Table no. 1.1 (b)
(Refer Audit Design Matrix question no.1.1.1)
(Position of whole State/UT)
(Baseline facility survey)
Total number of Units existing
Number of units for which
as on 31st March 2016
baseline facility survey
conducted
No. of Sub center
No. of PHCs
No. of CHCs
Sub District/Sub Divisional
Hospital
District Hospital
Table no. 1.2 (b)
(Refer Audit Design Matrix question no.1.1.2)
Name of the State:
(Position of Annual Facility Survey conducted in whole State during 2011-16)
Year
Sub centre
PHCs
CHCs
Existing
Units
2011-12
2012-13
2013-14
2014-15
2015-16
Annual
Facility
Survey
conducted
Existing
Units
Annual
Facility
Survey
conducted
Existing
Units
111
Annual
Facility
Survey
conducted
Number of units for which baseline
facility survey not conducted
Sub District/Sub
Divisional Hospital
Existing
Annual
Units
Facility
Survey
conducted
District Hospital
Existing
Units
Annual
Facility
Survey
conducted
Table no. 1.3 (b)
Name of the State:
(Position of whole State)
Funds received for construction of SC/PHC/CHC/ Sub District/Sub Divisional Hospital and District Hospital
Year
2011-12
2012-13
2013-14
2014-15
2015-16
Total
budget
allocation
Funds for construction of building of
SC/PHC/CHC/ Sub District/Sub
Divisional Hospital and District Hospital
Allocated
% of
Utilised
budget
(Refer Audit Design Matrix question no.1.2.16)
Name of the State:
(Availability of infrastructure as per the population norms)
(Position of whole State)
Number of SCs
Number of
Shortfall
Number of PHCs
required as per
SCs
required as per
population norms available as
population norms
as on 31st March
on 31st
as on 31st March
2016
March 2016
2016
Funds for procurement of
Drugs
Allocated % of
budget
Utilised
(Rs. in lakh)
Funds for procurement of
equipment
Allocated
% of
budget
Utilised
Table no. 1.4 (a)
Number of
PHCs available
as on 31st
March 2016
112
Shortfall
Number of CHCs
required as per
population norms
as on 31st March
2016
Number
of CHCs
available
as on 31st
March
2016
shortfall
Table no. 1.4 (c)
(Refer Audit Design Matrix question no. 1.2.16)
(Position of whole state/UT)
(Construction of Infrastructure)
Year
Construction of SCs
Target
Achieve
Shortfall
ment
No.
%
2011-12
2012-13
2013-14
2014-15
2015-16
(Position of whole State/UT)
(Upgradation of Infrastructure)
Year
No. of Health Centres upgraded to
IPHS
2011-12
2012-13
2013-14
2014-15
2015-16
1
2
T
1
SCs
A
2
PHCs
T
A
CHCs
T
A
No. of Health Centres established
Construction of PHCs
Target Achieve
Shortfall
ment
No.
%
Target
Table no. 1.5 (b)
No. of CHCs upgraded to
FRU
T
A
Target
Achievement
113
No. of PHCs working 24x7
T
A
Constructions of CHCs
Achieve
Shortfall
ment
No.
%
(Refer Audit Design Matrix question no.1.4.1)
Name of the State:
(Position of whole State/UT)
Upgradation of infrastructure
Year
Number of Sub-centres targeted
upgrade from Type-A to Type-B
Table no. 1.6 (b)
to
Number of Sub-centres upgraded from
Type-A to Type-B
2011-12
2012-13
2013-14
2014-15
2015-16
(Refer Audit Design Matrix question no.1.4.2)
Name of the State:
(Position of whole State/UT)
Upgradation of infrastructure
Year
Number of PHCs over one
hour of journey time away
from CHC/FRU during the
year
2011-12
2012-13
2013-14
2014-15
2015-16
Number of sub centres upgraded but not
conducting delivery at the Sub-centre due to
lack of manpower, equipment, etc.
Table no. 1.7 (b)
Number
of
PHCs
identified
for
upgradation to provide
24 hours emergency
service
114
Number
PHCs
targeted
upgrade
of
to
Number of PHCs
actually upgraded
Number of PHCs upgraded but not
provided the 24 hours emergency
services due to lack of manpower,
equipment, etc.
