2. INTRODUCTION
• Strengthening health systems and human resources are essential to
achieving SDGs
• Deficiency / Loss of clinical staff is crippling already fragile health care
system
• Health worker retention is critical for health system performance
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3. DEFICENCY
COMPONENTS
• Distribution (Rural - Urban, Public - Private)
• Specialty based (simple - super specialty)
• Gender based (Practicing Male to Female Doctors ratio)
• National level (Strength – Population)
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4. CONTRIBUTING FACTORS IN
SHORTAGE
• Financial Insecurity (salaries / allowances)
• Brain Drain (Medical Migration)
• In-country migration from rural to urban and from public to private
sector
• Costly Medical Education (investment / business)
• Emergence of New disciplines (more options)
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5. CONTRIBUTING FACTORS IN
SHORTAGE
• Inequity in job placement (political / cultural)
• Family / Spouse issues (rural adjustment)
• Increase ratio of Female Medical Practitioners (non practicing /
redundant)
• Infrastructure (Rural / urban)
• Resource Availability (Equipment / supplies)
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6. RECOMMENDATIONS
• Financial Balance (fee for service vs retainability)
• Career development (specialization / promotions)
• Continuing education (CME)
• Responsive management (incentives – attractions)
• Hospital infrastructure (work environment)
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7. RECOMMENDATIONS
• Resource availability
• Hospital management relationship
• Personal recognition or appreciation
• Alternative service providers (NP / MLP)
• Skill mix of HR (managers, administrators and family physicians)
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8. RECOMMENDATIONS
• Increasing interest among adolescents (Media / Role models)
• Identifying and fostering potential for faculty positions (clinical vs
teaching carriers)
• Responding to the needs of current faculty members (job satisfaction)
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9. RECOMMENDATIONS
• New Technologies (e-medicine for telehealth, AI for diagnosis)
• Primary Health Care training in peripheral setups
• Providing healthcare to producing Health (Paradigm shift)
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10. CONCLUSION
Problem of Doctors shortage in Pakistan has multidimensional
aspects. Addressing this problem with holistic approach only, can
produce motivated, qualified and vibrant medical professionals
required to meet future Healthcare needs.
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Editor's Notes
Professional education in health is run at sub-optimal level
Licensing - renewal of licensing of health practitioners is weak, and is not linked with improved qualification, competence, performance and continuous professional development
• Resource availability (refers to equipment and medical supplies that are necessary for health workers to perform their job)
•
Financial (in terms of salary or allowances, affordability of med education)
• Career development (in regards to the possibility to specialize or be promoted)
• Continuing education (having the opportunity to take classes and attend seminars)
• Responsive Management - incentives will be given to boost the performance and to make the rural appointments attractive
Hospital infrastructure (the physical condition of the health facility, in papers often described as 'work environment')
Resource availability (refers to equipment and medical supplies that are necessary to perform their job, availability of respectable housing, education of children and job for spouses)
• Hospital management (refers to having a positive working relationship with the management )
• Personal recognition or appreciation (either from managers, colleagues of the community)
NP- Non Physicians Practionanrs Canadian/USA model 4 yrs medical program certification for distant rural medical practice, can work for provision of life saving med emergencies / public health and MNCH services, including diagnosis and treatment (non surgical cases) under supervision of district level (county level) family physician. MLP - Mid level practitionars-indian model,4 yrs basic medical education works in rural setup, can diagnose and treat minor illnesses and responsible for community health, hygiene, MNCH
Especially inclusion of Female as administrators and policy makers for improving women health and empowerment
There is an opportunity for telehealth technologies to provide additional support and expand healthcare access for underserved rural communities, at least for diagnostic purposes
HEALTH IN ALL POLICIES-INTERSECTORIAL APPROACH TO HEALTH FOR ALL reducing burden of disease
