Across India, employees working under the National Health Mission (NHM) and National Ayush Mission (NAM) have been voicing growing frustration over delayed salaries, uncertain contracts, and lack of clarity about their future. What began as scattered protests has now become a wider reflection of the challenges faced by thousands of contractual health workers who form the backbone of public healthcare delivery.
In Kerala, the government’s decision to tighten norms for contract renewal has created anxiety among NHM and NAM staff. The new rules mean stricter evaluation and less job stability, raising questions about how these changes might affect continuity in health services.
Elsewhere, in Gurgaon, NHM employees gathered outside the civil surgeon’s office demanding regular salary payments and clearance of pending allowances. Workers said delays have persisted for nearly two years, forcing them into financial hardship. Similar complaints have surfaced in Bandipora, where over 50
NHM employees have reportedly gone without pay for four months.
In Punjab, long-serving contractual health workers under NHM have been protesting since mid August, seeking job regularisation and timely pay. The state government has agreed to meet union representatives, but employees remain uncertain about outcomes.
In Tripura, NHM workers have formed a new district committee to collectively address welfare and rights issues, signalling a move towards more organised representation.
Beyond pay disputes, NHM employees in Kishtwar, Kashmir, recently held a candle march to express solidarity with a bereaved family, showing that their engagement extends beyond workplace concerns to community issues.
Together, these developments highlight a common theme: India’s public health workforce is under strain. Delayed payments, short contracts, and limited recognition are eroding morale.

