To augment the programme management capacity for RCH II / NRHM, State Programme Management Support Unit (SPMSU) and District Programme Management Support Units (DPMSU) have been established to support and strengthen the existing management structures at the state and district levels, especially in high focus states. The SPMSU consists of 4 persons:

• State Programme Manager (SPM)
• State Finance Manager (SFM)
• State Accounts Manager (SAM)
• State Data Officer (SDO)

The DPMU at each district consists of 3 persons:

• District Programme Manager (DPM)
• District Accounts manager (DAM)
• District Data Assistant (DDA)

All the above positions are staffed by professionals on contract. For 6 EAG states, MoHFW facilitated the recruitment of these staff.

Envisaged roles of SPMSU/DPMSU

SPMSUs and DPMSUs have a specific mandate under RCH II/ NRHM. Some of the key roles for SPMSU/DPMSU in RCH II/NRHM include

• Holistic planning and monitoring
• Management of flexible funds
• Financial accounting for flexible funds
• Health sector reforms/ continuous process improvement
• Secretariat functions to the state and district health societies respectively

Reporting relationships

While reporting relationships for SPMSU/ DPMSU would be determined by the respective state departments of health and family welfare, the following arrangements are considered to be optimal especially in the context of preparation and monitoring of state RCH II PIPs:

• SPM reports to Mission Director
• SFM, SAM and SDO report to SPM
• DPM reports to CMHO/CMO
• DAM and DDA report to DPM
• DPMSU staff functionally report to their SPMSU counterparts (DPM to SPM, DAM to SFM, SAM, DDA to SDO)

In the case of EAG states, tailor made recommendations on various institutional issues and a HRD Manual have been provided under separate cover. EAG states should take into account these recommendations.