Do health policies address the availability, accessibility, acceptability, and quality of human resources for health? Analysis over three decades of National Health Policy of India

Dubey, Sweta; Vasa, Jeel; Zadey, Siddhesh

doi:10.1186/s12960-021-00681-1

Human Resources for Health

Table 4 Number of cadrewise NHPI recommendations compared with their deficit categories for AAAQ dimensions

From: Do health policies address the availability, accessibility, acceptability, and quality of human resources for health? Analysis over three decades of National Health Policy of India

	1983			2002			2017
Dimension	Cadre	Number of Recommendations	Deficit category using Bhore threshold	Cadre	Number of Recommendations	Deficit category using Bhore threshold	Cadre	Number of Recommendations	Deficit category using HLEG threshold
Availability	ANM^a	0/3	Critical deficit	Doctor	5/13	High deficit	Doctor	15/33	Extreme surplus
	Nurse	0/3	Critical deficit	Nurse	4/13	Critical deficit	Pharmacist	5/33	Moderate deficit
	Dentist	0/3	Critical deficit	Pharmacist	1/13	High deficit	Nurse	2/33	Moderate deficit
	Doctor	0/3	High deficit	AYUSH	1/13	–	Dentist	0/33	Moderate deficit
	Pharmacist	0/3	Moderate deficit	Dentist	0/13	Critical deficit	ANM	0/33	Moderate surplus
	AYUSH^c	0/3	–	ANM	0/13	Critical deficit	AYUSH	0/33	Moderate surplus
Accessibility	Doctor	1/4	Critical deficit	Doctor	4/8	Critical deficit	Doctor	15/36	Critical deficit
	AYUSH	1/4	High deficit	Nurse	1/8	Critical deficit	AYUSH	4/36	Critical deficit
	Nurse	0/4	Critical deficit	Pharmacist	1/8	High deficit	Pharmacist	3/36	High deficit
	Dentist	0/4	Critical deficit	Dentist	0/8	Critical deficit	Nurse	2/36	High deficit
	Pharmacist	0/4	High deficit	AYUSH	0/8	High deficit	ANM	1/36	Extreme surplus
	ANM	0/4	High deficit	ANM	0/8	High deficit	Dentist	0/36	Critical deficit
Acceptability (cadre-mix)	Nursing cadres ^d	No acceptability-related recommendations	Critical deficit	Supporting cadres	1/5	High deficit	Supporting cadres	4/10	High deficit
Acceptability (cadre-mix)	Supporting cadres ^e	No acceptability-related recommendations	High deficit	Nursing cadres	0/5	High deficit	Nursing cadres	2/10	High deficit
Acceptability (sex-mix)	Doctor	No acceptability-related recommendations	Critical deficit	Doctor	1/5	Critical deficit	Pharmacist	2/10	Critical deficit
	Pharmacist		Critical deficit	Pharmacist	1/5	Critical deficit	Doctor	2/10	High deficit
	AYUSH		Critical deficit	AYUSH	0/5	Critical deficit	AYUSH	1/10	Critical deficit
	Dentist		Critical deficit	Dentist	0/5	High deficit	Nurse	1/10	Extreme surplus
	Nurse		Extreme surplus	Nurse	0/5	Extreme surplus	Dentist	0/10	Moderate deficit
Quality	Nursing cadres	0/6	Critical deficit	Doctor	4/11	Moderate deficit	Doctor	18/41	Low deficit
	Pharmacist	0/6	High deficit	Nursing cadres	3/11	High deficit	Nursing cadres	6/41	High deficit
	AYUSH	0/6	High deficit	Pharmacist	2/11	High deficit	Pharmacist	3/41	High deficit
	Doctor	0/6	High deficit	AYUSH	0/11	Moderate deficit	AYUSH	1/41	Low deficit
	Dentist	0/6	Moderate deficit	Dentist	0/11	Low deficit	Dentist	1/41	Low deficit

‘–’ indicates uncalculated deficit indices due to unavailable data. AvDs for AYUSH for the years 1981 and 2001 were not calculated due to the lack of requirement thresholds in the Bhore Committee Report. HRH deficit quartiles were classified as—critical (1 to 0.75), high (0.74 to 0.50), moderate (0.49 to 0.25), and low (0.24 to 0). The surplus was categorized as low (− 0.01 to − 0.24), moderate (− 0.25 to − 0.49), high (− 0.50 to − 0.74), and extreme (< − 0.75). AAAQ availability, accessibility, acceptability, ^aANM: Auxiliary Nurse-Midwife, ^cAYUSH: Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy, ^dNursing cadres include ANMs and nurses, ^eSupporting cadres include nursing cadres and pharmacists

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ISSN: 1478-4491

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