Size, composition and distribution of human resource for health in India: new estimates using National Sample Survey and Registry data

Karan, Anup; Negandhi, Himanshu; Nair, Rajesh; Sharma, Anjali; Tiwari, Ritika; Zodpey, Sanjay

doi:10.1136/bmjopen-2018-025979

Cited by 101 publications

(118 citation statements)

References 11 publications

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“…The findings of this study are in line with the latest research findings in India (Singh, 2019;Karan et al, 2019) and China (Zhu, Hsieh and Mao, 2019). The results of the study in the two regions found the same research facts, that the distribution of physicians was influenced by the population in an area.…”

Section: Discussionsupporting

confidence: 89%

“…Especially access to basic health services that require more attention in terms of geography. Special efforts or policies are still needed to deal with the problem of doctor distribution, especially in the era of National Health Insurance (Karan et al, 2019). The purpose of this study is to answer any factors related to the distribution of doctors by the province in Indonesia.…”

Section: Introductionmentioning

confidence: 99%

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Distribution Analysis of Doctors in Indonesia

Laksono¹,

Ridlo²,

Ernawaty³

2019

Preprint

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Introduction: The distribution of health workers was an important study in Indonesia which has a wide geographical range and challenges as an archipelagic country for the fulfillment of fair and equitable health services.Aim: The study was conducted to answer factors related to the distribution of doctors based on provinces in Indonesia.Methods: Advanced analysis of secondary data from "Data and Information: Indonesian Health Profile in 2017". The analysis unit in this study was the province, all 34 provinces in Indonesia were analyzed. The dependent variable was the Number of Doctors. Dependent variables were the number of population, density, percentage of poor people, number of hospitals, and number of Puskesmas.Results: Variability in the availability of doctors was very wide. The more the population, the more attractive it was for doctors to practice in the province. The denser the population, the more attractive it was for doctors to practice in the province. The more the poor population, the more attractive it was for doctors to practice in the province. The more hospitals, the more attractive it was for doctors to practice in the province. The more Puskesmas, the more attractive it was for doctors to practice in the province.Conclusions: All variables analyzed were related to the number of doctors. Variables of population, density, percentage of poor people, number of hospitals, and number of Puskesmas were positively related to the number of doctors.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Distribution Analysis of Doctors in Indonesia

Laksono¹,

Ridlo²,

Ernawaty³

2019

Preprint

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“…However, a recent estimate based on NSSO data shows there were 3.82 million health workforce belonged to different categories in 2016. 7 This figure is lower by almost 33.45% of health workforce registered with various councils and associations in the country during 2017 (Table 2).…”

Section: Size and Compositionmentioning

confidence: 93%

“…2,3,6 RMPs act as the first point of contact for treatment of a significant proportion of population living in rural and far flung areas. 7 Nurses have a diploma in general nursing and midwifery or a bachelor's degree or a postgraduate degree registered with the Indian Nursing Council (INC). Another group of health workforce consists of auxiliary nurses and midwives (ANMs), who work as subordinates to the main nurse, possess a diploma in auxiliary nurse midwifery.…”

Section: Introductionmentioning

confidence: 99%

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Health workforce in India: opportunities and challenges

Mughal

2019

Int J Community Med Public Health

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Health system reforms in India during the past decade yielded an impressive growth of medical, dental and nursing education opportunities, but health workforce density remains low in comparison to the World Health Organization (WHO) norms. Apart from shortage, retaining qualified health workforce in the rural and underserved areas remains a huge challenge. This crisis is likely to persist until and unless health system addresses the fundamental requirements of health workers as envisaged in health policies. Concerted attention and long term political commitments are required to overcome health system barriers to achieve rural recruitment and retention across various cadres in states. As the major share of health workforce belongs to the private sector, their resources need to be harnessed to meet health system goals through partnerships and collaborations. There is an urgent need for better regulation and enforcement of standards in medical education and delivery of health services across the public and private sectors.

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Delay in the diagnosis of dementia in urban India: Role of dementia subtype and age at onset

Ellajosyula

Narayanan

Hegde

et al. 2022

Int J Geriat Psychiatry

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Background: Early diagnosis of dementia is crucial for timely intervention. However, frequently, there is a substantial delay in diagnosis. Therefore, it is essential to recognise and address the barriers to early diagnosis. These have not been systematically studied in India. We at a specialist memory clinic in India investigated the time from symptom onset to diagnosis of dementia and factors contributing to the delay. Methods:In this cross-sectional study, consecutive patients with dementia (n = 855) seen at a private hospital underwent a standard clinical assessment and investigations. The primary outcome variable was time from symptom onset to diagnosis (TTD). The association of age, education, gender, dementia subtype, and age of onset on TTD were examined using a univariate analysis of covariance. Results:The median TTD was 24 months; 43% were diagnosed after 24 months.There was a significant association between TTD and age at onset (young onsetmedian 36 months vs. late onset-24 months) and dementia subtype. Patients with vascular dementia were diagnosed significantly earlier as compared to patients with Alzheimer's disease (AD) and frontotemporal dementia (FTD) [median 18, 24, and 30 months, respectively]. There was no effect of gender or education on the TTD. Conclusion:About 40% of patients with dementia were diagnosed more than 2 years after symptom onset, particularly young onset dementias and FTD. Our study findings highlight the gaps in diagnosing patients with dementia in urban India and have significant implications for developing and implementing multifaceted interventions to improve the early diagnosis of dementia. K E Y W O R D SAlzheimer's disease, delay, dementia, diagnosis, frontotemporal dementia, late onset dementia, vascular dementia, young onset dementia Key points� Dementia is expected to be a major public health problem in India. There is very little information regarding the factors associated with delay in diagnosis of dementia in India.

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Size, composition and distribution of human resource for health in India: new estimates using National Sample Survey and Registry data

Cited by 101 publications

References 11 publications

Distribution Analysis of Doctors in Indonesia

Distribution Analysis of Doctors in Indonesia

Health workforce in India: opportunities and challenges

Delay in the diagnosis of dementia in urban India: Role of dementia subtype and age at onset

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