Lok Sabha Question No. 989 (UNSTARRED), answered on 2019-02-08
Subject: Working Condition of Doctors
Ministry: HEALTH AND FAMILY WELFARE
Asked by: J.C. DIVAKAR REDDY

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 989 TO BE ANSWERED ON 08 TH FEBRUARY, 2019

## WORKING CONDITION OF DOCTORS

## 989. SHRI J.C. DIVAKAR REDDY:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government has taken note of the tremendous stress on the doctors in A Pradesh at Government hospitals due to the poor infrastructure and misbehaviour of patient's kin during emergency situations;
- (b) if so, the details thereof and reaction of the Government thereon; and
- (c) whether there is need for overhauling of healthcare system to restore faith in th profession, if so, the details thereof and the st eps being taken by the Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) & (c): Public health and hospitals being a State subject, the primary responsibility healthcare  facilities  a  safe  working  environment  for  healthcare    professionals lies  with  the respective State Governments. However, under the National Health Mission (NHM), technica and financial support is provided to States/UTs to strengthen their healthcare systems in support for improving health infrastructure and engagem ent of home guards/security staff on contractual  basis,  based  on  the  proposals  made  by  the  States/UTs  in  their  Program Implementation Plans (PIPs) within their overall resource envelope.

As per the analysis of Patients Satisfaction Score for the State o f Andhra Pradesh under the Mera Aspataal initiative based on the Patients feedback, it found that approximately the patients are either very satisfied or satisfied.

Contd…….

However, the excessive case load in some facilities result in, doctors not being able to handle the crowd of patients adequately. Government has taken following steps to streng healthcare system by attracting healthcare professionals and thereby maintaining the fait medical profession.

(i)  Hard area allow ance for specialist doctors who serve in rural and remote areas as we as for residential quarters for them.

(ii) The States are encouraged to adopt flexible norms for engaging specialists on contractual  basis  at  public  health  facilities.  These include  various  mechanisms  for 'contracting in' and  'contracting out' of specialist services,  methods  of  engaging specialists outside the government system for service delivery at public facilities mechanism to include requests for these in the sta te Program Implementation Plans (PIP) under the National Health Mission.

(iii) States have also been allowed to offer negotiable salaries to attract Specialis flexibility to strategies such as 'You quote, we pay".  Financial support is also pr vided o States,  inter - alia  performance - based  incentives,  providing  accommodation  and  transport facilities  in  rural  and  remote  areas,  sponsoring  training  programmes  etc  to  all resource to address the issue of shortage of doctors and other personnel i n the public health facilities.

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