What's your reason?

[RAAZ]

These days there is a big discussion going on about the rule of sending the scholarship students to the remote places for 2 years service. Some say its a very good rule and can help for the betterment of the country while some say that this rule is miserable. Everyone has a reason for saying it good or bad. What's your reason?

[Walrus]

This rule is good because it is for the benefit of the nation. One doctor going to a remote Nepal may not be able to do anything for various reasons like no good infrastructure or no supply of medicine, etc but they are just excuse of some half-hearted lazy bone.

This step should be appreciated as a small but very good move of MOE. For years there was just this policy but was not implemented but now MOE has woken up. Three cheers for MOE.

MOE has been sending students who are stand out and are good and who would not hesitate to serve Nepal. This is for the benefit of the Nation and the student.

MOE is not forcing anything so this cannot be called miserable at all. If you are working for some office then will it be fair if you say you don't want to work but just get paid?

MOE has clearly given these students payment of around 1 million each and knowledge for a life time to be counted as people of a certain class just for 2 years of service. Is it too much to ask? And you don't come empty hand either. You get so much experience with love of people. You can have time you will never forget and some place you can go back to again and again.

Now, some people for their personal benefit and some dream and jealousy want to walk off this responsibility they have.

[SUMAN-SAJAN]

Yeh its good policy because there are many students who are studying in the scholarship quota and its their duty to serve the nation after they are capable.
Still there are many country- sides where the eyes of locals are searching for the doctor .

[ramesh]

concept is praise worthy n it is the need of the hour, but it has not addressed certain issues - why not students from certain colleges like IOM not been included under it. they in fact are the ones whom the country has spent so much on. n other thing 2 year is a long time my fren,that also in the remote areas. it will be hard keeping up with the books n latest development. places where CMAs are handling well, why to send doctor there . this is the wastage of manpower. this way the gov is only trying to show that they are acting for the people. are only the doctors the citizen of nepal, are the people from other sectors like engineering, arts, commerce who are studying under scholarship scheme not required to work for the country. are they not the son n daughters of nepal. so this scheme has not been studied well. it has been blindly implemented. we have to form a a group n fight for this. don't you people agree.
dr ramesh kc
UCMS, Nepal

[Walrus]

IOM should have been included but has not been. But, like I said, rome was not built in a day. It will definitly take some time before all our suggestions are heard and implemented especially when our country is passing through such a tough time.

Two years is in no way long. When they accepted the scholarship, they had agreed to serve more than that - cannot remember exactly whether it is 3 years or 5 years. If someone had this objection for personal benefit then they should have opted out of the scholarship. There are also those who wont mind serving in remote place for such duration.

Our curriculum is designed to make doctors for community in Nepaｌ。There U need to be up to date with common diseases there and that's all is required by your job. You can do well without knowing genetics or anything and MOE need not take into consideration all those as it was committed to provide just education for free and so it did. It could also have said, full scholarship is too much my fren, why not just give half scholarship.

Doctors are citizens of Nepal like engg and those from other fields but community needs doctors more than anything. Just compare where we stand in health status of the world and see why is it like this when country is producing so many doctors.

When we didn't have enough doctors, govt was assigning responsibilities to other health workers but if it can afford to send doctors it has been able to train, what should stop it? Why not sent doctors? Because U have special class in society? You consider yourself better than 99% of Nepalese?

Even couple of years ago and still in some places in kathmandu health assistants and 'compounders' are running clinics well and people trust them more than doctors does not mean govt should start employing HAs and not doctors in kathmandu also. Living in Kathmandu doesnt make anyone so good that they deserve service of good doctors while rest of Nepal just gets CMAs not even HAs.

And, it was not blindly implemented. If it was then also it is good.

And, making groups and fighting. . there are better reasons to fight than this. Why don't you help frens from KMC who are suffering right now because of some local leaders from Duwakot? Raise voice against that if U can. But that U wont do because it won't benefit UCMS in anyway U think.

