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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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Subjects: | |
| 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 |
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okr-10986-13612 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
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 |
| spellingShingle |
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 Raha, Shomikho Bossert, Thomas Vujicic, Marko Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners |
| geographic_facet |
South Asia India |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
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. |
| format |
Publications & Research :: Working Paper |
| author |
Raha, Shomikho Bossert, Thomas Vujicic, Marko |
| author_facet |
Raha, Shomikho Bossert, Thomas Vujicic, Marko |
| author_sort |
Raha, Shomikho |
| title |
Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners |
| title_short |
Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners |
| title_full |
Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners |
| title_fullStr |
Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners |
| title_full_unstemmed |
Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners |
| title_sort |
political economy of health workforce policy : the chhattisgarh experience with a three-year course for rural health care practitioners |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
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 |
| _version_ |
1764423915043553280 |
| spelling |
okr-10986-136122021-04-23T14:03:09Z Political Economy of Health Workforce Policy : The Chhattisgarh Experience with a Three-year Course for Rural Health Care Practitioners Raha, Shomikho Bossert, Thomas Vujicic, Marko 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 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. 2013-05-29T14:32:20Z 2013-05-29T14:32:20Z 2010-03 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 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research South Asia India |