Workforce performance of the system would be best when we have the most appropriate person, in terms of both skills and motivation, for the right job in the right place, working within the right professional and incentive environment. New Delhi: Rural Healthcare is indeed a major focus of the National Health Policy 2017. In terms of policy decisions, the NHP indeed focuses on efforts to Attract and Retain Doctors in Remote Areas, also calling for integrated efforts from medical, paramedical and allied forces to take healthcare to the remotest sections of the country.
Some of the salient recommendations in regard to this include :-
Attracting and Retaining Doctors in Remote Areas– The Policy proposes financial and non-financial incentives, creating medical colleges in rural areas; preference to students from under-serviced areas, realigning pedagogy and curriculum to suit rural health needs, mandatory rural postings, etc. Measures of compulsion- through mandatory rotational postings.
Mid-Level Service Providers: For expansion of primary care from selective care to comprehensive care, complementary human resource strategy is the development of a cadre of mid-level care providers. This can be done through appropriate courses like a B.Sc. in community health and/or through competency-based bridge courses and short courses. These bridge courses could admit graduates from different clinical and paramedical backgrounds like AYUSH doctors, B.Sc. Nurses, Pharmacists, GNMs, etc and and equip them with skills to provide services at the sub-centre and other peripheral levels. Locale based selection, a special curriculum of training close to the place where they live and work, conditional licensing, enabling legal framework and a positive practice environment will ensure that this new cadre is preferentially available where they are needed most, i.e. in the under-served areas.
Read more at Medical Dialogues: Bridge Course for AYUSH and Paramedics: National Health Policy http://medicaldialogues.in/bridge-course-for-ayush-and-paramedics-national-health-policy/