Human Resource Planning, Development and Strengthening
Item
- Title
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Human Resource Planning,
Development and Strengthening - extracted text
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Arogya Karnataka
Dept, of Health and Family Welfare and
Medical Education,
Govt, of Karnataka
Report of the Sub-Committee on
Human Resource Planning,
Development and Strengthening
June 2021
Report of the Sub Committee on
HUMAN RESOURCE PLANNING, DEVELOPMENT AND
STRENGTHENING
for
Arogya Karnataka
Department of Health and Family Welfare
and Medical Education^
Government of Karnataka
Report HR Subcommittee Arogya Karnataka June 2021
Contents
Page No
SI no
Preface
1
Acknowledgement
2
Section I: Executive Summary
4
Section II: Situation Analysis
9
__
9
1
Backgroun d
2
Problem Statement
3
Process adopted by the subcommittee
4
SWOC analysis- Problem statement with specific reference to Karnataka______________
11
5
Existing HRH norms and HRH availability in the country_______________________ _______
12
6
Excerpts from National Educational Policy , WHO Recommendations on Health Work
14
_________________________________
____________________
___________________
_
10
10
Force Requirements for Universal Health Coverage
15
Section III: Main Recommendations
1
GeneralRecommendati ons
__
15
2
Recommendations Specific to Various Faculties___________________________________ _
19
_____________
Section IV: Operational Considerations
_______
1
Few recommendations towards Implementation
2
Suggested mechanisms for implementing recommendations.
3
Other issues discussed.
___________________________ _____
22
22
22
23 to 52
Section V: References and Annexures
_
References
Annexures
Annexure I Reference of Government Order and Official letters, Annexure II List of members of
Subcommittee, Annexure III Terms of Reference, Annexure IV- A Total number of Health
Professional Institutions in the State, Annexure IV B, Annexure IV C (Data related to
Degree/Diploma awarded during the most recent last Regular convocation with respect to UG/PG
in Medical, Dental, Nursing, Pharmacy, Physiotherapy and Allied Health Sciences), Annexure V
SWOC Analysis
22
_
Report HR Subcommittee Arogya Karnataka June 2021
_
_
_
_—
Expansion of Abbreviations
Abbreviation
ADR________
AMR________
CHC_________
PCI__________
DRP_________
GNM________
GGH, Chennai
HLEG________
HHR________
MOU________
NAAC
Expansion_________________________
Adverse Drug Reactions______________
Antimicrobial Resistance______________
Community Health Centre_____________
Dental Council of India_______________
District Residency Programme__________
General Nursing and Midwifery Course
Government General Hospital, Chennai
High level Expert Group_______________
Health Human Resource______________
Memorandum of Understanding________
National Accreditation Assessment Council
NEET
NIMHANS
NMC
NITI Aayog
PCTRC
Pharm D
PG______
PHC
PPP
PSUs
RGUHS
SDGs
UHC
UG______
WHO
National Eligibility cum Entrance Test_____________
National Institute of Mental Health and Neurosciences
National Medical Commission___________________
National Institution for Transforming India Aayog
Poison Care, Training and Research Centre_________
Doctor in Pharmacy___________________________
Post Graduate ___________________________ _
Primary Health Centre_________________________
Public Private Partnership______________________
Public Service Undertakings_____________________
Rajiv Gandhi University of Health Sciences__________
Sustainable Development Goals__________________
Universal Health Coverage______________________
Under Graduate______________________________
World Health Organisation
Report HR Subcommittee Arogya Karnataka June 2021
VISION GROUP KARNATAKA
Dept, of Health & Family Welfare and Medical Education, Government of Karnataka
Report of the Sub Committee on
HUMAN RESOURCE PLANNING, DEVELOPMENT AND STRENGTHENING
Preface
" i Welfare and Medical Education, Govt, of Karnataka,
The Department of Health and Family
group to develop a much needed road map for strengthening Health Systems
formulated a Vision
'
program in the state . The formation of Vision Group by the State Government was timely and a
positive step towards bringing out changes in the health sector to fulfill the aspirations of the peop>e
and on
on the
other to
reach the
goal vi
of achieving -------------universal---------health coverage
and also
on the one ana
uie umei
iu icacn
me 5^ui
« (UHC),
.
the Sustainable Development Goals (SDGs). Although Karnataka has made significant progress in tbje
health sector, there are certain areas which need attention including policy decisions. The Vision
group formed several thematic subcommittees to review and recommend policy issues to the
Government. One of them was the thematic Subcommittee on Human Resource Planning,
Development and Strengthening, for which I was designated as the Chairman, and Dr. S. Pruthvish
(former Prof. Head, Dept, of Community Medicine, MS Ramaiah Medical College) as Convener.
Members for this Subcommittee were drawn from Medical, Dental,
Nursing,
Pharmacy,
Physiotherapy and Allied Health Sciences faculty with considerable experience in their respective
domains for a quick situation analysis and preparation of the report (Annexure-ll). The group's work
and the recommendations were based on the Terms of Reference (Annexure-lll).
The Subcommittee focused on Education and Training of Medical, Dental, Nursing, Pharmacy,
Physiotherapy and Allied Health Care Professional faculty and their deployment and utilisation in
Karnataka. It held four meetings. The members of the Subcommittee collected or pooled data from
various sources (NITI Ayog, National and State level available data, Universities - RGUHS, Deemed to
be Universities and State Private Universities in Karnataka and from NIMHANS, regarding the various
courses conducted by them. Where necessary the Subcommittee consulted teachers,
administrators, health officials and made presentations during the subcommittee meetings, A
structured check list was used to collect data for situation analysis. The present report is in the form
of General and Specific recommendations pertaining to the various faculties mentioned already.
I thank the Hon'ble Minister for Health and Family Welfare and Medical Education, Govt, of
Karnataka, and the Chairman of the Vision Group of Karnataka, for giving us this opportunity. I also
thank the Convener, the Subcommittee members for their contribution and all others who directly
or indirectly helped us in preparing the report.
Dr. S. Sacchidanand,
Chairman, Subcommittee on Human Resource Planning, Development and Strengthening,
Arogya Karnataka,
Vice Chancellor, Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore.
1
Acknowledgement
The Chairman, Convener and members of the Subcommittee on Human Resource
Planning, Development, Strengthening, Arogya Karnataka express immense thanks to for
the opportunity provided to contribute to this important endeavor to:
•
Hon'ble Minister of Health and Family Welfare and Medical Education, Government of Karnataka,
Additional Chief Secretary and Principal Secretary, H and FW. Principal Secretary, Medical Education,
Directors, Dept, of H&FW, Government of Karnataka.
•
Chairman, Dr. G. Gururaj, former Director, National Institute of Mental Health & Neurosciences,
Bangalore, and Convener, Dr. Sathish Babu, Consultant Endocrinologist, Sparsh Hospitals, Bangalore,
Karnataka.
•
Vice-Chancellors and Registrars of following Deemed to be Universities:
1.
BLDEA Academy of Higher Education & Research&, Bijapur.
2.
JSS Academy of Higher Education & Research, Mysuru.
3.
KLE Academy of Higher Education & Research, Belagavi.
4.
Manipal Academy of Higher Education & Research, Manipal.
5.
6.
7.
8.
NITTE Academy of Higher Education & Research, NITTE Education Trust, Mangalore.
Sri Devaraj Urs Academy of Higher Education & Research, Tamaka, Kolar.
Sri Siddhartha Academy of Higher Education & Research, Tumkur.
Yenopoya Academy of Higher Education & Research, Mangalore.
Vice Chancellors and Registrars of following Private Universities:
1.
Garden City University, Bangalore
2.
MS Ramaiah University of Applied Sciences, Bangalore
Director, National Institute of Mental Health and Neurosciences, Bangalore.
Faculty members from Government and Private Medical, Dental, Nursing, Pharmacy, Physiotherapy
and Allied Health Educational Institutions and Experts from Private Health Sector in Karnataka
Dr. S. Raghunanthanan, Prof, of Medicine, Institute of Internal Medicine, Chief, Poison Control,
Training,& Research Centre, Madras Medical College, Chennai.
Secretariat, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka.
—0—
2
Introduction
The Department of Health and Family Welfare and Medial Education, Govt, of Karnataka, formulated
a Vision group to develop a much needed road map for strengthening Health Systems program in
the state. The Vision group formed several thematic subcommittees to review and recommehd
policy issues to the Government. One of them was this Subcommittee on Human Resource Planning,
Development and Strengthening. The Subcommittee focused on Education and Training of Medical,
Dental, Nursing, Pharmacy, Physiotherapy and Allied and Healthcare Professional faculties and their
deployment and utilisation in Karnataka. It held three meetings. In addition, the members of the
Subcommittee collected or pooled data from various sources (NITI Ayog, National and State level
available data, Universities - RGUHS, Deemed to be Universities and State Private Universities in
Karnataka and from NIMHANS, regarding the various courses conducted by them. Where necessary
the Subcommittee consulted teachers, administrators, health officials and made presentations
during the subcommittee meetings. The present report is the outcome.
<
It is presented in five parts, Section-1, consists of Executive Summary, Section-ll, is Situation Analysis
and Background, Section III, is the operative part detailing the main Recommendations in the form of
General and Specific recommendations, the latter pertaining to the faculties of Medical. Dental,
Nursing, Pharmacy, Physiotherapy, Allied and Healthcare Professional. Section IV, describes the
Operational Considerations and Section V, is for References and Annexures.
3
Section I - Executive Summary
General Recommendations
1.
Manpower Study of Health Human Resource (HHR) in the State of Karnataka
Karnataka can be proud to be called as an "educational hub" in India. Details of human resource
output with respect to Medical, Dental, Nursing, Physiotherapy and Allied Sciences and
Pharmacy in Karnataka is outlined in Annexure IV-B and Annexure IV-C, bears testimony.
However, how this trained workforce is utilized in the State in various health care facilities is an
important matter to be considered because in spite of training a large number annually, there is
shortage of manpower in health care facilities.
Therefore, there is an urgent need (i) to conduct HHR study in order to determine the existing
workforce of all categories of Health Care Professionals both in Government, Public Sector
Undertakings (PSUs) and Private sector and (ii) to estimate by Gap analysis the existing gap
between the need and availability of Health Care Professionals in the three sectors mentioned
above.
The above mentioned two studies would help to take such steps as necessary to fill the gaps in
a phased manner to fulfill the various health goals in the next 5 years. The above studies may
also help in optimal utilization of the existing health care professionals work force avoiding
either non utilisation or suboptimal utilisation of trained human resource.
2. Establishment of Quality Monitoring and Enhancement Cell (QUMEC)
Need has arisen for establishment of a QUME cell in view of the rapid increase in the number
health professional educational institutions, increase in number of admissions, and somewhat
skewed ratio in postgraduate intake vis a vis undergraduate intake (Annexure IV-B Tables 1 to 7,
IV-C Tables 1 to 11).
The quantitative increase needs to be balanced with improvement in the quality of education
too, as maintenance of health and well-being of people is an important responsibility of
educational institutions, health science/medical Universities and the State.
Therefore, the Subcommittee urges the Government of Karnataka to establish a Quality
Monitoring and Enhancement Cell at the earliest. The government could recommend all the
Medical/Health sciences Universities including NIMHANS to establish such cells too.
W
3.
Pharmacovigilance, Drug Monitoring and Hospital Formulary Unit, Antimicrobial
Resistance Policy and Poison Care, Training and Research Centre
3.1. Pharmacovigilance, Drug Monitoring Unit & Hospital Formulary Unit
It is imperative to exercise vigilance over the use drugs as a safety measure so that not only
medical errors are reduced [1], but also monitor Adverse Drug Reactions (ADR), provide
after care to ADR, report ADRs and maintain a Registry, and exchange information within the
hospital and among the hospitals. In addition, it is essential to prepare Hospital Formulary
for every hospital. It will help in standardization of procurement of essential drugs. It will
4
also help in Rational Drug use and reduction of expenditure by hospitals on procurement of
drugs.
The Subcommittee requests the Government of Karnataka to establish at the earliest
Pharmacovigilance and Drug Monitoring Centers in each of the teaching, non-teaching (both
government and privately owned) and District Hospitals.
3.2. Antimicrobial Resistance Policy:
Antimicrobial Resistance (AMR) is one of the greatest challenges of 21st century. The
Director General of World Health organization said "AMR is a slow tsunami that threatens to
undo a century of medical progress". An estimated annual global 700,000 deaths have
occurred. It is forecasted that about 10 million deaths and economic costs up to $100 trillion
may happen by 2050 [2]. Among the many reasons for development of drug resistance
include over or indiscriminate prescriptions of antibiotics, inappropriate use in agriculture,
poultry, veterinary purposes, contamination by pharmaceutical manufacturing industry
where large quantities of untreated effluents containing antimicrobials are released into the
environment. It may be mentioned here that India is one of the largest manufacturers of
pharmaceuticals globally.
