NRHM INCENTIVE SCHEMES(Hardship allowances to paramedics in Vulnerable Institutions, all service providers in Specialist Care Units, all employees in LWE affected areas and retainership allowance for Clinical Manpower) Health equity is an integral part of Orissa’s vision for health and it is an essential prerequisite for achieving the MDGs and 11 th plan goals. Availability of health professionals (especially for medical & paramedic staff) in difficult areasis one important indicator of Government’s commitment to promote equity. It is observed that sourcing and retention of health professionals in these difficult areas is a concern because of the multi faceted challenges that the service providers are regularly confronted with in an effectively delivering health services. 1)Improvement in health outcomes in difficult areas is directly related to the availability of trained human resources 2)Difficult geographical terrain and unavailability of basic infrastructure is a major deterrent against getting good human resource 3)Extremist activities that provide life threats and other inconveniences 4)Low salary/remuneration and better job opportunities in private nursing homes in peripheral & urban areas 5)Low levels of remuneration also do not attract clinical staff from adjacent states which have higher availability of appropriate clinical staff as compared to that of Orissa 6)Specialized care units require skilled care and intense responsibilityCurrently Implemented Incentive Scheme: - The Health department has made various efforts in retaining staff especially in KBK districts. But the same is extended only to medicos and staff nurses, but the other paramedics do not come under this scheme. The amount of incentive is provided on 2 broad categories i.e. periphery and headquarter. Within the periphery category, there is need for categorising the areas and providing incentive according to the degree of difficulties to reach areas. Apart from this, in non-KBK districts, there are inaccessible areas which are not covered under the current scheme. As per the KBK incentives, if the employees are staying in the headquarters, they get an additional sum o fRs4000 and Rs 8000 if they are residing in the periphery, which is an addition to their basic pay.
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(Hardship allowances to paramedics in Vulnerable Institutions, all service providers in Specialist Care
Units, all employees in LWE affected areas and retainership allowance for Clinical Manpower)
Health equity is an integral part of Orissa’s vision for health and it is an essential prerequisite for
achieving the MDGs and 11th
plan goals. Availability of health professionals (especially for medical &
paramedic staff) in difficult areas is one important indicator of Government’s commitment to promote
equity.
It is observed that sourcing and retention of health professionals in these difficult areas is a concern
because of the multi faceted challenges that the service providers are regularly confronted with in an
effectively delivering health services.
1) Improvement in health outcomes in difficult areas is directly related to the availability of trained
human resources
2) Difficult geographical terrain and unavailability of basic infrastructure is a major deterrent
against getting good human resource
3) Extremist activities that provide life threats and other inconveniences
4) Low salary/remuneration and better job opportunities in private nursing homes in peripheral &urban areas
5) Low levels of remuneration also do not attract clinical staff from adjacent states which have
higher availability of appropriate clinical staff as compared to that of Orissa
6) Specialized care units require skilled care and intense responsibility
Currently Implemented Incentive Scheme: -
The Health department has made various efforts in retaining staff especially in KBK districts. But the same
is extended only to medicos and staff nurses, but the other paramedics do not come under this scheme.The amount of incentive is provided on 2 broad categories i.e. periphery and headquarter. Within the
periphery category, there is need for categorising the areas and providing incentive according to the
degree of difficulties to reach areas. Apart from this, in non-KBK districts, there are inaccessible areas
which are not covered under the current scheme.
As per the KBK incentives, if the employees are staying in the headquarters, they get an additional sum of
Rs4000 and Rs 8000 if they are residing in the periphery, which is an addition to their basic pay.