1. Visioning workshops for National, State, District and Block level Mission Teams

Need for setting up teams at each level comprising existing government functionaries and a few contractual personnel with new skills at all levels, as per need. Orientation on the details of the plan of action is critical for the system owning the challenge of NRHM. Involvement of NGOs/non governmental institutions as a team of resource persons under the framework of NIHFW/SIHFW. It should not be a routine orientation. Costs as per approved workshop and training norms.

2. Constitution and orientation of all community leaders on village, SHC, PHC, CHC Committees

Effective institutionalization of community ownership requires concerted efforts for appropriate selection and training of community representatives on committees. Broadly, the effort should be to have at least 50 percent women on every committee with at least 30 percent from non governmental sectors. Reservation for SC/ST/OBCs may be considered at various levels as per State norms. The effort has to be for a functional system. Orientation should involve NGOs and resource persons from outside the government system as well. Thrust on surveys, management of accounts, functionality of facilities, etc. Cost as per approved workshop and training norms.

3. Untied grants to Village Health and Sanitation Committees

Every village with a population of upto 1500 to get an annual untied grant of up to Rs. 10,000, after constitution and orientation of Village Health and Sanitation Committees. The untied grant to be used for household surveys, health camps, sanitation drives, revolving fund etc.

4. Selection and training of Community Health Workers ( ASHAs, AWWs) etc.

Total support of up to Rs. 10,000 per ASHA for initial training, monthly orientation, drug kit, support materials, travel expenses, etc.

5. Performance related incentives for ASHAs, AWWs.

While performance related incentives would come under various programmes, the total resources should be kept aside at the Gram Panchayat Committee at SHC level for disbursement to ASHAs. Every Gram Panchayat Committee can seek replenishment of performance based funds after disbursement to ASHAs. Rs. 5000 permanent advance may be made available to every Gram Panchayat as a permanent advance for this purpose. Disbursement as per performance norms.

6. Selection and training of non–governmental providers of health care RMPs/TBAs

Based on a survey of non-governmental providers (RMPs/TBAs) and their likely potential to become as qualified as a government provider, special training programmes to enlarge the pool of skilled health workers in rural areas should be made. This will help in promoting common treatment protocols and in promoting current practices and priorities. NGOs ought to be involved in such efforts. Cost as per standard training norms.

7. Physical infrastructure for village level health activity.

ASHA to work from the Aanganwadi Centre. Since Aanganwadis have the responsibility for under 6 children, pregnant women and adolescent girls, there is a need for additional space for the ICDS centre that may be used as a health care room. Resources can come from existing rural development programmes under which ICDS centres are being constructed and provided for.