, HEAI rr,t

4?./o Mission Directorate

a*"- Na tiona I Health Mission, Odisha
r*t9
,P 0ou qrqr 66q
Department of Health & Family Welfare,
Government of Od isha
Letter No: OSH&FV S / uW2O2O
Date: l) . d 2 9r1.o
t)Jl,€QI-t)
/
From
Shalini pandit, IAS
Mission Director,
NHM, Odisha

To
All CDM&PHOs-cum- District Mission Directors,
Odisha

5ub: payment of performance Linked payment

..Clarification.regarding
Incentives s (pLp)/ Team Based
fl-Bl) under Health & Wellness Centre.

Ref: Mission Directorate letter No. 35g2

dated O2.O3.2O19.

Madam/5ir,

with reference to the subiect & retter cited above, it is

incentive for PHCs/upHCs rever Hearth a
to crarify that, the team based
w"irn"r, c-u.tr" ,nuy ue paid onry to Crinicar service
providers including paramedics as per the
norm given beiow,
Team Based I ncentive for PHC & UPH C leve IHWCs:

o MO-MBBS at UpHC & pHC: Maximum upto

Rr. 3,O00/_ per month based on
achievement in 5 indicators as prescribed in the retter
referred and as per the Monthry
Performance Reporr attach-ed at Annexure-A.
H.-J;;,
of more than I pHC/ UpHC level HWC, s/he _orldin,"."ir" case of vo. vrBaiii i;';i;ry"

U,/PHC-HWC. tn addition. mobility cost

i"."-"tiru for,onf,,on"
@ Rs. 25O/- ;;;, day per virtinS the 2"d / 3.d pHC
may be paid out of budget tine item l.3.liO
under f.f [fr4 pf p 2O1g-2O.
. MO-AYUSH at UpHC & pHC: Maximum upto
Rs. 2,OOO/- per month may be paid based
on achievement in 5 indicators as prescribed in
the rettei referred and as per the Monthry
Performance Report attached at Annexure-A.
i;;;;;r, in case of M'-AyUSH is in
than I PHC/ UPHC level Hwc' 7i" *"rld
:l)"J,52-"rj#::" receive incentive i., ."iv r
o Paramedics at UpHC & pHC;.Maximum
upto Rs. 3000/- per month per pHC/UpHC
HWC are a'ocated towardi incentivei. level
A:.orJi,-,8r;, ;.ximum upto Rs. r5ool- for
paramedic may be paid based on each
achievement i,i i'inJi.uto* as prescribed
referred. However, incase of more than in the retter
Z p"_r"af., iorking in the facility, then,
incentive amounr based on..carcuration the
divided among all paramedics working
rrr"ri L" .riiiiriua uv and rhen ,"
t")
upHci piii'levet "qr.rrv
"i r"."n,ir"lr'urr notHWCpaid
Performance Report attached at Annexlure-A. as per the rraJ-"tr,ry
other paramedics engaged through outsour."a'", be to the LTs / any
aiiif_ug" uurir.

Buitdingof SIH&FW, Unir-8, Nayapa i, Bhulraneswar_7s10t2

_ . -,11r"*
Tel-0674-2J92480/88 E_mait: Ei; i9llfu9q(12(qat.i!.-td
rrrr.".i*.Lu.*nr.rl
 HEAI
Mission Directorate
National Health Mission, Odisha
6 Department of Health & Family Welfare,
a Government of Od isha
crolq qrEr 6dg

virtual 5C at UPHC:

. CHO at 5C level HWC: Rs. 15,OOO/- per month based on

achievement in l5 indicatori aj
prescribed in the letter referred.

' MP\)Us at SC rever HWC, co-rocated sc of pHC rever HWC and virtuar
5c at upHC:
Maximum Rs. 3000/- per month for each SC team.
A maximum upto Rs. l5OO/- per
month per MPW to be paid based on achievement in
15 indicators as prescribed in the
letter referred. However, incase there are 3 Mpw ( regurar
ANM, Additional ANM,
Hw(M) then' the incentive amount based on carcuration JhaI be murtipry
by 2 to arrive
finar incentive amount for the Jub centre and then to
be equary divided among a,3
MPWs at 5C level HWC and collocated 5C of pHC level
HWC.

For smooth payment of incentivei, a monthry performance

-incentives for UPHC/pHC
report for team based
rever HWC is attached at 'Annexure-A, and monthry p"rfor.un."
report for PLP for cHo & Mpws at colocated 5c of pHC
rever HWC and virtuar sc at UpHC
attached at'Annexure-B'.

Payments sharr be made at the brock cHC rever

based on the Monthry performance
Report rigned by respective service providers and verified
by Medical Officer l/cof Block CHC.

