The Changing Face Of Rural Health Care In India

THE UNION Health Minister, Gulam Nabi Azad has announced a series of measures to improve rural health care facilities

. Shortage of doctors willing to work in rural areas and shortage of hospitals are two main problems affecting the proper implementation of National Rural Health Mission. Most Primary Health Centers (PHC)s are under staffed.

In order to address this serious lacuna several measures have been initiated by the government.

1.Private Medical Colleges and Hospitals are being encouraged. Rules for setting up Medical colleges have been amended under MCI. Government has sanctioned opening of 19 Institutions on par with AIMS and 250 Nursing Colleges. The latter move will provide an output of 20000 nurses in forthcoming years. Of the 300 medical colleges in the country, 150 colleges are in the private sector, with 80-85 per cent of the colleges located in south India, mainly in Karnataka, Andhra Pradesh, Maharashtra, Tamil Nadu and Kerala. To offset this imbalance of heavy growth in southern and western side, medical colleges in hilly regions will be given additional incentives. Now it would be enough to have 20 acres of land instead of 25 cares to start a medical college in hilly areas.

2.A new Cadre of doctors, especially to serve only in rural areas has been proposed. There will be a four-year-first-level degree in medicine. Three years of Education and one year of Internship is planned. Syllabus has been framed and State governments have to take action. This cadre will be lower in status than regular MBBS and those who qualify will have to stick to rural areas only.

3.To encourage MBBS doctors to work in rural areas, some additional grace marks will be given in the National (Medical) Entrance Examination for PG courses in Medicine. Grace marks vary from 10% to 30% depending upon the number of years (1 to 3) the doctor serves in rural areas. If a doctor fails to get a seat in PG diploma even with this grace marks, then he can be considered for admission under 50% reservation of seats for those who have rural practicing experience.

While I welcome above measures, the last one makes me a little skeptical. Does this mean that low quality doctors are OK for rural masses? For instance, let us assume that a doctor is asked in the entrance examination the following question:

Where is kidney located?

a) In the head

b) In the feet

c) In the abdomen

d) Near the heart

If he answers anything other than C then he is doubly at fault Not knowing where kidneys are located and not knowing various parts of abdomen. By giving grace marks and pushing him up to do PG in medicine is atrocious to think of. Quality should not be sacrificed at any cost. Opening more colleges and creating more seats is fine.

by: Merinews

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