The guidelines allow states the flexibility to determine the level of ‘leave reserve’ to be sanctioned,
recommending a leave and training reserve of 15% or as per the state rule for all staff in IPHS.
The performance metrics for the medical officer and staff nurse are based on an 8-hour shift with an assumed
75% productivity and efficiency, which translates into 6 hours of working time spread over 6 days a week.
This summary provides an overview of the staffing norms at Single Doctor Smart Health Clinic s, including the
roles and responsibilities, required qualifications, and performance metrics for each staff member as per the
IPHS 2022 guidelines.