25 0.33 0.36 Exp. of Rs. 0.36 

lacs has been 

budgeted against 

TA/DA to Regular 

Staff/ Contractual 

Staff 

Stationery -do- 0.53 0.45 0.50 The cost of Rs. 0.50 

lacs has been 

budgeted against 

procurement of 

Stationery Items 

like photocopy 

Rims ,folders, 

pens, files etc. 

Others -do- 1.56 1.60 1.89 Other expenditure 

includes Telephone 

exp., procurement 

of equipment and 

small items other 

than stationery i.e. 

furniture etc., 

Exp. on weekly/ 

monthly meeting of 

RNTCP staff and 

procurement and 

allied items. 

Total 2.00 lac 2.56 lac 2.60 lac 3.00 lacs

11. Contractual Services: 

Category of 

Staff 

No. 

permissible 

as per the 

norms in the 

state 

No. 

actuall 

y 

present 

in the 

state 

No. 

planned to 

be 

additionall 

y hired 

during this 

year 

75 

Amount 

spent in 

the 

previous 

4 

quarters 

Expendit 

ure (in 

Rs) 

planned 

for 

current 

fin. year 

Estimate 

d 

Expendit 

ure for 

the next 

financial 

year 

(Rs.) 

(a) (b) (c) (d) (e) 

TB/HIV Coord. 1 - - - - - - 


remarks 

Urban 

Coord. 

TB 

- - - - - - 

MO-STCS 1+1 1 - 2.31 2.32 4.35* 19800 x 6 = 

118800/- 

20700x6 

124200/- 

= 

Total 

2.43,000/- 

= 

(inclusive of 5% 

enhancement) 

*Subject to 

approval of one 

post of M.O. in 

upgraded G.H. 

to the level of 

Medical 

College 

(Rs.@16000/x12 

months= 

Accountant 1 1 - 1.90 1.93 2.03 

1.92,000/- 

16500 x 6 = 

99000/- 

17250x6 = 

103500/- 

Total = 202500/- 


enhancement) 

State IEC 1 1 - 0.82 1.93 1.86 15000 x 4 = 

Officer 

60000/- 

15750x8 = 

126000/- 

Total 

1,86,000/- 

= 


enhancement) 

Pharmacist 1 1 - 1.08 1.09 1.15 9350 x 6 = 

56100/- 

9775 x6 = 

58650/- 

Total 

1,14,750/- 

= 


enhancement) 

Secretarial Asst 1 1 - 0.89 0.90 0.95 7700x 

46200/- 

6 = 

MO-DTC* - - - - - - 

8050x6 = 

48300/- 

Total = 94,500/- 


enhancement) 

-

STS 2 2 - 1.63 1.93 1.94 1 STS @ 8250 

and 8625 for 6 

months each= 

Rs. 101250/- 

IInd STS @ 

7500/- and 

7875 for 5 and 

7 months 

respectively 

=92625/- 

Total 

1,93875/- 

= 


enhancement) 

STLS 2 2 - 1.80 1.93 2.03 8250 x2x6 = 

TBHV 10 10 - 8.20 8.64 9.00 

99000/- 

8625x2x6 

=103500/- 

Total = 202500/- 


enhancement) 

7350 x10x6 = 

441000/- 

7650x10x6 

=4,59000 

Total = 900000/- 


enhancement) 

DEO 1 1 - 0.89 0.90 0.95 7700x 

46200/- 

6 = 

Accountant – - - - - - - 

8050x6 = 

48300/- 

Total = 94,500/- 


enhancement 

- 

part time 

Contractual LT 6 6 - 2.11 5.87 5.03 7150 x2x6 = 

85800/- 

7475x2x6 = 

89700/- 

6825/- x4x12= 

327600/- 

Total = 

5,03,100/- 


enhancement 

Driver - - - - - - - 

Any other 

contractual post 

approved under 

RNTCP (TA/DA 

for Contractual 

Staff & Public 

Advt.) 

2 STLS 

1 STS 

1 

TBHV 

- - - - 1.80 

0.90 

0.81 

76 

Total 33.02 

Proposal has 

been sent for 

opening of TU 

in slum and up 

gradation of 

G.H. to the level 

of Medical 

College.

12. Printing: 

Activity 

Printing-State 

level:* 

Printing- Distt. 

Level:* 

Amount 

permissible 

as per the 

norms in 

the state 

Amount 

spent in 

the 

previous 4 

quarters 

77 

Expenditure 

(in Rs) 


current 


Estimated 

Expenditure for 

the next 



is being 

submitted 

(Rs.) 

(a) (b) (c) (d) (e) 

Not 

budgeted 


remarks 

2.56 lacs 1.50 lacs 2.12 lac Stated as 

under with 

justification. 

- - - - - 

* Please specify items to be printed in this column 

� The item wise cost of printing material is as under:- 

Name of Item Cost(estimated) 

Rs. In lac 

PHI Forms 0.12 

Referral Patients Transfer Forms 0.15 

Referral Forms 0.15 

Treatment Cards 0.30 

Lab. Forms 0.30 

Patient Identity Cards 0.15 

Visiting Book 0.20 

Training Material 0.50 

RBRC Forms 0.15 

EQA forms 0.10 

Total Cost 2.12 lacs 

Justification:- Due to the high rate of Chest Symptomatic cases and referral cases 

in Chandigarh, the requirement of various forms (as stated above) is on higher side. 

Therefore, the budget of Rs. 2.12 lac is required under the Head ‘ Printing’. 

13. Research and Studies (excluding O.R. in Medical Colleges): 

Any Operational Research projects planned (Yes) 

The Project has been discussed with the Department of Community Medicine, PGIMER. 

The base line of involvement of PPM was done by the Department in Sep.’2003 when 

PPM Project was not launched. Now, as the PPM Project has been launched since 

Sept’2003, the topic of “Operational Research” has been proposed to be time scale 

involvement of PPM in 4 years under RNTCP. 

Estimated Total Budget :- Rs. 2.00 Lac 

14. Medical Colleges

Activity 

Contractual Staff: 

� MO-Medical College 

(Total approved in state 

_2__ ) 

� STLS in Medical Colleges 

(Total no in state _2__ ) 

� LT for Medical College 

(Total no in state __2_ ) 

� TBHV for Medical 

College (Total no in 

state_2__) 

� D.E.O. for ZTF 

( Total no. in 

State_1___) 

Research and Studies: 

� Thesis of PG Students 

� Operations Research* 

Travel Expenses for attending 

STF/ZTF/NTF meetings 

IEC: Meetings and CME 

planned 

GMCH-32-------0.50 lacs 

PGIMER---------0.50 lacs 

Equipment Maintenance at 

Nodal Centres 

Additional increment @ 5% on 

basic rate of salary for six 

months i.e. from Oct.2007 to 

March 2008 

Amount 

permissible as per 

norms 

78 

Estimated Expenditure 

for the next financial 

year(Rs.) 

(a) (b) (c) 

3.84 lacs 

(16000/- p.m. 

for 12 months 

for 2 MOs) 

1.80 lacs 

(7500/- p.m. 


for 2 STLS) 

1.56 lacs ( 

6500/- p.m. 


for 2 LTs 

1.62 lacs ( 

6750/- p.m. 


for 2 TBHVs) 

** Any Operational Research projects planned (Yes) 

4.32 lacs 

1.76 lac 

1.80 lac 

0.81 lac 

a. lacs 


Exp. is inclusive of 

5% increment from 

Oct.,2008 to March 

2009 and as per 

the D.O.J ( after 

completing one 

year. ) 

-do- 

-do- 

-do- 

-do- 

0.72 lac ( 

6000/- p.m. 


for DEO-ZTF 

- - ** Mentioned below 

0.50 lac STF/ZTF 

Workshops planned. 

1.00 lac Sensitization 

training to Doctors, 

Resident Doctors, 

Faculty members 

and Para medical 

staff of 2 Medical 

Colleges 

imparted. 

will be 

0.20 lac AMC of computer 

installed in Nodal 

Centre, PGIMER 

.Procurement of 

Inclusive in the 

Toner Cartridge of 

Computer. 

Calculated on the 

cost stated above. basis of revised 

guidelines 

RNTCP Phase-II 


Total 12.42 lac 

1. Utility of generic and disease specific health related quality of life instruments as outcome measures for TB patients 

treated under RNTCP under- Dr.Ashutosh Aggarwal, Pul. Medicine, PGIMER, Chandigarh approved by CTD, New 

Delhi.

2. Assessment of RNTCP strategy of FNAC diagnosis (at 2 weeks and 6 months duration) for peripheral tubercular 

lymphadenitis. Chief Investigator (Co-ordinator Dr.S.K.Jindal, Prof. & HOD, Pul. Medicine) 

3.Prevalence of Tuberculosis in Distt. Roop Nagar, Punjab (Dr.Dheeraj Gupta, Pulmonary Medicine, PGIMER, 

Chandigarh. 

