Lok Sabha Question No. 2178 (UNSTARRED), answered on 2015-12-11
Subject: Specialised Cadre of Rural Health Care Personnel
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DHARMENDRA YADAV, B. S. YEDDYURAPPA, ANANDRAO  ADSUL, SHIVAJI ADHALRAO PATIL, Shrirang Appa Barne

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

## LOK SABHA UNSTARRED QUESTION NO. 2178 TO BE ANSWERED ON 11 TH DECEMBER, 2015

## SPECIALISED CADRE OF RURAL HEALTH CARE PERSONNEL

2178. SHRI DHARMENDRA YADAV:

SHRI B.S. YEDIYURAPPA:

SHRI ANANDRAO ADSUL:

SHRI ADHALRAO PATIL SHIVAJIRAO:

SHRI SHRIRANG APPA BARNE:

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

- (a) whether the Government's plan to create a specialized cadre of healthcare personnel for rural areas has hit a roadblock, if so, the details thereof and the reasons therefor;
- (b) the response of the States/UTs received by the Government in this regard, State/UT - wise;
- (c) whether the Indian Medical Association (IMA) has opposed the move to create a specializ cadre of healthcare personnel for rural areas, if so, the details thereof and the reasons
- (d) the steps taken/proposed to be taken by the Government to address t he apprehensions of IMA and other stakeholders; and
- (e) the other measures being taken by the Government to augment the intake capacity of me colleges and ensure rural posting of doctors to meet the shortage of healthcare workers areas?

## ANS WER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a)  &  (b) : Public Health is a State subject. The Cabinet had approved on 13.11.2013, introduction of a course namely, Bachelor of Science (Community Health) with the objecti of creating  mid - level  health  professionals  who  would  possess  the  necessary  public  heal competencies to serve the rural population. The Ministry has requested all States/UTs to the  proposal  for  introduction  of  B.Sc  (CH)  course  in  their  respective Stat   Programme Implementation Plans under NHM flexi pool.

Contd……….

(c) & (d) : Indian Medical Association (IMA) has objected to B.Sc (CH) course stating that the course will produce substandard health professionals who could not be projected as replac for doctors in rural areas.

The practice of medicine is governed by the IMC Act, 1956.

- (e) : The Government is running three Cen trally Sponsored Scheme namely: -
- (i)Establishment of New Medical Colleges attached with existing district/referral hospit
- (ii) Upgradation  of  existing  State  Government/Central  Government  medical  colleges  t increase MBBS seats in the country,
- (iii) Strengthening/ upgradation  of  State  Government  Medical  Colleges  for  starting  new  PG courses/Increase of PG seats .

Medical  colleges  can  also  be  set  up  by  a  State  Government/UT,  any  Universit autonomous  body  promoted  by  Central/State  Government ,  a  society  registered under  the Societies Registration Act, public religious or charitable trust and  Companies (not f registered under Company Act. There has been consistent increase in the number of medical colleges in the country.

The  Central  Government, in  consultation  with  Medical  Council  of  India,  made  the following amendments to its Post Graduate Medical Education Regulations to encourage doct to serve in the rural areas:

- (i)Incentive  at  the  rate  of  10%  the  marks  obtained  for  each  year  in  service  in  re mote  or difficult areas upto the maximum of 30% of the marks obtained in the entrance tes admissions in Post Graduate Medical Courses; and
- (ii) 50% of the seats in Post Graduate Diploma Courses shall be reserved for Medical Offi in the Government servi ce, who has served for at least three years in remote and diffi areas.  After acquiring the PG Diploma, the Medical Officers shall serve for two years in remote and/or difficult areas.

Further, under NHM, financial incentive is also provi ded to MBBS as well as PG doctors for serving in the rural areas. These incentives are over and above the salaries of t concerned.

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