Abstract
BackgroundThe Federal Democratic Republic of Nepal is a developing country in South Asia with a population of 29.8 million. In September 2011, there were 18 medical schools with 14 being in the private sector. KIST Medical College is a private school in Lalitpur district. The present study was conducted to obtain information on student perceptions about working in rural Nepal after graduation.MethodsThe study was conducted among first- and second-year undergraduate medical students using a semi-structured questionnaire developed by the authors using inputs from the literature and their experiences of teaching medical students. Year of study, gender, method of financing of medical education, place of family residence and occupation of parents were noted. Participant responses were analysed, grouped together and the number of respondents stating a particular response was noted.ResultsOf the 200 students, 185 (92.5%) participated with 95 being from the first year and 90 from the second. Most students were self-financing and from urban areas. Regarding the question of working in rural Nepal after graduation, 134 (72.4%) said they will work after their undergraduate course. Students preferred to work in the government or nongovernmental sector. Student felt doctors are reluctant to serve in rural Nepal due to inadequate facilities, low salary, less security, problems with their professional development, less equipment in health centres, decreased contact with family and difficulties in communicating with an illiterate, rural population. About 43% of respondents felt medical education does not adequately prepare them for rural service. Repeated rural exposure, postings in rural hospitals and health centres, and training students to diagnose and treat illness with less technology were suggested. The median monthly salary expected was 60 000 Nepalese rupees (US$ 820) and was significantly higher among first-year students.ConclusionsThe majority of respondents were in favour of working in rural Nepal after graduation. They wanted facilities in rural areas and health centres to be improved. Changes in the education system were suggested. Providing relatively better facilities for rural doctors compared with urban doctors and reorienting medical education for producing doctors for rural Nepal can be considered. Further studies are required in other private medical schools.
Highlights
The Federal Democratic Republic of Nepal is a developing country in South Asia with a population of 29.8 million
The Federal Democratic Republic of Nepal is a developing country in South Asia situated between China and India
Student perceptions about working in rural Nepal after graduation were studied using a semistructured questionnaire shown in the Additional file 1
Summary
The Federal Democratic Republic of Nepal is a developing country in South Asia with a population of 29.8 million. In September 2011, there were 18 medical schools with 14 being in the private sector. The Federal Democratic Republic of Nepal is a developing country in South Asia situated between China and India. The population of Nepal in the year 2010 was 29.8 million [1]. There were 18 medical schools in the country at the beginning of September 2011 [2] and 14 of these were in the private sector. Nepal is predominantly an agricultural country and, in 2009, 24.1 million people (about 90% of the population) stayed in rural areas [3]. In Nepal, doctors migrate to developed nations or prefer to work in urban areas of the country. The situation may have changed as many new medical schools have been established in the decade following 2001
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