No funds are required. 

15. Procurement of Vehicles: 

Equipment No. actually No. planned Estimated Expenditure for Justification/ 

present in for 

the next financial year for remarks 

the state procurement which plan is being 

this year submitted (Rs.) 

(only if 

(a) 

permissible 

as per norms) 

(b) (c) (d) 

4- Wheeler Nil No - Funds are 

not required 

for further 

2-wheeler - - - 

procurement. 

- 

15. Procurement of Equipment: 

Equipment No. actually 

present in the 

state 

No. planned 

for this year 

(only as per 

norms) 

79 

Estimated 




being submitted (Rs.) 


remarks 

(a) (b) (c) (d) 

Computer 2 - - Already 

procured. 

Funds are not 

required. 

Photocopier 1 - - -Do- 

OHP 1 - - -Do- 

Any Other- PA 1 

System 

1 - -

Section D: Summary of proposed budget for the state – 

Category of Expenditure Budget estimate for the coming 

FY 2008 - 2009 

(To be based on the planned 

activities and expenditure in Section 

C) 

1. Civil works 0.54 

2. Laboratory materials 5.73 

3. Honorarium 1.00 

4. IEC/ Publicity 5.35 

5. Equipment maintenance 0.77 

6. Training 2.24 

7. Vehicle maintenance 0.50 

8. Vehicle hiring 3.27 

9. NGO/PP support 0.75 

10. Miscellaneous 3.00 

11. Contractual services 33.02 

12. Printing 2.12 

13. Research and studies 2.00 

14. Medical Colleges 12.42 

15. Procurement –vehicles - 

16. Procurement – equipment - 

17. * Additionalities of Requirement under NRHM 

2.73 

Total 75.44 

80

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME 

81

Project Implementation Plan National Vector Borne Disease Control 

Programme UT-Chandigarh for the year 2008-2009 

INTRODUCTION 

The Union Territory, Chandigarh came into being during Nov-1966. The National Vector Borne 

Disease Control Programme is being implemented since then. It has an area of 114 Sq. K.M. the 

population of Chandigarh is 10.00 lacs. It is being administered by the Union Govt through an 

Administrator and assisted by an Adviser, Administrative Secretaries and a team of other 

Officers. The Health Secretary, Chandigarh Administration is the in-charge of Health Services 

which are being monitored by the Director Health Services, UT-Chandigarh. The Director Health 

Services is further assisted by the Assistant Director Malaria-cum-State Surveillance Officer and 

the Anti Malaria Officer-cum-State Nodal Officer (IDSP) for effective implementation of the 

National Vector Borne Disease Control Programme in Chandigarh as per guidelines of Govt. of 

India. 

There are 22 villages in and around the periphery of the city situated at a distance of half Km 

from the urban fringe area. All the villages are connected with roads & there is a provision for 

water , electricity and sewerage system. The Union Territory, Chandigarh is built in an 

architectural plan which is considered one of the best plan for all practical purpose. Among the 

medical facilities available in Union Territory, Chandigarh there is premier institutes like PGI, 

GMC & GMSH-16, Chandigarh. Besides this there is a wide network of dispensaries 

(Allopathic, Homeopathic and Ayurvedic) located almost in all the sectors. The health care units 

are further extended in the form of CHC/ Poly clinics in Union Territory, Chandigarh. 

1.1 Situation analysis of the disease 

The malaria is endemic in this region whereas the other vector borne diseases like Dengue has 

also been reported from this area. No case of JE/Chikungunya has so far been reported in Union 

Territory, Chandigarh. 

MALARIA 

Objectives 

Reduce malaria morbidity and mortality by 50% by 2012 (baseline 2006). 

Targets & Indicators 

Targets 

� ABER over 10% 

� API 1.3 or less 

� 25% reduction in morbidity and mortality due to malaria by 2010 and 50% by 2012. 

1.2 Indicators 

� Percentage of blood smears examined from population under surveillance during the 

year. 

� Number of laboratory confirmed malaria cases per 1000 population (API). 

� Number of malaria deaths per 100,000 polulation. 

1.3 Strategies 

The basic approach for vector borne disease control involves a strategy directed against the 

parasite and vector, and to enlist involvement of community in practicing various preventive 

measures. Based on this concept following major strategy is proposed to be adopted under the 

National Vector Borne Disease Control Programme. 

82

1.4 Disease Management 

� Early case detection and complete treatment. 

� Strengthening of referral services. 

� Epidemic preparedness and rapid response. 

1.5 Integrated Vector Management (For Tansmission Risk Reduction) 

� Indoor Residual Spraying in selected high risk areas. 

� Use of Larvivorous fish. 

� Anti larval measures in urban areas including biolarvicides. 

� Minor environmental engineering. 

1.6 Supportive Interventions : 

� Behavious Change Communication. 

� Public Private Partnership and Inter-sectoral convergence. 

� Human Resource Development through capacity building. 

� Implementation of civic bye laws. 

� Monitoring and evaluation through periodic reviews / field visits and web based 

Management Information System. 

� Occasion specific IEC activities at Roundabout and Bus Shelter. 

1.7 LONG TERM ACTION PLAN FOR THE CONTROL OF 

DENGUE AND CHIKUNGUNYA 

The National Vector Borne Disease Control Programme, Union Territory, Chandigarh has 

already chalked out a Long Term Action Plan for prevention and control of Dengue & 

Chikungunya for the year 2007. The strategy was framed on the basis of guidelines given by 

GOI. The objectives, targets, strategies and modalities to improve efficiency and quality of 

services are as under: 

1.8 Objectives 

� To prevent mortality due to dengue/DHF. 

� To reduce morbidity due to dengue/DHF. 

Target: 

� To reduce morbidity & mortality due to DHF 

1.9 Indicators 

Case fatality rate associated with dengue/DHF. 

� Frequency of outbreaks 

1.10 Strategies: 

The basic components of dengue control strategy for dengue fever/DHF are: 

� Effective disease & vector surveillance. 

� Selective & stratified integrated vector control through community participation & intersectoral 

coordination. 

� Emergency preparedness & response. 

� Clinical diagnosis & prompt management. 

� Capacity building / Training. 

� Operational research on vector control, laboratory diagnosis & case management. 

1.11 Modalities to improve efficiency & quality of services 

Effective strategy implementation through: 

� Strengthened referral services. 

� Intensification of vector surveillance at sentinel sites. 

� Implementation of civic bye laws. 

� Declaring dengue a notifiable disease. 

� Standard treatment protocol for case management. 

� Develop epidemic preparedness & response teams at district level. 

� Intensification of BCC interventions at grass root level. 

83

� Effective IEC campaign to make programme broad based and initiate community 

empowerment and mobilization 

� Efficient manpower development through trainings 

� Networking with other health care service providers in public/private sector. 

� Occasion specific IEC activities at Roundabout and Bus Shelter. 

In order to take the emergency Vector Control Measures the following requirements are 

proposed: 

Sr.No. Component Qty Cost 

1. Fogging machines 2 - 

2. Diagnostic kits 10 - 

3. ELISA Reader - - 

4. IEC & BCC - - 

84

1.12 Outbreak of Dengue and institution of control measures 

During the year 2006, the National Vector Borne Disease Control Programme, Union Territory, 

Chandigarh has witnessed a dengue outbreak. As many as 182 cases of dengue were detected in 

Chandigarh. Epidemiologically speaking it was a major outbreak. Although the adjoining areas 

of Punjab (SAS Nagar-Mohali and Roop Nagar) and Haryana (Panchkula & Ambala) were 

equally affected because of the dengue outbreak. 

However timely intervention & institution of emergency control measures could help the deptt in 

reducing the morbidity due to Dengue. It may be stated that no death due to dengue was reported 

from Union Territory, Chandigarh. On the basis of the previous experience gained during the 

year 2006, a Long Term Action Plan for prevention and control of Dengue & Chikungunya was 

prepared and the National Vector Borne Disease Control Programme, Union Territory, 

Chandigarh is strictly adhering to the strategy for effective implementation of the programme. 

1.13 JAPANESE ENCEPHALITIS 

The epidemiological data shows that no case of JE has been reported in Chandigarh. However 

the objectives/ targets/ indicators as set will be fulfilled with the available resources as per 

guidelines of Govt. of India. guidelines of Govt of India. 

1.14 KALA AZAR ELIMINATION PROGRAMME 

No case of Kala Azar for Union Territory, Chandigarh has been reported. However, the 

objectives, targets & indicators will be fulfilled as per guidelines of Govt. of India. 

However a brief account of the epidemiological data of all vector borne diseases is placed at 

Annexure “A”. 

