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Health Professionals Education Striking a balance between health services needs and workforce required for the same!

18/12/2025

Beginning my career in 1975 from the then Rural Health Training Center at village Naila… · Experience: Health Systems strngthening · Education: Karolinska institutet · Location: Jaipur · 500+ connections on LinkedIn. View Shiv Chandra Mathur’s profile on LinkedIn, a professional community of...

JLN Medical College, Ajmer – As I Saw It!An ex-studentI distinctly remember frequenting a narrow street between Victoria...
18/12/2025

JLN Medical College, Ajmer – As I Saw It!
An ex-student

I distinctly remember frequenting a narrow street between Victoria Hospital and Agrawal Higher Secondary School in Ajmer during my early teens. This street had a single lamp post that, after dusk, emitted a dim, fading light—illuminating more a cowshed on its right than the road itself. It was on this not-very-large parcel of land that a building was constructed in the mid-1960s. In the history of the PWD, Rajasthan, this was the first RCC multistorey construction in the state—albeit only four floors.
The first four batches of JLN Medical College studied in the annexes of the TB Demonstration Centre on Jaipur Road or in a lecture theatre behind the erstwhile Victoria Hospital. When we reached II MBBS in January 1970, regular teaching from the IV semester onward began in the new building. No sooner had the building started functioning than it was realized that the scorching sun inundated the front-facing laboratories and halls on the eastern side. This led to early renovations with the installation of sun-breakers, which eventually became the iconic architectural feature of JLN Medical College.
Concurrently, the transformation of Victoria Hospital into JLN Hospital began—civil works that, one suspects, may still not be entirely complete. Until we passed out in early 1973, the Obstetrics and Gynaecology Department remained perched on the hills near Delhi Gate, popularly known as Longia Hospital. What a pleasure it was to squeeze into the running blue van for ward postings to this not-so-distant location, arms braced against those of fellow students!
In its first fifteen years, JLN saw three Principals and Controllers (P&C), one of whom served for more than a decade. Their leadership decisively shaped the academic and social culture of the institution. Ajmer, being a small town in those days, gave medical students ample space to exercise their clout—particularly in the town’s five cinema halls. Watching a movie on the first day, first show, was a matter of prestige. The services of the boys’ hostel peon at midnight—procured to fetch poppy-seed-flavored hot tea from the railway station—were a privilege reserved for those adept at the card game ‘Paplu’.
The location of the College, with its small campus despite repeated efforts to add buildings on limited land, continues to challenge its sanity, serenity, and grace. My couple of visits to the campus between its golden jubilee and the forthcoming diamond jubilee were disappointing: a shabbily postered golden jubilee gate watched over by robust rodents from the sewer opposite, and an ungainly metallic structure atop the College porch standing guard over a building we once loved dearly.
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The most exciting phase in the life of a medical teacher is teaching at one’s alma mater. Beyond my five-and-a-half years as an undergraduate, I had the pleasure of serving on the faculty of this College as a Lecturer (before redesignation to Assistant Professor) and later as Associate Professor from 1981 to 1994. This was an era when political and bureaucratic interference in the day-to-day functioning of medical colleges was hardly visible. Principals were truly “Controllers” in every sense.
During my thirteen years of teaching at JLN, I served under four P&Cs, each steering the College in a distinct manner. The Mobile Surgical Unit of the College did remarkable work, delivering curative services to hundreds of villagers across Ajmer district.
Unlike SMS Medical College, Jaipur—and to a considerable extent the medical colleges at Bikaner and Udaipur—faculty turnover at JLN remained high. Over time, this diluted a sense of institutional ownership.
The number of medical colleges in India remained almost static at around 106 until the early 1990s. Consequently, JLN could not gather enough momentum to compete with long-established institutions. Rajasthan’s polity, which often kept Ajmer on the back stage, further deprived the College of timely resources. Faculty members, struggling to keep pace with technological advances, were often compelled to compromise on their potential.
Super-specialties began arriving in medical colleges from the 1980s, and JLN Ajmer lagged behind in this race as well. Their introduction significantly impacted undergraduate education. Cultural change in medical education accelerated with affiliation to Universities of Health Sciences and the rapid pace of privatization. Much of this transformation has been positive, though the mechanisms of regulation have continued to puzzle stakeholders. It is reassuring to see that JLN, Ajmer, has largely managed to stay above board.
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As a Public Health Specialist, I have visited twenty-two countries across six continents and globally acclaimed health-sector institutions for various academic purposes. Introducing myself to esteemed health professionals on international platforms often carried the modest caveat of being a graduate from a relatively unknown institute—yet it also strengthened my hope of carving an identity for my alma mater.
Graduates from the earlier batches dispersed quickly. Postgraduate courses commenced here only in 1977, and for most of us in those years it was not feasible to withstand the rigors of the co-guide system and the twice-yearly journeys to RNT Medical College, Udaipur, to fulfil MD/MS requirements. Even so, more than fifty years after passing out, most of us from the early batches are happy to witness the College’s growth—though it still has miles to go.
Let us hope that the current custodians of JLN Medical College grasp its historical perspective and provide it the momentum required to match the best institutions by the time we arrive at the vision of a “Viksit Bharat.”

