There are 74 Welfare Institutions functioning under Social Justice Department and the present staff pattern of these institutions does not provide nursing staff or care giving staff. Most of the institutions are functioning with 3 or 4 staffs and the staff pattern is one superintendent, matron, peon, cook etc. Some other institutions the staff pattern is superintendent, caretakers, deputy superintendent, clerk, cook, peon etc . The institutions like asha bhavan, old age home have staff pattern of superintendent, ayah, nurse, cook, PT doctor etc. But the number of inmates in most of these institutions exceeds their sanctioned strength and it is very difficult to manage the institutions with the limited staff.
Aswasa Kiranam Scheme envisages assisting the care givers of Physically and Mentally disabled bed-ridden patients, who are family members or relatives of the bedridden patients, as these caregivers are not in a position to take up employment for self sustenance.The scheme intends to provide a monthly assistance of Rs.525/- to care givers of all bed-ridden patients who needs a full-time care giver.The scheme came into effect from 01/01/10 and all those who have been providing care giving service to patients since 01/01/10 will be paid monthly assistance with retrospective effect. This is apart from the pension given to the patient.