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PROD Reference number: 10                 

Reform option

Mandatory rural service prior to post-graduate training, Orissa



Subject area

Human Resources.
  

Objective

Reduced vacancies.
 
Summary
Action:
Government of Orissa has introduced a mandatory scheme for Medical Officers (MOs) to serve one year in a rural area before they can embark on post-graduate courses.

The scheme is designed to help fill vacancies in remote and unpopular areas and at the same time to sensitise young doctors to the problems in rural areas and community medicine.

The programme comprises 11 backward, tribal or otherwise unpopular districts in the state. The entrance examination for PG courses is conducted one year ahead of the date for admission; those who qualify are assigned to one of the institutions in these 11 districts.

The Chief District Medical Officer supervises the candidates and certifies attendance.

Results:
The initiative has turned out to be successful as it uses the doctors’ desire for further qualification as an incentive and is limited in time.
 
Cost
Place Eleven tribal, remote and backward districts in Orissa, since 1998.
Time to set up Few months.
Advantages On-the-job training: MOs are exposed to community medicine and problems in rural areas.

Vacancies filled: Staff MO vacancies are filled in remote rural areas.

Time-limited: Posting limited in time, so candidates are more willing to go and do not spend their time lobbying for promotion or transfer.
Challenges Inflexible: MOs who desire highly specialised postgraduate qualification may see posting in rural areas as waste of time and just 'serve their term' with little commitment.

Cost: Possible increase in administration costs through frequent rotation and selection procedures.
Prerequisites Willingness of the state government
Identification of posts to be covered under the scheme
Sufficient number of medical graduates to fill vacancies.
Amendment to the medical service rules.
Who needs to
be consulted		 Department of health and family welfare, state government.
Medical colleges.
PROD Links   *Mandatory government service by medical graduates, Maharashtra
*Post graduate training as an incentive for medical officers to work in remote areas, Rajasthan
Sustainability Good.
Chances of Replication Good.
Comments About 50% of the posts of MOs were filled in 1999 & 2000.
References
Links to Images

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Links to Documents
* GO No RCH-1098-106-R (PROD No 10).doc

Further material available on request

Click here to request the item(s) below through email/ post

Govt of Orissa Resolution No.MEII.IX.30/97/11454/H Dated 21 March 1998.

Health Sector Reforms in India (GOI, Bureau of Planning; WHO) August 2004

Contact for further information Dr. S.K. Rath, Consultant (ECSIP), Sector Reform Cell,
5 Forest Park, Bhubaneswar, Orissa-751009 India.
Ph: 0674 2530662 Fax: 0674 2536069
E-mail: ecsrc@vsnl.net

Dr. H. R. Pattnaik, Joint Director Health Services, SIHFW Cum I/c EC-SIP,
5 Forest Park, Bhubaneswar, Orissa-751009 India.
Ph: 0674 2530662 Fax: 0674 2536069
E-mail: ecsrc@vsnl.net
Submitted by Dr. Matthew Jowett, Former Programme Adviser,
European CommissionTechnical Assistance Office, New Delhi. July 2002.
    

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