Rational Deployment of Health Human Resources in Rajasthan

Agency : ICMR

The overall objective of the study was to assess the deployment and distribution of health human resource in rural Rajasthan with respect to RCH II and identify the factors which affect availability of the human resources and utilization of their services. The specific objectives of the study were to review the existing policies for deploying and developing the human resources at various health facilities in rural areas; the distribution and availability of human resources for health in the government health facilities; and the factors which affect availability of the healthcare staff.

The study was cross-sectional in nature and covered the entire State of Rajasthan. Both quantitative and qualitative methods were used to collect the required information on the availability and deployment of the health staff. While quantitative information was collected for all the 33 districts, qualitative information was collected from the 14 districts where health facilities were visited by the research team. The findings of the study indicated that an acute shortage of staff in the public health sector existed at all levels. The state records of public health system showed that out of the 8762 positions of doctors sanctioned in the state, about 6340 positions had been filled, resulting in a shortage of about 28 percent medical officers. The rural urban inequity in deployment of specialist staff was even greater, with only 7.4 percent anaesthetists, 3.9 percent paediatricians and 5.2 percent gynaecologists posted in rural areas. The government has considered and implemented various policy options to overcome the shortage of health personnel, to bring down geographic inequities in deployment, to reduce attrition and to encourage more doctors to join the public health sector. For this, several steps were taken, such as revising the salaries of medical officers, shortening the period of probation, and posting PG doctors at CHCs. Existing policies related to human resources were not rated as satisfactory by the medical officers, particularly transfer policy (60.3%), posting policy (46.3%), and promotion policy (41.2%). Lack of transparent policies and political interference emerged as reasons which resulted in irrational deployment of health human resource.



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