National Quality Assurance Program

Operational Guideline of National Quality Assurance Program (QA) for the FY 2019-20

National QualityAssuranceProgramState Quality Assurance Unit

District ROP 2020-21

2Operational Guideline of National Quality Assurance Program (QA) for the FY 2020-21


Preface

Quality is never an accident; it is always the result of intelligent effort

Creating value in public health care in Assam through National Quality Assurance Standard isthe most important aspect of services being rendered at any health facility. High quality health systemsoptimize health care in each given context by consistently delivering care that improves and maintainshealth, by being valued and trusted by people and thereby by responding to changing population needs.Quality of Care has emerged as key thrust area for both Policy Makers and Public Health Practitionersas an instrument of optimal utilization of resources and improving health outcomes and clientsatisfaction. The NHP 2017 clearly states in its objective – Improve health status through concentratedpolicy action in all sectors and expand preventive, promotive, curative, palliative and rehabilitativeservices provided through the public health sector with focus on Quality.

Ministry of Health & Family Welfare, Government of India in collaboration with state healthdepartments has developed and implementing a comprehensive quality assurance framework for publichealth facilities and Programs.

The state of Assam not only took the giant strides towards improving quality of care but has nowwalked miles further in achieving quality in health institutions through strategic planning and creativeexecution by our dedicated teams who have put citizens’ health first. Providing health services withoutguaranteeing a minimum level of quality is ineffective, wasteful, and unethical. It was important thatthe public health care facilities were benchmarked against set quality standards so as to improve theconfidence of the public availing the services while also boosting the morale of the public healthservice providers in these institutions.

High-quality health systems optimise health care in each given context by consistently deliveringcare that improves or maintains health, by being valued and trusted by all people, and by responding tochanging population needs.

The Quality journey under NHM, Assam in the year 2019-20 has achieved many outcomes.Under NQAS focus has been given on 270 facilities across 27 districts across the State. Four facilitiesnamely Goalpara CH, Ledo MPHC, Tinsukia, Daulashal MPHC, Nalbari and Chaporigaon UPHC,Lakhimpur have achieved NQAS certification within this year. Under Improvement of Infection ControlPractices, renewed focus was given to Kayakalp wherein a significant increase in facilities was achieved,total 217 facilities received “Kayakalp” award in 2019-20 compared to 166 health facilities in 2018-19.In rolling out Respectful Maternity Care; LaQshya in high load delivery points, out of the 128 high loadfacilities chosen under LaQshya 22 got certified by State Quality Assurance Committee (SQAC) and 8facilities received National certificate.


Preface








Preface








INDEX

FMR Particulars

RoPApprovals, 2020-21(Rs inlakhs)

State HQAllocation

Total Allocationagainst 27 Districts

PageNoPhy.

Target

FreshRoP

approvals

Phy.Target

Fresh RoPapprovals(Rs inlakhs)

1.3.2.6Any other(Housekeeping Service) 412.01 37 412.01

9-139.5 Trainings 0.00 0 0 14-25

9.5.25 Quality AssuranceTrainings 0.00

14-21

9.5.25.1

Quality AssuranceTraining (includingtraining for internalassessors at State andDistrict levels)

10.05 10.05 0 0

149.5.25.3 Kayakalp Trainings 18.09 1 1.89 27 16.2 15-17

9.5.25.4Swachh Swasth Sarvatratraining 1.89 1 1.89 0 0

17

9.5.25.5 Mera Aspataal Training 1.89 1 1.89 0 0 17-18

9.5.25.6 Any Other (Training) 21.52 2 5.32 27 16.2 18-219.5.29.5 IMEP Training 0.00 0 0 21-25

9.5.29.5.1 TOT on IMEP 5.320 2 5.32 0 0 21-22

9.5.29.5.2IMEP training for stateand district programmemanagers

8.750 0.00 7 8.7522-25

11.24.4.5

IEC Activity underNQAP, Laqshya,Kayakalp, MeraAspataal

12.80 0.00 128facilities 12.8

25-29

12.17.5Any other (PleaseSpecify) 249.00 1 249.00 0 0

29

12.18.3

Printing of SOPs forimplimentation ofNQAS, Kayakalp &LaQshya

2.70 1 2.70 0

2913 Quality Assurance 0.00 0 0 30-57

13.1 Quality Assurance 0.00 0 0 30

13.1.1Quality AssuranceImplementation (fortraversing gaps)

0.00

0 0 30


INDEX

FMR Particulars


State HQAllocation


PageNoPhy.

Target

FreshRoP

approvals

Phy.Target


13.1.1.3 EQAS for Labs 10.60 0.00 100facilities 10.6

30-38

13.1.1.5Specific Interventionsfor promotion of patientsafety

160.00 0.00 27districts 160.00

38-52

13.1.1.6Any other ( QAtraversing gaps) 256.00 2 256.00 0 0

53

13.1.2

Quality AssuranceAssessment (State &district Level assessmentcum Mentoring Visit)certification & recertification (State &National Level)

45.78 1 6.90 27districts 38.88

53-55

13.1.3

Quality AssuranceCertification, ReCertification (National& State Certificationunder NQAS

60.5050

facilities

60.50 0 0

56

13.1.4

Quality AssuranceCertification, ReCertification (National& State Certificationunder Laqushya

50.0050

facilities

50.00 0 0

56

13.1.5Incentivistation onattainment of NQAScertification

17.11 0.00 3 17.11

56-5713.2 Kayakalp 0.00 0 0 58-84

13.2.1 Assessments 130.57 1 73.47 27districts 57.1025

58-6313.2.2 Kayakalp Awards 405.00 1 405.00 0 0 63

13.2.3.1Bio MedicalWastemanagement 50.88 1 50.88 0 0

6413.2.3.2 Consumables & PPE 46.40 1 46.40 0 0 64

13.2.3.4Any other(Implementation ofKayakalp)

150.00 0.00 280facilities 150

64-7513.2.4 Contingencies 4.05 1 4.05 0 0 76


INDEX

FMR Particulars


State HQAllocation


PageNoPhy.

Target

FreshRoP

approvals

Phy.Target


13.2.5 Swachh Swasth Sarvatra 300.00 0.00 30facilities 300

76-80

13.2.6Any Other (Hon. ForAssessors) 17.62 1 9.02 8.6

80-84

16.1 Program Management 0.00 084-86

16.1(16.1.2.1.1

0)

State Quality AssuranceUnit (Review meeting) 0.400 2 0.40 0 0

84-86

16.1(16.1.2.1.1

1)

District QualityAssurance Unit (ReviewMeeting)

2.640 0.48 108meetings 2.16

84-86

16.1(16.1.2.2.3

)

State Quality AssuranceUnit (Monitoring &Supervision)

5.400 1 5.40 0 0

84-86

16.1(16.1.4.1.3

)

State Quality AssuranceUnit (Operational cost) 1.800 1 1.80 0 0

84-86

16.1(16.1.4.2.1

)

District QualityAssurance Unit(Operational cost)

16.200 0.00 27 16.284-86

Total- QA 2474.970 1248.375 1226.595

Annexure A (NQAS targeted facilities) Pg 87

Annexure B (LaQshya targeted facilities) Pg 88-91

List of certified Internal assessors Pg 92-93


State and District wise total fund breakup for the FY 2020-21

Sl.No. District/ State HQ Allocated Fund includingall activity (Rs. In Lakhs)

1 Baksa 35.582 Barpeta 73.563 Bongaigaon 34.384 Cachar 26.135 Chirang 18.246 Darrang 52.117 Dhemaji 26.858 Dhubri 51.849 Dibrugarh 25.42

10 DimaHasao 29.7611 Goalpara 52.7312 Golaghat 58.6913 Hailakandi 32.1614 Kamrup (M) 37.9815 Kamrup ( R ) 49.2716 Karimganj 31.6117 Karbi Anglong 24.1718 Kokrajhar 46.5419 Lakhimpur 62.8820 Jorhat 41.7621 Morigaon 51.8222 Nalbari 49.8323 Nagaon 65.1624 Sivasagar 57.7025 Sonitpur 58.7726 Tinsukia 89.3727 Udalguri 42.29

District Total 1226.595

State HQ Allocation 1248.375

TOTAL APPROVAL 2474.970


NATIONAL QUALITY ASSURANCE PROGRAM

Quality Certification program for public health facilities has been launched with aim of recognizing thegood preforming facilities as well improving credibility of public hospitals in community. Certification isprovided against National Quality Assurance Standards (NQAS) on meeting pre-determined criteria.Certified facilities are also provided financial incentives as recognition of their good work. QualityAssurance approach is one way to improve quality of the service delivery in Health Institutions throughsystematic monitoring, feed-back and pursue opportunities for improving services leading to clientsatisfaction.

Quality AssuranceThe Quality Assurance Programme is made up of two main components: Quality Assessment Quality Improvement

OBJECTIVES

To facilitate the assessment of quality of reproductive and child health (RCH) services at PHCs,

CHCs & District Hospitals.

To improve in service quality by focusing on the gaps identified during the assessment process.

To certify 50 health institutions under NQAS.

To certify 60 health institutions under LaQshya.

To certify at least 300 health institutions under Kayakalp.

To reduce Hospital Acquired Infections and Surgical site infection rates by promoting

cleanliness, hygiene and Infection Control Practices in public Health Care Facilities.

To incentivize and recognize such public healthcare facilities that show exemplary performance

in adhering to standard protocols of cleanliness and infection control.

To inculcate a culture of ongoing assessment and peer review of performance related to hygiene,

cleanliness and sanitation.

To create Laboratory Quality Improvement mandates for focused intervention for improving &

standardization the quality of laboratory services through assessment, capacity building, and

accreditation.

To implement MeraAsapatal Patient Feedback System which utilises IT enabled tools to

collect, analyse and improve the patient satisfaction in public health facilities.


Activity No 1

HOUSEKEEPING ACTIVITIES

About the activity and justification: This is a continued activity for housekeeping of DHs and SDCHs.

For housekeeping activities, HR (Supervisor and unskilled worker) and supplies for housekeeping hasbeen approved for the following facilities based on the number of beds per DH/SDCH in all the districts.Supplies and consumables like toilet cleaning agents (Phenyl, Harpic, Citronella, PPE, Brushes, cleaningmaterials, mops etc) at DH and SDCH level shall be purchased under this FMR as per approved amount.

The contract or MOU which will be signed with the Supervisors and cleaners should be in line with thedraft MOU shared with the State QA cell. The MOU will clearly contain the cleaning protocols whichshall be of GOI guidelines; ISI marked cleaning equipments, disinfectants and materials, hands ontraining of the cleaners shall be done by the DQC/ HA/ Infection Control Nurse. Penalty clause shouldbe clearly mentioned in the MOU. Quality and cleanliness of the mops and buckets used shall beweekly monitored by the Infection Control Nurse.

The funds have been approved for 12 months based on the number of beds and new MCH wing.

FMR Code: 1.3.2.6 (Total Approval = Rs 412.01 Lakhs)FMR Owner & Responsible Person: At State HQ: PE, QA

At Dist. Level: HA / District Quality Consultant/ DPMs

Level of the Activity: District level (25 DHs and 12 SDCHs upgrading to DH)Name of the activity: Any other (please specify)Type of the activity: Ongoing activity, Housekeeping activities of 37 facilities (25 DHs and 12 SDCHs upgradingto DH)


Activity No 1










Activity No 1










Table 1:Monthly Estimated Expenditure for Housekeeping(25 DH & 12 SDCH) for FY2020-21 Under FMR Code1.3.2.6

SlNo

DistrictName ofthe HealthInstitution

No ofSuperviserSkille

d(1supervisor/shift)

cost/month

@298.52/day for

Supervisor (in

Rupees)

No ofUnskilled

workers

cost/month

@257.40/day forunskilled worker

(InRupees)

Supplies

monthly

(Details in

Table2) (In

Rupees)

TotalAmountFor one

Month (InRupees)

TotalAmountFor 12

Month (InRupees)

DistrictTotal for 12

months

A B C D

E=D*298.52* 30days F

G=F*257.4*30days H I= E+G+H J= I * 12

1 Baksa

Dr. RaviBoro CivilHospitalBaksa

1 8955.6 6 46332 8000 63288 759451.2 759451.2

2 Barpeta

BarpetaCivilHospital,Kalgachia

1 8955.6 12 92664 16000 117620 1411435.21922755.2

PathsalaSDCH 0 0 5 38610 4000 42610 511320

3 Bongaigaon

BongaigaonCivilHospital

1 8955.6 13 100386 16000 125342 1504099.2 1504099.2

4 Cachar

SatyendraMohan DevCivilHospital

1 8955.6 5 38610 8000 55566 666787.2 666787.2

5 ChirangJ.S.B CIVILHospitalChirang

1 8955.6 6 46332 8000 63288 759451.2 759451.2

6 Darrang

MangaldaiCivilHospital

1 8955.6 20 154440 20000 183396 2200747.2 2200747.2

7 Dhemaji

DhemajiCivilHospital

1 8955.6 11 84942 16000 109898 1318771.2 1318771.2

8 Dhubri

Dhubri CivilHospital 1 8955.6 15 115830 16000 140786 1689427.2

2096083.2Hatsingimari SDCH 0 0 4 30888 3000 33888 406656

9 DimaHasao

HaflongCivilHospital

1 8955.6 8 61776 10000 80732 968779.2 968779.2

10 Goalpara

GoalparaCivilHospital

1 8955.6 13 100386 16000 125342 1504099.2 1504099.2



SlNo




cost/month

@298.52/day for

Supervisor (in

Rupees)

No ofUnskilled

workers

cost/month


(InRupees)

Supplies

monthly

(Details in

Table2) (In

Rupees)

TotalAmountFor one

Month (InRupees)

TotalAmountFor 12

Month (InRupees)


months

A B C D

E=D*298.52* 30days F

G=F*257.4*30days H I= E+G+H J= I * 12

11 Golaghat

SwahidKushalKonwarCivilHospital

1 8955.6 23 177606 27000 213562 2562739.22996198.4

BokakhatSDCH 1 8955.6 3 23166 4000 36121.6 433459.2

12 Hailakandi

SontoshKumar RoyCivilHospital

1 8955.6 6 46332 5000 60288 723451.2 723451.2

13 Jorhat

GarmurSDCH 1 8955.6 7 54054 6000 69010 828115.2

1136107.2TitabarSDCH 0 0 3 23166 2500 25666 307992

14 KamrupMetro

MMCH,Panbazar 1 8955.6 12 92664 24000 125620 1507435.2

2174222.4SonapurDH 1 8955.6 5 38610 8000 55566 666787.2

15 KamrupRural

TolaramBafnaKamrupDistrict CivilHospital

1 8955.6 4 30888 4000 43844 526123.2 526123.2

16 Karimganj

KarimganjCivilHospital

1 8955.6 12 92664 16000 117620 1411435.2 1411435.2

17 Kokrajhar

RupnathBrahmaCivilHospital,Kokrajhar

1 8955.6 13 100386 16000 125342 1504099.2

1830091.2R.N.B. CivilHospital,Gossaigaon

0 0 3 23166 4000 27166 325992

18 Lakhimpur

NorthLakhimpurCivilHospital

1 8955.6 20 154440 20000 183396 2200747.2 2514739.2



SlNo




cost/month

@298.52/day for

Supervisor (in

Rupees)

No ofUnskilled

workers

cost/month


(InRupees)

Supplies

monthly

(Details in

Table2) (In

Rupees)

TotalAmountFor one

Month (InRupees)

TotalAmountFor 12

Month (InRupees)


months

A B C D

E=D*298.52* 30days F

G=F*257.4*30days H I= E+G+H J= I * 12

Dhakuakhana SDCH 0 0 3 23166 3000 26166 313992

19 Morigaon

MorigaonCH 1 8955.6 10 77220 16000 102176 1226107.2 1226107.2

20 Nagaon

BhogeswariPhukananiCivilHospital,Nagaon

1 8955.6 21 162162 24000 195118 2341411.22784067.2

Hozai FRU 0 0 4 30888 6000 36888 442656

21 Nalbari

SwahidMukundaKakati CivilHospital,Nalbari

1 8955.6 14 108108 18000 135064 1620763.2 1620763.2

22 Sivasagar

SivasagarCivilHospital

1 8955.6 26 200772 17000 226727.6 2720731.2

3453019.2SonariSDCH 0 0 4 30888 4000 34888 418656

Ligripukhuri 0 0 3 23166 2970 26136 313632

23 Sonitpur

KanaklataCivilHospital

1 8955.6 19 146718 20000 175674 2108083.2

2747467.2BiswanathCharialiSDCH

0 0 3 23166 4000 27166 325992

GohpurSDCH 0 0 3 23166 2950 26116 313392

24 Tinsukia

LokpriyaGopinathBordoloiCivilHospital

1 8955.6 15 115830 16000 140785.6 1689427.2 1689427.2

25 Udalguri

UdalguriCivilHospital

1 8955.6 5 38610 8000 55566 666787.2 666787.2

27 359 41201030 Rs41201030

Total budget required for Housekeeping for 37 facilities in 12 months (In Rupees) 41201030


Table 2: Supplies/month for 200 bedded hospitalS.no Name Quantity/day/rate Amount (In Rupees)

1 Concentrated Phenyl 1.5lt/day @Rs 100 30002 Citronella 4 lt/month @Rs 1000 40003 Harpic 2nos/day 4000

4 Miscellaneous (wiper, dry mop, acid, hand brush, PPE) per month 5000

Total supplies/month in Rs 16000Timeline to complete the activity: This activity needs to be completed by the end of the March, 2021 since thiswill be a recurring activity month wise.

The MOU shall be shared with the State QA cell A detailed report shall have to be submitted to the State cell after the completion of the activities

along with the UC and SOE Any breach in housekeeping funds( if number of sweepers are found to be less than

approved or actual payment done is less than approved) shall be taken seriously andreported to the Mission Director for his necessary action. Kayakalp guidelines shall befollowed.

State and District wise fund breakup under FMR Code- 1.3.2.6

Sl.No. District/ State HQ Phy. Target Allocated Fund InRupees)

1 Baksa 12 months 759451.2

2 Barpeta 12 months 1922755.23 Bongaigaon 12 months 1504099.24 Cachar 12 months 666787.25 Chirang 12 months 759451.26 Darrang 12 months 2200747.27 Dhemaji 12 months 1318771.28 Dhubri 12 months 2096083.29 Dibrugarh 0 010 Dima Hasao 12 months 968779.211 Goalpara 12 months 1504099.212 Golaghat 12 months 2996198.413 Hailakandi 12 months 723451.214 Jorhat 12 months 1136107.215 Kamrup Metro 12 months 2174222.416 Kamrup Rural 12 months 526123.217 Karimganj 12 months 1411435.218 Karbi Anglong 0 019 Kokrajhar 12 months 1830091.220 Lakhimpur 12 months 2514739.221 Morigaon 12 months 1226107.222 Nalbari 12 months 1620763.223 Nagaon 12 months 2784067.224 Sivasagar 12 months 3453019.225 Sonitpur 12 months 2747467.226 Tinsukia 12 months 1689427.227 Udalguri 12 months 666787.2

District Total 41201030State HQ Allocation 0

Total (In Rupees) 41201030Total (In Lakhs) 412.01 Lakhs


FMR code Particulars Level of activity Approvedbatch

ApprovedBudget

9.5.25.1Quality Assurance training (IAand service provider Training)

State 3 10.05 L

9.5.25.2Miscellaneous Activities under(QA)

0 0

9.5.25.3Kayakalp Trainings State and District 28 (1 HQ &

27 Districts)18.09 L

9.5.25.4 Swachh Swasth Sarvatra training State 1 1.89L

9.5.25.5 Mera Aspatal training State 1 1.89 L

9.5.25.6Any other (please specify) State and District 29 (2 HQ &

27 Districts)21.52 L

Total 53.44 L

Activity No 2 a

FMR code: 9.5.25.1 (Total Approval = Rs 10.05 Lakhs)

FMR Owner & Responsible Person: At State HQ: State Consultant, QA

Level of the Activity: State level

Name of the activity: Quality Assurance training (IA and service provider Training)

Type of the activity: Ongoing activity

About the activity:

A state level training will be conducted under National Quality Assurance Program to train InternalAssessors across various districts. These assessors will get a certificate on successful completion of thetraining and will be eligible to assess the health care facilities for NQAS/LaQshya/IPHS and Kayakalp.These assessors will be selected from those facilities which will be taken up for NQAS certification in FY2020-21. One batch of 60 participants will be trained as per GOI guidelines.All districts have to send nominations of 2 candidates (Medical officer/HA/DQC/GNM) who are notpreviously certified in Quality Assurance (HA and DQC are mandatory if not previously certified)

Activity 2: Quality Assurance Trainings

FMR code 9.5.25 (Total Approval = Rs 53.44 Lakhs)


Timeline to complete the activity: This activity will be completed in collaboration with NHSRC, NewDelhi since the exit exam is conducted by NHSRC only.

