GOVERNMENT OF ODISHA HEALTH & FAMILY WELFARE DEPARTMENT *** NOTIFICATION )c)5. 9 6 35/2015- /H., Dated: Government of Odisha is committed to provide adequate, acceptable, accessible, equitable and affordable Health Care Services to the people of Odisha. It has been experienced that retention of medical officers in rural and remote areas with specific focus on KBK, KBK+ and Tribal Sub-Plan areas continues to remain a big challenge before the Health Service sector. In order to incentivise the doctors to work in KBK, KBK+ and Tribal Sub-Plan difficult areas Government have been paying special incentive / allowance of Rs. 4,000/- per month to the M.Os. working at DHHs and SDHs and Rs. 8,000/- per month to the M.Os. working in CHCs and PHCs vide H & FW Department resolution No. 1489/H, dtd. 20.01.2012. However, it was seen that this needed a re-examination. It is therefore felt necessary to provide place based incentives to the Medical Officers working in different difficult / remote areas in the state as per vulnerability status of the places taking into consideration certain key parameters such as difficult and back wardness of the location, tribal dominance, left wing extremisms, train communication, road and transport facilities, social infrastructure and distance from state head quarter etc. Hence, Government have been pleased to categories the peripheral health institutions of the state as follows basing on their vulnerability status. 1. Vulnerability status of peripheral Health Institutions :- All the 1751 (One thousand seven hundred fifty one) peripheral Government Health Institutions of the State are differentiated into five different categories and declared as V-0 to V-4 Health Institutions as mentioned at Annexure-'A', taking into consideration their vulnerability status. Further, these Health Institutions are grouped into 04 levels as mentioned below:- SI. Level of Health Categories Remarks No Institutions 1 Level - 1 District Head Quarter Hospital Also includes all Health (DHH) Institutions within the District Head Quarter Area 2 Level - 2 Sub-Divisional Hospitals (SDH) Also includes all Health Institutions within the Sub- Divisional Head Quarter Area 3 Level - 3 Community Health Centre (CHC) Also includes all Health Institutions within the Block Head Quarter Area 4 Level -4 Primary Health Centre (PHC) and other Hospitals -2- 2. Amount of Placed based incentive to be provided :- Basing on the vulnerability status and level of Health Institutions, all the Medical Officers and Specialists holding the substantive posts, working in these peripheral Health Institutions are entitled to get Place Based Incentives as mentioned at Annexure 'B' as per the following guidelines. a. Sum of Rs. 40000/-(Rupees Forty thousand) only is taken as the "UNIT" base that is 100% incentive payable. b. The MOs working at the level-3 (CHC) and level 4,( PHC(N) and OH) Health Institution of V-4 area are eligible for 100 % of "UNIT" and taken as the base amount of Incentives payable. c. The MOs working at the level- 1 (DHH) and level 2 (SDH) Health Institution of V-4 area are eligible for 50 % of "UNIT" Incentives payable. d. The MOs working at the level- 3 and level 4 Health Institution of V-3 area are eligible for 75 % of "UNIT" Incentives payable. e. The MOs working at the level- 1 and level 2 Health Institution of V-3 area are eligible for 37.5% of "UNIT" Incentives. f. The MOs working at the level- 3 and level 4 Health Institution of V-2 area are eligible for 50 % of "UNIT" Incentives payable. g. The person working at the level- 1 and level 2 Health Institution of V-2 area are eligible for 25% of "UNIT" Incentives payable. h. The Specialists are eligible for double the "UNIT" Incentives at the respective level and vulnerability than their MOs (MBBS) counter parts, i. The Medical Officers / Specialists eligible to get these incentives will not be allowed to avail the KBK and KBK+ allowances given earlier in pursuance of Health & FW Department Resolution No.1489/H., dt.20.01.2012 anymore. 3. Eligibility for getting placed based incentive :- a. This Place Based Incentives will be admissible only on attending and performing the duty regularly. But in no case it is admissible to the doctors who are attending duties by commuting from other places to the place of their posting. Similarly, in case of doctors deployed to other health institutions from their regular place of posting, they will get incentive which is applicable to the institutions to which they are deployed. The incentive shall also be admissible to the doctors for the period of their attending training or workshop inside the State or country. b. The MOs availing leave of any kind except Casual Leave are not eligible to get this incentive for the leave period. The incentive is not admissible on account of long absence or un-authorised absence and during transit period on account