The steps which can be taken to improve human resources for health in India are i Creating a special...........

Economic and Social Issues Human development

Recently, a study based on the National Sample Survey Organisation, has revealed that India has 20.6 health workers per 10,000 people, which is less than the minimum threshold set by the World Health Organisation. India’s quest for Universal Health Coverage (UHC) depends to a great extent, on adequate and effective Human Resources for Health (HRH) providing care at primary, secondary and tertiary levels in both the public and private sectors. India has a severe shortage of human resources for health. It has a shortage of qualified health workers and the workforce is concentrated in urban areas. Bringing qualified health workers to rural, remote, and underserved areas is very challenging. Many Indians, especially those living in rural areas, receive care from unqualified providers. The migration of qualified allopathic doctors and nurses is substantial and further strains the system. Nurses do not have much authority or say within the health system, and the resources to train them are still inadequate. Little attention is paid during medical education to the medical and public health needs of the population, and the rapid privatisation of medical and nursing education has implications for its quality and governance. Such issues are a result of underinvestment in and poor governance of the health sector--two issues that the government urgently needs to address. A comprehensive national policy for human resources is needed to achieve universal health care in India. The public sector will need to redesign appropriate packages of monetary and non-monetary incentives to encourage qualified health workers to work in rural and remote areas. Such a policy might also encourage task-shifting and mainstreaming doctors and practitioners who practice traditional Indian medicine (ayurveda, yoga and naturopathy, unani, and siddha) and homoeopathy to work in these areas while adopting other innovative ways of augmenting human resources for health. At the same time, additional investments will be needed to improve the relevance, quantity, and quality of nursing, medical, and public health education in the country.

The steps which can be taken to improve human resources for health in India are:

i Creating a special cell for HR

ii Introduction of special training courses

iii Certification for ASHA workers

Select the correct answer using the code given below

i. and ii only

ii and iii only

ii only

iii only

all of the above

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Explanation:

The steps which can be taken to improve human resources for health in India are:

•States should have a dedicated cell for HR planning, especially forecasting requirements, taking into consideration the changing disease profile, and population dynamics and composition. The cell should not limit itself to public systems only but also monitor HR available in private sector so that a more holistic view can be undertaken.

•A certification programme for ASHAs could be brought for their preferential selection into ANM, nursing and paramedical courses. Further, enabling engagements with NGOs can be made, to serve as support and training institutions for ASHAs and to serve as learning laboratories on future roles of community health workers.

•Special training courses should be designed for

different categories of non-physician care providers. More training courses and curriculum for super specialty paramedical care (perfusionists, physiotherapists, occupational therapists, radiological technicians, audiologists, MRI technicians, etc.) should be developed.