Executive Summary:
The Ministry of Health and Family Welfare addresses concerns raised in Lok Sabha Unstarred Question No. 3254 regarding service benefits for National Health Mission (NHM) employees in Haryana. While public health is a state subject, the Ministry provides technical and financial support to states/UTs for strengthening healthcare services under NHM. Employee terms and conditions are governed by state-specific Service Bye Laws, and the Ministry supports states through Programme Implementation Plans (PIPs) and Record of Proceedings (RoPs) based on available resources.
Key Points / Main Content:
• State Responsibility: Primary responsibility for providing basic health services lies with the respective State/UT Government.
• Ministry Support: The Ministry of Health and Family Welfare provides technical and financial support to States/UTs for strengthening public healthcare systems under NHM.
• Haryana NHM Employees:
o Terms and conditions are regulated by Service Bye Laws pertaining to services and financial matters.
o Salaries are paid regularly, according to information from the State Government of Haryana.
• Financial Support and Increments:
o Financial support is provided to States/UTs based on proposals in Programme Implementation Plans (PIPs).
o 5% of the total Human Resource (HR) budget is approved as increment for all HRH engaged under NHM.
o 3% of the total HR budget is recommended for HR rationalization, and the State has discretion to decide the actual increment.
o HR rationalization and increments are approved by the State Health Society Governing Body (SHS GB).
• Employee Provident Fund (EPF): NHM contributes to EPF (Employers contribution 13.36%) for staff drawing a salary less than or equal to Rs. 15,000 per month as of 1st April 2015.
• HR Guidelines: Guidelines for Human Resources for Health (HRH) are available in the public domain.
Impact Analysis:
State Governments/UTs:
• Impact: Retain primary responsibility for providing basic health services and managing NHM employees within their jurisdiction.
• Action Required: Continue to develop Programme Implementation Plans (PIPs) to request technical and financial support from the Ministry and ensure adherence to Service Bye Laws for NHM employees.
NHM Employees:
• Impact: Subject to State-specific Service Bye Laws regarding terms and conditions of employment. Entitled to regular salary payments and potential increments as per state guidelines and budget approvals.
• Action Required: Understand and adhere to the Service Bye Laws established by the State Government of Haryana.
Ministry of Health and Family Welfare:
• Impact: Responsible for providing technical and financial support to States/UTs for strengthening public healthcare systems under NHM.
• Action Required: Review and approve Programme Implementation Plans (PIPs) from States/UTs, provide financial support based on available resources, and ensure guidelines are accessible to stakeholders.
Key Entities Referenced
National Health Mission (NHM): A centrally sponsored scheme of the Ministry of Health and Family Welfare, providing technical and financial support to states/UTs for strengthening healthcare systems.
Haryana: A state in India, specifically mentioned in relation to NHM employee service benefits and byelaws.
Ministry of Health and Family Welfare: The Indian government ministry responsible for health and family welfare policies and programs.
Comprehensive Primary Health Care (CPHC): An approach to provide effective, affordable, quality, and accessible healthcare at the community level under the National Health Mission.
Programme Implementation Plans (PIPs): Proposals submitted by States/UTs seeking technical and financial support from the Ministry of Health and Family Welfare under the National Health Mission.
Record of Proceedings (RoPs): Approval document by the Government of India for proposals in the Programme Implementation Plans as per norms and available resources under NHM.
Indian Public Health Standards (IPHS): Standards used to fill gaps in human resources in secondary and primary care facilities, District Hospitals and below under NHM.
State Health Society Governing Body (SHS GB): Governing body at the state level responsible for approving HR rationalization exercises and principles, including increments, under NHM.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 3254
TO BE ANSWERED ON08.08.2025
SERVICE BENEFITS FORNHM EMPLOYEES
3254. SHRIDEEPENDER SINGH HOODA:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a) whether the Government is aware that National Health Mission (NHM) employees in
Haryana have been denied service benefits and their bye-laws suspended since June 2024 and if
so, the detailsthereof;
(b) whether it is a fact that these employees, despite years of service, face irregular salaries, job
insecurity andnon-paymentof DAincrement for monthsandif so, the detailsthereof;
(c) whether the Government will intervene to ensure restoration of benefits, timely payments of
salaries/DAanda clearservice policyfor NHM staffacross all States; and
(d) if so, the detailsthereofand if not,the reasons therefor?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a) to (d) : “Public Health & Hospitals” is a State subject, hence, the primary responsibility of
providing basic health services to all the citizens of the country lies with respective State/UT
Government. However, Ministry of Health and Family Welfare provides technical and financial
support to the States/UTs for revamping basic health services with an aim to provide
Comprehensive Primary Health Care (CPHC) that includes effective, affordable, quality and
accessible healthcare at the community level with continuum of care approach under National
HealthMission (NHM).As per information provide by State Government of Haryana, the terms & conditions for the
employees engaged under NHM are regulated by Service Bye Laws, pertaining to both services
andfinancialmatters. All NHMemployees are paidsalary regularly.
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 received in the
form of ProgrammeImplementation Plans(PIPs) underNational Health Mission. Government of
India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per
norms& availableresources.
The NHM supplements the regularhuman resources by filling upthe gapsin humanresources in
secondary and primary care facilities (District Hospitals and below) as per Indian Public Health
Standards (IPHS).5% of the totalHuman Resource (HR) budget is approvedas increment for all
HRH engaged under NHM and 3% of the total HR budget is recommended for HR
rationalization, within which the State has a discretion to decide the actual increment. HR
rationalization exercise and its principles, including increments, are approved by State Health
Society Governing Body (SHS GB). NHM also contributes to EPF (Employer’s contribution) @
13.36% for staff drawing salary less than or equal to Rs. 15000 per month as on/ after 1st April
2015. Further, the guidelines for Human Resources for Health (HRH) is available in public
domainat:
https://nhsrcindia.org/sites/default/files/2022-04/Final%20Guideline%20on%20Human%20Reso
urces%20for%20Health%20for%20NHM.pdf
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