9
the fulfilment of certain conditions prescribed by Government. The grant
is sanctioned by the Surgeon General with the Government of Madras, on
the recommendation of the District Medical Officer. Building grants are
sanctioned by Government for institutions run by registered medical.
practitioners provided the Surgeon General is satisfied about the necessity
of the grant. In case where the cost of the proposed work exceeds
Rs. 50,000, the Surgeon General forwards the plans and the estimates to
Government. The amount of grant is usually equal to one-half of the
total cost of the building.
Grants to Local Boards and Municipalities are maintenance grants
given as fixed grants, half grants, percentage contributions and building
grants. Half grants are equal to half the cost (initial and recurring) of
the hospital or dispensary while Government pays the entire salaries of
civil Assistant Surgeons or Sub-Assistant Surgeons. Percentage contribu
- t i o n s a r e g i v e n t o i n s t i t u t i o n s l o c a t e d a t s t a t i o n s o t h e r t h a n a t T a l u k
Headquarters. The Government contributes 22 per cent. and 10 per
cent. of pay and allowances respectively of civil Assistant Surgeons in
Local Boards, and 17½ per cent. and 5 per cent. of their pay and allowances
respectively in Municipalities in consideration of work done by those
institutions for the Government. Half grants are given to local bodies
for medical buildings if they are considered to be necessary and expedient
in the public interest.
Bombay.—Applications for grants-in-aid to old and new dispensaries
are made by or through the Collector of the district whose report,
together with that of the Civil Surgeon, is submitted to the Surgeon
General through the Commissioner concerned and the Director of Public
Health. Such grants do not exceed 1/3rd of the total expenditure or
one-half of the net cost of maintenance of the dispensary arrived at after
deducting private donations or endowments from the total expenditure.
Grants to dispensaries in municipal areas are not usually given. Non
- r e c u r r i n g g r a n t s n o t e x c e e d i n g 5 0 p e r c e n t . o f t h e t o t a l c o s t a r e g i v e n f o r
the construction of a dispensary building if its necessity is acknowledged
and the plans of the proposed work approved by Government, and the
initial supply of all necessary surgical and other instruments is made free.
The grant-in-aid to a dispensary is subject to revision after every 5 years
and is conditional on the observance of certain conditions laid down by
Government.
The Civil Surgeons concerned are responsible for the scrutiny of the
accounts of dispensaries.
Bengal .—Applications for grants-in-aid to hospitals and dispensaries
are received by Government through the District Magistrate and the Com
- m i s s i o n e r o f t h e D i v i s i o n a n d t h e m a t t e r i s c o n s i d e r e d o n t h e m e r i t o f
each case. Government grants amounting to Rs. 250 and Rs. 500 respec
- t i v e l y a r e g e n e r a l l y g i v e n t o a n u m b e r o f v i l l a g e a n d T h a n a d i s p e n s a r i e s .
United Provinces.— Grants are of two kinds—(1) conditional and (2)
unconditional. Conditional. grants are given for specific purposes and
must necessarily be expended on specific items. A grant is unconditional