Financial Guidelines for the Implementation of Non Communicable Diseases

Control Programme (NCDCP)

Government of Kerala has launched Prevention and Control of Non Communicable
Diseases Programme on April 7th 2010, the World Health day, under the auspices of Health
Services department and NRHM. The programme aims at the prevention and control of Non
Communicable Diseases and there by the reduction in the burden of NCD in the state, which in
turn would improve the quality of life of these patients and create a healthier population.

Objectives

1. Early detection & management of diabetes and hypertension in people above 30 years of age,
with provisions for management in PHCs and sub centres,
2. Early detection and management of complications of diabetes and hypertension at Taluk
hospitals upwards
3. IEC/BCC activities for advocacy, communication and social mobilization (ACSM)
4. To create a conducive environment for the sustainability of the programme through
intersectoral co- operation.
The general guidelines were issued for the implementation of NCDCP programme by DHS. The
budget details of trainings and others are attached

I. Trainings
1. District level training for Medical Officers and district level officers
Training of 50 doctors/ batch X 1 day.
Budget requirement for one batch
Sl. No Items Unit cost No: Total
1 Food & Refreshments 100 55 5500
2 Stationery items/ Resource Material 30 50 1500
4 TA/DA to Participants 200 50 10000
5 Honorarium to resource persons 500 4 2000
7 Other contingencies 1000 1 1500
Total for one batch 20000

2. Block level training for Supervisors and Field Staff

50/ batch in each CHC /24 Hr PHC X 1 day ( In 24 X 7 PHCs where the Block Level Staff
meetings are regularly conducted )
Sl.
No Items Unit cost No: Total
1 Food & Refreshments 75 55 4125
2 Stationery items 15 50 750
4 TA/DA to Participants 150 50 7500
Honorarium to resource
5 persons 300 4 1200
7 Other contingencies 425 425
Total for one batch 14000

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 3. PHC level training for ASHA & AWW
75/ batch X ½ day

Sl.
No Items unit cost Amount Total
1 Food & Refreshments 40 80 3200
4 TA/DA to Participants 100 75 7500
Honorarium to resource
5 persons 250 2 500
Total for one batch 11200

Dist level Break up of Training Requirements.

No of Batches of No of Batches
No of Batches of Budget @ Block level Budget @ of Training for Budget @
Districts Doctors Training 20000 Training 14000 ASHA & AWW 11200
Trivandrum 4 80000 16 224000 38 425600
Kollam 4 80000 17 238000 44 492800
Pathanamthitta 2 40000 10 140000 22 246400
Alappuzha 2 40000 14 196000 38 425600
Idukki 2 40000 13 182000 22 246400
Kottayam 2 40000 16 224000 32 358400
Ernakulam 4 80000 16 224000 48 537600
Thrissur 4 80000 20 280000 48 537600
Palakkad 4 80000 20 280000 43 481600
Malappuram 4 80000 22 308000 62 694400
Kozhikode 4 80000 16 224000 48 537600
Kannur 4 80000 17 238000 43 481600
Kasaragod 2 40000 9 126000 22 246400

TOTAL 42 840000 2884000 5712000

Total for Training 9436000

II. Detection camps in Subcentres and Main centre

Budget for Detection Camp/Screening Camps

IEC 2000
Organizational Expenses ( POL, arrangements, etc) 1500
Test strips/ testing facility for camp * 2500
Total 6000

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Dist level Break up of Detection Camp

No of Sub Budget @ No of PP
Districts Centre 6000 Units Budget @ 6000
Trivandrum 481 2886000 6 36000
Kollam 421 2526000 4 24000
Pathanamthitta 261 1566000 4 24000
Alappuzha 366 2196000 6 36000
Idukki 309 1854000 4 24000
Kottayam 330 1980000 5 30000
Ernakulam 409 2454000 7 42000
Thrissur 471 2826000 5 30000
Palakkad 504 3024000 4 24000
Malappuram 591 3546000 7 42000
Kozhikode 401 2406000 4 24000
Kannur 411 2466000 4 24000
Kasaragod 247 1482000 2 12000
TOTAL 5202 31212000 62 372000
Total for Training 31584000

III. Detection Camp/ Screening Camps at Institutions (Civil stations, Municipal/Corporation

Offices, Private offices, Thaluk Offices, etc).

