Perception of medical interns after visiting selected public health institutes in central India (original) (raw)
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National Journal of Medical Research, 2018
Background: The wide disparities in health status exist within many countries worldwide. Lack of access to quality health-care providers is one of the primary root causes of health inequity and is disproportionately experienced by people living in remote and rural communities. Aims & objectives: To study the attitude and perception of medical students towards rural health service. Materials and Methods: A cross-sectional study was conducted in the government medical college in the state of Uttarakhand, India. A semi-structured, self-administered questionnaire was filled by 457 undergraduate medical students. Data were analyzed by using SPSS version 16. Chi square test was used for statistical analysis and p <0.05 was considered significant Results: Of the 457 students, 261 (57.1%) were willing to work in rural areas after graduation. Mostly (33.9%) said they would work for 1-2 years. Majority (63.5%) of the students wants to contribute towards the betterment of health system of the state. 38.7% wish to join Government health facility. Limited infrastructure facilities, limited professional growth, delay in post graduation were the few reasons cited by the students for refusing to work in rural areas. Rural residence and schooling done in rural areas has significant association with willingness to work in rural areas after graduation. Conclusion: More than half of the students wished to work in rural areas but mostly for one to two years. The rural postings should be made attractive so that more of the undergraduates join rural health system.
International Journal Of Community Medicine And Public Health, 2019
Background: In India, majority of Doctors are working in urban than rural areas. Health situation report suggests that medical students should be provided with a rural clinical placement to make them familiar with the rural workplace. Hence the present study was conducted with the aim of assessing the attitude of the interns of RajaRajeswari Medical College and Hospital (RRMCH), Bengaluru, towards compulsory Rural Health Services.Methods: A cross sectional study was conducted at RRMCH, Bengaluru for a period of two months. All the interns willing to participate and present on the day of study were included. Consent was taken and the information was collected by using a self administered semi-structured questionnaire. The participants were asked to respond on a five point Likert scales, ranging from strongly agree to strongly disagree. The data was analyzed using SPSS version 21.0 and Pearson’s chi-square test was applied.Results: Out of 100 interns, majority (56%) was females, 85% w...
IP innovative publication pvt. ltd, 2019
Introduction: There is acute shortage of efficient health care providers especially doctors in rural areas of our country. As per Census 2011 approximately 70% of Indian population resides in rural areas and hence possess a major challenge for the government as well policy makers to ensure availability of doctors in peripheral health post situated in rural and hard to reach areas of country. Objective: To explore the Attitude and Perception of medical students towards rural health services in hilly region of Uttrakhand. Material and Methods: A descriptive cross-sectional study was conducted among 282 MBBS students of 1st, 3rd and 5th Semesters of Government Medical College of Uttarakhand. A predesigned, pretested, self-administered questionnaire was administered to the participants for data collection. Data was entered and analysed with SPSS software. Result: Among 282 MBBS Students, 64% showed interest to work in rural area. 68% females showed willingness to work in rural area compared to 57.6% of males and 78.9% study Participants belonging to rural areas showed interest to join rural health services compared to 57.8% belonging to urban area. Reasons identified for non-willingness to work in rural areas were less salary (73%), limited infrastructures in health facilities (92.6%), Delay in Post-Graduation (85.8%), limited scope of professional growth (85.1%), lack of educational opportunities for children and family amenities (84.4%), lack of recreational facilities in rural area (71.6%) and remote location areas (77.7%) and less opportunity to interact with colleagues of medical field (69.1%). Conclusion: Medical student’s attitude and perception to work in rural health services need much improvement towards positive side by intervention and implementation by joint collaborative efforts of Medical Education Department, Health department and State Government.
Journal of Preventive Medicine and Holistic Health, 2020
Background: Many countries in the developing world are plagued with challenges of inadequate and inequitable distribution of the health workforce. The Paucity of qualified health workers in rural areas is a critical challenge for India's Health Sector. In view of the continuing challenges of Physician shortage in India, an understanding of our medical students' attitude and perception towards rural medical practices is essential for appropriate planning of human resources. Objective: To assess the attitude and perception of medical students towards rural medical practices and identified the associated factors in order to fill these information gaps. Materials and Methods: A descriptive cross-sectional study was conducted among 282 MBBS students of the Government Medical College in Uttarakhand state, India. First, Third and Fifth semesters MBBS students were the study participants. Participants were enrolled by convenient sampling method. Ethical approval was sought and obtained from the Institutional Ethics Committee. Data was entered and analyzed with SPSS Software Version 22. Result: Among 282 MBBS Students, 68% females showed willingness to work in rural area compared to 57.6% of males. All the reasons for willingness as well as non-willingness to work in rural areas of Uttarakhand had statistically significant difference. Conclusion: Medical student's attitude and perception to work in rural health services need much improvement towards positive side by intervention and implementation by joint collaborative efforts of Medical Education Department, Health department and State Government.
