LHW Systems Review - Oxford Policy Management

Salaries and payments system7 Salaries and payments system7.1 PurposeTo provide stipends and allowances to staff, and to reimburse appropriate expenditures asagreed by the GoP. 517.2 Performance measures• In the previous month, 90 percent of LHWs have been paid full salary; 52• Project allowance of 20 percent paid to members of the PPIU and the DPIU; 53• Health facility training teams have received their training allowance; 54 and• Training allowances have been paid to LHWs on refresher training courses. 557.3 In operationDescriptionThe Programme pays salaries or stipends to LHWs, LHSs, drivers, and to those staff whoare employed on a contract basis rather than on deputation from the Ministry of Health, theDepartment of Health, or the Pakistan Audit Department/Controller General of Accounts.For staff on deputation, the PC-1 has budgeted for a deputation allowance as compensationfor the additional responsibilities required by the Programme. Other allowances are for beinga trainer; for attending training (for LHWs and LHSs); and for travelling, when required, tocarry out inspections and supervision. The level of the allowances is specified in the PC-1.Stipends/salaries From the beginning of the Programme, an LHW was to be a paid astipend for her contribution. She has a one-year contract with the LHWP, but with theexpectation that she will be providing ongoing services for the life of the Programme. Underthe PC-1, she was to receive Rs. 50 per day during the first three months’ training, and thenRs. 1,600 per month after that, with an annual increase of Rs. 100 (to cope with inflation andto act as an incentive) rising to Rs. 2000 per month by July 2008 (See Figure 7.1).At the time of the PC-1, an LHS was to be paid Rs. 3,300 monthly as training allowance forthe first three months of her contract, and then the same amount as a fixed salary with anannual increase of Rs. 200 per month rising to Rs. 4,100 per month by July 2008. Over thesame period, a driver’s salary was to rise from Rs. 2,400 per month to Rs. 2,900 a month. Inreality, in July 2008 the LHW stipend was Rs. 3,090, and the LHS and driver salaries wereRs. 4,800 and Rs. 3,500 per month, respectively.51Annex B has a table with the positions, roles, source of funding, and employment status of personnel working for the LHWP.52Strategic Plan, LHWP: 21.53As defined in the PC-1, LHWP: 42.54Payment is made to the health facility training team of a training allowance of 20 percent of their current salary per monthduring the 15 months’ core training of the LHWs, and an allowance of Rs. 200 per day is paid to those involved in refreshertraining (PC-1, LHWP: 32).55PC-1, LHWP: 31.43