14,000 Health Workers Resign Together
• Grave Crisis in NHM
• Strike Surge: Contractual Workers Unite to Oppose “Stop Committee” Game
• Government’s Hardline Response and Public Health Collapse
Chhattisgarh’s National Health Mission has plunged into crisis after more than 14,000 contractual Health Workers staff resigned en masse following the dismissal of 25 strike leaders on 5th, September 2025. The government insists it has accepted several demands but warns of a strict “no work, no pay” policy and plans to recruit replacements. Opposition leaders accuse officials of betrayal, neglect, and fuelling unrest.
Strike Surge: Contractual Workers Unite to Oppose “Stop Committee” Game
On 18 August 2025, over 16,000 NHM contractual workers launched an indefinite strike to demand permanent employment, better pay scales, grade pay, and 30 days of paid leave. Their cause intensified when 25 strike leaders were dismissed. In response, 14,678 workers resigned collectively by early September, triggering an unprecedented healthcare collapse across the state.
Essential services like nutrition rehabilitation centres, school health programmes, and rural health camps have been disrupted. In tribal regions such as Bastar, clinics have been left deserted, cutting off care for children, mothers, and the elderly.
The Sprouts News Special Investigation Team (SIT) found that the agitation reflects years of pent-up frustration. Workers argue that their pleas have repeatedly been met with “stop committees” — temporary panels that produce little action. Their slogan “stop committee” has now become a rallying cry against what they view as deliberate delay tactics.
Despite facing financial insecurity, workers say the strike is about dignity and survival, not politics. Union leaders revealed that more than 160 memoranda submitted to the government over 20 months were ignored. Left without alternatives, they chose collective resignation as a last resort.
The SIT reports that the strike has unified contractual staff across districts, strengthening solidarity against precarious employment practices. For many, the fight is not just about wages but recognition as the backbone of Chhattisgarh’s public health system.
Government’s Hardline Response and Public Health Collapse
To contain the crisis, the health department formed a committee to look into demands such as grade pay, compassionate appointments, and transfer policies. Officials announced that four demands had been accepted: transparency in confidential reports, 30 days of paid emergency leave, a 27% salary hike, and ₹10 lakh cashless health insurance.
Dr. Priyanka Shukla, Director of NHM Chhattisgarh, stated: “Several demands have been fulfilled, and others are under process. But the government will also enforce a strict ‘no work, no pay’ policy. If employees persist in their strike, their resignations will be accepted, and new staff recruited.”
Health Secretary Amit Kataria reinforced this stance, warning that replacements would be hired if resignations stand. This uncompromising approach has deepened resentment. Workers argue that recruiting thousands of new staff would take months, leaving rural healthcare paralysed in the meantime.
The Sprouts News SIT confirms that rural health services are already on the brink. Immunisation drives have been halted, maternal health services interrupted, and malnutrition centres shuttered. Doctors in affected districts warn of a surge in preventable deaths if services are not restored quickly.
Opposition leaders seized the moment to criticise the ruling BJP. Congress state president Deepak Baij accused the government of fuelling unrest and reneging on its 2023 poll promise to regularise NHM workers. He condemned the lathi charges on protesters and called on the government to deliver real reforms rather than hide behind committees.
Public Health at Risk and Lessons for India
The strike underscores the vulnerability of India’s health infrastructure, which depends heavily on contractual labour. With their withdrawal, services collapsed almost overnight. Labour experts interviewed by the SIT warn that the state’s willingness to accept resignations and hire replacements sets a dangerous precedent. It signals that contractual staff can be discarded rather than engaged in dialogue, potentially undermining worker rights across India.
The crisis also highlights the politics of blame between Centre and state. As NHM is a centrally sponsored scheme, state officials have cited central guidelines while failing to act on their own electoral commitments. Critics argue that this “passing the buck” narrative has prolonged the stalemate and eroded trust.
Analysts stress that the only sustainable solution is a structural reform that includes:
•Clear pathways to regularisation.
•Minimum rights and protections for contractual staff.
•Independent monitoring of government promises.
•A grievance redressal mechanism to prevent such escalations.
The Road Ahead
The strike has already become one of the largest labour protests in Chhattisgarh’s healthcare history. Workers remain defiant, refusing to return without concrete action. The government’s stance suggests a prolonged impasse, which could lead to deeper public health consequences.
Villagers are paying the immediate price, with halted immunisation, lack of maternal care, and broken nutrition support. Health activists warn that unless talks resume soon, the damage to public health could be long-lasting.
The Sprouts News SIT will continue monitoring developments in this crisis. The outcome will not only determine the fate of over 14,000 NHM workers but also set a precedent for how contractual labour is treated in India’s essential services.
