Making financial assumptions and preparing the budget

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The financial assumption and budget preparation is the crucial steps in the PIP preparation. There are following general instructions that district / state has to follow while making the budget sheet based on district health action plan.

Workplan for budget preparation

The starting point for preparation of the budget is the work plan. Costs should, as far as possible be estimated separately for each activity in the work plan. Separate budgets should be prepared for each quarter and As far as possible, quantity of work to be carried out in each quarter should be estimated. For each activity, estimate the rate or unit cost.
States / Districts can estimate a reasonable unit cost on the basis of past experience and taking into account local conditions. Where a rate and quantity can not be estimated; lump sum amount can be proposed as an exception.
States / Districts should provide details of activities (physical targets and corresponding costs) and after the quarterly budgets have been prepared separately for each quarter, consolidate these to arrive at the summary budget. The physical targets for the quarter must match the targets provided against the monitorable indicators.

For different budget heads / sub heads: Budgetary Guidance has been given by CTD to the States. This will help during budget preparation of each activity under Budget heads and Columns of Budget Matrix shown in earlier chapters.

72. Drug Sensitive TB

Column/Head	Activities that can be budgeted under the Column/ Head	Description
DBT	Treatment Supporter Honorarium (Rs.1000)	@ Rs 1000/- as a one-time payment on the update of the Outcome of Treatment for drug sensitive TB patients
Infrastructure - Civil works (I&C)	Initial Establishment / Refurbishment / Upgradation of STO office, STDC, SDS, DDS, DTC, TU, DMC, X- ray facility	Major & minor civil works/ repairing & maintenance of State TB cell office, STDC, IRL, DOTs, DTC, TU & DMC, and X-ray facilities etc
Equipment (Including Furniture, Excluding Computers)	Procurement of all necessary equipment for DMC, X-ray, and ECG, etc for NTEP	Procurement of equipment for State & District levels. (DMC, X-ray, and ECG, etc for NTEP) Procurement of Sleeves and drug boxes
	Maintenance and Management of Equipment DMC, X-ray, and ECG, etc	Maintenance / up gradation costs for Laboratory equipment’s DMC, X-ray, and ECG, etc for NTEP (if not covered under NHM Bio Medical Equipment Maintenance Programme/contract)
	Procurement of Office Equipment (Office Equipment at STC, SDS)	Procurement of office equipment and furniture for State & District levels. (Office Equipment at STC, SDS)
	Maintenance & Management of Office Equipment (Office Equipment at STC, SDS)	Maintenance / up gradation costs for office equipment’s (Office Equipment at STC, SDS)
Drugs Budget for Procurement done by States	Procurement of First line drugs	Local Procurement of first line Anti TB drugs. Vehicle hiring for drug transportation. HR for NTEP Drug Store Drug Transportation charges
Diagnostics (Consumables, PPP, Sample Transport)	Sample collection and Transport	Charges for transportation of samples for diagnosis, DST, follow-up.
Diagnostics (Consumables, PPP, Sample Transport)	Lab Materials and consumables for DMCs	Procurement of Lab consumables for DMCs.
Capacity building incl. training	Training (State and District Level)	Training cost (including TA/DA & other course materials) for State officers / staff/ TB Champions and all district staff at National level, State level and District level
	CME	Cost for conducting CME
	Procurement of office equipment for STDC	Procurement of office equipment and furniture for STDC
	Community Engagement Activities	Sensitization of TB survivors, sensitization of NGOs, PRIs meeting, TB survivor led activities, etc
ASHA incentives	Asha Incentives	Any other ASHA incentives proposed by the state.
Others including operating costs (OOC)	Replacement of vehicles	Instead of proposing budget for new vehicles procurement, OPEX cost may be proposed.
	Incentive for community volunteers undertaking ACF	Incentives for Active Case Finding -the unit cost shall preferably be budgeted as per household or per person screened.
	Injection prick charges to non-salaried person during TB treatment	Incentive to non-salaried person for injection prick
	Printing	Budget for Printing of Materials
	Handheld Tablets	Procurement cost of Tablets
Surveillance, Research, Review, Evaluation (SRRE)	Sub National Certificate	Award money for districts proposed to be certified under the Sub-national TB free certification as per CTD’s guidelines for the initiative.

73. NPY

Column/Head	Activities that can be budgeted under the Column/ Head	Description
DBT	NPY for DSTB patients	Nutrition support to TB patient Rs. 500 per month till the treatment is completed, by DBT for DSTB Patients for 6 months
DBT	NPY for DRTB patients	Nutrition support to TB patient Rs. 500 per month till the treatment is completed, by DBT for DRTB Patients for 24 months

74. PPP

Column/Head	Activities that can be budgeted under the Column/ Head	Description
DBT	Private Provider Incentive	Private Provider Incentives- NTEP DBT Scheme @Rs. 500/- per notification and Rs. 500/- when treatment outcome declared.
DBT	Informant Incentive	Incentives for first informant (20% of Public notified case will be expected to be eligible for first informant incentive)
Others including operating costs (OOC)	Any Public Private Mix (PP/NGO Support)	Cost of existing NGO/ PP support schemes and new NGO/ PP support schemes proposed as per NTEP Public Private Partnership Guidance 2019.
	Public Private Support Agency (PPSA)	Cost for PPSA for ongoing and newly proposed districts.
	Multi-sectoral collaboration activities	Any activities for collaborating with other line departments and organizations (eg: AYUSH, Directorates of Labour, Rural Development, Urban Development, Industries, PRI, Railways, Postal Department, etc

