Eleventh Five Year Plan

96 Eleventh Five Year PlanBox 3.1.18Facilitating Action by Private SectorTamil Nadu Government established a Centre of Excellence, ‘Sterilization and Recanalization Training-cum-Service Centre’at Kilpauk Medical College, Chennai, in 1987 with core officers—a female gynaecologist and a male urologist. It conductsworkshops and trains doctors in standard procedures of male and female sterilizations. The centre also provides services byconducting sterilization and recanalization operations for males and females.In Tamil Nadu, private sector participation is strengthened to improve family welfare programmes in the State. Privatenursing homes have been approved to provide family welfare services in the State. Nearly 25% of the sterilizations areperformed by voluntary and approved private institutions. Contraceptive stocks are freely supplied to these institutions toprovide better services to needy couples to improve spacing between births.• Expanding the basket of contraceptive choices• Improving social marketing• Increasing male involvement• Enhancing role of mass media for behaviouralchange• Disseminating through satisfied usersHuman Resources for Health3.1.156 Given the present scarcity of human resources,the next decade will posit newer opportunities andchallenges for medical and health education. Thecountry has to train an adequate number of healthprofessionals with appropriate knowledge, skill, andattitude to meet the future health care needs of thepeople and the increasing disease burden. Additionally,there is the opportunity for India to become animportant destination for health care services. Giventhe rising demand and growing need for expandinghealth services, systematic studies need to be launchedfor estimating requirements. In the Eleventh FiveYear Plan, efforts will be made to develop an effectivehuman resource MIS by involving concerned Ministries,Professional Councils, Technical Councils,UGC, Central and State Universities, Public HealthInstitutions, and knowledgeable individuals fromCivil Society.3.1.157 NCMH (2005) has recommended additionalfunding for establishment of new medical, nursing,and other institutions, training of village level functionaries,and in-service training of health personnel.The resource requirements for development of humanresources for health during the Eleventh Five YearPlan will be shared by the Centre and the States. TheNRHM will also contribute. Efforts will be made tomobilize additional resources through suitable partnershiparrangements with the private sector and alsothrough other available options.3.1.158 Measures will be taken during the EleventhFive Year Plan period to solve the problem of shortageof basic education infrastructure and human resources.The role and functions of apex bodies like MCI needto be reviewed. The following strategies will be accordedpriority during the Plan:• Ensure availability of medical professionals in ruralareas on a permanent basis, posting of doctorswith adequate monetary as well as non-monetaryincentives, such as suitable accommodation, class Istatus, preferential school admissions for childrenof doctors living in remote areas, transfer or postingof choice after a stipulated length of stay andtraining opportunities.• States to expand the pool of medical practitionersincluding a cadre of Licentiate Medical Practitionersand practitioners of Indian Systems of Medicineand Homeopathy (AYUSH).• Increase age of retirement of doctors (all Centraland State Government including Defence, Railways,etc.) to 62 years. States will be encouraged to retainpublic health doctors on contract basis for furtherperiod of three years till the age of 65 years, especiallyin the notified hardship areas.• A series of one-year duration Certificate Coursesfor MBBS graduates will be launched in deficitdisciplines like public health, anaesthesia, psychiatry,geriatric care, and oncology. The privatesector will also be encouraged to participate inthis venture.