of transfer. Taking into consideration the number of days attended in duty, the proportionate amount of monthly Place Based Incentive shall be paid. c. The MO I/c of CHC and other Health Institutions shall furnish a certificate every month to their concerned CDMOs in respect of the Medical Officers working under their administrative control to the effect that the concerned Medical Officer has stayed and performed his duty at his respective place of posting, basinu on which the place based incentive shall be drawn. -3- d. Similarly, the CDMOs / SDMOs shall furnish certificates every month in respect of MOs working under their administrative control at DHH/ SDH before drawal of their monthly salary. In case of CDMOs such certificate is to be issued by the Collectors of the District. 4. Responsibility of Drawing and Disbursing Officer :- a. The DDOs concerned shall draw the incentives as admissible on the basis of certificates as indicated above alongwith the monthly salary. b. In case, it is found that a Medical Officer has been paid even when he / she has not stayed at the place of posting or he / she has not performed the duty as stipulated in the posting order, such amount will be recovered from the salary of the certifying officer. 5. Responsibility of the CDMO :- In case of any lapses noticed in contravention to the above principles, the CDMOs concerned will be held responsible for such lapses and disciplinary proceeding as deemed proper shall be taken against them. 6. Checking by the collector of the District :- Collectors shall put in place, a system of regular monitoring of institutions identified as V3, V4 and ensure that services of concerned doctors are available to the population served. They should put in place mechanisms such as CCTVs, biometrics or any other mechanism to monitor attendance. The CDMO will immediately take steps for drawal / dis-allowing of incentives based on reports of Collector or Officers authorized by him. 7. Annual review by the H & FW Department :- The Government in Health & FW Department shall review the impact of payment of Place Based Incentives after every one year from time to time and take decision accordingly as regard continuance of providing such Place Based Incentive. 8. This has been concurred in by Finance Deptt. vide their UOR NO.26-SS-III, dt.09.02.2015 and duly approved by the Cabinet as intimated vide Memo. No.1980, dt.28.04.2015 of Parliamentary Affairs Department. 9. This Notification will come into force w.e.f. 01.06.2015. 10. Kindly note that place based incentives are one-of-a-kind dispensation with huge budgetary allocation so that doctors stay in the identified institutions and provide health care to people. Collectors and CDMOs must not take this as a routine grant rather must take steps to review monthly in Zilla Swasthya Samiti and other health Department meetings and also maintain and review data base of cases seen, admitted, function of Drug Distribution Centers, immunization and other Govt. schemes in these institutions. Strict action should be taken against the defaulting officers By order Af the Governor tua I61ii (Ar I Principal Secretary to Government -4- Memo No. \5 c)(1 /H., Dated 6 Copy forwarded to the Director, Printing, Stationary & Publication, Odisha Cuttack with a request to publish the above Notification in an extract ordinary issue of the Odisha Gazette and supply 50 (fifty) copies to this Department for official use. Additioina r o Government DPS Memo No. /H., Dated Copy forwarded to Principal A.G(A&E), Odisha, Bhubaneswar / Finance Department / Parliamentary Affairs Department / All Directors under Health & Family Welfare Department / All Collectors / All CDMOs / CMO, RGH, Rourkela / All Sections of Health & Family Welfare Department / MS-II (GF) 20 spare copies for information and necessary action. Additional Sec 14ernment Memo No. /H., Dated nr 6 IC Copy forwarded to the PS to Chief Minister, Odisha / PS to Minister, Health & Family Welfare / PS to Chief Secretary, Odisha / PS to Principal Secretary to Government, Health & Family Welfare for kind information to Chief Minister, Odisha / Minister, Health & Family Welfare, Odisha/ Chief Secretary, Odisha / Principal Secretary to Government, Health & Family Welfare, Department respectively. Additional Se olvernment 0q- Memo No. /H., Dated C 6 i_S Copy forwarded to the Head,\(ta;:Portal Group, IT Centre, Secretariat/ Sri S.N. Sahoo, Deputy Secretary to Government, Health & Family Welfare Department, I/c of IT Cell with request to post this Notification in the website http://www.odisha.gov.in/health portal/index.html for general information. Addition rnment Annexure-`A' Vulnerability status of peripheral Government Health Institutions of State Category Name of the of Vulnerability SI. No District Block Institution institution Grading 1. Angul Angul Angul DHH VO 2. Angul Angul Bantala CHC VO 3.