1. The Human Resource Story of Rural Healthcare in India (Concerns and Challenges) Group – 8 Vivek Mahajan Deepak Dass Kumar Anshuman Vishad Jai Prakash

3. Sub–Centres (SCs) : The SCs is the most peripheral health unit and contact point between the primary health care system and the community. Each SC has one Female Health Worker / ANM (Auxiliary Nurse Midwife) and one Male Health Worker. One Female Health Assistant (Lady Health Visitor LHV) and one male health assistant supervise six sub centre, SCs are assigned to perform task related to components of primary health care. They are provided with basic drug for minor ailments needed for taking care of essential health needs of population. Primary Health Centres (PHCs) : PHCs remain the first contact between village community and Medical Officer. They are manned by a Medical Officer supported by 14 paramedical and other staff. It acts as a referral unit for 6 sub-centres. It has 4-6 beds for patients. Community Health Centres (CHCs) : CHCs are manned by four medical specialist i.e. Surgeon, Physician, Gynaecologist and Pediatrician supported by 21 paramedical and other staff. It has 30 in-door beds with one OT, X-ray, labour room and laboratory facilitites. It serves as a referral centre for 4 PHCs and also provides facilities for obstetric care and specialist consultation. Source: GOI RHS Bulletin 2010 4,045 Community Health Centres 22,370 Primary Health Centres 1,45,272 Sub-Centres

4. A structural outline of Rural Public Health Care system in India

5. Challenges and Concerns

6. Shortage in rural health workforce India’s health infrastructure and allocation of health workers is anchored on population-size based norms rather than the specific health needs and demands at the community level. Three-fourths of 0.7 million graduate doctors legally permitted to practise as qualified doctors operate in and around urban areas, thus catering to just 28 per cent of the country’s population and leaving the rural folk underserved or totally neglected in terms of basic health care.

7. Source : ‘ Health at a Glance 2010—OECD Indicators, Organisation for Economic Co-operation and Development statistics .”

8. Bulletin on Rural Health Statistics (BRHS) of the Ministry of Health and Family Welfare, there are (as of March 2008)

9. Source: Frontline Volume 27 - Issue 04 :: Feb. 13-26, 2010

10. Source: Frontline Volume 27 - Issue 04 :: Feb. 13-26, 2010

11. Workforce Development, Deployment, Performance and Management

13. Education, training and professional development

15. Planning and Strengthening of Human Resources

17. Some unanswered questions Is the current system of medical education meeting the objectives of public healthcare in rural areas? Can we create a cadre of providers of basic health services willing and able to live and work in rural areas? How can we better look after the needs of our human resources if we want them to look after the health needs of our populations with commitment and motivation?

18. Job Satisfaction Scale Case Study

21. (6) (1) Your job security (1) (6) The amount of variety in your job (4) (3) Your hours of work (6) (1) The attention paid to suggestions you make (1) (6) The way your firm is managed (2) (1) (4) Your chance of promotion (7) Industrial relations between management and workers in your firm (7) Your opportunity to use your abilities (1) (6) Your rate of pay (2) (5) The amount of responsibility you are given (2) (1) (4) Your immediate boss (1) (3) (3) The recognition you get for good work (2) (2) (3) Your fellow workers (1) (2) (4) The freedom to choose your own method of working (2) (5) The physical work conditions 7 6 5 4 3 2 1 I’m extremely satisfied I’m very satisfied I’m moderately satisfied I’m not sure I’m moderately dissatisfied I’m very dissatisfied I’m extremely dissatisfied Aspect of job