(Position for whole State/UT)
Year
Total number of districts
2011-12
2012-13
2013-14
2014-15
2015-16
Table no. 1.11 (b)
Number of districts with
functional
Mobile
Medical Unit
Reasons for shortfall in MMU, if any
Table no. 1.12 (a)
(Refer Audit Design Matrix question no.1.1.12)
Name of the State:
(Utilization of funds on procurement of Ambulances available on telephone number 102/104)
(Position of whole State)
Year
Funds available for
Funds utilized for procurement of Unutilized fund
procurement of Ambulances
Ambulances
2011-12
2012-13
2013-14
2014-15
2015-16
Table no. 1.13 (a)
(Refer Audit Design Matrix question no.1.1.8)
Name of the State:
(Ambulances available on telephone number 102/104)
(Position of whole State)
Year
Opening balance Ambulances procured during the
Ambulances condemned
year
during the year
Target
Achievement
2011-12
2012-13
2013-14
2014-15
2015-16
115
Funds diverted for another
purposes
Ambulances available at the
close of the year
Table no. 1.14 (a)
(Refer Audit Design Matrix question no.1.1.11)
Name of the State:
(Utilization of funds on procurement of Ambulances available on telephone number 108)
(Position of whole State)
Year
Funds available for
Funds utilized for
Unutilized fund Funds diverted for
procurement of
procurement of
another purposes
Ambulances
Ambulances
2011-12
2012-13
2013-14
2014-15
2015-16
Table no. 1.15 (a)
(Refer Audit Design Matrix question no.1.1.10)
Name of the State:
(Ambulances available on telephone number 108)
(Position of whole State)
Year
Opening balance
Ambulances procured during the Ambulances
year
during the year
Target
Achievement
2011-12
2012-13
2013-14
2014-15
2015-16
condemned
Ambulances available
close of the year
Table no. 1.16 (b)
(Refer Audit Design Matrix question no.1.1.14)
Name of the State:
(Position of whole State/UT)
(Ambulances available on telephone number 108)
(Position of Ambulances as on 31st March 2016)
Number of Districts
Number of Ambulances available as Number of Ambulances not fully equipped with Essential
on 31st March 2016
Medical Equipments
116
at
the
Table referred to audit memo No. 2
Table no. 2.1 (b)
(Position of manpower in Sub-centres (Type-A+B) of whole State/UT)
Name of the State/UT:
Number of Sub centres (Type A + Type B) existing in the State/UT:
Year
2011-12
2012-13
2013-14
2014-15
2015-16
Number of Sub Centres
where
no
ANM/Health
Worker (Female) posted
during
the
year
(contractual/permanent)
Number of Sub Centres where no
Health Worker (Male) posted during
the year (contractual/permanent)
Table no. 2.2 (b)
(Refer Audit Design Matrix question no.2.2.6)
(Position of manpower in Sub-centres of whole State/UT)
Name of the State/UT:
Number of Sub centres (Type A+B)existing in whole State/UT:
Year
Proposal in the PIP for appointment of Actual number of
ANM Female/Health Worker during the person
hired
on
year(contractual/
contract
basis
or
permanent)
regular appointment
2011-12
2012-13
2013-14
2014-15
2015-16
117
Number of Sub Centres where no SafaiKaramchari posted during the year
(contractual/permanent)
Proposal in the PIP for
appointment of Health Worker
(Male) (contractual/
permanent)
Actual number of
person hired on contract
basis or regular
appointment
Table no. 2.5
(Refer Audit Design Matrix question no. 2.4.1 and 2.4.3)
(Position of manpower in PHCs of whole State)
Year
Number
of
PHC Number of PHCs where neither allopathic doctor
functioning during the nor AYUSH doctor posted during the year
year
(contractual/permanent)
2011-12
2012-13
2013-14
2014-15
2015-16
(Refer Audit Design Matrix question no.2.4.4)
(Position of manpower in PHCs of whole State)
Name of the State/UT:
Year
Number of
PHC
Lab
Pharmacist
functioning
Technician
during the year
2011-12
2012-13
2013-14
2014-15
2015-16
Number of PHCs where No allopathic doctor
posted
during
the
year
(contractual/permanent)
Table no. 2.6
PHC functioning without
Accountant
Health
cum Data Entry Worker
Operator
(Female)
Table no. 2.7 (c)
(Refer Audit Design Matrix question no. 2.5.2)
(Position of manpower in CHCs of whole State)
Year
Number of CHC
Number of CHCs where neither allopathic
functioning during the
doctor nor AYUSH doctor posted during the
year
year (contractual/permanent)
2011-12
2012-13
2013-14
2014-15
2015-16
118
Health
Worker
(Male)
Health Assistant
(Female) / Lady
Health Visitor
Number of CHCs where No allopathic doctor
posted during the year (contractual/permanent)
(Refer Audit Design Matrix question no.2.5.2)
(Position of manpower in CHCs of whole State)
Name of the State/UT:
Year
Number of CHCs
functioning during Lab
Pharmacist
the year
Technician
Table no. 2.7 (d)
Accounts
Asstt.
