Angothu Hareesh, Philip Sharad, Somanathan Revathi, Reddy Krishnareddy Shanivaram, Jayarajan Deepak, Muliyala Krishna Prasad, Thirthalli Jagadisha
Associate Professor of Psychiatry, NIMHANS, Bengaluru, 560 029 INDIA.
Senior Resident in Psychiatric Rehabilitation Services, NIMHANS, Bengaluru, 560 029 INDIA.
Indian J Med Ethics. 2020 Oct-Dec;V(4):1-18. doi: 10.20529/IJME.2020.111.
India's Persons with Disabilities Act, 1995 (PWD Act, 1995) mandated a minimum enrollment reservation of 3% for persons with disability (PwDs) across all educational courses supported by government funding. Following this, the Indian Nursing Council (INC) issued regulations limiting such an enrollment quota to PwDs with lower limb locomotor disability ranging between 40%-50%. The Medical Council of India (MCI) also restricted admissions under the PwD category to PwDs with a lower limb locomotor disability to comply with the Act. The Rights of Persons with Disabilities (RPwD) Act, 2016, which replaced the PwD Act, 1995, raised the minimum reservation to 5% for all government-funded institutions of higher education and extended this reservation to PwDs under 21 different clinical conditions, rather than the seven conditions included under the PwD Act, 1995. Following the enactment of the RPwD Act, 2016, the MCI issued regulations that allowed PwDs with locomotor disability and those with a few other types of disabilities in the range of 40%-80%, to pursue graduate and postgraduate medical courses, while the INC has not made any changes. This article addresses the complexities of inclusion of PwDs in the healthcare workforce, offers suggestions for inclusive measures; and compares the INC admission regulation released in 2019 to the MCI 2019 admission guidelines for graduate and postgraduate medical courses.
印度1995年的《残疾人法案》(《1995年残疾人法案》)规定,在政府资助的所有教育课程中,为残疾人预留至少3%的入学名额。在此之后,印度护士理事会(INC)发布规定,将此类入学配额限制在下肢运动障碍的残疾人范围内,比例在40%至50%之间。印度医学理事会(MCI)也将残疾人类别下的录取限制在下肢运动障碍的残疾人,以符合该法案。2016年的《残疾人权利法案》(《2016年残疾人权利法案》)取代了《1995年残疾人法案》,将所有政府资助的高等教育机构的最低预留比例提高到5%,并将这一预留范围扩大到21种不同临床状况下的残疾人,而不是《1995年残疾人法案》所涵盖的7种状况。在《2016年残疾人权利法案》颁布后,MCI发布规定,允许运动障碍的残疾人和其他几种残疾程度在40%至80%之间的残疾人攻读研究生和研究生医学课程,而INC没有做出任何改变。本文探讨了将残疾人纳入医疗保健劳动力队伍的复杂性,提出了包容性措施的建议;并将INC在2019年发布的录取规定与MCI 2019年研究生和研究生医学课程的录取指南进行了比较。