Schemes for Tribal Affected Areas
Schemes for Tribal Affected Areas
FY – 2024-25 Approved PIP
Introduction
Maharashtra has 16 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, few schemes for these difficult areas has been started.
- Hardship Allowances.
- Co-ordination cell at District Hospitals.
- Mobile Medical Units in Gadchiroli District.
- Floating Dispensary & Floating Ambulance in Nandurbar District.
- Medical & Dental Camp.
- CME for Tribal Medical Officer.
Hardship Allowances
- Hardship Allowance introduced in the year 2009-10 to motivate the MOs, specialist and Health workers working in difficult areas (Very remote and Naxalite areas) of the state which are often affected by leftist extremism.
- This scheme has been introduced in 11 out of 16 tribal districts of Maharashtra. These Districts are Amravati, Chandrapur, Dhule, Gadchiroli, Gondia, Nanded, Nandurbar, Nashik, Thane, Palghar, and Yavatmal.
- Hardship Allowance is applicable to the ANM, Staff Nurse, Medical officers (MBBS & BAMS) and the Specialist working at extremely interior and difficult areas & getting salaries from treasury funds .Monthly allowance to these officers
| A.No. | Category | Monthly Payments |
|---|---|---|
| 1 | A.N.M. | 10,000/- |
| 2 | Staff Nurse / L.H.V. | 15,000/- |
| 3 | Medical Officer (BAMS) | Group – A 35,000/- |
| 4 | Group – B 25,000/- | |
| 5 | Medical Officer (MBBS) | 35,000/- |
| 5 | Specialist (Bhisha, Paediatrician, Surgeon, Gynaecologist and Obstetrician) | 50,000/- |
Co-ordination cell at District Hospitals
Health Institutions (SCs, PHCs, and CHCs etc.) have to refer patients to District Hospitals in emergency. Majority of the District Hospitals are 300 bedded and above. These Hospitals have Different Sections for Registration, Laboratory checkup, X-ray medicines etc. Tribal Patients do not understand the language and there is delay in getting all the formalities done. Because of such environment Patients are not willing to stay in hospitals and many of the times insists for discharge even if the condition of the patient is critical.
Considering such situation we started co-ordination cell from the year 2009- 2010 at Amravati, Gadchiroli, Nasik, Thane, Nandurbar, and Nagpur. Patient’s health Condition required treatment and expected time of arrival is communicated. One cell member takes the responsibility and informs the casualty MO to concerned Specialists. When Patient arrives a coordinator of cell accompanied the patient till emergency from registration to laboratory and report collection. After emergency also the patients are asked to contact the cell in case of any difficulty in the hospital during the stay in the hospital. A cell member visits the patient twice in a day for any difficulty. Transport arrangement is also made if required after discharge.
Mobile Medical Units at Gadchiroli Districts
Gadchiroli district is completely LEA area and length of the district is about 350 KM. Except for DH Gadchiroli and SDH Aheri, there is no availability of dentist, pathology unit or the Ophthalmological unit. Considering this, six mobile units have been supplied under IAP to Gadchiroli district. The mobile medical unit has been operational since 2011 -12 at Gadchiroli district.
Details of the mobile units are as mentioned below:
- Mobile Dental Units (2)
- Mobile Ophthalmic Units (2)
- Mobile Pathology Units (2)
Floating Ambulance in Nandurbar District
About 50 villages of Nandurbar district are completely isolated due to Backwaters of Sardar Sarovar. These villages have mountain on one side and back water on other side. Government of Maharashtra is providing health services to theses villages by floating dispensaries. These dispensaries visit all the villages on fixed days and provide medical services. Only the post of Medical Officer and Driver are approved by Government. These dispensaries are providing good services, however, in case of emergency particularly in case of delivery or critically sick child, they have to discontinue the service and take the patient back to Health Facility for treatment. This leads to major disruption of services to remaining villages and irregularity in service provision.
Distance between floating dispensary and bank of river changes every time and patients need to travel in water to reach dispensary. This becomes very difficult for the patients particularly the pregnant women. In addition there is no
place for patients to wait till the Floating dispensary approaches the villages. Considering the above condition, it is provided to provide additional essential staff and space to (2) Floating Dispensary and (3) Floating Ambulances to this areas so that these ambulances can be called to shift pregnant women, critically ill neonates and other sick persons. Floating dispensary has been operational since the year 2014 -15 and floating ambulance was starting from the year 2016 -17 (operational since February 2017) to provide services to this difficult areas.
Operational area of Floating Ambulances:
Floating 1 Ambulance: – Akallkuwa Taluka From Manibeli Village to Mukhadi Floating Dispensary Service’s available in Akallkuwa Taluka consisting of 8 villages.
Floating 2 Ambulance- Dhadgaon Taluka
Specialists Medical and Dental Camps.
The Medical & Dental Camps are organized in tribal areas of the state with the help of Specialists from Government and Private Medical Colleges. The Services of the Specialists like General Medicine, Surgery, Pediatrics, obstetrics& Gynecology, ENT, Orthopedic, Skin & V.D, Anesthesia& Dental facilities are provided in the camps. The program has been organizing since 2015 -16 and there are 69 camps are approved in the pip for the financial year 2021-22. The patients identified by Medical Officers in Primary Health Centre & Rural Hospital are referred in the camps. These patients are in need of specialist’s services and surgeries which are not routinely done in PHC and RH and there are to be performed in the camps. The patients referred from RBSK program & Sickle Cell Program, Malnourished Children, females with Gynecological problems and Pregnant Mothers with BOH, are examined by specialists and treated & given proper advice. Camp is normally organize for four days, first day for OPD Screening, Second & Third day for Surgeries & on Fourth day Post-operative follow up is provided. Wide publicity of camps is made through Public Health Department. Camps schedule is intimated in advance to all Health Care providers.
Beneficiary:
Citizen
Benefits:
As above
How To Apply
online