Group 6 Financing of HWC Review of the

Group 6 Financing of HWC

Review of the existing costing of HWC- SC Salary for CHO Regular Cadre Base salary < 25000/- pm Base salary = or > 25000/- NHM Funds – to bridge salary gap + TBI + PBI Contractual Staff 25000 (Base salary) + PBI + TBI

Team Based Incentives ØIndicators focusing all 12 CPHC SD packages ØLimiting to 8 -12 process indicators for initial 2 years ØIn subsequent years outcome indicators may be considered Ø Flexibility for selecting indicators : based on local/State specific epidemiology. ØDistribution proportion for ASHA > MPW > MLP. [PBI is being given to MLPs] ØIndicator Index should be simple and easy to measure : assessment can be done annually

Infrastructure Existing infrastructure strengthening : • Flexibility in funding from 7. 5 to 10 lakh : depending upon gap analysis for repair and renovation / branding. New infrastructure for HWC : • Costing norms to be finalized based on the layout decided by the Task Force – Flexibility should lie with the State. Renting of places for HWC : • It should be considered as an interim measure in hard to reach areas.

Financial requirements of HWC - PHC • TBI : Which team members to be included at PHC for TBI {Considering additional staff available at PHC} : IPHS compliant • Infrastructure upgradation : State specific requirements based on gap analysis.

Untied Fund : SC - HWC • 50000/- per year for Government owned buildings • 50000/- to 75000/- for Rented accommodation – including rent • Joint Bank account holders : accountability to lie with MLHP (contractual/regular) / and MO (referral PHC) : Flexibility to lie with the States. • Lumpsum mobility support – needs consideration for outreach activities including population enumeration.

CHO Salary linked with Performance based incentive • Proportion of Salary linked : approx. 40% i. e. 15000/- pm as agreed. • No CHO at the PHC – PBI to be given to MO PHC. • PBI to be given to PHC if no HWC – SC is collocated.

Assessment of Performance of Service provider • To be assessed on same indicators designed for TBI • Specific Target Based indicators to be added e. g. % of population enumeration completed, % of population screened etc.

Patient satisfaction data • PBI should not be linked in the initial stages to patient satisfaction data. • Mera Aspatal could be extended to HWC.

Compensation to ASHA • Rs 5/- can be agreed to for the validation and updation of the SECC data. Proportion of the pool of team incentives for ASHA ANM AWW • 75: 10 is agreed upon

Thank You !

Bridge Course • If an eligible candidate discontinues course mid-way / fails to appear for the exam : provision for fee reimbursement should be in place. • If the candidate is unable to clear the written exam in the second attempt : provision for penalty – to be considered.