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Village Deprived of Health Facilities

by Vijay Garg
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(Due to the shortage of doctors, the villagers are forced to take the services of bogus doctors) 

Due to this, thousands of people die untimely due to lack of better treatment. Statistics show that apart from allopathy, there is a dearth of homeopathy and Ayurvedic doctors in the villages. Due to lack of health facilities and doctors in the villages, thousands of people die untimely every day due to lack of treatment. The claims of the central and state governments to provide better health facilities have no ground but they are not visible. Yes, there has been some improvement in the last few years, but not enough to be considered satisfactory. It is worth mentioning that even today, apart from the acute shortage of health facilities in seven lakh villages of the country, the appointment of doctors has been far less than the requirement.
Tamil Nadu is the only state where health services in villages can be called satisfactory. States had enacted strict laws a few years ago to meet the shortage of doctors in villages, yet most of the new doctors refuse to serve in their villages., The irony is that doctors pay crores of rupees fine every year for breaking the undertaking filled for the job, but refuse to provide service in the villages. It is noteworthy that only twenty percent of the doctors of the country are working in rural areas. Due to this, the availability of doctors in the villages remains nominal. According to the Medical Council of India, the reason for this is that the government does not have any map of it.
On the other hand, the Indian Medical Association says that doctors do not want to go to villages because primary health centers and CHC Facilities are not available. There is an acute shortage of operation theatres, anesthesia doctors, pathologists and technicians in the villages. Apart from this, there is a lack of accommodation and necessary furniture for the doctors posted at the health centers in the villages.
The state governments do not pay heed to the reasons given by the doctors’ organizations for doctors not going to the villages. Doctors’ organizations say that they are not responsible for the lack of better health services in the villages, but the policies of the government are such that the doctors are not ready to render their services in the villages. It is worth noting that doctors’ organizations are seen on the streets in protest against government policies, but the state governments are unable to take any such decision, which can remove the acute shortage of health facilities and doctors in the villages.
India has just one bed per 3,100 patients in rural areas compared to China. There is one bed for 18,000 villagers in Bihar, one bed for 3,900 patients in Uttar Pradesh. Similarly in rural areas twenty-six there is one allopathic doctor per 1000 population, while the World Health Organization says that there should be one doctor for every 1000 people. There are seven doctors in India for a population of about ten thousand.
The total number of allopathic doctors registered with the Medical Council of India (MCI) is about one crore. West Bengal is the worst in terms of availability of doctors among the states. According to the National Health Profile, there are only 900 doctors in the rural areas of West Bengal. According to the population, one doctor per seventy thousand people is In Bihar and Jharkhand there is only one doctor per 50,000 populations.
Significantly, the foundation of rural health services rests on primary health services, but this foundation itself is very weak. Today only seven lakh MBBS doctors are available to provide service in the country. In such a situation, how to fill the shortage of five lakh doctors and five lakh specialists is a big question. To meet this deficiency, the Central Government has taken some steps. In this, the ‘e-Sanjeevani Medicine’ service of the Union Health Ministry has provided three crore telemedicine services has crossed the consultation no. With this, ‘e-Sanjeevani Telemedicine’ has set a new record of 1.7 lakh consultations in a day.
The Ministry of Health made available mobile dispensary vans for treatment in every village at the time of Corona. This greatly benefited the people in the rural areas of the country. The concern of the very poor has been removed to some extent by the Ayushman Bharat scheme, but the question is whether it can eliminate the problems caused by the shortage of health services and doctors? Due to the shortage of doctors, the villagers They are forced to take the services of quack doctors. Due to this, thousands of people die untimely due to lack of better treatment. Statistics show that apart from allopathy, there is a dearth of homeopathy and Ayurvedic doctors in the villages.
The Central Government provides crores of rupees every year for the promotion of Ayurveda and Yoga. But there is a shortage of qualified doctors to provide services. Therefore, apart from MBBS, there is a need to recruit BMS and Ayurvedic doctors on a large scale. Homeopathy and Ayurvedic health at the village level If quick steps are taken on the shortage of centres, then people can be saved despite the shortage of doctors in the villages. Here are some suggestions by experts to meet the shortage of MBBS doctors in the country. These include ‘Family Medicine’, ‘Diploma in General Medicine’ and graduation in rural healthcare. By moving forward effectively on these three suggestions, the shortage of doctors in the villages can be removed on a large scale. But if better salary and facilities are made available to the doctors, then they will leave after completing their studies. Doctors going to sleep can be banned.
The Union Health Ministry has been talking about taking a practical step to address the problem of lack of health services in villages for years. This is the formula, after completing five years of MBBS studies, students should be given a one-year specialization course, so that on their deployment in rural areas, such doctors can provide their better services in rural areas without any hesitation, but this does not matter made. Then the central government came up with another formula prepared. Under this, doctors with MBBS degree will get admission in Masters i.e. MS or MD only when they will write an affidavit for the mandatory period of posting in villages. The government has added one more thing to it that those MBBS degree students who will give an affidavit, even if their marks are less, they will be given admission in MS or MD. But even after this tempting formula of the Central Government, no special interest is visible in the doctors providing services in the villages.
So now the question arises whether despite all the exercises, when MBBS doctors are not interested to serve in the villages, what formula will be adopted now, so that the poor health services in the rural areas can be improved? It is difficult to tell how successful the central government is in removing the shortage of doctors in the villages through the ‘Family Medicine’ course. But if this formula is effective, then the shortage of doctors in the health services of the villages can be controlled to a great extent. But even with all these formulas if what will be done if the health services of the villages do not improve? 

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