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The financial assumption and budget preparation is the crucial steps in the PIP preparation. There are following general instructions that district / state has to follow while making the budget sheet based on district health action plan.
Workplan for budget preparation
- The starting point for preparation of the budget is the work plan. Costs should, as far as possible be estimated separately for each activity in the work plan. Separate budgets should be prepared for each quarter and As far as possible, quantity of work to be carried out in each quarter should be estimated. For each activity, estimate the rate or unit cost.
- States / Districts can estimate a reasonable unit cost on the basis of past experience and taking into account local conditions. Where a rate and quantity can not be estimated; lump sum amount can be proposed as an exception.
- States / Districts should provide details of activities (physical targets and corresponding costs) and after the quarterly budgets have been prepared separately for each quarter, consolidate these to arrive at the summary budget. The physical targets for the quarter must match the targets provided against the monitorable indicators.
For different budget heads / sub heads: Budgetary Guidance has been given by CTD to the States. This will help during budget preparation of each activity under Budget heads and Columns of Budget Matrix shown in earlier chapters.
72. Drug Sensitive TB
|
Column/Head |
Activities that can be budgeted under the Column/ Head |
Description |
|
DBT |
Treatment Supporter Honorarium (Rs.1000) |
@ Rs 1000/- as a one-time payment on the update of the Outcome of Treatment for drug sensitive TB patients |
|
Infrastructure - Civil works (I&C) |
Initial Establishment / Refurbishment / Upgradation of STO office, STDC, SDS, DDS, DTC, TU, DMC, X- ray facility |
Major & minor civil works/ repairing & maintenance of State TB cell office, STDC, IRL, DOTs, DTC, TU & DMC, and X-ray facilities etc |
|
Equipment (Including Furniture, Excluding Computers) |
Procurement of all necessary equipment for DMC, X-ray, and ECG, etc for NTEP |
Procurement of equipment for State & District levels. (DMC, X-ray, and ECG, etc for NTEP) Procurement of Sleeves and drug boxes |
|
Maintenance and Management of Equipment DMC, X-ray, and ECG, etc |
Maintenance / up gradation costs for Laboratory equipment’s DMC, X-ray, and ECG, etc for NTEP (if not covered under NHM Bio Medical Equipment Maintenance Programme/contract) |
|
|
Procurement of Office Equipment (Office Equipment at STC, SDS) |
Procurement of office equipment and furniture for State & District levels. (Office Equipment at STC, SDS) |
|
|
Maintenance & Management of Office Equipment (Office Equipment at STC, SDS) |
Maintenance / up gradation costs for office equipment’s (Office Equipment at STC, SDS) |
|
|
Drugs Budget for Procurement done by States |
Procurement of First line drugs |
Local Procurement of first line Anti TB drugs. Vehicle hiring for drug transportation. HR for NTEP Drug Store Drug Transportation charges |
|
Diagnostics (Consumables, PPP, Sample Transport) |
Sample collection and Transport |
Charges for transportation of samples for diagnosis, DST, follow-up. |
|
Lab Materials and consumables for DMCs |
Procurement of Lab consumables for DMCs. |
|
|
Capacity building incl. training |
Training (State and District Level) |
Training cost (including TA/DA & other course materials) for State officers / staff/ TB Champions and all district staff at National level, State level and District level |
|
CME |
Cost for conducting CME |
|
|
Procurement of office equipment for STDC |
Procurement of office equipment and furniture for STDC |
|
|
Community Engagement Activities |
Sensitization of TB survivors, sensitization of NGOs, PRIs meeting, TB survivor led activities, etc |
|
|
ASHA incentives |
Asha Incentives |
Any other ASHA incentives proposed by the state. |
|
Others including operating costs (OOC) |
Replacement of vehicles |
Instead of proposing budget for new vehicles procurement, OPEX cost may be proposed. |
|
Incentive for community volunteers undertaking ACF |
Incentives for Active Case Finding -the unit cost shall preferably be budgeted as per household or per person screened. |
|
|
Injection prick charges to non-salaried person during TB treatment |
Incentive to non-salaried person for injection prick |
|
|
Printing |
Budget for Printing of Materials |
|
|
Handheld Tablets |
Procurement cost of Tablets |
|
|
Surveillance, Research, Review, Evaluation (SRRE) |
Sub National Certificate |
Award money for districts proposed to be certified under the Sub-national TB free certification as per CTD’s guidelines for the initiative. |
73. NPY
|
Column/Head |
Activities that can be budgeted under the Column/ Head |
Description |
|
DBT |
NPY for DSTB patients |
Nutrition support to TB patient Rs. 500 per month till the treatment is completed, by DBT for DSTB Patients for 6 months |
|
NPY for DRTB patients |
Nutrition support to TB patient Rs. 500 per month till the treatment is completed, by DBT for DRTB Patients for 24 months |
74. PPP
|
Column/Head |
Activities that can be budgeted under the Column/ Head |
Description |
|
DBT |
Private Provider Incentive |
Private Provider Incentives- NTEP DBT Scheme @Rs. 500/- per notification and Rs. 500/- when treatment outcome declared. |
|
Informant Incentive |
Incentives for first informant (20% of Public notified case will be expected to be eligible for first informant incentive) |
|
|
Others including operating costs (OOC) |
Any Public Private Mix (PP/NGO Support) |
Cost of existing NGO/ PP support schemes and new NGO/ PP support schemes proposed as per NTEP Public Private Partnership Guidance 2019. |
|
Public Private Support Agency (PPSA) |
Cost for PPSA for ongoing and newly proposed districts. |
|
|
Multi-sectoral collaboration activities |
