21st January, 2019

Maharashtra offers up to Rs 2 lakh per month for rural medical service

Under a new scheme, Maharashtra is encouraging its doctors to take up more work in remote areas. The state government has launched a scheme that would pay additional amount to the medical practitioners for attending each rural case, besides their regular base salary.

The public health department in Maharashtra is facing a severe shortage of specialists. It aims to hire 500 doctors and is inviting gynaecologists, paediatricians and anaesthetists for recruitment in about 65 centres across 15 districts --which includes rural, sub-district and district hospitals.

Duties of additional doctors

The hired doctors would need to run outpatient clinics, take ward rounds and be available for emergency calls during duty hours on six days a week.

Attending emergency services is left to the discretion of the doctors.

Rural service mandatory

The scheme is not a part of the mandatory rural service that every graduating doctor has to make.

Additional payment

It is reported that a gynaecologist or a paediatrician will be able to earn close to ₹2 lakh in a month.

Three graded services

The additional payments will be paid in proportion to the remoteness and difficulty in delivering services. The scheme has been divided into three grades (A, B and C).

  • A gynaecologist joining grade A centre will be given a base salary of ₹70,000 while those joining grade B and C centres would be paid ₹60,000 and ₹50,000 respectively.
  • A Paediatrician will be remunerated with base salaries of ₹1 lakh, ₹85,000 and ₹75,000 for grade A, B and C respectively.
  • An anaesthetist would be able to earn ₹4,000 per case irrespective of the nature of surgery.

In addition to this, the state has also assigned varying amounts for offering critical medical service. A gynaecologist will be entitled to ₹4,000 for every C-section or complicated surgery, ₹1,500 for assisted delivery and ₹400 for every two ultrasound investigations. A paediatrician will be paid an amount of ₹2,000 for attending to a newborn emergency.

Scheme valid for rural and tribal region

The particular requirement in the state is identified in tribal regions. While the overall vacancy of specialists stands at 40 per cent, the condition in crucial department like anaesthesiology is quite depressing.

Areas like Hingoli, Nandurbar, Jalgaon, Amravati, Yavatmal, Dhule, Kolhapur, Solapur, Sangli, Satara, Thane and Palghar have been identified under the scheme.

No occupancy

Out of 7,232 posts sanctioned by public health department, nearly 1,200 lie vacant. Despite the availability of basic health infrastructure, most doctors remain disinclined to work.m