National Urban Health Mission (NUHM) Maharashtra Review Meeting & Workshop Igatpuri 23 & 24 May 2014

Background of NUHM  National Health Mission (NHM) has two major components - NRHM and NUHM.  State Health Mission and District Health Mission reconstituted to cater to NUHM.  95 cities with Population more than 50,000 are covered under NUHM  Accordingly 26 Municipal Corporations, 64 Municipal Councils, 4 Cantonment Boards and 1 District Headquarter (Alibag) covered

Summary of NUHM Budget FMR Code Budget HeadBudget Approved (Rs in Lakhs ) Percentage Approval 1Planning & Mapping Programme Management Training & Capacity Building Strengthening of Health Services aHuman Resource bInfrastructure cUntied Grants dProcurement(Drugs & Consumables) eOther Services Regulation & Quality Assurance Community Processes Innovative Actions & PPP Monitoring &Evaluation Total Approved PIP of NUHM-Maharashtra : Rs Crores. Out of which Mumbai city PIP : Rs Crores.

Summary of NUHM Proposed Budget FMR Code Budget HeadBudget Approved (Rs in Lakhs ) Percentage Approval 1 Planning & Mapping Programme Management Training & Capacity Building Strengthening of Health Services a Human Resource b Infrastructure c Untied Grants d Procurement(Drugs & Consumables) e Other Services Regulation &Quality Assurance Community Processes Innovative Actions & PPP Monitoring &Evaluation Total Proposed PIP of NUHM : Rs Crores Out of which Mumbai city PIP : Rs Crores

Major Activities in PIP  Up gradation and Renovation of 336 UPHCs.  New Construction of 157 UPHCs.  Up gradation and Renovation of 45 UCHCs.  New Construction of 7 UCHCs.  Strengthening of SPMU and CPMU  Training and Orientation  5844 Accredited Social Health Activist(ASHA) and 8022 Mahila Arogya Samiti (MAS).  Provision for Medicines,Consumables & Equipment.

Major Activities in PIP (contd..)  Additional Human Resource for UPHCs  Full Time Medical Officers – 157  Part Time Medical Officers – 493  Staff Nurses – 1092  ANMs – 1784  Lab Technicians – 493  Pharmacists – 493  Accountant cum DEO – 200  Attendant  Untied funds for UPHCs and UCHCs.  Provision for planning and mapping, Capacity Building of staff.  Special provision of Mobile Medical Unit and DILAASA Project for Mumbai City.

Immediate Action by Cities  Signing of Memorandum of Understanding(MOU) with SHS  Opening of Bank Account  Submission of Proposals for new construction, Renovation/Up gradation of UPHCs/UCHCs and Procurement of Equipment & Furniture.

Important elements under NUHM Recruitment Bank Account Formation of MAS & Selection of ASHAs Vehicle Hiring Financial/Procurement EDL and Equipements for UPHC/UCHC (as per IPHS) Rugna Kalyan Samiti (RKS)

1. Recruitment Guidelines  A Recruitment Committee will be formed at city level.  Commissioners of Corporations will be Chairman of Recruitment committee in Corporation.  Concerned Civil Surgeon will be Chairman of Recruitment committee in Council.  SHS will recruit Posts with salary of Rs & above.  Posts with salary less than Rs will be recruited by CPMU.  A Representative from UNICEF & UNFPA are included in the committee.  The posts of DEO cum Accountant and Attendant will be outsourced.  Clarity and transparency in recruitment process shall be maintained.

Recruitment Guidelines (contd..) Recruitment Committee for MCGM 1. Additional Commissioner(W/Sub),MCGM – Chairman 2. MCGM, Personal,General Administration – Member 3. Dy. Director, Health Services, Thane – Member 4. Executive Health Officer – Member 5. Representative from UNICEF – Member 6. Representative from UNFPA – Member 7. Dy. Executive Health Officer – Member Secretary

Recruitment Guidelines (contd..) Recruitment Committee for Corporations 1. Commissioner, Corporation – Chairman 2. Add. Commissioner/Dy. Commissioner(Health) – Member 3. Dy. Commissioner, Administration – Member 4. Concerned Dy. Director, Health Services – Member 5. Medical Officer of Nearest Corporation – Member 6. Representative from UNICEF – Member 7. Representative from UNFPA – Member 8. Medical Officer Health – Member Secretary

