National Rural Health Mission - Amravati
National Rural Health Mission - Amravati
National Rural Health Mission - Amravati
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Hardship allowance to régular staff working in extremly difficult health facilities<br />
In tribal and LEA areas, there are few RHs, PHCs and Sub‐Centers where regular staff do not join<br />
even if appointed. Such health institutions cannot provide services to community. Besides, large<br />
investments of government also remain unutilized. These areas are also having very high IMR and<br />
MMR and are in need of critical staff. Regular nurses, doctors and specialists will be provided<br />
allowances over and above their salary.<br />
This scheme is for extremely difficult tribal and/or leftist extremism affected areas of Thane, Nashik,<br />
Dhule, Nandurbar, Nanded, Amarawati, Yawatmal, Gondia, Chandrapur and Gadchiroli districts.<br />
Important instructions in this regard are as follows:<br />
• Regular nurses, MBBS doctors and specialists in RH will get his/her regular pay and tribal /<br />
naxalite area allowances as usual from Zilla Parishad / treasury. The hardship allowance<br />
provided by NRHM is over and above this salary. This should be paid by cheque to these staff<br />
by THO/MS or Civil Surgeon.<br />
• The health institutions to be included in this scheme should be decided by District <strong>Health</strong><br />
Society. Such institutions should have record of non‐availability of nurses (SC/PHC) MBBS<br />
doctors (PHC/RH) and specialists (RH) for long time.<br />
• Hardship allowances to be provided to all ANMs, LHVs and Staff Nurses working in notified<br />
Sub‐Centers, PHCs and RH/SDH.<br />
• Hardship allowances to be provided to MBBS doctors working in PHCs or RH/SDH and<br />
specialists of only five specialties (Medicine, Surgery, OBGY, Pediatrics and Anesthesia) and<br />
Medical Superintendent of RH (any speciality).<br />
• Specialist allowances can be paid to MBBS doctors who have undergone multi‐skill training<br />
and are providing specialty care.<br />
• It is mandatory to stay at HQ for the staff to be eligible for the scheme.<br />
• If government servant is on leave for more than one week, then allowance should be<br />
proportionately reduced for that month.<br />
Budget utilization<br />
a. Allowances to ANM : Regular ANM if staying at HQ and providing services such as delivery<br />
should be paid Rs. 4000/PM over and above her regular salary from NRHM funds. ANM<br />
include ANM posted at notified Sub‐Centre and also the notified PHC in the district.<br />
b. Allowances to LHV/Staff Nurse/NM : She should be paid Rs. 6000/PM over and above salary<br />
provided she is actively involved in RCH activities including ANC checkup, delivery and<br />
immunization and providing services by staying at HQ. The LHV/staff nurse /NM include<br />
nurses working in notified PHC as well as notified <strong>Rural</strong> Hospital.<br />
c. Allowances to MO PHC : Regular MO with MBBS degree if staying at HQ and providing all<br />
the services is eligible for hardship allowance. Hardship allowance for MO PHC is Rs.<br />
12000/PM over and above regular salary.
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