Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners

Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners

This case study analyzes the reasons for adoption and the implementation process of a key policy in Chhattisgarh state, India, to create a rural cadre of trained physicians in order to address the acute shortage of doctors in the state's prima...

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Bibliographic Details
Main Authors:	Raha, Shomikho, Bossert, Thomas, Vujicic, Marko
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ACUPUNCTURE ALLOPATHIC MEDICINE ALTERNATIVE MEDICINE BIOCHEMISTRY BLEEDING CAPITATION CAREER CERTIFICATION CHILD HEALTH CHILD HEALTH CARE CHILDBIRTH COLLEGES COMMUNITY HEALTH COMPLICATIONS COMPLICATIONS OF PREGNANCY COUNSELING COURSE CONTENT CURRICULUM DEVELOPING COUNTRIES DEVELOPMENT INTERVENTIONS DISEASES EDUCATIONAL INSTITUTES EMPLOYMENT EMPLOYMENT OPPORTUNITIES ESSENTIAL DRUGS FACULTY MEMBERS FAMILY WELFARE FOCUS GROUP DISCUSSIONS GYNECOLOGY HEALTH ACTIVISTS HEALTH CARE HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH FINANCE HEALTH INDICATORS HEALTH OFFICIALS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTH-CARE SYSTEM HIGHER EDUCATION HOLISTIC MEDICINE HOSPITAL HOSPITALS HR HUMAN DEVELOPMENT HUMAN RESOURCES ILLNESSES INCOME INEQUITABLE DISTRIBUTION INFANT INFANT MORTALITY INFANT MORTALITY RATE INTERVENTION ISOLATION LEARNING LEGAL STATUS LIFE EXPECTANCY LITERATURE LIVING CONDITIONS LOW-INCOME COUNTRIES MANAGEMENT SYSTEMS MATERNAL AND CHILD HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MEDICAL COLLEGE MEDICAL COLLEGES MEDICAL DOCTOR MEDICAL DOCTORS MEDICAL EDUCATION MEDICAL FACULTY MEDICAL OFFICER MEDICAL OFFICERS MEDICAL PRACTICE MEDICAL PRACTITIONERS MEDICAL PROFESSIONALS MEDICAL SCIENCE MEDICAL SCIENCES MEDICINES MIDWIFE MIDWIVES MODERN MEDICINE MORTALITY NATIONAL HEALTH SYSTEMS NURSE NURSES NURSING NURSING SCHOOLS NURSING STUDENTS NUTRITION OBSTETRICS OPHTHALMOLOGY ORTHOPEDICS PAPERS PARAMEDICS PATHOLOGY PATIENT PATIENTS PEDIATRICS PHARMACOLOGY PHYSICIAN PHYSICIANS PHYSIOLOGY PHYSIOTHERAPY POLICY MAKERS POLICY PROCESS POLICY PROCESSES POLITICAL LEADERSHIP POLITICAL SUPPORT POSTGRADUATE STUDIES PRACTITIONERS PREGNANCY PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIMARY HEALTH FACILITIES PRIVATE COLLEGES PRIVATE DOCTORS PRIVATE INSTITUTIONS PRIVATE TRAINING PROFESSIONAL DEVELOPMENT PROFESSIONAL IDENTITY PROFESSORS PROGRESS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SERVICE ROLE MODELS RURAL AREAS RURAL HEALTH CARE SCHOLARSHIPS SCHOOLS SECONDARY SCHOOL SECRETARY OF HEALTH SERVICE DELIVERY SERVICE PROVIDERS SOCIAL MEDICINE SOCIAL SCIENCE SOCIAL SUPPORT SPLINTS STATE GOVERNMENTS STUDENT STRIKE SURGERY SYSTEMS OF MEDICINE TEACHING TELEMEDICINE TRAINING NEEDS TREATMENT TUITION TUITION FEES UNIVERSITIES URBAN AREAS VISION WOMAN WORKERS WORLD HEALTH ORGANIZATION WOUNDS
Online Access:	http://documents.worldbank.org/curated/en/2010/03/12307181/political-economy-health-workforce-policy-chhattisgarh-experience-three-year-course-rural-health-care-practitioners http://hdl.handle.net/10986/13612

Description
Summary:	This case study analyzes the reasons for adoption and the implementation process of a key policy in Chhattisgarh state, India, to create a rural cadre of trained physicians in order to address the acute shortage of doctors in the state's primary health facilities. It documents the experience specific to Chhattisgarh state, but with its attention to the policy processes and implementation challenges associated, it also highlights the necessity of a political economy perspective currently missing in much of the published literature on human resources for health. A principal lesson of this case concerns why it matters how interests of various stakeholders who had interests in the three-year course are included early in the policy process, namely the anticipated opposition of the medical doctor community represented by the Indian Medical Association (IMA) and the interests of the students themselves and their desire to be given appropriate status as medical doctors. This case study addresses the legal hurdles faced and the importance of institutional support structures to maintain quality standards and provide for grievance procedures. Through this case study, it also becomes apparent why the role of institutional ownership of policy matters rather than success or failure of policy that is linked entirely to the authority of a few key appointed officials.