Universal Health Coverage and Role of National Board of Examinations (NBE)-in Postgraduate Medical Education at District Hospitals in India: A Policy Analysis
Journal Title: Journal of Preventive Medicine and Holistic Health - Year 2017, Vol 3, Issue 2
Abstract
Introduction: There is adequate evidence on the dearth of medical specialists in public sector hospitals along with other support staff in India and there are best cost-effective alternative approaches to address the issues. However, the understanding and interest of policy actors and policy decision-making processes may affect the adoption of sustainable alternative options. Further, it is not clear that why policy actors do not promote potential policy options for human resources for health (HRH) to have sustainable universal health coverage (UHC). This policy analysis may illumine the potential options for improvement of medical specialists’ attraction and retention in divergent actor’s environment. Materials & Methods: We used the qualitative research method for policy analysis based on primary data collection supplemented with documents review. Semi-structured interviews were conducted with 15 key informants. Results: The study findings show several interesting features in terms of policy actors experiences, interpretations, which may potentially influence DNB course promotion in public sector hospitals at the district level. The key facilitators include: available good infrastructure, a high number of patients inflow into government hospitals for exposure to post-graduate training, established DNB postgraduate curriculum and monitoring mechanisms, the eagerness of health administrators. The key barriers include limited teaching support system, the high workload for senior practitioners and limited time to teach trainees, lack of library and academic environment and a dearth of government pro-activeness to improve the working environment and higher medical education. Conclusion: This paper unlocks a debate about how to move forward with twin initiatives of universal health coverage and human resources for health. The paper argues not only to adopt low cost best available medical specialists’ attraction and retention strategies through DNB courses in district hospitals but also facilitate the current attempts to promote UHC in a sustainable fashion.
Authors and Affiliations
Sathyanarayana Tamysetty, Chidananda Sanju, Sarin Nambisan, Sanjay Zodpey, Bipin Batra, Chakrapani Dittakavi
Keywords
Related Articles
- EP ID EP293935
- DOI 10.18231/2454-6712.2017.0014
- Views 87
- Downloads 0
Trend of sputum smear positivity among presumptive tuberculosis cases visiting respiratory disease centre of Western Maharashtra, India
Introduction India amounts to about a quarter of the tuberculosis TB burden worldwide In 2016 about 28 lakh cases occurred and 45 lakh people died due to TB In March 2017 the Government of India GoI declared that the new...
The effect of pratidina (daily) practice and ekahantara (alternate) practice of nasya with anutaila in chronic sinusitis – A comparative clinical trial
Nasya is the panchakarma to eliminate morbid doshas in head and neck Vagbhatacharya opines that except for Vatika clinical conditions Nasya should be done for 7a days but as ekahanthara alternate that is with a gap of on...
Suicidality in epileptics on levetiracetam therapy with preceding comorbidity
Anti-epileptic medications like levetiracetam, sodium valproate, topiramate and lamotrigine are known to produce serious adverse reactions like suicidal tendencies, Steven Johnson syndrome, toxic epidermal necrolysis, he...
Knowledge and acceptance towards metabolic surgery as part of diabetes management among patients with type-2 diabetes with body mass index ? 30 Kg/m2 in ministry of health primary health care centers, Jeddah, 2017
Introduction Metabolic surgery is a treatment option for the Type2 Diabetes T2D patients with high BMI Are T2D patients aware or willing to undergo metabolic surgery needs to be answeredObjectives The objectives of the s...
A study on the knowledge and attitude towards HIV/AIDS among pre-university students
Introduction: India estimates third highest number of HIV infections in the world, with about 2.4 million people currently living with HIV/AIDS. Adolescents often face a significant barrier to get the in-formation, educa...