Objective:
- To increase functional, administrative and financial resources and autonomy to the field units.
- To develop the physical infrastructure and centre specific activities for PHCs.
Strategy:
- Provide Untied Funds to all the Village Health Committees @ Rs. 10,000 each
- Provide Untied Funds to all the Health Sub centres @ Rs. 10,000 each
- Provide Untied Funds to all the Primary Health Centers @ Rs. 25,000 each
- Provide Untied Funds to all the Community Health Centers @ Rs. 50,000 each
- Provide Annual Maintenance Grant to Health Sub centres having own building @ Rs. 10,000 each
- Provide Annual Maintenance Grant to Primary Health Centers having own building @ Rs. 50,000 each
- Provide Annual Maintenance Grant to Community Health Centers having own building @ Rs. 1,00,000 each
Activities:
Village Health Committee
- Any village level public health activity like cleanliness drive, sanitation drive, school health activities, ICDS, Anganwadi level activities, household surveys etc.
- In extraordinary case of a destitute women or very poor household, the Village Health & Sanitation Committee untied grants could even be used for health care need of the poor household.
- Community activities that involve and benefit more than one household. Nutrition, Education & Sanitation, Environmental Protection, Public Health Measures shall be key areas.
- Every village is free to contribute additional grant towards the Village Health & Sanitation Committee.
Maintenance of Bank Account
- The Village Health & Sanitation Committee fund shall be credited to a bank account, which will be operated with the joint signature of ASHA/Health Link Worker/Anganwadi Worker along with the President of the Village Health & Sanitation Committee/Pradhan of the Gram Panchayat. The account maintenance of this joint account shall be the responsibility of the Village Health & Sanitation Committee especially the ASHA/AWW [wherever no ASHA]. The Village Health & Sanitation Committee, the ASHA/AWW shall maintain a register of funds received and expenditure incurred. The register shall be available for public scrutiny and shall be inspected from time to time by the ANM/MPW/Gram Panchayat.
Accountability
- Every Village Health & Sanitation Committee needs to maintain updated Household Survey data to enable need based interventions.
- Maintain a register where complete details of activities undertaken, expenditure incurred etc. will be maintained for public scrutiny. This should be periodically reviewed by the ANM/Sarpanch.
- The Block level Panchayat Samiti will review the functioning and progress of activities undertaken by the VHSC.
- The District Mission in its meeting also through its members/block facilitators supporting ASHA [wherever ASHA’s are in position] elicit information on the functioning of the VHSC.
- A data base may be maintained on VHCSs by the DPMUs.
HSC
- Minor modifications to sub centre- curtains to ensure privacy, repair of taps, installation of bulbs, other minor repairs
- Ad hoc payments for cleaning up sub centre, especially after childbirth.
- Transport of emergencies to appropriate referral centers
- Transport of samples during epidemics.
- Purchase of consumables such as bandages in sub centre
- Purchase of bleaching powder and disinfectants for use in common areas of the village.
- Labour and supplies for environmental sanitation, such as clearing or larvicidal measures for stagnant water.
- Payment/reward to ASHA for certain identified activities
PHC & CHC
- Minor modifications to the Center- curtains to ensure privacy, repair of taps, installation of bulbs, other minor repairs, which can be done at the local level
- Patient examination table, delivery table, DP apparatus, hemoglobin meter, copper-T insertion kit, instruments tray, baby tray, weighing scales for mothers and for newborn babies, plastic/rubber sheets, dressing scissors, stethoscopes, buckets, attendance stool, mackintosh sheet
- Provision of running water supply
- Provision of electricity
- Ad hoc payments for cleaning up the Center, especially after childbirth.
- Transport of emergencies to appropriate referral centers
- Transport of samples during epidemics.
- Purchase of consumables such as bandages in the Center
- Purchase of bleaching powder and disinfectants for use in common areas
- Labour and supplies for environmental sanitation, such as clearing or Larvicidal measures for stagnant water.
- Payment/reward to Sahiyya for certain identified activities
- Repair/operationalsing soak pits