Effectiveness of Health Workforce and Manpower Deployment in Health Care Institutions in North-East India
By Farhat Hossain
The effectiveness of skilled health workforce is most influencing factor to the health status of the population and its ratio to population across space and regions. This paper explores the availability of health care institutions as per Indian Public Health Standards (IPHS) norms and the nature of shortfall and surplus of health workforce in accessing health care services to the people of North-East India. The region is considered to be one of the economically depressed regions in India and has low health workforce-population ratio and unskilled due to absence of training centres. Health Care Institutions consists of Sub-Centres (SCs), Primary Health Centres (PHCs) and Community Health Centre (CHCs) that provide complete health care delivery to the population. The deficit of health care institutions is very high in densely populated states like Assam and it is favourable in lower density states i.e. Arunachal Pradesh. The numerical deficits are greatest in case of specialized doctors and numerical surpluses realised for Para-medical staffs which is likely to affect adversely the utilization of health care services in CHCs in North-East India. The co-efficient of variation for health workforce shows that the regional disparities is widening and worsening because of uneven health workforce availability in the health care institutions.
Key Words: Health workforce, Indian Public Health Standards (IPHS), Sub-Centres (SCs), Primary Health Centres (PHCs), Community Health Centres (CHCs)