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Care Work in India

Home Nurses and Care Attendants

How demand for home nursing and patient attendants is growing, the skills gap and poor regulation, and India's role in supplying nurses abroad.

Home nursing and attendant services are expanding.

Demand

  • Ageing population.
  • Chronic diseases needing long-term care.
  • Post-hospital recovery at home.

Workers

  • Qualified nurses (GNM, BSc Nursing).
  • Patient attendants or caregivers with short training.
  • Many attendants have little formal training.

Regulation

  • Attendants and home care agencies are lightly regulated.
  • Quality varies widely.
  • Skill India courses train general duty assistants and home health aides.

Nurses abroad

  • India is a major source of nurses for the Gulf, UK, US, Ireland and other countries.
  • Kerala is famous for nurses working worldwide.
  • Nurse migration brings remittances but can create shortages at home.

Pay gaps

Nurses earn much more abroad, driving migration.

Economic view

Demand for care workers will rise sharply; training and decent pay can create millions of jobs.

The Kerala nurse

A nurse from Kerala trains in Bengaluru, works two years in a private hospital, then moves to the UK, where she earns several times more and supports her family back home.

Thinking all home caregivers are trained nurses

Many attendants have little formal training.

Key takeaways
  • Home nursing demand is rising with ageing and chronic disease.
  • Many attendants lack formal training.
  • India, especially Kerala, supplies nurses worldwide.
  • Care jobs could grow into millions with training and fair pay.
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