2011-12
2012-13
2013-14
2014-15
2015-16
CHC functioning without
Statistical Asstt./ Health
Data Entry
Worker
Operator
(Female)
Table no. 2.8 (a)
(Refer Audit Design Matrix question no.2.2.1)
Name of the State
(Position of manpower in Sub-centres of whole State) as on 31st March 2016
Total Number of Sub-centres in the State:
Name of post
Essential no. of staff as
Sanctioned strength
per IPHS-2012
of the facility
Men in
Position
1*
ANM/Health Worker (Female)
1
Health Worker (Male)
1
Safai Karamchari
* In sub centre Type-B, the number of post of ANM is two.
Note: The number of essential staff will increase according to the number of Sub Centres of whole State.
119
Health
Worker
(Male)
Shortage(-)/
Excess(+) against
IPHS norms
Health Assistant
(Female)/ Lady
Health Visitor
Shortage(-)/ Excess(+)
against sanctioned
strength of the facility
(Refer Audit Design Matrix question no.2.4.4)
Name of the State
(Position of manpower in PHCs of whole State)
Position of Man power as on 31st March 2016
Total Number of PHCs in the State:
Name of post
Essential no. of
staff as per IPHS2012
Medical Officer- MBBS
Accountant cum Data Entry Operator
Pharmacist
Nurse-midwife (Staff-Nurse)
Health worker (Female)
Health Assistant. (Male)
Health Assistant. (Female)/Lady Health Visitor
Laboratory Technician
Multi-skilled Group D worker
Sanitary worker cum watchman
Table no. 2.9 (a)
Sanctioned
Men in
strength of the Position
facility
1
1
1
3*
1
1
1
1
2
1
Shortage(-)/
Excess(+)
against IPHS
norms
* In type –B PHC the number of post of Nurse-midwife (Staff-Nurse) is four.
Note: The number of essential staff will increase according to the number of PHCs of whole State.
120
Shortage(-)/ Excess(+)
against sanctioned
strength of the facility
Table no. 2.10 (a)
(Refer Audit Design Matrix question no.2.5.1)
Name of the State
(Position of manpower in CHCs of whole State) as on 31st March 2016
Total Number of CHCs in the State:
Essential no. of
Sanctioned
Men in
Shortage(-)/
Shortage(-)/ Excess(+)
Name of post
staff as per IPHS- strength of the Position
Excess(+) against against sanctioned strength
2012
facility
IPHS norms
of the facility
Block Medical Officer/Medical Superintendent
1
Public Health Specialist
1
Public Health Nurse (PHN)
1
General Surgeon
1
Physician
1
Obstetrician & Gynaecologist
1
Paediatrician
1
Anaesthetist
1
Dental Surgeon
1
General Duty Medical Officer
2
Medical Officer - AYUSH
1
Staff Nurse
10
Pharmacist
1
Pharmacist – AYUSH
1
Lab. Technician
2
Radiographer
1
Ophthalmic Assistant
1
Dental Assistant
1
Cold Chain & Vaccine Logistic Assistant
1
OT Technician
1
Multi Rehabilitation/Community Based
1
Rehabilitation worker
Counsellor
1
Registration Clerk
2
Statistical Assistant/Data Entry Operator
2
Account Assistant
1
Administrative Assistant
1
Dresser (certified by Red Cross/Johns
1
Ambulance)
Ward Boys/Nursing Orderly
5
Driver
1
Note: The number of essential staff will increase according to the number of CHCs in the whole State.