2. Specific constraints for implementation of programme 

Among the Specific constraints for implementation of programme the following categories of the 

constraints have been observed: 

2.1 Administrative 

2.2 Requirement of the field staff 

As per norms of Govt. of India, the following categories of the staff have been sanctioned for 

Union Territory, Chandigarh since inception. Since then the geographical area have increased 

tremendously, therefore the major constraints which is being felt at the moment is requirement of 

the staff for carrying out various operational activities for Prevention and control of vector borne 

diseases in Chandigarh. A brief account of the staff strength along with the budget provision is 

enclosed which is placed at Annexure “B”. 

2.3 Requirement of additional staff strength on seasonal basis 

Since for the last 4-5 years the dengue cases are being reported in different areas of Chandigarh. 

The staff strength on seasonal basis which is quite less as compared to the account of work to be 

carried out in the field. With the increase in the multi-story houses in Chandigarh especially in 

Phase-II area of the city need additional staff strength on seasonal basis for ensuring complete 

checking of Mosquito genic situation. It is therefore proposed that the additional staff strength 

for a period of 6 months is required to be increased and the budget grant for the same is enclosed 

along with this proposal. 

2.4 Involvement of Private Practitioners 

Great difficulty is being experienced in involving the Private Practitioners. Although steps have 

been taken to involve the Private Practitioners but desired results are not coming. The specific 

constraints for implementation of all the programmes under this system that no special assistance 

is being provided for involving the Private Practitioners in terms of making arrangements for 

collection of reports & carrying out other activities for implementation of the programme to the 

greater extent. Minimum two helpers will be required for collection of reports and for 

undertaking other activities. 

85

2.5 Enhancement of the budget grant 

The Union Territory, Chandigarh is receiving the grant-in-aid from GOI under Urban Malaria 

Scheme to the tune of Rs.26.00 lacs. This grant-in-aid is required to be enhanced due to increase 

in the cost of insecticide/ larvicide’s and other materials required to carry out the field 

operations. It is therefore proposed that the grant-in-aid for the year 2008-09 may kindly be 

increased as per Annexure “C”. 

3. Prioritization of the areas including the criteria of Prioritization 

Prioritization will be the slums / Labour colonies and other areas where the incidence of Vector 

Borne Diseases is being reported. The Prioritization will be the prevention of death due to 

Malaria and other Vector Borne Diseases and reduction in the morbidity and mortality. 

Although among the various vector borne diseases which have been reported from Union 

Territory, Chandigarh, Malaria has remained always focal point but over the years the cases of 

Dengue have also been come on the surface of health scene of Union Territory, Chandigarh 

during the year 2006. 

There was a major outbreak of Dengue in Union Territory, Chandigarh during 2006 as 182 

numbers of cases of Dengue were reported. However during the year 2007, 92 numbers of cases 

of dengue have been reported which becomes a priority disease for containment purpose. Among 

the geographical priority the entire urban and semi-urban areas of Union Territory, Chandigarh is 

dotted with expansion of un-authorized slums and labour colonies. These areas have become the 

priority area for instituting the Prevention and control measures of vector borne diseases 

including Malaria, Dengue, JE & Chikungunya. The entire action plan will involve in its 

implementation by carrying out various activities in the urban areas with major thrust in the rural 

as well as slum area of Chandigarh. However depending upon the epidemiological situation, 

trends & the pattern of the disease the prioritization of the geographical area will be considered 

for implementation purpose. 

4. Strategy and innovations proposed 

4.1 Maintenance of roundabout 

The National Vector Borne Disease Control Programme, Union Territory, Chandigarh has 

already maintained one roundabout at the intersection of Sector 18/19/20 & 21. This roundabout 

is being utilized exclusively for propagating the message on Prevention and control of vector 

borne diseases including Malaria, Dengue, JE & Chikungunya. The initial account for the 

maintenance of the roundabout given by GOI to the tune of Rs.1.35 lakhs. Later on during every 

meeting, review meetings & other presentations made under National Vector Borne Disease 

Control Programme, GOI. It was projected that minimum budget for the maintenance of 

roundabout to the tune of Rs.0.50 lakhs exclusively to be used for maintenance of the roundabout 

and also for carrying out various health and awareness programmes. 

4.2 Bus Shelter for IEC Activities 

From the year 2006, another innovative activity has been carried out by the National Vector 

Borne Disease Control Programme, Chandigarh that is the allotment of Bus Shelter in Sector 

18/21. Bus Shelter is an innovative venture and a progressive thought for carrying out the IEC 

activities in a different manner. During the entire month of June & July, various sign boards, 

processions, Advocacy workshops, flag march etc were carried out at this place. Approximately 

an amount of Rs.0.50 lakh was spent. Not only this, the coverage by the press and appreciation 

of the public has encouraged the deptt for highlighting the IEC messages on Prevention and 

control of vector borne diseases on different occassions. 

4.3 Involvement of transporters in reducing the Aedes mosquito genic potential in Motor market 

and Scooter market 

The National Vector Borne Disease Control Programme, Union Territory, Chandigarh organized 

health awareness camp for Prevention and control of Malaria, Dengue, JE & Chikungunya in 

Motor Market and Scooter Market of Chandigarh. The enthusiastic response was received from 

the community, mechanics, owners of the tyre markets and scooter markets. This was done on 

the experimental basis during the year 2006. It is proposed that such type of awareness camps 

will continue to be held at periodical intervals in the year 2008-09. 

86

5. Requirement for commodity as per technical norms and considering balance of Stores 

In order to carry out the field operations the commodity in the form of Anti Malarials, Anti 

Malaria Drugs, larvicides chemical and equipments will be required. The requirement of 

commodity has been chalked out as per technical norms by considering balance of stores 

including the consumption capacity. 

87

The following commodity shall be required for the year 2008-2009. 

Anti Malaria Drugs 

S.No Name of the Item Quantity Required 

1 Chloroquine 15,00000 Tab 

2 Primaquine 2.5 mg 10,000 Tab 

3 Primaquine 7.5 mg 30,000 Tab 

4 Paracetamol 2,00000 Tab 

Larvicides / Adulticides 

1 Fanthion 2500 Lts 

2 Batex 2000 Lts 

3 Abate 1000 Lts 

4 Pyrethrum Extract 800 Lts 

5 D.D.T 2 M.T 

Equipments / Lab Items / Kits 

1 Fogging Machines 2 Nos 

2 Diagnostic Kits for Dengue , 

Chikunguniya, JE 

3 Rapid Diagnostic kits for Malaria 100 Nos 

4 Microscope 10 Nos 

Office equipments 

1 Computer 1 

2 Laptop 1 

6. Cash assistance required from centre and unspent balance available with state 

In order to meet the expenditure on various activities the cash assistance will be required from 

Govt. of India. It is further submitted that National Vector Borne Disease Control Programme, 

UT-Chandigarh falls under the centrally sponsored scheme therefore 100% cash assistance 

required for the year 2008-09 is projected at Annexure “C”. 

The National Vector Borne Disease Control Programme, UT-Chandigarh shall enhance the 

capacity building by organizing the Training programme of MPW’s, Sanitary Inspector’s, 

Medical Officers, School teachers, Sector Welfare Associations , NGO’s and member of village 

panchayats. 

7. Assistance for capacity Building and IEC/BCC activities may be incorporated 

Under the National Vector Borne Disease Control Programme, the IEC activities will be 

undertaken at all levels. As per guidelines of Govt. of India, June will be observed as Anti 

Malaria Month and July as Anti Dengue Month. The observance of these two months will be 

undertaken as per guidelines of GOI. However, on the basis of the experience during the year 

2007 various IEC/BCC activities will be carried out in Union Territory, Chandigarh so as to 

propagate the message on prevention and control of Malaria, Dengue, JE and Chikungunya & 

other vector borne diseases in Chandigarh. 

During the year 2008, the IEC activities will continue as a support service, behavior Change 

Communication (BCC) will be introduced as a process of learning that empowers people to take 

rational and informed decisions through various activities to be undertaken under BCC. 

Necessary activities to change the mindsets of the people leading to a modified behavior of the 

public so that the Mortality and Morbidity due to vector borne diseases in Chandigarh is 

checked. 

The activities will also be carried out for mobilization, community awareness and participation 

by all stake holders in prevention and control of Malaria, Dengue, Kala Azar, JE and 

Chikungunya. The following specific objectives under BCC campaign will be followed: 

� To enhance the awareness under transmission risk of vector borne diseases 

� To increase the knowledge regarding treatment of availability of services. 

� To promote the attitudinal and value changes among the target audiences. 

