CHO Salary 2026: State-Wise NHM Pay & Incentive Structure

1. Overview of CHO (Community Health Officer) Salaries

A **Community Health Officer** (CHO) under the National Health Mission (NHM) earns a starting monthly gross salary of **₹35,000 to ₹40,000 per month** (comprising a fixed basic pay of **₹20,000 to ₹25,000** and a Performance-Based Incentive (PBI) of up to **₹15,000**), resulting in an in-hand take-home salary of **₹31,500 to ₹38,000** after standard EPF deductions.

Recruited on a contract basis under NHM state societies, CHOs act as clinical managers at Ayushman Arogya Mandirs (Health and Wellness Centers - HWCs). They lead healthcare delivery in rural circles, coordinating maternal health checks, child immunization programs, and non-communicable disease (NCD) screenings.

To calculate how standard deduction plans or professional taxes impact contract health officer earnings, you can experiment on our In-Hand Salary Calculator to adjust your basic figures.

2. Slabs & Slices: State-Wise NHM CHO Pay Scales

While the NHM provides broad guidelines, individual state health departments establish their own basic pay limits and incentive criteria:

• Uttar Pradesh (UP CHO): Fixed remuneration is set at ₹20,500 per month + up to ₹15,000 in monthly PBI, which results in a gross salary of **₹35,500** per month.
• Madhya Pradesh (MP CHO): Basic monthly remuneration is ₹25,000 + up to ₹15,000 PBI, bringing the monthly gross pay to **₹40,000** (active across Bhopal and Indore healthcare circles).
• Chhattisgarh (CG CHO): Starting monthly basic pay is ₹20,000 + up to ₹15,000 in incentives, yielding a gross package of **₹35,000** per month.
• Odisha CHO: Fixed monthly pay is ₹20,000 + up to ₹15,000 PBI, leading to a monthly gross package of **₹35,000**.

3. The 6-Month CCHN Training Slabs: Stipend and Bond Details

Before joining their regular posting circles, CHO candidates must clear the Certificate in Community Health for Nurses (CCHN) training. This bridge program equips GNM or B.Sc Nursing graduates with public health skills:

• Training Stipend: Candidates receive a monthly stipend of **₹10,000 to ₹15,000** to cover food and lodging during the program.
• Surety Bond: Candidates must sign a surety bond (typically ₹1.5 Lakhs to ₹2.5 Lakhs) committing to serve at least 3 years at the allocated health center.

4. Performance-Based Incentives (PBI): KPI Breakdowns

The incentive component is tied directly to 15 Key Performance Indicators (KPIs) set by the ministry. These metrics ensure active public health delivery:
- Immunization coverage (measles, BCG, and booster delivery status).
- Percentage of pregnant women registered for early ANC checks.
- Monthly reports submitted through the HWC-portal.
- NCD screening target completion (diabetes and hypertension checks).
- Teleconsultation sessions conducted via the e-Sanjeevani portal.

5. CHO Salary After 5 Years and 10 Years

Since CHO positions are contractual, they do not receive regular 7th CPC central matrix level upgrades. However, they receive regular appraisals:

• After 5 Years: Contract renewals bring a cumulative basic pay increase. In MP, the basic pay can rise to ₹28,000, leading to a monthly package of **₹43,000** (with PBI).
• After 10 Years: Senior CHOs or Public Health Managers can earn a monthly package of **₹50,000 to ₹60,000** (with incentives), depending on state guidelines.

6. Statutory Deductions on the Pay Slip

The monthly pay slip lists standard statutory deductions:
- **Employee Provident Fund (EPF):** Deducted at **12%** of basic pay (approx ₹2,400 to ₹3,000 per month).
- **Professional Tax (PT):** Flat deduction of **₹200** per month in states where professional tax is levied.
- **TDS:** Deducted if the total annual taxable income exceeds the tax slabs under the new or old tax regime.