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District cadres for paramedical workers, Orissa
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Subject Area="Human Resources." Objective="Stable posting of workforce."
Details for Reform Option "District cadres for paramedical workers, Orissa"

Background: The existing state cadres for paramedics stated that workers could be transferred anywhere in the state. These transfers often created difficulties for the workers and resulted in a reluctance to move, absenteeism and vacancies. Action: To overcome these problems the existing state cadres have been separated into district cadres. Preference is given to candidates who belong to the districts and the district authorities themselves select recruits. The posts declared as district cadres are pharmacist, staff nurse, paramedical worker, multi-purpose worker (male, female), laboratory technician and refrigerator mechanic. Results: This move has increased the availability of paramedics in difficult areas and reduced the inconvenience to workers.

Place State of Orissa, since 1998.
Time Frame Few months.

Workforce improved: Availability and attendance record of paramedics has increased. Staff friendly: Personal hardships for health workers (especially with families etc.) caused by frequent relocation have been reduced. Logistical: Districts have a better idea of specific requirements and special features of the area and are therefore better placed to organise the workforce.


None perceived.


State govt to devolve responsibility to the districts.

Who needs to be consulted

District health & family welfare agencies; departments of H&FW and general administration of the state.




Chances of Replication

Replicable if state government devolves authority to districts. Orissa has now implemented the scheme across the whole of the state.




Submitted By

Dr. Matthew Jowett, Former Programme Adviser, European CommissionTechnical Assistance Office, New Delhi. July 2002.

Status Active
Reference Files
GO No MSGN-VIIA-3-97-33953-H dated 23-09-98 (PROD No 8).doc
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