Never miss a story

Get subscribed to our newsletter


×
Image source: Wikimedia Commons

New Delhi, September 1, 2016: Needless to say that, Health-Management failure is prone in India. The depth of this fact can be measured only if we go through with these examples.

In Odisha, a man slung his wife’s body over his shoulder and carried it 10 km after being denied an ambulance on August 24, 2016.


In Kanpur, a man’s sick son died on his shoulder after being denied admission to a hospital on August 29, 2016.

Such cases become visible when they get social media and television attention, but millions cannot access India’s overburdened hospitals and inadequate medical facilities, a crisis illustrated by the fact that India is short of nearly 500,000 doctors, based on the World Health Organization(WHO) norm of 1:1,000 population, according to an IndiaSpend analysis of government data.

With more than 740,000 active doctors at the end of 2014 — a claimed doctor-patient population ratio of 1:1,674, worse than Vietnam, Algeria and Pakistan — the doctor shortage was one of the health-management failures cited by the report of a parliamentary committee on health and family welfare, which presented its findings on March 8, 2016.

Illegal capitation fees in private medical colleges, a health-services inequality between urban and rural India and a disconnect between the public-health and medical-education systems were among the issues the committee investigated while probing the Medical Council of India, the 82-year-old organisation responsible for medical-education standards.

Follow NewsGram on Twitter

Up to 55 percent of India’s 55,000 doctors graduate every year from private colleges, many of which charge illegal donations, or “capitation fees”; in Tamil Nadu, it now costs a medical student from such a college Rs 2 crore to get an MBBS degree, the Times Of India reported on August 26, 2016.

The imbalances begin with access to medical education.

States with nearly half the population have only a fifth of MBBS seats

“Six states, which represent 31 percent of India’s population, have 58 per cent MBBS seats; on the other hand, eight states, which comprise 46 percent of India’s population, have only 21 per cent MBBS seats,” said an unnamed expert who deposed before the parliamentary committee.

These medical-education imbalances reflect larger public-healthcare issues. In general, poverty is correlated with the lack of healthcare. For instance, among states with the highest proportion of undernourished children, Jharkhand and Chhattisgarh have the worst infrastructure for institutional deliveries.

India’s poorer states have health indicators that are worse than many nations poorer than them, and India’s healthcare spending is the lowest among BRICS (Brazil, Russia, India, China, South Africa) nations, as are its health indicators.

Every year, 55,000 doctors complete their MBBS and 25,000 post-graduation nationwide, said another unnamed expert. At this rate of growth, he told the committee, India should have a doctor (allopathic) for every 1,250 people for a population of 1.3 billion by 2020, and one for every 1,075 by 2022 (population: 1.36 billion).

“However, the committee has been informed? that doctors cannot be produced overnight, and if we add 100 medical colleges every year for the next five years, only by the year 2029 will the country have an adequate number of doctors,” the second expert said.

The shortage of doctors, the report said, is despite the increase in medical colleges, from 23 in 1947 to 398 at the end of 2014. India, the report noted, has more medical colleges than any country, and 49,930 admissions were available in 2014.

Follow NewsGram on Facebook

“An expert who appeared before the committee submitted that India was very very short of doctors and to meet this shortfall, India needs to have not four hundred, but one thousand medical colleges,” the report said.

The central government has approved 22 medical colleges with 1,765 seats in the last two years, according to an e-book published by the Ministry of Health and Family Welfare.

The NITI Aayog, the government’s think-tank, has prepared the draft National Education Commission Bill, 2016, to reassess India’s healthcare and medical-education infrastructure.

While 11 new All IndiaInstitutes of Medical Sciences (AIIMS) have been added with 1,100 seats, the government has proposed an additional 4,700 MBBS seats.

As many as 5,540 MBBS seats and 1,004 PG seats have been added in the last two academic sessions, the e-book said.

Medical-education shortages manifest themselves in under-staffed public-health services nationwide: There is an 83 percent shortage of specialist medical professionals in community health centres (CHCs), as IndiaSpend reported in September 2015.