. You are. therefore' requested to_ crear

service provider lateJt by 25,h March 2O2O.
aI pending dues upto February 2o2o to aI erigibre

Yours a ithfully,

103
Miss D il"ettor
NHM. Odkha
Memo uo.tjM Date.l ,,4
Copy submitted to Principal Secretary to Govt., H ealth &FW
Department, Odisha for
kind information.

Mis rector,
14upo po.)l1 M, Odisha
Copy forwarded to All D irectors, Health & Family *",rur" o"r?rlli;*.
information and necessary action. "**t94t"3,.
fr--
Missfn Director,
NHM, Odisha
Memo No.l9)g Date. t7 , oZ
Copy submitted to all Collectors & Distria Magistrates c-l) 2) ,
for in formation anflyecessary
action.
V'
Missbn Director,
NHM, Odisha

Annex Buitding of SIH&FW' Uoir-8, Nayapa i,

Bhu banes\yar-75 l0t2
Tel-067,1-2392.180/88 E-mail:
m issiond ircctoraatrn ic.in.\\ r h; $$.1i.nrhmo
rissa.po v.in
 HEA(
Mission Directorate
Nationa I Health Mission, Odisha
6 Department of Health & Family Welfare,
? Government of Odisha
e|o1o qiqq flde

Memo No. M Oate.lT'03,,aa '))

C opy rubmitted to all Nodal Officers, NUHM. Corporation Cities.
information and necessary action. O for

rector,
Memo No.) 1r{) NHM, Odisha
Copy forwarded to all DpMj, NHM for information Date.lT
'
and necessary action.

Miss rector,
NHM, Odisha
Memo tto.!a/ l?'o ,ch
Copy fo'rwarded to Jhpiego for information oate.
and necessary action.

Miss Director.
NHM, Odisha

Annex Buitding of SIH&FW, trnit-8. Na yapalli,

Bhubrneswar-7SI0l2
Tel-(16 74-2J92480/88 E-mait:
nl;ssiond rrccro r(d.n tc. in.\l rh rvryw.nrhnrorissa.gov.itr
 Annexure A: Part r- Monthry performance Report
for Team Based rncentive
for PHC/UPHC-HWC
Activity Month & y

Name of District:
Name of Block:

Name of HWC-PHC/UpHC:
Name of Block CHC:
Position of MO MBBS
Lrr PS5r_tio_n or .Qgploye_Q
Number of paramedics available: trStaff Nurse
=-; tr LHV _; trANM :
E LT _; trPharmacist

Achievement lncentive claimed

# Assessment Indicator
for the month
(Number &o/o) MO.MBBS MO- Paramedic
Ayush
1. 5 tatus of HWC (Operational or
Pro re5Srve
2 Type of Services available at HWC
3 o U pa e n t (oP) pe r ca p t a
u a on
4 'l-elemedicine
services
5 Patients with h ypertension & diabetes
I
recervi care at PHC/UPHC
Total lncentive Amount
Total lncentive Amount for paramedics Total incentive (c)x2
(in case there are more than 2 paramedics)
Total number of paramedics

Name, Desi nation and 5i nature of PHC Team

5r. No Name Designation Signature

Verified and approved by:

Medical Officer l/c of Block CHC
 Annexure A: Part 2- lncentive Calculation Format

Definition
Total lncentive
5t.
lndicator o/o of
No. MBBS AYUSH
lncentive
Paramedic
MO MO

Operational lOOo/o 1000 1000

l Status of HWC 500
Progressive 5o/o 750
7 375 375
Types of services All l2 services available lOOo/o 500 250
2 250
available
At least 8 services available 5o/o 375
7 150 r50
Tribal: > 15O/Month
Out-patient (OP) Non-tribal: >2OO /Month lOOo/o 500 250 250
3 visits per capita
Tribal Area: 75 to 150/Month
population
Non-tribal area: l5O to 2OO 7 5o/o 375 150 150
/Month
Telemedicine Minimum lO ConJultations
4
facilities per month lOOo/o 500 250 250
> 8oolo attend OPD every
Patients with HTN month lOOo/o 500 250 250
5 & Diabetes under
primary care 60 to 80olo attend OPD every
month 75o/o 375 150 150

Total Maximum
Incentive 3000 2000 1500
 Annexure B: Monthly performance Report for performance
Linked payment for SC

Activity Month & year:.....