Recruitment Guidelines (contd..) Recruitment Committee for CIDCO 1.Joint Managing Director,CIDCO – Chairman 2.Concerned Dy. Director, Health Services – Member 3.Medical Officer of Nearest Corporation – Member 4.Manager Personal, CIDCO – Member 5.Representative from UNICEF – Member 6.Representative from UNFPA – Member 7.Medical Officer Health, CIDCO – Member Secretary

Recruitment Guidelines (contd..) Recruitment Committee for Councils 1. Concerned Civil Surgeon – Chairman 2. Representative of Concerned DDHS Circle – Member 3. Medical Officer of Nearest Corporation – Member 4. Representative from UNICEF – Member 5. Representative from UNFPA – Member 6. Chief Officer of council – Member Secretary

Recruitment Guidelines (contd..) Recruitment Committee for Cantonment Boards 1. Chief Officer/Chief Executive Officer of CB –Chairman 2. Representative of Concerned DDHS Circle – Member 3. Representative of Concerned Civil Surgeon – Member 4. Representative from UNICEF – Member 5. Representative from UNFPA – Member 6. Concerned Medical Officer Health – Member Secretary

2. Guidelines related to Bank Account  NUHM would use the institutional structures already created under NRHM at the National, State and District levels for Operationalization of NHM and Sub-mission of NUHM.  Existing Governance structures and financial mechanisms existing under the NRHM would also serve NUHM as well.  In view of this, a separate bank account is to be opened for NUHM programme implementation wherever the account is not existing.  A new account will be opened in ICICI bank  In case of lack of ICICI bank presence, preferred to open the account with any nationalized banks.  In case of lack ICICI bank as well as Nationalized bank presence, prefer to open account with any bank where RTGS/NEFT facilities are available.

Guidelines related to Bank Account (contd..)  All institutions will release fund via E-transfer/RTGS mode.  No need to open a separate account for NUHM if there is an already existing account in Municipal Corporation/Council/CB. Authorized Signatories for account opening Sr. No. LevelTitleAuthorized Signatories 1.DistrictDistrict Integrated Health & Family Welfare Society,NUHM CEO, CS, DAM 2.CorporationMC integrated Health & Family Welfare Society 1.Comm/Dy.Comm 2.RCH nodal Officer/MOH, 3.CAM/Accountant 3.CouncilMunicipal Council Health MissionMS and Clerk/Accountant Signatories for Existing bank Account under NRHM will be continued.

 Formation of MAS & Selection of ASHAs  Vehicle hiring procedure for corporations  Financial/Procurement procedure  EDL and Equipment for UPHC/UCHC (as per IPHS) &  Rugna Kalyan Samiti (RKS) NUHM Guidelines related to other elements

Time Line For Various Activities Sr. NoActivityTime Limit 1MOU15 May Opening of Bank Account15 May Proposals for Construction Renovation/Upgradation 20 May Recruitment at UPHC & CPMU level30 June Appointment of ASHA/MAS30 July Orientation of Non officials and Officers at ULB level June Training of Recruited StaffJuly -December 2014

FAQs  Bank Account Question- Do we need to open a separate bank account even if a bank account of Urban RCH exists ? Answer-  No need to open a separate account for NUHM if there is an already existing account in Municipal Corporation/Council/CB.  Urban RCH staff Question- What about Existing Urban RCH staff ? Weather they will be merged in NUHM or not ? What about their Salary ? Answer- The existing Urban RCH staff of Council will be included in NUHM flexi -pool under Urban-RCH component and their salary will be continued from that component. The Urban RCH staff of Corporation whose salary is paid from urban RCH PIP as per MOU, will be continued from NUHM Flexi- pool PIP

FAQs (Contd.)  NUHM Recruitment at CPMU Question-Corporations already have CPM and CAM. What should be done about existing CPMU staff? Ans : If corporations already have CPMU staff, then they should convey this staff information to SHS.

Mission towards improving Urban health…! Thank You