bgA range of solutions needs to work in tandem to address the issue of absenteeism
To improve health care quality in India. It is crucial to build trust for the public sector.
By implementing a universal (and easily recognizable standard for the quality of
Medical professionals and widely enforcing this standard, even at the level of public
Health clinics, patients may be less wary to attend clinics. In addition to exploring new
Methods to implement a working attendance-based wage system, the public sector
Should consider other types of incentives, such as free lunches (similar to the method of
Providing lentils with immunization to increase demand. Lastly, it may be effective to
Implement a requirement for medical students (presumably studying in urban settings
To work a certain number of months in rural health clinics as a part of their education.
This can raise the morale for those working permanently in clinics, as they become
Aware of new medical advances and are able to work with young, enthusiastic professionals. In return, the new generation of medical staff may be more inclined to revisit and help improve the standards for health clinics around the nation.
World bank
The findings indicate that, while financial and educational incentives attract doctors and nurses to rural postings, they do not make effective retention strategies. Frustration among rural health workers often stems from the lack of infrastructure, support staff, and drugs, a feeling exasperated by local political interference and lack of security. Mundane issues such as lack of water, electricity, education facilities for children, and connectivity increase dissatisfaction, while a primary care job commands little respect. Abstract pg. iii par. 3

ne of the biggest issues that medical, AYUSH, and nursing students had with working in a rural area was the perceived lack of infrastructure (staff, drugs, equipment, diagnostics, physical structure of the health center) to treat patients. For medical students having a good physical work environment (e.g. clean surroundings, good furniture) and having mentors was important but not so for the other cadres. Availability of adequate support staff and having an appropriate workload was important to all student cadres. – page 10 par 6 lack of adequate staff, increase in workload
An important issue with in-service providers was the poor facilities with which they had to perform their jobs. Poor health center infrastructure, irregularity in the supply of drugs, and inadequate equipment constrained them. 11 par 4
Many medical students expressed a fear of intellectual stagnation if they worked in rural areas. Although they might get a variety of cases, they believed that their learning would be limited by infrastructure, lack of seniors to guide them, and limited exposure to new technologies. – page 13 paragraph 3

Medical students were apprehensive of their personal safety in rural areas. While this was partly due to their lack of rural exposure, other factors such as events reported in the media and experiences of colleagues had created a sense of vulnerability associated with rural jobs. Page 14 paragraph 1

Medical students detested interference from local politicians. For many it was a big deterrent in considering a rural job. AYUSH and nursing students expressed no views on this. Page 14 paragraph 4

The availability and quality of schools for children emerged as an important factor deterring providers from living in rural areas with their families. Issues with schools included the type of students who attended, the quality of the teaching, and the schools’ infrastructure. Interestingly, there was an overwhelming demand for private schools teaching in English. P 16 par 1

Many respondents expressed concern about the lack of availability of proper transport to commute between their home and the health center. Problems included infrequent public transport, bad roads, and poor connectivity to other areas. For several health workers, poor transport was responsible for them being far from their families. P 17 par 3