Budget for Institutions with up to 100 staff

IEC campaign 1000

Test strips for the camp 2000
Honorarium for doctors (500x2 ) 1000
Honorarium for Lab technician & Dietician (200x2) 400
Honorarium for Field staff (100x 4) 400
Organizational Expenses ( POL, arrangements for 1500
the camp, refreshments etc)
Total 6300

Budget for Institutions with >100 staff

IEC campaign 1500

Test strips for the camp 3000
Honorarium for doctors (500x3) 1500
Honorarium for Lab technician & Dietician (200x4) 800
Honorarium for Field staff (100x 6) 600
Organizational Expenses ( POL, arrangements for 2000
the camp, refreshments etc)
Total 9400

District Level Break up of Detection Camp at Institutions

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 Intuitional Camp up to 100 Intuitional Camp with > 100
Districts staff 10 Camps *14*6300 staff 10 camp*14*9400
Trivandrum 63000 94000
Kollam 63000 94000
Pathanamthitta 63000 94000
Alappuzha 63000 94000
Idukki 63000 94000
Kottayam 63000 94000
Ernakulam 63000 94000
Thrissur 63000 94000
Palakkad 63000 94000
Malappuram 63000 94000
Kozhikode 63000 94000
Kannur 63000 94000
Kasaragod 63000 94000
TOTAL 819000 1222000

Total for Detection Camp 2041000

IV. Incentive for ASHA for referring suspects to detection camps

ASHA will get Rs. 2 per person for mobilizing NCD suspects detection camps. Payment to one
ASHA is limited to 100/-

Anticipated expenditure for one ASHA 31000 ASHA X Rs. 100 = ` 31,00,000

Budge for
Districts No of ASHA Detection Camp
Trivandrum 3470 347000
Kollam 2729 272900
Pathanamthitta 1345 134500
Alappuzha 2375 237500
Idukki 1220 122000
Kottayam 1965 196500
Ernakulam 2170 217000
Thrissur 2623 262300
Palakkad 2686 268600
Malappuram 3872 387200
Kozhikode 2497 249700
Kannur 2354 235400
Kasaragod 1100 110000
TOTAL 30406 3040600

V . Treatment card printing & Monthly Life Stayle Day IEC/BCC activities

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 Monthly Budget @ 100 Treatment card @ 2/ card Budget for
Life Stayle per SC for 6 500 each for PHC,CHC, treatment
Districts day at SC months THQH,GH &DH card
Trivandrum 481 288600 60 300000
Kollam 421 252600 78 390000
Pathanamthitta 261 156600 60 300000
Alappuzha 366 219600 80 400000
Idukki 309 185400 45 225000
Kottayam 330 198000 76 380000
Ernakulam 409 245400 108 540000
Thrissur 471 282600 110 550000
Palakkad 504 302400 99 495000
Malappuram 591 354600 112 560000
Kozhikode 401 240600 84 420000
Kannur 411 246600 100 500000
Kasaragod 247 148200 53 265000
TOTAL 5202 3121200 1065 5325000
Total for districts 31584000

Life style Day is to be observed in each S/C monthly ideally on a fixed day. The activities planned
are BP check up , life style classes ( Exercise, diet etc)

Total Budget to Districts

Districts Budget
Trivandrum 4744200
Kollam 4433300
Pathanamthitta 2764500
Alappuzha 3907700
Idukki 3035800
Kottayam 3563900
Ernakulam 4497000
Thrissur 5005500
Palakkad 5112600
Malappuram 6129200
Kozhikode 4338900
Kannur 4428600
Kasaragod 2586600
TOTAL 54547800

Sd

State Mission Director(Arogyakeralam)

