RESYST Working Paper 9: A longitudinal study of the job choices of privately and publicly trained nurses in Tamil Nadu

December 2016
Elsa Mary, V R Muraleedharan, Sathish Kumar, Umakant Dash, Rajesh M

This study throws light on the expectations of nursing students trained in Tamil Nadu. What are their job-preferences, where would they like to work, and what motivates them to enter the nursing profession as a career?  

Key findings

  • Irrespective of the type of training institution, nursing students would like to take up a public sector job.
  • Female nurses show less preference to migrate outside Tamil Nadu state.
  • Male nurses and those with a preference for a higher salary prefer to migrate outside Tamil Nadu and the country.

Policy questions

Given the high preference for Government jobs; low absorption of nurses in public and private health facilities (despite acute shortage) and the high migration outside the country, the relevant policy questions are:

  • How should government respond to, regulate, encourage and guide the rapid growth in nurse training institutions in Tamil Nadu?
  • What specific policy initiatives are necessary to enhance employment opportunities for nurses?
  • To what extent are training institutions (public and private) over-producing for the current absorptive capacity of the labour market? Does this lead to unemployment or migration? 
Health workforce Private sector India Nurses job choices