Uttar Pradesh’s ANM rationalization initiative demonstrates how e-HRMS workforce data can support more equitable deployment of frontline health workers across the public health system. Undertaken with technical support from UP TSU, the exercise identified deployment gaps, redeployed ANMs to priority sub-centres, substantially reduced vacancies, and strengthened last-mile maternal and child health service availability through data-informed human resource planning and accountability at scale.

With technical support from UP TSU, the Government of Uttar Pradesh used Manav Sampada/e-HRMS data to map ANM availability across districts and blocks, identify vacant, deficit and surplus sub-centres, and develop redeployment scenarios aligned with the norm of at least one ANM per functional sub-centre. The process prioritised rational redistribution, including redeployment from overstaffed or administrative locations to priority sub-centres, particularly those providing maternal and child health services. Draft redeployment lists were validated by district Chief Medical Officers before final orders were issued by the Directorate General of Family Welfare, with monthly review and six-month tracking mechanisms to support compliance and data accuracy.

The initiative showed the value of data-informed workforce planning. ANMs at functional sub-centres increased by 44 percent, vacant sub-centres reduced by over 90 percent, and ANMs posted at administrative offices declined by 93 percent. It also generated district-level insight into where redistribution could address vacancies and where new recruitment remained necessary.

Download PDF
SHARE:

Recent Post

Strengthening Maternal Anaemia Management in Uttar Pradesh: Introducing FCM in the Public Health System

This knowledge brief documents the rollout of Ferric Carboxymaltose (FCM) for maternal anaemia management in Uttar Pradesh. It highlights the rationale for adopting FCM and its advantages as a single-dose intravenous iron therapy for improving maternal anaemia management. The brief also outlines efforts by the Uttar Pradesh Technical Support Unit and the State Government to support standardised implementation, procurement, and scale-up across public health facilities.

Addressing Lead Toxicity in Uttar Pradesh

Lead toxicity is a preventable yet widespread public health challenge. Uttar Pradesh is among the top five states in India with a high burden of lead toxicity. This evidence brief outlines the scale of lead exposure, major sources, key system gaps, priority actions needed for prevention and a proposed strategic role that UP TSU can play in strengthening lead toxicity prevention and control in Uttar Pradesh.

PAHAL Issue 29

PAHAL Issue 29 brings together stories reflecting continued support to the Health Department and ICDS in strengthening public health services across Uttar Pradesh. It highlights key initiatives, including expanding family planning choices with MPA-SC, capacity building of Mukhya Sevikas, and milestones such as the DVDMS mobile app, eHRMS-based PIP rationalisation, and the State Task Force for SBC, alongside community-led progress in maternal and child health.