1. Program Implementation Plans
Immunization Division

2. Introduction

3. Programme Implementation Plan is a document to be prepared by States annually which helps them in preparing budget requirement against the targets and the functional heads decided by the GOI for the proposed year.

4. Process of PIP

6. Process flow of PIP Mid Feb to Mid March
PIP Guidelines & Resource envelopes to states
Action plans. Village to State
States submit draft PIP based on State priorities & PIP Guidelines
MOHFW holds pre appraisal (Pre NPCC) meeting with States
PIPs approved by NPCC as per the Resource envelope of States
ROPs for states issued
Funds disbursement in phased manner
10TH Dec
31st Dec
15th Jan
Mid Feb to Mid March
Last week of Jan up to mid Feb.

7. Resource envelope- http://www. dshm. delhi. gov
Resource envelope %20(1).pdf
As per guidelines, the NHM funding between the Centre & States would be in the ratio of 60:40 (for all states except NE and J&K, Uttrakhand & HP)

8. On finalization of the budget in the NPCC Meeting It becomes an Official document available in the Ministry's site for general viewing.
The documents are then finalized in the NPCC (National Programme Coordination Committed) meeting for Administrative approval.
State Programme Implementation Plan is a document to be prepared by States annually which helps them in identifying and quantifying their targets required for programme implementation for the proposed year.

9. Importance of Programme Implementation Plan
Indicators of total budget requirement
To carry out the programme activities.
To help in planning before commencement of the year.
Need driven document
From various DHAP submitted by districts
DHAPs contain inputs of the districts.
Gives comprehensive picture
Takes inputs form various programme divisions who prepare their achievable targets on the basis of population & other factors.
Helps in preparing the budget
For each component unit cost is fixed which helps in budgeting for the division & consolidation of the programme budget for the state.

10. It consists of five parts namely:
PART I: NRHM plus RMNCH+A (Including immunization)
PART II: NUHM
PART III: Disease Control Programmes
PART IV: Non- communicable diseases including injury and trauma
PART V: Infrastructure Maintenance

11. ..\Documents\MOHFW\PIP\J&K\Revised Annex 7 2(b-i) NHM budget format 29-02-2016.xlsx
..\Documents\MOHFW\PIP\Comments of Immunization division for NPCC Kerala xlsx
plans-pips.html

12. Norms under Immunization Programme
All activities are normatic and they are mainly divided into six categories in part C
C.1 Routine Immunization strengthening project (Review meetings, Mobility support, printing)
C.2 (Salary of contractual staff – computer assistant)
C.3 (Training under immunization – as per RCH norms)
C.4 ( Cold Chain maintenance)
C.5 (ASHA incentive for full immunization)
C.6 (Pulse Polio Operational Cost )

13. PIP NORMS

14. Immunization norms for PIP
Under the Immunization programme, states are provided with vaccines, syringes and cold chain equipment as per their requirement from central supply.
In addition, states are provided with funds for operationalization of Immunization related activities and are projected under Part C of the State PIP
All activities under the immunization programme are based on standardized norms for all states
The norms for PIP were first time formulated in 2005 and thereafter revision made from time to time.

15. Mobility support for supervision
FMR Code
Norms
Activities
Level
c.1.a
Rs 2,50,000/year/district level officers
Mobility budget for the entire year is provided to the districts for undertaking monitoring and supervision of Routine immunization programme in the district.
The mobility support is provided only for the district level officers.
District
c.1.b
Rs. 1,50,000 per year.
Supervisory visits by state level officers
This fund is provided for supervision and mobility of state level supervisors.
State

16. Alternate vaccinator and Printing
FMR Code
Current norms
Activity
Level
c.1.c
@ Rs 10 per beneficiary
Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.
State/District
c.1.g
Hiring Rs.450/session for four sessions/month/slum of population and Rs300/month as contingency per slum i.e.
Total of Rs2100/month per slum of population.
To Focus on slum & underserved areas in urban areas
Difficult areas for ANM to cover and require more intense action and community mobilization.
District

17. ASHA Incentives FMR Code Current norms Activity Level c.1.h
Rs. 150/session (for all states/UTs)
Mobilization of children through ASHA or other mobilizers
Funds @ 150/- per session for mobilization of Pregnant Women and targeted children for immunization as per the micro-plan are to be paid preferably to ASHA.
District/Block
c.5
Rs 100 per child for full immunization in first year +
Rs 50 per child for ensuring complete immunization
ASHA incentive for full immunization of a child at one and two years.
ASHA incentive for full immunization of each child will ensure that any child who comes for immunization receives all doses and is fully immunized.
District/ Block
Letter

