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Assessment 2 Analytical Report Rationale The purpose of this assignment is to prepare a national health workforce plan for one country in the categoryof low and lower-middle income countries, as...

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Assessment 2 Analytical Report

Rationale

The purpose of this assignment is to prepare a national health workforce plan for one country in the categoryof low and lower-middle income countries, as defined by WHO. These countries in particular have been identified inthe latest report by WHO (WHO, 2016) as having a shortfall in health workers of some 18 million by 2030.

Task

The WHO has a system of classification of countries by region and income which is described in Annex 1 of the‘World Health Statistics Report, 2015’. (WHO, XXXXXXXXXXp XXXXXXXXXXUse the table showing countries on Page 161 in the low and lower-middle income categories to select the country you will use to develop the health workforce plan. This report also provides a range of statistics on the health workforce by country.

The assignment will be scaffolded so that tutorials will support the development of the National Health Workforce Plan on key topics relevant to the development of the workforce plan, including preparing an EnvironmentalScan, analysing the national health workforce data set, identifying critical issues and developing strategies to address the issues identified. The National Workforce Plan should be a five year plan.

1. Prepare a Table of Contents for the National Health Workforce Plan using report format.

2. Draft the Introduction for the Workforce Plan, including documentation of the rationale for selection of the country.

3. Prepare the Environmental Scan for the health workforce of the selected country using national and international health workforce references including policy and planning documents, and any relevant health workforce plans.

4. Prepare a data profile of the health workforce by category using WHO data and other data sources. Develop the workforce profile using tables and graphs and supporting explanatory text.

5. Based on the previous steps and relevant literature, identify critical issues to be addressed in the workforce plan.

6. Use the set of ten recommendations developed in the WHO 2016 report ‘Working for health and growth: investing in the health workforce’ as a framework to develop strategies relevant to implement the workforce plan (WHO, 2016, p.11-12).

Criteria

You will be assessed according to the following criteria:

– Ability to introduce the topic and findings in a well summarised Executive Summary.

– Understanding of the process of the development of a health workforce plan.

– Preparation of an Environmental Scan,

– Capacity to analyse workforce profile data including the use of charts and tables to support the analysis andpresentation.

– Critical analysis and synthesis of the relevant literature to support issues identification and strategies development.

– Academic writing skills, use of report format and APA.

Answered Same Day May 31, 2021

Solution

Anju Lata answered on Jun 05 2021
142 Votes
Running Head: National Health Workforce Plan for Five years for Doctors in India
National Health Workforce Plan for Five years for Doctors in India 5
Assessment 2
Analytical Report
Topic: National Health Workforce Plan for Five years for Doctors in India
Executive Summary
The report analyzes the literature review to collect data and information about the holistic study on Doctors in India. The report investigates the pitfalls in the existing healthcare delivery system and develops a National Health Workforce Pan on the basis of ten recommendations issued by the World Health Organisation.
The aim of the report is to develop National Health Workforce Plan for 5 years for doctors in India. The Environmental Scan finds that the doctor patient ratio in India is extremely low, The educational standards of most of the doctors is below average and few of them hold just the degree of intermediate. The data profile of the doctors presents the rural u
an distribution, male female distribution, education of doctors in rural and u
an areas and the potential likely changes that can be introduced in the new plan. The Critical Issues to be addressed involved six primary problems faced by the healthcare system in India as low doctor patient ratio, more emphasis of rote learning instead of Clinical Skills, limited capacity of medical colleges, Variation in density of doctors across different states, Backdated Teaching Style and Syllabus and high level of co
uption and fraud.
Developing Strategies to implement workforce plan includes the 10 recommendations suggested by WHO in framing the National Health Workforce Plan. The Implementation of the Plan involves the six steps in implementing the plan.
Table of Content
Introduction…………………………………………………………………………....4
Rationale……………………………………………………………………………....5
Environmental Scan…………………………………………………………………..6
Data Profile of Doctors………………………………………………………………10
Critical Issues to be Addressed……………………………………………………...12
Developing Strategies to Implement Workforce Plan……………………………….13
Implementation of Plan……………………………………………………………..16
References…………………………………………………………………………..18
Introduction
In lower middle income countries like India, it is difficult to estimate the accurate number of health workers and their qualifications (Anand & Fan, 2016). There are multiple cadres, regulating bodies and several systems of medicine along with a large proportion of unlicensed and unqualified healthcare professionals. The most reliable sources of data are the National Sample Survey Organization, Professional Councils, Central Bureau of Health intelligence and the Census of India. According to Census, the density of allopathic doctors in 2016 was 6.07 in every 10,000 patients (Al-Sawai & Al-Shishtawy, 2015). A recent BMJ study by India Today shows that there is one government doctor for every 11,528 patients in India and there is one nurse for 483 patients (Al-Sawai & Al-Shishtawy, 2015).
Rationale
The purpose of this report is to develop a National Health workforce Plan for India. The situational Analysis will
ing together all the factors related to health workforce in India that can impact the delivery of healthcare services.
Structure of the report will discuss all the topics relevant to the development of a five year National Health Workforce Plan like Environmental Scan, analysis of National Health Workforce Dataset, Identifying the critical issues and develop the strategies to address the identified issues.

