Shortage of 600,000 doctors and 2 million nurses in India
Scientists found that India is lacking in staff who are properly trained in administering antibiotics. India lacks about 600,000 doctors and 2 million nurses. Even if antibiotics are available, patients are often unable to afford them.
In India, about 65 percent of health expenditure is out-of-pocket and this drags 57 million people towards poverty every year.
Every year there are about 5.7 million antibiotic-treatable deaths around the world mostly occurring in low and middle-income countries.
Researchers at Disease Dynamics, Economics & Policy (CDDEP) in the US conducted stakeholder interviews in low and middle-income countries and found that the health facilities in many low- and middle-income countries are substandard and lack staff who are properly trained in administering antibiotics.
In India, there is one government doctor for every 10,189 people. Lack of access to antibiotics kills more people than antibiotic resistance, but India does not have a good handle on why these barriers are created.
Research shows that of 21 new antibiotics entering markets between 1999 and 2014, less than five were registered in most countries in sub-Saharan Africa. Just the mere existence of an effective antibiotic does not mean that they are available in countries where they are most needed.
The irrational use of antibiotics and poor antimicrobial stewardship lead to treatment failure and propagate the spread of drug resistance which, in turn, further narrows the available array of effective antibiotics.