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The Indian health care industry has been witnessing a drastic change in the behaviour and the nature. The quality of services has improved a lot and people from all parts of the world come here and avail them. Another reason why the Indian healthcare industry has allured foreigners is the treatment that is available in their country for thousands of dollars, is available in India for very low rates. In fact, the treatment available in India is cheaper and much better in quality when compared to health care services provided in other countries.
However, the other side of this fact is that the health care India sector is having a severe shortage of skilled and trained staff. If observed more closely we will see that whatever Human Resource Planning and workforce is available, they are reluctant in going into the rural parts of the country. This has resulted into condition of health services in rural India, even worse. The reason behind this is the recruitment processes adopted by the authorities, which is full of flaws and loopholes. Another reason that has contributed a lot in this point is the flaw in motivation, compensation and retention policies adopted by the government at both the central and the state level.
There are flaws in few other policies adopted by central and state governments, which have made people to maintain a distance from joining the health care industry of India. There are many shortcomings in the recruitment process adopted by the authorities and mostly judgments are taken on an Ad Hoc basis. It is not that the recruitment process goes on in the flow but it is initiated every time the requirement arises. The state governments are responsible for recruiting the health care staff at state levels and they avoid showing the required interest. The best example of state governments not taking enough interest towards improving the health care condition is that they back off from sanctioning new posts in the health related departments.
State governments are more interested in keeping health workers on a contract basis. By doing so, they get relieved from their duty of keeping track of performance management [including supervision] and the work culture adopted by the contractual employees. Authorities interpret the rules related to the recruitment of health care staff quite often and this creates a sort of dilemma in the minds of candidates aspiring to join this sector. This makes them keep at a distance from joining this sector. Furthermore, the state governments show utmost laziness in determining important factors while the recruitment process is on. Population growth, demographic changes, disease burden, patient load etc. are a few points that should be considered before placing the staff.
Lack of liberty given by seniors to juniors is also an important factor influencing the shortage of health care staff Indian health industry. Nurses and junior staff are given no decision-making powers or very limited powers. In addition, the growth opportunities are not very good in this sector. The training staff is inadequate and this directly influences the training procedure of the junior level staff. Health care sector of India needs a comprehensive policy and serious consideration without which it would be impossible to revive the health care condition in India and especially in the rural parts of the country.