75. LTBI

Column/Head	Activities that can be budgeted under the Column/ Head	Description
Diagnostics (Consumables, PPP, Sample Transport)	Screening, referral linkages and follow-up under Latent TB Infection Management	Cost for screening of LTBI such as incentives, sample collection & transport, etc may be budgeted
Diagnostics (Consumables, PPP, Sample Transport)	Diagnosis of LTBI	Procurement of Lab Materials and consumables for IGRA test
Drugs	Treatment of LTBI	Procurement of approved drugs for LTBI
Diagnostics (Consumables, PPP, Sample Transport)	Screening, referral linkages and follow-up under Latent TB Infection Management	Cost for screening of LTBI such as incentives, sample collection & transport, etc may be budgeted
Diagnostics (Consumables, PPP, Sample Transport)	Diagnosis of LTBI	Procurement of Lab Materials and consumables for IGRA test

76. Drug Resistant TB (DRTB)

Column/Head	Activities that can be budgeted under the Column/ Head	Description
DBT	Treatment Supporter Honorarium (Rs.5000)	@ Rs 5000/- as a one-time payment on the update of the Outcome of Treatment for drug resistant TB patients
Infrastructure - Civil works (I&C)	Initial Establishment / Refurbishment / Upgradation of Nodal DRTB centre, CBNAAT, TRUNAAT sites, IRL & CDST labs	Major & minor civil works/ repairing & maintenance of Nodal DRTB centre, CBNAAT, TRUNAAT sites, IRL & CDST labs
Equipment (Including Furniture, Excluding Computers)	Procurement of equipment for DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics	Procurement of equipment for State & District levels (DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics) Procurement of MERM boxes
Equipment (Including Furniture, Excluding Computers)	Maintenance and Management for DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics Equipment	Maintenance / up gradation costs for Laboratory equipment’s for DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics Equipment for NTEP (if not covered under NHM Bio Medical Equipment Maintenance Programme/contract)
Drugs Budget for Procurement done by States	Procurement of DRTB drugs	Local Procurement of second line drugs
Diagnostics (Consumables, PPP, Sample Transport)	Lab Materials and consumables for IRLs, CDST & Molecular Diagnostics	Procurement of Lab Materials and consumables for molecular diagnostics and CDST, IRL & NRL
Capacity building incl. training	Training (State and District Level)	Training cost (including TA/DA & other course materials) for State officers / staff/ TB Champions and all district staff at National level, State level and District level
	Training for AIC	Cost for AIC related trainings
Surveillance, Research, Review, Evaluation (SRRE)	AIC Review Committee	Cost for Committee meeting & etc

77. TB Harega Desh Jeetega Campaign

Column/Head	Activities that can be budgeted under the Column/ Head	Description
IEC & Printing	ACSM (State & District)	Budget for activities as per ACSM plan including media briefings with journalists, orientation meetings with key groups (e.g., PRIs, SHGs), sensitization session for elected leaders (e.g., MPs, MLAs, school / college-based activities, advocacy meeting with State and District authority, (outdoor publicity) folk, mela, street plays, signages, miking, TV/Radio campaign, cost, miking, exhibition/ “World TB Day “rally, etc (You can add activities as per your requirement)
	Printing (ACSM)	Printing of Manuals, Guidelines, Forms, Formats, Cards, etc. at State/ district level
	Any other IEC/BCC activities (Please Specify)	Any other IEC/BCC activities not budgeted above

78. State specific Initiatives and Innovations

Column/Head	Activities that can be budgeted under the Column/ Head	Description
DBT	Tribal Incentives	@ Rs. 750/- as travel support to patient from notified Tribal Areas as per Ministry of Tribal Affairs.
State specific Initiatives and Innovations	Budget for state specific initiatives and Innovations

185. Planning & Program Management

Supervision and Monitoring (State and District Level)	TA/DA cost of all officer/ staff working in NTEP, review meetings, Cost of internal evaluation etc.
Vehicle Operation (POL)	POL for existing vehicles under NTEP and mobility support for those field staff in lieu of vehicles.
Vehicle hiring	Vehicle hiring cost for State & Districts where Govt vehicles are not available for supervision & monitoring. Instead of proposing budget for new vehicles procurement, OPEX cost may be proposed.
Medical Colleges (Any Meetings)
Office operation (Miscellaneous)	Office operation includes office maintenance expenditure, stationary, communication etc.
Vehicle Operation (Maintenance)	Maintenance cost for State & District vehicles (including four-wheeler & two wheelers)

Assessment

Question	Answer 1	Answer 2	Answer 3	Answer 4	Correct Answer	Correct Explanation
Which of the following activity can be budgeted under the head of DBT for NPY?	NPY for DSTB patients	NPY for DRTB patients	Both	None	3
Private Provider Incentives can be proposed under the head of DBT for PPP (Public Private Partnership).	True	False	-	-	1
Which of the following activities can be proposed under DRTB activity?	Procurement of DRTB drugs	Treatment Supporter Honorarium (Rs.5000)	Procurement of equipment for DR TB Centre, IRL, C &DST Lab and Molecular Diagnostics	All of the above	4
Which of the following activity is not proposed under the LTBI activity?	Diagnosis of LTBI	Printing (ACSM)	Treatment of LTBI	Screening, referral linkages and follow-up under Latent TB Infection Management	2	Printing and IEC activities (ACSM) are proposed under TB Harega Desh Jeetega Campaign head.

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Kamalini.Mukhopadhyaya@theunion.org

Reviewer

Abhimanyu

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Making financial assumptions and preparing the budget

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