88 

Dengue - 10 Nos 

Chikungunya – 2 Nos 

JE - 2 Nos

The net result of all the above mentioned activities will be in favour of community so that 

informed decision, the modified behavior & quality prevention and care system is made available 

to the public. The following strategy will be followed up : 

� Advocacy 

� Intersectorial Convergence 

� Communication 

� State specific IEC activities. 

As per guidelines of Govt. of India IEC/BCC activities will also be carried out during the year 

2008-09. The IEC/BCC activities will include holding of : - 

� Advocacy workshops 

� Awareness camps 

� Group meetings 

� Messages on AIR. 

� Messages on FM Radio. 

� Organizing of Quiz Contest. 

� Organising an Exhibition of “disease toons”. 

� Preparation of IEC material. 

� Maintenance of Bus Shelter and Round about. 

� Involvement of mechanics, transporters of Motor / Scooter markets of Chandigarh. 

� Inter-sectoral coordination committee meetings. 

� Other IEC activities under NRHM. 

� Other state specific IEC activities as per guidelines of Govt. of India. requirement. 

89

Annexure `A’ 

Epidemiological Data 

A. Malaria 

YEAR B.S.COLL. POSITIVE P.F. ABER API SPR SFR Cases 

Cases 

2003 83814 84 5 9.1 0.09 0.1 0.005 

2004 72367 199 6 7.6 0.02 0.2 0.008 

2005 92694 432 9 9.6 0.04 0.4 0.009 

2006 75901 449 7 7.7 0.4 0.1 0.009 

2007 88207 340 3 8.8 0.3 0.3 0.003 

(Upto Nov-07) 

B. Dengue 

C. Japanese Encephalitis 

D. Kala-Azar 

DENGUE CASES IN CHANDIGARH 

Year Cases Deaths 

2003 - - 

2004 - - 

2005 2 - 

2006 182 - 

2007 99 - 


2003 Nil - 

2004 Nil - 

2005 Nil - 

2006 Nil - 

2007 Nil - 


2003 Nil - 

2004 Nil - 

2005 Nil - 

2006 Nil - 

2007 Nil - 

90

Annexure “B” 

Requirement of field staff under NVBDCP regular / contact basis for 2008-09 

Name of posts No of post 

required 

Chief Malaria/ Surveillance 

Inspector (Regular) 

Malaria/ Surveillance Inspector 

Regular 

Superior Field Worker (MPW) 

Contract 

Field Worker (S.B.) 

Contract 

Lab Technician 

Contract 

Helper 

Seasonal Staff 

Posts 

sanctioned 

91 

Additional 

requirement 

Funds 

required. 

1 --- 1 1,50,000.00 

14 8 6 16,80,000.00 

52 39 13 6,24,000.00 

150 100 50 12,00,000.00 

10 3 7 3,78,000.00 

2 --- 2 72,000.00 

Total:- RS. 41,04,000.00 

Post Sanctioned Period No.of required Funds required 

4 months 6 month For 6 months 

80 63 17 80 Rs. 13.06 Lac

ANNEXURE -C 

REQUIREMENT OF FUNDS UNDER NVBDCP FOR 2008-09 

Expenditure (Financial Performance) – Budget proposal 

A. Malaria 

Items Expenditure Budget Proposal 


1. BCC/I.E.C. /NGOs 5.00 Lac Rs 3.75 Lac 

2. Training/ Camps 5.34 Lac Rs. 3.50 Lac 

3. Operational Costs 16.50 Lac Rs. 18.50 Lac 

Total: - Rs. 26.84 Lac Rs. 25.75 Lac 

B. Dengue/ Chikungunya 

1. Training ------- Rs. 2.00 Lac 

2. IEC/ BCC -------- Rs. 1.75 Lac 

3. Operational Research -------- Rs. 5.00 Lac 

92 

Rs. 8.75 Lac 

Total A& B Rs.34.50Lac

Expenditure (Financial Performance) - Budget Proposal 

2007-08 (Expenditure) 2008-09 (Proposed) 

Malaria 

Drugs 

Diagnostics 

IRS 

Bednet 

Vehicles 

Training (Malaria) 5.34 6.00 

BCC Bal / IEC/ NGOs 5.00 5.50 

Operational Cost 16.50 18.50 

Human Resource 

Establishment (State) 

Quality Assurance 

Impack Evaluation 

ASHA Incentives 

ASHA Facilitator Incentives 

Total Malaria 26.84 30.00 

UMS 

Filaria 

Drugs 

Training 

BCC 

Preparatory activity 

Drug distributor’s Honorarium 

Total (Filaria) 

Dengue Chikungunya 

Grant-in-AID for 

strengthening surveillance 

Grant-in-AID for Training 2,00,000 

Grant-in-AID for IEC/BCC 1.75 

Cost of test kits to ICMR - 

Operational Research 5,00,000 

Total Dengue/Chikungunya 8,75,000 

93

JE 2007-08 2008-09 

Fogging Machine - 2,50,000 

Physiotherapy Equipments - - 

Ventilator - - 

Elisa Kits - 1,50,000 

IEC Material - 2,00,000 

Training - 2,00,000 

Technical malathion - 50,000 

Total JE - 8,50,000 

Kala-azar (only for 4 states) 2007-08(Expenditure) 2008-09(Proposed) 

IRS (DDT) 

SSG 

Amphotericin-B 

Miltefosine 

RK39 

Lab Strengthening 

Case search 

Spray Pumps 

Operational Cost 

Mobility & Supervision 

Capacity Building 

BCC 

Monitoring & Evaluation 

Kala-azar Total 

MPW contractual salary 

Monitoring & Evaluation 

Grand Total 

94

NATIONAL LEPROSY ERADICATION PROGRAMME 

95

PIP FOR NLEP IN, U.T. CHANDIGARH 

FOR THE YEAR 2008-2009 

1. Decentralization and Institutional Development and 

2. Strengthening and Integration of Service Delivery. 

The Government of India has allowed the contractual staff of the District Leprosy 

Society, Chandigarh, for the year 2007-2008 will remain in position till 31 st March-2008 till 

further orders are received. 

7 Leprosy Clinics as well as 12 Drug Delivery centres will continue to function in U.T. 

Chandigarh. 

3. Prevention of Disability and Medical Rehabilitation (DPMR). 

This is a major activity during the year 2008-09 and the 11 th Plan. The main activities 

under this plan will be Training & Procurement of supportive drugs besides MCR 

footwear, splints & appliances. Welfare Allowances for RCS patients are to be increased. 

1. Supply of MCR Footwear, Aids & Appliances to the needy patients will 

continue during the year. 

2. Reconstructive Surgery shall be undertaken in 2008-2009 for the 

suitable patients in the Regional Hospital, Govt. Medical College & Hospital, 

Sector – 32, Chandigarh. 

3. A Referral Centre, PGIMER is already present in Chandigarh and 

will continue to support the leprosy activity in the coming year. 

4. IEC ACTIVITIES 

The following IEC activities will be conducted during the year 2008-09 to 

sensitized the community: - 

1. Electronic Media 

(a) Relay of local messages on ALL India Radio. 

2. Health Mela 

Participation in the Health Melas to be organized by NRHM. 

4. Mega Campaigns, Rallies & School Quiz Competitions 

(a) Two Rallies – one on 2 nd October & one on Anti Leprosy Day 

by including school children and NSS students. 

(b) Inter School Quiz Competitions. 

5. Outdoor / Reminder Media 

� Big Hoardings will be displayed in all exhibitions in Parade Grounds. 

� Small hoarding’s regarding availability of free treatment at health centres & 

reporting centres on electric poles at slum colonies, schools, community 

centres, religious places, anganwari centres. 

� Hoarding’s at round about of Sector – 16, 17, 22 & 23 on Leprosy Free India 

Campaign for one month. 

� Prominent Hoarding at Sukhna Lake (Tourist place) 

� Leprosy Free India Hoarding / Message mounted on hired truck to create 

awareness in Chandigarh. 

96

6. Intensive awareness activities in the slum areas would continue with the help of 

other Health Staff, like Malaria and Sanitary Workers. Handbills / Posters / 

Banners and Miking to create awareness would continue throughout the 

year. 

5. Training 

All the Medical Staff in Chandigarh has already been trained in leprosy. 