121
Table no.2.11 (a)
(Refer Audit Design Matrix question no.2.6.1)
Name of the State
(Position of manpower in Sub-district/sub-divisional Hospital (31-50 bedded) of whole State) as on 31st March 2016
Total Number of Sub-district/Sub-divisional Hospital in the State:
Name of post
Essential no. of
Sanctioned
Men in
Shortage(-)/
Shortage(-)/ Excess(+)
staff as per IPHS- strength of the Position
Excess(+)
against sanctioned
2012
facility
against IPHS strength of the facility
norms
Manpower – Doctors
Hospital Superintendent
1
Medicine specialist
1
Surgery specialist
1
O&G specialist
1
Paediatrician
1
Anesthetist
1
ENT Surgeon
1
Ophthalmologist
1
Orthopedician
1
Radiologist
1
Casualty doctors/General Duty Doctors
7(incl.3 lady MOs)
Dental surgeon
1
Public Health Manager
1
AYUSH physician
1
Total
20
Manpower – Para Medical
Staff Nurse
18
General Duty Attendant/Hospital Workers (incl.
6
cold chain handler)
Opthalmic Assistant/Refractionist
1
ECG Technician
1
Audiometrician
1
Laboratory Technician (Lab.& blood storage)
4
Laboratory attendant (hospital worker)
2
Radiographer
1
Pharmacist
3
Dental Assistant/Dental Technician/Dental
1
Hygienist
Physiotherapist/occupational
1
122
therapist/rehabilitation therapist
Multi rehabilitation worker
Statistical assistant
Medical records officer/Technician
Electrician
Plumber
Cold Chain & Vaccine Logistics Assistant
TOTAL
Manpower – Administrative Staff
Junior Administrative Officer/Office Supdt.
Accountant
Computer Operator
Driver
Peon
Security Staff
TOTAL
Manpower – Operation Theatre
Staff Nurse (OT)
OT Assistant
Safai Karamchari (OT)
TOTAL
Manpower – Blood Storage Unit
Staff Nurse (Blood Storage Unit)
Attendant (Blood Storage Unit)
Blood Bank/Storage Technician
Safai Karamchari
TOTAL
1
1
1
1
1
1
45
1
2
4
1
2
2
12
2
2
1
5
1
1
1
1
4
Note: The number of essential staff will increase according to the number of Sub-district/sub-divisional Hospitals in the whole State.
123
Table no. 2.11 (c)
(Refer Audit Design Matrix question no.2.6.1)
Name of the State
Position as on 31st March 2016
(Position of manpower in District Hospital (100 bedded) of whole State)
Total Number of District Hospital in the State:
Name of post
Essential no. of
Sanctioned
Men in
staff as per IPHS- strength of the Position
2012
facility
Manpower-Medical
Medicine
Surgery
Obstetric & Gynaecology
Paediatrics
Anaesthesia
Opthalmology
Orthopaedics
Radiology
Pathology
ENT
Dental
MO
Psychiatry
AYUSH doctor
TOTAL
Nurses and Para Medical
Staff Nurse
Laboratory Technician
Pharmacist
Storekeeper
Radiographer
ECG Technician/Echo
Opthalmic Assistant
Dietician
Physiotherapist
OT technician
CSSD Assistant
Social Worker
Counsellor
2
2
2
2
2
1
1
1
1
1
1
11
1
1
29
45
6
4 + 1 (For AYUSH)
1
2
1
1
1
1
4
1
2
1
124
Shortage(-)/
Excess(+)
against IPHS
norms
Shortage(-)/ Excess(+)
against sanctioned
strength of the facility
Dental Technician
Dark Room Assistant
Rehabilitation Therapist
Bio Medical Engineer
TOTAL
Manpower-Administration
Hospital Administrator
Housekeeper/Manager
Medical Record Officer
Medical Record Assistant
Accounts/Finance Assistant
Administrative Officer
Office Assistant Gr.I
Office Assistant Gr.II
Ambulance Service (1 driver + 2 technician)
TOTAL
Blood Bank
Staff Nurse
Male/Female Nursing Attendant
Blood Bank Technician
Sweeper
TOTAL
1
2
1
1
76
1
1
1
1
2
1
1
1
3
12
3
1
1
1
5
Note: The number of essential staff will increase according to the number of District Hospitals of whole State.
