Bhutan’s hospitals have seen a decline in Bangladeshi specialists, with only two remaining. This is due to job insecurity, lack of long-term prospects, and an uncertain professional future. The lack of permanent residency and a significant pay gap between expatriate and local doctors also discourages long-term commitment. Bhutanese doctors and nurses are seeking better pay and future prospects abroad, with many opting for Australia for permanent residency and higher living standards. The country currently has fewer young doctors enrolling in specialist training programs. The MoH has stated that the recruitment of 19 Bangladeshi specialists in 2020 was a temporary measure to address gaps in specialist services, and all foreign doctors have completed their contracts.
The MoH also noted that Bhutanese doctors are often trained on full government scholarships, while expatriate specialists are paid market-competitive rates. The MoH collecting email feedback from departing foreign doctors, but responses are limited. The MoH clarified that offering permanent residency or incentives is outside its mandate and lies with the Ministry of Home Affairs. The Ministry proposed a Career Pathway and PMS to improve career progression, performance incentives, and training opportunities. The ministry is also exploring formal Memorandums of Understanding with foreign governments and institutions.