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GOVERNMENT OFINDIA
MINISTRYOFHEALTHAND FAMILYWELFARE
DEPARTMENT OFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 4825
TOBE ANSWERED ON 20THMARCH, 2026
NHM EMPLOYEE PAYMENTDELAYS
4825.DR. MALLU RAVI:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a) whether employees under National Health Mission (NHM) in Nagarkurnool in Telangana
have faceddelayedsalaries during the last three years;
(b) the numberof staff affectedandthe duration of such paymentdelays;
(c) whether service delivery, outreach or immunisation programmes have been disrupted as a
result of the same, if so, the details thereof;
(d) whether grievance redressal mechanisms exist for frontline health staff, if so, the details
thereof;
(e) whether any contingency plans exists to ensure uninterrupted health services, if so, the
detailsthereof; and
(f) the steps proposed by the Government to guarantee timely payment of remuneration and
operationalcontinuity?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY
WELFARE
(SHRIPRATAPRAO JADHAV)
(a) to (f): Health is a state subject and matters related to recruitment, remuneration and
disbursement of salaries to staff engaged under the National Health Mission (NHM) are
within the purviewof the respective State/UTGovernments.
The National Health Mission (NHM) provides support for improvement in health
infrastructure, availability of adequate human resources in health facilities, to improve
availability and accessibility to quality healthcare across the country including Nagarkurnool
in Telangana. The Ministry of Health and Family Welfare provides technical and financial
support to the States/UTs to strengthen the public healthcare system, based on the proposals
receivedin the form of Programme ImplementationPlans (PIPs)underNHM. Government of
India provides approval for the proposals inthe form of Record of Proceedings (RoPs) as per
norms& availableresources.
The Human Resources for Health(HRH) guidelinesunderNHM mandate a formal Grievance
Redressal Policy with a structured escalation matrix to ensure that employee concerns areaddressed systematically and within specific timeframes.Under the policy, establishment of a
Grievance Redressal Committee for HRH at different levels is recommended. The States are
advised to create both online and offline facilities for receiving grievances of the employees
andascertaintime bound resolution with utmost confidentialityandsensitivity.
As reported by Government of Telangana, there are no delays in remuneration for the last
three years, no disruption in service delivery, outreach or immunization programmes and
grievanceredressal mechanism alreadyexists inTelangana State.
The Government of India has taken number of initiatives in the form of incentives and
honorarium to the medical professionals for encouraging better service delivery in rural and
remote areasacross the country includingTelangana,which include:
Hard Area Allowance to specialist doctors for serving in rural and remote areas so
thattheyfind it attractive toserve inpublic healthfacilities insuch areas.
States are also allowed to offer negotiable salary to attract specialist including
flexibilityinstrategies such as“You Quote We Pay”.
Non-monetary incentives such as preferential admission in postgraduate courses for
staff serving in difficult areas and improving accommodation arrangement in rural
areashave also beenintroduced underNHM.
Multi-skilling of doctors is supported under NHM to overcome the shortage of
specialists such as Comprehensive Emergency Obstetric and Newborn Care
(CEmONC) andLife SavingAnaesthesia Skills(LSAS).
This Ministry regularly reviews the implementation of NHM with States/UTs through
periodic review meetings and monitoring mechanisms to ensure effective utilization of funds
andcontinuityof service delivery.
Further, SNA SPARSH mechanism is implemented in 31 States/UTs under NHM. This
facilitates just intime fund flow and promoteseffective cash management. States/UTs submit
their proposals through the annual Programme Implementation Plan (PIP), and based on the
available resource envelope (RE), the Government of India grants approvals in the Record of
Proceedings(ROP)including indicatorsandtargetsfor the States.
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