Shiv Chandra Mathur MD
Retired as Professor of Preventive and Social Medicine
SMS Medical College, Jaipur
Earlier Director SIHFW, Rajasthan, Jaipur
+91 9414055607

Beginning my career in 1975 from the then Rural Health Training Center at village Naila… · Experience: Health Systems strngthening · Education: Karolinska institutet · Location: Jaipur · 500+ connections on LinkedIn. View Shiv Chandra Mathur’s profile on LinkedIn, a professional community of...

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17/08/2021

Post-Covid experience invited

28/04/2021

HIGH TIME TO RESEARCH THE REDUCTION IN COSTS TO DELIVER MEDICAL CARE:
Most disturbing time when pandemic has scared one-and-all around the world. It has triggered the consciousness on life - or death - in everyone. In spite of high scientific advancement, we feel helpless. Our dreams for sustainable development at the beginning of a new millennium have shattered. Cost of medical care has escalated. Insurance companies which have overtaken a basic need to seek medical care are feeling more strong. People's efforts to strengthen health system have spluttered. It is difficult to hold back many from sliding below poverty lane in the process of seeking medical care.
Although technology has empowered Doctors in pin pointing the lesion adding lucidity to the differential diagnosis but the cost of investigations have created a new inequity.

02/04/2020

Since COVID19 has afflicted the 7billion+, activists around the world are valuing the significance of Public Health. This is a subject taught under the garb of “PSM” (renamed as Community Medicine) to medical students albeit remained on the back seat in the hall of medical disciplines for decades. The PSM teachers were more often frowned upon by the rest of the faculty of the Medical College.
My first lesson in Public Health July 1975 beginning from participation in the campaigns to actively search for cases of smallpox in deserts of western India, followed by struggle to fetch cases for surgical sterilization. Concurrently I was involved in installing latrines under a Research-cum-Action (RCA) project to curb open air defecation combined with promoting disposable Dai’s kit (soap cake with sterilized blade and thread with a vial containing Iodine sealed in a plastic sac) for traditional birth attendants and train them to conduct aseptic delivery. While performing these tasks at a rural health training center of a Medical College, I was involved in seeking the indulgence of Interns in public health surveys for whom field work was amusing!
A project on determining optimal intake of fluoride in tropical Rajasthan proved to be formidable in an era when ion-specific electrodes were available in limited laboratories in India. Decades later visiting the interiors of the state for health services research issues, incidentally I found de-fluoridation pots in vogue in villages known for endemic fluorosis. I could then feel the reward of being one of the earliest conductors of research on fluoride in Rajasthan!
In late seventies, getting polio vaccine with potency maintained was an issue since thermocol boxes containing OPV amid dry ice were to be collected from Jaipur airport even for use in Jodhpur. It was in same period Medical College Jodhpur was selected as one of the 20 units where Measles vaccine was piloted in India. India is now struggling to incorporate Measles-Rubella vaccine in its national immunization schedule!
World Bank Development Report of 1993 under the banner of “Investing in Health” proved a game changer. Aftermath of this document reinforced through UN summits on Population (Cairo-1994), and Women (Beijing-1995) boosted the FP programmes in a refined reproductive health approach. Thanks to the left coalition in NDA-I, National Rural Health Mission was launched in 2005 in India accrediting Preventive and Social Medicine on a large scale. Spurt in Institutional Deliveries, expanding immunization schedule combined with enhanced coverage, exploiting the potential of ASHA in a range of interventions pushed the message of valuing Health inside each Indian door.
Eventually it was a blessing to have led the training system of Public Health in the first decade of this century in a state as large as Rajasthan. Challenge of advocating the incorporation of technology in routine in public systems to begin with was an onerous task, but the rewards were soon observed when a large number of health professionals gave space to internet on their work place to join educational program online.
A drive four decades later with political commitment (Swatch Bharat Abhiyan-2014) could lead to functional sanitary latrines in several villages and urban slums, provoking memories of my professional beginning with disseminating RCA latrine-sets in 1975. Thus India could now boast of substantial reduction in open air defecation.

Community participation at all level through strong advocacy on sanitation, ‘Fit-India’ movement, containing to***co consumption, providing smokeless stove to poor, stringency on road-traffic, subsidizing the sale of sanitary pads for ladies and now a country-wide self-imposed curfew to avoid COVID19 are subtly changing India - thanks to our leaders bringing it on central stage - albeit complacence could not be drawn on the progress in Public Health in India since its doctor-patient ratio is far from the norm recommended by WHO
Although I had to join Public Health under constrains, but soon realized that it has a social purpose of outstanding magnitude. Nevertheless journey proves to be endless in context of fast race to rise on the ladder of world’s economy enhancing challenges to public health. It is proving Winslow’s adage that “Public Health which in its earliest days was an engineering science and has now become a medical science must expand until it is in addition a Social Science!”

https://ijtmrph.org/index.php/IJTMRPH/announcement/view/14
28/02/2020

https://ijtmrph.org/index.php/IJTMRPH/announcement/view/14

CALL FOR PAPERS: SPECIAL COLLECTION ON HUMAN RESOURCES FOR HEALTH IN ASIA 2020-02-24 The International Journal of Translational Medical Research and Public Health (IJTMRPH), Washington, DC, USA, is sponsoring a special journal collection of articles on “Human Resources for Health (HRH) in Asia: Cu...

04/02/2020

Your observations and experiences on strengthening health systems around the world are solicited🙏

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