Is the doctor to blame?

And entered the doctor's cabin, 3 minutes of time is not available . What do you suggest to test . The report of all said tests will not come on the same day . And after collecting all the reports after 2 days, he went to see the doctor and again he did not have time for even 2 minutes . Shouldn't the patient and his family get 2-4 minutes of time for detailed information about the disease and treatment? No one can say no to the answer. And why don't you get a doctor's appointment ?

Every doctor wants to talk well with his patients. He wants to explain about the disease and the treatment he is going to give. But they are not afraid to do so. A conversation with one patient is not over, another arrives . As soon as a conversation with a patient inside the cabin goes on a bit longer, a commotion starts outside the cabin . And who is responsible for it? Is it the doctor's fault? What is the

situation ?

According to the World Health Organization, there should be 1 doctor per 1000 population. But what is in Nepal? Anyone interested in this Doesn't seem to hold . According to a survey report, Nepal has only 1 doctor per 150,000 population.

Registered in Nepal Medical Council Although there are more than 32 thousand doctors, only 15 thousand doctors are working in Nepal. What is more unfortunate than how many expert doctors are needed to provide good health services to the current population? There has been no study on this. The system of the country has changed. Urbanization, marketization and public awareness have greatly changed the demand for healthcare services.

After going to federalism, what kind of health system should be adopted to make health services agile and effective? And what manpower is required for this? As there is no study on this, manpower management according to population and federalism was not discussed.

It may be surprising that even the positions assigned according to the current population and structure before the country went to federalism have not yet been filled. But the reality is this. According to a recently published news, out of the 46 offices under the Ministry of Health of Koshi Province, more than half of the health offices have been found to be running under the authority of the Minister. Three dozen health institutions are operating under the Nimitt.

There are 947 posts under the Ministry of Health. Among them, 486 posts are vacant. It appears in the records of the Ministry of Health that 461 posts have been filled. There are 13 posts in the 11th level, but only 2 posts have been filled. The post of 11 people of 11th level is vacant . In this case, it is easy to imagine how the health care will be.

A doctor in the OPD (outpatient department) Given 6 hours, how many people Can the patient be seen ? 6 hours i.e. 360 minutes and during this time human needs (eating, drinking, toilet etc.) will also be needed. And in this 6 hours When 1 doctor sees 200 patients, how much time does one patient get? Can be calculated . And the doctor who doesn't give time is guilty of maintaining the environment to see 200 patients ?

The system has changed in the country . There are local, state and federal governments. Healthcare is within the fundamental right . But we focus on purchasing buildings and equipment for healthcare. Building construction, similar purchases come with commission . Everyone understands the truth. But commission cannot be taken on salary . Maybe that's why the job is not completed . The population has increased by 2 times but the vacancy is still old and that too has not been filled. The doctor also has to bear the blame for this. Misinformation is spread that doctors are service-oriented and city-centric.

We, our government, have tried but we hear that the doctor does not want to come . Which is not reality. Public services are not open for doctor posts. A doctor has never applied for public service. And there are always more applications than demand. The current trend of not opening the public service, not seeking to fill permanent posts, and even doctors on a salary, contract, or temporary basis is the fact that the effectiveness of the health service is decreasing.