health workforce in india
DESCRIPTION
Data on Health workforce in India.TRANSCRIPT
HEALTH WORKFORCE IN INDIA
SUBMITED BY-Dr.rajat patel
SUBMITED TO-DR. A. K. JAINMBBS,MBA(HA)L.L.B., PHD
OBJECTIVES:
• To show the big picture of human resource in health of India;
• To understand the different health workforce existing in India ;
• To assess the extent of imbalances in the distribution of the density of health workforce within India and with different countries;
• To assess the contribution of health workforce in influencing the health status of the population;
WHO ARE HEALTH WORKERS?
“The stock of all individuals engaged in the promotion, protection or improvement of population health” are Health workers.
This includes both private and public sectors and different domains of health systems, such as
personal curative and preventive care, non-personal public health interventions, disease prevention, management and support services, health promotion services, research..
“ Human resources actually engaged in the health system can be referred to as the health system workforce or health workforce”
THE BIG PICTURE OF HUMAN RESOURCES IN HEALTH
In the post independent period, India witnessed rapid strides in professionalization of medicine, popularly known as •Allopathy•Dentistry•Ayurveda, Unani, Siddha and Homeopathic medicine (AYUSH)•Nurses and Paramedical Staffs•Non formal workers
1. ALLOPATHIC DOCTORS
There were allopathic medical practitioners practicing in the different states in India and registered with the different State Councils. 662646 Source: Medical Council of India,2006.
Alongside, as on 31st Dec 2006, Dental surgeons were registered with different State Dental Councils. 72496Source: Medical Council of India,2006.
Registered Allopathic
doctors
48649@
16800
35976
654
28525
2550*
40230
1406*
256
9222
71909
34577
30430
100428
15573
36100
24777
75415
49527
54513
682646
•* Incomplete Information Received; @ previous year information repeated
•Source: Medical Council of India
STATE-WISE DISTRIBUTION OF REGISTERED ALLOPATHIC DOCTORS AND DENTISTS-1
STATEWISE DISTRIBUTION OF REGISTERED MEDICAL PRACTIONERS & DENTISTS(2006)
0
20000
40000
60000
80000
100000
120000
ANDRA
PRADESH
ASSAM
BIHA
R
DELHI
HARYAN
A
GUJR
ATJ&
K
KARNA
TAKA
KERELA
M.P
.
MAH
ARASTR
A
ORIS
SA
PUNJA
B
RAJA
STHAN
TAMIL
NADU
U.P.
WEST
BENGA
L
STATESREGISTERED DOCTORS
REGISTERED DENTISTS
NO. OF PERSONS PER DOCTOR.
471
354
714754
861
953
250 250 250 250 250 250 250
1598 1598 1598 1598 1598 1598 1598
0
200
400
600
800
1000
1200
1400
1600
1800
Delhi Goa Punjab Karnataka Tamil nadu Kerala
STATEWISE RATIO
REQUIRED RATIO
AVERAGE
(Source:WHO Survey 2006)
Number of allopathic doctors possessing recognized medical qualifications (under IMC act) and registered with state medical councils for the years 2006 and 2007 were 682646 and 696747, respectively.
Source: Medical Council of India
Number of Dental Surgeon Registered with Dental Council of India in 2006 were 72497.
Source: Medical Council of India
There are increases in availability of Allopathic Medical Practicioners, Dental Surgeon and Nurses per Lakh Population over the years.
Source: Medical Council of India
NO. OF PHYSICIANS & DENTISTS ON SELECTED COUNTRIES(2006).
730801
133641251889
66583
682646
116298
10479
1364000
463663
5872990510
18265
72497
6452
1245
136520
302841000
60512000127953000
32577000
1151751000
160943000
19207000
1328474000
15.30%8.40% 7.90% 10%
4.90%2%
4.20% 4.50%
0.01
0.1
1
10
100
1000
10000
100000
1000000
10000000
100000000
1000000000
10000000000
USA UK JAPAN CANADA INDIA PAKISTAN SRILANKA CHINA
PHYSICIANS
DENTISTS
POPULATION
GDP%
DOCTORS PER 1000 POPULATION
0.62
1.5
2.8
0
0.5
1
1.5
2
2.5
3
INDIA WORLD DEVELOPEDCOUNTRIES
DO
CT
OR
S / 1
00
0 P
OP
UL
AT
ION
(source:indiaonline.in)
Recently 23,858 doctors were found to be in position in the government’s network of rural PHC & CHC across the country.