[Mati]

That's very good decision from the point of Health Services we have to provide to our fellow citizens.
It's good.
The scholarships have signed contract and they hold responsibility but it doesn't mean that they should be pushed there.
The infrastructure to work in the periphery is first condition. Secondly, incetives!!! It is must.

Anyway, the govt decided and if it is goes smoothly our health care delivery system will be efficient.

Public health safeguard is the mainstay of the better health care delivery in our country.

So, the decision as such is good!

Best wishes,
mati

[drdevil]

Originally Posted by ramesh

concept is praise worthy n it is the need of the hour, but it has not addressed certain issues - why not students from certain colleges like IOM not been included under it. they in fact are the ones whom the country has spent so much on. n other thing 2 year is a long time my fren,that also in the remote areas. it will be hard keeping up with the books n latest development. places where CMAs are handling well, why to send doctor there . this is the wastage of manpower. this way the gov is only trying to show that they are acting for the people. are only the doctors the citizen of nepal, are the people from other sectors like engineering, arts, commerce who are studying under scholarship scheme not required to work for the country. are they not the son n daughters of nepal. so this scheme has not been studied well. it has been blindly implemented. we have to form a a group n fight for this. don't you people agree.
dr ramesh kc
UCMS, Nepal

I personally feel that the Drs who did mbbs thro' MOE are given priority for an opportunity to do something good for the country.it's not you who should fight against it. iom students might someday ask the government to give them chance as well. Make use of this opportunity Dr Ramesh and learn to be an optimist. when u finish your internship, then you'll know how difficult it is to get a job and maybe then u'll feel the difference.
Only CMAs and HAs have been giving the health services in the remote areas beacuse of lack of doctors there.. and don't u think it is really bad to think that it is wastage of manpower by posting doctors there???

We have to serve the Nation . Govt has sponsored our education for this purpose.

[suman68]

I totally agree with the decision to make the schoolarship holder to work in periphery because simply they have agreed to do so when they accepted the scholarship. But this matter is not that simple. This is a big chance for govt of Nepal to restructure the health care infrastructure as well as the policy now. But they are just doing what they have been doing for years and ruining the big moment. They are just sending fresh out-of-internship medical doctors to the peripheri where even most skilled doctors will face difficulties because we lack infrastructure badly in those places. They are doing this just for the sake of fillig up the place and gain popularity. But if they dont have long term plans to handle this properly, it will have negative impact on our entire health system. For now what they are doing is justifiable cuz' we seriouly lack docs in periphery. But for the next lot of pass outs (NMLE), they have to plan out some structured trainings before posting the young doctors in those areas. The govt most also have post placement plans. They can even institutionalize this process for post graduate training.
Another facet of this problem is those who disobey this summon. (who do not wish to go to periphei). Since medical migration is going to increase stedily for few more years this will probably badly hit govt plan. And this is the matter which govt has to address very carefully. They should not close doors for those who go abroad but have plans to return back to country.
In my opinion, we have to fulfill what we have promised but the govt should also take it seriously rather than just for mediahype or populariry for short term.

[rabin2]

this is just unfair and posed for political popularity. If they are really serious then they need to impliment this rule to government institutions ,which cast major health budget, and the rule should include the scholarship holders in any field of study and for the student who comleted medicine from othor countries under the same scholarship from government (MOE). Further , they have contract with MOE and not with MOH ,which contradicts the prevalent scholarship law in Nepal . Anyway, law should be universal.

[rame]

two years !! it's too much .Even government doctors are not working in remote places for 2 years. For which they are given jobs .Why should the fresh graduate ? What credentials will the fresh graduates will get ? Life will be 2 decades back slided in two years !they should send Health Assistents first to repalce AHWs in those places then comes the replacement by Medical Graduate to HA's. Why don't they send SPECIALIST to those places , do they have answer ? or they just think those people don't need specialist? I think sending fresh graduates in remote places is just a waste of everything. One should not be pushed to do so.They should have made the offer lurative and then watch ......