No fixed Salary: Maharashtra Govt to give per-case remuneration to Specialists in Rural Areas

Pediatrician: Basic salary -Rs. 1 lakh in a grade A center (for attending a minimum of five c-section surgeries per month), Rs. 85,000 in Grade B and Rs.75,000 in a Grade C center.

Anesthetist: To be Rs. 4,000 per case, irrespective of whether the surgery is a major or minor one.

Additional Emergency Service Charges:

Gynaecologist: To be paid Rs. 4,000 for every c-section or complicated surgery, Rs.1,500 for assisted delivery and Rs. 400 for every two ultrasound investigations.

Pediatrician: To be paid Rs. 2,000 for attending to a newborn emergency.

HT reports that before that doctors were paid flat Rs 60,000 per month with no additional incentives for emergencies which made government service particularly rural posting unattractive for specialists.

Dr Sanjeev Kumar, director, National Health Mission (NHM) told hindustan Times that if specialists want to earn more, the salary slabs can be revised. “The decision to revise the rates will remain with the district level health committee. If a specialist wants higher rate, he or she can represent themselves, and the district committee in return can recommend the same to the state level executive committee of NHM. The district committee is also free to choose which hospital of the state should get postings on priority basis.”

"The bottom line is the remuneration is performance-linked. If a gynaecologist manages to perform 30-40 cesarean sections a month, he/she will easily take home a monthly package of Rs.2 lakh," he told TOI.