Establishment of Public Health Management Cadre in India and Guidelines for Implementation – 2022
Journal Title: Public Health Open Access - Year 2022, Vol 6, Issue 2
Abstract
National Health Policy (NHP) 2017 (Para 11.8) proposed that a multi/interdisciplinary health workforce is necessary for managing programs under National Health Mission. National Health Policy 2017 considered creating Public Health Management Cadre (PHMC) in all States. In the 13th CONFERENCE of CENTRAL COUNCIL OF'HEALTH & FAMILY WELFARE (CCHFW), 2019 under the chairpersonship of Hon’ble central Health Minister of India the decision evolved to establish PHMC in all States by year 2022 . The key objective of establishment of PHMC is best utilization of expertise and talent for ensuring health for all. Another objective is to segregate clinical and public health functions among cadres with flexibilities as per requirement of the state. Four types of structures and frameworks are developed, and the states are given flexibility to modify the structures according to the local situation and context. Medical and Health professionals would form a major part, but professionals from other backgrounds like sociology, economics, anthropology, hospital management, communications, etc., who have undergone public health management training/course would also be considered. States could decide to locate public health managers (medical/non-medical) into same or different cadre streams belonging to Directorates of Health. In states like Bihar where there is lack of Directorates of Health the situation is very worse indicated by NITI Aayog annual Health Index reports. In such states the researcher found that public health management untrained persons are posted on key public health management posts while the public health trained doctors (sponsored by Government revenue) are not posted for public health management. The specialists are not involved in PHM and it may be due to the fact that there is shortage of specialist at country and state levels. The public health cadre is a misnomer if they will also work for clinical treatments then the key goal of PHMC will be affected particularly in states like Bihar. This is the first ever decision at national level for establishing PHMC and the details of pay structure , transparency etc. are not available and although the objectives are quite clear; the PHMC cadre may be affected in states like Bihar where it seems that lack of Directorate and unscrupulous management have grabbed the health system.
Authors and Affiliations
Piyush K and Anupama
Keywords
Related Articles
- EP ID EP755774
- DOI 10.23880/phoa-16000217
- Views 40
- Downloads 0
What is the Impact of COVID-19 on Foreign Tourist Arrivals (FTAS) in India from Top Fifteen Source Countries during 2019 & 2020- A Cross Sectional Study?
Due to novel disease, poor management and stringent steps taken by the government as well as sudden increase in admissions at emergency department of hospitals the mortality rate had increased significantly due to COVID-...
Does Irrational use Lead to a Global Shortage of PPE?
Proper use of personal protective equipment (PPE) could play a pivotal role in the protection against Coronavirus Disease 2019 (COVID-19) infection which has shaken global health for almost 10 months now. Due to limited...
Implications of Young Child Malnutrition on Health and Development: Prioritize Nutrition Interventions in the First 1000 Days of Life
Implications of child undernutrition is not limited to adverse impact on physical growth but on optimum brain growth, mental health and cognitive development. The adverse effects of micronutrient deficiencies in mothers...
Towards a New Wave of Telerehabilitation
In recent years, new scenarios for experimenting telerehabilitation services have been opening thanks to the diffusion of the new technologies. The revolution brought about by the Internet of Things and Big Data Analyti...
Enhancing Healthcare Access in Conflict Zones: Identifying Challenges and Proposing Solutions
There are still many unanswered questions about the safety of affected communities' health in conflict zones, including access to healthcare. The main obstacle is the profound disruption that conflict causes to the healt...