2. PRESENCE OF ALLOPATHIC MEDICAL PRACTITIONERS IN THE PUBLIC SECTOR
1201, 30%
1215, 31%
884, 22%
678, 17%
SURGEON
OBS & GYN
PHYSICIAN
PAEDIATRICIAN
(Source:WHO Survey 2006)
MEDICAL CONSULTANTS
75%
23%
2%0%
10%
20%
30%
40%
50%
60%
70%
80%
URBAN SEMI URBAN RURAL
PE
RC
EN
TA
GE
DOCTORS
(source:indiaonline.in)
The qualified private providers in urban areas- 80%
75% of specialists and 85% of technology services were in the private sector (GOI, NCMH, 2005).
Service delivery for dental health, mental health, orthopaedics, vascular and cancer diseases 75% 40% of services for communicable diseases and deliveries were being provided by the private sector.
In a study of Ujjain district in M.P.88% qualified doctors were in urban areas and72% were practicing in Ujjain city itself (Deshpande et al,2004).
3. DOCTORS IN THE PRIVATE SECTOR
POPULATION PER DOCTOR IN PRIVATE SECTOR
2300
26860
0
5000
10000
15000
20000
25000
30000
URBAN RURAL
There was a much higher density of qualified providers in urban areas (1:2300) than in rural areas (1:26,860).
(Source:WHO Survey 2006)
5. GROWTH OF MEDICAL COLLEGES
Source: for 1981 statistics: GOI, CBHI, Health Statistics in India 1981. for 2006 Compiled from www.mciindia.org
STATE-WISE DISTRIBUTION OF MEDICAL COLLEGES IN INDIA – 1981 AND 2006
0
5
10
15
20
25
30
35
40
45
A.P
ASSAM
BIHAR
GUJRAT
HARYANA
HIMACHAL
J&K
KARNATAKA
KERELAM
.P.
MAHARASHTRA
ORRISA
PUNJAB
RAJASTHAN
TAMIL
NADU
U.P.
WEST B
ENGAL
DELHI
GOA
PONDICHERY
STATES
NO
. OF
ME
DIC
AL
CO
LL
EG
ES
IN 1980-81
IN 2006
6. CRITICAL SUPPORT STAFF: NURSES AND PARA-MEDICAL PERSONNEL
Nurses and midwives play a critical role in health promotion, prevention, therapeutics and rehabilitation.
There are 0.9 million general nursing midwives, 0.5 million auxiliary nursing midwives in the different states (2007)
It is estimated that only about 40% of the nearly 1.4 million registered nurses are currently active in the country because of low recruitment, migration, attrition anddrop-outs due to poor working conditions
Source: GOI, CBHI, Health Statistics in India .
State/UT Wise Number of Registered Nurses & Pharmacists In India
7. THE ‘DRUG DISPENSERS’ PHARMACISTS
• Pharmacist registered with council- 6.8 lakh• Pharmacists in the rural PHCs- 3%• Community pharmacists- 55%• Hospital pharmacists- 20%
POSITION OF PHARMACISTS - STATE WISE AND IN RURAL AREAS
Source: Column1: Pharmacy Council of India. Accessed from www. Indiastat. com Columns 2: GOI, Bulletin on Rural Health Statistics in India, 2006
8. OTHER HEALTH WORKERS
other health workers includes –
male health workers, health assistants, block extension educations, laboratory technicians, radiographers.