There are examples of successful adoption of Antimicrobial Resistance policy in countries
such as Peru, the United Kingdom (UK) and European Union (EU) [2].
Therefore, it is essential to formulate Antimicrobial Resistance Policy by the Government of
Karnataka urgently with a multi-sectoral approach involving, medical/health, agriculture,
veterinary, environment, drug controlling authority and Pharmaceutical industry. Patient
education, change in prescriber behavior, restrictions on over the counter sale, patient
safety [1], are some of the steps to be considered in the policy.
3.3. Poison Care, Training and Research Center:
A large number of deaths take place in India due to poisoning by consumption of pesticides,
snake and other bites and over dosage of drugs. These are emergencies and need immediate
appropriate management at hospitals and other health facilities.
In order to provide suitable care and also develop trained health care personnel
establishment of Poison Care, Training and Research Centre (PCTRC) is recommended by the
Subcommittee.
3.4. Utilisation of Pharm.D. Professionals:
A number of Pharm. D, (Doctor in Pharmacy) qualified
personnel, well versed
Pharmacovigilance, drug monitoring, rational drug prescription and use, are available who
can be gainfully employed in each of the teaching hospitals either attached to medical
colleges or others like National Board, Corporate and Private hospitals or Nursing homes and
District hospitals. They would help in Preparation of Hospital Formulary, ADR monitoring,
implementation of Antimicrobial Resistance policy on the one hand and on the other in
conducting periodic Continuing Education and Training Programs for PHC doctors and
Pharmacists employed at different levels.
5
4. Admissions through Common Application, Common Entrance Test, Single Window
Counseling for AYUSH, Nursing, Pharmacy, Physiotherapy, Allied & Healthcare Professional
Courses
The subcommittee reviewed in detail situation of Pre-university students seeking admission to
AYUSH, Nursing, Pharmacy, Physiotherapy, Allied & Healthcare Professionals, are facing
different time line of admissions, modus operand! of admissions, delays in admissions because
of sequential admissions process every academic year, is resulting in not only loss of academic
time up to October/November during 1st year, but also is causing anxiety of students and
parents due to uncertainty. In addition, it is alleged that "left overs" join courses like Pharmacy,
Physiotherapy and Allied & Healthcare Professional course.
Therefore, the Subcommittee strongly recommends developing a system of Common
Application, that is, one Application form providing option for all those courses mentioned in the
above paragraph, one Common Entrance Test, Common Counseling that is Single window
counselling, fixed time line for admissions (preferably, ending before 31st July) is likely to
improve the quality of education.
Recommendations Specific to Different Faculties
5. MEDICAL FACULTY
The subcommittee requests the Govt, of Karnataka to take following pro-active steps at the
earliest, to facilitate adoption of three Primary Health Centers (PHC) by medical colleges as per
the recommendations of erstwhile Medical Council of India and the present National Medical
Commission (NMC) to:
5.1 Correspond with NMC to remove or relax the clause that the PHCs adopted should be under
the administrative control of the medical colleges. This clause whatever its merit may be, is
not feasible or practical, because the Government may not be willing to hand over lock stock
and barrel PHCs. Similarly, private medical colleges may not be willing to take the additional
financial expenditure and staff absorption. Even government employees may not be willing
such a change.
5.2 The State government may consider and moot the idea of PPP model by having a MOU with
medical colleges in the state; or
5.3 Revive the idea of handing over 80% of the budget of PHCs to medical colleges to defray the
additional costs.
5.4 Lack of Admissions to Postgraduate Courses in Pre and Para clinical Subjects in Medical
Colleges
While it is appreciable to see the rapid addition to the number of Medical Colleges in the
country - an increase by over 35% in the last four years, we need to look at a related fact
that in around 75% of the existing Medical Colleges there are no "takers" for the PG seats in
six of the eight departments* over the past few years. They are Anatomy, Physiology and
Biochemistry in Pre-Clinical area and Pharmacology, Forensic Medicine and Microbiology
Para-Clinical areas. This reality may precipitate a situation where in we will see a huge
shortage of faculty in these areas- to meet the requirements in new Colleges as well as
replacing the retirement of existing faculty.
6
Therefore, the Subcommittee recommends that this matter be taken up by the Government
with NMC and NEET authorities and find a solution. Certain suggestions have been made by
the Subcommittee to motivate the students to join these courses the details of which are
given in Section III., (Main Recommendations, SI. No 5.4).
The Subcommittee strongly recommends Government of Karnataka may take up with NMC
and NEET authorities and find a solution.
6. DENTAL FACULTY
The subcommittee after careful deliberations felt that the following issues are to be addressed
as early as possible with a view to improve dental care services in the state. They are:
6.1 To involve Dental colleges, and Dental practitioners, more in the National programs
including that of Oral Cancer prevention and care. Caries control and promotion of oral
health.
6.2 To encourage posting of Dental practitioners in all CHCs and PHCs and provide suitable
equipment such as dental chairs etc.
6.3 To urgently address the disparity in pay between and amongst teachers working in various
departments. This is causing considerable dissatisfaction among teachers.
The Subcommittee requests the Government to take appropriate action as deemed fit to
bring in pay parity at the earliest.
6.4. To evolve a policy for uniform development in the State a cadre of Dental Chair Assistants.
All Dental Colleges, and Dental Clinics must have Dental Chair Assistants to assist during
dental practice. It will improve quality of service. The collateral benefit of such a policy is
that it encourages skill development amongst young people and opens up avenues of
employment also.
7.
NURSING FACULTY
7.1 Although a large number of Nurses both BSc. (N) and GNMs pass out from Nursing colleges
and Schools (please see Annexure IV- A and IV- B), yet there is shortage of nurses available
for employment. This is akin to the adage - Poverty amidst plenty. Hospitals find great
amount of turnover and attrition. This matter requires serious attention as to how to attract
nurses for employment and working in the hospitals and other health care facilities in the
State. Please see Section III., (Main Recommendations, SI. No. 7. Nursing Faculty for the
suggestions made in this regard to improve the situation is given.
7.2 Nursing Assistants: The Government may please consider establishing a new cadre of
"Nursing Assistant" who can be trained in ONE year into assisting nurses in procedures like
bed making, patient sponging, providing bed pans, to procure daily drug indent from the
store, to procure and maintain linen stores, etc. This might reduce shortages faced in the
hospitals about nursing care.
73. Establishment of Government Nursing Colleges: There is need to start more Government
Nursing Colleges in the State which will help retain the Nurses within the state encouraging
"local" enrolment to nursing courses - with focus on attracting rural and semi urban
students.
7
8.
PHYSIOTHERAPY AND ALLIED and HEALTHCARE PROFESSIONAL FACULTY
8.1 Allied and Health Care Profession Act, was passed by the Parliament at the end of March
2021. The Gazette notification for the same was published on 28th March 2021. In the light
of the above:
8.2. According to the above mentioned Act, the State Government has to notify and establish
within six months of the Notification, State Allied and Healthcare Council, with four boards
as spelt out in the Act to regulate Education, Registry as well as Ethics and Ratings.
Therefore, the Government may take steps to establish State Council at the earliest.
8.3 The State Government may have to expand or create posts in the fields of Allied and
Healthcare Professions and Physiotherapy to ensure healthcare related to these two
specialties reaches till the Community level with creation of posts at state level as well as
under the Central health care schemes in a phased manner to reach the goal within the next
five 5 years.
8.4 Standalone Physiotherapy and Allied and Healthcare Professions colleges should be
encouraged to get accreditation from National Accreditation Assessment Council (NAAC).
8.5. Establishment of Government Physiotherapy Colleges: Among 80 Physiotherapy Colleges in
the state, only one is a Government Institution. The rest are Privately managed. There is
need to establish more Government Physiotherapy Colleges in the state. This will help those
students and their parents who cannot afford to join private colleges.
9.
PHARMACY FACULTY
9.1 Encouraging Pharmacists with Diploma in Pharmacy (D Pharma) to do B Pharma
As a career improvement for the large number of working Pharmacists (Diploma holders) in
government hospitals and health centers and pharmacies in the State, the subcommittee
suggests that the government should plan Faculty development program to upgrade their
qualification to degree for those who have passed Pre-university II examination or
equivalent. Further, diploma holding Pharmacists, already in government service may be
encouraged by providing needful reservation in the lateral entry quota provided by the
Government for admission to the II year of B. Pharma course and provide scholarships to
them to pursue the same. This would improve the quality of services provided by them.
Such a career improvement program would be very much beneficial for the employed
chemists and druggists as it will fine-tune know-how on drug dispensing, adverse drug
reaction, patient counselling, rational & irrational drug combination and medication dosage
advice.
9.2. Establishment of Government Pharmacy Colleges: Keeping in mind only one Government
Pharmacy College among 88 in the State, there is need to establish more Government
Pharmacy Colleges in the State.
... o —
8
Section II: Situation Analysis
Overview
In this section, after a brief description of existing health sciences education and training institutions
in Karnataka, both in Government and Private sectors, SWOC analysis is done to provide the context
for the next Section III, which is the operative part containing recommendations of the
Subcommittee for improvement of HHR.
1.
Background
Karnataka state has a total area of 191,791 km2 and is the eighth largest state. The state has 30
administrative districts with a total population of 611 lakhs (Census, 2011) of which 51% are
male and 49% are female. It is the 9th most populous state having a population density of 319
per sq. km. The sex ratio is 968 (females per 1000 males). The total literacy rate is 75.60% (male 82.85%, and of female -68.13%). Almost 34% of the total population in the state lives in urban
areas.
Following is an overview of Health Human Resource Institutions in Karnataka.
1.1 Health Sciences Education and Training Institutions in Karnataka
(i) Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore, (RGUHS) was
established in 1996, by the Government of Karnataka. It was the third medical/health
sciences university to be established in the country. There were about 168 institutions
belonging to medical, dental, nursing, pharmacy, physiotherapy and AYUSH. It is now one of
the largest Universities considering the number of institutions affiliated to it and the number
of students studying under its umbrella (Please see Annexure IV-B Table 2).
(ii) There are nine Deemed to be Universities and two Private Universities (Annexure IV-C
Tables 1 to 11)
(iii) There are also two institutions of National importance, National Institute of Mental
Health and Neuro Sciences, (NIMHANS) Bangalore, and All India Institute of Speech and
Hearing, Mysore.
1.2. In-service Training Institutions for Health Care Professionals
Department of Health and Family Welfare, Government of Karnataka, has established for in
service training of staff, the following training centres: State Institute of Health and Family
Welfare (1), Health and Family Welfare Training Centres (4), District Training Institutes
(19/30). In addition, there is Karnataka State Health Research Centre (1).
1.3. Paramedical Board, Government of Karnataka:
Paramedical Board, Government of Karnataka offers Diploma in Nursing courses in 765
institutions including 18 Government institutions, Certificate courses in 565 institutions
including 34 Government institutions (Medical Laboratory Technology, Medical Imaging
Technology, Ophthalmic Technician, Medical Records Technology, Dental Mechanics, Dental
Hygiene,
Operation
Theatre
and
Anaesthesia
Physiotherapy, Health Inspector) across the State.
9
Technology,
Dialysis
Technology,
Table I and Table II (Annexure IV A) on Human Resource institutions in Karnataka regarding
Health Professional education focusing on Medical, Dental, Nursing, Physiotherapy and
Allied Health Care Profession and Pharmacy.
The introspection in the current endeavour refers to "HR Planning Development
Strengthening with respect to Health Professional Education of: Medical, Dental, Nursing,
Physiotherapy, Allied Health Care Profession
and Pharmacy" only, in the State of
Karnataka.
2. Problem statement
2.1. The health professional education sector in Karnataka has many strengths. Although, various
initiatives were taken to address the issue of Human Health resource development, a
comprehensive health human resource policy which lays down detailed guidelines for
Universities, Health Professional Institutions - both Government and Private, Public Health
system and its training institutions to implement strategies to address the planning development
and strengthening of human resources for health, is most essential.
It is now widely appreciated that for achieving universal health coverage (UHC), health human
resource is one of the key factors. Given the fact that Karnataka and India is committed to
achieving UHC and also the Sustainable Development Goals (SDGs), it should develop and
implement a proper human resource policy urgently.
3.
