Implications of the growth of dental education in India.
By influencing the supply of trained human resources, the dental education sector can play a significant role in influencing policy goals of ensuring good quality and equitable access to oral health services in developing countries. Our research goal was to assess quantitatively the size of the Indian dental education sector, its growth over time, and the implications of this growth for equity and quality in oral health care. Information on the location of teaching institutions, the year of establishment, type of ownership, and seat capacity was obtained from government sources, the Dental Council of India, and websites of individual institutions to estimate the growth in the undergraduate dental education sector, including the role of the private sector from 1950 to 2005. Data on location of training capacity and institutions were used to assess the geographical distribution of undergraduate dental education capacity in India. Registration data on dentists, the size of available faculty relative to regulatory requirements, and penalties imposed on offending faculty and education institutions were used to assess the impact of the growing Indian dental education sector on graduate quality and equitable access. Dental colleges and enrollment capacity have grown rapidly over the five decades since 1950, mainly due to a growing private sector. There is regional inequality in the location of dental education schools in India with a bias toward economically better-off regions. The growth in the dental education sector has translated into increased overall access, although accompanied by rising inequality in access and possibly lower quality of dental education.
Mahal
Ajay S
AS
Department of Population and International Health, Harvard School of Public Health, Building No. 1, 11 Floor, 665 Huntington Avenue, Boston, MA 02115, USA. amahal@hsph.harvard.edu
Shah
Naseem
N
D003813:Dentistry; D004497:Education, Dental / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D005179:Faculty, Dental / Q000600:supply & distribution; D006297:Health Services Accessibility; D006801:Humans; D007194:India; D017149:Private Sector; D017150:Public Sector; D012570:School Admission Criteria; D012575:Schools, Dental / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D000078329:Workforce