Besides nurses and pharmacists, there are around 12,500 laboratory technicians,
around 3000 block extension educators,
20,000 male health assistants and
61,000 male health workers,
currently in position at different levels of the health system
Source: GOI, Bulletin on Rural Health Statistics in India, 2006
OTHER HEALTH WORKERS
Source: Bulletin on Rural Health Statistics in India 2006- Special Revised Edition, MOHFW
TRAINED BIRTH ATTENDANTS
more than 5 lakh dais were trained between 1974-1985.
more than 13,500 TBAs were trained under USAID’s PRIME II project (PRIME II, 2006).
Thus more recent initiatives are focusing on training community midwives strengthening the ANMs and PHC doctors as skilled birth attendants and multi-skilling rural doctors in provision of emergency obstetric care.
Rural Health Infrastructure - a statistical overview
Primary health center
Community health center
MAN POWER IN PHCs
Overall about 49.9% of the sanctioned posts of specialists at CHCs were vacant. Moreover, there was a shortfall of 6110 specialists at the CHCs as compared to the requirement for existing infrastructure on the basis of existing norms.
The current position of specialists manpower at CHCs
Sanctioned Posts, A Significant Percentage Of Posts Are Vacant At All The Levels
9. AYUSH PRACTITIONERS :01/01/07
Qualified AYUSH practitioners registered with their respective Councils:725338
Ayurvedic physicians; 453661Unani physicians; 46558Siddha practitioners, 3681Homeopathic practitioners 217850Naturopathy practitioners 888
The states of Bihar 165047 practitioners, Maharashtra 105516 practitioners and Uttar Pradesh 92319 practitioners had the highest numbers of AYUSH practitioners in the country.
The AYUSH department has around 23,000 dispensaries and 1355 hospitals
Source: Department of AYUSH, MOH&FW/GOI
NO. OF AYUSH PRACTITIONER ALL OVER THE COUNTRY
725338
443661
217850
368146558
8880
100000
200000
300000
400000
500000
600000
700000
800000
AYUSH
Ayurv
eda
Homeo
path
y
Siddh
a
Unani
Naturo
path
No. of Practitioner
Source: Department of AYUSH, MOH&FW/GOI
Total number of registered AYUSH Doctors in India 2007 was 725338
INFERENCE
AYUSH practitioners are roughly equal in numbers to the allopathic medical practitioners in the country, and in fact even more in some states.
Although, like their allopathic counterparts, alternative practitioners also tend to be concentrated in and around urban areas, they present a significant resource base for the future of health systems and improved health outcomes in India.
10. THE NON FORMAL PROVIDERS
Include practitioners who do not have a professional qualification in any recognized system of medicine, indigenous or allopathic, but who practice a blend of different systems of medicine.
examples of folk and magico-religious healers are bonesetters, ear cleaners, ojhas and bhagats [faith healers and magicians]
These providers are typically male, roughly between 30-40 years of age, with 10-12 years of school education and they perform ojha-tona.
INFERENCE
Several issues emerge from review of the current situation of human resources for health in India.
The largest proportion of medical and paramedical professionals practice in the for-profit private sector, which tends to be concentrated in urban areas. This sector is the primary provider of curative health services in the country for which there is a huge demand.
The smaller public sector is the primary provider for preventive and promotive care and some curative care.
A greater number of well-trained human resources are required, now and in the future, to provide preventive, promotive and curative care especially in rural and urban underprivileged areas in the country.
Furthermore, there exist a large number of AYUSH practitioners in the country, who are a valuable resources that need to be integrated into the health system in bolder and more efficient ways than before.
INFERENCE
Other human resources like public health specialists, health/hospital administrators, social workers, public health engineers, physiotherapists and clinical psychologist amongst others are providing health services. However, there is insufficient and inadequate information available about them.
INFERENCE
REFERENCES:
• GOI, Bulletin on Rural Health Statistics in India, 2006
• Ministry of Health & Family Welfare, Govt. of India accessed from indiastat.com
• Dental Council of India• Department of AYUSH, MOH&FW/GOI• Pharmacy Council of India. Accessed from www.
Indiastat. com
• Census of India 2001• GOI, MOHFW Annual Report 2005-06• WHO Report (NOT ENOUGH HERE, TOO MANY
THERE)2006.