Journal of family medicine and primary care, 2016
Background: Understanding the attitude toward rural health care among future medical graduates, the health workforce of the near future, is an important exercise. Objective: The objective of this study is to understand the attitude of third year MBBS students in a Government Medical College of Chhattisgarh toward rural health services. Methodology: A cross-sectional study was conducted in 2014 using a semi-open-ended questionnaire. The analysis was primarily descriptive, and nonparametric test of significance was used. Results: Of a total of 293 students, 263 (89.7%) rated the current rural health services to be unsatisfactory. Nearly 44% students were willing to serve in the rural area. There was no statistical difference among willing and nonwilling 3 rd year Part I students regarding willingness to join rural services but mostly not willing among 3 rd year Part II. Majority (66.2%) were only willing to work in rural areas for <1 year. The oft-mentioned reason was reservation or added marks in postgraduate entrance examination by more than two-third respondents, "health services for the poor" by nearly two-third respondents and followed by "gain of knowledge about rural people and their diseases." Nearly 10% would-be medical graduates perceived no apparent benefit. The greatest perceived disadvantage was "lack of infrastructural facilities" by more than 80% of the respondents, while "lack of education opportunities for children and basic amenities for family members" was a concern for nearly three-fourth of respondents. Less than half of the respondents thought that there were no career growth opportunities in rural practice. Conclusion: If the identified perceived factors of nonwillingness are taken care off, it would lead to a drastic increase in the number of doctors joining rural service. Not only that but also this would lead to more doctors staying in their position for a longer duration than currently mandated. This would require a relook at the preexisting health policies and adapting them accordingly to retain the services of rural health workers.
International Journal of Medical Science and Public Health, 2015
public health indicators and/or weak infrastructure. Uttarakhand is one of these. The first contact of village community with a medical officer occurs at a primary health center (PHC). The PHCs were envisaged to provide an integrated curative and preventive health care to the rural population with emphasis on preventive and promotive aspects of health care. The PHCs are established and maintained by the state governments under the Minimum Needs Programme/Basic Minimum Services (BMS) program. As per minimum requirement, a PHC is to be manned by a medical officer supported by 14 paramedical and other staff. It acts as a referral unit for six subcenters and has 4-6 beds for patients. The services provided through PHCs are curative, preventive, promotive, and family welfare services. [1] These services cannot be provided in an efficient and effective manner to the rural population without the presence of a medical officer. Background: As 70% of population of India resides in rural areas, there is need of providing effective health care to people in these areas. Health care system in rural areas faces the challenge of shortage of doctors. Understanding of perceptions and attitudes of medical students toward working in rural areas can help in addressing the problem of shortage of doctors in these areas. Objective: This study aimed to determine the attitude of medical students toward serving in rural areas and the determinants of such attitude. Material and Methods: A cross-sectional study was conducted among 115 medical students of final year and internships of a government medical college. A pretested self-administered structured questionnaire was used for data collection. Descriptive statistics such as percentages, mean, and standard deviation were used for data summarization and presentation. Results: The overall average of the total score of respondents' attitudes toward the working in rural areas was 45.20 and the SD was 7.76, indicating a slightly negative attitude toward the working in rural areas. Students belonging to rural areas had more favorable attitude to working in rural areas in comparison to students from urban background. Conclusion: Medical students had positive attitude regarding the importance of working in rural areas, but their overall attitude toward working in rural areas was found to be not favorable.
Perception of medical students towards serving rural people: A study from central India
International Journal Of Community Medicine And Public Health
Background: India is facing critical problem of paucity of certified physicians in rural areas, although majority of the population resides in rural areas. According to rural health statistics report 2015, there is a deficit of 659 doctors in rural areas. The study was done with the objective to capture the perception among medical students (interns / postgraduates) about their preference of work place after graduation/post-graduation and to know the factors responsible for preference / non-preference.Methods: A cross sectional study was carried out, among 203 medical students in a government medical college of Bhopal (M.P) from January to March 2016. A semi-structured questionnaire was used to obtain information regarding their preference to serve in rural areas and reasons associated with their choices. The data was entered in MS excel and analysis was performed using Epi-Info7.Results: The study participants included 203 medical students, only 33 (16.26%), were willing to work in...
PLOS ONE
Background and Objective The shortage of doctors, especially in rural areas, is a major concern in India, which in turn affects the effective delivery of health care services. To support new policies able to address this issue, a study was conducted to determine the discouraging and encouraging factors affecting medical students' interests towards working in rural areas. Methods This cross-sectional, descriptive qualitative study has been conducted in three states of North India. It comprised six focus group discussions, each consisting of 10-20 medical students of six government medical colleges. The verbatim and thematic codes have been transcribed by using a 'categorical aggregation approach'. The discussions were thematically analyzed. Results Ninety medical students participated in the study. The discouraging factors were grouped under two broad themes namely unchallenging professional environment (poor accommodation facilities and lack of necessary infrastructure; lack of drug and equipment supplies; inadequate human resource support; lesser travel and research opportunities) and gap between financial rewards and social disadvantages (lower salary and incentives, social isolation, political interference, lack of security). Similarly, the encouraging factors were congregated under three main themes namely willingness to give back to disadvantaged communities (desire to serve poor, underprivileged and home community), broader clinical exposure (preferential admission in post-graduation after working more than 2-3 years in rural areas) and higher status and respect (achieving higher social status).
2016
India with one-sixth of the global population has probably, the lowest doctor to population ratio. Not only the numbers of trained doctors are low, there is skewed distribution of health manpower. Most of the physicians are based in cities where there is opportunity to earn more. In rural areas, it is difficult to find a trained physician. The health care delivery in rural areas is done mostly by Government. The doctors posted at the rural health centres feel frustrated and try their best to get out of the villages. The infrastructure of the villages is so poor that even the medical interns are not willing to go there. The lack of infrastructure, entertainment and safety issues are the main hindering factors for the willingness of doctors to work in a remote rural area. Many innovations has been suggested and acted upon by the Government of India in the past, but of no avail. This article tries to find ways of putting doctors in the rural areas. Compulsory posting of interns and pos...