Further the following training activities would take place in 2008-09: - 

1. DPMR training of Medical Officers. 

2. One day Training to ANM’s/DOT workers/AIDS Counselors. 

3. One day training of CME/IMA Chandigarh branch. 

4. One day training to General Medical Practitioners from Urban Slums. 

97

Budget Estimates of Leprosy Programme (NRHM-Chandigarh) 

for the year 2008-2009 

Contractual Services 

MO - I @ Rs.18000/- p.m. 216000 

NMS - I @ Rs.7500/- p.m. 90000 

PMW's - II @ Rs.6000/- each 144000 

Driver - I @ Rs.5000/- p.m. 60000 

DEO - I @ Rs.7500/- p.m. 90000 

Accountant+Computer Operator 60000 660000 

(part time @ Rs.5000/-pm) 

Professional Services (Audit Fees) 5000 5000 

Supportive Medicines 50000 

Material & Supply 

MCR Footwear @ Rs.400/- x 40 

pairs) 16000 

Aids & Appliances for 10 persons 10000 

RCS @ Rs.5000/- each for 10 

patients 50000 76000 

Welfare of Leprosy Patients 

Patient Welfare Rs.20000/- 20000 20000 

Office Expenses 

98 

50000 

Consumables 50000 

Hiring of Vehicle/POL & Maintenance 70000 

*IEC Activities 340000 

**Training & Workshop 121100 

Review Meetings & Workshops 

Half yearly @ Rs.10000 each 20000 

GRAND 

TOTAL 1462100

S. 

No. 

Activities 

LEPROSY PROGRAMME - NRHM CHANDIGARH 

STATE ACTION PLAN & BUDGET ESTIMATE FOR THE YEAR 2008-09 

1 Contractual Services 

MOs @ Rs. 18000/- p.m. for April-08 to March-09 216000 

NMs @ Rs. 7500/- p.m. for April-08 to March-09 90000 

2 PMWs @ Rs.6000/-p.m. for April-08 to March-09 144000 

DEO @ Rs. 7500/- p.m. for April-08 to March-09 90000 

Drivers @ Rs.5000/- pm for April-08 to March-09 60000 

Accountant+Computer Oper.(part time)@Rs.5000/-p.m. 60000 

… For accounts work & routine office work 

Audit fee 5000 

Total of activity 1 665000 

2 Office Expenses 

SLS @ 50,000/ year 50000 


3 Consumables 

SLS @ 50,000 / year for Stationary 50000 


4 Vehicles Operation & Hiring 

SLS @ 70,000 / year 70000 


5 Supportive Medicines 

SLS @ 50,000 / year 50000 


6 Material & Supplies 

Aids & Appliances for 5 persons - yr./distt. 10000 

MCR footwear @ 400 x 40 pairs / distt. 16000 

Patient Welfare @ 20000/- yr./distt. 20000 

RCS @ Rs.5000/- each for 10 patients yr./distt 50000 


7 IEC* 

IEC activities as per IEC Norms 340000 


8 Review meetings & Workshops 

Half yearly meeting @ Rs.10000/- per meeting 20000 


9 Training** 

Nos. Batches 

1day DPMR Training for Medical Officers 40 1 21300 

1day ANM/DOT workers/AIDS counsellors 60 1 23800 

1day CME/IMA Chandigarh Branch 175 1 50750 

1day for General Practitioners 50 1 25250 


Grand Total of Activities (1+2+3+4+5+6+7+8+9) 1462100 

99 

Amount Proposed 

(In Lakhs)

ANNEXURE - I 

Details of tentative expenditure on IEC activities during 2008-09 

A Electronic Media 

1. Broadcasting Messages on AIR 100000 

(AIR advertisement from April-08 to Feb-09) 

B Health Mellas with National Rural Health Mission (NRHM) 

Medicines 

12 Health Mellas @ Rs.5000/- each 60000 

C Hand Bills & Banners 50000 

D Rallies & Quiz 

1. 2 Rallies on important dates 15000 

2. Interschool Quiz Competitions between 4 schools 15000 

E Outdoor / Reminder Media 

1. 40 Hoardings 100000 

100 

GRAND TOTAL 340000

ANNEXURE - II 

Details of tentative expenditure on training in the year 2008-09 

A One day DPMR Training for MOs 

1 40 Medical Officers 

DA @ Rs.200/- per day (Rs.200 X 40 X 1day) 8000 

2 4 Trainers for 1 day training 


3 Training Material 

44 persons @ Rs.60/- each (Rs.60 X 44) 2640 

4 Refreshment 

54 persons (including DLS, Staff & Leprosy Patients) 4860 

54 persons @ Rs.90/- each (Rs.90 X 54persons) 

5 Miscellaneous Expenses 5000 

101 

TOTAL OF A 21300 

B One day training for ANM's / DOT Workers & 

AIDS Counselors - 60 persons: 

1 60 ANM's/DOT Workers/AIDS Counselors 

DA @ Rs.125/- each (Rs.125 X 60 X 1day) 7500 




64 persons @ Rs.60/- each (Rs.60 X 64) 3840 

2 Refreshment 

74 persons @ Rs.90/- each (Rs.90 X 74persons) 6660 

3 Miscellaneous 5000 

C One day CME/IMA-CHANDIGARH BRANCH 

TOTAL OF B 23800 

1 Training Material For 175 participants 

(175 persons x Rs.100/- each x 1 day) 17500 

2 4 Trainers 


3 Refreshment 

175 persons (175 x Rs.150/- each x 1 day) 26250 

Miscellaneous 5000 

50750

D One day training for GPs (General Practitioners from Urban Slums) 

1 50 General Practitioners 

DA @ Rs.200/- each (Rs.200 X 50 X 1day) 10000 




60 persons @ Rs.60/- each (Rs.60 X 60 x 1day) 3600 

2 Refreshment 

65 persons @ Rs.90/- each (Rs.90 X 65 x 1 day) 5850 

3 Miscellaneous 5000 

TOTAL OF B 25250 

GRAND TOTAL OF TRAINING EXPENSES (A+B+C+D) 121100 

102

NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS 

103

State Blindness Control Society Chandigarh (SBCS) for the year 2008-09 

State Blindness Control Society Chandigarh is committed to undertake all 

the activities under the preview of National Programme for Control of Blindness as per 

guidelines of Govt. of India. The targets set by GOI for UT Chandigarh are achieved 

more than 100% every year. We have already done 5879 cataract operations against 

the target of 7000 up to Jan.2008 which is 84% of the target. Similarly in School eye 

screening programme we have achieved more than 100% (130). To make it a 

comprehensive EYE Care Programme, it covers all the curative & preventive aspects of 

control of Blindness. The various components are being detailed below:- 

1.Free Cataract Surgery Camps 

State Blindness Control Society plans to hold free Eye Camps throughout the year 

spread all over the areas of UT, Chandigarh especially in underserved rural & slum 

areas. Each camp will be held independently by State Blindness Control Society or 

with the collaboration of NGO/Voluntary organizations. The OPD will be conducted 

at one of nearest Govt. Medical Dispensary but operations will be conducted at the 

dedicated O.T. of General Hospital to provide a quality contract surgery with latest 

equipments. All the patients will be given free of cost IOL (Intra Ocular Lenses), 

medicines, diet and spectacles etc. The focus of preference will be on Bilaterally 

Blind persons, women and persons belonging to SC/ST category. The proposed 

date/ month & venue is as follows:- 

S.No Venue Tentative Dates 

1. Maloya Colony April. 2008 

2. Indira Colony May.2008 

3. Khuda LahoraVillage Jun 2008 

4. Kumhar Colony Feb. 2008 

5. Burail Dec. 2008 

6. Kaimbala September 2008 

7. Kajheri October 2008 

8. Ramdarbar November 2008 

9. Hallomajra December 2008 

10. Manimajra January 2009 

11. Dhanas February 2009 

12. MauliJagran March 2009 

The estimated number of contact operation in each camp is 25. 

The total number expected would be 25 x12 =300 

Financial Implications:- 

Total cataract operations expected = 300 

Expediture admissible by GOI @ 750 = 2,25000/- 

GIA to NGO holding 

Eye Camps for 500 operations @ 750/- = 3,75,000/- 

2 School Eye Screening Prgoramme:- 

State Blindness Control Society will launch a campaign for covering the 6 th 7th & 

8 th Class students of Govt. Schools of Rural & Urban Slum schools from October, 


104

The teams from School Health Programme will be sent to various schools The 

referred / selected students will be given prescription of glasses number. State 

Blindness Control Society will provide free spectacles to all such students. 

In addition, NGO/VO will be encouraged to do SES (School Eye Screening) at 

their own level and will be provided spectacles by SBCS. 


Total No of spectacles to be distributed=1000 

Expenditure admissible by GOI @ 125=125000/- 

3 Teacher Training Programme 

State Blindness Control Society will be organizing a workshop for training of 

school teachers for detecting students with defective vision. The trained 

teachers will be provided with Snellen’s chart and measuring tape and referral 

cards. One such workshop of one day each will be organized during the year. 


Total teachers to be trained=175 

No of workshops =2 

Toal expenditure@25000/- =50000/- 

4 Eye Donation 

A fortnight on Eye Donation awareness has been observed from 25 th August to 

8 th September 2008 

Every effort has been made to motivate the public for pledging their eyes for 

donation. Other activities undertaken during this fortnight are as follows 

a. Message from Advisor to the Administrator was published in leading 

Newspapers. 

b. Banners were displayed public places i.e. Bus Stop, Railway Station and 

all the Medical Institutions of Chandigarh including PGIMER, GMCH-32. 

c. OPD Cards in all the dispensaries & hospitals were stamped with 

message on Eye Donation. 

