Question : INCENTIVES FOR RURAL MEDICAL SERVICES



(a) whether the Government is giving certain incentives to the medical and paramedical professionals who are willing to serve in the rural and remote areas of the country;

(b) if so, the details thereof alongwith the achievements made as a result thereof, State/UT-wise;

(c) whether certain relaxations have also been provided for opening medical colleges and hospitals in these unserved areas;

(d) if so, the details thereof; and

(e) the other measures taken/proposed by the Government to scale up medical education and services in the rural and remote areas of the country?

Answer given by the minister


THE MINISTER OF HEALTH & FAMILY WELFARE (SHRI GHULAM NABI AZAD)

(a) & (b): The Central Government, in consultation with Medical Council of India, made the following amendments to its Post Graduate Medical Education Regulations to encourage doctors to serve in the rural areas:

50% reservation in Post Graduate Diploma Courses for Medical Officers in the Government service who have served for at least three years in remote and difficult areas; and Incentive at the rate of 10% of the marks obtained for each year in service in remote or difficult areas upto the maximum of 30% of the marks obtained in the entrance test for admissions in Post Graduate Medical Courses.

No targets have been set to monitor achievements against these amended regulations.

(c) & (d): The Central Government, in consultation with Medical Council of India (MCI), relaxed the requirement of bed occupancy and land requirement for setting up of medical colleges in rural and unserved areas.

(e): The Central Government is strengthening the health care system in rural areas and has launched National Rural Health Mission (NRHM) in April 2005 specifically for this purpose. Since its inception NRHM has made the following achievements:

Financial assistance is provided to States under National Rural Health Mission (NRHM) to engage doctors and specialists. As on 31.3.2011, 9432 doctors and 7063 specialists were engaged by States on contract basis.

Financial assistance is also provided under NRHM for engaging AYUSH doctors on contract basis and collocate them in PHCs/CHCs. As on 31.3.2011, 11,575 AYUSH doctors were engaged by the States.

Payment of incentives to doctors and specialists in hard to reach and difficult areas.

Multiskilling of doctors by training them in Life Saving Anesthesia Skills (LSAS) and Comprehensive Emergency Obstetric Care (CEmOC).

In addition, under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), six AIIMs like institutions are being established. Separately, under the scheme of Strengthening and Upgradation of State Government medical colleges, Rs. 1350 crore have been earmarked to strengthen and upgrade the State Government medical colleges.