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 Budget to Districts

Incentive
Districts Training Detection Camp to ASHA IEC Total
Institunal
Camp up Institunal
to 100 Camp
Training to staff 10 with > 100
Supervisors Camps staff 10 Monthly Patient
Training & Field Training to PP @ camp@ Detection Life Stayle Treatment
to MO's staff ASHA/AWW SC Units Rs.6300/- Rs.9400/- Camp day at SC Card Total
Trivandrum 80000 224000 425600 2886000 36000 63000 94000 347000 288600 300000 4744200
Kollam 80000 238000 492800 2526000 24000 63000 94000 272900 252600 390000 4433300
Pathanamthitta 40000 140000 246400 1566000 24000 63000 94000 134500 156600 300000 2764500
Alappuzha 40000 196000 425600 2196000 36000 63000 94000 237500 219600 400000 3907700
Idukki 40000 182000 246400 1854000 24000 63000 94000 122000 185400 225000 3035800
Kottayam 40000 224000 358400 1980000 30000 63000 94000 196500 198000 380000 3563900
Ernakulam 80000 224000 537600 2454000 42000 63000 94000 217000 245400 540000 4497000
Thrissur 80000 280000 537600 2826000 30000 63000 94000 262300 282600 550000 5005500
Palakkad 80000 280000 481600 3024000 24000 63000 94000 268600 302400 495000 5112600
Malappuram 80000 308000 694400 3546000 42000 63000 94000 387200 354600 560000 6129200
Kozhikode 80000 224000 537600 2406000 24000 63000 94000 249700 240600 420000 4338900
Kannur 80000 238000 481600 2466000 24000 63000 94000 235400 246600 500000 4428600
Kasaragod 40000 126000 246400 1482000 12000 63000 94000 110000 148200 265000 2586600
TOTAL 840000 2884000 5712000 31212000 372000 819000 1222000 3040600 3121200 5325000 54547800

9436000 33625000 3040600 8446200 54547800

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 Annexure I

NCD Detection Camp Attendance Register

Date of camp
Name of S/C: Name of PHC :
Reg Name , Address Age Sex Name of referring What suspect
No person – (JHI/ JPHN/ (HT/DM)
ASHA/ AWW)

Reg .No should be alphabet numeric. The first three letters of the SC followed by Sl. No.
This no will be the NCD no of the patients

Total Attendance

Total cases : Male: Female:

DM
HT
Both

Signature of Medical Officer

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 Annexure II

Camp Attendance Register for institutions

Date of camp :
Name of Institution :
Staff strength :

Sl No Name & age Address/ Sex

Designation

Total Attendance

Total cases – Male Female

DM
HT
Both

Total Attendance

Total cases : Male: Female:

DM
HT
Both

This report is to be sent directly to the District Nodal officers

Name & Signature of Medical Officer

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 Annexure III

Camp Report Consolidated

Name of PHC/ CHC: District:

No of Sub Centres Total

No of Camps conducted

Total attendance
Total Cases DM

Male Female

HT

Male Female

DM & HT

Male Female

Miscellaneous

Male Female

Annexure: IV
PHC/ CHC Weekly NCD Register

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Name of PHC: District:
NCD Name Age & Sex Diagnosis Old / Follow up Complic
Reg Address HT/DM/B New date ations /
No. oth O/N remarks
if any/
referral

Name & Signature of the JPHN Name & Signature of the JHI

Name & Signature of Medical Officer

Annexure: V

Monthly NCDCP Report from the PHC for the Month of -------------- -----2010

1. No. of NCD clinics conducted

2. No of Life style clinics conducted
3. New cases detected during the reporting month

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 Existing cases Patients followed New cases Total
up
Male Female Male Female Male Female
DM
HT
Both

Report compiled by HI/LHI / HS/LHS - Name, Designation & Signature

Name & Signature of Medical Officer

Annexure VI

Monthly NCDCP Report from the District Month of -------------- -----2010

1. Name of district :
2. No of Health institutions in the district :
3. No: of NCD clinics conducted :

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 Existing cases Patients followed New cases Total
up
Male Female Male Female Male Female
DM
HT
Both

Report compiled by TA grade II

Name & Signature of District Nodal Officer

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 Annexure VII

NCD Drug Register :

Name of PHC :
Month :

Sl No Name of Drug Opening Receipt Closing Requirement

balance Balance

Name & Signature of Medical Officer

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