Govt plans bonds to stop doctors' brain drain

April 24, 2012

brain

New Delhi, April 24: India has finally decided to cut down on brain drain that is crippling its medical sector.

Now, US-bound doctors for higher medical studies will have to sign a bond with the ministry and honour the document by returning home after finishing their courses.

Union health Ghulam Ghulam Nabi Azad said that the US is insisting on a government No Objection Certificate (NOC) for every student enrolling with an American institute from this academic session.

In the last three years, 3,000 doctors went abroad for studies, and did not return.

"If a student does not come back from the US, he won't be allowed to practice there," Azad said.

Take the example of the premiere All India Institute of Medical Sciences (AIIMS). A first-of-its-kind study by AIIMS' department of hospital administration found that it takes Rs 1.7 crore to produce a single MBBS doctor at AIIMS.

The figure includes both the direct (services of the faculty and stipend) and indirect (services of non-teaching personnel and furniture) costs incurred by the hospital over the course's five-and-a-half-year period.

According to the study, AIIMS spends at least Rs 31.31 lakh on every undergraduate student per year per course as against an annual fee of an MBBS student of Rs 850 per year that includes room and board and tuition fee.

Over 53% of AIIMS students leave India to work abroad. According to the Medical Council of India (MCI), till July 27, 2011, 767 doctors may have left for foreign shores.

These doctors had asked the MCI to issue them Good Standing Certificates (GSC) - a mandatory requirement for doctors seeking work in hospitals abroad. The MCI issued 1,264 GSCs in 2010, 1,386 GSCs in 2009 and 1,002 in 2008.

India has only one doctor for every 1,700 people. In comparison, the doctor-population ratio globally is 1.5:1,000. Somalia has one doctor for 10,000 population. China's doctor population ratio stands at 1:1063, Korea 1:951, Brazil 1:844, Japan 1:606, Thailand 1:500, the UK 1:469, the US 1:350 and Germany 1:296.

A recent Planning Commission report said India is short of six lakh doctors, 10 lakh nurses and two lakh dental surgeons. Indian doctors, however, form 5% of the medical workforce in developed countries. Almost 60,000 Indian physicians are working in countries like the US, the UK, Canada and Australia alone.

Azad said, "No other country except the US is asking for this NoC. Those who apply to go to the US for studies from 2012 will have to give us a bond saying they would come back after finishing the studies. If they don't fulfill the bond obligation, we can write to the US to deny the student permission to practice."

A recent paper in the Lancet said India had eight healthcare workers, 3.8 allopathic doctors and 2.4 nurses per 10,000 population. When compared to other countries, this is about half the WHO benchmark of 25.4 workers per 10,000 people.

According to MCI's Indian Medical Register that was last updated in April, 2011, the nation supposedly boasts of 840,678 registered medical practitioners. However, the data includes names of doctors who were registered way back in 1933. Chances of these doctors being alive is dim, admits MCI.

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News Network
January 24,2020

Jan 24: India’s economy appears to be shaking off a slump, as activity in the services and manufacturing sectors expanded for a second straight month in December.

The needle on a gauge measuring so-called animal spirits signaled the economy may be taking a turn for the better, as five of the eight high-frequency indicators tracked by Bloomberg News came in stronger last month. The dial was last at the current position in August.

“Animal spirits” is a term coined by British economist John Maynard Keynes to refer to investors’ confidence in taking action, and the gauge uses the three-month weighted average to smooth out volatility in the single-month numbers.

The nascent recovery would need a helping hand, with expectations building that Finance Minister Nirmala Sitharaman will provide some stimulus when she presents the budget Feb. 1. Official forecasts show the economy is set to expand at 5% in the year ending March 2020 -- the weakest pace in more than a decade.

Here are the details of the dashboard:

Business Activity

The dominant services index rose to the highest level in five months in December as improving new work orders helped boost activity. The seasonally adjusted Markit India Services PMI index climbed to 53.3 from 52.7 in November, helping post a strong end to the calendar year.

India’s manufacturing PMI also rose -- to 52.7 from 51.2 a month ago -- boosted by the fastest increase in new orders since July. A reading above 50 means expansion while anything below that signals contraction.

The uptick in business confidence was accompanied by a rise in inflationary pressures, the survey showed. That trend may keep monetary policy makers from resuming interest-rate cuts anytime soon, leaving most of the heavy-lifting to boost growth with the government.

