1

Reduction in IMR

Percentage decrease over last  year

SRS

Maximum incentive of 5% - Weightage = 5

·         If  decrease less than 5%  - No incentive

·         If  decrease between  5%-7% - Incentive of 3%

·         If  decrease greater than 7% - Incentive of 5%

2

Reduction in MMR

Percentage decrease over last year (only for 16 states for  which MMR is available)

SRS

Maximum incentive of 5% - Weightage = 5

·         If decrease less than 5% - No incentive

·         If decrease between 5% - 10% - Incentive of 3%

·         If decrease   greater   than  10% - Incentive   of 5%

3

Full   Immunization coverage

During the current F.Y., as on November 30th – infants fully immunized vs. estimated beneficiaries

MCTS (For      EAG / NE States)

Maximum penalty and incentive of 5%. Weightage  =  5/(-5)

·         If coverage less than 35% - Penalty of 5%

·         If coverage between 35% - 45% - No penalty

·         For coverage above 45% up to 100% - Incentive up to maximum of 5%, calculated as:

Coverage above 50%

                           10

i.e. if coverage is 65%, then incentive of 1.5%; and if

Coverage is 87%. Then incentive is 3.7%.

MCTS (For Other States)

Maximum penalty and incentive of 5%. Weightage  =  5/(-5)

·         If coverage less than 40% - Penalty of 5%

·         If coverage between 40% - 50% - No penalty

·         For coverage above 50% up to 100% - Incentive up to maximum of 5%, calculated as:

Coverage above 50%

                           10

i.e. if coverage is 65%, then incentive of 1.5%; and if

coverage is 87%. Then incentive is 3.7%

4

Functionality of FRUs/

CEmOC

facilities

(excluding standalone Medical

Colleges)

Adequacy of "functional"

FRUs (conducting C-sections)

HMIS Facilities conducting C-Sections:

1.       For Large States

·         Avg. 10 CS/month at DH level

·         Avg. 5 CS/ month at SDH and CHC level

2.       For NE states (excl. Assam), Hilly States (Uttarakhand, HP, J&K), and UTs (excl. Delhi)

·         Avg. 6 CS/ month at DH level

3.       Avg. 3 CS/ month at SDH and CHC level

Maximum penalty and incentive of 5%. Weightage = 5/(-)5

Compared to required number of FRUs:

1.       On a State wide basis

·         If 50% - 75% FRUs “Functional” – 3% penalty

·         If less than 50% FRUs “Functional” – 5% penalty

2.       On a State-wide basis, if more than 90% FRUs “functional”, and in each HPD.

·         If 75% - 90% FRUs "functional" – 3% incentive

·         If more than 90% FRUs "functional" - 5 incentive

States which have earned incentive /no penalty for FRU conditionality must fulfil HPD criteria to earn incentive this year #

5

Quality

Certification

Percentage District hospitals and CHCs quality certified by

State level body in rural and

urban areas.

NHSRC Report

Maximum incentive of 5% Weightage = 5

·         3% incentive if at least 20% of DHs certified

·         2% incentive if at least 10% of CHCs/ Block PHCs certified

6

Governance: Quality of

Services and

functionality of public health

facilities

Star rating of facilities based on the extent to which CHCs meet the benchmark

Five star indicator criteria:

1.    Human Resource and Infrastructure

2.    Service availability

3.    Drugs and supplies

4.    Client orientation

5.    Service utilization

HMIS Report (both rural and urban)

Maximum Penalty/ incentive of 5% Weightage = 5/(-) 5

·         To avoid penalty, minimum 50% of CHCs to have 3 or more star rating

·          Incentive of 3% if more than 75% of CHCs have 3 or more star rating

·         Incentive of 5% if more than 90% of CHCs have 3 or more star rating #

7

Implementation

of Free drugs scheme

Free drugs to be implemented as per GOI mandate

District report certified by State Nodal Officers. Assessments made by NHSRC teams MCTFC.

In case no reports are available, data from MCTFC calls to PWs would be taken as proxy data

Maximum incentive of 5%. Weightage = 5

·         = or >90% institutions effectively implementing free drugs 5%

·         60% to 90% institutions effectively implementing free drugs 3%

·         Less than 60% institutions implementing free drugs No incentive 

(Based on survey/MCTFC calls)

8

Implementation of Free diagnostics Services

Free diagnostics to be implemented as per GOI mandate

District report certified by State Nodal Officers. Assessments made by NHSRC teams and MCTFC. In case no reports are available, data from MCTFC calls to PWs would be taken as proxy data

Maximum incentive of 5%. Weightage = 5

·         90% and above institutions effectively implementing free diagnostics 5%

·         60% to 90% institutions effectively implementing free diagnostics services – 3%

·         Less than 60% institutions implementing free diagnostics services – No incentive

(Based on survey/MCTFC calls)

9

Implementation of integrated HRIS and updated annual formats of                HMIS    

State which has integrated HRIS (for regular and contractual                 HR) with updated information and from which pay slips are generated every month. Also updated HR and other information in annual HMIS which is in sync with HRIS

HRIS generated summary and pay roll

HMIS report

Maximum incentive/penalty of 10% Weightage = 10/(-)10

·         5% penalty if HRIS not implemented fully

·         5% penalty if HMIS data in annual format not updated and is not in sync with HRIS

·         5% incentive if HRIS fully implemented

·         5% incentive if HMIS annual format is updated and is in sync with HRIS