JOIN USMost of the medical colleges are currently located in the southern states of Karnataka, Andhra Pradesh, Tamil Nadu and Maharashtra with a very few colleges in large populous states like Uttar Pradesh, Bihar and Madhya Pradesh.
“We recommend setting up of 187 new medical colleges over the next 10 years in presently under-served districts with a population of more than 1.5 million,” the panel headed by K Srinath Reddy, president of the Public Health Foundation of India, said in its draft report, a copy of which is available with Deccan Herald.
The highly uneven distribution of medical colleges has resulted in skewed production and unequal availability of doctors across the country. For instance, there is only one medical college for a population of 11.5 million in Bihar, 9.5 million in Uttar Pradesh, 7.3 million in Madhya Pradesh and 6.8 million in Rajasthan.
On the contrary, in Kerala, Karnataka and Tamil Nadu, there is one medical college for a population of 1.5 million, 1.6 million and 1.9 million respectively. The panel has recommended establishing 49 medical colleges in UP, 27 in Bihar, 20 in West Bengal, 18 in MP and 17 in Rajasthan, besides 10 each in Jharkhand and Odisha. The experts also suggested mandating a substantial proportion of local student enrolment.
Recognising that establishment of so many medical colleges would pose a logistical problem for the state governments due to faculty shortage and paucity of resources, the panel recommended linking the new colleges to district hospitals to overcome the shortcomings.
At the same time, it advised the Plan panel to set up 58 new nursing colleges, 382 nursing schools and 232 schools for auxiliary nurse and midwives.
The proposals are aimed at improving the doctor-patient ratio besides doubling the number of nurses and midwives. Currently, one allopathic doctor serves 1,953 people, which can be brought down to 1,201 people by 2025, if the panel’s recommendations are followed.