Public-health centres across India’s rural areas — 25,308 in 29 states and seven union territories — are short of more than 3,000 doctors, the scarcity rising 200 per cent (or tripling) over 10 years, IndiaSpend reported in February 2016.

The committee was, thus, sceptical of the government’s claims of the doctor-population ratio.

“Given the fact that the Indian Medical Register is not a live database and contains names of doctors who may have passed away or retired from active practice, by now, as well as those with a permanent address outside India and that there is no mechanism in place for filtering out such cases, the Committee is highly sceptical of the ministry’s claim of having one doctor per 1,674 population,” the parliamentary report said. “In view of the above, the Committee feels that the total universe of doctors in India is much smaller than the official figure, and we may have one doctor per 2,000 population, if not more.” (IANS)

ALSO READ:


Popular

getty pictures

Divorce proceedings

Divorce is a hard fact in someone's life because it can affect all aspects of life like social, economic, and living status. Conditions become tougher if you have children. Recovering from divorce is also a painful process but good thing is that it is possible to get through it and place better in terms of both finances and emotions. The impact of divorce on finances can be life-lasting but taking precautions and thorough investigations of options can help a lot not only to save unnecessary costs but also some other hidden areas where you weren't aware. Following are some tips to save money during a divorce.

1.Avoid advice from everyone

Keep Reading Show less
ryunosuke kikuno/unsplash

Hosting the Olympics is an economic burden on host cities which mainly include construction delays, cost overruns, security issues, and environmental concerns.

By Saish

Gone are those days when people, sports enthusiasts, and governments lined up to host the Olympics. Hosting the Olympics, once seemed to be an immensely prideful event, but it has now transformed into an economic burden. Host cities grapple with a plethora of problems which mainly include construction delays, cost overruns, security issues, and environmental concerns.

Keep Reading Show less
ians

Tokyo Olympics 2020 Indian wrestler Ravi Kumar enter semi finals.

Indian wrestler Ravi Kumar (57kg) and Deepak Punia (86kg) enjoyed fruitful outings at the Tokyo Olympic Games as they secured semifinal berths in their respective weight categories at the Makuhari Messe on Wednesday.

On the opening day of the wrestling competition, Ravi Kumar defeated Bulgaria's Georgi Vangelov 14-4 on technical superiority to reach the last-four in the men's 57kg category, while compatriot Deepak Punia overcame China's Zushen Lin 6-3 on points to advance to the semifinals.

Ravi Kumar will take on Nurislam Sanayev of Kazakhstan in the last-four, while Punia will be up against David Morris Taylor of the USA.

Earlier, Ravi Kumar had won his opening-round bout by technical superiority against Colombia's Oscar Tigreros to secure a quarterfinal spot. Competing in the Round-of-16 bout against the Colombian wrestler, the 23-year-old Ravi Kumar, who is making his Olympic debut, showed no nerves as he dominated the bout to win by technical superiority (13-2).

Ravi Kumar landed attack after attack and went 13-2 up, winning the bout by technical superiority with minutes to spare. In wrestling, building up a 10-point lead over the opponent results in a victory by technical superiority.

India's 86kg freestyle wrestler Deepak Punia showed no signs of the niggle that had forced him to pull out of the Poland Open Ranking Series in Warsaw in June, as he defeated Nigeria's Ekerekeme Agiomor on technical superiority to secure a quarterfinal berth.

He got his Olympic campaign to a fine start as he was in control from the start of the bout and hardly ever allowed his Nigerian opponent any room to maneuver his moves, finally winning with a 12-1 on technical superiority.

Punia, who had also suffered an elbow injury just before the Games, was slow at the start but came into his own as the bout progressed, inflicting takedowns at regular intervals to earn points.

The Indian wrestler eased into a 4-1 lead at the break and extended his lead comfortably in the second period.

Punia, the silver medallist from the 2019 world wrestling championships, then set up a clash with China's Lin Zushen in the quarterfinals and defeated him 6-3.

(IANS/HP)