18. Line listing of households at beginning of the year and updated after 6 months
100
Maintaining village health register & supporting universal registration of births & deaths
Preparation of due list of children to be immunized updated on monthly basis
Preparation of list of ANC beneficiaries to be updated on monthly basis
Preparation of list of eligible couples updated on monthly basis

19. Vaccine Delivery to district and Session sites
FMR Code
Current norms
Activity
Level
c.1.i
Rs 150 per RI session for hilly & hard to reach areas
Alternative vaccine delivery in hard to reach areas
District/ Block
c.1.j
Rs 75 per session for RI Session in other areas
Alternative Vaccine Delivery for RI sessions in other areas
c.1.m
Rs150,000/ district/year
POL for vaccine delivery from State to district and from district to PHC/CHCs
State/District

20. Safe Waste Disposal FMR Code Current norms Activity Level c.1.o
Rs. 3/bag/session
Red/Black plastic bags etc.
District/ Block
c.1.p
Rs per PHC/CHC per year
Hub Cutter/Bleach/Hypochlorite solution/ Twin bucket
c.1.q
Rs. 5250/pit
Safety Pits
Funds allocated for the disposal of used needles and syringes that are loose

21. Review Meetings FMR Code Current norms Activity Level c.1.d
@ Rs 1250/participant/day for 3 persons (CMO/DIO/Dist. Cold chain officer)
Support for Quarterly State level meeting of district officers
District
c.1.e
@ Rs. 100/participant for meeting expenses (lunch, organizational expenses)
Quarterly review and feedback meeting exclusively for RI at district level with Block MOs, ICDS CDPO and other stake holders.
Maximum of 5 persons per meeting.
c.1.f
@ Rs. 50/participant as honorarium for ASHAs (travel) and Rs. 25 per person at the disposal of MOI/C for meeting expenses (refreshments, stationary and misc. expenses)
Quarterly review meeting exclusively for RI at block level.
Funds allocated for conducting quarterly review meetings at block level wherein honorarium is paid to ASHA
Block

22. Microplanning and others
FMR code
Norms
Activity
Level
c.1.k
@Rs. 100/-per sub-centre (meeting at block level, logistic)
Rs. 100/- paid per sub Centre to familiarize the health managers with the steps in developing a comprehensive and equitable micro plan.
Block
c.1.l
@ Rs 1000/-block and at district Rs. 2000/- per district
Rs.2000/- for each district and Rs.1000/- for each block or PHC for the purpose of consolidation of micro plans
District/Block
c.2.1 & c.2.2
Rs p.m.
Rs p.m.
Support for Computer Assistant for RI reporting
State/District
c.1.n
@ 400/- month / district
Consumables for computer including provision for internet access for RIMS
c.1.r
10% of total amount of approved PIP
Any state specific Need with justification

23. Training FMR code Norms Activity Level c.3.1.
As per revised norms of trainings under RCH
District level Orientation training including Hep B, Measles & JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female), Nurse Midwives, BEEs & other staff ( as per RCH norms)
Block
c.3.2.
Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module)
District/Block
c.3.3
One day refresher training of district Computer assistants on RIMS/HIMS and immunization formats
State/District
c.3.4
Two days cold chain handlers training for block level cold chain handlers by State and district cold chain officers
c.3.5
One day training of block level data handlers by DIOs and District cold chain officer

24. Cold Chain Maintenance
FMR Code
Present Norms
Activity
Level
c.4
Rs.750/PHC/CHC per year
District Rs.15,000/year
Cold chain maintenance
This is as indicative rate and increased amount as per actual may be provided to the health facility when required since cold chain is an important aspect of vaccine storage and its sickness is required to be addressed timely.

25. Pulse Polio & Others FMR Code Present Norms Activity Level c.6
Allotted by GOI
Pulse polio Operation cost (Tentative)
National
A.8
Any new or on going positions
Human Resources
Funds allocated for payment of salary to technical staff e.g. refrigerator mechanics
State/District
A.10
Program management
Funds allocated for payment of salary to other staff related to immunization
B.10
IEC-BCC NHM
Funds allocated for IEC/BCC activities related to immunization

26. Most of the activities are normatic.
There is flexibility provided under innovations head (c.1.r & c.1.v)
Revised training norms under RCH.
Online submission of PIP next year onwards

27. Thanks…