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Wednesday, April 12, 2006

India Intelligence Report

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3 PHC workers for every 10,000

 

A recent World Wealth Organization (WHO) study revealed that India had only 3 Primary Health Care (PHC) workers for every 10,000 of its population, which also predicted a worldwide shortage of 4.3 million workers. The WHO called on all countries to invest more in healthcare saying that the success of the program depends on improving the knowledge, skills, motivation, and availability of human resources.

The United States and Canada have 1/3 of the global 59 million health care workers, while sub-Saharan Africa has 4%, and South-East Asia 12%. While the global target is 62 health care workers per 10,000 people, the world average is only 29. India with a large population has only 3 per 10,000 while Maldives has 25.

WHO said that the major sources of concern was the urban-rural imbalance in unfilled positions—while urban areas had up to 95% filled, rural areas was only at 80%. For India, Sri Lanka, Bangladesh, and Nepal the major concern was the migration of skilled labor abroad. Of the health care workers who travel abroad from Sri Lanka, 25% do not return. 

 

Further, while number of health care is a serious concern, the quality of such workers in an environment where there are no strong and enforceable laws on malpractice control or recertification. With high reservation in India, the quality of doctors that are being churned out is often unknown. There is no clear and national certification process that can be monitored, controlled, or communicated. There is no process to control, manage, and quantify malpractice. Worse, when malpractice is discovered, there are no mechanisms to prevent the recurrence.

The Health Ministry should be working on these issues instead of politically convenient bans on smoking in cinemas  or chasing wild accusations about the presence of human bones in Ayurvedic drugs.



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