Monday 7 November 2011

India seeks to expand rural healthcare through medical training




The Medical Council of India has proposed a truncated medical course for rural practitioners to address the large gap in India’s rural medical services.
The Bachelor of Rural Medicine and Surgery (BRMS) is a three-and-a-half year course aimed at students from rural India who will handle basic health care needs of rural populations, according to Knowledge Wharton Today on October 11.
The doctor-to-population ratio of India is 6:10000 compared to the global ratio of 14:10000.
India is poised to become a preferred destination for medical tourism while healthcare to its own citizens is lacking.
A nation of 1.21 billion people, India is on track take over China as the world’s most populous nation by 2025, according to the U.S. Census Bureau.
China has its “barefoot doctors” who have long served healthcare needs of rural China.
Sixty percent of Indian hospitals and 80 percent of its doctors work in the private sector, and 70 percent of the health care resources in the country are concentrated in the top 20 cities, leaving the rural areas largely to fend for themselves.
A Council report noted that the course will focus on “high quality of competence in preventive, promotive and rehabilitative services…with a focus on primary health.”
It emphasizes that this is not an abbreviated version of a traditional medical degree (MBBS) course but one that is unique to the rural area.
The proposal is not without controversy.
KWT reported Vinay Aggarwal, president of the Indian Medical Association as saying it will compromise rural health…“…an army of half-baked doctors…is a gross injustice.”
The MBBS degree granted by Indian medical schools runs five-and a-half-years.
KTW reported Rana Mehta, executive director of PricewaterhouseCoopers India as saying, “I see the [BRMS] as a positive step…given the shortage of doctors, this is a very good and innovative move…” as long as practitioners keep within the paradigm of their knowledge.
The Council recommends that by 2020, BRMS colleges should be in all districts with populations over 500,000.
India is also working to reach rural areas by encouraging other healthcare innovations such as treating patients for heart ailments at a fraction of the cost elsewhere in the world, and building low-cost hospitals in areas where unserved people are located.

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