Qualified medical practitioners in Bhutan

In 1962 when Dr Carl E Taylor visited Bhutan, he found 21 qualified medical practitioners in the country. The entire modern health system of the country was then made up of seven doctors, two nurses and 12 compounders.

According to the American doctor’s report, Bhutan Report: Reconnaissance Trip - June 1962, two doctors were Bhutanese, one was a Scottish Presbyterian missionary, and the remaining four were Indians.

Both Bhutanese doctors received their medical training in India at Kolkata and Darbhanga medical schools, and were from Haa valley. The report confirms that the first doctor in the country was Karbo, and at the time of the American health reformist’s visit, “Dr Karbo has been practicing medicine in Bhutan for 20 years.”

Dr Karbo’s wife Aum Gaki said her husband worked in the Indian medicine service during the British Raj and also served their army during the WWII. With his military background, in 1962 he was made responsible for the Bhutan army medical services. During the time of the American doctor’s visit, he was the guide and interpreter, and the guest was greatly impressed by his quiet competence.

The second Bhutanese doctor, Tobgay, was much younger. The American doctor’s report said that the doctor had returned home immediately after finishing his medical course to serve the Bhutan government in Thimphu. At the time of Dr Taylor’s visit, the younger Bhutanese doctor was in Kalimpong getting refresher hospital experience.

The third doctor, Craig, was a Scottish Presbyterian missionary doctor. He ran the Chartres hospital in Kalimpong, India. As a good friend of the Dorjis, who were Bhutan’s trade agent, based in the same hill station, he knew Bhutan. For the last 25 years, he had already been helping set up a health system in our country. The report mentions that the Scottish doctor was close and cared for the royal family, and was now in Bhutan for two years as physician to the royal family.

By 1962, the missionary doctor had visited various parts of the country, conducting travelling dispensaries, often in company of the royal family. Dr Taylor, in his report, states that Dr Craig was doing a fantastic job and was impressed with his understanding of the health needs of the country. “At present he’s running the Thimphu hospital and has started a training class for six midwives.” Doctor Craig’s hospital in Kalimpong trained most of our compounders, who at the time of Dr Taylor’s visit, were serving in Bhutan.

The remaining four Indian doctors were brought in to care for the labour force on the Phuentsholing-Thimphu highway construction.

“In connection with the road building program four Indian doctors were brought to Bhutan to care for the labour force. The director of this service is Dr Roy, a competent young Bengali.”

According to the 1962 reconnaissance health report, the twelve compounders were working in different parts of Bhutan. Half of them were staffed to run dispensaries in scattered and isolated valleys. The other half worked in the two established hospitals in the country. In addition to basic work in pharmacy, these men were given a broad preparation, designed to fit them for work in rural dispensaries, where they were expected to do general medical care and preventive work. “We observed one such compounder at work in Paro valley and were favourably impressed with his competence. Dr Craig has proposed that these men should also go to isolated farms on regular visiting tours and thus combines preventive and curative activities to scattered facilities,” the report stated. All the compounders received their training in India with Dr Craig at the Chartres hospital in Kalimpong.

At that time of the visit, there were only two nurses in the country. One worked at the hospital in Thimphu and the other ran the government dispensary in Haa valley. Again, both were trained in Kalimpong, in Chartres hospital. The report stated that the new training program initiated by Dr Craig for midwives was expected to fill this gap.

Already the health system was distressed. According to the report, the main problem was the shortage of qualified medical practitioners. For the three doctors, it was becoming impossible to supervise the 12 compounders and two nurses, who were spread across the country. Dr Taylor also stressed the importance for compounders and doctors to be in regularm as this created a favourable working relationship, which allowed both to make full use of their own aptitude.

In 1962, with only 21 qualified medical practitioners and with increasing awareness of health issues, the health system was feeling the pressure. Hence the American doctor was invited to do a reconnaissance study, so that the health system could be enhanced.

Source: Kuenselonline