National Health MissionMaharashtra

Hardship Allowances To Staff


Maharashtra has 15 tribal districts out of which 5 are sensitive and six are leftist extremism affected districts. Considering the health problems of these areas and non-availability of trained staff to provide the health services, scheme is proposed for tribal and leftist extremism area. This scheme has been introduced in 10 out of 15 tribal districts of Maharashtra. These Districts are Amravati, Chandrapur, Dhule, Gadchiroli, Gondia,Nanded, Nandurbar, Nashik, Thane, Yavatmal .

There are many public health institutions in state which are situated in remote tribal areas which are often affected by leftist extremism. Regular government doctors, specialists and nurses are not willing to go to these places. These areas do not have private specialty hospitals so there is limitation to appoint contractual doctors. As a long term measure, it has been decided to select students for nursing schools from these areas but it will take long time to get sufficient nurses through this method. Such selection is not possible for admission in medical colleges.


  • District Health Society Governing Body will select institutions where regular government servants do not wish to stay because they are remote, tribal and/or extremism affected.
  • The allowances shown in the range above will be decided by committee considering the nature of difficultness of that place.
  • It will be mandatory for that staff to stay at HQ to get benefit of Hardship allowances.
  • The Hardship allowances will be paid by cheque by the RKS of that institute.

Coverage of scheme

This scheme is applicable to extremely interior and very few health institutions in the state. Table below indicate number of institutes being covered and proportion of institutions included in the scheme:

Sr Type of institutions No. in the state No. of  institutions  included in hardship allowance scheme %
1 Sub-Center 10579 315 2.97
2 Primary Health Center 1816 72 3.96
3 Community Health Center 455 18 3.95
4 District Hospital 23 0 0.00
  Total 12873 405 3.14
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