Question : MIGRATION OF DOCTORS



(a) whether India is the top country of origin of migrant doctors in the Organisation for European Economic Co-operation (OECD) countries;

(b) if so, the details along with the facts in this regard;

(c) the number of doctors migrated to other countries during each of the last three years and the current year indicating the estimated cost of making a MBBS doctor in the country;

(d) whether the Government has taken/proposed certain measures to arrest this trend and announced incentives to bring these doctors back to the country; and

(e) if so, the details thereof?

Answer given by the minister


THE MINISTER OF HEALTH AND FAMILY WELFARE (GHULAM NABI AZAD)

(a) & (b) No such data for Organization for European Economic Co-operation (OECD) countries is maintained in this Ministry. However, the Embassy of India in Paris has informed that the OECD had brought out a Policy Brief in February 2010 dealing with “International Migration of Health Workers” which mentioned that one of the main findings which emerge from the OECD/WHO work with regard to the impact of health workers’ migration on origin countries is that a significant share of international movements is occurring between OECD countries even though the bulk of migration flows is originating from developing and emerging countries. Around the year 2000, nurses born in the Philippines and doctors born in India accounted for the bulk of the immigrant health workforce in the OECD. Further the outflow of health personnel from large origin counties such as India and Russia – albeit large in absolute terms – remains low compared with the size of their total workforce.

(c) The doctors, registered with Medical Council of India (MCI), who go abroad for pursuing courses or for employment need to obtain Good Standing Certificates from MCI. The details of Good Standing Certificates issued by MCI during the last three years and current year are as under:

Year	No. of Good Standing Certificates
2009	1386
2010	1264
2011	1368
2012	709
(upto 16.08.2012)
The cost of making a MBBS doctor in the country would depend on factors like cost of teaching and service delivery to patients and would vary from state to state and between medical colleges in the government sector and the private sector and no common estimation of such cost is available.

(d) & (e) In order to discourage this practice among doctors working in Government, the following steps have been taken by the Central Government:

(i) Pay and allowances of doctors have been enhanced considerably after implementation of the 6th Central Pay Commission.

(ii) The age of superannuation of faculty of Central Government medical institutions has been enhanced to 65 years.

(iii) Assured Promotion Scheme for faculty of Central Government Institutions has been revised to make it more beneficial.

(iv) Various allowances available to faculty like Non Practicing Allowance, Conveyance Allowance, Learning Resource Allowance, etc. have been enhanced considerably.