Activity No 2 b

FMR code: 9.5.25.2 (Total Approval = Nil)

Activity No 2 c

FMR code: 9.5.25.3 (Total Approval = Rs 18.09 Lakh)


At District: District Quality Consultant/ HA/DPM

Level of the Activity: 1 Master TOT at State level and 1 batch in 27 districts each

Name of the activity: Kayakalp Trainings

Type of the activity: New activity

About the activity

A State level training for Master TOT for Swachh Bharat Abhiyan will be held at State HQ during thesecond Quarter. Reorientation/ Sensitization of the Kayakalp External Assessors will also be done duringthis training so that there is uniformity in assessing the facilities across the State. Budget approved for 1batch of State level Training for Kayakalp.

Table 2c (i) : FMR- 9.5.25.3

Kayakalp training State level

Batch size:50, No of days/ Batches:2

ParticularsUnitcost

No ofparticipants

Days/Batches

Total Budget inRs

1 Hiring of venue 0 1 2 02 TA of Participants 800 60 1 480003 DA of Participants 300 60 2 360004 Accommodation for participants 800 30 2 480005 Tea and lunch 350 60 2 420006 Folders/pen/stationary 100 60 1 6000

7

Incidental Exp like study material,resource material, photo copying,flipcharts, job aids 60 60 1 3600

8 Contingency (banner etc) 4900 1 1 4900

A) Total requirement for 1 batch at State level (in Rs) 188500


District level Kayakalp training

An amount of Rs 16.2 Lakhs is approved for District level Kayakalp training @ Rs 0.3 Lakh * 2batches * 27 districts as below: The Master TOTs will train the Medical Officers/ Facility Incharge/ SN/Lab Tech/ BPM of those facilities which scored more than 50% but less than 70% inKayakalp Internal/peer assessment. Training will be conducted for 1 day for two batches. Thepresentations and agenda will be same as that of the Master TOT of State level. The venue shouldbe well ventilated with good PA system and LCD projector to be used. The training shall becompleted within Aug 2020. The quality of the training should be good. Video recording of thetraining to be done and shared in their webpage/NHM Facebook page.

Table 2c (ii) : FMR- 9.5.25.3 ( in Two batches) 50 participants in one batch

Kayakalp training District levelBatch size:80, No of days:1

Particulars Unit cost Unit Days Total Budget in Rs1 Hiring of venue 3000 1 1 30002 TA of Participants(on actual) 200 50 1 100003 Tea and lunch etc 150 60 1 90004 Folders/pen/stationary 50 50 1 2500

5 Honorarium for RP 1000 1 1 1000

6 Printing of Resource materials 70 50 1 3500


Approval for 1 batch in Rs 30000

Approval for 2 batches at 1 District (in Rs) 60000

B) Total approval for 27 districts (in Rs) 1620000

Timeline to complete the activity: This activity will be completed within Aug, 2020.


Sl.No. District/ State HQ Phy. Target Allocated Fund In Rupees)

1 Baksa 2 600002 Barpeta 2 600003 Bongaigaon 2 600004 Cachar 2 600005 Chirang 2 600006 Darrang 2 600007 Dhemaji 2 600008 Dhubri 2 600009 Dibrugarh 2 60000

10 Dima Hasao 2 6000011 Goalpara 2 6000012 Golaghat 2 6000013 Hailakandi 2 6000014 Kamrup Metro 2 6000015 Kamrup Rural 2 6000016 Karimganj 2 6000017 Karbi Anglong 2 6000018 Kokrajhar 2 60000


19 Lakhimpur 2 6000020 Jorhat 2 6000021 Morigaon 2 6000022 Nalbari 2 6000023 Nagaon 2 6000024 Sivasagar 2 6000025 Sonitpur 2 6000026 Tinsukia 2 6000027 Udalguri 2 60000



Activity No 2 d




Name of the activity: Swachh Swasth Sarvatra Training


About the activity: In this activity head, funds have been approved for 1 batch of State level training on

SSS as below:

Table 2d : FMR- 9.5.25.4

SSS training State level

Batch size:50, No of days:2

ParticularsUnitcost No of participants Days

Total Budget inRs

1 Hiring of venue 0 2 02 TA of Participants 800 60 1 480003 DA of Participants 300 60 2 36000

4 Accommodation for participants 800 30 2 480005 Tea and lunch 350 60 2 42000

6 Folders/pen/stationary 100 60 1 6000

7Incidental Exp like study material, resourcematerial, photo copying, flipcharts, job aids 60 60 1 3600




Activity No 2 e




Name of the activity: Mera Aspataal Training


About the activity: In this activity head, funds have been approved for 1 batch of State level training on

Mera Aspataal as below:

Table 2 e : FMR- 9.5.25.5

Mera Aspataal training State level

Batch size:50, No of days:2

Particulars Unit costNo ofparticipants Days

Total Budget inRs

1 Hiring of venue 0 1 2 0

2 TA of Participants 800 60 1 480003 DA of Participants 300 60 2 36000

4 Accommodation for participants 800 30 2 480005 Tea and lunch 350 60 2 42000


7

Incidental Exp like study material,resource material, photo copying,flipcharts, job aids 60 60 1 3600



Activity No 2 f



At District: District Quality Consultant/ HA/DPM

Level of the Activity: Both State and District level

Name of the activity: Any other (Please specify)


About the activity: In this activity head funds have been approved for 3 types of training given inTables A, B and C respectively. Both A and B trainings will be conducted at State level and C will beconducted at District level.

A. State level Training of Trainers (ToT) on Patient Safety): A budget of Rs 2.66 Lakhs isapproved for 2 days of 1 batch of training on patient safety for clinicians, nurses, HospitalAdministrators, District Quality Consultants @Rs 2.66 Lakhs *1 training.


State level Training of Trainers (ToT) on Patient Safety)

Target:60 Days:2

Sl.No.

Particulars Unit costNo ofparticipants

DaysTotalBudget

1 Hiring of venue 10000 1 2 20000

2 TA of Participants 800 60 1 48000

3 DA of Participants 300 60 2 360004 Accommodation for participants 800 40 2 640005 Tea and lunch 350 75 2 525006 Folders/pen/stationary 100 60 1 6000

7Incidental Exp like study material, resource material,photo copying, flipcharts, job aids 500 60 1 30000



Approval for 1 batch at State level (in Rs) 266000

B. State level Training of Trainers (ToT) on Quality Management (G and H part): A budget ofRs 2.66 Lakhs is proposed for 1 batch of training on Quality management workshop for HospitalAdministrators, District Quality Consultants @Rs 2.66 Lakhs *1 training. Focus will be given onQuality management part. Resource persons will be from NHSRC.

Table B:Any other training

State level Training of Trainers (ToT) on Quality Management (G and H part)Target:60 Days:2

Sl.No.

Particulars Unit costNo ofparticipants

DaysTotalBudget

1 Hiring of venue 10000 1 2 20000


3 DA of Participants 300 60 2 360004 Accommodation for participants 800 40 2 640005 Tea and lunch 350 75 2 525006 Folders/pen/stationary 100 60 1 6000

7Incidental Exp like study material, resource material,photo copying, flipcharts, job aids 500 60 1 30000



Approval for 1 batch at State level (in Rs) 266000


District level Training on Patient Safety

C. District level Training on Patient Safety: A budget of Rs 0.6 Lakhs is approved for 1 batch ofdistrict level Training for 2 days on patient safety as below:

Table C :Any other training

District level Training on Patient SafetyBatch size:80, No of days:1

Particulars Unit cost Unit DaysTotal Budgetin Rs

1 Hiring of venue 3000 1 2 6000


3 Tea and lunch 150 90 2 27000

4Folders/pen/stationary/ PrintingResource material 75 80 1 6000


6 Contingency (banner etc) 1000 1 1 1000Approval for 1 batch at 1 District (in Rs) 60000Total approval for 27 districts (in Rs) 1620000


Sl.No. District/ State HQ Phy. Target Allocated Fund In Rupees)

1 Baksa 1 60000

2 Barpeta 1 600003 Bongaigaon 1 600004 Cachar 1 600005 Chirang 1 600006 Darrang 1 600007 Dhemaji 1 600008 Dhubri 1 600009 Dibrugarh 1 60000

10 Dima Hasao 1 6000011 Goalpara 1 6000012 Golaghat 1 6000013 Hailakandi 1 6000014 Kamrup Metro 1 6000015 Kamrup Rural 1 6000016 Karimganj 1 6000017 Karbi Anglong 1 6000018 Kokrajhar 1 60000


19 Lakhimpur 1 6000020 Jorhat 1 6000021 Morigaon 1 6000022 Nalbari 1 6000023 Nagaon 1 6000024 Sivasagar 1 6000025 Sonitpur 1 6000026 Tinsukia 1 6000027 Udalguri 1 60000



Activity 3 a: TOT on IMEP

FMR Code: 9.5.29.5.1 (Total Approval = Rs 5.32 Lakhs)



Activity No FMR code Particulars Level of activity ApprovedBudget

3 a 9.5.29.5.1 ToT on IMEP State 5.32 L

3 b 9.5.29.5.2IMEP training for State andDistrict Program Managers District 8.75 L

TOTAL 14.07 L

Activity 3: IMEP Training

FMR Code 9.5.29.5 (Total Approval = Rs 14.07 Lakhs)


Name of the activity: ToT on IMEP


About the activity: The training will be conducted in two batches for infection control practices amongMedical officers and Staff Nurses.Budget approved for 2 Training (TOT) @2.66 L on IMEP.Each District has to nominate 2 persons for the TOT (Microbiolost/ ICO/ICN)The ICN/SN has to be from among the facilities selected for Kayakalp/NQAS/LaQshya

ToT on IMEPTarget:60

Sl.No. Particulars Unit cost

No ofparticipants Days

TotalBudget

1 Hiring of venue 10000 1 2 20000


3 DA of Participants 300 60 2 36000

4Accommodation forparticipants 800 40 2 64000

5 Tea and lunch 350 75 2 52500


7

Incidental Exp like studymaterial, resource material,photo copying, flipcharts, jobaids 500 60 1 30000



A) Approval for 1 batch at State level (in Rs) 266000

Total approval for 2 batches at State level (in Rs) 532000These 2 trained persons along with trained persons in previous years will function as trainers on IMEP forthe respective districts.Timeline to complete the activity: This activity will be completed within June, 2020.

Activity No 3 b

FMR Code: 9.5.29.5.2 (Total Approval = Rs 8.75 Lakhs)FMR Owner & Responsible Person: At State HQ: State Consultant, QA

At District level: DPMs/DQC

Level of the Activity: District level (7 Districts as below have been selected for imparting the training onIMEP)

1. Cachar2. Jorhat3. Tinsukia4. Morigaon5. Dhubri6. Barpeta7. Kamrup R


Name of the activity: IMEP training for State and District Program ManagersType of the activity: Ongoing activityAbout the activity: Budget of Rs 8.75 Lakhs approved for 7 Regional trainings on IMEP @ Rs 1.75 Lper region X 7 Regions. 7 districts have been selected for these regional trainings namely

1. Cachar2. Jorhat3. Tinsukia4. Morigaon5. Dhubri6. Barpeta7. Kamrup R

Staff from nearby 4-5 districts as mentioned below will be trained in the selected zonal districts. TheDistrict Quality Consultant and One member from State Quality Cell will be the resource person for thistraining. He/ She have to ensure that good quality training has been imparted. Participants will be prioritywise nominated from those health Institutions which have been selected for NQAS/Kayakalp. Pre andpost test have to be conducted. All GOI ppts have to be used. It will be two day training with one daypractical session.Venue: District HospitalNo Of days: 2 daysResource material: Provided from State levelMaximum No of participants: 80Type of Participants: All SNs

TABLE A

Sl No District where training willbe conducted Nearby districts No of participants

1 CacharHailakandi, Karimganj,

DimaHasao

Cachar-20Hailakandi-15Karimganj-15

Dima Hasao-10

2 JorhatSivasagar, Golaghat,

Sonitpur

Sonitpur-10Golaghat- 15Sivasagar-15

Jorhat-20

3 TinsukiaLakhimpur, Dhemaji,

Dibrugarh,

Lakhimpur-15Dhemaji-10

Dibrugarh-15Tinsukia-20

4 MorigaonKarbi Anglong, Nagaon,

Kamrup M

Nagaon-20Karbi Anglong-10

Morigaon-20Kamrup M-10

5 DhubriKokrajhar, Chirang,

GoalparaKokrajhar-10, Dhubri-30Chirang-10, Goalpara-10

6 BarpetaBaksa, Bongaigaon,

NalbariNalbari-10, Barpeta-25

Baksa-10, Bongaigaon-15

7 Kamrup R Darrang, UdalguriKamrup R-40Darrang-20Udalguri-20


Table B

IMEP training for State and District Program Managers

Zone wise training on IMEP

Target:60, Days of Training-2

Sl. No. ParticularsUnitcost

No ofparticipants Days

TotalBudget

1 Venue: DH/MCH wing 0 0 0 02

TA of Participants (on actuals as perNHM norms) 300 60 1 18000

3 DA of Participants (for outstationparticipants as per NHM norms) 200 40 2 16000

4 Accommodation for Participants 500 60 1 300005 Tea and lunch 250 70 2 350006

Honorarium for Resource Person 500 3 2 30007

Folders/pen/stationary 60 60 1 36008

Training material 300 60 1 180009

Contingency 1400 1 1 1400Total for 1 zone 125000

State and District wise budget breakup under the FMR Code: 9.5.29.5.bSl.No. District/ State HQ Physical target Allocated Fund In

Rupees)1 Baksa 0

2 Barpeta 1 1250003 Bongaigaon 04 Cachar 1 1250005 Chirang 06 Darrang 07 Dhemaji 08 Dhubri 1 1250009 Dibrugarh 0

10 Dima Hasao 011 Goalpara 012 Golaghat 013 Hailakandi 014 Kamrup Metro15 Kamrup Rural 1 12500016 Karimganj 017 Karbi Anglong 018 Kokrajhar 019 Lakhimpur 020 Jorhat 1 12500021 Morigaon 1 12500022 Nalbari 023 Nagaon 0


24 Sivasagar 025 Sonitpur 026 Tinsukia 1 12500027 Udalguri 0

District Total (In Rupees) 875000State HQ Allocation 0

Total (In Rupees) 875000

Note: The tentative budget for the training is provided in the table below which is suggestive;however, norms for RCH trainings must be followed.

Activity No 4

FMR Code: 11.24.4.5 (Total approval = Rs 12.8 Lakhs)Level of the Activity: District levelName of the activity: IEC Activity under NQAP, LaQshya, Kayakalp & Mera-Aspataal (Signages-Approach road, Departmental, Directional and other facility level signage's)Type of the activity: New activityAbout the activity:

A budget of Rs 12.8 Lakhs@ Rs 10000* 128 facilities is approved for IEC campaigns on NQAS,LaQshya, Kayakalp & Infection control in 128 targeted facilities for Quality assurance which will also betaken up for NQAS subsequently. The list of these 128 facilities is placed herewith:

FMR Code Activities Unit cost in Rs Target facilities Total proposal11.24.4.5 1. Display of IEC on Quality

Assurance as shared by the State2. Display of Infection ControlPractices esp in LR, SNCU, OT,Emergency room as shared by theState3. Logo display for winner facilitiesfor Laqshya, NQAS and Kayakalp4. Display of Outcome indicatorsBoard at Reception area

10000 128 Rs 12.8 lakhs

List of 128 facilities targeted for QA 2020-21

Sl.No. District HEALTH INSTITUTION Type of HI

Amountapproved

in Rs lakhs

Totalamount forthe districtin Rs Lakhs

1Baksa

Dr. Ravi Baro Civil Hospital DH 0.10.2

2 Goreswar CHC Model Hospital 0.1

3Barpeta

Bhulukadoba model hospital CHC 0.1

0.84 Barpeta civil hospital DH 0.15 Sarukhetri chc SDCH 0.1


List of 128 facilities targeted for QA 2020-216 Barpeta road CHC 0.17 Sorbhog CHC 0.18 Howly CHC 0.19 Chandmama Model Hospital 0.1

10 Mandia Model Hospital 0.1

11

Bongaigaon

Bongaigaon ch DH 0.1

0.312 Mg model hospital manikpur CHC 0.113 Abhayapuri chc CHC 0.114

Cachar

Kalain CHC Medical College 0.1

0.4

15 Katigorah Model Hospital DH 0.1

16Mahatma Gandhi Model Hospital,Chotodudhpatil

CHC 0.1

17Mahatma Gandhi Model Hospital,Tikal (Salganga)

Model Hospital 0.1

18Chirang

JSB CIVIL Hospital DH 0.1 0.219 Bhetagaon chc CHC 0.120

DarrangMangaldai civil hospital DH 0.1

0.321 Sipajhar CHC CHC 0.122 Kharupetia CHC CHC 0.123

DhemajiDhemaji civil hospital DH 0.1

0.324 Gogamukh PHC/CHC CHC 0.125 Silapathar Model Hospital Model Hospital 0.126

Dhubri

Dhubri Civil Hospital DH 0.1

0.7

27 Hatsingimari SDCH SDH 0.128 Halakura CHC CHC 0.129 Agomani CHC CHC 0.130 Mankachar CHC CHC 0.131 Geramari MPHC PHC 0.132 Bogribari SD (Model Hospital) Model Hospital 0.133

Dibrugarh

Jokai Model CHC 0.1

0.4

34 Naharani CHC CHC 0.135 Tengakhat M.G Model Hospital CHC 0.136 Moran tiloi FRU CHC 0.1

37 Dima Hasao Umrangchu CHC 0.1 0.1

38

Goalpara

200 Bedded Civil Hospital DH 0.1

0.5

39 Ambari Bazar Model Hospital CHC 0.140 Dudhnoi FRU CHC 0.141 Lakhipur BPHC/CHC CHC 0.1

42MATIA BPHC/MODEL

HOSPITALModel Hospital 0.1

43

Golaghat

Swahid Kushal Konwar CivilHospital

DH 0.1

0.5

44 Dergaon CHC CHC 0.145 Merapani CHC CHC 0.146 Bokakhat SDCH SDH 0.147 Sarupathar CHC CHC 0.148 Hailakandi S.K.Roy Civil Hospital DH 0.1 0.2


