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Bridge Course for AYUSH and Paramedics: National Health Policy

Bridge Course for AYUSH and Paramedics: National Health Policy

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 dovetailed with clear and transparent career progression guidelines are valuable strategies. A constant effort, therefore, needs to be made to increase the capacity of the public health systems to absorb and retain the manpower. The total sanctioned posts of doctors in the public sector should increase to ensure availability of doctors corresponding to the accepted norms. Exact package of policy measures would vary from State to State and would change over time.
  • Specialist Attraction and Retention– Proposed policy measures include – recognition of educational options linked with National Board of Examination & College of Physicians and Surgeons, creation of specialist cadre with suitable pay scale, up-gradation of short term training to medical officers to provide basic specialist services at the block and district level, performance linked payments and popularise MD (Doctor of Medicine) course in Family Medicine or General Practice. The policy recommends that the National Board of Examinations should expand the post graduate training up to the district level. The policy recommends creation of a large number of distance and continuing education options for general practitioners in both the private and the public sectors, which would upgrade their skills to manage the large majority of cases at local level, thus avoiding unnecessary referrals.
  • 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 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.
  • Nursing/Paramedical – The policy also talks about addressing the acute shortage of nursing and paramedical professionals in the country. The Policy talks about establishing nursing school in every large district or cluster of districts of about 20 to 30 lakh population and establishing Centers of Excellence for Nursing and Allied Health Sciences in each State. For paramedical, Training courses and curriculum for super specialty paramedical care (perfusionists, physiotherapists, occupational therapists, radiological technicians, audiologists, MRI technicians, etc.) would be developed. This policy also supports certification programme for ASHAs for their preferential selection into ANM, nursing and paramedical courses.
  • Public Health Management Cadre: The policy proposes creation of Public Health Management Cadre in all States based on public health or related disciplines, as an entry criteria. The policy also advocates an appropriate career structure and recruitment policy to attract young and talented multi- disciplinary professionals. Medical & health professionals would form a major part of this, but professionals coming in from diverse backgrounds such as sociology, economics, anthropology, nursing, hospital management, communications, etc. who have since undergone public health management training would also be considered. States could decide to locate these public health managers, with medical and non-medical qualifications, into same or different cadre streams belonging to Directorates of health. Further, the policy recognizes the need to continuously nurture certain specialized skills like entomology, housekeeping, bio-medical waste management, bio medical engineering communication skills, management of call centres and even ambulance services
  • Human Resource Governance and leadership development: The policy recognizes that human resource management is critical to health system strengthening and healthcare delivery and therefore the policy supports measures aimed at continuing medical and nursing education and on the job support to providers, especially those working in professional isolation in rural areas using digital tools and other appropriate training resources. Policy recommends development of leadership skills, strengthening human resource governance in public health system, through establishment of robust recruitment, selection, promotion and transfer postings policies.
Source: self
7 comment(s) on Bridge Course for AYUSH and Paramedics: National Health Policy

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  1. user
    Dr. Dharmendra Kumar March 31, 2017, 8:28 am

    There should not be any bridge course/Lateral entry to offer MBBS degree, rather they can be trained to fill required manpower for implementation of various programmes of health sectors.

  2. Just some thing German and 300 yrs old you can go on fooling pple . I agree there are limitations in modern medicine , but it has helped to understand and manage almost all health issues. Where does the other system stand even to understand a disease including your own system . Where do you take your relative develops real appendicitis. All abdominal pains need not be appendicitis . U must honest when ur dealing with health problems of others . You pple claim that u cure every disease from common cold to cancer.Can you name one disease you can manage scientifically , mention on study . Actually u must be tried as per the law because you r misguing the public . Be honest and study biology , physiology and pathology and look where do u stand . U stand no where . An indian born noble lauret in chemistry said your system has no scientific basis . Have heard of the word remiss ions and exaceberations of a chroni disease . U pickup these and say u have cured during remission . Even the philosophy your system can be understood by u pple. By mentioning high propile pple you rtrying to fool pple . Be honest .

  3. Homeopathy is the 2nd largest medicine of choice around globe.It is a German system and about 300 yes old.It is used by rajyapal,president,judge of supreme court,high court,various IPS,IAS officers,cricketers,queen and prince of UK etc. and many many more..my question is they all FOOLISH OR ILLETERATE!!!! THIS System for all..for poor to elite class becoz IT WORKS,becoz SCIENCE WORKS..It is running for 300yrs ,even in the 2017.It becomes more valuable ,and growth rate increasing when India sent 102 growth in this modern era.EVEN INDIAN ARMY HOSPITALS APPOINTED AYUSH DRS WHERE ALLOPATHY FAILED.THEY RECRUITED AYUSH drs..Is All foolish?????Actually the persons who are equivalent to doctors ex-doctors,scientists,science honours graduates have wright to say in logical way, in unprejudiced manner otherwise sub standard persons like a LAYMAN..THEIR VOICE HAVE Homeopathy is the 2nd largest medicine of choice around globe.It is a German system and about 300 yes old.It is used by rajyapal,president,judge of supreme court,high court,various IPS,IAS officers,cricketers,queen and prince of UK etc. and many many more..my question is they all FOOLISH OR ILLETERATE!!!! THIS System for all..for poor to elite class becoz IT WORKS,becoz SCIENCE WORKS..It is running for 300yrs ,even in the 2017.It becomes more valuable ,and growth rate increasing when India sent 102 growth in this modern era.EVEN INDIAN ARMY HOSPITALS APPOINTED AYUSH DRS WHERE ALLOPATHY FAILED.THEY RECRUITED AYUSH drs..Is All foolish?????Actually the persons who are equivalent to doctors ex-doctors,scientists,science honours graduates have wright to say in logical way, in unprejudiced manner otherwise sub standard persons like a LAYMAN..THEIR VOICE HAVE NO VALUE..

  4. Ayush is nothing but quackery . Through from the system of health care . Spend the money spent on them for better use . There is no single disease they can manage. The are copy form modern t b of medicine and cal themselves as experts . Shame on them .

  5. Due you know Chemistry?

  6. user
    Dr. Ashok Sahai March 20, 2017, 3:10 pm

    Policy makers are confused. On one hand there is shortage of nurses and paramedics, on the other hand the existing manpower is to be upgraded to treat patients. How is that?

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