February 2026 Income difference between family health workers and their public counterparts as of 20 lasted a thousand liras. Due to increasing workload and deepening income inequality, the system “backbone” Nurses and midwives who are employed are resigning and leaving the system.
Income Inequality Deepens
Family health workers who once worked under similar conditions as their colleagues in the public sector, facing a serious economic loss today. 2026 According to February data, salaries in the 50-60 thousand lira range, compared to public personnel with similar responsibilities up to a minimum wage (approximately 20 thousand TL) left behind. ### From Vaccine to Documents: Responsibility Increases, Provision is Decreasing Baby and child monitoring, vaccination studies, workers who shoulder the cornerstones of public health, such as pregnancy monitoring and chronic disease registries, is overwhelmed with paperwork not only in the field but also in the digital world. experts, “formalities have replaced primary healthcare services.” stating, He points out that stagnation in personal rights destroys motivation.
“Many Family Physicians Are Alone Now” This huge difference in wages, made family health centers no longer centers of attraction. Due to staff shortages, many family physicians are now trying to provide services without the support of a nurse or midwife.. this situation, directly threatens the sustainability of preventive health services.
Lack of Social Support Mechanisms
Industry representatives, The system is not just salary, He also emphasizes that it is weak in terms of fringe benefits.. As it is known, Unlike institutions such as Polsan or OYAK Lack of a social aid or solidarity fund within the Ministry of Health, leaves employees completely defenseless in the face of economic difficulties.
The Future of the System is in Danger
increased workload, endless bureaucracy and unrewarded efforts, from the system “mass escape” triggered. If no urgent improvement is made in personnel rights and salary balance, There are concerns that the family medicine system will be completely blocked.