List of 128 facilities targeted for QA 2020-2149 Lala CHC CHC 0.150

Jorhat

Kakojan BPHC BPHC 0.1

0.451 Garmur SDCH SDCH 0.152 Titabor SDCH SDCH 0.153 Teok FRU CHC 0.154

Kamrup(M)

Khetri CHC CHC 0.1

0.5

55Mahendra Mohan Choudhury

HospitalMedical College 0.1

56 PANDU FRU CHC 0.157 District Hospital Sonapur DH 0.158 Dhirenpara FRU CHC 0.159

Kamrup(R)

TRB Civil Hospital DH 0.1

0.9

60 Azara BPHC/CHC/FRU CHC 0.161 Mirza CHC CHC 0.162 Bezera CHC/FRU CHC 0.163 Sualkuchi BPHC/CHC/FRU CHC 0.164 Boko BPHC/CHC/FRU CHC 0.165 Goroimari CHC CHC 0.166 Hajo BPHC/CHC/FRU CHC 0.167 Rangia CHC/FRU CHC 0.168

Karbi-Anglong

Borlangfer PHC 0.1

0.5

69 Donkamokam CHC CHC 0.170 Howraghat CHC CHC 0.171 Bokajan CHC CHC 0.172 Bokolia CHC CHC 0.173

Karimganj

Karimganj Civil Hospital DH 0.1

0.6

74 Srigouri CHC CHC 0.175 Patherkandi CHC 0.176 MG Girishganj Model Hospital Model Hospital 0.177 Baraigram Model Hospital Model Hospital 0.178 MG Model Hospital, Dullavcherra Model Hospital 0.179

Kokrajhar

RNB CH Kokrajhar DH 0.1

0.480 RNB CH Gossaigaon SDH 0.181 Patgaon SD PHC 0.182 Dotma CHC CHC 0.183

Lakhimpur

North Lakhimpur Civil Hospital DH 0.1

0.7

84 Sonarichapori MPHC SDH 0.185 Bihpuria CHC CHC 0.186 Kekuripamua MPHC PHC 0.187 Harmotty MPHC PHC 0.188 Nawboicha CHC CHC 0.189 Boginodi Model Hospital Model Hospital 0.190

Morigaon

Morigaon Civil Hospital DH 0.1

0.5

91 Moirabari CHC/FRU CHC 0.192 Nakhola SHC/Model Hospital Model Hospital 0.193 Bhurbandha BPHC/Model Hospital Model Hospital 0.194 Laharighat BPHC/Model Hospital Model Hospital 0.195

NagaonB P Civil Hospital DH 0.1 1.2

96 DHING FRU CHC 0.1


List of 128 facilities targeted for QA 2020-2197 Hojai CHC CHC 0.198 Jakhalabandha FRU CHC 0.199 Kawaimari FRU CHC 0.1

100 Kampur FRU CHC 0.1101 Doboka CHC CHC 0.1102 Dagaon PHC PHC 0.1103 Singimari BPHC PHC 0.1

104 Fultoli MPHC PHC 0.1

105 Rupohi MODEL HOSPITAL Model Hospital 0.1106 Kachua Model Hospital Model Hospital 0.1107

NalbariSMK Civil Hospital DH 0.1 0.2

108 Tihu FRU CHC 0.1109

Sivasagar

Sivasagar Civil Hospital DH 0.1

0.4

110 Sonari SDCH SDH 0.1111 KSHS Nazira SDCH, Ligiripukhuri SDH 0.1112 Amguri CHC Model Hospital 0.1113

Sonitpur

Tezpur Medical College Medical College 0.1

0.6

114 Kanaklata Civil Hospital DH 0.1115 Gohpur SDCH SDH 0.1116 Biswanath Chariali SDCH SDH 0.1117 North Jamuguri CHC CHC 0.1118 Dhekiajuli CHC CHC 0.1119

Tinsukia

Barekuri MPHC PHC 0.1

0.5

120 Doomdooma FRU CHC 0.1121 Margherita FRU CHC 0.1122 Digboi CHC CHC 0.1123 Chapakhowa FRU CHC 0.1124

Udalguri

Udalguri civil hospital DH 0.1

0.5

125 Khoirabari chc CHC 0.1126 Tangla chc CHC 0.1127 Orang chc CHC 0.1128 Rowta model hospital Model Hospital 0.1

State and District wise budget breakup under the FMR Code: 11.24.4.5Sl.No. District/ State HQ Physical target Allocated Fund In

Rupees)1 Baksa 2 20000

2 Barpeta 8 800003 Bongaigaon 3 300004 Cachar 4 400005 Chirang 2 200006 Darrang 3 300007 Dhemaji 3 300008 Dhubri 7 700009 Dibrugarh 4 40000

10 Dima Hasao 1 1000011 Goalpara 5 5000012 Golaghat 5 50000


13 Hailakandi 2 2000014 Jorhat 4 4000015 Kamrup Metro 5 5000016 Kamrup Rural 9 9000017 Karimganj 6 6000018 Karbi Anglong 5 5000019 Kokrajhar 4 4000020 Lakhimpur 7 7000021 Morigaon 5 5000022 Nalbari 2 2000023 Nagaon 12 12000024 Sivasagar 4 4000025 Sonitpur 6 6000026 Tinsukia 5 5000027 Udalguri 5 50000



Activity No 5

FMR Code: 12.17.5 (Total Approval = Rs 249 Lakhs)

FMR Owner & Responsible Person: At State HQ : State Consultant, QA and State ProgramManagerLevel of the Activity: State levelName of the activity: Any other (Please specify)Type of the activity: Ongoing activityAbout the activity: Printing of prescription pads will be done at State Level

Timeline to complete the activity: This activity will be completed within December, 2020.

Activity No 6

FMR Code: 12.18.3 (Total Approval = Rs 2.7 Lakhs)

FMR Owner & Responsible Person: At State HQ : State Consultant, QALevel of the Activity: State levelName of the activity: Printing of SOPs for implementation of NQAS, Kayakalp & LaQshyaType of the activity: New activityAbout the activity: Printing of SOPs will be done at State Level

Timeline to complete the activity: This activity will be completed within July, 2020.

Activity No 6 a

Activity 7: Quality Assurance

FMR Code 13 (Total Approval = Rs 1704.51 Lakhs)


FMR Particulars Unit cost (inRs lakhs) Qty Budget (in Rs

Lakhs)13.1 Quality Assurance 599.99

13.1.1Quality Assurance Implementation (fortraversing gaps)

426.60

13.1.1.1 Calibration 0.00 0.00

13.1.1.2 AERB 0.00 0.00

13.1.1.3 EQAS for Labs 0.11 100 10.60

13.1.1.4Mera-Aspataal Implementation/ Operationalisationof Patient Feedback System

0.00 0.00

13.1.1.5Specific Interventions for promotion of patientsafety

1.25 128 160.00

13.1.1.6 Any other (please specify) 2.00 128 256.00

Activity 7 a

FMR Code: 13.1.1.3 (Total Approvals = Rs 10.60 Lakhs)

FMR Owner & Responsible Person: At State HQ : State Consultant, QA

At District : DPMs/DQC/HA/DME

Level of the Activity: District level

Name of the activity: EQAS for Labs


About the activity: A budget of Rs 10.60 Lakhs@ Rs 10600* 100 CHCs is approved for registering theEQAS of CHC labs. Out of the total 194 CHCs/SDCH, 100 CHCs have been selected based onavailability of manpower and equipments. The estimated cost of Rs 10600 is given below for 1 CHC

EQAS PARAMETERS AND AGENCIES

Department Parameters EQAS AGENCY RegistrationFees in Rs

Biochemistry

Glucose, Urea, Creatinine ,T.Bilirubin ,T.Protein, Albumin, UA, T.Cholesterol ,

Triglyceride, HDL, Cholesterol,SGOT(AST), SGPT(ALT), ALP, Amylase,

CMC Vellore

Rs 6000

Haematology CBC parameters RML Lucknow Rs 4600Total registration fees for 1 CHC for 1 year Rs 10600

Total registration fees for 100 CHCs for 1 year Rs 1060000


Quality Assurance Implementation at Laboratories

Brief about the activity: Internal QC is essential for daily monitoring of precision and accuracy. It refersto a set of procedures undertaken by laboratory staff for continuous and immediate monitoring oflaboratory work in order to check the reliability of the report. Quality control can be monitored usingcontrol samples that have known values, previously tested by known methods. Eg. Standards, calibrators.At least one control sample should be used for every batch of samples to be analysed. The controlsamples may be the following depending on the test:

Anticoagulated whole blood Preserved pooled red cells Plasma, or SerumFacilities where fund has been allotted for internal quality control of laboratories shall have to

maintain proper record in the form of registers or system generated report to be kept as a record for auditpurpose.

QUALITY ASSURANCE OF LABORATORIES AT PHCSA. Activities to be done at PHCs for Internal Quality Control at Laboratories:

1. There has to be a system for internal quality assurance in the lab at PHCs.2. Control samples has to be procured which is available in the market for two parameters only

i.e, Blood Sugar and Serum Bilrubin.3. Control sample to be run before running the patient sample in a day for blood sugar and

serum bilrubin.4. Control sample can only be run for these two parameters at Colorimeter only.5. The result of control sample will be available in the packet of control sample.6. After running the control sample through Colorimeter, the Lab tech will have to check the

result.7. If there is no deviation, the patient sample may be run.8. In case of deviation, which could be possibly due to poor quality of reagent, improper

reconstitution of control sample, test tube not cleaned and dried, wrong pipetting etc.9. Corrective action to be taken on the identified outliers.10. After taking corrective action on the identified outliers, control sample once again has to be

run, if the result falls within the range, only then the patient sample to be run.11. Record to be maintained as control chart in both the circumstances.


12. The plotting of result shall be recorded in the Levy-Jenning chart as follows :13. Proper recording should be done of these charts for audit purpose.

.

B. Activities to be done for PHCS at External Quality Control at Laboratories:

1. Cross validation of tests to be done again for two parameters only i.e, blood sugar and serumbilrubin.

2. Tie up with any NABL accredited Lab in your District.3. The separated serum to be sent to the outside Lab with proper identification detail for further

testing once in a month.4. The result of the sample done in the lab is to be matched with the result of serum sample sent

to outside lab and record to be maintained.5. In case of deviation corrective measure to be taken and record to be maintained for audit

purpose.6. For tests under NVBDCP and RNTCP, existing procedure to be followed and record to be

maintained accordingly.

Assessment for both the internal and external quality to be done by District Nodal officernotified under CM’s Free Diagnostics Programme for the purpose on monthly basis. Moreover, DistrictLevel Monitoring Committee notified for the purpose has to monitor the activity.

QUALITY ASSURANCE OF LABORATORIES AT CHCS

1. Activities to be done at CHCs for Internal Quality Control at Laboratories:1. There has to be a system for internal quality assurance in the lab at CHCs.2. Control samples have to be procured which is available in the market for Haematology and Bio-

chemistry tests.3. Control sample to be run before running the patient sample in a day for every parameter received

for the day under Haematology and Bio-chemistry4. Control sample can only be run for these parameters in Cell Counter and Semi Auto Analysers

available at CHC level.5. The result of control sample will be available in the packet of control sample itself.After running

the control sample through Cell Counter and Semi Auto Analyser, the Lab tech will have to checkthe result.

6. If there is no deviation, the patient sample may be run.7. In case of deviation, which could be possibly due to poor machine maintenance, improper

programming , poor quality of reagent being used, improper reconstitution of control sample, testtube not cleaned and dried, wrong pipetting, etc.


8. Corrective action to be taken on the identified outliers and record on corrective action taken to bemaintained.

9. After taking the corrective action on the identified outliers, control sample once again should berun with standard or calibrator whichever is applicable. If the result falls within the range, only

then the patient sample to be run.10. Machine generated report for both Cell counter and semi auto analyzer to be maintained for record

purpose.

2. Activities to be done at CHCs for External Quality Control of Laboratories:

External Quality Control Services (EQAS) is intended to provide competent externalproficiency testing so as to improve the existing standards of diagnostic services. It is also essential tomonitor laboratories continuing performance, identification of problem in lab and initiation of actionfor improvement.

Please find below the details showing the parameters for which EQAS to be done andAgencies to be registered with:

EQAS PARAMETERS AND AGENCIES

Department Parameters EQAS AGENCY RegistrationFees

Biochemistry

Glucose, Urea, Creatinine ,T.Bilirubin ,T.Protein, Albumin, UA, T.Cholesterol

, Triglyceride, HDL, Cholesterol,SGOT(AST), SGPT(ALT), ALP,

Amylase,

CMC Vellore

6000

Haematology CBC parameters RML Lucknow4600

Total10600

Procedure to be followed for EQAS under Biochemistry Department with CMC Vellore :

• Download the form accessing the link -http://home.cmcvellore.ac.in/clinqc/aboutRegistration.aspx

• Fill in the form and send it with demand draft of requisite fee• CMC Vellore will send the lyophilized sample every month• Run the samples and upload the values on portal• Download the report at end of month• Analyze the results and take corrective actions

Procedure to be followed for EQAS with RML Lucknow :

• Download the Quality Assurance Program Manual by accessing linkhttp://www.rmlpathology.com/theme/web/core/rml/images/document/participant-manual.pdf .

• Follow the steps for registration• Download the form. Specimen given in Annexure I.• Fill in the form and send it with demand draft of requisite fee• RML Lucknow will send the lyophilized sample every month


• Run the samples and upload the values on portal• Download the report at the end of the month• Analyze the results and take corrective actions

Annexure I

Assessment for both the internal and external quality to be done by District Nodal officernotified under CM’s Free Diagnostics Programme for the purpose on monthly basis. Moreover,District Level Monitoring Committee notified for the purpose has to monitor the activity.

List of Health Institutions selected for EQAS

Slno. District Name of the Facility Facility Type

AllocatedAmount in

Rs

Amountfor district

in Rs1 Baksa Salbari Model Hospital Model Hospital 10600

424002 Baksa Jalah BPHC/CHC CHC 106003 Baksa Goreswar CHC CHC 106004 Baksa Tamulpur CHC CHC 106005 Barpeta Chandmama MH CHC 10600

63600

6 Barpeta Mandia MH CHC 106007 Barpeta Howly CHC CHC 106008 Barpeta Sarukhetri CHC CHC 106009 Barpeta Baghmara CHC CHC 10600

10 Barpeta Sorbhog CHC CHC 1060011 Bongaigaon Bidyapur CHC CHC 10600

3180012 Bongaigaon Manikpur Model Hospital CHC 1060013 Bongaigaon Boitamari Model Hospital CHC 10600

14 Cachar Kacchudharam ModelHospital Model Hospital 10600

4240015 Cachar Katigorah Model Hospital Model Hospital 10600



AllocatedAmount in

Rs

Amountfor district

in Rs16 Cachar Kalain CHC CHC 10600

17 Cachar Tikol Model Hospital Model Hospital 10600

18 Chirang Bhetagaon CHC CHC 10600

3180019 Chirang Bengtol CHC CHC 10600

20 Chirang MG Model Hospital,Subhaijhar CHC 10600

21 Darrang Deomornoi CHC 10600

53000

22 Darrang Bazanapathar CHC 1060023 Darrang Kharupetia CHC 10600

24 Darrang Duni Model Hospital Model Hospital 10600

25 Darrang Kuwariphukhuri Model Hospital 10600

26 Dhemaji Bengenagarh CHC CHC 10600 1060027 Dhubri Chapar CHC CHC 10600

3180028 Dhubri Halakura CHC CHC 10600

29 Dhubri Bagribari Model Hospital 10600

30 Dibrugarh Rajgarh CHC CHC 10600

53000

31 Dibrugarh Sasoni CHC CHC 10600

32 Dibrugarh Tengakhat M.G. ModelHospital Model Hospital 10600

33 Dibrugarh Chabua Model Hospital CHC 10600

34 Dibrugarh Lezai Kolakhowa ModelHospital CHC 10600

35 Dima Hasao Umrangso CHC CHC 10600 1060036 Goalpara Rangjuli PHC CHC 10600

2120037 Goalpara Bikali Model Hospital CHC 10600

38 Golaghat Merapani CHC CHC 106003180039 Golaghat Dergaon CHC CHC 10600

40 Golaghat Charingia CHC CHC 1060041 Hailakandi Mohanpur CHC 10600 2120042 Hailakandi Dholai Model Hospital 1060043 Jorhat Kamalabari CHC CHC 10600

4240044 Jorhat Bhogamukh Model Model Hospital 10600

45 Jorhat Nakachari Model Model Hospital 10600

46 Jorhat Mariani CHC (Nagajanka) CHC 1060047 Kamrup M Sonapur Civil Hospital DH 10600 1060048 Kamrup R Kamalpur Model Hospital 10600

4240049 Kamrup R Rani CHC CHC 1060050 Kamrup R Chhaygaon CHC CHC 10600



AllocatedAmount in

Rs

Amountfor district

in Rs51 Kamrup R Goroimari CHC CHC 1060052 Karbi Anglong Balijuri MODEL HOSPITAL 10600

3180053 Karbi Anglong Bokajan CHC CHC 1060054 Karbi Anglong Donkamokam CHC CHC 1060055 Karimganj Srigauri CHC CHC 10600

42400

56 Karimganj Patharkandi CHC CHC 10600

57 Karimganj MG Model HospitalBaroigram Model Hospital 10600

58 Karimganj MG Model HospitalDullavcherra Model Hospital 10600

59 Kokrajhar Balajan CHC CHC 10600

4240060 Kokrajhar Dotma CHC CHC 1060061 Kokrajhar Kachugaon CHC CHC 1060062 Kokrajhar Gossaigaon CHC CHC 10600

63 Lakhimpur Chaporigaon UPHC UPHC (NQAScertified) 10600

63600

64 Lakhimpur Dhalpur CHC CHC 1060065 Lakhimpur Bihpuria CHC CHC 1060066 Lakhimpur Bongalmora CHC CHC 1060067 Lakhimpur Nawboicha CHC CHC 1060068 Lakhimpur Ghilamora CHC CHC 1060069 Morigaon Chabukdhora CHC 10600

42400

70 Morigaon MGM Hospital Laharighat Model Hospital 10600

71 Morigaon Dolongghat ModelHospital Model Hospital 10600

72 Morigaon MG MODELHOSPITAL,NAKHOLA Model Hospital 10600

73 Nagaon Uluoni CHC 10600

84800

74 Nagaon Bamuni CHC 1060075 Nagaon Doboka CHC 1060076 Nagaon Mowamari Model Hospital 1060077 Nagaon Rupohi Model Hospital 1060078 Nagaon Kachua Model Hospital 1060079 Nagaon Nilbagan Model Hospital 1060080 Nagaon Jugijan Model Hospital 10600

81 Nalbari Daulashal MPHC PHC ( NQAScertified) 10600

7420082 Nalbari MG Model Hospital,

Belsor Model Hospital 10600



AllocatedAmount in

Rs

Amountfor district

in Rs83 Nalbari Chamata CHC CHC 1060084 Nalbari Bornoddi CHC CHC 1060085 Nalbari Kokoya CHC CHC 1060086 Nalbari Bhanganamari CHC CHC 10600

87 Nalbari MG Model Hospital,Adabari Model Hospital 10600

88 Sivasagar Amguri CHC CHC 10600 1060089 Sonitpur North Jamuguri CHC CHC 10600

63600

90 Sonitpur Kolabari Model Hospital Model Hospital 1060091 Sonitpur Borgang Model Hospital Model Hospital 1060092 Sonitpur Balichang Model Hospital Model Hospital 10600

93 Sonitpur Kusumtola ModelHospital Model Hospital 10600

94 Sonitpur Sirajuli Model Hospital Model Hospital 10600

95 Tinsukia Ledo MPHC PHC ( NQAScertified) 10600

3180096 Tinsukia Dangori CHC CHC 10600

97 Tinsukia Phillobari Model Hospital Model Hospital 10600

98 Udalguri Tangla CHC 10600

3180099 Udalguri Orang CHC 10600

100 Udalguri Bhergaon Model Hospital 10600

State and District wise budget breakup under the FMR Code: 13.1.1.3

Sl.No. District/ State HQ Allocated Fund InRupees)

1 Baksa 42400

2 Barpeta 636003 Bongaigaon 318004 Cachar 424005 Chirang 318006 Darrang 530007 Dhemaji 106008 Dhubri 318009 Dibrugarh 53000

10 Dima Hasao 1060011 Goalpara 2120012 Golaghat 3180013 Hailakandi 2120014 Jorhat 4240015 Kamrup Metro 1060016 Kamrup Rural 42400


17 Karimganj 4240018 Karbi Anglong 3180019 Kokrajhar 4240020 Lakhimpur 6360021 Morigaon 4240022 Nalbari 7240023 Nagaon 8480024 Sivasagar 1060025 Sonitpur 6360026 Tinsukia 3180027 Udalguri 31800



Activity 7 b

FMR Code: 13.1.1.5 (Total Approval = Rs 160.00 Lakhs)

FMR Owner & Responsible Person: At District : DPMs/DQC/HA/DME

Name of the activity: Specific Interventions for promotion of patient safety


Level of activity: District level

About the activity: A budget of Rs 160.00 Lakhs is approved for Patient safety measures given indetails below for the targeted facilities which will subsequently be taken up for NQAS also. Thesefacilities shall utilize the fund allocated for patient safety measures as described below:

1. CCTV installation: Installation of CCTVs especially around the Labour Room, SNCUand OPD area. The district hospitals can install CCTVs utilizing the Kayakalp Awardmoney fund and RKS funds.