“The relative stability in macro indicators over the past two months suggests that the worst is behind, but the recovery is likely to be prolonged,” said Teresa John, an economist at Nirmal Bang Equities Pvt. in Mumbai. “Still, sluggish growth and rising inflation indicate that India may well remain in stagflation for most of 2020.”

Exports

Exports remained a laggard, falling 1.8% in December from a year ago. The drag was mainly because of a fall in export of engineering goods, which constitute a third of India’s non-oil exports.

Capital goods imports continued to contract and was lower by 16.5% year-on-year in December after a 22% drop in November. This was the seventh consecutive month of continuous decline, underscoring the weakness in the capex cycle, according to IDFC First Bank.

Consumer Activity

Weakness in demand for passenger vehicles persisted, with local sales falling 1.2% in December from a year ago, according to the Society of Indian Automobile Manufacturers. That capped the worst yearly passenger vehicle sales on record. A Nielsen study on demand for fast-moving consumer goods showed volume growth dropped to 3.5% in the last quarter of 2019 from 3.9% in the same period of 2018.

Funding conditions held out hope, showing considerable improvement in December, according to the Citi India Financial Conditions Index. Credit growth remained tardy though, with demand for loans rising at a slower 7.1% pace from a year ago compared with a nearly 8% growth in November.

Industrial Activity

Industrial output rose for the first time in four months in November. The pick up was broad-based, led by mining, manufacturing and electricity. Mining and manufacturing, in particular, posted a second month of sequential growth. Production of consumer goods also rose after a few months of contraction.

The index of eight core infrastructure industries, which feeds into the index of industrial production, however, declined 1.5% in November from a year ago -- the fourth straight month of contraction. That was on account of shrinking production of electricity, steel, coal, natural gas and crude oil. Both the core sector and industrial output numbers are reported with a one-month lag.

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News Network
July 1,2020

Patna, July 1: A wedding ceremony in rural Patna a fortnight ago where the groom was running high fever, two days before he died and his body cremated without being tested for COVID 19, appears to have set off the biggest infection chain in Bihar so far, health department officials said on Tuesday.

More than 111 people have tested positive in Paliganj sub-division of Patna district, about 55 km from the state capital, in the last few days, out of over 350 who have been tested upon contact tracing, they said. Fifteen of his relatives who attended the wedding tested positive for the contagion and apparently infected others.

The officials, who requested anonymity, said the groom was a software engineer based in Gurugram and had returned home for his marriage in the last week of May. A few days after the ''tilak'' ceremony, he started showing symptoms of the disease.

On June 15, the date of wedding, he was running high fever and wanted the ceremony to be deferred, but relented upon the insistence of family members who made him swallow paracetamol tablets and go through the rituals.
On June 17, his condition deteriorated significantly and family members made a dash to AIIMS, Patna, but he died on the way.

The body was cremated in a huff, without the authorities being informed. But somebody telephoned the district magistrate and narrated the whole episode. All close relatives of the deceased, who attended the ceremony, were tested on June 19. Of them 15 tested positive, the officials said.

As a measure to contain the spread of the disease, a special camp was set up at the village where the marriage took place on June 24-26 during which samples of 364 people were collected. Of them, 86 tested positive, the officials added.

The sudden explosion of the dreaded coronavirus has triggered panic in the area. Although most who tested positive were asymptomatic, they have been admitted to isolation centres in Bihta and Phulwarisharif.

Block Development Officer Chiranjeev Pandey said Meetha Kuan, Khagari Mohalla and parts of Paliganj Bazaar have been sealed for thorough sanitisation.

Patna district happens to be the worst-affected in Bihar with 699 confirmed cases till date and five casualties, according to figures provided by the administration. The number of active cases is 372.

On Monday, when the state witnessed its biggest single day spike with 394 cases, Patna district accounted for more than 20 per cent of these. About eighty cases were reported from Paliganj alone.

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News Network
June 3,2020

New Delhi, Jun 3: India registered its highest single-day spike in COVID-19 cases on Wednesday with 8,909 more cases reported in the last 24 hours, taking the country's tally to 2,07,615, while the death toll rose to 5,815 according to the Union Health and Family Welfare Ministry.

The number of active COVID-19 cases stood to 1,01,497 while 1,00,303 people have been cured/discharged/migrated.

According to the Union Health and Family Welfare Ministry, out of all the states, Maharashtra has recorded the highest number of coronavirus cases with 72,300 patients followed by Tamil Nadu with 24,586 cases.

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