Pay special incentives to specialists serving tribal and remote districts

Gujarat's approved NHM RoP for 2024–25 and 2025–26 includes an ongoing hardship-allowance activity for specialists posted at identified hard-to-reach facilities, subject to the state defining the areas and posting/performance criteria. It also supports specialist services in hard-to-reach areas through Mamta Sandarbh. These are relevant monetary mechanisms, so equivalent NHM support is credited. However, the RoP is a spending authorisation rather than a payroll ledger. The reviewed records do not show which specialists in tribal-dominated and remote districts actually received the special allowance, the amount paid or coverage. Implementation is partly documented, but payment delivery remains unverified.