Process adopted by the subcommittee
Approach followed in the preparation of rapid appraisal involved following steps :
Consultations with distinguished members were held with a check list for inquiry into situation
analysis of efforts, areas of strengths, challenges and opportunities, barriers, opinion, feedback
and suggestions. Subsequent to this, expert groups were formed in the areas of Medical, Dental,
Nursing, Pharmacy, Physiotherapy and Allied Health Sciences and were consulted by
coordinators of respective disciplines on online and offline platform using a predesigned inquiry
check list and responses obtained. Consultative and participatory effort was pursued. Inputs
from Deemed University (DU) perspective were provided by MAHE and JSS DUs. Certain specific
inputs were obtained from all nine Deemed universities, two private universities and NIMHANS.
Data related to Degree/Diploma awarded during the last Regular convocation held in 2020 or
2021 with respect to UG/PG in Medical, Dental, Nursing, Pharmacy, Physiotherapy and Allied
Health Care Profession was collected using predesigned questionnaire
Deemed Universities in Karnataka, two State Private Universities
from RGUHS, nine
and NIMHANS. Feedback,
opinions and suggestions were compiled, discussed with members of the subcommittee and
draft report was prepared
4. Situation analysis with specific reference to Karnataka - strengths, challenges and
opportunities (SWOC Analysis):
Faculty and Experts were consulted and Strengths, Weaknesses , Challenges and opportinities
(SWOC) Analysis with respect to Health Professional educational sector was undertaken and
10
I
I
details are given in Annexure V. Some of the important needs and challenges are highlighted
below :
Physiotherapy and Allied Health care Profession
•
Allied health care Profession is still an unorganized stream, not governed by any council ^s
yet, the quality of education is variable and also the programs are not well regulated.
•
Both Physiotherapy and Allied health professional areas did not have a regulatory body until
the enactment recently. The direction going forward, creating cadres, building up the man
power requirements were not addressed to date. The need at the state level for a regulatory
•
body was also strongly felt.
Further, there is no available data on the workforce requirements for Physiotherapy and
Allied Health care Professional graduates in the State.
Nursing
•
Needs quality Improvement of quality in education was a felt need.
•
Challenge to retain Nurses of Karnataka to serve within the state
Dental
♦
Non uniform Quality assurance: Standards are variable since there is no uniform quality
assurance mechanism in place across all dental institutions.
Pharmacy
•
Need for defining expanded role of pharmacists; there is need for better collaboration
between dept of Pharmacology and Pharmacists.
•
There is need for better collaboration between Dept, of Pharmacology of Medical Colleges
and that of Pharmacy practice and Pharmacology of Pharmacy Colleges Institutions .
Medical
.
Need for apt urban/rural distribution; incentives for rural service; Health HR assessment for
planning,
development
and
strengthening;
strengthened
efforts
towards
Faculty
Development.
•
There are no "takers" for the PG seats in six of the eight departments* over the past few
years. They are Anatomy, Physiology and Biochemistry in Pre-ClinicaI area and
Pharmacology, Forensic Medicine and Microbiology Para-Clinical areas. This reality may
precipitate a situation where in we will see a huge shortage of faculty in these areas- to
meet the requirements in new Colleges as well as replacing the retirement of existing
•
faculty.
Nursing, Pharmacy, Physiotherapy, Allied Health Professional and Ayush admissions :
The subcommittee reviewed in detail situation of Pre-university students seeking admission
to AYUSH, Nursing, Pharmacy, Physiotherapy, Allied & Healthcare Professionals, are facing
different time line of admissions, modus operand! of admissions, delays in admissions
11
because of sequential admissions process every academic year, is resulting in not only loss of
academic time up to October/November during 1st year, but also is causing anxiety of
students and parents due to uncertainty. In addition, it is alleged that "left overs" join
courses like Pharmacy, Physiotherapy and Allied & Healthcare Professional course.
•
Need to establish more Pharmacy, Nursing, Physiotherapy and Allied Health Professional
Colleges in Government sector
5. Existing HRH norms and HRH availability in the country
(Source: Desk review of important documents)
The development and deployment of HRH in India over the last six decades has been steered by
various Government-commissioned expert committees. Notable among these are the Health
Survey and Development Committee headed by Sir Joseph Bhore (1946), the Health Survey and
Planning Committee lead by Mudaliar (1961), the Chadha Committee (1963), the Kartar Singh
Committee (1974), the Shrivastav Committee (1975), the Medical Education and Review
Committee led by Mehta (1983), the Bajaj Committee (1986), the Mukherjee Committee (1995),
The National Commission on Macroeconomics and Health (2005), and the Planning Commission
Task Force on Planning for HRH (2007).
5.1 The Bajaj Committee for health manpower planning and development presented the first
ever assessment of HRH availability in India. It recognized that health systems and human
resources development were isolated from each other across ministries. The Committee
made
projections
for
rural
HRH
requirements
for
the
millennium
along
with
recommendations for building human resource capacity in educational institutions. In order
to ensure quality in health services, the Bajaj Committee recommended a competency
based curriculum, refresher and bridge courses, in-service trainings, career structures for all
categories and uniform pay scales across the country. The Bajaj committee also
recommended cadre-wide coordinated planning for HRH production and the establishment
of a University of Health Sciences in each state during the Eighth plan, as advocated earlier
by the Medical Education and Review Committee in 1983.
5.2. The High Level Expert Group (HLEG) on Universal Health Coverage acknowledges and
endorses the comprehensive and critical recommendations made by these earlier expert
bodies. While central and state leadership in health ministries may not have always adopted
or implemented the recommendations of these expert committees, their suggested
rationale and norms continue to be the basis for HRH planning and formulation of standards
[6]
The health sector in India is plagued by an acute shortage of human resources. Although, various
initiatives were taken to address the issue, a comprehensive human resource policy, which lays
down detailed guidelines for states to implement strategies to address the shortage of human
resources for health, is always missing. It is now widely acknowledged that for achieving
universal health coverage (UHC), health human resources is the key factor. Given the fact that
India is committed to achieving UHC and also the Sustainable Development Goals (SDGs), it
should develop and implement a proper human resource policy urgently. This has been
recommended from time to time by various committees, introspection and reports [4, 6,7, 10,
11, 16].
12
6.
Goals / targets fixed for the domain from any health or related documents
6.1 Excerpts from WHO (2013) HEALTH WORKFORCE REQUIREMENTS FOR UNIVERSAL HEALTH
COVERAGE AND THE SUSTAINABLE DEVELOPMENT GOALS Human Resources for Health
Observer Series No 17:
Globally, the needs-based shortage of health care workers in 2013 is estimated to be about
17.4 million, of which almost 2.6 million are doctors, approximately 9 million are nurses and
midwives, and the remainder represent all other health worker cadres. The largest need^based shortages of health workers are in South-East Asia at 6.9 million and Africa at 4.2
million. The shortage in absolute terms is highest in South-East Asia due to the large
populations of countries in this Region, but in relative terms (i.e. taking into account
population size) the most severe challenges are in the African Region. The global needsbased shortage of health care workers is projected to be still more than 14.5 million in 2030
(a decline of only 17%).
If we apply the WHO's standardized threshold of 4.45 skilled health professionals per 1000
population, India needs about 6.0 million health professionals and workers given its 1326.8
million population in 2016. As per the registration data of concerned authorities, the total
number of health professionals or workers registered in India is about 5.49 million. It still
indicates the shortage of more than 0.5 million (or 50 lakhs) health professional and workers
in the country. If we take note of the caveat mentioned above, the shortage would shoot up
depending on the size (or proportion) of those who are not actively rendering their service
among the registered health professionals and workers. According to the National Health
Profile's information, there were about 1,10,000 allopathic doctors and 10,000 dental
surgeons working in the Government sector, in 2016. This number definitely indicates the
actual availability and would be reliable. The government sector includes rural health
centres (PHCs and CHCs), area and district hospitals, and any other government hospitals.
Their availability is 9 doctors per lakh population and 5 dental surgeons per ten lakh
population. In terms of coverage of population, it is about 12 thousand population for each
doctor to serve and more than two lakh population for each dental surgeon. It presents a
partial picture of the strength of human resources for health in the Indian health care
system [12].
6.2 Bird's Eye view of HR deficiencies in Primary Health Care System :
Report of Committee for creation of Public health cadre and Reorganization of Health and
Family Welfare Services, Karuna Trust for Government of Karnataka [16] highlights
deficiencies in the position of various categories of Human Resource personnel in Public
Health System in Karnataka. Notable to mention is deficiency of 72.86 % among Lady Health
Visitors, 9.35 percent among Medical Officers, 39.56 %among Specialist doctors. Of
particular importance is deficiency of 54.37 % Pediatricians , 17.48 % of OBG Specialists and
37.86 percent of Surgeons in CHCs. Table below gives bird ’ s eye view of HR deficiencies in
Public Health System as per Rural Health statistics as on 31 March 2016.
13
Table I: List of Vacancies at Government Health Facilities, Karnataka
Staff vacancies at Government health facilities
Sanctioned
Staff facilities
SI
No
10025
Female health worker at subcentre (ANM)
Male health worker at subcentre__________ 5853
Female Health Assistant (Lady health visitor) at 3824
3
PHCs______________________________
4
Male health assistant at PHCs_____________ 5853
2353
Medical officers at PHCs________________
5
Pharmacists at PHCs & CHCs______________ 2668
6
1790
Laboratory Technicians at PHCs & CHCs_____
7
3459
Nursing staff at PHCs & CHCs
8
206
Radiographers at CHCs________
9
General Duty Medical Officers (GDMOs)- 255
10
Allopathic at CHCs___________
Total Specialists ( Surgeons, OB & GY, 824
11
Physicians & Paediatricians)______________
Paediatricians at CHCs__________________ 206
12
206
Obstetricians & Gynaecologists at CHCs_____
13
206
Surgeons at CHCs_____________________
_______
14
(Source : Rural Health statistics, 2016; As on 31 March, 2016) (16)
% vacant
position
No of
positions
vacant
942_________
2475________
2786
9.40
42.29
72.86
2475
220
146
258
166
39__
37
42.29
9.35
5.47
14.41
4.80
18.93
14.51
326
39.56
112
36
78
54.37
17.48
37.86
6.3 Excerpts from National Education Policy:
...... Healthcare education shall be re-envisioned such that the duration, structure, and design of the
educational programmes are as required for the roles that graduates will play. For example, every
healthcare process/intervention (e.g., taking/reading an ECG) does not necessarily need a fully qualified
doctor. All MBBS graduates must possess (a) Medical skills, (b) Diagnostic skills, (c) Surgical skills, and (d)
Emergency skills. Students will be assessed at regular intervals on well-defined parameters primarily for
the skills required for working in primary care and in secondary hospitals. Quality of nursing education will
be improved; a national accreditation body for nursing and other sub-streams will be created. Given that
our people exercise pluralistic choices in healthcare, our healthcare education system must be integrative:
this would mean, illustratively, that all students of allopathic medical education must have a basic
understanding of Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy (AYUSH), and vice
versa. There shall also be a much greater emphasis on preventive healthcare and community medicine
in all of healthcare education. [13]
___ 0 —
14
Section III Main Recommendations
Overview
This section is the central part, the operative part consisting of General Recommendations and
Specific Recommendations. The latter pertains to the faculties of Medical. Dental, Nursing,
Pharmacy, Physiotherapy, Allied and Healthcare Professional
1. General Recommendations
1.1 Manpower Study of Health Human Resource (HHR) in the State of Karnataka
Karnataka can be proud to be called as an "educational hub" in India. It attracts students not
only from different states of the country, but also from abroad. The number of institutions
affiliated
to RGUHS and to the Para Medical
conducting various degree and diploma courses l
--- -----------------Board, Dept, of Medical Education, Government of Karnataka, is shown in Annexure IV -B, Table s
1, 2 & 3 bears testimony.
The number of candidates who were awarded various degrees and diplomas in the convocations
held during 2019-20, by RGUHS, Deemed to be Health Universities and NIMHANS is an evidence
of the huge human health resource available (Please see Annexure IV -B, Tables 4, 5 & Annexure
IV -C Table 1 to 11). For instance, from RGUHS alone, 29,104 candidates received degrees and
Diplomas and 7316 candidates received from Deemed to be Health Universities.
Of course, all of them are not from state of Karnataka. We made certain assumptions to
estimate the health human resource that would be available in Karnataka. The assumptions are
shown in Annexure IV -B, Table 6. Based on the assumptions the estimated number of doctors
with MBBS degree belonging to Karnataka or who might stay in Karnataka and available for
employment during one academic year would be in the range of 790 to 940. Similarly, the
estimated number of BSc(N) Nurses and GNM Diploma Nurses belonging to Karnataka or would
be available for employment in Karnataka would be 2700 and 12000 respectively.