2. BLS/ALS training- A Basic Life Support and Advanced life support training shall beconducted at the District Hospital either by the inhouse Anaesthetist or by hiring goodResource person (Anaesthetist) from outside the facility. The training should be adedicated two/three day training with resource materials to be provided. The DPM/DQC/HA may organize the training at Headquarter also and officials from selectedfacilities may be called. The participants will mainly comprise of Medical officers andStaff nurses.

3. Railings on ramp and warning blocks: All the ramps in the hospital which are usedby patients and attendants shall be made safe by putting railings and warningblocks at the beginning and end of the ramp. If the fund provided falls short, RKSfund to be utilized.


Warning blocks

Railings Railings can be attached with existing wall

4. Annual Maintenance of Fire and electrical installations: The JE (Instrumentation) willimplement the AMC of all fire and electrical installations within the selected facilities.This fund can be utilized for earthing, repair of open sockets, loose wires, fencing ofelectrical devices, putting danger signs wherever necessary etc. Records have to bemaintained for annual maintenance. A ELECTRICAL SAFETY certificate will thenbe issued to the selected health facility of that district which is a mandatoryrequirement for NQAS. The fund shall be kept at District HQ and fund to beutilized FOR DHs and for the facilities selected for NQAS.

5. Partitions/ Grills for patient safety- As per the need of the listed facilities, this fundshall be utilized to create partitions/ installation of grills which is required for Patientsafety.

6. Wire mesh- has to be installed in all the windows of the selected Health facilities. Themesh should be of good quality preferably stainless metal and should prevent entry ofmosquitoes and insects especially in patient care areas, mandatorily in Postnatal wards. Itshould be cleaned on a daily basis to prevent dust accumulation.


Wire mesh Stainless steel/ iron Netlon wire mesh with valcro

7. Proper waiting area for patients with amenities like drinking water, sittingarrangement,. UNTIED FUNDS CAN ALSO BE UTILIZED.

8. Drug Trolley shall be purchased as per the requirement and need mainly for DHs andCHCs.

9. Call bell system for patient: shall be installed mainly in Postnatal wards, Post Surgerywards, Medicine wards etc.

10. Smoke detectors shall be installed in critical care areas like LR, SNCU, OTs, Post natalWards etc.














11. Fire safety measures and mock drills – CODE RED to be implemented in all districthospitals and high load CHCs. Already in previous years funds have been providedfor strengthening fire alarm system, mock drills etc. Mock drills have to be conductedat health facilities. Every district headquarter will ensure mock drills in all facilities withthe help of District Disaster management authority. The fire department can also beutilized for mock drills on disaster and fire safety. Records of the training have to bemaintained at the facility with date and duration of drills with names of attendeesand authorized signature of the trainer and the facility in charge. Installation of fireextinguishers, fire alarms, directional signage for fire exits (green fluorescent colour atabout one feet above from gound level), fire exit plan have to be established. Thepurpose of fire drills in hospitals is to ensure that everyone knows how to exit safely asquickly as possible if a fire, smoke, carbon monoxide or other emergency occurs. Peopleneed to recognize the sound of the fire alarm. Roles and responsibilities of various staffhas to be clearly defined during such a disaster. A common place should be identified inthe premises of the facility preferably an open area.


DistrictName of the

HICCTV

ALS/BLStraining

RailingsonRampandwarningblocks

Electricalsafety

Partitions/Grillsforpatientsafety

Wiremesh

Drinking

waterfacilit

y

Emergency &Accidentroom toberepairedandequipped

DrugTrolley

Callbellsystemforpatients

Smokedetectors esp inLR,SNCU,OT

Mockdrillsforall 27districts

DistrictTotal

Total

Baksa District HQ80000 80000

555600

BaksaDr. Ravi BaroCivil Hospital 10000 20000 22000 20000 2650 2000 76650

Baksa Goreswar CHC 30000 10000 20000 40000 30000 15000 2650 2000 149650

Baksa Tamulpur CHC 30000 10000 20000 40000 30000 15000 2650 2000 149650

Baksa

SonmahariMPHC 10000 10000 20000 20000 20000 15000 2650 2000 99650

Total 70000 40000 80000 80000 100000 80000 45000 0 22000 20000 10600 8000 555600Barpeta District HQ 0 0 100000 100000

899550

Barpeta Barpeta DH 10000 20000 40000 50000 22000 20000 2650 2000 166650Barpeta Pathsala SDCH 10000 20000 2650 2000 34650Barpeta Gahia PHC 10000 10000 20000 40000 30000 2650 2000 114650Barpeta Sarukhetri CHC 30000 10000 20000 40000 30000 15000 2650 2000 149650Barpeta Roha MPHC 30000 10000 20000 40000 2650 2000 104650Barpeta Bhawanipur

CHC 30000 10000 20000 40000 30000 15000 2650 2000 149650Barpeta Nasatra PHC 10000 20000 20000 10000 15000 2650 2000 79650

Total 110000 60000 140000 100000 220000 100000 45000 50000 22000 20000 18550 14000 899550Bongaigaon

District HQ80000 80000

744900Bongaigaon

BongaigaonCivil Hospital 10000 20000 40000 50000 22000 20000 2650 2000 166650

Bongaigaon

AbhyapuriCHC 30000 10000 20000 40000 15000 2650 2000 119650


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

Bongaigaon

MG ModelHospital,Manikpur CHC 30000 10000 20000 40000 2650 2000 104650

Bongaigaon

Bidyapur CHC30000 10000 20000 40000 2650 2000 104650

Bongaigaon

PATILADAHAMPHC 10000 10000 20000 20000 10000 15000 2650 2000 89650

Bongaigaon

CHIPANSILAMPHC 10000 20000 20000 10000 15000 2650 2000 79650

Total 110000 50000 120000 80000 200000 20000 45000 50000 22000 20000 15900 12000 744900

Cachar District HQ 100000 100000

604900

Cachar SatyendraMohan DevCivil Hospital 10000 20000 22000 20000 2650 2000 76650

Cachar Kalain CHC 30000 10000 20000 40000 2650 2000 104650Cachar Katigorah

Model Hospital 30000 10000 20000 40000 2650 2000 104650Cachar Borjalenga PHC 10000 20000 20000 10000 2650 2000 64650Cachar Joypur PHC 10000 20000 20000 10000 2650 2000 64650Cachar LAKHIPUR

BPHC 20000 20000 20000 10000 15000 2650 2000 89650

Total 100000 30000 120000 100000 140000 30000 15000 0 22000 20000 15900 12000 604900Chirang District HQ 0 50000 50000

126650Chirang Chirang DH 0 10000 20000 22000 20000 2650 2000 76650

Total 0 10000 20000 50000 0 0 0 0 22000 20000 2650 2000 126650


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

Darrang District HQ 100000 100000

755250

Darrang

Mangaldai CivilHospital 10000 20000 40000 22000 20000 2650 2000 116650

DarrangKharupetiaCHC 30000 10000 20000 40000 15000 2650 2000 119650

Darrang

DEOMORNOICHC 30000 10000 20000 40000 30000 15000 40000 2650 2000 189650

Darrang

DUNI MODELHOSPITAL 30000 10000 20000 40000 30000 2650 2000 134650

Darrang

KUNWARIPUKHURIMODELHOSPITAL 30000 20000 40000 2650 2000 94650

Total 120000 40000 100000 100000 200000 60000 30000 40000 22000 20000 13250 10000 755250

Dhemaji District HQ 100000 100000

525250

Dhemaji Dhemaji DH 10000 20000 40000 20000 22000 20000 2650 2000 136650

Dhemaji

GogamukhPHC/CHC 30000 10000 20000 40000 2650 2000 104650

Dhemaji Jonai CHC 20000 2650 2000 24650

DhemajiKhanamukhMPHC 10000 20000 20000 10000 15000 2650 2000 79650

DhemajiRamdhanMPHC 10000 20000 20000 10000 15000 2650 2000 79650

Total 50000 20000 100000 100000 120000 20000 30000 20000 22000 20000 13250 10000 525250

Dhubri District HQ 100000 100000 660600


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

Dhubri Dhubri DH 10000 20000 40000 22000 20000 2650 2000 116650

Dhubri Halakura CHC 30000 10000 20000 40000 30000 15000 2650 2000 149650

Dhubri

HatsingimariSDCH 30000 10000 20000 40000 30000 15000 2650 2000 149650

Dhubri Gauripur CHC 30000 10000 20000 40000 40000 2650 2000 144650

Total 90000 40000 80000 100000 160000 60000 30000 40000 22000 20000 10600 8000 660600

Dibrugarh District HQ 80000 80000

505950

DibrugarhMoran TiloiCHC 10000 20000 40000 15000 40000 22000 20000 2650 2000 171650

Dibrugarh

TengakhatM.G ModelHospital 30000 10000 20000 40000 2650 2000 104650

Dibrugarh Naharani CHC 30000 10000 20000 40000 30000 15000 2650 2000 149650

Total 60000 30000 60000 80000 120000 30000 30000 40000 22000 20000 7950 6000 505950DimaHasao District HQ 80000 80000

403950

DimaHasao

Haflong CivilHospital 10000 20000 2650 2000 34650

DimaHasao Mahur PHC 10000 10000 20000 40000 10000 15000 2650 2000 109650

DimaHasao

Maibong CHC

30000 10000 20000 40000 20000 15000 40000 2650 2000 179650

Total 40000 30000 40000 80000 80000 30000 30000 40000 0 20000 7950 6000 403950Goalpara District HQ 80000 80000

457600Goalpara Goalpara DH 10000 20000 40000 40000 22000 20000 2650 2000 156650


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

Goalpara Agia PHC 20000 10000 2000 10000 2650 2000 46650Goalpara Ambari Bazar

Model 30000 10000 20000 40000 15000 2650 2000 119650Goalpara 20 bedded

maternityhospital 10000 10000 20000 10000 2650 2000 54650

Total 60000 40000 40000 80000 102000 20000 15000 40000 22000 20000 10600 8000 457600

Golaghat District HQ 80000 80000

580600

Golaghat Golaghat DH 10000 20000 40000 40000 22000 20000 2650 2000 156650Golaghat Bokaghat

SDCH 30000 10000 20000 40000 30000 15000 2650 2000 149650Golaghat Bhagyapur

MPHC 10000 10000 10000 20000 2650 2000 54650Golaghat Dergaon CHC 30000 10000 20000 40000 20000 15000 2650 2000 139650

Total 70000 40000 70000 80000 140000 50000 30000 40000 22000 20000 10600 8000 580600Hailakandi District HQ 80000 80000

590600

Hailakandi Hailakandi DH 10000 20000 40000 40000 22000 20000 2650 2000 156650Hailakandi Bilaipur MPHC 10000 10000 10000 40000 20000 15000 20000 2650 2000 129650Hailakandi

Algapur CHC30000 10000 20000 40000 2650 2000 104650

Hailakandi

Mohanpur CHC30000 10000 20000 40000 15000 2650 2000 119650

Total 70000 40000 70000 80000 160000 20000 30000 60000 22000 20000 10600 8000 590600

Jorhat District HQ 80000 80000 732250


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

Jorhat Titabor SDCH 30000 10000 20000 40000 2650 2000 104650Jorhat Garmur SDCH 30000 10000 20000 40000 22000 20000 2650 2000 146650Jorhat Borholla CHC 30000 10000 20000 40000 15000 40000 22000 2650 2000 181650Jorhat Teok FRU 30000 10000 20000 40000 40000 2650 2000 144650Jorhat Mariyani

MPHC 10000 10000 10000 20000 20000 2650 2000 74650

Total 130000 50000 90000 80000 180000 20000 15000 80000 44000 20000 13250 10000 732250Kamrup(M) District HQ 100000 100000

510250

Kamrup(M) MMCH 10000 20000 40000 22000 2650 2000 96650Kamrup(M) Sonapur DH 10000 20000 2650 2000 34650Kamrup(M)

DhirenparaFRU 30000 10000 20000 40000 2650 2000 104650

Kamrup(M)

PANIKHAITYMPHC 10000 10000 10000 20000 20000 15000 20000 2650 2000 109650

Kamrup(M)

Nortap10000 10000 20000 20000 2650 2000 64650

Total 50000 40000 60000 100000 120000 20000 15000 40000 22000 20000 13250 10000 510250

K Rural District HQ 10000 100000 110000

670250

K Rural TRBCH 10000 20000 20000 22000 0 2650 2000 76650

K Rural Rani CHC 30000 10000 20000 40000 40000 2650 2000 144650

K Rural

BokoBPHC/CHC/FRU 30000 10000 20000 40000 2650 2000 104650


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

K Rural Hajo FRU 30000 20000 40000 20000 15000 40000 2650 2000 169650

K Rural Rangia SDCH 20000 40000 2650 2000 64650

Total 90000 40000 100000 100000 160000 20000 15000 100000 22000 0 13250 10000 670250KarbiAnglong District HQ 10000 50000 60000

218950

KarbiAnglong Diphu DH 10000 2650 2000 14650KarbiAnglong

Dhansiri10000 10000 20000 20000 15000 2650 2000 79650

KarbiAnglong

Manja10000 10000 20000 20000 2650 2000 64650

Total 20000 20000 20000 50000 40000 40000 15000 0 0 0 7950 6000 218950

Karimganj District HQ 50000 50000

470950

Karimganj Karimganj DH 10000 20000 40000 40000 22000 20000 2650 2000 156650

Karimganj Srigouri CHC 30000 10000 20000 40000 20000 2650 2000 124650

Karimganj Patherkandi 30000 10000 20000 40000 20000 15000 2650 2000 139650

Total 60000 30000 60000 50000 120000 40000 15000 40000 22000 20000 7950 6000 470950

Kokrajhar District HQ 100000 100000

557950

Kokrajhar Kokrajhar DH 10000 20000 40000 20000 22000 20000 2650 2000 136650Kokrajhar Kachugaon

PHC 10000 10000 20000 20000 10000 15000 2650 2000 89650Kokrajhar Dotoma CHC 30000 10000 20000 40000 2000 102000Kokrajhar Dholmara PHC 10000 10000 20000 20000 10000 15000 40000 2650 2000 129650

Total 50000 40000 80000 100000 120000 20000 30000 60000 22000 20000 7950 8000 557950Lakhimpur District HQ 80000 80000 495950


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

LakhimpurLakhimpurCivil 10000 20000 40000 22000 20000 2650 2000 116650

Lakhimpur Laluk Model 30000 10000 20000 40000 30000 15000 2650 2000 149650

Lakhimpur Boginodi 30000 10000 20000 40000 30000 15000 2650 2000 149650

Total 60000 30000 60000 80000 120000 60000 30000 0 22000 20000 7950 6000 495950

Morigaon District HQ 80000 80000

686600

MorigaonDistrictHospital 10000 20000 40000 20000 22000 20000 2650 2000 136650

MorigaonNakhowalaModel 30000 10000 20000 40000 22000 2650 2000 126650

Morigaon

ChabukdharaCHC

30000 10000 20000 40000 30000 15000 22000 2650 2000 171650

Morigaon

BhurbandhaModel Hospital 30000 10000 20000 40000 30000 15000 22000 2650 2000 171650

Total 90000 40000 80000 80000 160000 60000 30000 20000 88000 20000 10600 8000 686600

Nagaon District HQ 100000 100000

848250

Nagaon BP Civil 10000 20000 40000 20000 22000 20000 2650 2000 136650

Nagaon

MCH Wing,Nagaon 30000 10000 20000 40000 22000 2650 2000 126650

Nagaon

RUPOHIMODELHOSPITAL 30000 10000 20000 40000 15000 22000 2650 2000 141650

Nagaon Dhing FRU 30000 10000 20000 40000 30000 15000 22000 2650 2000 171650

Nagaon Kampur FRU 30000 10000 20000 40000 30000 15000 22000 2650 2000 171650

Total 120000 50000 100000 100000 200000 60000 45000 2000011000

0 20000 13250 10000 848250


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

Nalbari District HQ 80000 80000

684900

Nalbari Nalbari DH 10000 20000 40000 20000 22000 20000 2650 2000 136650

Nalbari Tihu FRU 30000 10000 20000 40000 30000 2650 2000 134650

Nalbari Bornarddi 30000 10000 20000 40000 2650 2000 104650

Nalbari Belsor Model 30000 10000 20000 40000 30000 15000 2650 2000 149650

NalbariDaulasalMPHC 10000 20000 20000 2650 2000 54650

Nalbari Ghagrapar 10000 10000 2650 2000 24650

Total 100000 60000 100000 80000 180000 60000 15000 20000 22000 20000 15900 12000 684900

Sivasagar DISTRICT HQ 100000 100000

945550

SivasagarSIVSAGARDH 10000 20000 40000 20000 22000 20000 2650 2000 136650

Sivasagar LigiripukhuriSDCH 30000 10000 20000 40000 22000 2650 2000 126650

Sivasagar Sonari SDCH 30000 10000 20000 40000 2650 2000 104650Sivasagar Demow Model 10000 2650 2000 14650Sivasagar Sapekhati

Model Hospital 30000 10000 20000 40000 2650 2000 104650Sivasagar Lakwa Model

Hospital 30000 10000 20000 40000 2650 2000 104650Sivasagar Patsaku BPHC 10000 10000 20000 40000 10000 15000 22000 2650 2000 131650Sivasagar Amuguri 30000 10000 20000 40000 20000 2000 122000

