1. Augmenting availability of skilled manpower in Health sector in India

2. Manpower is the most crucial resource towards health planning
The aim of manpower planning is to make available the right kind of personnel in the right number with appropriate skills at the right place at the right time doing the right job.
Currently India lags behind the suggested norms for required health manpower

3. Category of health personnel
Norms suggested
Doctor
1 per 1,000 population
Nurse
1 per 500 population
Health worker(male and female)
1 per 5,000 population in plain area and 3,000 population in tribal/hilly/hard to reach area
Health assistant (male and female)
1 per 30,000 population in plain area and 20,000 population in tribal/hilly/hard to reach area
Pharmacist
1 per 10,000 population
Lab technician
Anganwadi worker
1 per 400–800 population
ASHA
Trained dai
1 per village
Source: Govt. of India (2008), Annual report 2007–2008, Ministry of Health and Family Welfare, New Delhi2

4. Number of health workers per 10,000 population

5. Health worker density across states

6. Nurses and Midwives density across states

7. Distribution of workers across urban/Rural areas

9. Present institutional arrangements for producing skilled manpower in Karnataka
NURSING
Diploma in Nursing :
(details about the course)
Nursing schools :
Government and Private:
Candidates passing out per year
B.Sc Nursing: (details about the course)
Nursing Colleges:
M.Sc Nursing
Paramedical courses
Allied health sciences

10. Courses offered by RGUHS
Medical & Dental
Nursing
Ayush
Pharmacy
Allied Sciences
Ayurveda
Unani
Homeopathy
Naturopathy

11. Total number of Nursing colleges 290; Government 15;Private ;275
Nursing Statistics Report for the year
Sl. No
Courses
Total No. of Sanctioned Intake
Total No. of students admitted
APPEARED FOR EXAM
GRADUATED 01
B.Sc Nursing
12605
9458
10,104
7608 02
PB B.Sc Nursing
5320
5506
6677
4107 03
M.Sc Nursing
2515
1077
1559
865
Total number of Nursing colleges 290; Government 15;Private ;275

12. Total number of AHS colleges 59; Government 6;Private ;53
Allied Statistics Report for the year
Sl. No
Courses
Total No. of Sanctioned Intake
Total No. of students admitted
APPEARED FOR EXAM
GRADUATED 01 UG
2092
2000
730
517 02 PG
450
425 56 48 03
MHA 92 77 04 30 25
Total number of AHS colleges 59; Government 6;Private ;53

13. STATUS REPORT OF ADMISSION /APPROVAL TO PHYSIOTHERAPY
Year
INTAKE
ADMISSION MADE
APPEARED FOR EXAM
GRADUATED
1385
977
387
357
1460
1299
405
441
404
Total number of Physiotherapy colleges colleges 37; Government 1;Private :36

14. Courses offered by Para Medical Board
1.Diploma in Medical Laboratory Technology.
2.Diploma Medical Imaging Technology.
3.Diploma Health Inspector
4.Diploma in Medical Records Technology.
5.Diploma in Operation Theatre Technology.
6.Diploma in Dialysis Technology.
7.Diploma in Ophthalmic Technology.
8.Diploma in Dental Mechanics.
9.Diploma in Dental Hygiene.
10. Diploma in Physiotherapy.
Course Qualification: 10th Standard 3 Years Course + 6 Month Internship , 12th Standard 2 Years Course + 6 Month Internship

15. Present Regulatory system to ensure quality training
NURSING:
Qualifications to be recognised by Indian Nursing Council under the INC Act
Approval to impart nursing education given by State under the ( mention the act name)
PARAMEDICAL/Allied health sciences/Physiotherapy: Regulated By RGUHS
Pharmacy: Pharmacy council of India

16. Skill trained staff at different level of Health Care.
Primary Level of Care
Secondary Level of Care
Tertiary Level of Care
1. Laboratory Technician
2. X-ray Technician.
2. Imaging Technician. 3.
3. Dialysis Technician.
4. Health Inspector. 5.
5. Optometrist
6. Dental Hygienist 7.
7. Dental Mechanist. 8.
8. OT Technician.
8.OT Technician.
9. Physiotherapist.
9.Physiotherapist.
10.
10. Medical Record Technician.

17. Skill trained staff at different level of Health Care.
Primary Level of Care
Secondary Level of Care
Tertiary Level of Care
13. Dietary Assitant
14. Rehabilitation Therapist
15. Histotechnologst
15. Histotechnologist
16. Cardiopulmonary perfusion technologist
17. Health Educator.
18. Physiotherapy Assistant
18. Anaesthesia Technician
19. Respiratory Therapist
20. Speech and Language Pathologist .
Skill trained staff at different level of Health Care.

