TNMOA Opposes Cut in Pediatrician Posts as Tamil Nadu Reassigns Faculty to Strengthen CEmONC Neonatal Care Services

TNMOA opposes the Tamil Nadu DME’s move to reduce pediatrician posts in government medical colleges to create neonatologist roles for CEmONC services.
Close-up of a healthcare professional wearing a white coat and a stethoscope.
As Tamil Nadu expands emergency maternal and newborn care, doctors warn that cutting pediatrician posts in teaching hospitals could strain both education and patient services.Gustavo Fring
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Chennai, February 9, 2026: The Tamil Nadu Medical Officers Association (TNMOA) has opposed the Directorate of Medical Education (DME) over its decision to reduce pediatrician posts in government medical colleges across the state. The move involves surrendering seven assistant professor posts in pediatrics to create seven neonatologist positions for Comprehensive Emergency Obstetric and Newborn Care (CEmONC) services.

Why Are Pediatrician Posts Being Reduced in Tamil Nadu Government Medical Colleges?

According to the letter issued by DME, the pediatrics posts were identified as surplus based on norms given by National Medical Commission (NMC). As a result, assistant professors from teaching hospitals are being diverted and reassigned as neonatologists in CEmONC facilities.

The seven assistant professor posts proposed for surrender include:

  • One post each from Government Medical College Hospital of Tiruvannamalai, Kilpauk, Vellore, Madurai, Tirunelveli, and

  • Two posts from Government Mohan Kumaramangalam Medical College Hospital, Salem

What Are CEmONC Centers and Why Are They Critical for Maternal and Newborn Care?

CEmONC centers in Tamil Nadu were established following a Government Order issued in September 2004 to strengthen emergency maternal and newborn care across the state and reduce maternal and neonatal mortality.

During Phase 1, 66 CEmONC centers were set up, including 52 project hospitals and 14 tertiary care centers, ensuring that travel time for emergency obstetric care was reduced to approximately one hour.
In Phase 2, 32 additional centers were established, followed by 27 centers in Phase 3, significantly expanding the state’s emergency care network.

Each CEmONC center is designed to provide comprehensive care for mothers and newborns. The centers are staffed with obstetricians, pediatricians, medical officers, staff nurses, laboratory technicians, and support staff.

To ensure quality care, the state invested heavily in both training and physical infrastructure. A total of 508 doctor positions and 562 nursing positions have been sanctioned and filled exclusively for CEmONC services.

The centers are equipped with fully functional maternity blocks. This include labor wards, operation theaters, blood banks or blood storage units, newborn wards, neonatal intensive care units (NICUs), and isolation wards. Infrastructure development worth ₹150 crore and medical equipment worth ₹40 crore has been provided to CEmONC centers across the state.

How Tamil Nadu Built a Statewide CEmONC Network Over Two Decades

Despite the importance of CEmONC services, the TNMOA has strongly criticized the DME’s decision to reassign teaching faculty. The association stated that the move weakens the healthcare system rather than strengthening it, particularly medical education and tertiary care services.

In a statement, the TNMOA highlighted that over the past two years:

  • 56 Primary Health Center (PHC) medical officer posts were reduced

  • More than 1,000 specialist posts were cut under the justification of redeployment

The association warned that reducing healthcare manpower ultimately has a direct and negative impact on public health outcomes.

(Rh/VK)

Close-up of a healthcare professional wearing a white coat and a stethoscope.
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