అఖిల భారత ఆరోగ్య సేవల కేడర్ - All India Health Cadre.
Govt mulls to reform the health sector.this sector is suffering from non trained personnel at the helm of affairs since 60years.
so an All India Health Cadre (AIHC), much like the Indian Administrative Service (IAS), is a big step towards the much needed and long awaited institutional reform in the health sector.
why we are still maintaining the age old colonial IAS system?
Because this system is doing wonders in our country.
How the IAS system functions?
How the present health care system is running?
Currently, states recruit doctors to work in primary health centres, hospitals, and at district and state levels to implement large public health programmes.
Training, is patchy, non standardised and often of poor quality.
As most states have no public health cadres, theoretically, a district medical officer, required to implement public health programmes such as vector borne diseases or TB control, could be a radiologist or an orthopaedic doctor with scanty knowledge of public health principles and management.
At the MOH, all technical posts are manned by doctors recruited into the Central Health Service (CHS) by the UPSC, based on an interview. They too have no training of any kind. The CHS has four sub-cadres – medical education, public health, specialist cadre and non specialist cadre. Weakest among them, and rapidly dwindling due to neglect, is the public health cadre.
Compare this with other countries where such critical posts are manned by people who would have typically started their career working in primary health care settings.
What the health cadre needs?
Govt mulls to reform the health sector.this sector is suffering from non trained personnel at the helm of affairs since 60years.
so an All India Health Cadre (AIHC), much like the Indian Administrative Service (IAS), is a big step towards the much needed and long awaited institutional reform in the health sector.
why we are still maintaining the age old colonial IAS system?
Because this system is doing wonders in our country.
How the IAS system functions?
- Recruitment through vigorous UPSC exam.
- 2 yrs of training in a variety of subjects, including a year-long exposure to all levels of administration at training academy.
- first nine years, these trained officers are required to work in districts in senior management posts like collector,project director,etc...
- Then they move to the secretariat or work in the commissioner ates and can also opt to work in the central government but only for a period of 5 years each time.
How the present health care system is running?
Currently, states recruit doctors to work in primary health centres, hospitals, and at district and state levels to implement large public health programmes.
Training, is patchy, non standardised and often of poor quality.
As most states have no public health cadres, theoretically, a district medical officer, required to implement public health programmes such as vector borne diseases or TB control, could be a radiologist or an orthopaedic doctor with scanty knowledge of public health principles and management.
At the MOH, all technical posts are manned by doctors recruited into the Central Health Service (CHS) by the UPSC, based on an interview. They too have no training of any kind. The CHS has four sub-cadres – medical education, public health, specialist cadre and non specialist cadre. Weakest among them, and rapidly dwindling due to neglect, is the public health cadre.
Compare this with other countries where such critical posts are manned by people who would have typically started their career working in primary health care settings.
What the health cadre needs?
- training in infectious disease control, surveillance systems, data management, community health related problems,
- leadership and communication skills,
- exposure to rural environments and their social dynamics,
- training to manage a facility or draw up budget estimates,
- temperament to work in public facilities.
What does AIHC imply? Instituting an AIHC would imply that doctors (and other non medical personnel) desirous of working in government would require to undergo training in health policy and work in district level hospitals for a period of time as a pre-qualification for promotions.
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