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 and Martineau, Tim (2016) 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. Human Resources for Health, 14 7: 1-11. doi:10.1186/s12960-016-0103-1


Author Kadam, Shridhar
Nallala, Srinivas
Zodpey, Sanjay
Pati, Sanghamitra
Hussain, Mohammad Akhtar
Chauhan, Abhimanyu Singh
Das, Sovesh
Martineau, Tim
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
Journal name Human Resources for Health   Check publisher's open access policy
ISSN 1478-4491
Publication date 2016-02-24
Year available 2016
Sub-type Article (original research)
DOI 10.1186/s12960-016-0103-1
Open Access Status DOI
Volume 14
Issue 7
Start page 1
End page 11
Total pages 11
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Formatted abstract
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.
Keyword Recruitment
Deployment
Policy
Doctors
Odisha
India
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 1 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sun, 13 Mar 2016, 10:24:33 EST by System User on behalf of School of Public Health