Total 160000 80000 140000 100000 280000 30000 15000 20000 66000 20000 18550 16000 945550

Sonitpur DISTRICT HQ 100000 100000 686600


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

Sonitpur Kanaklata DH 10000 20000 40000 20000 22000 20000 2650 2000 136650

SonitpurBiswanathSDCH 30000 10000 20000 22000 2650 2000 86650

Sonitpur

North JamuguriCHC 30000 10000 20000 40000 15000 2000 117000

Sonitpur Dhekiajuli CHC 30000 10000 20000 40000 15000 2000 117000

SonitpurHaleswarMPHC 10000 10000 10000 20000 10000 2650 2000 64650

Sonitpur Kauripathar 10000 10000 10000 20000 10000 2650 2000 64650

Total 110000 60000 100000 100000 160000 20000 30000 20000 44000 20000 10600 12000 686600

Tinsukia DISTRICT HQ 80000 80000

562250

Tinsukia Civil Hospital 10000 2000 12000

Tinsukia

MohkhuliModel Hospital 30000 10000 20000 40000 40000 20000 2650 2000 164650

Tinsukia Ledo 10000 20000 2650 2000 34650Tinsukia Barekuri

MPHC 10000 10000 10000 20000 10000 2650 2000 64650Tinsukia Kakopather

BPHC 10000 10000 10000 20000 10000 15000 2650 2000 79650Tinsukia Ketetong BPHC 10000 10000 10000 20000 10000 2000 62000Tinsukia Bordirak

MPHC 10000 10000 20000 20000 2650 2000 64650

Total 70000 60000 80000 80000 120000 30000 15000 60000 0 20000 13250 14000 562250

Udalguri DISTRICT HQ 10000 70000 80000517900

Udalguri Udalguri DH 10000 20000 40000 40000 22000 20000 2650 2000 156650


DistrictName of the

HICCTV

ALS/BLStraining


Electricalsafety


Wiremesh

Drinking

waterfacilit

y


DrugTrolley




DistrictTotal

Total

Udalguri Rowta ModelHospital 30000 10000 20000 20000 2000 82000

Udalguri Orang BPHC 30000 10000 20000 20000 20000 2650 2000 104650Udalguri Tangla 30000 20000 20000 20000 2600 2000 94600

Total 90000 40000 80000 70000 100000 20000 0 60000 22000 20000 7900 8000 517900

GRAND TOTAL (For Districts) (In Rupees)160000

00

State HQ (In Rupees) 0


Activity 7 c

FMR Code: 13.1.1.6 (Total Approval = Rs 256.00 Lakhs)

Name of the activity: Any Other (Please Specify)


Level of the activity: State level

About the activity: A budget of Rs 256.00 Lakhs is approved for traversing gaps for QA and Laqshya

targeted facilities. However this fund shall be kept at the State HQ at present. It has been observed over

the past two financial years that though this fund is being given it has not been utilized optimally. The

facilities have not even been Kayakalp or NQAS compliant. Hence for FY 2020-21, the funds will be kept

at State HQ and will be released to the facility only on submission of documents, policies and NQAS

checklist and preparation of the facility.

Activity no 7d

FMR Code: 13.1.2 (Total Approvals = Rs 45.78 Lakhs)

Unit Level ofActivity

Unit costin RsLakhs

Approvedbudget inRs Lakhs

State Quality assessment cum Mentoring visitActivity no 7 d (i)

10 visits State 0.69 L 6.9 L

District Quality Assessment cum mentoring VisitsActivity no 7 d (ii)

27 districts District 1.44 L 38.88 L

TOTAL (In Lakhs) 45.78 L

Activity no 7 d (i)

FMR Owner & Responsible Person: At State HQ: State Consultant, QALevel of the Activity: State levelName of the activity: State Quality Assessment cum mentoring Visits.Type of the activity: Ongoing activityAbout the activity: Budget of Rs 6.9 Lakhs approved for State Quality assessment and mentoring visitswill be conducted periodically for hand holding support to the districts and overall assessment of qualityassurance activities. Districts making good progress in QA activities will be prioritized. (To be kept atState HQ)

Activity no 7 d (ii)

FMR Owner & Responsible Person: At District: DPM/DQC/ HALevel of the Activity: District levelName of the activity: District Quality Assessment cum mentoring VisitsType of the activity: Ongoing activity

54PIP of National Quality Assurance Program (QA) for the FY 2020-21

About the activity: Budget of Rs 38.88 Lakhs approved for District Quality assessment Cum MentoringVisits @ Rs 1.44 Lakhs for 27 districts. The District Quality Assessment team (District QualityConsultant, HA (Addl District Quality Consultant) and certified Internal Assessor of the district) have tovisit minimum of 5 days per month. TA, DA shall be claimed as per NHM norms. Field visit reporthas to be submitted both at District and State level. The travel plan/tour diary shall be submitted toboth district and State level in advance.

Tentative estimate for District Quality assessment Cum Mentoring Visits

S.No. Budget Head Unit Cost No of

officials DaysBudget(InRupees)

BudgetinLakhs

Remarks

1Travel support forMonitoring visit

1000 2 60 120000 1.2

Rs.1.20 lakhs fortravel support of2 no. of officialsfor 60 days ( 5days per month)

2 DA 200 2 60 24000 0.24

Rs.0.24 lakhs forDA of 2 no. ofparticipants for60 days( 5 daysper month)

Total for 1 district for 1 year 144000 1.44

Total for 27 districts for 1 year 2016000 38.88

NQAS assessment is to be conducted at 10 facilities of each District. Internal Assessors of District will dothe Assessment. The visit plan is to be communicated to the facility in charge in advance. Assessors of thedistrict will assess the facility and share their finding to Nodal officer of Quality in the District. Nodalofficer will share it to State HQ.

Assessment Protocol

1. Observation2. Staff Interview3. Record Review4. Patient Interview

Assessment Assessor Department

Clinical Process Doctor OPD,IPD, OT, Blood bank, Labour Room,Medical Records, NHP, Clinical outcome,Medical & Death Audit

Nursing Process Clinical Staff Nursing procedure, Laboratories, InfectionControl, BMW, Pharmacy, Ambulance

Management Support andProcess

Hospital Administrator Facility Management, Support Services,Patient Feedback, Disaster management,Hospital data and performance, Outsourcing


Role and Responsibility of Assessor1. The assessor would be responsible for ensuring that all relevant standard and criteria are assessed

adequately during survey and producing final assessment report to accurately reflect the findingswithin the agreed timelines

2. They are expected to conduct closing and opening meeting in the facility. After completion ofassessment they are required to prepare the gap and submit the report.

3. Role of the assessor will be supportive supervision of the facility.4. The assessors would facilitate development of ‘gap-closure’ plan at the facility level through a

consultative process.

State and District wise fund break up under FMR 13.1.2Sl.No District Physical Target Total allocation in Rs

1 Baksa 120 visits per year 144000.002 Barpeta 120 visits per year 144000.003 Bongaigaon 120 visits per year 144000.004 Cachar 120 visits per year 144000.005 Chirang 120 visits per year 144000.006 Darrang 120 visits per year 144000.007 Dhemaji 120 visits per year 144000.008 Dhubri 120 visits per year 144000.009 Dibrugarh 120 visits per year 144000.00

10 Dima Hasao 120 visits per year 144000.0011 Goalpara 120 visits per year 144000.0012 Golaghat 120 visits per year 144000.0013 Hailakandi 120 visits per year 144000.0014 Jorhat 120 visits per year 144000.0015 Kamrup Metro 120 visits per year 144000.0016 Kamrup Rural 120 visits per year 144000.0017 Karbi Anglong 120 visits per year 144000.0018 Karimganj 120 visits per year 144000.0019 Kokrajhar 120 visits per year 144000.0020 Lakhimpur 120 visits per year 144000.0021 Morigaon 120 visits per year 144000.0022 Nagaon 120 visits per year 144000.0023 Nalbari 120 visits per year 144000.0024 Sivasagar 120 visits per year 144000.0025 Sonitpur 120 visits per year 144000.0026 Tinsukia 120 visits per year 144000.0027 Udalguri 120 visits per year 144000.00

District Total (In Rupees) 3888000.00District Total (In Rupees

Lakhs) 38.88 L

State HQ Allocation (InRupees Lakhs) 6.9L

Total Approved amount (InRupees Lakhs) 45.78 L


Activity No 7e

FMR Code: 13.1.3 (Total Approval = Rs 60.50 Lakhs)Level of the Activity: State levelName of the activity: Quality Assurance Certifications, Re-certification (National & State Certification)under NQASType of the activity: Ongoing activityAbout the activity: A budget of Rs 60.50 lakhs has been approved for external assessments of facilitiesunder NQAS. This fund is to be kept at State HQ

Activity No 7f

FMR Code: 13.1.4 (Total Approval = Rs 50.00 Lakhs)Level of the Activity: State levelName of the activity: LaQshya certifications and recertification (National & State Certification) underLaQshyaType of the activity: Ongoing activityAbout the activity: A budget of Rs 50.00 lakhs has been approved for external assessments of facilitiesunder LaQshya. This fund is to be kept at State HQ.

Activity No 7g

FMR Code: 13.1.5 (Total Approval = Rs 17.11 Lakhs)FMR Owner & Responsible Person: At District: DPM/DQC/ HALevel of the Activity: District levelName of the activity: Incentivisation on attainment of NQAS certificationType of the activity: New activityAbout the activity: An incentive amount of Rs 17.11 lakhs has been approved for the following threefacilities on attainment of NQAS. This incentive money shall be utilized in the following way:

1. 25% of the incentive amount shall be spent on financial incentives for the staff, who have beenactive participants of the quality assurance programme.

2. Remaining 75% of the fund shall be spent in improving the working condition at the healthfacility. However such fund would not be spent on those activities for which support fromthe State’s regular budget is available. Few activities could be

- Strengthening of staff canteen/rest room (eg purchase of microwave/electricalkettle for heating of food for duty staff/ fans/beautification of canteen)

- Improvement in amenities in duty rooms- Lockers for duty staff.- Childrens playroom for duty staff’s children- Department wise award/ recognition (non financial) for best grade 4, best

cleaner, best staff nurse, Paramedics etc month wise can be displayed in somenotice board.

- The facility’s Rogi Kalyan Samiti may take a decision on usage of incentivefund

However the quality standards need to be maintained every year since inspection visits by GOI willoccur every year. Any facility which is quality certified and loses its quality certificate in thesubsequent year would require thorough investigation and root cause analysis by State HQ


Name of the district Facility Name Allocated Amount forincentive in Rupees

Tinsukia Ledo MPHC 300000Nalbari Doulasal MPHC 300000Goalpara 200 bedded Goalpara

Civil Hospital 1111000Total 1711000

State and District wise fund break up under FMR 13.1.5Sl.No District Total allocation in Rupees

1 Baksa 02 Barpeta 03 Bongaigaon 04 Cachar 05 Chirang 06 Darrang 07 Dhemaji 08 Dhubri 09 Dibrugarh 0

10 Dima Hasao 011 Goalpara 111100012 Golaghat 013 Hailakandi 014 Jorhat 015 Kamrup Metro 016 Kamrup Rural 017 Karbi Anglong 018 Karimganj 019 Kokrajhar 020 Lakhimpur 021 Morigaon 022 Nagaon 023 Nalbari 30000024 Sivasagar 025 Sonitpur 026 Tinsukia 30000027 Udalguri 0


Lakhs) 17.11 L

State HQ Allocation (InRupees Lakhs) 0



Kayakalp

Activity No 8

FMR Code: 13.2 (Total Approvals = Rs 1104.52 Lakhs)

ActivityNo

FMR code Particulars Level ofactivity

ApprovedBudget

8 a 13.2.1a) Assessments

State andDistrict

130.57 L

8 b 13.2.2 b) Kayakalp Awards State 405.00 L

8 c 13.2.3c) Support for implementation of Kayakalp

State andDistrict

247.28 L

8 d 13.2.4 d) Contingencies State 4.05 L

8 e 13.2.5 e) Swachh Swasth Sarvatra District 300.00 L

8 f 13.2.6f) Any other (please specify)

State andDistrict

17.62 L

TOTAL 1104.52 L

Objectives of Kayakalp

To promote cleanliness, hygiene and Infection Control Practices To incentivize public healthcare facilities that show exemplary performance in cleanliness and

infection control. To inculcate a culture of ongoing assessment to sustain the same.

To promote cleanliness, hygiene and Infection Control Practices in Health Care Facilities, incentivize andrecognize such public healthcare facilities that show exemplary performance in adhering to standardprotocols, the Kayakalp award is being given. As observed in last FY though few facilities could achievethis Kayakalp certification and none could achieve NQAS.

Therefore based on the scores and gaps of the facilities every district will select almost all Healthcare facilities (DH compulsory) in each district which will be taken up for Kayakalp internal assessment.Preference may be given to MCH wings, Model Hospitals and previous Kayakalp certified facilities sothat certification can be achieved. All CHCs in the ODF block as per the list attached has to be madecompulsory 70% in Kayakalp Program in the external assessment. More facilities should come up inFY 2020-21


Kayakalp

Activity No 8


ActivityNo


ApprovedBudget


State andDistrict

130.57 L



State andDistrict

247.28 L




State andDistrict

17.62 L

TOTAL 1104.52 L







Kayakalp

Activity No 8


ActivityNo


ApprovedBudget


State andDistrict

130.57 L



State andDistrict

247.28 L




State andDistrict

17.62 L

TOTAL 1104.52 L







Activity no 8 a

FMR code 13.2.1 (Total Approvals = Rs 130.57 Lakhs)

FMR Owner & Responsible Person: At State HQ: State Consultant, Quality Assurance

At District: DPMs/DQC/HA/DAM

Level of the Activity: State level and district levelName of the activity: AssessmentsType of the activity: Ongoing activityAbout the activity:

Budget of Rs 7.17 Lakhs approved for Internal Assessment of facilities (DH/SDCH/FRU/CHC/ModelHospitals/PHC/MPHC) for Kayakalp. District break up given in details. Rs 2.47 lakhs is kept at StateHQ. Rest Rs 4.69 Lakhs will be released to districts.

Budget of Rs 62.4 Lakhs approved for peer Assessment of facilities (DH/SDCH/FRU/CHC/ModelHospitals/PHC/MPHC) for Kayakalp. Rs 9.995 Lakhs to be kept at State HQ. Rest Rs 52.4 Lakhs willbe released to districts.

Budget of Rs 61 Lakhs approved for external Assessment of facilities (DH/SDCH/FRU/CHC/ModelHospitals/PHC/MPHC) for Kayakalp (23 DH, 100 SDH/CHC, 200 PHC) to be kept at State HQ.

The DPM, District Quality Consultant (DQC), HA and District Urban Health Coordinator will beresponsible for achieving the certification. The Internal Assessors of the respective districts will beutilized for gap assessment. Performance Appraisal of DPM, DQC, HA, DUHC and BPM will be basedon the certifications achieved in the district for FY 2020-21.

Internal Assessors of District will do the Assessment. The visit plan is to be communicated to thefacility in charge in advance. Assessors of the district will assess the facility and share their finding toNodal officer of Quality in the District. Nodal officer will share it to SHQ. TA will be borne by Districtfrom program management fund.

Table 1 (8a) Internal assessment for Health Institutions

District DH

UnitCostforDH

Totalcost for

assessment of DH

(InRupees)

No ofSDCH/CHC to

beassesse

d

UnitCost forSDCH/C

HC

Total costfor

assessment of

SDCH

No of PHCto be

Assessed

Total Cost(Unit costper PHCRs 500 X

No offacilities)

Totalcost forInternalAssessm

ent

1 Baksa 1 2000 2000 5 1000 5000 2110500 17500

2 Barpeta 1 2000 2000 9 1000 9000 2613000

24000


3Bongaigaon

1 2000 2000 4 1000 4000 157500 13500

4 Cachar 1 2000 2000 4 1000 4000 168000 14000

5 Chirang 1 2000 2000 3 1000 3000 126000 11000

6 Darrang 1 2000 2000 7 1000 7000 157500 16500

7 Dhemaji 1 2000 2000 4 1000 4000 115500 11500

8 Dhubri 1 2000 2000 6 1000 6000 2210750 18750

9 Dibrugarh 0 2000 0 8 1000 8000 147000 15000

10DimaHasao

1 2000 2000 2 1000 2000 52500

6500

11 Goalpara 1 2000 2000 5 1000 5000 2110500 17500

12 Golaghat 1 2000 2000 4 1000 4000 2010000 16000

13Hailakandi

1 2000 2000 3 1000 3000 73500 8500

14 Jorhat 0 2000 0 5 1000 5000 2211000 16000

15KamrupMetro

1 2000 2000 3 1000 3000 126000 11000

16KamrupRural

1 2000 2000 12 1000 12000 3618000

32000

17KarbiAnglong

1 2000 2000 4 1000 4000 2311500 17500

18 Karimganj 1 2000 2000 7 1000 7000 168000 17000

19 Kokrajhar 1 2000 2000 2 1000 2000 2311500 15500

20Lakhimpur

1 2000 2000 8 1000 8000 168000 18000

21 Morigaon 1 2000 2000 5 1000 5000 189000 16000

22 Nagaon 1 2000 2000 17 1000 17000 4221000 40000

23 Nalbari 1 2000 2000 11 1000 11000 2412000 25000

24 Sivasagar 1 2000 2000 4 1000 4000 2211000 17000

25 Sonitpur 1 2000 2000 8 1000 8000 2914500 24500

26 Tinsukia 1 2000 2000 9 1000 9000 126000 17000


27 Udalguri 1 2000 2000 5 1000 5000 126000 13000

Total 50000 164000255750 469750

District allocation (In rupees)469750

State HQ (In Rupees)247250

Total allocation (In Rupees) 717000

TABLE 2 (8a) : Peer assessment for Health Institutions

SlNo

District DH

UnitCost

for DH

Totalcost forassessment of

DH (InRupees

)

EstimatedNo ofSDCH/CHC

to beassess

ed

UnitCost forassessme

nt ofSDCH/C

HC

Total costfor

assessment SDCH

EstimatedNo ofPHCto be

Assessed

Total Cost(Unit cost

per PHC Rs5000 X No

of facilities)

Total cost forpeer

Assessment

1 Baksa 1 25000 25000 5 13000 65000 21 105000 1950002 Barpeta 1 25000 25000 9 13000 117000 26 127500 2695003 Bonga 1 25000 25000 4 13000 52000 15 75000 1520004 Cachar 1 25000 25000 4 13000 52000 16 80000 1570005 Chirang 1 25000 25000 3 13000 39000 12 60000 1240006 Darrang 1 25000 25000 7 13000 91000 15 75000 1910007 Dhemaji 1 25000 25000 4 13000 52000 11 55000 1320008 Dhubri 1 25000 25000 6 13000 78000 22 107500 2105009 Dibrugarh 0 0 0 8 13000 104000 14 70000 17400010 Dima

Hasao1 25000 25000 2 13000 26000 5 25000

7600011 Goalpara 1 25000 25000 5 13000 65000 21 102500 19250012 Golaghat 1 25000 25000 4 13000 52000 20 100000 17700013 Hailakandi 1 25000 25000 3 13000 39000 7 35000 9900014 Jorhat 0 0 0 5 13000 65000 22 110000 17500015