How such trained workforce is utilized in the State in various health care facilities is an important
matter to be considered. Similarly, what has happened to the previous batches who graduated?
Soon MBBS and those with post graduate degrees would be available for deployment under the
bond that they have given to the Govt, of Karnataka. National Medical Commission has recently
under the amended "Post-graduate Medical Education (Amendment) Regulations, 2020, has
made training "District Residency Programme (DRP)" mandatory in respect of MD/MS students
admitted with effect from academic session 2020-21. These postgraduate trainees may perhaps
be better equipped in future to provide health care in the rural and semi-urban community than
those whose who were exclusively trained in the medical college teaching hospitals. How can
their services be utilised?
15
In the light of this background the Subcommittee felt that there is an urgent need for a
Manpower Study of Health Human Resource (HHR) in the State of Karnataka with following
objectives:
(i) To determine the existing workforce of all categories of Health Care Professionals both in
Government, Public Sector Undertakings (PSUs) and Private sector.
(ii) To estimate by Gap analysis, the existing gap between the need and availability of Health
Care Professionals in the three sectors mentioned (i), above.
The above mentioned studies in (i) and (ii) would help to take such steps as necessary to fill the
gaps in a phased manner to fulfill the various health goals in the next 5 years. It may also help in
optimal utilization of the existing work force i.e., health care professionals.
1.2. Lack of Admissions to Postgraduate Courses in Pre and Para clinical Subjects in Medical
Colleges
While it is appreciable to see the rapid addition to the number of Medical Colleges in the country
- an increase by over 35% in the last four years, we need to look at a related fact that in around
75% of the existing Medical Colleges there are no "takers" for the PG seats in six of the eight
departments* over the past few years. They are Anatomy, Physiology and Biochemistry in PreClinical area and Pharmacology, Forensic Medicine and Microbiology Para-Clinical areas. This
reality may precipitate a situation where in we will see a huge shortage of faculty in these areasto meet the requirements in new Colleges as well as replacing the retirement of existing faculty.
Remedy suggested is to lower the eligibility in PG NEET percentile for these departments so that
the future crisis could be averted. There is a precedent to this suggestion in that the Council and
NEET authority have lowered the Eligibility percentile for Super Specialty courses in the past,
even during the counselling.
Therefore, the Subcommittee recommends that this matter be taken up by the Government
with NMC and NEET authorities and find a solution. Similarly, to motivate the students to join
these courses, academic incentives such as integrated MD- PhD courses the Government may
also take up with MNC.
*(8 subjects are Pre clinical - Anatomy, Physiology, Biochemistry, and Para clinical - Pathology,
Microbiology, Pharmacology, Forensic Medicine and Community Medicine.)
2. Establishment of Quality Monitoring and Enhancement Cell
Need has arisen for establishment of a cell mentioned above in view of the rapid increase in the
number health professional educational institutions, increase in number of admissions, already
alluded to, and somewhat skewed ratio in postgraduate intake visa vi undergraduate intake
(Annexure IV B Table 7) . At All India level, the increase in number of Medical Colleges was 45%
in just six years - from 381 in 2014 to 539 in 2020. The proportional increase in Postgraduate
medical seats was 79% compared to increase by 48% in MBBS seats. (Please see Annexure IV B Table 7). Recently, National Medical Commission (NMC) allowed increase in the ratio of
recognised Post Graduate teacher to number of students to be admitted in clinical subjects from
1:2 to as many as 1:3 for Professors and Associate Professors who are unit heads vide,
"Postgraduate Medical Education (Amendment) Regulations, 2019".
16
The growth in number of Nursing colleges in the last 2-3 years is unprecedented. For example,
the number of Nursing Colleges affiliated to Rajiv Gandhi University Health Sciences (RGUHS)
during 2002-03 were 62, with 2920 admissions to BSc(N), and 75 to MSc(N) courses. By 2017-18,
he number of colleges affiliated to RGUHS alone rose to 434, with about combined 30,250
admissions to BSc(N), Post Basic BSc(N) and MSc(N) courses. There were about 600 admissions
in the Deemed (to be) health sciences universities of Karnataka and NIMHANS to those Nursing
courses. In addition, 760 Nursing Schools are training GNMs.
Increases have taken place in number of Physiotherapy colleges from 38 colleges during 2002-
03 to 80 colleges during 2019-20 and in Allied Health Care courses also.
The quantitative increase needs to be balanced with improvement in the quality of education
too, as maintenance of health and wellbeing is an important responsibility of educational
institutions, health science/medical Universities and the State.
Therefore, the Subcommittee urges the Government of Karnataka to establish a Quality
Monitoring and Enhancement Cell at the earliest. The government could recommend all the
Medical/Health sciences Universities including NIMHANS to establish such cells too.
3.
Pharmacovigilance and Drug Monitoring Unit, Antimicrobial Resistance Policy and
Poison Care, Training and Research Centre
The Subcommittee requests the Government of Karnataka to establish at the earliest.
3.1. Pharmacovigilance and Drug Monitoring Unit in each of the teaching, non-teaching
government, public sector and privately owned hospitals and District Hospitals, with following
objectives.
a) Prepare Hospital Formulary which is essential in every hospital. It will help in standardization
of procurement of essential drugs. It will also help in Rational Drug use. It may reduce to some
extent expenditure on procurement of certain drugs.
b) Drug Monitoring Unit. It will monitor Adverse Drug Reactions (ADR), Medical errors [1]
provide after care, report Adverse Drug Reactions (ADRs) and maintain a Registry, and exchange
information within the hospital and among the hospitals.
c) Antimicrobial Resistance Policy
Antimicrobial Resistance (AMR) is one of the greatest challenges of 21st century. The DirectorGeneral of World Health organization said "AMR is a slow tsunami that threatens to undo a
century of medical progress". An estimated annual global 700,000 deaths have occurred. It is
forecasted that about 10 million deaths and economic costs up to $100 trillion may happen by
2050 [1]. Among the many reasons for development of drug resistance include over or
indiscriminate prescriptions of antibiotics, inappropriate use in agriculture, poultry, veterinary
purposes, contamination by pharmaceutical manufacturing industry where large quantities of
untreated effluents containing antimicrobials are released into the environment. It may be
mentioned here that India is one of the largest manufacturers of pharmaceuticals globally.
There are examples of successful adoption of Antimicrobial Resistance policy in countries such as
Peru, the United Kingdom and European Union [1 & 2].
Therefore, it is essential to formulate Antimicrobial Resistance Policy by the Government of
Karnataka urgently with a multi-sectoral approach involving, medical/health, agriculture,
17
veterinary, environment, drug controlling authority and Pharmaceutical industry. Patient
education, change in prescriber behavior, restrictions on over the counter sale, patient safety
[2], are some of the steps to be considered in the policy.
3.2. Poison Care, Training and Research Centre
A large number of deaths take place in India due to poisoning by consumption of pesticides,
snake and other bites an over dosage of drugs. These are emergencies and need immediate
appropriate management at hospitals and other health facilities. In order to provide suitable
care and also develop trained health care personnel establishment of Poison Care Training and
Research Centre (PCTRC) is recommended by the Subcommittee.
The Objectives:
•
•
•
Poison treatment & Management of Common types of cases treated: Pest'cide, Rodenticide
& Corrosive poisoning, Snake Bite & other Bites & Stings, Drug Over dosage etc.
Training Program on Poison Management including Bites & Stings to Medical Officers and
Staff Nurses who are working in Government Primary Health Centre, Taluk & District
Hospitals
Information Services including professional counselling for the patients and their family
members. This goes a long way in preventing any such incident in the future
• Antidote Bank
The Government of Tamil Nadu established a Nodal Poison Control Training & Research Centre
in 2005, at Rajiv Gandhi General Hospital, attached to Madras Medical College, Chennai. The
Nodal Centre has been functioning successfully and has developed 70 Poison Control Centers
throughout the State of Tamil Nadu.
The PCTRC is getting support from the TN Govt. Health Systems Project for training and
establishment of Poison Care Centers in other parts of the state.
3.3 Utilisation of Pharm.D. Professionals: A number of Pharm. D., (Doctor in Pharmacy)
qualified personnel, well versed Pharmaco-Vigilance, drug monitoring, rational drug prescription
and use, are available who can be gainfully employed medical college teaching hospitals,
Corporate and District hospitals. They would help in Preparation of Hospital Formulary, ADR
monitoring, implementation of Antimicrobial Resistance policy on the one hand and on the
other in conducting periodic Continuing Education and Training Programs for PHC doctors and
Pharmacists employed at different levels.
4. Admissions through Common Application, Common Entrance Test, Single Window
Counseling for AYUSH, Nursing, Pharmacy, Physiotherapy, Allied & Healthcare
Professional Courses
The subcommittee reviewed in detail situation of Pre-university students seeking admission to
AYUSH, Nursing, Pharmacy, Physiotherapy, Allied & Healthcare Professionals, are facing different
time line of admissions, modus operand! of admissions, delays in admissions because of
sequential admissions process every academic year, is resulting in not only loss of academic time
up to October/November during 1st year, but also is causing anxiety of students and parents due
18
to uncertainty. In addition, it is alleged that "left overs" join courses like Pharmacy,
Physiotherapy and Allied & Healthcare Professional course.
Therefore, the Subcommittee strongly recommends developing a system of Common
Application, that is, one Application form providing option for all those courses mentioned in the
above paragraph, one Common Entrance Test, Common Counseling that is Single window
counselling, fixed time line for admissions (preferably, ending before 31st July) is likely to
improve the quality of education.
I
Recommendations Specific to Various Faculties
5.
MEDICAL FACULTY
5.1 Adoption of Three Primary Health Center by each of the Medical Colleges - A way of
Enhancing Orientation towards Rural Ethos.
The subcommittee requests the Govt, of Karnataka to take following pro-active steps at the
earliest, to facilitate adoption of three Primary Health Centers (PHC) by medical colleges as per
the recommendations of erstwhile Medical Council of India and the present National Medical
Commission (NMC) to:
i.
Correspond with NMC to remove and relax the clause that the PHCs adopted should tfje
under the administrative control of the medical colleges. This clause whatever its merit
may be, is not feasible or practical, because the Government may not be willing to hand
over lock stock and barrel PHCs. Similarly, private medical colleges may not be willing to
take the additional financial expenditure and staff absorption. Even government
ii.
employees may not be willing such a change.
The State government may consider and moot the idea of PPP model by having a MOU
iii.
with medical colleges in the state; or
Revive the idea of handing over 80% of the budget of PHCs to medical colleges to defray
the additional costs.
5.2. Lack of Admissions to Postgraduate Courses in Pre and Para clinical Subjects in Medical
Colleges
While it is appreciable to see the rapid addition to the number of Medical Colleges in the country
- an increase by over 35% in the last four years, we need to look at a related fact that in around
75% of the existing Medical Colleges there are no "takers" for the PG seats in six of the eight
departments* over the past few years. They are Anatomy, Physiology and Biochemistry in PpClinical area and Pharmacology, Forensic Medicine and Microbiology Para-Clinical areas. This
reality may precipitate a situation where in we will see a huge shortage of faculty in these areasto meet the requirements in new Colleges as well as replacing the retirement of existing faculty.
Remedy suggested is to lower the eligibility in PG NEET percentile for these departments so that
the future crisis could be averted. There is a precedent to this suggestion in that the Council and
NEET authority have lowered the Eligibility percentile for Super Specialty courses in the past,
even during the counselling.
Therefore, the Subcommittee recommends that this matter be taken up by the Government
with NMC and NEET authorities and find a solution. Similarly, to motivate the students to join
these courses, academic incentives such as integrated MD- PhD courses the Government may
also take up with MNC.
19
*(8 subjects are Pre clinical - Anatomy, Physiology, Biochemistry, and Para clinical - Pathology,
Microbiology, Pharmacology, Forensic Medicine and Community Medicine.)
6.
DENTAL FACULTY
There are 45 Dental Colleges (3 Government and 42 Private Colleges) in Karnataka, one of the
highest numbers in the country. Courses offered include BDS, MDS, and PhD. In addition,
Fellowship
and
Certificate
programs are
also
conducted
in
subspecialties.
There
are
approximately 3500 teachers working in these colleges. The subcommittee after careful
deliberations felt that the following issues are to be addressed as early as possible with a view to
improve dental care services in the state. They are:
6.1 To involve Dental colleges, and Dental practitioners, in the National programs including that
of Oral Cancer prevention and care, Caries control and promotion of oral health.
6.2. To encourage posting of Dental practitioners in all CHCs and PHCs and provide suitable
equipment such as dental chairs etc.
6.3. To urgently address the disparity in pay between and amongst teachers working in various
departments. This is causing considerable dissatisfaction among teachers.
