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Mandatory rural service prior to post-graduate training, Orissa
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Subject Area="Human Resources." Objective="Reduced vacancies."
Details for Reform Option "Mandatory rural service prior to post-graduate training, Orissa"

Action: Government of Orissa has introduced a mandatory scheme for Medical Officers (MOs) to serve one year in a rural area before they can embark on post-graduate courses. The scheme is designed to help fill vacancies in remote and unpopular areas and at the same time to sensitise young doctors to the problems in rural areas and community medicine. The programme comprises 11 backward, tribal or otherwise unpopular districts in the state. The entrance examination for PG courses is conducted one year ahead of the date for admission; those who qualify are assigned to one of the institutions in these 11 districts. The Chief District Medical Officer supervises the candidates and certifies attendance. Results: The initiative has turned out to be successful as it uses the doctors’ desire for further qualification as an incentive and is limited in time.

Place Eleven tribal, remote and backward districts in Orissa, since 1998.
Time Frame Few months.

On-the-job training: MOs are exposed to community medicine and problems in rural areas. Vacancies filled: Staff MO vacancies are filled in remote rural areas. Time-limited: Posting limited in time, so candidates are more willing to go and do not spend their time lobbying for promotion or transfer.


Inflexible: MOs who desire highly specialised postgraduate qualification may see posting in rural areas as waste of time and just 'serve their term' with little commitment. Cost: Possible increase in administration costs through frequent rotation and selection procedures.


Willingness of the state government Identification of posts to be covered under the scheme Sufficient number of medical graduates to fill vacancies. Amendment to the medical service rules.

Who needs to be consulted

Department of health and family welfare, state government. Medical colleges.




Chances of Replication



About 50% of the posts of MOs were filled in 1999 & 2000.


Submitted By

Dr. Matthew Jowett, Former Programme Adviser, European CommissionTechnical Assistance Office, New Delhi. July 2002.

Status Active
Reference Files
GO No RCH-1098-106-R (PROD No 10).doc
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