Financial Strategies for Health and Wellness Centers
This document outlines various financial strategies for Health and Wellness Centers (HWC), including financing options, salary structure for staff, team-based incentives, infrastructure requirements, financial needs for Primary Health Centers (PHC), untied funds allocation, and linking Community Health Officer (CHO) salaries with performance-based incentives.
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Group 6 Group 6 Financing of HWC
Review of the existing costing of HWC Review of the existing costing of HWC- - SC SC Salary for CHO Contractual Staff Regular Cadre 25000 (Base salary) + PBI + TBI Base salary < 25000/- pm Base salary = or > 25000/- NHM Funds to bridge salary gap + TBI + PBI TBI + PBI
Team Based Incentives Team Based Incentives Indicators focusing all 12 CPHC SD packages Limiting to 8-12 process indicators for initial 2 years In subsequent years outcome indicators may be considered Flexibility for selecting indicators : based on local/State specific epidemiology. Distribution proportion for ASHA > MPW > MLP. [PBI is being given to MLPs] Indicator Index should be simple and easy to measure : assessment can be done annually
Infrastructure Existing infrastructure strengthening : Flexibility in funding from 7.5 to10 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 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 75:15:10 is agreed upon
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.