Name of District:
Name of Block:

Name of Block CHC

Name of HWC-PHC
Name of HWC Sub Centre:
Total Staff Available: trANM_;tr MpW (M)_
# Assessment lndicator Achievement for Incentive claimed
month- Number (k) CHO ANWMPW
l. o
N u m be r o f P D ca e n h e mo n h
2 Pro rtion of estimated re nancte5 iJtered
3 Proportion of P regnant Women registered who
received ANC
4 Proportion of Child ren up to 2 years of age
who received immu nization
5 Proportion of High - risk pregnant women who
received follow-u care
6 Proportion of N ewborns who received
com lete HBNC visits
7 Proportion of above 30 years individuals
screened for H rtension (HTN )'"
Proportion of above 30 years individuals
l8 screened for Diabetes Melli tus (DM)"
9 Proportion of Pati ent of Hypertension (HTNJ
on treatment received co nsultation at HWC-SC
lo P ro o rt o n o f P a t I e nt o fD Mo n t r e
I
atm ent
lt. Pro rt o n o f ca t e5 re fe rred fo r T B 5 c ree n n
I

12 Notified TB patients wh o received treatment a5

r tocols
13. H N D a nd F D 5e on s h e d a a n la nned
14 viil meetin s (VHSNCs /MA5 held
15. Monthl meeti s held at SHC- HWCs
Total lncentive Amount
Total lncentiv e Amount for ANM/MPW Total incentive (b)x2
(in case there are more than 2 paramedic,
Total number of MPVANM

Name, tion and 5i ature of 5C Team

5r. No Name Designation Signature

Verified by: Approved by:

PHC Medical Officer
Medical Offcier l/C, Btock CHC
 Annexure B: Part 2- lncentive Calculation Fo rmat
# Assesiment Indicator
o/o ol Total incentive
Incentive Indicator
cHo MPW
l. Number of OPD cases in the Tribal area: 75 OP er month
7 5a/o 750
month Non-tribal area: 150 OP,honth 75
Tribal area: l5O OPlmonth I
1OO%o 1000
Non{ribal area: 200 OPlmonth r00
2 Proportion of estimated 6Oolo of th e estimated pregnancies registered in firjt
7 5o/o 750 75
pregnancies registered in first trimester
trimester 8O7o of the estimated pregnancies registered in first
l00o/o 1000 r00
trimerter
3 Proportion of Pregnant 80o/o of the pregnant women received ANC as per
7 5o/o 750 75
Women registered who schedule
received ANC l00o/o of the pregnant women received ANC as per
lOOo/o 1000 100
schedule
4 Proportion of Children up to 90olo of the children received immunization aJ per
7 5a/o 750 75
2 years of age who received schedule
immunization l OOolo of the children received immunization as per
1O0o/o 1000 100
schedule
5 Proportion of High- risk 100o/o of high-risk pregnant women who received all
Pregnant women who 100% 4 ANC and attended referral facility at least once for 1000 100
received follow-u care follow u care
6 Proportion of Newborns who 7 5o/o 80o/o of newborn received all scheduled HBNC visits 75Q 75
received complete HBNC vi5its
100% 100o/o of newborn received all scheduled HBNC viJits 1000 100
7 Proportion of above 30 years of total 30 years above population screened for
8olo
individuals Jcreened for 1000k HTN per month. Or HWC team hal already 1000 100
Hyperten5ion (HTN),' achieved annual ta
Proportion of above 30 years 8olo of total 30 years above population screened for
individuals screened for 1000k Diabetes per month. Qr HWC team has already r000 r00
Diabete5 Mellitus M achieved annual ta
9 Proportion of Patient of 7 5o/o 3070 of total di osed visited 5C-HWC 750 75
Hypertension (HTN) on
treatment received 100o/o 50olo of total diagnosed visited 5C-HWC 1000 100
consultation at HWC-5C
r0. Proportion of Patient of 7 5a/o 30olo of total dia osed visited 5C-HWC 750 75
Diabetes Mellitus (DM) on
treatment 10Oo/o 50olo of total diagnosed virited 5C-HWC 1000 100
t1 Proportion of cases referred Minimum 37o cases identified form OPD should have
100o/o 1000 r00
for TB screenin referred for screenin of TB
12 Notified TB patients who
received treatment aJ per 1000k 100o/o of patientJ on treatment 1000 100
rotocolJ
13 VHND held againrt planned MPWs and A5HAs will organize all VHND session a5
I00o/o planned&CHO should monitor at least two VHND 1000 100
in a month for PLP
14. Village meetings MPWs and ASHAs will organize all village meetings
(VH5NCs)/MAS held 100o/o as planned &CHO should monitor at least two i000 r00
meetin s in a month for PLP
15 Monthly meetings held at One meetinS held at the sHC- HUoC and should be
l)Qak 1000 r00
5HC- HWCs attended MPWs and all ASHAs