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LATEST NEWS UPDATES | Azad defends rural doctors’ scheme by Aarti Dhar

Azad defends rural doctors’ scheme by Aarti Dhar

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published Published on Feb 4, 2010   modified Modified on Feb 4, 2010

Defending the alternative model for undergraduate medical education to create a separate cadre of “rural doctors,” Union Health and Family Welfare Minister Ghulam Nabi Azad said on Thursday that the scheme would not compromise with the quality of medical education or reduce the importance of trained and specialised doctors.

Inaugurating a two-day national workshop here to discuss the programme for starting a specialised course of Bachelor of Rural Medicine and Surgery (BRMS) degree, Mr. Azad said the idea was not to shirk from the responsibility of having trained doctors, but past neglect could not be the reason for not thinking of innovative solutions today. “The motivation and the situation prevailing in villages compels us to look beyond the current solution.”

Citing the example of China, the Minister said it invested in barefoot doctors in the 1950s and 1960s resulting in remarkable achievements in health indicators. Similarly, Chhattisgarh has gone ahead and introduced a three-year course, he added.

He said the training and skills proposed to be imparted to the rural health providers should be designed and based on the health needs of the rural community, and not make it a backdoor entry for persons to get into the medical profession.

“Implementing such a programme would also require strict vigilance, public information and ensure that these persons do not, upon getting a degree, move to urban areas and set up practice,” Mr. Azad said, while calling upon the Medical Council of India to closely monitor and have an annual licensing procedure established.

Reassuring that under no circumstances was the government planning to provide services of ill-trained doctors for rural areas, Mr. Azad said there was collective responsibility to address the problem of human resources for health care in villages in a manner that would be sustainable.

The Minister said the rationale behind the scheme was that given the very elementary and basic nature of ailments and diseases suffered by the people in rural areas, the availability of modern tools such as rapid diagnostic kits, early detection, simple treatment and timely referral, it was possible to give treatment by short-term trained professionals instead of highly skilled personnel.

The proposal envisages that persons belonging to rural areas be put through a three-year course on basic anatomy and diagnosis and treatment of basic ailments. They would work in 1.45 lakh sub-centres, or at the most, primary health centres.

The emphasis on training would be on conducting normal deliveries, pre-and anti-natal care, handling diarrhoea, pneumonia, vaccination, providing tuberculosis treatment and treatment of fevers and skin infections which generally do not require much expertise.


The Hindu, 5 February, 2010, http://www.hindu.com/2010/02/05/stories/2010020556121800.htm
 

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