D Advertisement on Eye donation were given on SITI Channel. 


Expeditue on all the above activities =40000/- 

5 World Sight Day 

10 th October 2008 will be observed as ‘World Sight day’ & activities relevant to 

the selected theme by Govt. of India will be arranged for. 


Tentative expenditure=20000/- 

6 IEC 

Various display advertisements will be given in different newspapers in 

English, Punjabi &Hindi on the following subjects:- 

i. Viral Conjunctives (EYE Flue) 

105

ii. Prevention of Injuries ‘Cracker & Bow & Arrow Injuries” during 

festival days i.e. Dusshera, Diwali. 

iii. 4 Exhibitions on Eye diseases will be organized in colonies and 

villages in collaboration with other National Programmes. 

iv. Audio Visual displays in 4 hospitals in waiting halls for patients for 

educating the public. 


Total expenditure =1,00,000/- 

7 Training of Medical Officers:- 

A one day workshop for refreshing and updating the Medical Officers on Eye 

disease will be organized. 

A seminar on Industrial injuries will be held on one big industrial house to make 

the workers aware. 


Total MO to be trained=100 

Total expenditure expected for 2 workshops =10,000/- 

8 Vitamin A Deficiency:- 

With the help of District Family Welfare Deptt., Vitamin A Oral drops will 

be administered to the needy children. 

In addition to the above, any activity aiming at achieving our goal/target will be 

undertaken any time of year. 

106

Projected budget requirement for State Blindness Control Society, 

Chandigarh for 2008-09 

Category of Expenditure/ 

Components 

Free cataract surgery 

107 

Details Budget 

estimate 

for the year 


500 operation @ 750/- each 3,75,000 

School Eye screening 1000 spectacles @ 125/- each 1,25,000 

Programme 

Teachers training Programme 2 workshops total 175 teachers 50, 000 

Grant –in –Aid to NGOs 500 operations @ 750/-each 3,75,000 

Grant –in –Aid to Eye Banks PGI & GMCH-32 @ 5.00 lacs 10,00,000 

Purchase of Ophthalmic For Distt.Hospital, PGI & 10, 00,000 

Equipments 

GMCH 

40, 000 

Eye Donation activities 

IEC & Publicity 1 ,00,000 

Vehicle..hiring maintenance 

20,000 

World Singh Day 20, 000 

Contingency 

a. Office Admn. 

b. Postage 

c. Telephone 

d. Photostat 

e. Honorarium 

f. Misc. 

76,000 

Total 31,81,000

INTEGRATED DISEASE SURVEILLANCE PROGRAMME 

108

Project Implementation Plan IDSP for the year 2008-09 

Introduction 

The IDSP in Chandigarh shall be completing two years of its implementation. During 

these years, the project has moved to another step leading towards efficient working, 

strengthening of surveillance system in a systematic manner and adopting a 

pragmatic approach for establishing early warning signals. In the earlier part of the 

implementation, the IDSP Chandigarh has improved on involvement of stake holders 

and private practitioners. Some gaps in establishing the IDSP lab have also been 

bridged; the renovation of the lab which was started has now reached the completion 

stage and shall start functioning on the receipt of equipments from GOI. The IDSP lab 

shall be further strengthened with the equipments and other technology including the 

additional staff sanctioned from Govt of India. 

Nevertheless, the action plan will definitely lay more stress on collecting surveillance 

reports, data analysis, feed back and maximum use of information technology. 

Capacity building, modification of formats (S, P, L) will be another issue which will be 

given priority in implementation of the project. Certain IEC activities, which have been 

envisaged in the guidelines are likely to be undertaken along with some state specific 

IEC activities and programmes especially suited for Chandigarh environ will also be 

carried out as per guidelines of Govt. of India requirement. In the absence of any IEC 

material with regard to IDSP, as step will be taken by State Surveillance Unit 

Chandigarh to evolve a strategy and prepare IEC material within the availability of the 

budget during the action plan for the year 2008-09. 

The budgetary provisions, the requirement of additional budget, the state share 

contribution will also be given due regards in the action plan. 

Purchase of minor lab equipments, office equipments, furniture and fixture, lab 

material and supplies will also be given priority during implementation of the project. 

A brief account of the action plan is as under:- 

1. Functioning of the IDSP Lab: 

The renovation work in the IDSP lab has since been started and is near completion. 

The functioning of IDSP lab will start as soon as the lab items and other equipments 

are received from GOI. The SSU Chandigarh plans to start the full fledged working of 

the IDSP lab in the early part of 2008. 

2. Minor Lab Equipments: 

As per guidelines / requirement of GOI, minor lab equipments required for day-to-day 

working shall also be procured out of the existing funds available. 

3. Office Equipments: 

As per guidelines of GOI, there is a proposal to equip the IDSP cell with office 

equipments. 

4. Furniture and Fixtures: 

During the year 2008-09 the SSU-IDSP will be strengthened by having furniture and 

Fixture as per minimum requirement. Up-gradation of training hall, False- ceiling, fixing 

of CFL lights, earthing of EDUSAT Network, provision of stair case 

for the cut out for having access to the EDUSAT Dish & Antenna. Similarly, for the 

safety of the EDUSAT room and the equipments an Aluminum door with other fitting will 

109

e undertaken. The office furniture and fixture for the SSU at the Headquarter will also 

be required to be purchased. Approximate expenditure of Rs 2,60,000/- has been 

estimated under the head furniture and fixture. 

5. Lab Material and Supplies: 

As per instruction received from Govt. of India the detailed information with regard to the 

availability / requirement of lab equipments along with capabilities to use the same has 

already been sent to Govt. of India. A detailed account of the budget for procurement of 

Lab material and supplies has been projected separately. 

6. IEC Activities: 

The IEC activities under IDSP will be carried out as per guidelines given in the project. 

The SSU Chandigarh plans to organise sensitization workshop in different places for 

creating awareness about the project and importance of timely reporting of the diseases 

at all levels. There is a proposal to hold the review meetings of the state surveillance 

committee. Press advertisements and preparation of pamphlets, brochures etc will also 

be considered during the year 2008-09. The preparation for TV spots under IDSP shall 

also be considered, if required the GOI shall also be consulted in this regard. Exhibition 

under IDSP for propagating the theme of IDSP shall also be arranged at several places 

in city. The Sentinel Surveillance Unit Chandigarh in consultation with CSU Govt. of 

India may get certain TV spots telecasted in the near future. Similarly messages on 

diseases, early reporting and timely action will also be broadcasted on radio. As a 

special IEC campaign, the banners, posters relating to health activity will be prepared 

and displayed at the round about and bus shelter allotted to National Vector Borne 

Disease Control Programme, UT Chandigarh. The annual cost and other provisions in 

the budget for the IEC activities are projected below: 

S.no Activity Amount(Rs) 

(Thousands) 

1. Sensitization workshop 

70,000 

2. Review meeting 

3. Press advertisements 

4. Pamphlets, brochures and other IEC material 

5. TV Spots 

6. Broadcasting on Radio 

7. Trainings : 

Grand Total 

110 

30,000 

50,000 

90,000 

70,000 

40,000 

3,50,000/- 

Capacity building will be a continuous activity during the action plan for the year 2008- 

09. A detailed training schedule has been prepared and training of the Medial and 

Para- Medical staff of PGIMER, GMSH-16 and GMCH-32 will be started in the Feb / 

March, 2008. 

Sno Name of unit Number of Medical No. of No. of lab 

officer 

Pharmacists Technicians 

1 PGIMER-12 10 10 10 

2 GMCH-32 10 10 10 

3 GMSH-16 20 20 20

8. Consultant and Contractual Staff: 

The details of the contractual staff are as under: 

S. no Name of Post Sanctioned Filled 

1 Consultant(Training) 1 1 

2 Consultant (Finance) 1 1 

3 Data Manager 1 1 

4 Data Entry Operator 2 2 

5 Assistant 1 1 

6 Helper 1 1 

9. Operational activities for the year 2008-09 

Various operational activities as per guidelines will be carried out for effective 

implementation of the programme by SSU Chandigarh. For this purpose the 

expenditure likely to be incurred is projected below: 

S.no Activity Amount (Rs) 

(Thousands) 

1 Travel cost, POL maintenance of hiring of vehicles 1,00,000 

2 Office expenses on telephone, fax, electricity etc. 

3 Office Stationery and other consumable items 

4 DA to others/ staff engaged under IDSP 

5 Miscellaneous including contingencies 

In addition to the above any other cost in the implementation of the project will also be 

met out from the Grant in Aid. 

