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HEALTH CARE
PROFESSIONALS ININDIA
Presented by:Aarti RauAmeer
AkbarSneha
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HEALTH CARE
PROFESSIONALS
A health care provider or health professional isan organization or person who delivers properhealth care in a systematic way professionally toany individual in need of health care services.
Source: Wikipedia
.
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HEALTH CARE PROFESSIONALS
A doctor must work
eighteen hours a day
and seven days a week.If you cannot console
yourself to this, get out
of the profession.
~Martin H. Fischer
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RESPONSIBILITIES
Practicing the profession with honesty,
integrity, and accountability .
Seeking the trust and confidence of allcustomers
Supporting the Standards ofPractice for
Healthcare Quality Professionals
Aiding the professional development and
advancement of colleagues
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FOCUS POINTS
Where does India stand in terms of availability of
doctors and nurses vis--vis other countries?
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SUFFICIENT DOCTORS
AND NURSES
DEMAND FACTORS
eg:
demographic, epidemio-logical factors
SUPPLYFACTORS
eg: labour market
trends, funds to pay
salaries
PRODUCTIVITYeg:
Technology, finan
cial
incentives, Staff
mix
PRIORTYeg :
prevention, treatment
and rehabilitation
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2001 2006 2011P 2016P
No. of
ALLOPATHICdoctors
577094 680384 795844 940845
No. ofAYUSH
DOCTORS
6888502 730860 795860 860860
TOTALNOOF
DOCTORS
1265896 1411244 1591704 1801708
POPULATION(IN
BN)
1.03 1.11 1.19 1.27
ALLOPATHIC
DOCTORS(POPLT
N IN000)
0.56 0.61 .67 0.75
AYUSH
DOCTORS000
POPULATION
0.67 0.66 0.67 0.68
TOTAL
DOCTORS000
POPULATIONS
1.23 1.27 1.33 1.42
RATIO OF DOCTORS TO POPULATION:
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ALLOPATHIC DOCTORS 000 POPULATION
IN INDIA
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
1,400,000
2001 2006 2011P 2016P
population('000)
no.of physicians0.56
0.61
0.67
0.74
0.45
0.45
0.50
0.55
0.65
0.70
0.75
0.80
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INTERPRETATION:
Ratio of allopathic doctors per thousand
population in India is 0.60 (2006). Against world
average of 1.5.
Considering the AYUSH doctors, the ratio of total
doctors has improved to 1.27 in 2006. This ratio
is expected to further improve over the medium
to-long-term at a rate of CAGR of 3.3 over the
next 10 years.
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RURAL HEALTH CARE
Doctors inadequate in Primary Healthcare
Centres and Community Healthcare Centers.
Despite 229 medical colleges with an annual
admission capacity of 25,600, nearly 700
primary health centers are without a doctor.
Factors:
y Lack of basic amenities.
(both monetary and non-monetary).
Source: (Rural Health Statistics 2005).
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Are there
disparities
in the
availability
of doctors
across the
states?
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STRIKING CONTRASTS
Delhi 30098 15569 1.93
Goa 2469 1450 1.70
Karnataka 68988 55597 1.24Andhra Pradesh 34761 79852 0.44
Uttar Pradesh 47873 19824 0.27
Chhattisgarh 470 22251 0.02
Jharkhand 553 28846 0.02
India 660801 1095722 0.60
states Allopathic docs Population(000) Allopathic
docs (000
population)
SOURCE: Ministry ofHealth and Family Welfare, MCI, Census andCRISILResearch, 2005
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Doctor-to-population ratio above world average
in DELHI (1.93) and GOA(1.70).
UP (0.27) Vs KARNATAKA (1.24)- an
upsetting scenario.
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Overthemedium -to -
long term wouldthere be
adequate nursesin India?
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AVAILABILITY OF NURSES IN INDIA
Shortage of nurses a global problem
y Steep population growth, resulting in growing need for
healthcare services
y Drying up pipeline of students in nursing.
y An ageing existent nursing workforce.
Migration of nurses a challenge for developingcountries like India.
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INDIAS NURSE-PER-BED RATIO BELOW
WORLD AVERAGE
The nurses-per-bed ratio in India is 0.87 as
against the world average of 1.2.
At least 1.3 nurses per bed needed in tertiarycare hospitals and 0.8 nurses per bed needed in
secondary care hospitals to deliver quality care
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NURSES PER BED RATIO IN INDIA
0
200,000
400,000
600,000
800,000
1,000,000
1,200,0001,400,000
1,600,000
1,800,000
2,000,000
2001 2006 2011P 2016P
No.of beds
no.of nurses
1.371.40
1.29
1.0
1.1
1.2
1.3
1.5
0.0
1.15
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SHORTAGE OF NURSES IN FUTURE
1. Factors for shortage of nurses
relatively low salaries
poor working conditions
long working hours etc.
2. Asignificant number of nurses go abroadeach year for better salaries offered
outside India, better working conditions
etc.
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IMPACT OF LACK IN HEALTH
PROFESSIONALS
substantial impacts on emergency preparedness
quality of care
patient safety
access to needed health care services especially for
vulnerable populations.
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Specific Objectives:
To study the trend in migration of health care
professionals from India since 1990.
To understand the reasons for migration ofhealth care professionals from India.
To analyze the implications of international
policies associated with migration.
To explore the implications for migration on
health service system in India.
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FINDINGS
India one of the major source of physicians andnursing professionals for US, UK and Canada.
India trained doctors account for 18.3 percent of
the total foreign physician workforce in UK in
year 2001.(OECD 2006). India is the second largest sources of foreign
nurses.
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POLICY RECOMMENDATION:
Ensure quality of training and need based
courses.
Ethical recruitment practices.
Incentives for return and ensure the use
of skill by the returned migrants.
Provide opportunities for professional
improvements and higher studies-promotion.
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Improve status, recognition-awards for better
performance.
On the job training abroad-bilateral agreements.
Compulsory public service a necessary condition
for migration.
Incentives for rural area service.
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CONCLUSION.
Make stringent migration laws Promote Telemedicine
Provide for better opportunities
Incentives
Appraisals Basic amenities
o Promote infrastructure(rural and urban)
o Increase funds for medical and nursing education.
o Encourage public private partnership andinvestment in setting up nursing education.
o Develop high regards for nursing profession
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