The State Primary Health Care Development Agencies (SPHCDAs) or State Primary Health Boards (SPHCBs) review and approve plans based on need and outcomes of preceding supervisory visits. The summary of funding requirements for the PHC facilities, based on annual quality improvement plans, and plans for human resources, infrastructure, supportive programmes and operations, shall inform the annual workplan submitted through the HCH to the NPHCDA for consideration and approval. The SPHCDA or SPHCB shall submit quarterly programmatic and financial reports, and funding expectations for the following quarter. The SPHCDA or SPHCB shall conduct quarterly quality assessments of the PHC facilities along with routine PHC integrated supportive supervision and other system strengthening actions. All state proposals, workplans and reports shall be submitted to the Honourable Commissioner for Health and presented to the SOC (comprises the SMoH and stakeholders). Following approval by the SOC, submissions shall be forwarded by the HCH to the NPHCDA. NPHCDA shall present collated state plans to the MOC for review and endorsement.