The Subcommittee requests the Government to take appropriate action as deemed fit to
bring in pay parity at the earliest.
6.4 To evolve a policy for uniform development in the State a cadre of Dental Chair Assistants.
All Dental Colleges, and Dental Clinics must have Dental Chair Assistants to assist during
dental practice. It will improve quality of service. The collateral benefit of such a policy is
that it encourages skill development amongst young people and opens up avenues of
employment also.
7.
NURSING FACULTY
7.1. Although a large number of Nurses both BSc. (N) and GNMs pass out from Nursing colleges
and Schools (please see Annexure IV- B and IV- C), yet there is shortage of nurses available for
employment. This is akin to the adage - Poverty amidst plenty. Hospitals find great amount of
turnover and attrition. This matter requires serious attention as to how to attract nurses for
employment and working in the hospitals and other health care facilities in the State. Here are a
few suggestions in this regard:
Improvement of working conditions, addressing issues of stay with improved hostel and
residential facilities, and monetary incentives may be considered.
Attractive incentives to encourage "local" enrolment to nursing courses - with focus on
attracting rural and semi urban students.
Review and revision of salaries and working environment of nurses
There is need to introspect further and create a team which can find out reasons and factors
which are restraining retention of nurses to serve within Karnataka and find solutions.
7.2 Nursing Assistants: The Government may please consider establishing a new cadre of
"Nursing Assistant" who can be trained in ONE year into assisting nurses in procedures like bed
making, patient sponging, providing bed pans, to procure daily drug indent from the store, to
procure and maintain linen stores, etc. This might reduce shortages faced in the hospitals about
nursing care.
20
7.3. Establishment of Government Nursing Colleges: There is need to start more Government
Nursing Colleges in the State which will help retain the Nurses within the state encouraging
1
"local'7 enrolment to nursing courses - with focus on attracting rural and semi urban students.
8.
PHYSIOTHERAPY AND ALLIED and HEALTHCARE PROFESSIONAL FACULTY
Allied and Health Care Profession Act, was passed by the Parliament at the end of March 2021.
The Gazette notification for the same was published on 28th March 2021. In the light of the
above:
8.1 According to the above mentioned Act, the State Government has to notify and establish
<
within six months of the Notification, State Allied and Healthcare Council, with four boards
as spelt out in the Act to regulate Education, Registry as well as Ethics and Ratings.
Therefore, the Government may take steps to establish State Council at the earliest.
8.2 The State Government may have to expand or create posts in the fields of Allied and
Healthcare Professions and Physiotherapy to ensure healthcare related to these two
specialties reaches till the Community level with creation of posts at state level as well as
under the Central health care schemes in a phased manner to reach the goal within the next
five 5 years.
8.3 Standalone Physiotherapy and Allied and Healthcare Professions colleges should be
encouraged to get accreditation from National Accreditation Assessment Council (NAAC).
8.4. Establishment of Government Physiotherapy Colleges: Among 80 Physiotherapy Colleges in
the state, only one is a Government Institution. The rest are Privately managed. There is
need to establish more Government Physiotherapy Colleges in the state. This will help those
students and their parents who cannot afford to join private colleges.
9.
PHARMACY FACULTY
9.1 Encouraging Pharmacists with Diploma in Pharmacy (D Pharma) to do B Pharma
As a career improvement for the large number of working Pharmacists (Diploma holders) in
government hospitals and health centers and pharmacies in the State, the subcommittee
suggests that the government should plan Faculty development program to upgrade their
qualification to degree for those who have passed Pre-university II examination or
equivalent. Further, diploma holding Pharmacists, already in government service may be
encouraged by providing needful reservation in the lateral entry quota provided by the
Government for admission to the II year of B. Pharma course and provide scholarships to
them to pursue the same. This would improve the quality of services provided by them.
Such a career improvement program would be very much beneficial for the employed
chemists and druggists as it will fine-tune know-how on drug dispensing, adverse drug
reaction, patient counselling, rational & irrational drug combination and medication dosage
advice.
9.2. Establishment of Government Pharmacy Colleges: Keeping in mind only one Government
Pharmacy College among 88 in the State, there is need to establish more Government
Pharmacy Colleges in the State.
... o —
21
Section IV: Operational Considerations
1.
Few recommendations towards Implementation :
Implementation
Implementation
of these
recommendations
requires
establishment
of
Quality
Management Cell at the Directorate of H and Family Welfare with the Participation of
Government, RGUHS, Deemed Universities, Private Universities and Management of
Institutions of Health Professional Education. Such a body needs to be established;
HR needs study is to be conducted and HHR Road map prepared.
Integration
"Unity for Health" concept proposed by WHO promotes "Health Team" concept. This
needs to be promoted at Institutional/ University/ Deemed University/ District/ Taluk/
CHC/ PHC/ Sub-centre and Village level in letter and spirit all Health Professional setups
including Ayush.
ICDS, Water Supply and Sanitation, Dept, of Panchayath Raj, Dept of Disabled Welfare
will be other non-Health, but most needed departments for Integration.
There is need for strengthening integration between RGUHS, Deemed Universities,
Health Professional institutions and District Training Centres, HFWTCs, SIHFW,
Autonomous Institutions of Central and State Governments in the area of Health Human
Resource Planning, Development and Strengthening.
Innovation
_____
There is need for skill development : Strengthening and developing Competency based
curricula and assessment methods as well as soft skill development among students in
Health Professional Education.
Investments
Establishing following will involve cost for the Government/Universities and Health
Professional Institution.
Skill labs in all Health Professional Institutions
Establishment of Quality Cell at State level conducting studies to develop Health HR Plan
for the State in the immediate future;
Development of Data base of Health Professionals of all disciplines including Ayush
Faculty Development Programmes
Quality Assessment and AccreditatOion Costs of Health Professional Institutions
2. Suggested mechanisms for implementing recommendations :
A committee to be set up with representatives of Dept, of Health and Family Welfare, RGUHS,
Deemed Universities, State Institute of Health and Family Welfare, Public Health System, Ayush
Directorate , Experts of Disciplines of Medical, Dental, Nursing, Physiotherapy and Allied Health
Care Profession , Pharmacy, to review implementation of these recommendations atleast once
in three months . The Committee to evolve guidelines for implementation.
Budget allocation be made for listed recommendations especially conduct of studies,
establishment of Quality Monitoring Cell in particular.
3. Other issues discussed:
Issues related to Public Health Cadre at State and District level and following issue will
be suggested to respective sub-committees to discuss in their meetings and move
forward.
Government/Universities/Deemed to be Universities to create teams to provide training in the
area of Telemedicine, Geriatric Care, Disaster Management, Pandemic Management, Death
Certification to strengthen the areas in their manpower in a Phased manner over a period of five
years for in-service / new health professional trainees
0 22
Section V. References and Annexures
References and further reading materials on Human Resources for Health
1.
Jehangir Cama & Zubin Cyrus Shroff, Antimicrobial resistance threat: the silent killer. The
2.
Hindu, 28th April,2021).
A handbook of patient Safety, Ed: Lakshman K. Bangalore, Rajiv Gandhi University of Health
3.
Sciences & Associations of Medical Consultants, 2012
Patel \7, Mazumdar-Shaw K, Kang G, Das P, Khanna T. Reimagining India s health system. A
4.
Lancet Citizens' Commission. The Lancet. 2020 Dec 10.
NHSRC, NRHM, MoH and FW, Got. Public Health Work Force in Karnataka: Issues and
Challenges [Internet]. 2013[cited 2021 mm dd]. Available from:
http://nhsrcindia.orq/sites/default/files/Karnataka%20Public%20Health%20Workforce%20R
5.
eport.pdf
Kabene SM, Orchard C, Howard JM, Soriano MA, Leduc R. The importance of human
resources management in health care: a global context. Human resources for health. 2006
6.
Dec;4(l):l-7.
Planning Commission of India. High Level Expert Group Report on Universal Health Coverage
for India. Government of India, New Delhi 2011.
7. Golder S. Human Resources for Health the Key to Achieving Universal Health Coverage (UHC).
Oxfam. 2017, March.
8. Medical Manpower tables from Nursing Council of India (2017)
9. NSHRC, NRHM, MoHFW, Gol. Human Resources for Health in District Public Health System of
India: State-wise Report-2020.
10. Department of Health and Family Welfare. The Karnataka state integrated health policy.
Government of Karnataka.2004.
11. Motkuri V, Vardhan TS, Ahmad S. Quantity and Quality of Human Resources in Health Care:
Shortage of Health Workers in India. 2017.
12. World Health Organization. Health workforce requirements for universal health coverage
and the Sustainable Development Goals. (Human Resources for Health Observer, 17).2013.
13. Ministry of Human Resource Development. National Education Policy 2020. Government of
India.
NITI Aayog. Healthy States, Progressive India: Report on the Ranks of States and Union
Territories. NITI Aayog and Ministry of Health and Family Welfare, Government of India, New
Delhi.2018.
14. Halagi.PN, Dharwod SC, Giridhar Babu, Ravindra HR, Suresh Shapeti (2012) Report of
Committee for creation of Public Heal Cudre and Reorganisation of Health and Family
Welfare Services, Karuna Trust for Government of Karnataka.
23
Annexure I
AROGYA KARNATAKA
Dept, of Health & Family Welfare, Medical Education, GOK
Report of the Sub Committee on HUMAN RESOURCE PLANNING, DEVELOPMENT AND
STRENGTHENING
Reference:
(1) Proceedings of Government of Karnataka, Ministry of Health and Family welfare, Government of Karnataka 1121/2020
dated 30 November 2020 -formation of Vision Group
(2) Letter issued on 11.02.2021 from the office of the Chairman, Karnataka Vision Group indicating formation of
Subcommittees on HR Planning, Development, Strengthening, Arogya Karnataka .
24
Annexure II
AROGYA KARNATAKA
Subcommittee Members, Arogya Karnataka, Department of Health & Family Welfare, Medical
Education, Domain Area: Medical Education and Human Resources in all allied education sectors
Dr.S.Sacchidanand
of
(Chairman
Subcommittee),Vice-Chancellor,
Rajiv
the
Gandhi
University of Health Sciences, Karnataka,4th
T
Block, Jayanagar, Bengaluru - 560 041
Dr.D.K.Srinivasa
,Dean (Retd.) JIPMER, Pondicherry,
Former Consultant, Curriculum Development, RGUHS,
email:drdks9@gmail.com
Cell: 9480494245
Cell No. 9108038484 e-mail: vc@rguhs.ac.in
,
Chancellor,
Hon.Former
Dr. S. Pruthvish (Convenor/Coordinator) , Former
Dr.S.Kumar
HOD of Community Medicine,MSRMC, Cell No.
Sri Devaraj Urs Academy of Higher Education and
9901042731 email:psreekantaiah@yahoo.com
Research,
Tamaka,
Kolar
email:drskumarl6@yahoo.com
Cell: 8088394731______________
Dr. V. Madhavan, Professor-Research,
M.S Ramaiah University of Applied Sciences,
Former Dean & Principal, M S Ramaiah
College of Pharmacy, RGUHS, Bangalore
Email: madhavan.pc.ph@msruas.ac.in
Cell no : 9448087328
Dr. M R Dinesh, Former Principal, D A
Pandu
Memorial R V Dental College,
Dr.H.Vinod Bhat,
Executive Vice President, MAHE Representative, IMA
StateBranch
Emaikvinod.bhat@manipal.edu
cell: 9845069081
Dr.Savitha Ravindra, Dean, Physiotherapy & Allied
Health Sciences, RGUHS, Mobile : 9845082182
Email: savitaravi@gmail.com
Bangalore, Mobile : 9880056639
E m a i I: d r d i n esh64@yahoo.co.in
Dr. Vijayakumari,
District Programme Officer- RCH, Kolar District
cell: 9448008542
X/lobile: 7795647885
Email: rchkolar@gmail.com
St.John's
Dr.Bindu
Mathew,
College,
Bangalore;Cell:
Dr .Riyaz Basha , Prof, of Community Medicine, BMCRI
, email: drriyaz@gmail.com,
Nursing
9886731355;
Dr.Chandan, RCHO, Kolar ,
email: rchokolar@gmail.com cell: 9449843202
e m a i I: b i ndhuml976@gmail.com_________________
Dr.G.Gururaj, Director, NIMHANS Chairman, Vision
Dr. P.G. Girish, Director, Medical Education, Govt, of
Group.-epigurul@gmail.com (Special invitee)
Karnataka
e-mail:
dmekarnataka@yahoo.com
Mobile no :9448474451
Mobile
no.
