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Determinants of performance of Doctors in the Public Health Systems (Preliminary Observations from three States of  India)  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Issues ,[object Object],[object Object]
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Methods Interviewing State Level  Officers including Secretaries and Directors Jharkhand Rajasthan Uttarakhand Dumka  Palamu Ranchi Bikaner Bharatpur Jhalawar Sirohi Hardwar Dehradun nagar DH 1 1 1 1 1 1 1 1 1 1 CHC* 5 5 5 3 3 3 3 5 5 5 PHC 10 10 10 6 6 6 6 10 10 10 MO 30 29 32 10 10 10 10 30 29 32 Spel’s 10 11 8 10 10 10 10 10 11 8
Do Peripheral Health Facilities have  sufficient Doctors?
Doctors in Jharkhand ,[object Object],[object Object],[object Object]
Doctors in Rajasthan ,[object Object],[object Object],[object Object],[object Object]
Uttarakhand ,[object Object],[object Object],[object Object]
HRH Density ,[object Object]
Recruitment/ Deployment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Promotions/Grievances ,[object Object],[object Object],[object Object]
Compensation/Incentives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Physical Facilities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Equipments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Training ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic/Therapeutic Facilities ,[object Object],[object Object],[object Object],[object Object],[object Object]
How far IPHS is a reality? Ranchi Jharkhand Estimated Population in 2010 35,02,364 3,40,75,853 PHC  (Actual/IPHS) 28/175 330/1103 CHC  (Actual/IPHS) 14/44 194/265 Medical Officers  (Actual/IPHS) 72/350 1710/2205 Specialists  (Actual/IPHS) 2/306 188/1852
Striking a Balance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you

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Determinants of performance of doctors in public health systems of three states in India-Shiv Chandra Mathur

  • 1.
  • 2.
  • 3.
  • 4. Methods Interviewing State Level Officers including Secretaries and Directors Jharkhand Rajasthan Uttarakhand Dumka Palamu Ranchi Bikaner Bharatpur Jhalawar Sirohi Hardwar Dehradun nagar DH 1 1 1 1 1 1 1 1 1 1 CHC* 5 5 5 3 3 3 3 5 5 5 PHC 10 10 10 6 6 6 6 10 10 10 MO 30 29 32 10 10 10 10 30 29 32 Spel’s 10 11 8 10 10 10 10 10 11 8
  • 5. Do Peripheral Health Facilities have sufficient Doctors?
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. How far IPHS is a reality? Ranchi Jharkhand Estimated Population in 2010 35,02,364 3,40,75,853 PHC (Actual/IPHS) 28/175 330/1103 CHC (Actual/IPHS) 14/44 194/265 Medical Officers (Actual/IPHS) 72/350 1710/2205 Specialists (Actual/IPHS) 2/306 188/1852
  • 18.