Scope and Future of Mid-Level Health Care Providers (CHOS) at Ab-HWCs in India

Michael Jeba Arasi A
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Abstract

There are several countries suffering from short supply of healthcare workers, particularly in villages, it makes difficult to provide essential health care. Low-income of 49 countries to achieve the health MDGs by 2015, an additional 3.5 million health workers are needed. As a developing country, India has a large disease burden and a huge gap in providing medical facilities. There is a need for midlevel health care providers in different settings across the country to provide this service. Government of India has declared new pivotal role of Community Health Officer as part of National Health Mission in order to enable Indian community settings to have access to affordable health care. As outlined in the NMC Bill 2019, nurses will be given the first option as Community Health Officers, which will also facilitate their professional development. Health care access will be promoted through CHOs as a new transforming role. By serving as a MLHP, the CHO will reduce the burden on other health care professionals and also contribute to achieve the aim of “Health for All”. AYUSH and nursing practitioners only qualified candidates for this team in India. Their training and legal authorization limit their ability to provide health care in less cases than physicians, but they have greater access to it than other health care professionals.
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印度Ab-HWCs中级卫生保健提供者(CHOS)的范围和未来
有几个国家保健工作者短缺,特别是在农村,这使得难以提供基本保健。49个低收入国家要到2015年实现卫生方面的千年发展目标,还需要增加350万卫生工作者。作为一个发展中国家,印度的疾病负担很大,在提供医疗设施方面存在巨大差距。在全国不同的环境中,需要中级保健提供者提供这种服务。印度政府宣布,社区卫生干事将发挥新的关键作用,作为国家卫生特派团的一部分,以便使印度社区能够获得负担得起的保健服务。正如2019年NMC法案所概述的那样,护士将成为社区卫生官员的第一选择,这也将促进她们的专业发展。卫生保健服务中心将作为一种新的变革作用,促进获得卫生保健服务。通过担任多部门保健专业人员,首席保健官将减轻其他保健专业人员的负担,并有助于实现“人人享有健康”的目标。在印度,AYUSH和护理从业人员只有合格的候选人才能参加这个团队。她们所受的培训和法律授权限制了她们提供保健服务的能力,虽然比医生少,但比其他保健专业人员有更多的机会获得保健服务。
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