The detailed Budget proposal for the action plan for the year 2008-09 is attached at 

Annexure A. 

10. Requirement of Additional Staff 

The SSU Chandigarh also plans to submit the detailed proposal with regard to 

requirement of additional staff in IDSP. During the review meeting held under the 

chairmanship of Joint Secretary Health, Ministry of H & FW, GOI, it was decided that in 

order to strengthen the lab under IDSP, the additional staff i.e. one Microbiologist and 

one Epidemiologist could be recruited with relaxed qualifications. In addition to the 

above, 04 helpers for facilitating the collection of reports from various reporting units will 

also be recruited as helpers under the IDSP. 

111 

60,000 

60,000 

80,000 

50,000 

Grand Total 3,50,000/-

Budget Estimates for 2008-09 (In lakhs) 

Activity 

1. Renovation & Furnishing 

2. Minor Lab Equipments 

3. Office Equipments 

4. Furniture & Fixtures 

5. Lab Material & Supplies 

6. IEC 

7. Trainings of Medicos & Para Medical Staff 

8. Consultants, Contractual Salary 

9. Operational Cost 

10. Requirement of Additional Staff - 

(01 Micro-biologist, 01 Epidemiologist and 04 

helpers) 

112 

Budget Estimate 


- 

2.60 

0.80 

2.60 

3.50 

3.50 

3.00 

7.20 

2.50 

6.24 

Grand Total 31.94

NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMME 

113

ANNUAL PLAN FOR PROGRAMME PERFORMANCE AND BUDGET FOR THE YEAR 

1 ST APRIL 2008 TO 31 ST MARCH 2009. 

OBJECTIVE 

State / District: Chandigarh. 

The objective of the National Iodine Deficiency Disorders Control Programme is to 

reduce the prevalence rate of Goitre to less than 5% by the year 2010 A. D. 

GENERAL INFORMATION ABOUT THE STATE: 

1. State Population (in lakhs) {Projected population for next year} - 10.37 lakhs 

2. No. of district in the State - 1 

3. Urban population - 6 lakhs 

4. Hilly population - 

5. Any other known groups of special population for specific intervention- 3 lakhs 

(e.g. nomadic, migrants, industrial workers, Urban Slums etc) 

NIDDCP - TARGETS BY GOVT. OF INDIA. 

I. Reduction in prevalence rate of Goitre to less than 5% and for assessment carrying out 

surveys and resurveys after 5 years. 

II. Lab Monitoring by lifting 50 samples of salt per month – 600 salt samples in one year. 

III. Lab monitoring by lifting 25 samples of urine per month -300 urine sample in one year. 

NIDDCP - PERFORMANCE INDICATORS. 

Performance for the last 3 quarters i.e. April 2007 to December 2007. 

Quarter 

2 nd Qtr 07 

Apr’ 07 to 

June ’ 07 

3 rd Qtr 07 

July’ 07 to 

Sept’ 07 

4 th Qtr 07 

Oct’ 07 to 

Dec’ 07 

Total salt samples Total Urine samples lifted 

Lifted Analysed Conformed Lifted Analysed Conformed 

114 

School Camps 

102 - - 0 0 0 2 health melas 

6 school camps 

980 1082 1082 20 20 20 25 school camps 

758 384 384 80 80 80 19 school camps

CONSOLIDATED PLAN FOR PERFORMANCE AND EXPENDITURE UNDER EACH 

HEAD OF THE BUDGET. 

I ESTABLISHMENT OF IDD CONTROL CELL 


Staff 

Technical 

Officer 

Statistical 

Assistant 

Lower 

Division 

Clerk 

Class-IV 

post 

( contractual) 

No. of Posts No actually 

present 

No. planned 

in coming 

years 

115 

Amount 

spent from 

April’07 to 

March ,08 

(in lacs) 

Estimated 

expdt. For 

the next 

year 


(in lacs) 

Justification 

1 1 - 3.02 3.50 15% income 

enhancement 

1 - 1* - 1.0 7500x12 

(4500- *Process of 

7000) filling post in 

progress - 

subject to 

approval. 

1 1 - 1.60 1.85 15% income 

enhancement 

- - 1* 

(contract) 

Total 4.62 6.65 

II ESTABLISHMENT OF IDD MONITORING LABORATORY 

a) 


Staff 

Lab. 

Technician 

Lab. 

Assistant 

No. of Posts No. actually 

present 

1 1 

( contract) 

1 1 

( contract) 

No. planned 

in coming 

years 

1* 

(regular) 

1* 

(regular) 

Amount 

spent from 

April’07 to 

March 08 

. 30 *Subject to 

approval 

Estimated 

expdt. For 

the next 

year 


. 45 .75* 

(4000- 

6000) 

. 32 .60* 

(3200- 

4900) 

Total . 77 1. 35 

b) LABOTAORY MATERIALS PROCUREMENT 

Activity Amount spent in the 

last 4 quarters 

(in lakhs) 

Purchase of Lab 

materials by 

district 

III IEC / PUBLICTY:- 

Estimated 

expenditure for the 


(in lakhs) 

Justification / remarks. 

Justification 

*6070x12 

(subject to 

approval of 

regular post - 

under process) 

*4950x12 

(subject to 

approval of 

regular post - 

under process) 

.50 1.0 The amount includes purchase of Lab 

consumables. The individual lab for 

IDD was estb. only in Nov’07 so 

procurement was for 5 months only. 

Also the National Iodine Deficiency 

Disorders Control Programme 

(NIDDCP) lab is achieving more than 

300% of the target allotted. 

Permissible budget for U.T. Chandigarh as per budget allocation for the year 2007-08 for 

IEC activities Rs.4.50 lac. 

Estimated IEC activities and budget for U.T. Chandigarh for the next financial year 

proposed as per action plan detailed below: Rs 5.37 lakhs.

Target 

group 

Patients and 

General 

Public for 

awareness 

generation 

and social 

mobile 

-zation 

Activities planned as State level Total 

activitie 

s 

propose 

d during 

next in 

Activity (all 

activities to be 

planned as per 

local need 

catering to the 

target group 

No. of 

activities 

held in last 

4 quarters 

No. of activities 

proposed in the next 


quarter wise. 

Apr 

to 

June 

July 

To 

Sept 

116 

Oct 

to Dec 

Ja 

n 

to 

M 

ar. 

year 

Estimat 

ed cost 

per 

activity 

unit 

Total 

expd. for 

the 

activity 

during the 

next Fin. 

year 

OUT DOORS: 

Hoardings 4 - - 4 - 4 1950 Rs 7800/- 

Banners 4 - 2 2 - 4 300 Rs 1200/- 

Wall painting - - 20 20 - 40 300 Rs 12000/- 

OUT REACH 

ACTIVITIES 

Community 

2 - 3 3 3 9 500 Rs 4500/meetings 

Miking 5 - 8 8 8 24 900 Rs 21600/- 

SCHOOL 

ACTIVITES 

Painting / 

debates / paper 

reading 

- 1 1 1 1 4 2000 Rs 8000/- 

Camps 

(Salt 

distribution) 

PRINT 

PUBLICTY 

60 15 15 15 15 60 500 Rs 30,000/- 

Posters 5000 - - - - - - - 

Handbills 20,000 - - - - - - - 

Table calendars 350 - - 700 - 700 60.00 Rs 42000/- 

Wall calendars 1000 - - - - - - - 

Badges 15000 - - - - - - - 

Plastic scales - - - 5000 - 5000 5.00 Rs 25000/- 

Mud flaps - - - 1000 - 1000 50.00 Rs 50000/- 

Hindi calendar - - - 1000 - 1000 10.00 Rs 10000/- 

Slip pads - - - 1000 - 1000 15.00 Rs 15000/- 

Booklets 6000 - - 6000 - 6000 25.00 Rs 15000/- 

Lamination 

poster 

MEDIA 

ACTIVITIES 

- - 400 - - 400 100.00 Rs 40000/- 

Cable T.V. Scroll - - 30 30 60 days 900 Rs 54000/scroll 

ad for 

30 days 

days days 

All India Radio 

Newspapers 

Advertisement 

IDD DAY 

ACTIVITIES 

Messages 


3 Advt. in 

newspapers 

- - 30 30 

days day 

- 

2 

3 2 

60 days 1100 Rs 66000/- 

7 

15000 Rs 

105000/- 

1 - - 1 - 1 Rs 30000/- 

Total Rs. 5,37100/- 

Rs5.37 lacs

IV EQUIPMENT MAINTENANCE AND NEW PURCHASE: 

Item No. actually 

present in IDD Cell 

Computer 

maintenance 

included A M C, 

software and 

hardware up grades, 

printer cartridges 

etc.) 