18. Courses and their Duration of courses
NAME OF THE CLOURSE
QUALIFICATION
DURATION
SKILL
ASHA
8TH STD
450 HOURS
Act as a supporter for front line workers
Emergency Medical Technician
10+2
1000 hours( 6months)
Respond to emergency calls
Support to Crtical care consultant
General Duty Assistant
10 std
420 hours/ 2months
Prepare under the direction of nurse and Health care consultant
Dietary assistant
10 std and above
370Hours
Support Dietician in planning , preparing and serving.
Food safety and Hygiene
Optometrist
10+2/ 10 std
1 yearCertificate/ 2 years 6 months diploma/ 3 years 6months bachelor
Diagnosis/ treatment/ Vision check
Dental assistant
700 Hours/ 6 months/
Perform supportive task for Dental consultant and mechanics
Radiographer
10 std and 10+2
Diploma 2 years and 3 years/ Bachelor 3years
X-ray/ CT/ MRI
Assist for radiologist

19. Cardiac care technican 10+2 3 years 6months
Assist in invasive and non-invasive diagnostic examination and therapeutic interventions
Dialysis technology
10/ 10+2
Diploma 3 and 2years/ Bachelor 3years 6months
Operates and maintains dialysis equipment for CKD
Speech Language pathology
Diploma/ bachelor 3years 1 year internship
Provide treatment, identification, evaluation of congenital, acquired , communication and swallowing disorders
Histotechnologist
6 MONTHS COURSE AFTER diploma lab tech
A histotechnician (HT) is a clinical laboratory technician who prepares very thin samples of body tissue to be examined under a microscope by a pathologist. 
Cardiopulmonary perfusion technologist
3 years + 6months. Bachelor
Suppoert normal functioning of the heart and lung during open heart surgeries
Health Educator
Certificate/ Diploma/ Bachelor
Promotion of health. Counselors
Respiratory care technology
Bachelor 3 years 6 months
Provide care for the patients with breathing problem/ Other diseases with respiratory distress/ Assist intensivist
Physiotherapist
Bachelor/ Diploma
Provide care to patients affected by injury/ stroke/ disability by different therapy modalities.

20. Health care sector skill council courses under NSQF
Cardiac Care technician
Radiology Technician
Medical Lab technician
Histotechnician
Phlebotomy Technician
X Ray Technician
Curative
Emergency Medical technician- Basic
Geriatric Aide
Emergency Medical technician- Advanced
Refractionist
Dental Assistant
Anesthesia Technician
Vision Technician
Dialysis Technician
Operating Theatre Technician
Radiation Therapy Technologist
Blood Bank Technician
Non Direct Care
General Duty Assistant
Medical Equipment Technician (Basic Clinical Equipment)
Home Health Aide
Diet Assistant
Pharmacy Assistant
Medical Record & Health Information Technician
Hospital Front Desk Coordinator
Patient Relations Associate
Assistant Duty Manager – Patient Relation Services
Duty Manager – Patient Relation Services
Rehabilitative
Assistant Physiotherapist
Speech Audio Therapy Assistant
Community
Front Line Health Worker
Diabetes Educator

21. Points for discussion
Do we need to introduce certificate courses for skills and knowledge lower than the levels expected in current nursing, paramedical diploma and degree courses.
-Is there a market for such courses;
-If yes, what are these courses; what should be the content and duration of such courses;
-What should be the eligibility conditions for such courses
For selection of students
For selection of institutions to impart training
Is there a possibility to give credit points and eligibility/weightage for diploma/degree/post-graduate programmes to incentivize acquisition of higher qualifications?
Would regulation come in the way of such a measure?
Would introduction of such courses lead to dilution at basic levels of education?
How do we link these courses to NSQF?
What should be the mechanism to evaluate learning?

22. Do we need to introduce certificate courses for specialized skills and knowledge higher than the levels expected in current paramedical diploma and degree courses.
What should be these courses in nursing and in paramedical fields?
Do we need to introduce certificate courses for cross-functional skills-(nurses to get trained in operation of CT scan etc or paramedics to be trained in nursing, for example) to help Health establishments to optimally utilize available human resources?
If focus is more on skill than acquisition of knowledge, should hospitals meeting certain standards be empowered to run such courses?
What is the mechanism for evaluation of quality of training imparted in such courses?
what should be the framework for implementation and monitoring of these courses.
Strengthening hands on training
Should internship, a part of diploma and degree courses at present be done way with and replaced by apprenticeship, encouraging private establishments to pay a stipend to the apprentices engaged with them ?

23. Thank you