With the increasing urbanization and growth of slums and low income
population in the cities, the provision of assured and credible
primary health services of acceptable quality has emerged as priority
thrust for both the Central and State Government. Within urban
areas the growth rate is higher for urban slums. Hence GOI has
identified "Urban Health" as one of the thrust area in
the 10th five year plan.
Health Services - Urban Family Welfare Infrastructure
At present following categories of schemes in urban areas functioning
in various districts/ Municipal Corporation in the State of Maharashatra.
Name of the Schemes No. of Centers
sanctioned functioning
1) City Family Welfare Bureau 7 & Dist.F.W.B 1
2) Urban Family Welfare Centers. 81
3) Urban Health Posts. 285
4) Sterilization Beds scheme.94 institutions( 748 beds)
· Objective
The main Objective of the schemes is to make publicity and awareness among
people. To motivate the people for accepting Family Welfare and MCH Activities.
More
stress is being given in Urban Slum population.
The working of the various schemes are described in brief as follows
1) City Family Welfare Bureau
The town having population less than 10 lac and located in the district
having total population less than 20 lac, no separate CFWB is required.
The existing district level organization is able to coordinate
the activities and provide requisite supervision. If the population
of the city is more than 25 lacs the CFWB requirement should be
worked out as per one unit of Type III per 25 lacs population and
an overall cell for higher level coordination.
1.1 Staffing Pattern
Sr.
No.
Category of Staff
Type/Population
I
5-10 Lakh
II
10-15 Lakh
III
15-25 Lakh
1
Dy.Chief Medical Officer
0
0
1
2
Co-ordinator/Ext.M.O.
1
1
1
3
Senior Public Health Nurse
1
1
1
4
Statistical Assistant
1
1
1
5
L.D.C.Cum Typist
1
1
2
6
U.D.C.Cum Store Keeper
0
1
1
7
Attendant
1
1
2
8
Computer
0
1
2
9
Extension Educator
0
1
1
Total
5
8
12
1.2CFWBs(Typewise and Agencywise)
Sr.No.
Local Body
Type
No
1
Mumbai Corporation
III
3+1DFWB
2
Pune Corporation
II
1
3
SolapurCorporation
II
1
4
Nagpur Corporation
II
1
5
Kalyan Dombivali Corporation
I
1
Total
--
7+1DFWB
2)Urban Family Welfare Centers
The working of the Urban
Family Welfare Centers (UFWC) was reviewed by Department of Family
Welfare in 1976 and it is decided to recognize the four types of
centers into three types with following reduced staffing pattern.
2.1Staffing
Pattern
Sr. No.
Type
Population
Posts
Number
1
I
10000 to 25000
1. Auxiliary Nurse Midwife
2. F.P.Field Worker(Male)/ /Coordinator
1
1
2
II
25000 to 50000
1. F.P.Field Worker (Male) / Coordinator
2.A.N.M.
1
1
3
III
50000
& Above
1.Medical Officer,
2.A.N.M.
3.F.P.Field Worker(Male)/Coordinator.
4.Store keeper-cum-Clerk.
1
2
1
1
2.2 UFWCs. (Type wise and
Agency wise)
There are in all81 UFWCs Sanctioned in the state. The Agency/Type wise number
of UFWCs are given as below-
Sr.
No.
Agency/Type
Sanctioned
Functioning (as on01/08/05)
I
II
III
Total
I
II
III
Total
1
Government
10
0
10
20
0
0
9
9
2
Local Body
11
9
18
38
11
9
17
37
3
Vol.Organ./NGOs
0
1
22
23
0
1
14
15
Total
21
10
50
81
11
10
40
61
Urban Health Posts
3.1. Staffing Pattern
Sr.
No.
Staff Category
Type/Population
No. ofpost
admissible by type of Urban Health Posts
A
Below-5000
B
5000 to 10000
C
10000 to 25000
D
25000 to 50000
1
Lady Medical Officer
0
0
0
1
2
P.H.N.
0
0
0
1
3
Nurse Midwife
1
1
2
3-4
4
MPW(male) *
0
0
0
0
5
Class-IV
0
0
0
1
6
Computer cum Clerk
0
0
0
1
7
Voluntary women Health worker
0
0
0
1@
Total
1
1
2
8-1
@ One for every 2000 Population. * At present there
is ban on filling these posts.
3.2Urban Health Posts.
( Type wise and Agency wise)
There
are in all 285 U.H.Ps sanctioned in the State. The Agency/ Type
wise No. of UHPs sanction and Functioning is as below :-
Sr.
No.
Agency/Type
Sanctioned
Functioning (as on01/08/05)
A
B
C
D
Total
A
B
C
D
Total
1
Government
6
0
7
26
39
6
0
7
26
39
2
Local Body
7
13
32
160
212
7
13
32
141
193
3
Vol.Organ./NGOs
0
0
4
30
34
0
0
2
26
28
Total
13
13
43
216
285
13
13
41
193
260
Sterilization Bed Scheme
At present the scheme
is only sanctioned to hospitals run by local bodiesand voluntary organisation.These
institutions would be entitled to claim bed maintenance grant as
per the Government of India's norms.
4.1Sterilization Bed
Scheme run by Agencies
Sr.
No.
Agency/Type
Number of Institutions
Number of Beds Sanctioned as on 31/03/05
1
Local Body
31
393
2
Vol.Organ.
63
355
Total
94
748
4.2Activities & Main Objective To
Carry out Tubectomies operations.
