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Proposal to generate short term trained doctors for quick enhancement of rural healthcare.

Created by : Abraham Paul, Senior Telecom Consultant, FCOMNET- Future Groups  | 01 24 2010 11:38:51 +0000
Keywords : doctors under brms for rural healthcare.
Activity:  495 views;  last activity : 07 06 2010 20:18:09 +0000

Helath care service is very much inadequate and un-affordable to common man  even in the urban areas.  The situation is pathetic in rural areas. Quick measures are required to alliviate this situation.

Government's proposal to quickly generate more medical practitioners with a three year crash course under BRMS scheme is being vigouraously objected by the Indian Medical Association.

The pros and cons of Government's decisoin and the contradicting view point of exisitng medical practioners are worth some nutral discussion and debate.

  
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BRMS is a good idea to quckly resolve basic health care needs Vs Various objections of IMA and demand to scrap BRMS is genuine.
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True that, Medical Science has advanced much and prolonged intensive training of highly skilled persons is required to specialize in various fields of medicine. Added to it, the prohibitively high cost of medical training reduces the availability of such doctors to a very low percentage compared to the need of the country of a billon and odd population, and most of it in the poverty stricken villages. 

Even in the urban areas, the majority of working class and common people cannot afford the current medical services of specialty and super-specialty private hospitals. It is impossible for any government to set up enough number of hospitals equipped with highly qualified doctors in every areas of the medice and provide free / low cost general health care services needed by the majority of the population.

In the rural areas, the immediate need is to have one or two general physicians in every panchayat level hospitals who can take care of basic illness of most of the population and refer the patients require more attention to Tahsil and District level hospitals.

It is impractical and impossible to quickly make available and provide many lakhs of highly qualified doctors with various different specialty training in the primary health care centers of every Panchayat,   

Therefore, the only practical and pragmatic approach to resolve the problem is to quickly make available such medical practitioners like the LMPs and Diploma level medical professionals as in the old days most of whom were far more effective, affordable and people friendly than many of the highly trained and sophisticated class of  current doctors.  

So my view is that BRMS is not a bad idea. Government should inititiate recruitment and training of suitbly skilled 12th std. level students from rural areas, give them required level of general physician's training in specially designed medical centres across the country and make them work in the rural ares where they belong.

The argument of IMA that BRMS is like treating rural folks as substandard citizen etc., may no be very correct as practically nothing worthwhile is being done now in this areas. They should only welcome the move of making available at least  a general physician of enough knowhow in every Panchayat which will be a big step towards improving health care in the country.  
By Abraham Paul, Senior Telecom Consultant, FCOMNET- Future Groups  01 24 2010 12:22:39 +0000
 
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Medical Council of India's (MCI) is proposing BRMS(Bachelor of Rural Medical and Surgery) as a step to provide treatment to people in rural areas. But it is not feasible to demarcate the responsibilities of a doctor according to the geographical areas. And why should the rural population be left at the disposal of doctors who are not trained equivalent to their counterparts in the country. The country is already grappling with the problem of quacks, introducing another certified category of rural doctors would aggravate the problem.
By Anita Rai, Marketing Manager, Leading Pharmaceutical Co.  01 25 2010 11:25:07 +0000
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Its a classic case of the system intervening forthe right idea.

From whatever I have understood Mr. Paul BRMS is indeed a great idea and particularly the rural areas where "Qualified doctors cannot reach".  These certified short term professionals would be available to render the immediate aid necessary in these areas at any given time.

What the government needs to assure people here that these certified professionals are genuinely "qualified" and there is an availability of basic infrastructure to carry out the necessary action without any hinderance. Availability of basic medicines, equipment and even electricity is a must for this to be successful!! I am with you Sir!
By Makrand Bhave, Marketing & MICE, WIZCRAFT International  | 01 26 2010 03:26:16 +0000
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Genesis of BRMS is good example of Governments superficial attitude towards helth care. Rural health agencies in India needs complete reformation. Better working conditions and other incentives should be provided to rural doctors in the form of post graduation and promotion avenues. Government must make a policy based on scientific research to generate adeqate number of competent medical graduates(MBBS). Rural medicine should be a specialisation after MBBS. Governments blame on MBBS doctors that they dont want to serve in rural India is an insane attempt to hide governments failure to attract doctors to rural jobs.Regular doctors must be posted in rural areas. Contractual scheme must be abolished. Inferior quality of doctors will only complicate rural health and lead to futhetr series of problems
By Dr Nachiket Palaskar, Medical Officer, Army Medical Corps  | 02 24 2010 10:46:20 +0000
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Are you planning to divide diseases along with the division of rural and urban doctors!!!???

Critical conditions arises out of delay and unfortunately untrained doctors try their best with the patients till they become critical and finally send them to specialist. Many complications are avoidable if noticed in time.

Now addition of new certificate can increase density of doctors in rural area but for what common illness or critical illness.

Its not that rural area doctors are not available, yes, at the Govt. dispensaries the availability is poor. The question is whether Govt would put all these semi qualified doctors in Govt dispensaries? If not then private practitioners (Registered) are available in 85% of micro interiors as well and 15% have easy approaches to these doctors.

Pharmaceutical organizations are coming up with their RURAL DIVISIONS to cater those markets, Doctors in rural areas look for a village with no doctor to get a better start.

To me at-least the idea of BRMS is a tactics of diverting attention.
By Rajesh K Richhariya, G.M., Sales & Marketing  | 01 27 2010 10:43:06 +0000
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There are numerous examples of medical negligence in metros.By introducing BRMS, fast track degree courses in rural areas, there are numerous questions that arise, will these courses impart adequate training and quality to rural doctors, will these doctors and rural patients  get access to proper infrastructure and  what about medical equipments in hospitals is rural areas.

I think before introducing BRMS, MCI should carry out a detailed feasiblity study about pros and cons of BRMS.
By Nitin E.Pereira (UDCT'95), Ph.D. (U.K.), Assistant Professor, TSEC  | 01 27 2010 03:58:35 +0000
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No system is bad, if objective to start with is good...Paul earlier there was a RMP (Registered Medical Practitioner), were allowed to treat the people of remote areas...RMP could be done under a registered doctor with 3 or more year practical experience under his guidance...It was allowed by central government... just to provide medical help to remote and rural areas population...what happened after that???

Number of RMP increased with fake certification from the doctors...and stayed in urban areas..where it was not required...these low grade people destroy the name of this noble profession...hence after 30 years it was restricted by Govt...Which I knew...

Your idea is good and appreciated will help in untouched areas of our country,...but the system to be audited regularly to avoid such pit falls...
By Nitin M Aras, Head/VP/GM-Tech. Support, ODTIN Food Solutions Pvt Ltd  | 01 26 2010 06:12:59 +0000
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