Bulletin of the World Health Organization

Indian approaches to retaining skilled health workers in rural areas

Thiagarajan Sundararaman & Garima Gupta

Volume 89, Number 1, January 2011, 73-77

Table 1. Monthly incentives for doctors and nurses in “difficult area” postings in India

State Classification of “difficult area” Incentive amount for Bachelor of Medicine/ Bachelor of Surgery/specialists Incentive amount for staff nurses/ auxiliary nurse-midwives
Andhra Pradesh Rural areas Specialists Rs 7000 (US$ 152) / medical officers Rs 1000 (US$ 22)/female medical officers Rs 1500 (US$ 32) n/a
Tribal areas Rs 2500 (US$ 54)/Rs 2000 (US$ 43)
Andaman & Nicobar Islands Tribal areas Gynaecologists Rs 10 000 (US$ 217)/other specialists Rs 3000 (US$ 65) n/a
Rural areas Gynaecologists Rs 7000 (US$ 152)
Bihar Rs 3000 (US$ 65) n/a
Haryana Difficult areas Rs 25 000 (US$ 543) / Rs 10 000 (US$ 217) Rs 3000 (US$ 65)
Rural areas Rs15 000 (US$ 326)
Himachal Pradesh Tribal areas Rs 5000 (US$ 109) n/a
Rural areas Rs 3000 (US$ 65)
Jammu and Kashmir Most difficult areas Rs 10 000 (US$ 217) n/a
Difficult areas Rs 3000 (US$ 65)
Jharkhand Rs 10 000 (US$ $217)/Rs 5000 (US$ 109) Rs 1000 (US$ 22)
Kerala Difficult areas Rs 5000 (US$ 109) n/a
Rural areas Rs 3000 (US$ 65)
Madhya Pradesh Rs 10 000 (US$ $217)/Rs 5000 (US$ 109) n/a
Maharashtra Extremist area Rs 1500 (US$ 32) Rs 1500 (US$ 32)
Tribal area Rs 1000 (US$ 22) Rs 1000 (US$ 22)
Orissa Remote areas Rs 5000 (US$ 109) for contractual staff/Rs 8000 (US$ 174) for regular staff n/a
District headquarters Rs 4000 (US$ $87) for regular staff
Punjab Rs 10 000 (US$ 217)/Rs 20 000 (US$ 435)/Rs 5000 (US$ 109)/Rs 10 000 (US$ 217) n/a
Rajasthan Hard area Rs 7000 (US$ 152) Rs 2500 (US$ 54)
Rural area Rs 4000 (US$ 87) Rs 1500 (US$ 32)
Tripura Primary health care Rs 3000 (US$ 65) Rs 1000 (US$ 22)
Community health centre Rs 2000 (US$ 43) Rs 800 (US$ 17)
State district hospital Rs 1000 (US$ 22) Rs 600 (US$ $13)
Uttrakhand Upper Himalayas (most difficult) Rs 5000 (US$ 109) for degree holders/Rs 3000 (US$ 65) for diploma holders n/a
Middle Himalayas (more difficult) Rs 2000 (US$ 43)
Lower regions (difficult) Rs 1000 (US$ 22)

n/a, not available; Rs, Indian rupees.

Source: Information as reported by state mission directors in response to written queries and as taken from State Programme Implementation Plans of the National Rural Health Mission.

[an error occurred while processing this directive]