125
(Refer Audit Design Matrix question no.2.7.3 and 2.7.7)
(Position for whole State/UT)
Details of training provided during the year 2011-16
Year
ASHA
RMP/TBA
ANM
Target
for
training
Actual
training
Target
for
training
Actual
training
Target
for
training
Table no. 2.12 (b)
Actual
training
Public Health
Nurse
Target
Actual
for
training
training
Staff Nurse
Medical Officer
Target
for
training
Target
for
training
2011-12
2012-13
2013-14
2014-15
2015-16
[(Refer Audit Design Matrix question no. 2.7.7 and 1.5.1(i)]
Name of the State:
(Position of whole State/UT)
Year
Selection
Induction training
T
A
T
A
Actual
training
Actual
training
Actual
training
Table no. 2.13 (b)
No. of ASHAs
Other modules of
training
T
A
2011-12
2012-13
2013-14
2014-15
2015-16
126
Provided with
Drug kits
T
A
No. of ASHAs not bringing any
case to Health Centre
Programme
Manager
Target
Actual
for
training
training
Table referred to in Audit Memo No. 4
Data Table No 4.4
(Refer Audit Design Matrix question no.4.2.4)
Name of the State and State code:
Details of submission of District Monthly Consolidated Report by District to State
(Position of whole State)
Year
No. of districts in Number of districts which did not Reasons for non-submission of District Monthly
the State
submit authenticated hard copy of the Consolidated Report
District Monthly Consolidated Report to
the State after uploading the same on
Central Web Portal
2011-12
2012-13
2013-14
2014-15
2015-16
Data Table No 4.5 (a)
(Refer Audit Design Matrix question no.4.3)
Name of the State and State code:
Details of Ante Natal Care Services (ANC) to pregnant women (Position of whole State)
Year
2011-12
2012-13
2013-14
2014-15
2015-16
TOTAL
Total No.
of
pregnant
women
registered
No. of registered pregnant women
received check-ups
At the stage
of
registration
1st
Visit:
20-24
weeks
2nd
Visit:
28-32
weeks
3rd
Visit:
34-36
weeks
No. of
pregnant
women given
1st and 2nd
Tetanus
Toxoid (TT)
immunisation
127
No. of
pregnant
women
given100
IFA
tablets
No. of
pregnant
women who
had been
detected
with
hypertension
No. of
pregnant
women who
had been
detected with
eclampsia
No. of pregnant
women who had
been detected
with severe
anaemia
(Refer Audit Design Matrix question no.4.4)
Name of the State and State code:
Details of Deliveries (Position of whole State)
Year
2011-12
2012-13
2013-14
2014-15
2015-16
TOTAL
Total
No.
of
pregnant women
registered
Data Table No 4.6(b)
No. of pregnant
women opting
for institutional
delivery
No. of pregnant
women not opting
for
institutional
delivery
Reasons for not opting for institutional
delivery
Data Table 4.7 (b)
(Refer Audit Design Matrix question no.4.4)
Name of the State:
Details of Institutional Deliveries (Position of whole State)
Year
No.
of No.
of No.
