Program Implementation Plan [PIP]

The State Programme Implementation Plan (PIPs) for health and family welfare services under National Health Mission (NHM) funding spell out the strategies to be deployed, budgetary requirements and aimed health outcomes.

PIPs are the most crucial documents in NHM through which the states/ Union Territories (UTs), identify and quantify the targets required for programme implementation for the proposed year.

PIPs are prepared by states annually as a document which is then finalised in the National Programme Coordination Committee (NPCC) meeting for administrative approval.

On finalisation of the budget in the NPCC meeting, it becomes an official document available in the Ministry's site for general viewing.

Importance of PIP

• Its a plan according to which the different activities are carried out and performance of each activity can be monitored against it.

• Approval of PIP implies that states/districts can carry out the activities mentioned in the plan.

• It is the indicator of the total budget requirement of the state for carrying out the programme activities

PIP Preparation Process under NHM

A bottom-up approach is followed for preparing the State PIP wherein the inputs are taken from blocks, cities, Community Health Centre (CHC)/ Peripheral Health Centre (PHC), and village level to prepare a DHAP. These DHAPs are then consolidated to prepare a State PIP.

Budget Heads

A total of 18 different budget heads comprises the PIP. These include:

Each budget annexure is linked to the budget summary sheet and the corresponding budget abstracts.

National Tuberculosis Elimination Programme (NTEP) is one of the many National Health Programmes that have come under the umbrella of the NHM. NTEP is now a flagship component of NHM and provides technical and managerial leadership to anti-tuberculosis activities in the country. NHM, in turn, is responsible for making funds available to carry NTEP related activities. The budget heads of NTEP may differ from other programmes. Hence, after the activities to achieve TB-elimination based on the Detect-Treat-Prevent Build strategies under National Strategic Plan (NSP) for TB Elimination 2017-2025 are planned, they have been aligned with the Financial Management Report (FMR) codes of NHM. This facilitates district, state, and central NHM to consolidate the individual PIPs for necessary approvals.

Resources

• E-Training Module on Budget/ PIP Preparation. National Health Mission. Ministry of Health and Family Welfare, Government of India.
• PIP Guidance Note 2018-19. National Health Mission, Ministry of Health and Family Welfare, Government of India.
• Training Modules (5-9) for Programme managers & medical officers, Central TB Division, Ministry of Health and Family Welfare, Government of India.

Assessment