1 

(Computer belongs 

to DLS but given to 

IDD for working) 

Stationary Purchased last 

Financial year for 

Rs. .50 lacs 

Amount proposed 

for maintenance 

during next 

financial year i.e. 


117 

Justification / 

remarks 

. 20 lacs The cost of Rs. 0.20 

lacs includes AMC, 


cartridges and repair 

/ new parts not 

covered under AMC 

installation of CD 

writer on CPU. 

.60 lacs For procurement of 

stationary items like 

photocopy reams, 

folders, pens, file 

covers etc. 

Others Not budgeted .50 lacs Other expenditure 

includes 


equipment of small 

items like furniture, 

office items, cooler, 

expenditure on fax, 

photocopy, postage 

etc. 

Total 1.3 lacs 

V VEHCLE HIRING: 


four wheeler 

For 

programme 

Officer / 

Technical 

Officer 

Number 

permissible 

No. 

actually 

required 

Amount 

spent in 

previous 

quarters 

- 1 Vehicle 

from 

School 

Health 

borrowed 

for camps 

only 

Expenditure for 

next financial 

year for which 

plan is being 

submitted 

Total 1.68 lacs 

Justification / 

remark 

1.68 lacs Hiring of one 

vehicle for P.O. 

/ T.O. for 20 

days in 1 month 

x12 months @ 

Rs. 700/- per 

day

SUMMARY OF PROPOSED BUDGET FOR U.T. CHANDIGARH 

S. No. Category of expenditure Budget estimate for financial year 

2008-09 (in lakhs) 

1 Establishment of IDD Control Cell. Rs. 6.65 

2 a. Establishment of IDD Monitoring Lab. 

Rs. 1.35 

b. Laboratory materials procurement 

Rs. 1.00 

3 IEC / Publicity Rs. 5.37 

4 Equipment maintenance and new purchase Rs. 1.30 

5 Vehicle hiring Rs. 1.68 

Total Rs. 17.35 

118

NATIONAL TOBACCO CONTROL PROGRAMME 

119

NATIONAL TOBACCO CONTROL PROGRAMME 


Chandigarh has been declared as first “Smoke Free City” in India on 15 th July 

2007 thereby implementing the provisions of Cigarettes and Other Tobacco Products Act, 2003 

(COTPA). Chandigarh has a population of 10.37 lakh. For proper implementation of the 

programme, Chandigarh has been divided into 2 zone i.e. North Zone and South Zone head by 

two doctors. The Programme is monitored and compiled at he level of State Nodal Officer, Govt. 

Multispeciality hospital, Sector-16, Chandigarh. 

Key Component: 

Manpower: 

Recruitment of the manpower at State level and Zone level will be done as per norms of NTCP 

during the year 2008-09. 

Training: 

Training workshops will be conducted in respect of officers/ officials in order to bring the 

awareness and to implement the provisions of the act. All inspectors of Food and Drug of Health 

Department, Sub-Inspector and above of Police Department. Training workshops will be held 

who sensitize School Teachers, Health Workers, Women Self Help Groups, Municipal 

Corporation Employees, Excise and Taxation and other civil society organization etc. 

IEC Material: 

Education is on-going process and in order to sensitize public at large and stakeholders IEC 

Activity in the form of distribution of Hand Bills, Posters, Scroll on City Cable Network, Cinema 

Slide, and Celebration of World No Tobacco Day on 31 st May. 

School Programme: 

To create awareness among the school children who will also become the ambassadors for the 

cause. Sensitization programmes in the form of poster competition, declamation contest and 

workshop on health education etc. 

Office Furniture/ Equipment: 

One time grant as per norms for setting up State Tobacco and District Zones Cells. 

Contingency: 

Traveling, TA/ DA, Incidental Charges, Stationary and others. 

120

Budget Estimation for a State Tobacco Cell: 

S.No. Details Amount 

1. Consultant 

Rs.12000 x 1 Person x 12 months 

144000/- 

2. Programme Assistant 


96000/- 

3. IEC material 400000/- 

4. Training 200000/- 

5. Estt of office furniture including Computer 500000/- 

6. Contingency Expenditure/ Monitoring the 200000/implementing 

of Programme 

Total 1540000/- 

Budget Estimation for a District: 

S.No. Details For each district Amount for 2 district 

1 Remuneration 

Psychologist/ Counselor 


Social Worker 

144000/- 288000/- 

Rs.8000/- x 1 person x 12 months 

Data Entry Operator 

96000/- 192000/- 

Rs.6000/- x 1 Person x 12 months 72000/- 144000/- 

2. Monitoring the tobacco control 200000/- 400000/- 

laws and reporting 

3. Equipment (One time grant) 

One Computer with Printer/ 

Accessories and Establishment of 

office etc. 

300000/- 600000/- 

4. School Programme 300000/- 

5. Contingency 200000/- 

Total 2124000/- 

Total of District and State Tobacco Cell: 1540000 + 2124000= Rs.36,64,000/- 

121

NATIONAL PROGRAMME FOR PREVENTION 

AND CONTROL OF DEAFNESS (NPPCD) 

122

The Ministry of Health and Family Welfare, Govt. of India has taken a new initiative to 

launch the pilot phase of the National Programme for Prevention and Control of 

Deafness (NPPCD) in Chandigarh. 

OBJECTIVES: 

Objective of NPPCD is to prevent avoidable hearing loss and to ensure early 

identification, diagnosis and treatment of ear problems responsible for hearing loss and 

deafness through training of manpower, support for equipment and other resources. 

Efforts would also be made to rehabilitate the person with deafness. 

The programme was to be implemented in three phases. 

PHASE – I 

The pilot phase of NPPCD was launched in Chandigarh on 02.03.2007. 

Opening of Bank Account (ICICI) in the name of State Health Society – NPPCD, UT, 

Chandigarh has been accomplished. 

PHASE – II (upto 31.03.2007) 

(i) Training of District ENT Surgeon/Audiologists and Sensitization 

Has been accomplished. 

(ii) Training of Paediatricians and obstetricians 

Has been accomplished. 

(iii) To initiate IEC activity and take up a few Ear Screening Camps : The 

NGO has been selected and the formalities for signing MOU is in 

progress. 

PHASE – III (Time frame 2007-08) 

(a) Training of health workers by RCI: 

Training of 45 Medical Officers, 165 Health Care Workers has been completed 

and Training of Anganwari workers still undergoing. Approximately 244 AWW have 

received the training till date. 

123

1. Capacity Building: 

Process of procurement of instruments is under progress. The tenders for the 

purchase have been received. 

BUDGET 

Sr. No. Details Expenditure 2007-08 

(in Rs.) 

1. Manpower 

a. Audiologist (2) 

2x10,000x12 months 

NIL 

b. Educator for hearing 

impaired 

patients/parents(1) 

1x10000x12 

c. Office Secretary (1) 

1x6000x12 

NIL 

NIL 

124 

Expenditure 2008-09 (In 

Rs. 

2,40,000/- 

1,20,000/- 

72,000/- 

2. Screening Camps 1,00000/- 1,00,000/- 

3. Training programme 

(Teachers, Parents, 

Private Practitioners, CME 

with IMAz 

NIL 2,00,000/- 

4. IEC NIL 2,00,000/- 

5. Contingency 

Expenditure/Monitoring of 

the programme 

NIL 1,00,000/- 

6. Computerization 5,00,000/- 

TOTAL 15,32,000/-

PART – E 

Inter Sectoral Convergence 

The city has been conceived as a living organism with close parallelism of 

functions. The basic planning unit of the city is a sector and initial plan provides for 47 

sectors and has 22 villages around the city. Each sector spreads in an area of 246 

acres and has being so planned that all the facilities like shopping centres, schools, 

hospitals, places of worship, recreational centres, play grounds, plenty of open spaces 

etc. are available. The development of third phase sectors has been taken up which is 

fast coming up. The inter Sectoral convergence will be taken up as and where required 

in a phased manner. 

125

Consolidated Budget 

S.No. Scheme 2008-09 

(Rs.in lakhs) 

A RCH-II 37849710.00 

B Additionalties under NRHM 44706700.00 

C Immunization 952392.00 

D Disease Control Programme 0.00 

National TB Control Programme 7544000.00 

National Vector Borne Disease Control Programme 3450000.00 

National Leprosy Eradication Programme 1462100.00 

National Programme for Control of Blindness 3181000.00 

Integrated Disease Surveillance Programme 3194000.00 

National Iodine Deficiency Disorder Control 1735000.00 

Programme 

National Tobacco Control Programme 3664000.00 

Deafness Control Programme 1532000.00 

Total 109270902.00 

126

127

Budget Estimates for 2008-09 - National Portal of India

Create successful ePaper yourself

Delete template?

Save as template?