483483447______________________
Dr.Ravi Narayan ,
Senior Advisor, SOCHARA,
Dr. Satish Babu Syndicate member, RGUHS, H No.
313/DB, Sainamana, 9th "A" Main Road, 5th
Bengaluru
email:cheravi@gmail.com
Block,Jayanagar,
Cell: 9449870222,
9731533636
email: satishl8babu@gmail.com
Dr. Arun Kumar,Deputy Director, e-Health
e-mail: ddehospital-fws@karnataka.gov.in
-
560
041.Cell:
Secretariat:
Dr Amruth Kadam, Dy Registrar, Mr Ravindra Prasad,
Ms Kavita, Mr Keerthi, Office of VC, RGUHS
Mobile no. 9449843421
25
Annexure III
AROGYA KARNATAKA
Subcommittee Members, Arogya Karnataka, Department of Health & Family Welfare, Medical
Education, Domain Area: Medical Education and Human Resources in all allied education sectors
Terms of reference of the Subcommittee:
1.
To examine and review guidelines, developments in Human resource planning development with
specific reference to Medical, Dental, Nursing, Pharmacy, Physiotherapy and Allied Health
Science Education in the State of Karnataka in RGUHS and Deemed Universities.
2.
(i) To identify gaps and suggest implementable and sustainable solutions covering areas of
curriculum, education methods, evaluation.
(iii) To identify opportunities for integration with Training facilities in Public Health System at
State, Regional, District Health System, integration within health professional education.
3.
To suggest a framework for strengthening human resources for health care delivery within the
current resources of
health professional education in the state enhancing Health Professional
education System- Public Health system interface.
4.
To provide Road map for delivery of recommendations keeping National Health Policy -2017,
Universal Health Coverage, National Health Programmes, SDGs.
26
Annexure IV- A
Annexure IV Table I
Number of Institutions Government & Private Affiliated to RGUHS, Deemed to be Universities, Private -Universities, NIMHANS,
Paramedical Board conducting UG (undergraduate) Courses during 2019-20
Total
Govt.
number
Institutions
of
Institutions
Faculty
Total
Institutions
Institutions
Institutions
Para-
under
Medical
NIMHANS
Board, GoK
under
under
Private
Deemed to
Private
Institutions
be
Universities
Universities
affiliated to
(Diploma
RGUHS
courses)
19
56
Medical
2
37
Dental
15
429
Nursing
37
8
35
7
64
45
1
7
414
765(18)*
1
437+765
=1202
Physiotherapy
80
1
78
7
1
Pharmacy
88
1
87
6
1
Allied
Health
13
124
95
565(34)@
1
7
111
88
132+565
=702
Sciences
____________ ___________ J________________________ __________________
* Diploma courses; @ Certificate courses; Numbers in Parenthesis indicate Government institutions.
(Source: Data Collection through email March/April 2021 by the Subcommittee)
Annexure IV-A Table II
Number of Institutions Government & Private Affiliated to RGUHS, Deemed to be Universities, Private universities , NIMHAljlS
conducting PG (Postgraduate) Courses Faculty-wise during 2019-20
Constituent
Institutions
Total
Govt
Constituent
Institutions
Number
Institutions
Pvt
Institutions of
of
Institutions
Deemed
Universities
of
<
Institutions
Faculty
Constituent
Pvt
Total
of
NIMHANS
Universities
under
(Pvt)
RGUHS
(Pvt)
46
Medical
Dental
Nursing
18
1
1
35
7
196
6
190
7
7
1
39
1
63
Physiotherapy
31
0
Pharmacy
56
1
55
6
26
1
25
1
124
48
76
35
Health
54
44
36
31
Allied
1
7
28
1
204
27
Sciences
Fellowship
Courses________________________________ _
(Source: Data Collection through email March/April 2021 by the Subcommittee)
27
3
2
164
Annexure IV-B
Annexure IV-B. Table 1
Number of Institutions Government &
Private Affiliated to
RGUHS conducting
UG
(undergraduate) Courses and Number of Students admitted Faculty-wise during 2019-20
Name of Faculty
Medical_____
Dental______
Nursing_____
Physiotherapy
Pharmacy
Allied
IHealth
Sciences
Grand Total
Total no of
Institutions
affiliated
to RGUHS
56
47
429
80
88
124
Private institutions
Government institutions
Institutions
Students
Institutions
Students
19
2
15
2
1
13
2900
109
962
42
83
394
37
45
414
78
87
111
3793
2236
27508
2413
5326
3346
Total
No. of
Students
6693
2345
28,470
2455
5409
3740
49J12
Annexure IV -B. Table 2
Number of Institutions Government &
Private Affiliated to
RGUHS conducting
PG
(Postgraduate) Courses and Number of Students admitted Faculty-wise during 2019-20
Discipline
Medical_____
Dental______
Nursing_____
Physiotherapy
Pharmacy
Allied Health
Sciences_____
Fellowship
Courses
Institutions
Students
Institutions
Students
Total No.
of
students
18
1
6
0
853
25
33
0
28
35
190
31
2137
648
1756
360
2990
_673_
1789
360
56
26
1
1
32
8
55
25
773
311
805
319
138
48
6
76
42
214
Grand
Total
6936
Total no of
Institutions
affiliated
to RGUHS
46
36
196
31
Government Institutions
Private Institutions
Total number of students admitted to UG & PG courses in the institutions affiliated to RGUHS
during academic year 2019-20 = 56,048.
28
Annexure IV - B. Table 3
RGUHS affiliated
Faculty-wise number of Colleges conducting Undergraduate &
Postgraduate degree/diploma courses & Nursing Schools & Technicians Training
I
Centres recognised by Para Medical Board, Dept of Medical Education, GoK
Total colleges affiliated to RGUHS
434
-96~
Medical
59
Dental
47
Nursing
Pharmacy
88
Physiotherapy
81
AYUSH
Ayurveda (77), Unani & Naturopathy (12)
Super Specialty Hospitals*
10
Homeopathy (17)
710
-------------
Schools or Training Centers under jurisdiction of Paramedical Board, DME, GoK**
552
Medical
Institutes
760 Para
Nursing Schools
General Nursing & Midwifery (gnm)
offering technician courses
♦Conduct only PG courses
**Under the jurisdiction of Directorate of Medical Education, Government of Karnataka.
29
Annexure IV - B. Table 4
RGUHS Degrees Awarded Faculty-wise during Convocation held in February 2021
I.
Faculty of Medicine
Doctor of Philosophy [Ph.D]
2. ____
3. ____
4. ____
5. ____
Super Specialty_______________________
Fellowships__________________________
Doctor of Medicine /Master of Surgery
Post Graduate Diploma_________________
Bachelor of Medicine & Bachelor of surgery
J5.___
Total
IL
2
1.
Faculty of Dentistry
1.
Doctor of Philosophy [Ph.D]
~2.
Master of Dental Surgery
3.
4.
5.
6^
Diploma in Dental Faculty
3
666
14
4
9
2340
3036
Fellowships
Certificate Courses
Bachelor of Dental Surgery
Total
III.
115
75
1667
337
4920
7116
Faculty of Ayurveda, Unani. Naturopathy and Yogic Sciences
MD/MS Unani_______________________________________
6
639
"so”
M.D.Naturopathy, Yogic Sc. and Diet & Nutrition in Yoga &
27
1.
Doctor of Philosophy [Ph.D]
~2.
MD/MS Ayurveda
IL4.
Naturopathy
5.
6.
7.
__________________________
Bachelor of Ayurvedic Medicine & Surgery
Bachelor of Unani Medicine & Surgery
Bachelor of Naturopathy & Yogic Sciences
Total
819
14
29
1584
IV. Faculty of Homoeopathy
1.
2.
Doctor of Medicine [Homoeopathy]
Bachelor of Homoeopathic Medicine & Surgery
110
204
314
Total
V. Faculty of Pharmacy
1.
Doctor of Philosophy [Ph.D]
9
Master of Pharmacy
629
Doctor of Pharmacy (Post Baccalaureate)
20
4.
Doctor of Pharmacy (Pharm D)
705
T
Bachelor of Pharmacy
3.
2349
3712
Total
30
V.
Faculty of Nursing
I
1.
Doctor of Philosophy [Ph.D]
2?
s-
M.Sc Nursing
B.Sc Nursing
4.
PC B.Sc Nursing
10
988
9918
4927
15843
Total
VI. Physiotherapy and Allied Health Sciences course
1.
Master of Physiotherapy
288
z
M.Sc. Allied Sciences
3.
4.
M.Sc MLT
5.
Bachelor of Hospital Administration
10
13
12
7
e-
Bachelor of Physiotherapy
7.
08.
Bachelor in Prosthetic and Orthotics
Master in Hospital Administration
U.G Allied Sciences
Total
Grand Total
616
13
1065
2024
33629
31
Annexure IV-B. Tables
Total Number of Undergraduate, Postgraduate Degrees awarded by RGUHS, Deemed to be
Universities in Karnataka and NIMHANS, Bangalore.
FACULTY
UG
PG
Medical
6313
2896
(including
133 Superspeciality courses;
88 Fellowship Programmes; and
448 PG Diploma)
Nursing
15195
1092
Dental
2967
861
(including 6 Fellowship
programmes)
Physiotherapy
763
351
Allied Health Sciences
546
204
74
MPH
2820
Pharmacy
1838
(967 M. Pharm +
837 Pharma D +
34 Post Baccalaureate)
Grand Total
29,104
32
7316
Annexure -IV - B .Table 6
Estimated number of MBBS doctors, BSc. (N) Nurses and GNM Diploma Nurses belonging to
Karnataka or would be available for employment in Karnataka
MBBS Doctors (2019-2020)_____________________________________
Total Number of MBBS Doctors who received degree in RGUHS and
Deemed to be Universities in Karnataka in 2019-20_________________
Assumption 1: 50 percent succeed in joining postgraduate courses (PG)
Assumption 2: 40 percent succeed in joining PG courses
As per Assumption 1:
30 percent of 50 percent joining PG courses are from Karnataka, (25
percent may remain in Karnataka. 5 percent may go to others states or
6313
3156
2841
789
abroad)
_
_____________
30 percent of 50 percent joining PG courses are from Karnataka, (25
percent may remain in Karnataka. 5 percent may go to others states or
944
abroad)____________________________________________________
As per Assumption 1: MBBS doctors available for Karnataka, rounded
790
off__ ________________________________________________ ___ _
As per Assumption 2: MBBS doctors available for Karnataka, rounded
940
off
________________________
BSc. Nursing graduates from RGUHS (2019-20)
I
Total number of candidates who received BSc. Nursing, degree
Assumption 1: 20% percent may be from Karnataka
__
50 percent of 20 percent may remain in Karnataka; rest may go abroad
15,195
3039
1520
or to other states in India.
_______________
10 percent of 80 percent hailing from other states may remain in
1216
Karnataka_________________
__________________
Available number of graduate Nurses for Karnataka (rounded off)
2700
GNM Nursing Diploma (2020)
Total number of GNM Nursing who pass out from Paramedical Board
20 percent are from Karnataka__________________________________
Almost all 20 percent and 10 percent of remaimng 80 percent remain in
43,480
8696
12174
Karnataka_____________________________________________ ____
Available for Karnataka roundedoff
12,000
33
Annexure IV- B. Table 7
Increase in number of seats in 2014 and 2020 with respect to Medical seats
2014
381
Medical Colleges
54,348
UG seats
23,903
PG seats
4845
DNB/FNB
(Source: National Medical Commission)
2020
539
80,312
54,094
8394
34
%
Increase by 45%
Increase by 48%
Increase by 79%
Increase by 73%
Annexure -IV - C. Table 1
Name of the University: BLDE (Deemed to be University), Vijayapura
Particulars of the Degrees/Diplomas awarded during the last Regular convocation held in the year of
2020
I. Faculty of Medicine____________________________
Doctor of Philosophy__________
Fellowships________________ ___________
2
2 Doctor of Medicine / Master of Surgery Post Graduate Diploma__________________
4
Bachelor of Medicine & Bachelor of Surgery5
MBBS
Total
12
02
61
11
127
213
B.Sc (MIT)
Total
13
13
PhD
MD/MS
I . Faculty of Allied Health Sciences
1
UG Allied Health Sciences
35
Annexure IV -C. Table 2
JSS Academy of Higher Education & Research, Mysuru
Particulars of the Degrees/Diplomas awarded during the last Regular convocation held in the year
of 2020
I.
Faculty of Medicine
1.
2.
3.
4.
5.
6.
7.
8.
9.
II.