Any activities for collaborating with other line departments and organizations (eg: AYUSH, Directorates of Labour, Rural Development, Urban Development, Industries, PRI, Railways, Postal Department, etc |
75. LTBI
|
Column/Head |
Activities that can be budgeted under the Column/ Head |
Description |
|
Diagnostics (Consumables, PPP, Sample Transport) |
Screening, referral linkages and follow-up under Latent TB Infection Management |
Cost for screening of LTBI such as incentives, sample collection & transport, etc may be budgeted |
|
Diagnosis of LTBI |
Procurement of Lab Materials and consumables for IGRA test |
|
|
Drugs |
Treatment of LTBI |
Procurement of approved drugs for LTBI |
|
Diagnostics (Consumables, PPP, Sample Transport) |
Screening, referral linkages and follow-up under Latent TB Infection Management |
Cost for screening of LTBI such as incentives, sample collection & transport, etc may be budgeted |
|
Diagnosis of LTBI |
Procurement of Lab Materials and consumables for IGRA test |
76. Drug Resistant TB (DRTB)
|
Column/Head |
Activities that can be budgeted under the Column/ Head |
Description |
|
DBT |
Treatment Supporter Honorarium (Rs.5000) |
@ Rs 5000/- as a one-time payment on the update of the Outcome of Treatment for drug resistant TB patients |
|
Infrastructure - Civil works (I&C) |
Initial Establishment / Refurbishment / Upgradation of Nodal DRTB centre, CBNAAT, TRUNAAT sites, IRL & CDST labs |
Major & minor civil works/ repairing & maintenance of Nodal DRTB centre, CBNAAT, TRUNAAT sites, IRL & CDST labs |
|
Equipment (Including Furniture, Excluding Computers) |
Procurement of equipment for DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics |
Procurement of equipment for State & District levels (DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics) Procurement of MERM boxes |
|
Maintenance and Management for DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics Equipment |
Maintenance / up gradation costs for Laboratory equipment’s for DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics Equipment for NTEP (if not covered under NHM Bio Medical Equipment Maintenance Programme/contract) |
|
|
Drugs Budget for Procurement done by States |
Procurement of DRTB drugs |
Local Procurement of second line drugs |
|
Diagnostics (Consumables, PPP, Sample Transport) |
Lab Materials and consumables for IRLs, CDST & Molecular Diagnostics |
Procurement of Lab Materials and consumables for molecular diagnostics and CDST, IRL & NRL |
|
Capacity building incl. training |
Training (State and District Level) |
Training cost (including TA/DA & other course materials) for State officers / staff/ TB Champions and all district staff at National level, State level and District level |
|
|
Training for AIC |
Cost for AIC related trainings |
|
Surveillance, Research, Review, Evaluation (SRRE) |
AIC Review Committee |
Cost for Committee meeting & etc |
77. TB Harega Desh Jeetega Campaign
|
Column/Head |
Activities that can be budgeted under the Column/ Head |
Description |
|
IEC & Printing |
ACSM (State & District) |
Budget for activities as per ACSM plan including media briefings with journalists, orientation meetings with key groups (e.g., PRIs, SHGs), sensitization session for elected leaders (e.g., MPs, MLAs, school / college-based activities, advocacy meeting with State and District authority, (outdoor publicity) folk, mela, street plays, signages, miking, TV/Radio campaign, cost, miking, exhibition/ “World TB Day “rally, etc (You can add activities as per your requirement) |
|
Printing (ACSM) |
Printing of Manuals, Guidelines, Forms, Formats, Cards, etc. at State/ district level |
|
|
Any other IEC/BCC activities (Please Specify) |
Any other IEC/BCC activities not budgeted above |
78. State specific Initiatives and Innovations
|
Column/Head |
Activities that can be budgeted under the Column/ Head |
Description |
|
DBT |
Tribal Incentives |
@ Rs. 750/- as travel support to patient from notified Tribal Areas as per Ministry of Tribal Affairs. |
|
State specific Initiatives and Innovations |
Budget for state specific initiatives and Innovations |
|
185. Planning & Program Management
|
Supervision and Monitoring (State and District Level) |
TA/DA cost of all officer/ staff working in NTEP, review meetings, Cost of internal evaluation etc. |
|
Vehicle Operation (POL) |
POL for existing vehicles under NTEP and mobility support for those field staff in lieu of vehicles. |
|
Vehicle hiring |
Vehicle hiring cost for State & Districts where Govt vehicles are not available for supervision & monitoring. Instead of proposing budget for new vehicles procurement, OPEX cost may be proposed. |
|
Medical Colleges (Any Meetings) |
|
|
Office operation (Miscellaneous) |
Office operation includes office maintenance expenditure, stationary, communication etc. |
|
Vehicle Operation (Maintenance) |
Maintenance cost for State & District vehicles (including four-wheeler & two wheelers) |
Assessment
| Question | Answer 1 | Answer 2 | Answer 3 | Answer 4 | Correct Answer | Correct Explanation |
|---|---|---|---|---|---|---|
| Which of the following activity can be budgeted under the head of DBT for NPY? | NPY for DSTB patients | NPY for DRTB patients | Both | None | 3 | |
| Private Provider Incentives can be proposed under the head of DBT for PPP (Public Private Partnership). | True | False | - | - | 1 | |
| Which of the following activities can be proposed under DRTB activity? | Procurement of DRTB drugs | Treatment Supporter Honorarium (Rs.5000) | Procurement of equipment for DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics | All of the above | 4 | |
| Which of the following activity is not proposed under the LTBI activity? | Diagnosis of LTBI | Printing (ACSM) | Treatment of LTBI | Screening, referral linkages and follow-up under Latent TB Infection Management | 2 | Printing and IEC activities (ACSM) are proposed under TB Harega Desh Jeetega Campaign head. |
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