Monday January 22, 2018

India short of 500,000 Doctors, the Doctor-Patient ratio of 1:1,700 is worse than Vietnam

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.

2
//
1698
Image source: Wikimedia Commons
Republish
Reprint

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:

 

Click here for reuse options!
Copyright 2016 NewsGram

  • Kabir Chaudhary

    There are more than enough doctors graduating from medical schools in the country but they seem to run to other countries to earn cash, rather than saving and treating patients in their own country.

    • steve webster

      That is because in Canada they can often go back to school one year plus take up junior position under a doctor here in a rural area for 2 more years . After the first year they are often sending $3,000 to $4,000 per month back to their family in India to cover debt to cover education . After being in Canada 3 years they can make many times what they would in India, It very frustrating to be in country short of ambulances and supplies for the bottom third.

  • Kabir Chaudhary

    There are more than enough doctors graduating from medical schools in the country but they seem to run to other countries to earn cash, rather than saving and treating patients in their own country.

    • steve webster

      That is because in Canada they can often go back to school one year plus take up junior position under a doctor here in a rural area for 2 more years . After the first year they are often sending $3,000 to $4,000 per month back to their family in India to cover debt to cover education . After being in Canada 3 years they can make many times what they would in India, It very frustrating to be in country short of ambulances and supplies for the bottom third.

Next Story

India China’s Fight Over the Doklam Plateau Explained

Doklam or Donglang, is a disputed area between China and Bhutan located near their tri-junction with India

0
//
12
picture from- indiaopines.com

By Ruchika Verma

  • India and China have an old history of disputes
  • This time, the dispute is regarding the Dokplam Plateau
  • The area is of strategic importance for both the nations

Disputes between India and China are not at all uncommon. The rivalry between the two nations is famous. There have been several disputes between the two on the India-China border in past, and there seems to be no stopping for these disputes in the present or future, for that matter.

India and China have a n old history of repeated disputes. zeenews.india.com
India and China have an old history of repeated disputes. zeenews.india.com

In June 2017, the world witnessed yet another dispute arising between India and China. This time the dispute was about China building a road extending to Doklam Plateau, which both nations have been fighting over for years now.

Also Read: China is likely to get involved if India disrupts $46 billion China-Pakistan Economic Corridor

History of the dispute 

Doklam or Donglang (in Chinese), is a disputed area between China and Bhutan located near their tri-junction with India. India doesn’t directly claim the area but supports Bhutan’s claims on it.

India fits into the picture, as this plateau is an important area for India. Not only is Bhutan one of the biggest allies of India; China gaining access over the Doklam Plateau will also endanger India’s borders, making them vulnerable to attacks.

Dopkam plateau is an important area near India, China and Bhutan's borders.
Dopkam plateau is an important area near India, China and Bhutan’s borders.

Apart from the hostile history of the two nations, the Doklam Plateau is also important for India to maintain its control over a land corridor that connects to its remote northeastern States. China building a road through Doklam surely threatens that control.

A complete timeline of what happened in the recent Doklam Standoff 

On 16 June 2017, Chinese troops with construction vehicles and excavators began extending an existing road southward on the Doklam plateau, near India’s border. It was Bhutan which raised the alarm for India.

On 18 June 2017, India responded by sending around 270 Indian troops, with weapons and two bulldozers to evict the Chinese troops from Doklam.

On 29 June 2017, Bhutan protested against the construction of a road in the disputed territory.  According to the Bhutanese government, China attempted to extend a road in an area which is shared both Bhutan and India, along with China.

Between 30 June 2017 and 5 July 2017, China released multiple statements justifying their claim over the Doklam plateau. They cited reasons as to why the Doklam standoff wasn’t really needed. And how China has not intruded into India’s territory to incite the standoff.

On 19th July 2017, China asked India again to withdraw its troops from the Doklam. On 24th July 2017,  Chinese Foreign Minister Wang Yi, in his statement, asked India to withdraw and behave themselves to maintain peace.

India and China seem to never agree when it comes to their borders. BBC
India and China seem to never agree when it comes to their borders. BBC

Also Read: Why India Must Counter China’s High-Altitude Land Grab?

What followed till 16th August 2017 was China constantly alleging India of trying to create trouble. They accused India of trying to disturb the peace and not withdrawing the troops, even after repeated reminders. They also accused India of bullying.

India, however, kept quiet during the whole fiasco, only releasing a statement regarding their stand and position at the Doklam standoff.

On 28 August 2017, India and China finally announced that they had agreed to pull their troops back from the Doklam standoff. The withdrawal was completed on that very day.

On 7 September 2017, many media reports claimed that both nation’s troops have not left the site completely. They were still patrolling the area, simply having moved 150 meters away from their previous position.

On 9 October 2017, China announced that it is ready to maintain peace with India at the frontiers. India reacted in affirmative, the peace was established when Indian Defence Minister, Nirmala Sitharaman’s visited Nathu La.

The issue between the two nations may rise again. Pixabay
The issue between the two nations may rise again. Pixabay

The Doklam issue, for now, is resolved. However, given the history of disputes between India and China, it won’t be a surprise if the issue resurfaces again in near future.