Ms. Avi Saini Ms. Avi - PowerPoint Presentation

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Ms. Avi Saini

Ms.

Avi Saini is working with Technical Support Unit (TSU) for Anemia Mukt Bharat at Institute of Economic Growth (IEG), Delhi. She has studied public health and public nutrition management and has 11+ years of experience in managing programmes. She is currently leading nutrition financing related research and technical support for Anemia Mukt Bharat and Maternal Nutrition.

Consultant

Anemia Mukt Bharat Program, IEG

Planning for Nutrition in National Health Mission

Programme Implementation Plan (PIP)E-training for Programme Officers

Anemia Mukt Bharat Dashboard:

https://anemiamuktbharat.info

AMB Technical Support Team

Institute of Economic Growth, Delhi

PLANNING FOR MATERNAL NUTRITION

IN ANNUAL PIP

Budget Heads, Denominators, Unit costs and Norms

LEARNING OBJECTIVES

To orient participants about planning process and annual budgets under National Health MissionTo identify Maternal Nutrition (MN) components in NHM Annual Budget

To equip the participants with required information and tools for planning of MN budget (FMR codes, unit costs, pointers for next year PIP (2022-2024)To know Dos and don'ts for planning, disbursement and timely expenditureHand on experience of preparing a sample MN budget

WHAT ARE COMPONENTS OF MATERNAL NUTRITION IN ANTENATAL CARE?

Condition Specific Counseling

Prevention of Malaria (ITN bed nets) & Soil Transmitted Diseases (Deworming through Albendazole Tablets)

Pool

FMR Code

Programme/ Theme

S.No.

Scheme/ Activity

RCH Flexible Pool (including RI, IPPI, NIDDCP)

RCH.1

Maternal Health

1

Village Health & Nutrition Day (VHND)

2

Pregnancy Registration and Ante-Natal Checkups

4

Janani

Shishu

Suraksha

Karyakram

(JSSK) (excluding transport)

6

Pradhan

Mantri

Surakshit

Matritva

Abhiyan

(PMSMA)

17

Other MH Components

18

State specific Initiatives and Innovations

RCH.7

Nutrition

52

Anaemia Mukt Bharat

59

Eat Right Campaign

60

Other Nutrition Components

61

State specific Initiatives and Innovations

ACTIVITIES FOR BUDGETING MN ACTIVITIES

I

N NHM BUDGET FORMAT (2022-24)

SN

Budget Activities

Sub activity

1

Village health and Nutrition Day

VHND and outreach camps

Procurement of nutrition assessment devices such as weighing scales,

stadiometers

and MUAC tapes

2

Pregnancy and registration and Antenatal checkups

Antenatal care screening of Pw for blood related disorders

Line listing of severely anaemic PW and Follow up

Blood transfusion for JSSK beneficiaries

3

Janani

Shishu

Suraksha

Karyakram

(JSSK) (excluding transport

)

Folic Acid Tablets for pregnant Women

Calcium Tablets

Albendazole tablets for Pregnant women

Procurement of Iron Sucrose And FCMJSSK diet

LETS SEE WHICH MN SUB ACTIVITIES

MAY BE PLANNED UNDER EACH ACTIVITY

SN

Budget Activities

Components

17

Other MH components

ASHA incentives for mobilizing lactating mothers

IEC/BCC and Printing

Capacity Building on Maternal Nutrition

18

State specific innovations

Innovation

52

Anaemia Mukt Bharat

IFA, Digital

Haemoglobinometer

, IEC/BCC for maternal anemia

59

Eat Right Campaign

IEC/BCC, Counselling tools, job aids and capacity building

60

Other Nutrition Components

Capacity Building on Maternal Nutrition

Research

etc

61

State specific Initiatives and Innovations

-

LETS SEE WHICH MN SUB ACTIVITIES

MAY BE PLANNED UNDER EACH ACTIVITY…

Activity

Denominators

Calculations

Units Required

Unit Cost

Amount (INR)

B

C

D

E

F

G

Step 1.

Familiarize with Key constituent of Budget for planning the MN activities in NHM plans

Activity

Denominators

Calculations

Units Required

Unit Cost

Amount (INR)

B

C

D

E

F

G = E*F

Calcium Tablets for Pregnant & Lactating Women

100,000 (P & L women)

Denominator (P &L women)*360/year +10 % buffer

(10000*360*1.1)

=39600000

1.2

475,200,000

HOW TO ENSURE YOU ARE MAKING THE CORRECT ESTIMATIONS WHILE PLANNING MN IN PIP?

(UNIT COST, DENOMINATORS AND CALCULATIONS)

Anemia Mukt Bharat Dashboard:

https://anemiamuktbharat.info

Note: State wise Target Beneficiaries & Drugs Required can be downloaded.

2.1 Procurement related denominators are available on AMB Dashboard.

https://anemiamuktbharat.info/dashboard/#/

Step 2.

Familiarize with Denominators and their Source

Denominator is the number of beneficiaries/items for which the budget has been calculated.

E.g

in case of drugs procurement, the beneficiaries would be pregnant mothers & lactating mothers. In case of ASHA incentives the beneficiaries would be number of ASHAs.

*Calculations for other components is Indicated in the table given at Annexure. Also available in Input Output Tracker.

HOW TO ENSURE YOU ARE MAKING THE CORRECT ESTIMATIONS WHILE PLANNING MN IN PIP?

Anemia Mukt Bharat Dashboard:

https://anemiamuktbharat.info

Step 3.

Familiarize with the Unit Cost for different Items

Under Maternal Nutrition, three important sources of unit cost are:

1.) State Drug Rate Contracts:

For the unit cost of drugs like IFA Tablets Calcium,

Albendazole

tablets, Iron Sucrose, FCM and Folic acid tablets

2.) Approved costs as per Anemia

Mukt

Bharat,

MoHFW

:

For

Hemoglobinometers

and Consumables

ASHA incentive

3.) JSSK Guidelines:

Diet for Pregnant women under JSSK

For other activities unit cost will remain same as per the state contracts, or as approved by

MoHFW

. Budget item wise unit cost and source is given at Annexure 4.

Also available in Budget Calculator.

HOW TO ENSURE YOU ARE MAKING THE CORRECT ESTIMATIONS WHILE PLANNING MN IN PIP?

OTHER ACTIVITIES

Pool

FMR Code

Programme/

Theme

S No

Health System Strengthening (HSS) Rural

HSS. 2

Blood Services & Disorder

146

Antenatal screening of all pregnant women coming to the facilities in their first trimester for sickle cell trait, Beta Thalassemia,

Haemoglobin

variants esp.

Haemoglobin

E and Anemia

RCH Flexible Pool (including RI, IPPI, NIDDCP)

RCH 1

Maternal Health

2

Line Listing and Follow up of severely anemic women

Health System Strengthening (HSS) Rural

HSS. 2

Blood Services & Disorder

2

Follow up mechanism for severely anemic women and women with Blood disorders

NDCP Flexi Pool

NDCP.2

National Vector Borne Disease Control

Programme

(NVBDCP)

63

Operational cost for impregnation of Bed nets

Health System Strengthening (HSS) Rural

HSS.11

Technical Assistance

185

Planning and Program Management (Mobility Support, Drug and Warehouse, Program management)

MATERNAL NUTRITION BUDGET TRACKER

AVAILABLE ON AMB DASHBOARD

https://anemiamuktbharat.info

Thank You!