The scheme is only sanctioned to hospital run by Local Bodies and Non-Government/
Voluntary Organisation.
These institutions would
be entitled to claim bed maintenance grant per bed per annum
provided a target of tubectomies is full filled as per Government
of India norms.
The norms are as follows
i) Rs.6000/- per bed, per annum provided if target of
60 tubectomies per bed per annum is achieved.
ii) Rs.4000/- per bed, per annum provided if 45 tubectomies,
per bed, per annum is achieved.
iii) If the performance of tubs is less than 45 tubectomies, per
bed, per annum then proportionate grant per bed, per annum is
admissible.
Grant-in-aid (G.I.A.)
The above schemes are
100% Centralsponsored.
The State Government has to pay grant first and then get itreimbursed
from Govt. of India.
The Government of India has fixed the norms
for distributing the assistant grant and they are as follows. :-
Institution must be Charitable, approved
by charitable commissioner and it must be registered.
The staffsanctionedto
the N.G.O./ L.B.O. is asper
the norms laid down by Govt. of India.
The post must be filled by the Institution (NGO/LBO)
as per their rulesand
regulations. The Govt. is only verifying the Education Status of
the concernedworker
posted on the particular post.
Governmentis providing 100% assistant Grant-in-aid only for the
salaries and wages of the Staff working under the Urban Family
Welfare Schemes of NGO/LBO.
Grant-in-aid is not providedfor vacant post.
Government is not providing expenditure onPension, Gratuity, Bonus, Leave encashment,
Provident fundetc.
Institution has to bare the same as per their rules.
Institution receivesrent of the building if it is on rental basis. But the
maximum limit of the rent is Rs. 25000/- per annum as per the norms
decided by the Public Works Deptt. of Maharashatra State. This
isprovided to those Institutions who
demands the rent.
Under the Scheme of ANM Training Centers the
vehicle is provided. The expenditure and repairs is being given
as per the guidelines of the Central Government.
Revised Contingency is being provided to the
NGO/LBO as per the norms laid down by the Central Governmentfrom 2003-04 and they are as follow
Type of Center
City F.W.B.
Urban F.W.C.
Urban Health Post
Type- III & IV
Rs. 8000/-
-
-
Type-I
Type-II
Type-III
-
-
-
Rs.5000/-
Rs.7000/-
Rs.15000/-
-
-
-
Type-A
TypeB
Type-C
Type-D
-
-
-
-
-
-
-
-
Rs. 5000/-
Rs.5000/-
Rs.15000/-
Rs.25000/-
Distribution system
of assistant grant
The assistant grant is being distributed in four installments as
per the norms laid down by the Central Government.
Sr.No.
Installment
GIA Distribution System.
1
1st Installment
1/6 th of thebudget of the Institution
2
2nd Installment
50% GIA (Including 1st Inst.) will be released
on receipt of un audited statement and if achievement of last
year is satisfactory.
3
3rd Installment
75% GIA (Including 1st & 2nd Installment)
will be released on receipt of Audited Statement and if performance
of current year (up to September ) is satisfactory.
4
4th Installment
75% GIA (Including 1st & 2nd Installment)
will be released on receipt of Audited Statement and if performance
of current year (up to September ) is satisfactory.
It is the responsibility of theconcernedNGO/LBO to pay the salaries of the staff in time without
waiting for grants from Government as they have to pay first and
getit reimbursed from Government.
At presentlimit of sanctioning the GIA to NGO/LBO
is as follow
A) AdditionalDirectorof Health Services,(FW )----- up
to Rs.5 lakh.
B) State Government ( PHD) ---------------------------- up toRs.10
lakh.
C) Government of India------------------------------- above Rs.
10 lakh.
The GIA is released by Additional Director of Health Services
(FW) to the concerned Institution through concerned
Dy.
Director of Health Services (Health) of respective Circles.
The assistant grant is being distributed on fulfillment of performance
of Family Welfare in equivalent sterilization and is as follow.
:-
Sr.No.
Equivalent Sterilisation
GIA to be sanction
1
85%
and above
100%
2
50-84%
50%
3
less
than 50%
NIL
Targets :-
The Family Welfare and Maternal Child Health Targets are being
fixed and distributed by the concerned Medical Officer of Health,
Municipal Corporation and Civil Surgeon, General Hospital .
Formula for calculating No. of Equivalent Sterilization is as follows
:-
No. of Equivalent Sterilization = No of Sterilizations + No of
IUD /3 + No of O. P. Users /9 *
* No of O.P.Users = Total No. of Cycles distributed /13-
The review of the programme is taken by Medical Officer of Health
Civil Surgeon ,Mun.Commissioner & Dy. Director of Health services,
every month and Feed bake is being given for satisfactory Performance
of the Institution.
Reporting :- Quarterly Progress Report must be submitted to Addl.
Director of Health Services, FW Pune.
Special Features of Programme
GOI has sanctioned urban RCH in following six Corporations Solapur,
Kolhapur, Nagpur, Akola, Nashik and Aurangabad. Urban RCH is implemented
in these six corporations by the guidelines from GOI. GOI is going
to strengthen Urban RCH in remaining sixteen corporations. MOH are
requested to prepare the plan of action for approval which is under
process.
As per guidelines from GOI RCH Phase II Programme is to be implemented
all over Maharashtra State. Hence RCH II programme will be implemented
in all 22 Municipal Corporations.
Downloads
Statement Showing Mun.Corpn./Coun./Typewise No. of Urban Health
Posts (UHPs)in the State of Maharashtra