KamrupMetro

1 25000 25000 3 13000 39000 12 60000124000

16KamrupRural

1 25000 25000 12 13000 156000 36 180000361000


17KarbiAnglong

1 25000 25000 4 13000 52000 23 115000192000

18 Karimganj 1 25000 25000 7 13000 91000 16 77500 19350019 Kokrajhar 1 25000 25000 2 13000 26000 23 112500 16350020 Lakhimpur 1 25000 25000 8 13000 104000 16 80000 20900021 Morigaon 1 25000 25000 5 13000 65000 18 87500 17750022 Nagaon 1 25000 25000 17 13000 221000 42 207500 45350023 Nalbari 1 25000 25000 11 13000 143000 24 117500 28550024 Sivasagar 1 25000 25000 4 13000 52000 22 110000 18700025 Sonitpur 1 25000 25000 8 13000 104000 29 145000 27400026 Tinsukia 1 25000 25000 9 13000 117000 12 57500 19950027 Udalguri 1 25000 25000 5 13000 65000 12 6000 96000

Total 625000 164 2132000 2483500 5240500

District allocation (In rupees) 5240500

State HQ (In Rupees) 999500

Total allocation (In Rupees) 6240000

Unit cost of Rs 25000 per DH will include TA/Vehicle to be arranged for assessor/ Honorariumof Rs 500 per assessor per facility/ DA/ printing of checklists

Unit cost of Rs 13000 per DH will include TA/Vehicle to arranged for assessor/ Honorarium ofRs 500 per assessor per facility/ DA/ printing of checklists

Unit cost of Rs 5000 per PHC will include TA/Vehicle to be arranged for assessor/ Honorariumof Rs 500 per assessor per facility/ DA/ printing of checklists

State and District wise fund break up under FMR 13.2.1Sl.No District Total allocation in Rupees

1 Baksa 212500

2 Barpeta 293500

3 Bongaigaon 165500

4 Cachar 171000

5 Chirang 135000

6 Darrang 207500

7 Dhemaji 143500

8 Dhubri 229250


9 Dibrugarh 189000

10 Dima Hasao 82500

11 Goalpara 210000

12 Golaghat 193000

13 Hailakandi 107500

14 Jorhat 191000

15 Kamrup Metro 135000

16 Kamrup Rural 393000

17 Karbi Anglong 209500

18 Karimganj 210500

19 Kokrajhar 179000

20 Lakhimpur 227000

21 Morigaon 193500

22 Nagaon 493500

23 Nalbari 310500

24 Sivasagar 204000

25 Sonitpur 298500

26 Tinsukia 216500

27 Udalguri 109000


Lakhs) 57.10 L

State HQ Allocation (InRupees Lakhs) 73.47 L


Activity No 8 b

FMR code 13.2.2 (Total Approval = Rs 405.00 Lakhs)FMR Owner & Responsible Person: At State HQ: State Consultant, Quality AssuranceLevel of the Activity: State levelName of the activity: Kayakalp AwardsType of the activity: Ongoing activityAbout the activity:

1) Budget of Rs 50 L approved for Award Money for 1 Best District Hospital2) Budget of Rs 20 L approved for 1 Runner Up District Hospital3) Budget of Rs 15 L Approved for Best SDH/CHC4) Budget of Rs 10 L Approved for Runner up SDH/CHC5) Budget of Rs 66 L Approved for Best PHC of District @ Rs 2 Lakh per District (33)6) Budget of Rs 69 L is approved for commendation award for 23 DH @ Rs 3 Lakh per DH7) Budget of Rs 100 L is approved for commendation award for 100 SDH/CHC @ Rs 1 Lakh per

facility.8) Budget of Rs 75 L is approved for commendation award for 150 PHC @ Rs 0.50 Lakh per PHC

This fund will be kept at State HQ


Activity No 8c

FMR code 13.2.3.1(Total approval = Rs 50.88 Lakhs)Level of the Activity: State levelName of the activity: Biomedical Waste ManagementType of the activity: Ongoing activityAbout the activity: There is only one CTF in the entire State of Assam which caters to 4 districts ofAssam, but being only the single agency, their rates are around Rs 22-25 /day /bed. In FY 2020-21,therefore tender will be floated for more CTFs to implement. A budget of Rs 50.91 lakhs is approved forCBMWTF out of the total requirement of Rs 407.27 for the entire state.The district whoever is paying the common treatment facility (CTF) which is approved by AssamPollution Control Board may request the State QA cell through a letter by Jt DHS requesting forfund release. The fund will however be released only after approval by Higher authority.

Activity No 8 d

FMR code 13.2.3.2 (Total approval- Rs 46.40 Lakhs)Level of the Activity: State levelName of the activity: Consumables & PPEType of the activity: Ongoing activityAbout the activity: Budget of Rs 46.40 L is approved for Biomedical Bags (Yellow and red bags) forfacility level. This fund will be kept at State HQ.

Activity No 8 e

FMR code 13.2.3.4 (Total Approval = Rs 150.00 Lakhs)FMR Owner & Responsible Person: DPM/DQC/HALevel of the Activity: District levelName of the activity: Any other (please specify)Type of the activity: Ongoing activityAbout the activity: Following activities have to be completed for Support for Implementation ofKayakalp.

Kayakalp fund may be utilized for the following activities

1. Hospital Upkeep (Infrastructure Maintenance, Hospital/Facility Appearance, Maintenance ofOpen Areas ,Landscaping and Gardening ,Pest and Animal Control , Illumination and Lighting inHospital, Maintenance of Furniture and Fixtures, Removal of Hospital Junks Water ConservationWork Place Management ---

2. Sanitation Hygiene (General Approach to Environmental Cleaning, Material and Equipment forCleaning, Standard Method of Cleaning, Monitoring of Cleanliness Activities, Drainage andSewage Management)

3. Waste Management(Implementation Of Bio Medical Waste Rules, 2016 & 2018 (Amendment),Storage of Bio Medical Waste, Disposal of Bio Medical Waste, Post Exposure Prophylaxis(PEP), Post Exposure Prophylaxis (PEP), Liquid Waste Management


4. Infection Control : (Standard and Additional Precautions, Spill Management kit, EnvironmentControl,

5. Hospital Support Service : Laundry Services and Linen Management, Water Sanitation, KitchenServices,

6. Hygiene Promotion : Community Monitoring and Patient Participation , Information, Educationand Communication,Leadership and Teamwork

(If the fund provided falls short, RKS fund to be utilized)

Note : District Quality Assurance committees, DPM,District Quality Consultant, HospitalAdministrator, BPM under National Health Mission will support the facilities in closing such gaps andenable the facility to achieve a score of at least 70% in Kayakap External Assessment . Facilities whichnot achieve more that 70% will not be granted untied funds for next year.


Sl no. District Name of the Facility Facility Type

Allocatedfund

under13.2.3.4

Districttotal

1 Baksa Ravi Ram Boro Civil HospitalModel

Hospital100000

600000

2 Baksa Goreswar CHC CHC 50000

3 Baksa Tamulpur CHC CHC 50000

4 Baksa Nimua MPHC PHC 50000

5 Baksa Pamuapathar SHC PHC 50000

6 Baksa Subankhata SD PHC 50000

7 Baksa Thamna MPHC PHC 50000

8 Baksa Dwarkuchi SD PHC 50000

9 Baksa Nizkaurbaha BPHC PHC 50000

10 Baksa Nikashi SD PHC 50000

11 Baksa Sarumanikpur SD PHC 50000

12 Barpeta Barpeta Civil Hospital DH 100000

60000013 Barpeta Mandia Model Hospital CHC 50000

14 Barpeta Howly CHC CHC 50000

Three Bucket System Hospital Upkeep

HygienePromotion

Biomedical Trolley



Allocatedfund

under13.2.3.4

Districttotal

15 Barpeta Sarukhetri CHC CHC 50000

16 Barpeta Baghmara CHC CHC 50000

17 Barpeta Sorbhog CHC CHC 50000

18 Barpeta Byaskuchi SD PHC 50000

19 Barpeta Patacharkuchi MPHC PHC 50000

20 Barpeta Nityanana PHC 50000

21 Barpeta Garemari PHC PHC 50000

22 Barpeta Chenga BPHC PHC 50000

23 Bongaigaon Bongaigaon DH PHC 100000

600000

24 Bongaigaon Abhyapuri CHC 50000

25 Bongaigaon Boitamari CHC 50000

26 Bongaigaon Manikpur CHC 50000

27 Bongaigaon Chalantapara MPHC PHC 50000

28 Bongaigaon Dhantola MPHC PHC 50000

29 Bongaigaon Chaprakata MPHC PHC 50000

30 Bongaigaon Bishnupur SD PHC 50000

31 Bongaigaon Mererchar PHC PHC 50000

32 Bongaigaon NORTH SALMARA SD PHC 50000

33 Bongaigaon PACHANIA MPHC PHC 50000

34 Cachar S M Dev Civil Hospital DH 100000

600000

35 CacharMahatma Gandhi ModelHospital, Chotodudhpatil CHC

50000

36 Cachar Kacchudharam Model Hospital CHC 50000

37 Cachar JIRIGHAT PHC 50000

38 Cachar SONABARIGHAT PHCPHC

50000

39 Cachar FulbariPHC

50000

40 Cachar GonirgramPHC

50000

41 Cachar JalalpurPHC

50000

42 Cachar BASKANDI PHC 50000

43 Cachar Udharbond BPHC PHC 50000

44 Cachar Harinagar BPHC PHC 50000

45 Chirang Chirang DH DH 50000400000

46 Chirang Bhetagaon CHC CHC 50000



Allocatedfund

under13.2.3.4

Districttotal

47 Chirang Bengtol CHC CHC 50000

48 ChirangMG Model Hospital,Subhaijhar

CHC 50000

49 Chirang AMGURI SD PHC 5000050 Chirang AMTEKA MPHC PHC 5000051 Chirang BALLAMGURI BPHC PHC 50000

52 Chirang BIJNI SD PHC 50000

53 Darrang Mangaldai Civil Hospital DH 100000

600000

54 Darrang Bazanapathar CHC 50000

55 Darrang Sipajhar CHC 50000

56 Darrang KuwariphukhuriModel

Hospital50000

57 Darrang Goshaigaon MPHC PHC 50000

58 Darrang Jaljali BPHC PHC 50000

59 Darrang Barampur NEW PHC PHC 50000

60 Darrang Silbori NEW PHC PHC 50000

61 Darrang Dumunichoki PHC 50000

62 Darrang Baruajhar SD PHC 50000

63 Darrang Chamuapara MPHC PHC 50000

64 Dhemaji Dhemaji DH DH 100000

30000065 Dhemaji Bengenagarh CHC CHC 50000

66 Dhemaji Jonai BPHC PHC 50000

67 Dhemaji Telam MPHC PHC 50000

68 Dhemaji Bordoloni MPHC PHC 50000

69 Dhubri Dhubri Civil Hospital PHC 100000

600000

70 Dhubri Agomani CHC CHC 50000

71 Dhubri Bogribari Model CHC 50000

72 Dhubri Halakura CHC CHC 50000

73 Dhubri Geramari MPHC PHC 50000

74 Dhubri Gazarikandi BPHC PHC 50000

75 Dhubri Raniganj PHC PHC 50000

76 Dhubri Berbhangi SD PHC 50000

77 Dhubri Salkocha SHC PHC 50000

78 Dhubri South Salmara PHC PHC 50000

79 Dhubri Puthimari PHC 50000

80 Dibrugarh Moran Tiloi CHC CHC 50000400000

81 Dibrugarh Sasoni CHC CHC 50000



Allocatedfund

under13.2.3.4

Districttotal

82 Dibrugarh Naharani CHCModel

Hospital50000

83 Dibrugarh Chabua Model Hospital CHC 50000

84 DibrugarhLezai Kolakhowa ModelHospital

CHC 50000

85 Dibrugarh Kalakhowa PHC 50000

86 Dibrugarh Tingkhong MPHC PHC 50000

87 Dibrugarh Namrup MPHC PHC 50000

88 Dima Hasao Langting BPHC PHC 50000

15000089 Dima Hasao Gunjung BPHC PHC 50000

90 Dima Hasao Boroarkap SHC PHC 50000

91 Goalpara Matia Model CHC 50000

550000

92 Goalpara Bikali Model Hospital CHC 50000

93 Goalpara Ambari Bazar CHC CHC 50000

94 Goalpara Rangjuli PHC PHC 50000

95 Goalpara Agia PHC PHC 50000

96 Goalpara Bordhamal SD PHC 50000

97 Goalpara Joypur MPHC PHC 50000

98 Goalpara Kharmuja MPHC PHC 50000

99 Goalpara Joleswar SHC PHC 50000

100 Goalpara Simoli Tola SHC PHC 50000

101 Goalpara Badahpur SD PHC 50000

102 Golaghat SKK CH , Golaghat DH 100000

650000

103 Golaghat Bokakhat SDCH SDCHC 50000

104 Golaghat Merapani CHC CHC 50000

105 Golaghat Dergaon CHC CHC 50000

106 Golaghat Charingia CHC CHC 50000

107 Golaghat Kamargaon MPHC PHC 50000

108 Golaghat Mohuramukh MPHC PHC 50000

109 Golaghat Kachomari SD PHC 50000

110 Golaghat Morangi MPHC PHC 50000

111 Golaghat Borpothar MPHC PHC 50000

112 Golaghat Nogura MPHC PHC 50000

113 Golaghat Kohora SD PHC 50000

114 Hailakandi Hailakandi DH 100000 400000



Allocatedfund

under13.2.3.4

Districttotal

115 Hailakandi DholaiModel

Hospital50000

116 Hailakandi Algapur CHC 50000

117 Hailakandi Chiporsangan NPHC PHC 50000

118 Hailakandi North Narainpur NPHC PHC 50000

119 Hailakandi Matijuri SHC PHC 50000

120 Hailakandi Kalinagar PHC PHC 50000

121 Jorhat Bhogamukh ModelModel

Hospital50000

550000

122 Jorhat Nakachari ModelModel

Hospital50000

123 Jorhat Mariani CHC (Nagajanka) CHC 50000

124 Jorhat Borholla CHC CHC 50000

125 Jorhat Pokamura PHC 50000

126 Jorhat Attapam MPHC PHC 50000

127 Jorhat Maraini MPHC PHC 50000

128 Jorhat Kakojan BPHC PHC 50000

129 Jorhat Jengraimukh MPHC PHC 50000

130 Jorhat Solmora PHC PHC 50000

131 Jorhat Selenghat MPHC PHC 50000

132 Kamrup M Sonapur Civil Hospital DH 100000

550000

133Kamrup M

Pandu FRU CHC 50000

134Kamrup M

Khetri CHC CHC 50000

135Kamrup M

CAPITAL SD PHC 50000

136Kamrup M

Odalbakra SD PHC 50000

137Kamrup M

EAST GUWAHATI SD PHC 50000

138Kamrup M

NOTBOMA PHC PHC 50000

139Kamrup M

MALOIBARI MPHC PHC 50000

140Kamrup M

DIMORIA SD PHC 50000

141Kamrup M

HAHARA MPHC PHC 50000

142 KAMRUP R TRBHModel

Hospital50000

700000143 KAMRUP R Boko BPHC/CHC/FRU 50000



Allocatedfund

under13.2.3.4

Districttotal

144 KAMRUP R Hajo BPHC/CHC/FRU CHC 100000

145 KAMRUP R Kamalpur BPHC/CHC CHC 50000

146 KAMRUP R Rangia Model Hospital CHC 50000

147 KAMRUP R Azara CHC CHC 50000

148 KAMRUP R Goroimari CHC CHC 50000

149 KAMRUP R Moinakhurung Model Hospital CHC 50000

150 KAMRUP R Dihina MPHC PHC 50000

151 KAMRUP R Nagarbera BPHC PHC 50000

152 KAMRUP R Athiaboi Banmaja MPHC PHC 50000

153 KAMRUP R Bihdia PHC PHC 50000154 KAMRUP R Phulung MPHC PHC 50000

155 Karbi Anglong Donkamokam CHC CHC 50000

550000

156 Karbi Anglong Howraghat CHC CHC 50000

157 Karbi Anglong Balijuri CHC 50000

158 Karbi Anglong Bokajan CHC CHC 50000

159 Karbi Anglong Donkamokam CHC CHC 50000

160 Karbi AnglongDeihori SD (MODELHOSPITAL)

CHC 50000

161 Karbi Anglong Dhansiri PHC 50000

162 Karbi Anglong Manja PHC 50000

163 Karbi Anglong Phuloni MPHC PHC 50000

164 Karbi Anglong RAJAPATHAR PHC 50000

165 Karbi Anglong Samaguri SD PHC 50000

166 Karimganj Karimganj DH DH 100000

600000

167 Karimganj Srigauri CHC CHC 50000

168 Karimganj Patharkandi CHC CHC 50000

169 Karimganj MG Model Hospital BaroigramModel

Hospital50000

170 KarimganjMG Model HospitalDullavcherra

ModelHospital

50000

171 Karimganj Nilambazar PHC PHC 50000

172 Karimganj Lakhipur PHC PHC 50000

173 Karimganj Badarpur SHC PHC 50000

174 Karimganj Bhanga SD PHC 50000

175 Karimganj R. K. Nagar PHC PHC 50000

176 Karimganj Nivia PHC PHC 50000

177 Kokrajhar Kokrajhar DH DH 100000 650000



Allocatedfund

under13.2.3.4

Districttotal

178 Kokrajhar Dotma CHC CHC 50000

179 Kokrajhar Kachugaon CHC CHC 50000

180 Kokrajhar Bashbari CHC CHC 50000

181 Kokrajhar Salakati SD PHC 50000

182 Kokrajhar Simbargaon SD PHC 50000

183 Kokrajhar Sukanjhora SD PHC 50000

184 Kokrajhar Patgaon SD PHC 50000

185 Kokrajhar Kamalsing SHC PHC 50000

186 Kokrajhar Bangaldoba PHC PHC 50000

187 Kokrajhar Harinaguri MPHC PHC 50000

188 Kokrajhar Kalipukhuri MPHC PHC 50000

189 Lakhimpur Lakhimpur District Hospital DH 100000

550000

190 Lakhimpur DHALPUR CHC CHC 50000

191 Lakhimpur BIHPURIA CHC CHC 50000

192 Lakhimpur BONGALMORA CHC CHC 50000

193 Lakhimpur NAWBOICHA CHC CHC 50000

194 Lakhimpur GHILAMORA CHC CHC 50000

195 Lakhimpur Panigaon SHC PHC 50000196 Lakhimpur Phulbari 10 Bedded New PHC PHC 50000197 Lakhimpur Jengrai Singimari RPHC PHC 50000198 Lakhimpur Harmotty MPHC PHC 50000199 Morigaon Morigaon DH DH 100000