Environmental Scan for Doctors in India
1. Doctor Patient Ratio is very low
The density of doctors of all types (allopathic, homeopathic, ayurvedic and unani) is four times higher in u
an areas than in rural areas (Al-Sawai & Al-Shishtawy, 2015). Nationally there are 80 doctors of all types for 1 lakh people (Bansal, 2016). The ratio for China is 130 for 1 lakh. Also, the resources are unequally distributed among the rural and u
an areas. The national density of dentists is very low with 2.4 dentists on 1 lakh people, 175 Indian districts have no dentists at all (Bansal, 2016). The laws are so weak that unqualified doctors operate in big numbers, even if they are a
ested they get bail and are released the next day (Rao, Shahrawat & Bhatnagar, 2016).
Source: (Anad & Fan, 2016) The density of different types of doctors in India, 2016.
(Source: Anand & Fan, 2016) Inter district Gini score for the different types of doctors.
Inequalities in the distribution of doctors across different districts are measured by Gini coefficient which is used as an index of inequality. 0 shows No inequality while 1 shows perfect inequality (Rao, Shahrawat & Bhatnagar, 2016).
(Source: Anand & Fan, 2016) Fig showing U
an Rural disparities in Doctors’ distribution
Source: (Anand & Fan, 2016). Fig showing Rural-U
an distribution of doctors and their qualifications.
2. Medical Education is based on Rote learning instead of Clinical Skills
Majority of the individuals who claim to be doctors by occupation do not possess essential professional qualification. Around one third of the individuals known as doctors have qualification of only intermediate level. The lack of medical expertise is greater in rural areas. In u
an areas 58% of the doctors hold a medical degree while in rural areas only 19% of them have medical qualification (Anand & Fan, 2016).
Source: (Anand & Fan, 2016) Fig showing education qualification of doctors
3. Variation in density of doctors across different states
The density of doctors is ten times higher in Chandigarh than that in Meghalaya. In upper income states like Punjab, the density of doctors is 2.6 times higher than in poor states like Bihar. Also the percentage of female doctors with medical expertise is greater than the male doctors. However, the shortage of trained doctors is a ba
ier to deliver faster care.
Also, the density of doctors in U
an areas is 15 times higher than in rural areas (Rao, n.d.)
Source: (Anand & Fan, 2016) Fig showing U
an Rural Density and Male female ratio of doctors in India.
4. Limited Capacity of medical Colleges
The medical universities have limited capacity to produce required doctors every year. India has about 300 medical colleges which produce around 35000 medical graduates annually however the requirement is for more than 550 new medical colleges to so that the system could produce more than 1 million doctors annually (Chakrabarty, 2018). Existing Indian medical colleges fail to deliver required healthcare for the 1.5 billion populations.
In India, the number of private medical colleges is 20 times higher than the government medical colleges (Medical Council of India [MCI], 2019). This system has commercialized the medical education. Even a Radiology seat at medical college may cost crores of...
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