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Compulsory Rural Stint for Doctors: Ramadoss

n medical students in carrying out safe deliveries and in neo natal care. Through providing doctors with multi skills, it hopes to meet the acute shortage of trained personnel in rural areas.

"Of the 3,222 community health centres in the country, 981 are being upgraded to first referral centres to provide gynaecology, paediatric and anaesthetic services as well as emergency obstetrics services," a health ministry official said.

In the discussions Friday with the ministry of rural development and state representatives, Ramadoss said it has been decided to employ the services of chartered accountants for monitoring the flow of funds. Similarly, the Indian Institute of Public Audits had been engaged for Rs.6.5 million annually for a proper audit of fund utilisation.

These steps were being taken in view of reports of large-scale leakage of funds meant for public health programmes.

Some of the other changes proposed by the health ministry include giving more financial incentives to the accredited social health workers or ASHAS to motivate pregnant women to seek medical check-ups and delivery in hospitals, ensure proper immunisation of children in the villages under their charge and promote use of indoor toilet facilities.

Instead of a regular salary, the 227,000 ASHAS would receive incentive-based monthly remuneration, Ramadoss said.

For the safer motherhood programme, the government has decided to raise the incentive to mothers from Rs.700 to Rs.1,400. Funds provided to the district hospitals, particularly in the northeast, are being increased to improve the facilities.

The rural development ministry has agreed to support the efforts by focusing more on sanitation and better access to clean drinking water.

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