A STUDY ON DISTRIBUTION, ATTRACTION AND RETENTION OF PHYSICIANS AND NURSES TO COMBATMATERNAL AND CHILD MORTALITY IN FOUR PREDOMINANTLY TRIBAL STATES OF NORTH-EASTERN INDIA
Keywords:
Attraction and retention of Physicians and nurses, health workforce, Arunachal Pradesh, Human Resource for Health, North-East StatesAbstract
In adopting the Millennium Declaration in the year 2000, the eight Millennium Development Goals (MDGs) have been adopted by the international community. To accomplish the MGDs no. 4, 5 and 6, related to Reduce Child Mortality, Improve Maternal Health and Combat HIV/AIDS, malaria & other diseases respectively, calls the strengthening of health care delivery system and improved health care services. Healthcare is a service sector, depends highly on specially trained professionals, which needs to produced, attract and retain at all level. Shortage in health workforce is one of the main challenges internationally. Producing, distributing, attracting and their retention in tribal rural and remote areas are another challenge to tribal population health. Northeast (NE) states comprises of 9194217 tribal populations in rural areas, which is 11.89% of total in India. It comprises a network of 2850 SCs, 604 PHCs and 157 CHCs in tribal rural areas in NE.The purpose of the study is to understand the current scenario and issues on distribution, attraction and retention of physicians and nurses in public health system in four predominant tribal States of North-Eastern India. The selection of the allopathic physicians and nurses, is due to their utmost importance to provide 24x7 Maternal and Child Health Services in the primary healthcare system in tribal rural and remote areas.A literature review on distribution, attraction and retention of human resource for health in context of rural and remote areas was done. Rural Health Statistics, 2010 is used for the study of distribution in four tribal states in NE regions. In-depth interview for preferential factors were carried out among 11 nos. of respondents and one Key Informant- state official in Arunachal Pradesh. The study primarily concludes that there is a shortage of physicians and nurses globally including theses tribal regions in NE India, along with major issues in attraction and retention.
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