Total
3
5
1
102
28
209
1
11
23
383
Total
4
25
11
0
0
94
134
Post Graduate Diploma______________
Bachelor of Medicine & Bachelor of surgery - MBBS
Master of Philosophy - M Phil_________________
Master of Public Health - MPH_________________
Master of Sciences - MSc (Medical Sciences)
Faculty of Dentistry
1.
2.
3.
4.
5.
6.
III.
Ph.D
Doctor of Philosophy
(DM & MCh)
Super Specialty
Fellowships________
MD/MS
Doctor of Medicine /Master of Surgery -
Ph.D
MDS
Doctor of Philosophy______
Master of Dental Surgery Diploma in Dental Faculty
Fellowships_____________
Certificate Courses_______
Bachelor of Dental Surgery -
BDS
Faculty of Nursing
1.
2.
3.
4.
£
2
Ph.D
Doctor of Philosophy
MSc Nursing_______
BSc Nursing_______
PC BSc Nursing
Total
o_
2
o
Total
29
163
14
55
216
48
2
4
10
541
IV. Faculty of Pharmacy
1.
2.
3.
4.
5.
6.
7.
8.
9.
Doctor of Philosophy________________ Ph.D______
Master of Pharmacy -_______________ M Pharma
Doctor of Pharmacy (Post Baccalaureate)
Doctor of Pharmacy (Pharm D)
B Pharma
Bachelor of Pharmacy________
Post Graduate Diploma_______
Diploma in Pharmacy________
Residency Program in Oncology
Bachelor of Pharmacy Practice
36
V.
Faculty of Physiotherapy and Allied Health Sciences (Faculty of Biomedical Sciences)
1.
2.
3.
4.
5.
6.
7.
8.
9.
Total
3
0
18
0
35
0
0
0
20
5
81
______ Total
7
135
155
297
Grand Total
1436
Doctor of Philosophy____________
Master of Physiotherapy_________
M.Sc. Allied Sciences_____________
M.Sc MLT
Master in Hospital Administration
Bachelor of Hospital Administration
Ph.D
MPT
Bachelor of Physiotherapy________
Bachelor in Prosthetic and Orthotics
BPT
U.G Allied Health Sciences________
Master in Pharmacy Administration
VI. Faculty of Life Sciences
1.
2.
3.
Ph.D
Doctor of Philosophy
M.Sc. Life Sciences
U.G Life Sciences
37
Annexure IV - C. Table 3
KLE (Deemed to be) University, Belagavi
Degrees/Diplomas awarded during the last Regular convocation held in the year of 2019
I. Faculty of Medicine
1.
2.
3.
4.
5.
6.
03
Ph.D
Doctor of Philosophy
(DM & MCh)
Super Specialty
Fellowships________
MD/MS
Doctor of Medicine /Master of Surgery Post Graduate Diploma______________
Bachelor of Medicine & Bachelor of surgery - MBBS
09
08
94
51
Total
II. Faculty of Dentistry_______________________
1. Doctor of Philosophy______
2. Master of Dental Surgery 3.
Diploma in Dental Faculty
4.
Fellowships______________
5. Certificate Courses_______
Bachelor of Dental Surgery 6.
198
363
Ph.D
MDS
01
35
BDS
Total
07
93
136
Total
17
95
19
131
III. Faculty of Nursing
Ph.D
____ L__ Doctor of Philosophy
____ 21__ MSc Nursing_______
____ 3^~ BSc Nursing_______
4. PC BSc Nursing
IV. Faculty of Pharmacy__________________________________________
1. Doctor of Philosophy________________ Ph.D_______
2. Master of Pharmacy -_______________ M Pharma
Doctor of Pharmacy (Post Baccalaureate)
3.
Doctor of Pharmacy (Pharm D)________
4.
B Pharma
Bachelor of Pharmacy
5.
05
137
03
Total
V. Faculty of Physiotherapy and Allied Health Sciences
1. Master of Physiotherapy__________
2.
3.
4.
5.
6.
7.
8.
M.Sc. Allied Sciences_____________
M.Sc MLT______________________
Master in Hospital Administration
Bachelor of Hospital Administration
Bachelor of Physiotherapy_________
Bachelor in Prosthetic and Orthotics
U.G Allied Health Sciences
MPT
46
31
06
BPT
______ Total
Grand Total
38
189
334
69
78
230
1194
Annexure IV- C. Table 4
Manipal Academy of Higher Education (Institution of Eminence Deemed to be University), Manipal
Degrees/Diplomas awarded during the last Regular convocation held in the year of 2020
I. Faculty of Medicine _______________ __________________
1.
2.
3.
4.
52
6.
Doctor of Philosophy
Ph.D________________________________ ___
Super Specialty
(DM & MCh)_____________________________
Fellowships_________
Doctor of Medicine /Master of Surgery MD/MS________________ ________________ _
Post Graduate Diploma_____________________
Bachelor of Medicine & Bachelor of surgery MBBS
04
11
04
166
23
481
689
Total
II. Faculty of Dentistry
1.
2.
3.
4.
5.
6.
Doctor of Philosophy
Master of Dental Surgery Diploma in Dental Faculty
Fellowships______
Certificate Courses
Dental
Bachelor
of
BDS
Ph.D
MDS
00
42
205
Surgery
247
Total
III. Faculty of Nursing_______________
L___ Doctor of Philosophy
2. ___ MSc Nursing______
3. ___ BSc Nursing
4. ___ PC BSc Nursing
Total
Ph.D
IV. Faculty of Pharmacy______________________________
Doctor of Philosophy
IPh.D
1.
Master of Pharmacy 2.
M Pharma________________________
Doctor of Pharmacy (Post Baccalaureate)
3.
Doctor of Pharmacy (Pharm D)
4.
Bachelor of Pharmacy
5.
B Pharma
___
Total
39
01
12
105
12
130
04
86
27
97
214
\/. Faculty of Physiotherapy and Allied Health Sciences
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Doctor of Philosophy Ph.D__________________
Master of Optometry_______________________
M.Phil (Clinical Psychology)___________________
M.Sc. (Audiology) ________________________
M.Sc. (Cardiac Catheterization and Interventional
Technology)_______________________________
M.Sc. (Clinical Psychology)___________________
M.Sc. (Echocardiography)____________________
M.Sc. (Exercise and Sports Science)_____________
M.Sc. (Health Information Management)________
M.Sc. (Medical Imaging Technology)____________
M.Sc. (Medical Laboratory Technology)
M.Sc. (Medical Radiation Physics)______________
M.Sc. (Nuclear Medicine Technology)___________
M.Sc. (Renal Replacement Therapy and Dialysis
Technology)________________________ ______
M.Sc. (Respiratory Therapy)__________________
M.Sc. (Speech-Language Pathology)
Master of Occupational Therapy_______________
Master of Physiotherapy______ MPT
Bachelor in Audiology and Speech Language
Pathology_________________________________
Bachelor of Optometry
__________________
B.Sc. (Cardiovascular Technology)______________
B.Sc. (Exercise and Sports Sciences)
B.Sc. (Health Information Administration)
B.Sc. (Health Information Management)
B.Sc. (Medical Imaging Technology)
B.Sc. (Medical Laboratory Technology)
B.Sc. (Medical Radiotherapy Technology)
B.Sc. (Nuclear Medicine Technology)
B.Sc. (Perfusion Technology) _______________
B.Sc. (Renal Replacement Therapy and Dialysis
Technology)______________________________
B.Sc. (Respiratory Therapy)___________________
Bachelor of Occupational Therapy
Bachelor of Physiotherapy
BPT
31.
32.
33.
Total
Grand Total
40
05
08
11
13
01
19
02
11
02
03
03
07
01
01
04
08
10
32
26
20
29
03
01
13
27
22
06
07
11
09
33
29
48
425
1705
Annexure IV -C . Table 5
National Institute of Mental Health And Neurosciences, Institute of National Importance,
Bengaluru-29
Degrees/Diplomas awarded during the last Convocation held in Academic year of 2019-2020.
I. Faculty of Medicine
1.
2.
3.
4.
5.
__ 25
29
____ 9
Ph.D
Doctor of Philosophy
(DM & MCh)
Super Specialty
Fellowships________
MD/MS
Doctor of Medicine /Master of Surgery Post Graduate Diploma______________
II. Faculty of Nursing
____ L_ Doctor of Philosophy
____ 2^ MSc Nursing_______
____ 3^ BSc Nursing_______
PC BSc Nursing
4.
27/NIL
NIL
Total
90
Total
5
76
Nil
82
1
Ph.D
III. Other Courses
___
____ Z
____ 3^
___ £
____ 5^
6.
7.
8.
9.
Mphil Courses______________________ __________ _
MSc Biostatistics_____
Post Doctoral Fellowship_________________________
Master of Public Health________________________
Diploma in Clinical Neurophysiology Technology(DCNT)
Post-Basic Diploma in Psychiatric/Mental Health
Nursing(DPN)_______________________ _________
Post-Basic Diploma in Neuroscience Nursing(DNN)
BSc Anaesthesia Technology______________________
BSc Radiography_______
Total
41
51
4
28
_4
4
3
2
6
8
110
Annexure IV -C. Table 6
NITTE (Deemed to be University) Mangalore
Particulars of the Degrees/Diplomas awarded during the last Regular convocation held in 2020
I.
Faculty of Medicine
1.
2.
3.
4.
5.
6.
02
01
Ph.D
Doctor of Philosophy
(DM & MCh)
Super Specialty
Fellowships________
MD/MS
Doctor of Medicine /Master of Surgery Post Graduate Diploma______________
Bachelor of Medicine & Bachelor of surgery - MBBS
71
Total
II.
Faculty of Dentistry
1.
2.
3.
4.
5.
6.
III.
04
39
Ph.D
MDS
Doctor of Philosophy______
Master of Dental Surgery Diploma in Dental Faculty
Fellowships______________
Certificate Courses________
Bachelor of Dental Surgery -
02
Total
106
151
Total
01
05
102
10
118
BDS
Faculty of Nursing
1.
2.
3.
4.
IV.
170
244
Ph.D
Doctor of Philosophy
MSc Nursing_______
BSc Nursing_______
PC BSc Nursing
Faculty of Pharmacy
1.
2.
3.
4.
5.
02
57
Doctor of Philosophy________________ Ph.D
Master of Pharmacy -_______________ M Pharma
Doctor of Pharmacy (Post Baccalaureate)
Doctor of Pharmacy (Pharm D)
B Pharma
Bachelor of Pharmacy
Total
42
28
100
187
V.
Faculty of Physiotherapy and Allied Health Sciences
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
07
03
MLT
M.Sc (Medical Laboratory Technology)
Master in Hospital Administration________________
Master of Public Health_________________ MPH
M.Phil.
Master of Philosophy (Psychiatric Social Work)
Bachelor of Hospital Administration
BPT
Bachelor of Physiotherapy
05
02
59
Bachelor in Prosthetic and Orthotics
U.G Allied Health Sciences:_______
Bachelor of Science in Medical Imaging Technology
MIT
Bachelor of Science in Anaesthesia & Operation Theatre Technology) A&OTT
Bachelor of Science in Medical Laboratory Technology
VI.
04
20
17
Ph.D
Doctor of Philosophy
MPT
Master of Physiotherapy
P.G Allied Health Sciences:
M.Sc. (Medical Imaging Technology)
MIT
M.Sc. (Anaesthesia & Operation Theatre Technology) A&OTT
24
32
23
79
Total
179
Total
06
37
43
MLT
Faculty of Humanities
1.
2.
Master of Arts (Journalism & Mass Communication)
Bachelor of Arts (Journalism & Mass Communication)
VII. Faculty of Biological Sciences
1.
2.
3.
Total
10
03
45
58
______ Total
30
30
Grand Total
1010
M.Sc. (Biomedical Science)___________
M.Sc. (Food Safety & Biotechnology)
Bachelor of Science in Biomedical Science (Honours)
VIII. Faculty of Architecture
1.
| Bachelor of Architecture
43
Annexure IV -C. Table 7
SRI SIDDHARTHA ACADEMY OF HIGHER EDUCATION, TUMKUR, KARNATAKA
Particulars of the Degrees/Diplomas awarded during the last Regular convocation held in the year
of 2020
I. Faculty of Medicine
1.
2.
3.
4.
5.
6.
Ph.D
Doctor of Philosophy
(DM & MCh)
Super Specialty
Fellowships________
MD/MS
Doctor of Medicine /Master of Surgery Post Graduate Diploma______________
Bachelor of Medicine & Bachelor of surgery - MBBS
01
Total
II. Faculty of Dentistry
Doctor of Philosophy______
_____L
____ Z Master of Dental Surgery Diploma in Dental Faculty
____ y
Fellowships______________
____ 5^ Certificate Courses________
6.