500000

200 Morigaon Chabukdhora CHC 50000

201 Morigaon Bhurbandha Model Hospital CHC 50000

202 Morigaon Baidyabori SHCModel

Hospital50000

203 Morigaon Borghat M.PHCModel

Hospital50000

204 Morigaon Mikirbheta SD PHC 50000

205 Morigaon Monipurtup PHC PHC 50000

206 Morigaon Simaluguri SD PHC 50000

207 Morigaon Burgaon MPHC PHC 50000208 Nagaon BPCH Nagaon DH 50000

800000

209 Nagaon Nagaon MCH MCH 50000

210 Nagaon Jakhalabandha FRU CHC 50000

211 Nagaon Kawaimari FRU CHC 50000

212 Nagaon Uluoni CHC 50000

213 Nagaon Bamuni CHC 50000

214 Nagaon Doboka CHC 50000

215 Nagaon Mowamari CHC 50000



Allocatedfund

under13.2.3.4

Districttotal

216 Nagaon Rupohi CHC 50000

217 Nagaon Kachua CHC 50000

218 Nagaon Nilbagan CHC 50000

219 Nagaon Jugijan CHC 50000

220 Nagaon Hojai FRU CHC 50000

221 Nagaon Buragohainthan PHC 50000

222 Nagaon Dagaon PHC PHC 50000

223 Nagaon Juria MPHC PHC 50000

224 Nalbari Nalbari DH DH 100000

600000

225 Nalbari Kokoya CHC CHC 50000

226 Nalbari Bhanganamari CHC CHC 50000

227 Nalbari Kakaya CHC CHC 50000

228 NalbariM.G. Model Hospital,Makhibaha

CHC 50000

229 Nalbari Khatikuchi CHC 50000

230 Nalbari Marowa MPHC PHC 50000231 Nalbari Banekuchi MPHC PHC 50000232 Nalbari Jagara PHC PHC 50000

233 Nalbari Daulasal MPHC PHC 50000

234 Nalbari Barkhala MPHC PHC 50000

235 Sivasagar Sivsagar DH DH 100000

750000

236 Sivasagar Amguri CHC CHC 50000

237 Sivasagar Sonari SDCH CHC 50000

238 Sivasagar Ligiripukhuri SDCH CHC 50000

239 Sivasagar Lakwa Model Hospital CHC 50000

240 Sivasagar Sapekhati Model Hospital CHC 50000

241 Sivasagar Dikhowmukh MPHC PHC 50000

242 Sivasagar Bokota MPHC PHC 50000

243 Sivasagar Sapekhati BPHC PHC 50000

244 Sivasagar Desangmukh MPHC PHC 50000

245 Sivasagar Nazira SHC PHC 50000

246 Sivasagar Bamrajabari MPHC PHC 50000

247 Sivasagar Banmukh MPHC PHC 50000

248 Sivasagar Dehingmukh SHC PHC 50000

249 Sonitpur Kanaklata DH DH 100000

650000250 Sonitpur Biswanath Chariali SDCH 50000

251 Sonitpur North Jamuguri CHC CHC 50000

252 Sonitpur Kolabari Model HospitalModel

Hospital50000



Allocatedfund

under13.2.3.4

Districttotal

253 Sonitpur Borgang Model HospitalModel

Hospital50000

254 Sonitpur Balichang Model HospitalModel

Hospital50000

255 Sonitpur Kusumtola Model HospitalModel

Hospital50000

256 Sonitpur Sirajuli Model HospitalModel

Hospital50000

257 Sonitpur Balipara PHC PHC 50000

258 Sonitpur Rowmari SD PHC 50000

259 Sonitpur Bedeti PHC PHC 50000

260 Sonitpur Behali BPHC PHC 50000

261 Tinsukia Mohkhuli CHC CHC 50000

600000

262 Tinsukia Kothalguri Model HospitalModel

Hospital50000

263 Tinsukia Hapjan BPHC PHC 50000

264 Tinsukia Nasadiya BPHC PHC 50000265 Tinsukia Santipur MPHC PHC 50000

266 Tinsukia Jagun MPHC PHC 50000

267 Tinsukia Ketetong BPHC PHC 50000

268 Tinsukia Ledo PHC 50000

269 Tinsukia Barekuri MPHC PHC 50000

270 Tinsukia Bordubi MPHC PHC 50000

271 Tinsukia Saikhowaghat SD PHC 50000

272 Tinsukia Hassak MPHC PHC 50000

273 Udalguri Udalguri DH DH 100000

500000

274 Udalguri Tangla CHC 50000

275 Udalguri Orang CHC 50000

276 Udalguri Bhergaon CHC 50000

277 Udalguri Pauripota SD PHC 50000

278 Udalguri Udalguri BPHCPHC

50000

279 Udalguri Bamunjuli MPHC PHC 50000

280 Udalguri Dimakuchi New PHC PHC 50000

281 Udalguri Pachim patla PHC PHC 50000


Activity no 8 f



Level of the Activity: State levelName of the activity: ContingenciesType of the activity: Ongoing activityAbout the activity: State Level – for additional supportThis fund will be utilized at State level for the following activities:

1. Honorarium for Peer and External assessment for NQAS2. Printing of Coffee table book.3. Organizing Kayakalp Award ceremony at State level.4. Purchase of mementos/trophies/certificates for the State level Award ceremony.

This fund will be kept at State HQ

Activity No 8 g



District : DQC/HA/ DPM/BPM/DAM

Level of the Activity: District levelName of the activity: Swachh Swasth SarvatraType of the activity: Ongoing activityAbout the activity: Budget of Rs 300 Lakhs approved for 30 ODF blocks in Assam under SwachhSwasth Sarvatra initiative for strenghthening the CHCs to meet Kayakalp standards.‘SwachhSwasthSarvatra’, is an inter-ministerial joint initiative between the Ministry of Drinking Water

and Sanitation and the Ministry of Health and Family Welfare Activity.

The objective of the ‘SwachhSwasthSarvatra’ initiative is to build on and leverage achievements of twocomplementary programmes – Swachh Bharat Mission (SBM) and Kayakalp – of the Ministry ofDrinking Water and Sanitation and Ministry of Health and FamilyWelfare, respectively. Under thisinitiative:

(a) Ministry of Drinking Water and Sanitation has declared over 700 blocks as Open DefecationFree (ODF). Community Health Centres (CHCs) in ODF blocks of the country will be allocatedRs 10 lakhs under National Health Mission (NHM) to focus on sanitation and hygiene.

(b) Under Kayakalp, one Primary Health Centre (PHCs) in each district is awarded for meetingquality standards including sanitation and hygiene. Under SBM, the Gram Panchayat in which thePHC which gets awarded under Kayakalp for that district will be noted, and special focus will begiven to make it ODF at the earliest.


Activities for which amount Rs 10 Lakhs may be utilized

1. Improving the aesthetic of the hospital building including painting, cladding of exterior andminor repair work.

2. Improving Housekeeping activities.3. Improving condition of toilets and use of housekeeping checklist.4. Drinking water facilities and water supply- Regular maintenance of water treatment units,

water tanks and pipelines.5. Hand washing points- all should be elbow taps and running water especially in Labour rooms,

OTs, OPDs and nursing stations.6. Deep Sinks for LR and OT- as required7. Toilets- All toilets in the facility should be clean, no seepage, basins and commodes clean,

water supply, no blockages, doors can be closed.8. 3 buckets mopping system- separate mops for all critical areas of the facility (Pic attached)9. Infection Prevention and control equipments- Autoclave if required. Please check from District

store before purchasing.10. Any disinfectants if required for LR and OT cleaning. Can purchase D125 or its equivalent- a

good disinfectant for cleaning LR and OT. Procurement of cleaning equipment and materials.11. Fogging machine for fumigation of LR/OT- Approx cost 25-30 k12. Floor scrubber machine - Approx cost - Rs 1.50 - Rs 2.00 Lakhs13. ETP plant - within Rs 2-3 Lakhs14. Cleaning agents and supplies- Ensure uninterrupted supply of cleaning materials and PPE15. Construction of new toilet and urinals if required.16. Improving drainage and sewage system in the facility.17. Implementation of uniform signage in the facility.18. Printing and display of IEC material regarding sanitation and hygiene preferable in local

language.19. Facility management activities esp pest control, animal control, removal of junk material,

landscaping, correction of water logging, improving illumination level and maintenance ofopen areas/ corridors.

20. Biomedical and general waste management activities including procurement of additionalequipments required for waste management, however bins, bin liners will be provided fromthe State level (BMW closed trolleys, deep burial pit repair etc)

21. Equipments and material liquid infectious waste management.22. Maintenance/repair for furniture and fixtures.23. Installation of water storage/water conservation system.24. Procuring materials for improving infection control practices such as hand rub, PPE,

disinfectants.25. Monitoring activities of cleaning waste management and infection control practices.26. Instituting hospital infection surveillance activities27. Training of staff on hygiene, infection control and waste management.28. Improving support services related to laundry, kitchen and security


Floor scrubber D-125 Disinfectant (all purpose) Three bucket system

Funds may not be utilized1. As this will be one time grant this amount should not be used for hiring and paying salary to

existing staff.2. Major constructions or purchases of drugs etc3. Purchase of any type of diagnostic, therapeutic and rehabilitation equipment etc4. Grant will not be used for any pending payments of contractual agencies under various

program/schemesThese facilities should be mandatorily Kayakalp compliant after utilizing this fund.

To achieve the above minor repair or infrastructure work can be taken up. Also go thoroughlythrough pages 10-13 of SSS guidelines which are attached. Also go through Swachhta guidelines forimplementation of Kayakalp.

Please note: ReNewel of licence(Pollution control Board,Fire NOC), Refilling of fire extinguishers,installfire alarm, wire mesh of all patient care area, EQAS and IEC corner should not be used with this fund.

District quality consultants/ Hospital Administrators/ DPMs/BPMs/ JE/AE: If you have any SSSfacility in your district kindly prepare a budget sheet as per the above points and share with us forany query. A detailed plan for the utilization of the sanctioned amount (Rs 10 Lakh/facility) has tobe prepared by the concerned district and shared with State Quality Assurance Team. The amountmay be spent after due approval from the State Quality Assurance team.

Records of expenses and UC are to be maintained separately and submitted to State Head quarter

All the above facilities selected as ODF CHCs, also have to be mandatorily be made compliant forKayakalp (minimum 70% score in external assessment). Hence the District should plan the gapassessment as per the checklist of Kayakalp.

Sl No District Name of HI Type Fund Allotment(In Rs.)

Fund districtwise (In Rs)

1 BaksaBarama ModelHospital CHC

10000001000000

2 Barpeta Barpeta road CHC CHC 1000000

30000003 BarpetaBhulukadoba Modelhospital CHC

1000000

4 Barpeta Chandmama Model CHC 1000000


Sl No District Name of HI Type Fund Allotment(In Rs.)

Fund districtwise (In Rs)

hospital5 Darrang Baznapathar CHC CHC 1000000 10000006 Dhubri Chapar CHC CHC 1000000 10000007 Dibrugarh Naharkatia CHC CHC 1000000 10000008 Dima Hasao Umrangso CHC CHC 1000000 10000009 Goalpara Rangjuli CHC CHC 1000000 1000000

10 Golaghat Sarupathar CHC CHC 1000000 100000011 Hailakandi Lala CHC CHC 1000000 100000012 Jorhat Kamalabari CHC CHC 1000000 1000000

13 Kamrup RuralChhaygaonBPHC/CHC CHC

10000002000000

14 Kamrup Rural Goroimari CHC CHC 1000000

15KarbiAnglong Howraghat CHC CHC

10000001000000

16 Kokrajhar RNB civil Gosaigaom CHC 1000000 100000017 Lakhimpur Nawboicha CHC CHC 1000000

200000018 Lakhimpur Bongalmora CHC CHC 1000000

19 MorigaonDalangghat ModelHospital CHC

1000000

2000000

20 MorigaonLaharighat ModelHospital CHC

1000000

21 Nagaon Raha Rantholi CHC CHC 1000000 1000000

22 NalbariM.G.Model HospitalAdabari CHC

10000001000000

23 Sonitpur Gohpur SDCH CHC 1000000 100000024 Tinsukia Chapakhowa CHC CHC 1000000

500000025 Tinsukia Dangori CHC CHC 100000026 Tinsukia Digboi CHC CHC 100000027 Tinsukia Margherita CHC CHC 100000028 Tinsukia Doomdooma CHC CHC 1000000

29 UdalguriKalaigaon ModelHospital CHC

1000000

2000000

30 UdalguriHarisinga ModelHospital CHC

1000000

Total amount in Rupees 30000000

State and District wise fund break up under FMR 13.2.5Sl.No District Total allocation in Rs

1 Baksa 1000000.00

2 Barpeta 3000000.00

3 Bongaigaon 0

4 Cachar 0

5 Chirang 0

6 Darrang 1000000.00

7 Dhemaji 0


8 Dhubri 1000000.00

9 Dibrugarh 1000000.00

10 Dima Hasao 1000000.00

11 Goalpara 1000000.00

12 Golaghat 1000000.00

13 Hailakandi 1000000.00

14 Jorhat 1000000.00

15 Kamrup Metro 0

16 Kamrup Rural 2000000.00

17 Karbi Anglong 1000000.00

18 Karimganj 0

19 Kokrajhar 1000000.0020 Lakhimpur 2000000.00

21 Morigaon 2000000.00

22 Nagaon 1000000.0023 Nalbari 1000000.00

24 Sivasagar 0

25 Sonitpur 1000000.00

26 Tinsukia 5000000.00

27 Udalguri 2000000.00

District Total (In Rupees) 30000000.00District Total (In Rupees Lakhs) 300.00 L

State HQ Allocation (In Rupees Lakhs) 0Total Approved amount (In Rupees Lakhs) 300.00 L

Activity no 8 h

FMR code 13.2.6 (Total Approvals = Rs 17.62 Lakhs)


District : DPM/DQC/HA/DAM

Level of the Activity: State level and District levelName of the activity: Any other (Swab culture and Honorarium for Assessors)Type of the activity: New and ongoing activity

(1) Rs 2.6 lakhs is approved for microbiological surveillance with NABL/HLL lab thrice a year forExternal Quality assurance for swab culture from Critical areas at the unit cost of Rs 10,000 perfacility per year( 3 samples in a year to be done outside)


List of District Hospitals for microbiological surveillance with NABL/HLL labthrice a year

Sl.No District Name of the District HospitalTotal allocation

in Rs

1 Baksa Raviram Boro Civil Hospital 10000

2 Barpeta Kalgachia Civil Hospital 10000

3 Bongaigaon Bongaigaon Civil hospital 10000

4 Cachar SM Dev Civil hospital 10000

5 Chirang JSB Civil Hospital 10000

6 Darrang Mangaldoi Civil Hospital 10000

7 Dhemaji Dhemaji Civil Hospital 10000

8 Dhubri Dhemaji Civil Hospital 10000

9 Dima Hasao Haflong Civil Hospital 10000

10 Goalpara 200 Bedded Goalpara CH 10000

11 Golaghat SKK Civil Hospital 10000

12 Hailakandi Hailakandi Civil Hospital 10000

13 Kamrup Metro Sonapur DH 10000

14 Kamrup Metro MMCH, Panbazar 10000

15 Kamrup Rural TRB Civil Hospital 10000

16 Karbi Anglong Diphu Civil Hospital 10000

17 Karimganj Karimganj Civil Hospital 10000

18 Kokrajhar Kokrajhar Civil Hospital 10000

19 Lakhimpur North Lakhimpur Civil Hospital 10000

20 Morigaon Morigaon Civil Hospital 10000

21 Nagaon MCH wing, Nagaon 10000

22 Nalbari SMK Civil Hospital 10000

23 Sivasagar Sivasagar Civil Hospital 10000

24 Sonitpur Kanaklata Civil Hospital 10000

25 Tinsukia Tinsukia Civil Hospital 10000

26 Udalguri Udalguri DH 10000

District Total (In Rupees) 260000

(2.1) Budget of Rs 8.56 Lakhs approved for honorarium for peer Assessment of facilities @Rs 500(DH/SDCH/FRU/CHC/Model Hospitals/PHC/MPHC) for NQAS/Kayakalp (for an estimated assessmentof 26 DH, 180 SDH/CHC, 650 PHC).Since this amount is based on estimated figures, 70% of theamount that is Rs 6.00 Lakhs shall be released now. Rest 30 % will be released based on actualrequirement after submitting SOE. District break up given in details Rest Rs. 2.56 lakhs (of total ofRs 8.56 Lkahs) will be kept in the State HQ.

(2.2) Budget of Rs 6.46 Lakhs approved for honorarium for external Assessment of facilities(DH/SDCH/FRU/CHC/Model Hospitals/PHC/MPHC)for NQAS/ Kayakalp(for an estimated assessmentof 23 DH, 100 SDH/CHC, 200 PHC) at the unit cost of Rs 1000 to be kept at State HQ.


Therefore, Total budget of Rs 9.02 L (Rs. 2.56 Lakhs from (2.1) for peer assessment and Rs.6.46 Lfor external Assessment of facilities (2.2) will be kept at the State HQ for the honorarium ofExternal Assessors for NQAS/ Kayakalp.

Table 1 (8h) ESTIMATED HONORARIUM FOR PEER ASSESSMENT OF HEALTH FACILITIES

District

Estimatedno of DHfor Peer

assessment

Estimated noof

SDCH/CHCfor Peer

assessment

Estimated noof PHC for

Peerassessment

Estimatedno of totalfacilitiesfor Peer

assessment

Honorariumper assessorper facility

(In Rs)

EstimatedHonorarium

for peerassessment

for twopersons (In

Rs.)(a) (b) (c) (d) (e) (d)*(e)*2

Baksa 1 5 20 26 500 26000Barpeta 1 9 20 30 500 30000Bongaigaon 1 4 15 20 500 20000Cachar 1 4 16 21 500 21000Chirang 1 3 5 9 500 9000Darrang 1 7 15 23 500 23000Dhemaji 1 4 10 15 500 15000Dhubri 1 6 22 29 500 29000Dibrugarh 0 8 14 22 500 22000DimaHasao 1 2 5 8 500 8000Goalpara 1 5 21 27 500 27000Golaghat 1 4 20 25 500 25000Hailakandi 1 3 7 11 500 11000Jorhat 0 5 22 27 500 27000Kamrup Metro 1 3 12 16 500 16000

Kamrup Rural 1 12 25 38 500 38000KarbiAnglong 1 4 10 15 500 15000Karimganj 1 7 16 24 500 24000Kokrajhar 1 2 10 13 500 13000Lakhimpur 1 8 16 25 500 25000Morigaon 1 5 10 16 500 16000Nagaon 1 17 25 43 500 43000Nalbari 1 11 20 32 500 32000Sivasagar 1 4 20 25 500 25000Sonitpur 1 8 20 29 500 29000Tinsukia 1 9 10 20 500 20000Udalguri 1 5 5 11 500 11000Total for 27 districts

in Rupees 25 164 411 600 600000


NB : The honorarium for peer assessment @ Rs 500 per assessor is equal forDH/SDCH/MH/CHC/FRU/PHC level and doesn’t depend upon the number of days taken toconduct the assessment. For example, if there are two assessors conducting peer assessment of aDH in two days will be eligible for Rs 500 each per facility. This honorarium fee is eligible forboth NQAS and Kayakalp.

The honorarium fee for Kayakalp will be claimed from FMR code 13.2.1 initially until thefunds are exhausted. Only when funds are exhausted, it will be claimed under FMR code13.2.6.

The honorarium fee for NQAS will be claimed from FMR code 13.2.6 at the rate of Rs 500per assessor per facility for peer assessment. External assessment will only be done by Statelevel.

Honorarium will be given only for Peer and External assessment. Peer assessmenthonorarium will be given from District health Society where peer assessment is done.External assessment honorarium will be given from State HQ.