of Domiciliary Shortfall in
pregnant
beneficiaries institutional
deliveries
institutional
women
of
cash deliveries
deliveries
registered
payments
T
A
2011-12
2012-13
2013-14
2014-15
2015-16
128
Reasons for shortfall
Data Table 4.8(b)
(Refer Audit Design Matrix question no.4.4)
Name of the State:
Details of Institutional Deliveries (Position of whole State)
Year
Total no. of Deliveries and money paid under JSY during the year
Home deliveries
Institutional deliveries
No. of Home Cash
No. of
Cash
No. of C- Cash
No. of Cdeliveries
assistance Normal
assistance Section
assistance Section
to
deliveries to
deliveries to
deliveries
mothers
mothers
mothers
for which
expert
hired
2011-12
2012-13
2013-14
2014-15
2015-16
Data Table No 4.10(b)
(Refer Audit Design Matrix question no. 4.5)
Name of the State:
Details of Institutional Deliveries under JSY (Position of whole State)
Year
Total No. of pregnant women registered under
JSY and amount to be paid to them
Total no. of women
registered with JSY who
did not receive JSY
incentive money
2011-12
2012-13
2013-14
2014-15
2015-16
129
Amount
spent on
hiring of
experts
Out of total
Beneficiaries,
no. of
beneficiaries
assisted by
an accredited
worker
(ASHA etc.)
Amount paid as incentive to
ASHA/ANM/AWW for facilitating
institutional delivery under JSY
Money
paid
towards
accredited
worker
package
(ASHA)
Data Table No 4.11 (b)
(Refer Audit Design Matrix question no. 4.6)
Data of pregnancy outcomes (Position for whole State)
Year
Total no. of
Number of
Out of total no. Total no. of live
institutional
deliveries with
of deliveries,
births (male /
deliveries
obstetric
no. of cases of
female)
complications
maternal
Male Female
deaths
2011-12
2012-13
2013-14
2014-15
2015-16
Male
Data Table No 4.13 (a)
(Refer Audit Design Matrix question no. 4.11)
Name of the State:
Target and Achievement of Neo natal Child Care viz. Immunisation (Position of whole State/UT)
Year
Target for
Actual achievement (for all vaccines as prescribed) Target for
complete
Up to one Above
Above
Above 10 administration
Immunizations Year
of Vitamin A
one and five
years
half year
years
2011-12
2012-13
2013-14
2014-15
2015-16
130
Total no. of still
births (male /
female)
Female
Actual achievement
Ist dose
2nd dose 3rd to
5th
dose
Data Table No 4.14 (a)
(Refer Audit Design Matrix question no. 4.11)
Name of the State and State code:
Year-wise detail of infant diseases (Position of whole State/UT)
Year
Number of cases
Neonatal Diphtheria
Tetanus
Whooping
Measles
ARI3 for less
tetanus
cough
than 5 years
infant
2011-12
2012-13
2013-14
2014-15
2015-16
Data Table No 4.14 (b)
(Refer Audit Design Matrix question no. 4.11)
Name of the State and State code:
Pulse Polio Campaign (Position of whole State/UT)
Year
No. of children given Polio drops
Target
Achievement
2011-12
2012-13
2013-14
2014-15
2015-16
3
Acute Respiratory Infection
131
Diarrhoea
Polio
Any other
disease (Pl.
specify)
(Refer Audit Design Matrix question no. 4.12)
Name of the State:
Target and Achievement under Family Planning
(Position of whole State/UT)
Year
Vasectomy
Tubectomy
2011-12
2012-13
2013-14
2014-15
2015-16
T
A
T
A
(Refer Audit Design Matrix question no. 4.12)
Name of the State:
Target and Achievement under Family Planning
(Position of whole State/UT)
Year
Total no. of No. of Tubectomy cases
Tubectomy where failure reported
cases
and no. of deaths, if any
No. of
failure
cases
2011-12
2012-13
2013-14
2014-15
2015-16
No. of
major
complications
Data Table 4.16
Laproscopy
Oral pills cycle
IUD insertion
T
T
T
No.
of
death
s
A
A
A
Distribution of
condom
T
A
Data Table 4.17
Total no.
of
Vasectomy
cases
132
No. of Vasectomy cases
where failure reported
and no. of deaths, if any
No. of
failure
cases
No. of
major
complications
No. of
deaths
Total no.
of IUD
insertions
No. of IUD insertions, where
failure reported and no. of deaths,
if any
No. of
failure
cases
No. of
major
complications
No. of
deaths
Data Table 4.18
(Refer Audit Design Matrix question no. 4.17)
Name of the State:
Target and Achievement under Family Planning
(Position of whole State/UT)
Year
Target
2011-12
2012-13
2013-14
2014-15
2015-16
IMR
Achievement
133
Target
MMR
Achievement
Target
TFR
Achievement