Bachelor of Dental Surgery -
Ph.D
MDS
28
14
146
189
07
___£
BDS
Total
III. Faculty of Nursing
Doctor of Philosophy
1.
____ 2^__ MSc Nursing_______
____ 3__BSc Nursing_______
PC BSc Nursing
4.
49
56
Ph.D
Total
IV. Faculty of Pharmacy___________________________________________
Doctor of Philosophy________________ Ph.D______
1.
Master of Pharmacy -_______________ M Pharma
2.
Doctor of Pharmacy (Post Baccalaureate)
3.
Doctor of Pharmacy (Pharm D)________
4.
B Pharma
Bachelor of Pharmacy
5.
Total
V. Faculty of Physiotherapy and Allied Health Sciences
Master of Physiotherapy__________
1.
M.Sc. Allied Sciences_____________
2.
3.
M.Sc MLT______________________
Master in Hospital Administration
4.
Bachelor of Hospital Administration
5.
Bachelor of Physiotherapy_________
6.
Bachelor in Prosthetic and Orthotics
7.
U.G Allied Health Sciences
8.
MPT
BPT
______ Total
Grand Total
44
245
Annexure IV -C. Table 8
Sri Devaraj Urs Academy of Higher Education (SDUAHER), Tamaka, Kolar
Degrees/Diplomas awarded during the Convocation held in 2020
I. Faculty of Medicine
_____ Ph.D
(DM & MCh)
L____ Doctor of Philosophy
2. ___ Super Specialty
3. ____
£__
5. ___
6. ___
Fellowships________
MD/MS
Doctor of Medicine /Master of Surgery Post Graduate Diploma______________
Bachelor of Medicine & Bachelor of surgery - MBBS
Total
II. Faculty of Dentistry_______________________
L____ Doctor of Philosophy______
2. ___ Master of Dental Surgery 3. ___ Diploma in Dental Faculty
4. ___ Fellowships_____________
5. ___ Certificate Courses_______
6. ___ Bachelor of Dental Surgery -
02
01
52
17
109
181
Ph.D
MDS
BDS
Total
ill. Faculty of Nursing
ZZT Doctor of Philosophy
Ph.D
2. _____ MSc Nursing_______
3. _____ BSc Nursing_______
4. _____ PC BSc Nursing
7 ota I
IV. Faculty of Pharmacy_____________________________ _____________
L___ Doctor of Philosophy________________ Ph.D_______
2. ___ Master of Pharmacy -______________ M Pharma
Doctor of Pharmacy (Post Baccalaureate)
3. ___
4. ___ Doctor of Pharmacy (Pharm D)________
B Pharma
5. ___ Bachelor of Pharmacy
Total
V. Faculty of Physiotherapy and Allied Health Sciences
Doctor of Philosophy_____________
L__
Master of Physiotherapy__________
2.
M.Sc. Allied Sciences_____________
3.
4. __
5. ___
6. ___
7. __
8.
9.
M.Sc MLT_______________________
Master in Hospital Administration
Bachelor of Hospital Administration
Bachelor of Physiotherapy_________
Bachelor in Prosthetic and Orthotics
U.G Allied Health Sciences
Ph.D
MPT
01
03
BPT
Total
109
113
Grand Total
294
45
Annexure IV -C. Table 9
YENEPOYA DEEMED TO BE UNIVERSITY
Degrees/Diplomas awarded during the last Regular convocation held in October 2020
I. Faculty of Medicine
J.__
2. ___
3. ___
4. ___
5. ___
6. ___
Ph.D
Doctor of Philosophy
(DM & MCh)
Super Specialty
Fellowships________
MD/MS
Doctor of Medicine /Master of Surgery Post Graduate Diploma______________
Bachelor of Medicine & Bachelor of surgery - MBBS
Total
II. Faculty of Dentistry_______________________
Doctor of Philosophy______
1.___
2. ___ Master of Dental Surgery 3. ___ Diploma in Dental Faculty
4. ___ Fellowships______________
5. ___ Certificate Courses_______
6. ___ Bachelor of Dental Surgery -
Ph.D
MDS
02
45
BDS
115
162
Total
III. Faculty of Nursing__________________
Doctor of Philosophy
L___
2. ___ MSc Nursing_______
BSc Nursing_______
3. ___
£__ PC BSc Nursing
01
05
80
18
151
255
Ph.D
Total
01
02
96
25
124
IV. Faculty of Pharmacy_________________________
1.___ Doctor of Philosophy________________ Ph.D
2. ___ Master of Pharmacy -_______________ M Pharma
Doctor of Pharmacy (Post Baccalaureate)
3. ___
4. ____ Doctor of Pharmacy (Pharm D)
B Pharma
Bachelor of Pharmacy
5. ___
Total
V. Faculty of Physiotherapy and Allied Health Sciences
Master of Physiotherapy__________
1.
M.Sc. Allied Sciences_____________
2.
M.ScMLT______________________
3.
Master in Hospital Administration
4.
Bachelor of Hospital Administration
5.
Bachelor of Physiotherapy_________
6.
Bachelor in Prosthetic and Orthotics
8.____ U.G Allied Health Sciences
Total
MPT
Hi
03
BPT
06
08
40
61
129
670
Grand Total
46
Annexure IV -C . Table 10
MS Ramaiah University of Applied Sciences, (MSRUAS), Bangalore
Degrees/Diplomas awarded during the last Regular convocation held in 2020
I. Faculty of Dentistry_______________________
1.____ Doctor of Philosophy
2. ___ Master of Dental Surgery 3. ___ Diploma in Dental Faculty
4. ___ Fellowships_____________
5. ___ Certificate Courses_______
6. ___ Bachelor of Dental Surgery -
Ph.D
MDS
BDS
04
31
58
93
Total
II. Faculty of Pharmacy
1.____ Doctor of Philosophy ______________ Ph.D______
2. ___ Master of Pharmacy -_____________ _ M Pharma
Doctor of Pharmacy (Post Baccalaureate)
3. __
Doctor of Pharmacy (Pharm D)
4. __
B Pharma
Bachelor of Pharmacy
5. __
Total
32
22
58
112
III. Faculty of Physiotherapy and Allied Health Sciences
L__
2. ___
Master of Physiotherapy___________
M.Sc. Allied Sciences______________
3. __
4. __
M.Sc MLT_______________________
Master in Hospital Administration
Bachelor of Hospital Administration
5. ___
6. ___
7. ___
8. ___
Bachelor of Physiotherapy
Bachelor in Prosthetic and Orthotics
U.G Allied Health Sciences
MPT
25
BPT
Total
25
Grand Total
230
47
Annexure IV -C. Table 11
GARDEN CITY UNIVERSITY (State Private University)
Admissions during 2019-20
Physiotherapy
BPT: 93
MPT: 17
48
Annexure IV -C. Table 12
National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru
Number of Students admitted for various courses during - 2019-20
UG Courses
Faculty
Number
of
PG Courses
Number of Students
Students
M
Medical
MS
DM
M.Ch.
Total
NIL
42
10
88
D
36
85
85
21
21
28
28
11
11
25
25
M.Phil
8
8
in
1
1
39
39
Nursing
BSc N, MSc. N
Other B.Sc. and
Diploma courses
M.Phil in Clinical
Psychology
MPH
M.Phil
in
Psychiatric Social
Work
Other
courses
M.Sc.
Biostatistics
Ph.D. Courses
306
TOTAL
49
Annexure V
SWOC Analysis
Discipline
Strengths
Challenges- Gaps & Barriers
Opportunities
Physiotherapy
Physiotherapy being in
Allied health sciences is still an
Thorough
education for over 25
unorganized
not
manpower
needs,
governed by any council as yet,
Institutions,
establishment
and Allied Health
care profession
more
years, is today
structured
the
and
the
quality
stream,
of
education
is
awareness of the scope
variable and also the programs
of practice is there.
are not well regulated.
The
regulatory
Health and Healthcare
enactment
(NCMAHP)
body
until
recently.
the
The
direction going forward, creating
up the
was placed and passed
cadres,
by
of
power requirements were not
March
addressed to date. The need at
2021. It was gazette by
the state level for a regulatory
the end of March 2021
body was also strongly felt.
both
Houses
Parliament in
of
Council, Cadre, Job Opportunities
Scientific study and Road map for
HR
Both these areas did not have a
Commission for Allied
Professions
manpower
Planning,
Development
and
Strengthening.
proposal for the
formation of National
review of curriculum,
building
man
There is opportunity now in view
of NCMAHP Act 2021, for State
Government to notify at the
earliest a State Level Council to
regulate the vast range of courses
in Allied Health and Healthcare
Professions,
including
Physiotherapy.
Further, there is no available data
on the workforce requirements
for
Physiotherapy
Health
care
and
Allied
Professional
graduates in the State.
Nursing
Karnataka state has the
Needs quality Improvement of
Improvement in quality of training;
Education
highest
of
quality in education was a felt
regulation
number
of
Nursing
Colleges,
need.
Affiliation to Hospitals rather than
institutions and nursing
Challenge to retain Nurses of
nursing homes
seats in India.
Karnataka to serve within the
Unregulated growth of colleges to
state
be monitored
nursing
Curriculum,
education
Developing
training
training
courses
in
Specialty areas of Nursing.
methods available
Scientific study and Road map for
HR
Planning,
Strengthening.
50
Development
and
Dental Education
Highest number of
Non uniform Quality assurance:
Integration with Primary Health
Dental colleges in the
Standards are variable since
care System, Quality assurance and
country, produce 3000
there is no uniform quality
standards to be maintained.
dentists (approximately)
assurance mechanism in place
every year. In Urban
across all dental institutions. The
areas, the dentist
top ranked institutions have
Dental Chairside Assistants.
population ratio is
voluntarily been accredited to
Strengthening the cadre of Dental
Health Care worker.
There is need for developing a
1:1000 (in some areas,
National Assessment &
even lesser), while in
Accreditation Council (NAAC) of
the rural areas it is
quality assurance parameters
1:2,50,000. The number
have been fulfilled to varying
HR Planning, Development and
of dentists is surplus in
degree.
Strengthening.
Scientific study and Road map for
urban and underrepresented in the rural
Cadre/Pay scale need greater
areas.
care specially in Private sector.
________________I
Pharmacy
The present function of
Need for defining expanded role
Utilisation of Pharm D scholars at
Education
pharmacy does not lie
of pharmacists; there is need for
District level for
merely in dispensing of
better collaboration between
Pharmacovigilance; Enhancing role
medication, but in the
dept of Pharmacology and
pf Diploma/Degree holders in
provision of relevant
Pharmacists.
clinical Pharmacy; Developing
drug information and
There is need for better
Pharmaco-vigilence at Taluk Level;
drug therapy
collaboration between Dept, of
Teleconsultation on
recommendation to the
Pharmacology of Medical
Pharmacovigilance. Developing
people in the society.
Colleges and that of Pharmacy
Drug Information Centre/Drug
practice and Pharmacology of
Policy and Drug Formulary in every
Pharmacy Colleges Institutions).
Large Hospital
There is opportunity to encourage
Cadre/Pay scale need greater
Pharmacists with Diploma in
care specially in Private sector.
Pharmacy to- obtain
B Pharma degrees through lateral
entry.
Medical
Large number of
Education
Medical Colleges in the
State
Need for apt urban/rural
distribution; incentives for rural
service; Health HR assessment for
planning, development and
strengthening; strengthened efforts
towards Faculty Development.
There are no "takers” for the PG
seats in six of the eight
departments* over the past few
years. They are Anatomy,
Physiology and Biochemistry in
Pre-Clinical area and
Pharmacology, Forensic Medicine
and Microbiology Para-Clinical
areas. This reality may precipitate
a situation where in we will see a
huge shortage of faculty in these
areas- to meet the requirements in
new Colleges as well as replacing
the retirement of existing faculty.
51
_________ _________
Scientific study and Road map for
HR
Planning,
Strengthening
Development
and
•
Admission to AYUSH, Nursing, Pharmacy, Physiotherapy, Allied & Healthcare Profession :
The subcommittee reviewed in detail situation of Pre-university students seeking admission
to AYUSH, Nursing, Pharmacy, Physiotherapy, Allied & Healthcare Professionals, are facing
different time line of admissions, modus operand! of admissions, delays in admissions
because of sequential admissions process every academic year, is resulting in not only loss of
academic time up to October/November during 1st year, but also is causing anxiety of
students and parents due to uncertainty. In addition, it is alleged that "left overs" join
courses like Pharmacy, Physiotherapy and Allied & Healthcare Professional course.
•
Need to establish more Pharmacy, Nursing, Physiotherapy and Allied Health Professional
Colleges in Government sector.
52
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