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A study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in Odisha state, India

BACKGROUND: An effective health workforce is essential for achieving health-related new Sustainable Development Goals. Odisha, one of the states in India with low health indicators, faces challenges in recruiting and retaining health staff in the public sector, especially doctors. Recruitment, deplo...

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Autores principales: Kadam, Shridhar, Nallala, Srinivas, Zodpey, Sanjay, Pati, Sanghamitra, Hussain, Mohammad Akhtar, Chauhan, Abhimanyu Singh, Das, Sovesh, Martineau, Tim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765090/
https://www.ncbi.nlm.nih.gov/pubmed/26911674
http://dx.doi.org/10.1186/s12960-016-0103-1
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author Kadam, Shridhar
Nallala, Srinivas
Zodpey, Sanjay
Pati, Sanghamitra
Hussain, Mohammad Akhtar
Chauhan, Abhimanyu Singh
Das, Sovesh
Martineau, Tim
author_facet Kadam, Shridhar
Nallala, Srinivas
Zodpey, Sanjay
Pati, Sanghamitra
Hussain, Mohammad Akhtar
Chauhan, Abhimanyu Singh
Das, Sovesh
Martineau, Tim
author_sort Kadam, Shridhar
collection PubMed
description BACKGROUND: An effective health workforce is essential for achieving health-related new Sustainable Development Goals. Odisha, one of the states in India with low health indicators, faces challenges in recruiting and retaining health staff in the public sector, especially doctors. Recruitment, deployment and career progression play an important role in attracting and retaining doctors. We examined the policies on recruitment, deployment and promotion for doctors in the state and how these policies were perceived to be implemented. METHODS: We undertook document review and four key informant interviews with senior state-level officials to delineate the policies for recruitment, deployment and promotion. We conducted 90 in-depth interviews, 86 with doctors from six districts and four at the state level to explore the perceptions of doctors about these policies. RESULTS: Despite the efforts by the Government of Odisha through regular recruitments, a quarter of the posts of doctors was vacant across all institutional levels in the state. The majority of doctors interviewed were unaware of existing government rules for placement, transfer and promotion. In addition, there were no explicit rules followed in placement and transfer. More than half (57%) of the doctors interviewed from well-accessible areas had never worked in the identified hard-to-reach areas in spite of having regulatory and incentive mechanisms. The average length of service before the first promotion was 26 (±3.5) years. The doctors expressed satisfaction with the recruitment process. They stated concerns over delayed first promotion, non-transparent deployment policies and ineffective incentive system. Almost all doctors suggested having time-bound and transparent policies. CONCLUSIONS: Adequate and appropriate deployment of doctors is a challenge for the government as it has to align the individual aspirations of employees with organizational needs. Explicit rules for human resource management coupled with transparency in implementation can improve governance and build trust among doctors which would encourage them to work in the public sector.
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spelling pubmed-47650902016-02-25 A study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in Odisha state, India Kadam, Shridhar Nallala, Srinivas Zodpey, Sanjay Pati, Sanghamitra Hussain, Mohammad Akhtar Chauhan, Abhimanyu Singh Das, Sovesh Martineau, Tim Hum Resour Health Research BACKGROUND: An effective health workforce is essential for achieving health-related new Sustainable Development Goals. Odisha, one of the states in India with low health indicators, faces challenges in recruiting and retaining health staff in the public sector, especially doctors. Recruitment, deployment and career progression play an important role in attracting and retaining doctors. We examined the policies on recruitment, deployment and promotion for doctors in the state and how these policies were perceived to be implemented. METHODS: We undertook document review and four key informant interviews with senior state-level officials to delineate the policies for recruitment, deployment and promotion. We conducted 90 in-depth interviews, 86 with doctors from six districts and four at the state level to explore the perceptions of doctors about these policies. RESULTS: Despite the efforts by the Government of Odisha through regular recruitments, a quarter of the posts of doctors was vacant across all institutional levels in the state. The majority of doctors interviewed were unaware of existing government rules for placement, transfer and promotion. In addition, there were no explicit rules followed in placement and transfer. More than half (57%) of the doctors interviewed from well-accessible areas had never worked in the identified hard-to-reach areas in spite of having regulatory and incentive mechanisms. The average length of service before the first promotion was 26 (±3.5) years. The doctors expressed satisfaction with the recruitment process. They stated concerns over delayed first promotion, non-transparent deployment policies and ineffective incentive system. Almost all doctors suggested having time-bound and transparent policies. CONCLUSIONS: Adequate and appropriate deployment of doctors is a challenge for the government as it has to align the individual aspirations of employees with organizational needs. Explicit rules for human resource management coupled with transparency in implementation can improve governance and build trust among doctors which would encourage them to work in the public sector. BioMed Central 2016-02-24 /pmc/articles/PMC4765090/ /pubmed/26911674 http://dx.doi.org/10.1186/s12960-016-0103-1 Text en © Kadam et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Kadam, Shridhar
Nallala, Srinivas
Zodpey, Sanjay
Pati, Sanghamitra
Hussain, Mohammad Akhtar
Chauhan, Abhimanyu Singh
Das, Sovesh
Martineau, Tim
A study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in Odisha state, India
title A study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in Odisha state, India
title_full A study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in Odisha state, India
title_fullStr A study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in Odisha state, India
title_full_unstemmed A study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in Odisha state, India
title_short A study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in Odisha state, India
title_sort study of organizational versus individual needs related to recruitment, deployment and promotion of doctors working in the government health system in odisha state, india
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765090/
https://www.ncbi.nlm.nih.gov/pubmed/26911674
http://dx.doi.org/10.1186/s12960-016-0103-1
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