State and District wise fund break up under FMR 13.2.6

Sl.No DistrictAllocation in Rupees(for microbiological

surveillance)

Allocation inRupees

(Honorariumfor peer

assessment)

Totalallocationin Rupees

1 Baksa 10000 26000 36000

2 Barpeta 10000 30000 40000

3 Bongaigaon 10000 20000 30000

4 Cachar 10000 21000 31000

5 Chirang 10000 9000 19000

6 Darrang 10000 23000 33000

7 Dhemaji 10000 15000 25000

8 Dhubri 10000 29000 39000

9 Dibrugarh 0 22000 22000

10 Dima Hasao 10000 8000 18000

11 Goalpara 10000 27000 37000

12 Golaghat 10000 25000 35000

13 Hailakandi 10000 11000 21000

14 Jorhat 0 27000 27000

15 Kamrup Metro 20000 16000 36000

16 Kamrup Rural 10000 38000 48000

17 Karbi Anglong 10000 15000 25000

18 Karimganj 10000 24000 34000

19 Kokrajhar 10000 13000 23000

20 Lakhimpur 10000 25000 35000

21 Morigaon 10000 16000 26000


22 Nagaon 10000 43000 53000

23 Nalbari 10000 32000 42000

24 Sivasagar 10000 25000 35000

25 Sonitpur 10000 29000 39000

26 Tinsukia 10000 20000 30000

27 Udalguri 10000 11000 21000

District Total (In Rupees) 260000 600000 860000District Total (In Rupees Lakhs) 2.6 L 6.0 L 8.6 L

State HQ Allocation (In Rupees Lakhs) 0 9.02 L 9.02 LTotal Approved amount (In Rupees Lakhs) 17.62 L

Activity No 9

FMR 16.1 – Program Management Fund

FMR Particulars GOI remarksApproval(Lakhs)

Level ofactivity

16.1.2.1.10State Quality AssuranceUnit (Review meeting)

4 QAU meeting @ Rs 0.1Lakhs per meeting

0.4State

16.1.2.1.11District QualityAssurance Unit (Reviewmeeting)

2.16 L is approved forquarterly district QACreview meeting @ Rs 0.02 Lper meeting * 4 meetings for27 districts

2.16

District

16.1.2.2.3State Quality AssuranceUnit (Monitoring &Evaluation)

Budget of Rs 5.4 L isapproved for State levelMonitoring and evaluation

5.4State

16.1.4.1.3State Quality AssuranceUnit (operational costs)

Budget of Rs 1.8 L isapproved for operational cost@ Rs 0.15 L per month * 12months

1.8

State

16.1.4.2.1District QualityAssurance Unit(operational costs)

Budget of Rs 16.2 L isapproved for operational cost@ Rs 0.05 L per month * 12per district for 27 districts

16.2

District

Activity 9 a

FMR code 16.1.2.1.11 (Total Approvals = Rs 2.16 Lakhs)FMR Owner & Responsible Person: District: DPM/DQC/HA/DAMLevel of the Activity: District levelName of the activity: District Quality Assurance Unit (Review meeting)Type of the activity: Ongoing activityAbout the Activity:


District Quality Assurance meetings have to be mandatorily conducted once every 3 months (4 meetingsin a year). The minutes of the meeting and action taken on previous minutes have to be shared withthe State Quality Assurance unit and also to be uploaded in the website. The minutes should containthe review of action plan for the last meeting held and action plan for the current month. Periodic analysisof Patient satisfaction survey, outcome indicators, grievance redressal, gap assessment of internalassessments should be done along with timelines and responsible persons. Action would be taken forthose districts who will not comply with H’ble Supreme Court orders of uploading the meetingminutes.

Approved cost of DQAC meetings @ Rs2000 per meeting * 4 meetings per district equals to Rs8000 per year

Activity 9 b

FMR code 16.1.4.2.1 (Total Approvals = Rs 16.2 Lakhs)FMR Owner & Responsible Person: District : DPM/DQC/HA/DAMLevel of the Activity: District levelName of the activity: District Quality Assurance Unit (operational costs)Type of the activity: Ongoing activityAbout the Activity:

Approved Operational Cost of Rs 60000 per district (@ Rs 5000 per month) can be utilized for Printing,Stationary and other contingencies.

District wise fund breakup under FMR 16.1 Program Management FundSl.No. District/ State

HQFMR Code:

16.1.2.1.11 DistrictQuality Assurance

Unit (Reviewmeeting) (In Rs.)

FMR Code: 16.1.4.2.1District QualityAssurance Unit

(operational costs) (InRs.)

Total Fundallotted to

the districts(In Rs.)

1 Baksa 8000 60000 68000

2 Barpeta 8000 60000 68000

3 Bongaigaon 8000 60000 68000

4 Cachar 8000 60000 68000

5 Chirang 8000 60000 68000

6 Darrang 8000 60000 68000

7 Dhemaji 8000 60000 68000

8 Dhubri 8000 60000 68000

9 Dibrugarh 8000 60000 68000

10 DimaHasao 8000 60000 68000

11 Goalpara 8000 60000 68000

12 Golaghat 8000 60000 68000


13 Hailakandi 8000 60000 68000

14 Kamrup (M) 8000 60000 68000

15 Kamrup (R) 8000 60000 68000

16 Karimganj 8000 60000 68000

17 KarbiAnglong 8000 60000 68000

18 Kokrajhar 8000 60000 68000

19 Lakhimpur 8000 60000 68000

20 Majuli (Jorhat) 8000 60000 68000

21 Morigaon 8000 60000 68000

22 Nalbari 8000 60000 68000

23 Nagaon 8000 60000 68000

24 Sivasagar 8000 60000 68000

25 Sonitpur 8000 60000 68000

26 Tinsukia 8000 60000 68000

27 Udalguri 8000 60000 68000

Total for 27 district 216000 1620000 1836000

28 State HQ 48000 - 48000

Total 264000 1620000 1884000


Annexure-A

List of 10 DHs for NQAS (2020-21)

S.No. District Name of Health Institution1 Baksa Dr. Ravi Baro Civil Hopsital2 Bongaigaon Bongaigaon Civil Hospital3 Cachar Satyendra Mohan dev Civil Hospital4 Darrang Mangaldai Civil Hospital5 DimaHasao Haflong Civil Hospital6 Kamrup Metro Sonapur DH7 Nagaon MCH Wing, Nagaon8 Nalbari S.M.K. Civil Hospital9 Sivasagar Sivasagar Civil Hospital10 Tinsukia L.G.B. Civil Hospital

List of 10 CHCs for NQAS (2020-21)S.No. District Name of Health Institution1 Dhemaji Silapathar CHC2 Dibrugarh Moran Tiloi CHC3 Golaghat Bokaghat SDCH4 Hailakandi Algapur5 Barpeta Pathshala SDCH6 Nalbari Tihu FRU7 Kamrup (R) Sualkuchi FRU8 Kamrup (M) Pandu FRU9 Sivasagar Demow Model Hospital10 Udalguri Rowta Model Hospital

List of 30 PHCs for NQAS (2020-21)S.No. District Name of Health Institution1 Baksa Kumarikata SD2 Baksa Dighaldanga MPHC3 Barpeta Gomura MPHC4 Bongaigaon Lengthisinga PHC5 Cachar Harinagar BPHC6 Darrang Garukhuti MPHC7 Darrang Kenduguri MPHC8 Dhubri Golakganj PHC9 Dhubri Bilasipara SHC10 Dibrugarh Barbaruah PHC11 DimaHasao Mahur PHC12 Golaghat Bhagyapur MPHC13 Goalpara Agia PHC14 Goalpara 20 bedded maternity hospital15 Jorhat Tipomia SD16 Karimganj Bazirchera PHC17 Kokrajhar Balajan PHC18 Kokrajhar Dholmara PHC19 Lakhimpur Chauldhua MPHC20 Nalbari Ghagrapar BPHC21 Nalbari Solmara MPHC


22 Nagaon Upper dumdumia23 Sonitpur Bishnubara SD24 Tinsukia Boridirak PHC25 Kamrup (M) Nortap PHC26 Sivasagar Gaurisagar BPHC27 Udalguri Orang BPHC28 Golaghat KB Ali29 Jorhat Mariani MPHC30 Bongaigaon Patiladaha MPHC

Annexure: B

List of 128 facilities targeted for LaQshya 2020-21Sl.

No. District BPHC HEALTH INSTITUTION Type of HI1 Baksa District HQ Dr. Ravi Baro Civil Hospital DH2 Jalah Salbari Model Hospital ModelHospital3BARPETA

DISTRICT HQ FAAMCH MedicalCollege4 KALGACHIA BARPETA CIVIL HOSPITAL DH5 NITYANANDA PATHSALA SDCH6 BARPETA ROAD BARPETA ROAD CHC7 KALGACHIA SORBHOG CHC8 BHAWANIPUR HOWLY CHC9 KALGACHIA CHANDMAMA ModelHospital10 MANDIA MANDIA ModelHospital11 Bongaigaon Bongaigaon BPHC BONGAIGAON CH DH12 Manikpur BPHC MG MODEL HOSPITAL MANIKPUR CHC13 Srijangram BPHC ABHAYAPURI CHC CHC14 Cachar District HQ Silchar Medical College & Hospital MedicalCollege15 District HQ S.M. Dev Civil Hospital DH16 Jalalpur Kalain CHC CHC17 Jalalpur Katigorah Model Hospital ModelHospital18 Chirang DHQ JSB CIVIL Hospital DH19 BALLAMGURI BHETAGAON CHC CHC20 Darrang MANGALDAIURBAN MANGALDAI CIVIL HOSPITAL DH21 SIPAJHAR SIPAJHAR CHC CHC22 KHARUPETIA KHARUPETIA CHC CHC23 Dhemaji District HQ Dhemaji Civil Hospital DH24 Gogamukh Gogamukh PHC/CHC CHC


25 Sissiborgaon Silapathar Model Hospital ModelHospital26Dhubri

DHUBRI URBAN Dhubri Civil Hospital DH27 Gazarikandi Hatsingimari SDCH SDH28 Halakura Halakura CHC CHC29 Halakura Agomani CHC CHC30 Gazarikandi Mankachar CHC CHC31 Dharmasala BPHC Gauripur CHC CHC32 Raniganj Bogribari SD (Model Hospital) ModelHospital33 Dibrugarh District HQ AMCH MedicalCollege34 Naharani Naharani CHC CHC35 Tengakhat Tengakhat M.G Model Hospital CHC36 Khowang MORAN TILOI FRU CHC37 Dima Hasao Urban HQ Haflong Civil Hospital DH38Goalpara

Goalpara Urban 200 Bedded Civil Hospital DH39 Agia BPHC Ambari Bazar Model Hospital CHC40 Rangjuli BPHC Dudhnoi FRU CHC41 Lakhipur Lakhipur BPHC/CHC CHC42 Matia MATIA BPHC/MODEL HOSPITAL ModelHospital43 Golaghat District HQ Swahid Kushal Konwar CivilHospital DH44 Missamora Dergaon CHC CHC45 Kamarbondha Ali Merapani CHC CHC46 Bokakhat Bokakhat SDCH SDH47 Sarupathar Sarupathar CHC CHC48 Hailakandi URBAN S.K.Roy Civil Hospital DH49 Lala BPHC Lala CHC CHC50 Jorhat District HQ Jorhat Medical College MedicalCollege51 Kamalabari BPHC Garmur SDCH SDCH52 Titabor BPHC Titabor SDCH SDCH53 Kakojan BPHC Teok FRU CHC54Kamrup (M)

GUWAHATIURBAN Gauhati Medical College andHospital MedicalCollege55 GUWAHATIURBAN Mahendra Mohan ChoudhuryHospital MedicalCollege56 WEST ZONE PANDU FRU CHC57 SONAPUR District Hospital Sonapur DH58 DHIRENPARAZONE Dhirenpara FRU CHC59 Kamrup (R) Other TRB Civil Hospital DHAzara Azara BPHC/CHC/FRU CHC61 Uparhali Mirza CHC CHC


62 North Ghy Bezera CHC/FRU CHC63 Sualkuchi Sualkuchi BPHC/CHC/FRU CHC64 Boko Boko BPHC/CHC/FRU CHC65 Chhaygaon Goroimari CHC CHC66 Hajo Hajo BPHC/CHC/FRU CHCDr Rangia Rangia CHC/FRU CHC68 Karbi-AnglongDistrict HQ Diphu civil Hospital DH69 Donkamokam Donkamokam CHC CHC70 Howraghat Howraghat CHC CHC71 Bokajan Bokajan CHC CHC72 Howraghat Bokolia CHC CHC73

KarimganjKarimganj Urban Karimganj Civil Hospital DH74 Kachuadam Srigouri CHC CHC75 Patharkandi Patherkandi CHC76 Girishganj MG Girishganj Model Hospital ModelHospital77 Patharkandi Baraigram Model Hospital ModelHospital78 R.K. Nagar MG Model Hospital, Dullavcherra ModelHospital79 Kokrajhar Balajan RNB CH Kokrajhar DH80 Gossaigaon RNB CH Gossaigaon SDH81 Balajan Balajan CHC82 Dotma Dotma CHC CHC83

LakhimpurLakhimpur Urban North Lakhimpur Civil Hospital DH84 DhakuakhanaBPHC Dhakuakhana SDCH SDH85 Bihpuria BPHC Bihpuria CHC CHC86 Bihpuria BPHC Bongalmora CHC CHC87 Bihpuria BPHC Laluk Model Hospital CHC88 Nawboicha BPHC Nawboicha CHC CHC89 Boginodi BPHC Boginodi Model Hospital ModelHospital90

MorigaonUrban Morigaon Civil Hospital DH91 Laharighat Moirabari CHC/FRU CHC92 Jhargaon Nakhola SHC/Model Hospital ModelHospital93 Bhurbandha Bhurbandha BPHC/Model Hospital ModelHospital94 Laharighat Laharighat BPHC/Model Hospital ModelHospital95 Nagaon URBAN B P Civil Hospital DH96 DHING DHING FRU CHC97 Jugijan Hojai CHC CHC98 Jakhalabandha Jakhalabandha FRU CHC99 SAMAGURI KAWAIMARI FRU CHC


100 Kathiatoli Kampur FRU CHC101 Kathiatoli Doboka CHC CHC102 LANKA LUMDING FRU CHC103 Jugijan Jugijan Model Hospital ModelHospital104 Jugijan Nilbagan Model Hospital ModelHospital105 SAMAGURI RUPOHI MODEL HOSPITAL ModelHospital106 Kathiatoli Kachua Model Hospital ModelHospital107 Nalbari Nalbari Urban SMK Civil Hospital DH108 Mukalmua Mukalmua FRU CHC109 Sivasagar District HQ Sivasagar Civil Hospital DH110 Sapekhati BPHC Sonari SDCH SDH111 Geleky BPHC KSHS Nazira SDCH, Ligiripukhuri SDH112 Demow BPHC Demow Model Hospital ModelHospital113Sonitpur

District HQ Tezpur Medical College MedicalCollege114 District HQ Kanaklata Civil Hospital DH115 Gohpur BPHC Gohpur SDCH SDH116 Biswanath Chariali Biswanath Chariali SDCH SDH117 North Jamuguri North Jamuguri CHC CHC118 Dhekiajuli Dhekiajuli CHC CHC119 Tinsukia Urban Tinsukia LGB Civil Hospital DH120 Kakopathar BPHC Doomdooma FRU CHC121 Ketetong Margherita FRU CHC122 Ketetong Digboi CHC CHC123 Na-sadiya BPHC Chapakhowa FRU CHC124Udalguri

UDALGURI UDALGURI CIVIL HOSPITAL DH125 KHOIRABARI KHOIRABARI CHC CHC126 UDALGURI TANGLA CHC CHC127 ORANG ORANG CHC CHC128 ORANG ROWTA MODEL HOSPITAL ModelHospital


List of certified Internal AssessorsSl No Name of the certified assessor District

1 Bikash Ranjan Dutta Barpeta2 Smita Roy Bongaigaon3 Ajay Kalita Bongaigaon4 Jesmine Rahman Cachar5 Dr Narzeen M Barbhuyan Cachar6 Indrajit Dey Cachar7 Gautam Mohilary Chirang8 Chayanika Dutta Darrang9 Dr.Munindra Medhi Darrang

10 Dr. Durgeswar Sarma Darrang11 Dr JadumonI Kakoty Darrang12 Rashmi Dolley Dhemaji13 Dr.Rejaul Karim Dhubri14 Chiranton Pareh Dhubri15 Imdadul Islam Dhubri16 Dr. Nabajyoti Gogoi Dibrugarh17 Dr Bishwajit Baruah Dibrugarh18 Dr Nilim Konwar Dibrugarh19 Dr Rashmi Thakuria Dibrugarh20 Dr Doris Nampui Dima Hasao21 Dr. Mridusmita Kachari Dima Hasao22 Nayan Jyoti Goswani Dima Hasao23 Subrata Daulagupu Dima Hasao24 Nemhoiting Vaiphei Dima Hasao25 Dr.Anjana Das Goalpara26 Dr.Priyanka Devi Golaghat27 Dr Hiren Kr Saikia Golaghat28 Dr.Jahiruddin Ahmed Hailakandi29 Sabana N Choudhury Hojai30 Jimi Moni Hazarika Jorhat31 Dr Shashidhar Phookan Jorhat32 Dr Abu Tahr Md Eusuf Jorhat33 Dr Abdul Adud Jorhat34 Rumi Kujur Kamrup M35 Dr Mukuta Medhi Kamrup M36 Basanta Biraj Das Kamrup M37 Sharmistha Phukan Kamrup M38 Dr Meera Bora Kamrup M39 Monica Deka Dutta Kamrup R40 Dinamani Thakuria Kamrup R41 Dr. Hemanta Kr. Borah Kamrup R42 Banani Bharali Kamrup R43 Dr Geeta Devi Kamrup R


44 Dr.Gobil Thapa Karbi Anglong45 Soraisham Lakhiman Singh Karbi Anglong46 Dr Gunindra Nath Debo Sarma Karbi Anglong47 Apurba Das Karimganj48 Chinmoy Das Kokrajhar49 Dr Silpi Saikia Lakhimpur50 Dr Bhupen Saikia Lakhimpur51 Sourav Saikia Lakhimpur52 Rijumoni Barman Morigaon53 Hemanga Medhi Nagaon54 Dr Chintarm Hazarika Nagaon55 Dr. Hiteswar Gogoi Nagaon56 Dr.Kumud Bania Nalbari57 Dr.Jyotirmoy Das Nalbari58 Nabadip Sharma Nalbari59 Dr. Ayub Ali Nalbari60 Dr.Rupam Borkakoty Sivasagar61 Dr. Rajib Kumar Baruah Sivasagar62 Samiran Sharma Sivasagar63 Kalpana Bharali Sivasagar64 Dr Arun Ch Mahanta Sivasagar65 Ashima Buragohain Sivasagar66 Dr Madhurjya Baruah Sonitpur67 Gunojit Narzary Sonitpur68 Hemanta Kalita Sonitpur69 Dr Rini Duarah Sonitpur70 Dr. Rana Mukut Keot Sonitpur71 Dr.Pulak Paul Tinsukia72 Karabi Borgohain Tinsukia73 Dr. Avinash Kumar Tinsukia74 Noor Haque Tinsukia75 Dr. Bhadra Kanta Sharma Udalguri76 Dr Sudip Ranjan Dey Udalguri77 Dr Sailendra Bordhan Bora78 Dr.Dhrubajyoti Pathak79 Dr.Md.Badrul Islam80 Dr.Atowar Rahman81 Dr.Rofiqul Islam82 Dr Rohini Kumar SHQ83 Ms Kakali Deka SHQ84 Ms Bhagya Devi Das SHQ85 Ms Tanushree Pathak SHQ86 Ms Mumtaz Mazumdar SHQ87 Dr Rahul Kr Sarmah SHQ

National Quality Assurance Program

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